This report provides a list of selected health-related programs and activities under specified titles of the Social Security Act (SSA), including the Maternal and Child Health Services Block Grant (Title V), General Provisions, Peer Review, and Administrative Simplification (Title XI), Medicare (Title XVIII), Medicaid (Title XIX), and the State Children's Health Insurance Program (CHIP; Title XXI); the Patient Protection and Affordable Care Act (ACA; P.L. 111-148 , as amended); as well as selected provisions from the Public Health Service Act (PHSA) that are scheduled to terminate during the first session of the 114 th Congress (i.e., by December 31, 2015). This report includes only those health care-related expiring provisions for which congressional action would be needed to extend the application of a provision once the expiration date is reached, and it does not include demonstration projects or pilot programs. Although the Congressional Research Service (CRS) has attempted to be comprehensive, CRS cannot guarantee that every relevant provision is included here. The report focuses specifically on health care-related expiring provisions and, in that context, it defines what constitutes an expiring provision, clarifies which issues do not meet the definition of an expiring provision, lists the legislative history of each of the programs and policies that are due to expire before the end of the first session of the 114 th Congress, and includes future deadlines, when applicable, for those programs and policies. The report will be updated as needed. Some health care-related statutes in current law include provisions that (1) are time limited and (2) will expire absent further congressional action. Most expiring provisions provide temporary increases or decreases in funding or special protections that may result in greater funding. For example, one Medicare provision provided increased payments for certain Medicare mental health services provided during a certain time period; when the provision was not extended, the bonus payments ended. Examples of funding protections include those Medicare funding provisions that establish a floor (e.g., for a geographic adjustment index under the physician fee schedule) or a "hold harmless." Generally, the list covers provisions that have or will expire before the end of the first session of the 114 th Congress (i.e., by December 31, 2015). While Medicare payments are reviewed for modification and updates each year, not every provision that changes Medicare payments is considered an expiring provision. Services for which payments are automatically updated each year are not considered expiring provisions and are not included in this report. For example, the physician fee schedule update is not considered an expiring provision because the statute prescribes the update process (the sustainable growth rate, or SGR, system) that applies each year, even though Congress has regularly chosen to supersede those updates in almost all recent years. Similarly, a recent change in Medicare payment policy included in the ACA requires the payment updates for many Medicare entities be adjusted by a productivity adjustment (similar to the payment adjustment for physicians). In general, the ACA provisions specify that the adjustment may result in a negative payment update allowing the payment rate for a year to be less than the rate for the preceding year. Just as the Medicare physician payment update is not considered an expiring provision, negative payment updates resulting from the productivity adjustment would not be considered expiring provisions because the updates are not time limited and do not expire absent congressional action, though, as with physician payments, Congress may choose to modify those updates. This report includes only those health care-related expiring provisions for which congressional action would be needed to extend the application of a provision once the expiration date is reached. Demonstration projects and pilot programs are not included. Provisions that expired or were repealed in 2013 are collected in the last section of the report. The expiring provisions are summarized below, organized by SSA or PHSA title and section, as appropriate. The last part of the report includes provisions with expiration dates in 2013 that were not extended in any subsequent legislation. Because these programs and provisions are diverse, the provisions identified herein are not perfectly consistent, including with regard to the style of citations. The legislative actions that created, modified, or extended the expiring provisions covered in this report are the following: DRA Section 6064 established the Family-to-Family Health Information Centers program in SSA Section 501(c). The program, administered by the Health Resources and Services Administration (HRSA), provides grants to family-staffed organizations that provide health care information and resources to families of children with special health care needs. DRA (Section 6064) appropriated $3 million for FY2007; $4 million for FY2008; and $5 million for FY2009. ACA (Section 5507(b)) extended the $5 million appropriation through FY2012. ATRA ( Section 624 ) extended the $5 million appropriation through FY2013. PAMA (Section 207) provided $2.5 million for the remainder of FY2014 (from April 1, 2014, to September 30, 2014) and provided $2.5 million for the first half of FY2015 (October 1, 2014, through March 31, 2015). Current status: The funding designated for Family-to-Family Health Information Centers expires March 31, 2015. PRWORA Section 912 authorized abstinence education formula grants in SSA Section 510. To receive these formula grants, states must request funding when applying for Maternal and Child Health Block Grant funds authorized in SSA Section 501. Funds provided must be used exclusively for teaching abstinence from sexual activity outside of marriage. PRWORA authorized and appropriated $250 million ($50 million for each of FY1998 through FY2002) for abstinence education. Subsequently, funding for this program was extended through June 30, 2009, by a series of legislation detailed below. ACA Section 2954 appropriated $50 million for each of FY2010 through FY2014 for this program. Most recently, PAMA extended funding for the program through FY2015. In addition, for FY2012 ( P.L. 112-74 ) and FY2013 ( P.L. 113-6 ), $5 million was added to this program to be used to award competitive grants. This program is administered by the Administration for Children and Families (ACF). PRWORA (Section 912) appropriated $50 million for each of FY1998 through FY2002. WREA 2003 (Section 6) extended the appropriation through FY2003. P.L. 108-89 (Section 101 ) extended the appropriation through March 31, 2004. WREA 2004 (Section 2) extended the appropriation through June 30, 2004. P.L. 108-262 (Section 2) extended the appropriation through September 30, 2004. P.L. 108-308 (Section 2) extended the appropriation through March 31, 2005. WREA 2005 (Section 2) extended the appropriation through June 30, 2005. P.L. 109-19 (Section 2) extended the appropriation through September 30, 2005. P.L. 109-91 (Section 102) extended the appropriation through December 31, 2005. TRHCA (Section 401) extended the appropriation through June 30, 2007. P.L. 110-48 (Section 1) extended the appropriation through September 30, 2007. P.L. 110-90 (Section 2) extended the appropriation through December 31, 2007. MMSEA (Section 202) extended the appropriation through June 30, 2008. MIPPA (Section 201) extended the appropriation through June 30, 2009. ACA (Section 2954) appropriated $50 million for each of FY2010 through FY2014. PAMA (Section 205) appropriated $50 million for FY2015. Current status: The funding designated for abstinence education grants expires September 30, 2015. ACA Section 2951 established the Maternal, Infant, and Early Childhood Home Visiting Program in SSA Section 511. This program provides grants to states, territories, and tribes for the support of evidence-based early childhood home visiting programs. These programs support in-home visits by health or social service professionals with at-risk families. The ACA appropriated a total of $1.5 billion for FY2010 through FY2014 for the home visitation grant program. PAMA extended this funding through March 31, 2015. Of the amount appropriated for this program, 3% annually is reserved for research and evaluation and 3% annually is reserved to make grants to tribal entities for home visitation services to Indian families. This program is administered collaboratively by the Maternal and Child Health Bureau at HRSA and ACF. ACA (Section 2951) appropriated $100 million for FY2010; $250 million for FY2011; $350 million for FY2012; $400 million for FY2013; and $400 million for FY2014. PAMA (S ection 209) provided $400 million for the program for the first half of FY2015 (October 1, 2014, through March 31, 2015). It also reserved portions of this part-year funding for Indian tribal entities (3% of the appropriation) and research and evaluation (3% of the appropriation). Current status: The funding designated for Maternal, Infant, and Early Childhood Home Visiting Program expires March 31, 2015. ACA Section 2953 established the Personal Responsibility Education Program (PREP) in Section 513 of the SSA. PREP is a state formula grant program to support evidence-based programs designed to educate adolescents about abstinence, contraception, and adulthood. The ACA also required the Secretary of Health and Human Services (the Secretary) to award grants to implement innovative youth pregnancy prevention strategies and to target services to high-risk populations. The ACA appropriated a total of $375 million, with $75 million appropriated for each of FY2010 through FY2014. The ACA required that $10 million each year be reserved for the youth pregnancy prevention grants.