Pub. L. 118-158 - American Relief Act, 2025

118th Congress

Affects: 2 U.S.C. §§ 900, 934; 5 U.S.C. §§ 3304; 6 U.S.C. §§ 124n, 1525; 7 U.S.C. §§ 1308-1, 1308-2, 1308-3, 1308, 1501, 1627a, 1736f-1, 1926, 2009aa, 2036, 2101, 2257, 3222a, 5925c, 5925g, 5939, 6522, 6523, 6945, 7101, 7272, 7507, 7508, 7632, 8102, 8103, 8105, 8110, 8351, 8772, 9011, 9016, 9031, 9038, 9057, 9059, 9092, 9097, 940c-2; 16 U.S.C. §§ 3839aa-24, 3839aa-7, 3839bb-2, 3839bb-5, 3841; 18 U.S.C. §§ 1861a, 3014; 23 U.S.C. §§ 120, 125; 33 U.S.C. §§ 1364, 701n; 42 U.S.C. §§ 1395aaa, 1395b-3, 1395cc, 1395f, 1395iii, 1395m, 1395w-102, 1395w, 1395ww, 1396r, 247d-7e, 247d-7f, 247d, 254b-2, 254b, 254c, 256h, 300hh-10b, 300hh-10c, 300hh-10d, 300hh-11, 300j-1, 3149, 3233, 4321, 5121, 5301, 5304, 5305, 701, 710, 713, 7403, 7405; 43 U.S.C. §§ 510b; 44 U.S.C. §§ 3501; 54 U.S.C. §§ 306108

SECTION 1. SHORT TITLE.

This Act may be cited as the “American Relief Act, 2025”.

SEC. 2. TABLE OF CONTENTS.

The table of contents of this Act is as follows: Sec. 1. Short title. Sec. 2. Table of contents. Sec. 3. References. DIVISION A— FURTHER CONTINUING APPROPRIATIONS ACT, 2025 DIVISION B— DISASTER RELIEF SUPPLEMENTAL APPROPRIATIONS ACT, 2025 DIVISION C— HEALTH Sec. 3001. Short title; table of contents. TITLE I— PUBLIC HEALTH EXTENDERS Sec. 3101. Extension for community health centers, National Health Service Corps, and teaching health centers that operate GME programs. Sec. 3102. Extension of special diabetes programs. Sec. 3103. National health security extensions. TITLE II— MEDICARE Sec. 3201. Extension of increased inpatient hospital payment adjustment for certain low-volume hospitals. Sec. 3202. Extension of the Medicare-dependent hospital (MDH) program. Sec. 3203. Extension of add-on payments for ambulance services. Sec. 3204. Extension of funding for quality measure endorsement, input, and selection. Sec. 3205. Extension of funding outreach and assistance for low-income programs. Sec. 3206. Extension of the work geographic index floor. Sec. 3207. Extension of certain telehealth flexibilities. Sec. 3208. Extending acute hospital care at home waiver authorities. Sec. 3209. Extension of temporary inclusion of authorized oral antiviral drugs as covered part D drugs. Sec. 3210. Medicare improvement fund. TITLE III— HUMAN SERVICES Sec. 3301. Sexual risk avoidance education extension. Sec. 3302. Personal responsibility education extension. Sec. 3303. Extension of funding for family-to-family health information centers. TITLE IV— MEDICAID Sec. 3401. Eliminating certain disproportionate share hospital payment cuts. DIVISION D— EXTENSION OF AGRICULTURAL PROGRAMS Sec. 4101. Extension of agricultural programs.138 STAT. 1723 DIVISION E— OTHER MATTERS Sec. 5101. Commodity futures trading commission whistleblower program. Sec. 5102. Protection of certain facilities and assets from unmanned aircraft. Sec. 5103. Additional special assessment. Sec. 5104. National cybersecurity protection system authorization. Sec. 5105. Extension of temporary order for fentanyl-related substances.

SEC. 3. REFERENCES.

Except as expressly provided otherwise, any reference to “this Act” contained in any division of this Act shall be treated as referring only to the provisions of that division.

Sec. 101.

The Continuing Appropriations Act, 2025 (division A of Public Law 118–83) is amended—

(1) by striking the date specified in section 106(3) Ante, p. 1526.and inserting “March 14, 2025”;

(2) in section 126 Ante, p. 1529.to read as follows:

(2) “Sec. 126. Notwithstanding section 101, amounts are provided for ‘District of Columbia—Federal Payment for Emergency Planning and Security Costs in the District of Columbia’ at a rate for operations of $90,000,000, of which not less than $50,000,000 shall be for costs associated with the Presidential Inauguration to be held in January 2025: Provided, That such amounts may be apportioned up to the rate for operations necessary to maintain emergency planning and security activities.”

(2) ; and

(3) by adding after section 152 the following new sections:

(3) “Sec. 153. Amounts made available by section 101 for ‘Department of Commerce—National Oceanic and Atmospheric Administration—Procurement, Acquisition and Construction’ may be apportioned up to the rate for operations necessary to maintain the acquisition schedule for Geostationary Earth Orbit in an amount not to exceed $625,000,000.

(3) “Sec. 154. Amounts made available by section 101 for ‘Department of Justice—Justice Operations, Management and Accountability—Justice Information Sharing Technology’ may be apportioned up to the rate for operations necessary to carry out proactive vulnerability detection and penetration testing activities.

(3) “Sec. 155. In addition to amounts otherwise provided by section 101, there is appropriated to the Department of Justice for ‘Federal Bureau of Investigation—Salaries and Expenses’, $16,668,000, for an additional amount for fiscal year 2025, to remain available until September 30, 2026, to conduct risk reduction and modification of National Security Systems: Provided, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.

(3) “Sec. 156. (a) Amounts made available by section 101 to the Department of Defense for ‘Procurement—Shipbuilding and Conversion, Navy’, may be apportioned up to the rate for operations necessary for ‘Columbia Class Submarine (AP)’ in an amount not to exceed $5,996,130,000. “(b) Amounts made available by section 101 to the Department of Defense for ‘Procurement—Shipbuilding and Conversion, Navy’ may be apportioned up to the rate for operations necessary for ‘Columbia Class Submarine’ in an amount not to exceed $2,922,300,000.138 STAT. 1724

(3) “Sec. 157. (a) In addition to amounts otherwise provided by section 101, there is appropriated to the Department of Defense for ‘Procurement—Shipbuilding and Conversion, Navy’, $5,691,000,000, for an additional amount for fiscal year 2025, to remain available until September 30, 2029, for the Virginia Class Submarine program and for workforce wage and non-executive salary improvements for other nuclear-powered vessel programs: Provided, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. “(b) Amounts appropriated by subsection (a) may be used to incrementally fund contract obligations for the improvement of workforce wages and non-executive level salaries on new or existing contracts pertaining to the Virginia Class Submarine program or to other nuclear-powered vessel programs.

(3) “Sec. 158. In addition to amounts otherwise provided by section 101, there is appropriated to the Department of Defense for ‘Operation and Maintenance—Defense-Wide’, $913,440,000, for an additional amount for fiscal year 2025, to remain available until September 30, 2026, to conduct risk reduction and modification of National Security Systems: Provided, That the amount provided by this section may be transferred to accounts under the headings ‘Operation and Maintenance’, ‘Procurement’, and ‘Research, Development, Test and Evaluation’: Provided further, That funds transferred pursuant to the preceding proviso shall be merged with and available for the same purpose and for the same time period as the appropriations to which the funds are transferred: Provided further, That any transfer authority provided herein is in addition to any other transfer authority provided by law: Provided further, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.

(3) “Sec. 159. (a) Amounts made available by section 101 for ‘Department of Energy—Atomic Energy Defense Activities—Environmental and Other Defense Activities—Other Defense Activities’ may be apportioned up to the rate for operations necessary to sustain specialized security activities. “(b) Notification.Deadline.The Director of the Office of Management and Budget and the Secretary of Energy shall notify the Committees on Appropriations of the House of Representatives and the Senate not later than 3 days after each use of the authority provided in subsection (a).

(3) “Sec. 160. In addition to amounts otherwise provided by section 101, there is appropriated to the Department of Energy for ‘Atomic Energy Defense Activities—Environmental and Other Defense Activities—Other Defense Activities’, $1,750,000, for an additional amount for fiscal year 2025, to remain available until September 30, 2026, to conduct risk reduction and modification of National Security Systems: Provided, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.

(3) “Sec. 161. Applicability. During the period covered by this Act, section 10609(a) of the Northwestern New Mexico Rural Water Projects Act (subtitle B of title X of Public Law 111–11) shall be applied 138 STAT. 1725 by substituting ‘$1,640,000,000’ for ‘$870,000,000’ and ‘2025’ for ‘2024’.

(3) “Sec. 162. In addition to amounts otherwise provided by section 101, there is appropriated to the Department of the Treasury for ‘Departmental Offices—Office of Terrorism and Financial Intelligence—Salaries and Expenses’, $908,000, for an additional amount for fiscal year 2025, to remain available until September 30, 2026, to conduct risk reduction and modification of National Security Systems: Provided, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.

(3) “Sec. 163. Applicability. Section 302 of title III of Public Law 108-494 shall be applied by substituting the date specified in section 106(3) of this Act for ‘December 31, 2024’ each place it appears.

(3) “Sec. 164. (a) Applicability.Notwithstanding section 101, section 747 of title VII of division B of Public Law 118–47 shall be applied through the date specified in section 106(3) of this Act by—“(1) substituting ‘2024’ for ‘2023’ each place it appears; “(2) substituting ‘2025’ for ‘2024’ each place it appears; “(3) substituting ‘2026’ for ‘2025’; and “(4) substituting ‘section 747 of division B of Public Law 118–47, as in effect on September 30, 2024’ for ‘section 747 of division E of Public Law 117–328’ each place it appears. “(b) Effective date.Subsection (a) shall not take effect until the first day of the first applicable pay period beginning on or after January 1, 2025.

(3) “Sec. 165.Apportionment. Amounts made available by section 101 for ‘Department of Education—Student Aid Administration’ may be apportioned up to the rate for operations necessary to ensure the continuation of student loan servicing activities and student aid application and eligibility determination processes.

(3) “Sec. 166. During the period covered by this Act, section 123 of division A of Public Law 118–42 and the provisions carrying the same restriction in prior Acts making appropriations to the Department of Defense for military construction shall not apply to unobligated balances from prior year appropriations made available under the heading ‘Department of Defense—Military Construction, Army’ and such balances may be obligated for an access road project at Arlington National Cemetery.

(3) “Sec. 167. (a) Notwithstanding section 101, the second proviso under the heading ‘Department of Veterans Affairs—Veterans Health Administration—Medical Services’ shall not apply during the period covered by this Act. “(b) Notwithstanding section 101, the second proviso under the heading ‘Department of Veterans Affairs—Veterans Health Administration—Medical Community Care’ shall not apply during the period covered by this Act. “(c) Notwithstanding section 101, the second proviso under the heading ‘Department of Veterans Affairs—Veterans Health Administration—Medical Support and Compliance’ shall not apply during the period covered by this Act.

(3) “Sec. 168. Applicability. Notwithstanding section 101, the fifth and sixth provisos under the heading ‘Millennium Challenge Corporation’ in division F of Public Law 118–47 shall be applied by substituting ‘December 31, 2025’ for ‘December 31, 2024’ each place it appears.138 STAT. 1726

(3) “Sec. 169.Apportionment. Amounts made available by section 101 for ‘Department of Transportation—Federal Aviation Administration—Operations’ may be apportioned up to the rate for operations necessary to fund mandatory pay increases and other inflationary adjustments, to maintain and improve air traffic services, to hire and train air traffic controllers, and to continue aviation safety oversight, while avoiding service reductions.”

(3) .

The following sums are appropriated, out of any money in the Treasury not otherwise appropriated, for the fiscal year ending September 30, 2025, and for other purposes, namely:

Sec. 2101.

Section 10101 of the Disaster Relief and Recovery Supplemental Appropriations Act, 2008 (division B of Public Law 110–329; 7 U.S.C. 6945) is amended—

(1) in subsection (b)—

(1)(A) in the first sentence—

(1)(A)(i) by striking “for authorized activities” and inserting “, in the form of loans, grants, loan guarantees, or cooperative agreements, for any authorized activity”;

(1)(A)(ii) by striking “or” between “President” and “the Secretary of Agriculture” and inserting a comma; and

(1)(A)(iii) by inserting after “the Secretary of Agriculture” the following: “, or the Governor of a State or Territory”;

(1)(B) in the second sentence, inserting after “to carry out the activity”, the following: “, but shall not be limited to the original form of assistance, if any”; and

(1)(C) by inserting after the first sentence, as so amended, the following: “The cost of such direct and guaranteed loans, including the cost of modifying loans, shall be as 138 STAT. 1731 defined in section 502 of the Congressional Budget Act of 1974.”; and

(2) in subsection (c), to read as follows—

(2)“(c) For any activity or project for which amounts in the Rural Development Disaster Assistance Fund will be obligated under subsection (b)—

(2)“(c)“(1) the Secretary of Agriculture may waive any limits on population, income, age, and duplication with respect to replacement of damaged or destroyed utilities, or cost-sharing otherwise applicable, except that, if the amounts proposed to be obligated in connection with the disaster would exceed the amount specified in subsection (h), the notification required by that subsection shall include information and justification with regard to any waivers to be granted under this subsection;

(2)“(c)“(2) the Secretary of Agriculture may use alternative sources of income data provided by local, regional, State, or Federal government sources to determine program eligibility; and

(2)“(c)“(3) with respect to grants authorized by 7 U.S.C. 1926(a)(19), the Secretary of Agriculture shall not require the applicant to demonstrate that it is unable to finance the proposed project from its own resources, or through commercial credit at reasonable rates and terms, or other funding sources without grant assistance.”

(2) .

(3) Amounts provided by this section are designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.

Sec. 2102.

(a)(1) With respect to the 2024 crop year, if the Secretary determines that the expected gross return per acre for an eligible commodity determined under paragraph (2) is less than the expected cost of production per acre for that eligible commodity determined under paragraph (3), the Secretary shall, not later than 90 days after the date of enactment of this Act, make a 1-time economic assistance payment to each producer of that eligible commodity during that crop year.

(a)(2) The expected gross return per acre for an eligible commodity referred to in paragraph (1) shall be equal to—

(a)(2)(A) in the case of wheat, corn, grain sorghum, barley, oats, cotton, rice, and soybeans, the product obtained by multiplying—

(a)(2)(A)(i) the projected average farm price for the applicable eligible commodity for the 2024–2025 marketing year contained in the most recent World Agricultural Supply and Demand Estimates published before the date of enactment of this Act by the World Agricultural Outlook Board; and

(a)(2)(A)(ii) the national average harvested yield per acre for the applicable eligible commodity for the most recent 10 crop years, as determined by the Secretary; and

(a)(2)(B) in the case of each eligible commodity not specified in subparagraph (A), a comparable estimate of gross returns, as determined by the Secretary.

(a)(3) The expected cost of production per acre for an eligible commodity referred to in paragraph (1) shall be equal to—

(a)(3)(A) in the case of wheat, corn, grain sorghum, barley, oats, cotton, rice, and soybeans, the total costs listed for the 2024 crop year with respect to the applicable eligible commodity contained in the most recent data product entitled “national average cost-of-production forecasts for major U.S. field crops” published by the Economic Research Service; and

(a)(3)(B) in the case of each eligible commodity not specified in subparagraph (A), a comparable total estimated cost-of-production, as determined by the Secretary.

(a)(4)(A) The amount of an economic assistance payment to a producer for an eligible commodity under paragraph (1) shall be equal to 26 percent of the product obtained by multiplying—

(a)(4)(A)(i) the economic loss for that eligible commodity determined under subparagraph (B); and

(a)(4)(A)(ii) the eligible acres of that eligible commodity on the farm determined under subparagraph (C).

(a)(4)(B) For purposes of subparagraph (A)(i), the economic loss for an eligible commodity shall be equal to the difference between—

(a)(4)(B)(i) the expected cost of production per acre for that eligible commodity, as determined under paragraph (3); and

(a)(4)(B)(ii) the expected gross return per acre for that eligible commodity, as determined under paragraph (2).

(a)(4)(C) For purposes of subparagraph (A)(ii), the eligible acres of an eligible commodity on a farm shall be equal to the sum obtained by adding—

(a)(4)(C)(i) the acreage planted on the farm to that eligible commodity for harvest, grazing, haying, silage, or other similar purposes for the 2024 crop year; and

(a)(4)(C)(ii) an amount equal to 50 percent of the acreage on the farm that was prevented from being planted during the 2024 crop year to that eligible commodity because of drought, flood, or other natural disaster, or other condition beyond the control of the producers on the farm, as determined by the Secretary.

(a)(4)(D) For purposes of subparagraph (C)(i), the Secretary shall consider acreage planted to include any land devoted to planted acres for accepted skip-row planting patterns, as determined by the Secretary.

(a)(4)(E) If the Secretary determines there is insufficient data to determine the comparable estimate of gross returns with respect to an eligible commodity under paragraph (2)(B) or a comparable total estimated cost-of-production with respect to an eligible commodity under paragraph (3)(B), the Secretary shall use data related to a similarly situated commodity for purposes of determining the payment amount under this paragraph.

(a)(5) In no case shall the amount of an economic assistance payment to a producer for an eligible commodity under paragraph (1) be equal to less than the product obtained by multiplying—

(a)(5)(A) 8 percent of the reference price for the eligible commodity described in section 1111(19) of the Agricultural Act of 2014 (7 U.S.C. 9011(19));

(a)(5)(B) the national average payment yield for the eligible commodity described in section 1111(15) of that Act (7 U.S.C. 9011(15)); and

(a)(5)(C) the number of eligible acres for the eligible commodity described in paragraph (4)(C).

(b)(1) Applicability.Except as provided in paragraph (2), sections 1001, 1001A, 1001B, and 1001C of the Food Security Act of 1985 (7 U.S.C. 1308, 1308–1, 1308–2, 1308–3) shall apply with respect to assistance provided under this section.

(b)(2) The total amount of payments received, directly or indirectly, by a person or legal entity (except a joint venture or general partnership) under this section may not exceed—

(b)(2)(A) $125,000, if less than 75 percent of the average gross income of the person or legal entity for the 2020, 2021, and 2022 tax years is derived from farming, ranching, or silviculture activities; and

(b)(2)(B) $250,000, if not less than 75 percent of the average gross income of the person or legal entity for the 2020, 2021, and 2022 tax years is derived from farming, ranching, or silviculture activities.

(b)(3) The payment limitations under paragraph (2) shall be separate from annual payment limitations under any other program.

(c) In this section:

(c)(1) The terms “extra-long staple cotton” and “producer” have the meanings given those terms in section 1111 of the Agricultural Act of 2014 (7 U.S.C. 9011).

(c)(2) The term “cotton” means extra-long staple cotton and upland cotton.

(c)(3)(A) The term “eligible commodity” means a loan commodity (as defined in section 1201(a) of the Agricultural Act of 2014 (7 U.S.C. 9031(a)).

(c)(3)(B) The term “eligible commodity” does not include graded wool, nongraded wool, mohair, or honey.

(c)(4) The terms “legal entity” and “person” have the meanings given those terms in section 1001(a) of the Food Security Act of 1985 (7 U.S.C. 1308(a)).

(c)(5) The term “rice” means long grain rice and medium grain rice.

(c)(6) The term “Secretary” means the Secretary of Agriculture.

(d) Amounts provided by this section are designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.

Sec. 2701.

Notwithstanding section 3304 of title 5, United States Code, and without regard to the provisions of sections 3309 through 3318 of such title 5, the Secretary of the Interior and the Secretary of Agriculture, acting through the Chief of the Forest Service, may recruit and directly appoint highly qualified individuals into the competitive service to address critical hiring needs for the planning and execution of the projects and activities funded in this title: Provided, That such authority shall not apply to positions in the Excepted Service or the Senior Executive Service: Provided further,Compliance. That any action authorized herein shall be consistent with the merit principles of section 2301 of such title 5, and the Department of the Interior and the Department of Agriculture shall comply with the public notice requirements of section 3327 of such title 5: Provided further, Termination date.That the authority under this section shall terminate on September 30, 2029: Provided further, That amounts provided by this section are designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.

Sec. 2702.

Not later than 45 days after the date of enactment of this Act, the agencies receiving funds appropriated by this title shall provide a detailed operating plan of anticipated uses of funds made available in this title by State and Territory, and by program, project, and activity, to the Committees on Appropriations of the House of Representatives and the Senate: Provided, That no such funds shall be obligated before the operating plans are provided to such Committees: Provided further,Updates. That such plans shall be updated, including obligations and expenditures to date, and submitted to such Committees on Appropriations every 60 days until all such funds are expended.

Sec. 2801.

Not later than 45 days after the date of enactment of this Act, the agencies receiving funds appropriated by this title in this Act shall provide a detailed operating plan of anticipated uses of funds made available in this title in this Act by State and territory, and by program, project, and activity, to the Committees on Appropriations of the House of Representatives and the Senate: Provided, That no such funds shall be obligated before the operating plans are provided to such Committees: Provided further, Updates.Time period.That such plans shall be updated, including obligations to date and anticipated use of funds made available in this title in this Act, and submitted to such Committees quarterly until all such funds expire.

Sec. 21301.

Each amount appropriated or made available by this Act is in addition to amounts otherwise appropriated for the fiscal year involved.

Sec. 21302.

No part of any appropriation contained in this Act shall remain available for obligation beyond the current fiscal year unless expressly so provided herein.

Sec. 21303.

Unless otherwise provided for by this Act, the additional amounts appropriated by this Act to appropriations accounts shall be available under the authorities and conditions applicable to such appropriations accounts for fiscal year 2025.

Sec. 21304.

Each amount designated in divisions A or B by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985 shall be available (or repurposed, rescinded, or transferred, if applicable) only if the President subsequently so designates all such amounts and transmits such designations to the Congress.

Sec. 21305.

Any amount appropriated by divisions A or B, designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985, and subsequently so designated by the President, and transferred pursuant to transfer authorities provided by this division shall retain such designation.

Sec. 21306.

Budgetary Effects.—

(1) The budgetary effects of division C and each succeeding division shall not be entered on either PAYGO scorecard maintained pursuant to section 4(d) of the Statutory Pay-As-You-Go Act of 2010.

(2) The budgetary effects of division C and each succeeding division shall not be entered on any PAYGO scorecard maintained for purposes of section 4106 of H. Con. Res. 71 (115th Congress).

(3) Notwithstanding Rule 3 of the Budget Scorekeeping Guidelines set forth in the joint explanatory statement of the committee of conference accompanying Conference Report 105–217 and section 250(c)(8) of the Balanced Budget and Emergency Deficit Control Act of 1985, the budgetary effects of division C and each succeeding division shall not be estimated—

(3)(A) for purposes of section 251 of such Act;

(3)(B) for purposes of an allocation to the Committee on Appropriations pursuant to section 302(a) of the Congressional Budget Act of 1974; and

(3)(C) for purposes of paragraph (4)(C) of section 3 of the Statutory Pay-As-You-Go Act of 2010 as being included in an appropriation Act.

(4) Effective on the date of the adjournment of the second session of the 118th Congress, and for the purposes of the annual report issued pursuant to section 5 of the Statutory Pay-As-You-Go Act of 2010 (2 U.S.C. 934) after such adjournment and for determining whether a sequestration order is necessary under such section, the balances on the PAYGO scorecards established pursuant to paragraphs (4) and (5) of section 4(d) of such Act shall be zero.

SEC. 3001. SHORT TITLE; TABLE OF CONTENTS.

(a) This division may be cited as the “Health Extensions and Other Matters Act, 2025”.

(b) The table of contents for this division is as follows: Sec. 3001. Short title; table of contents. TITLE I— PUBLIC HEALTH EXTENDERS Sec. 3101. Extension for community health centers, National Health Service Corps, and teaching health centers that operate GME programs. Sec. 3102. Extension of special diabetes programs. Sec. 3103. National health security extensions. TITLE II— MEDICARE Sec. 3201. Extension of increased inpatient hospital payment adjustment for certain low-volume hospitals. Sec. 3202. Extension of the Medicare-dependent hospital (MDH) program. Sec. 3203. Extension of add-on payments for ambulance services. Sec. 3204. Extension of funding for quality measure endorsement, input, and selection. Sec. 3205. Extension of funding outreach and assistance for low-income programs. Sec. 3206. Extension of the work geographic index floor. Sec. 3207. Extension of certain telehealth flexibilities. Sec. 3208. Extending acute hospital care at home waiver authorities. Sec. 3209. Extension of temporary inclusion of authorized oral antiviral drugs as covered part D drugs. Sec. 3210. Medicare improvement fund. TITLE III— HUMAN SERVICES Sec. 3301. Sexual risk avoidance education extension.138 STAT. 1762 Sec. 3302. Personal responsibility education extension. Sec. 3303. Extension of funding for family-to-family health information centers. TITLE IV— MEDICAID Sec. 3401. Eliminating certain disproportionate share hospital payment cuts.

SEC. 3101. EXTENSION FOR COMMUNITY HEALTH CENTERS, NATIONAL HEALTH SERVICE CORPS, AND TEACHING HEALTH CENTERS THAT OPERATE GME PROGRAMS.

(a) Section 10503(b)(1) of the Patient Protection and Affordable Care Act (42 U.S.C. 254b–2(b)(1)) is amended—

(a)(1) in subparagraph (E), by striking “and” at the end;

(a)(2) in subparagraph (F), by striking “, $4,000,000,000 for each of fiscal years 2019 through 2023” and all that follows through “and ending on December 31, 2024; and” and inserting a semicolon; and

(a)(3) by adding at the end the following:

(a)(3)“(G) $4,000,000,000 for each of fiscal years 2019 through 2023;

(a)(3)“(H) $526,027,397 for the period beginning on October 1, 2023, and ending on November 17, 2023, $690,410,959 for the period beginning on November 18, 2023, and ending on January 19, 2024, $536,986,301 for the period beginning on January 20, 2024, and ending on March 8, 2024, and $3,592,328,767 for the period beginning on October 1, 2023, and ending on December 31, 2024; and

(a)(3)“(I) $1,050,410,959 for the period beginning on January 1, 2025, and ending on March 31, 2025.”

(a)(3) .

(b) Section 10503(b)(2) of the Patient Protection and Affordable Care Act (42 U.S.C. 254b–2(b)(2)) is amended—

(b)(1) in subparagraph (H), by striking “and” at the end;

(b)(2) in subparagraph (I), by striking the period at the end and inserting “; and”; and

(b)(3) by adding at the end the following:

(b)(3)“(J) $85,068,493 for the period beginning on January 1, 2025, and ending on March 31, 2025.”

(b)(3) .

(c) Section 340H(g)(1) of the Public Health Service Act (42 U.S.C. 256h(g)(1)) is amended—

(c)(1) by striking “not to exceed $230,000,000” and all that follows through “and ending on December 31, 2024,”; and

(c)(2) by striking the period at the end and inserting the following:

(c)(2)“(A) $230,000,000, for the period of fiscal years 2011 through 2015;

(c)(2)“(B) $60,000,000 for each of fiscal years 2016 and 2017;

(c)(2)“(C) $126,500,000 for each of fiscal years 2018 through 2023;

(c)(2)“(D) $16,635,616 for the period beginning on October 1, 2023, and ending on November 17, 2023, $21,834,247 for the period beginning on November 18, 2023, and ending on January 19, 2024, $16,982,192 for the period beginning on January 20, 2024, and ending on March 8, 2024, and $164,136,986 for the period beginning on October 1, 2023, and ending on December 31, 2024; and

(c)(2)“(E) $43,150,685 for the period beginning on January 1, 2025, and ending on March 31, 2025.”

(c)(2) .

(d) Amounts appropriated pursuant to the amendments made by this section shall be subject to the requirements contained in Public Law 117–328 for funds for programs authorized under sections 330 through 340 of the Public Health Service Act (42 U.S.C. 254b et seq.).

(e) Section 3014(h) of title 18, United States Code, is amended—

(e)(1) in paragraph (1), by striking “under subparagraphs (E) and (F) of section 10503(b)(1) of the Patient Protection and Affordable Care Act (42 U.S.C. 254b–2(b)(1))” and inserting “under section 10503(b)(1) of the Patient Protection and Affordable Care Act (42 U.S.C. 254b–2(b)(1)) for fiscal year 2015 and each subsequent fiscal year (or period thereof)”; and

(e)(2) in paragraph (4), by striking “and section 101(d) of the Consolidated Appropriations Act, 2024” and inserting “section 101(d) of division G of the Consolidated Appropriations Act, 2024, and section 3101(d) of the Health Extensions and Other Matters Act, 2025”.

SEC. 3102. EXTENSION OF SPECIAL DIABETES PROGRAMS.

(a) Section 330B(b)(2) of the Public Health Service Act (42 U.S.C. 254c–2(b)(2)) is amended—

(a)(1) in subparagraph (D), by striking “and” at the end;

(a)(2) in subparagraph (E), by striking the period at the end and inserting “; and”; and

(a)(3) by adding at the end the following:

(a)(3)“(F) $39,261,745 for the period beginning on January 1, 2025, and ending on March 31, 2025, to remain available until expended.”

(a)(3) .

(b) Section 330C(c)(2) of the Public Health Service Act (42 U.S.C. 254c–3(c)(2)) is amended—

(b)(1) in subparagraph (D), by striking “and” at the end;

(b)(2) in subparagraph (E), by striking the period at the end and inserting “; and”; and

(b)(3) by adding at the end the following:

(b)(3)“(F) $39,261,745 for the period beginning on January 1, 2025, and ending on March 31, 2025, to remain available until expended.”

(b)(3) .

SEC. 3103. NATIONAL HEALTH SECURITY EXTENSIONS.

(a) Section 319(e)(8) of the Public Health Service Act (42 U.S.C. 247d(e)(8)) is amended by striking “December 31, 2024” and inserting “March 31, 2025”.

(b) Section 319L(e)(1)(D) of the Public Health Service Act (42 U.S.C. 247d–7e(e)(1)(D)) is amended by striking “December 31, 2024” and inserting “March 31, 2025”.

(c) Section 319L–1(b) of the Public Health Service Act (42 U.S.C. 247d–7f(b)) is amended by striking “December 31, 2024” and inserting “March 31, 2025”.

(d)(1) Section 2811A(g) of the Public Health Service Act (42 U.S.C. 300hh–10b(g)) is amended by striking “December 31, 2024” and inserting “March 31, 2025”.

(d)(2) Section 2811B(g)(1) of the Public Health Service Act (42 U.S.C. 300hh–10c(g)(1)) is amended by striking “December 31, 2024” and inserting “March 31, 2025”.

(d)(3) Section 2811C(g)(1) of the Public Health Service Act (42 U.S.C. 300hh–10d(g)(1)) is amended by striking “December 31, 2024” and inserting “March 31, 2025”.

(e) Section 2812(c)(4)(B) of the Public Health Service Act (42 U.S.C. 300hh–11(c)(4)(B)) is amended by striking “December 31, 2024” and inserting “March 31, 2025”.

SEC. 3201. EXTENSION OF INCREASED INPATIENT HOSPITAL PAYMENT ADJUSTMENT FOR CERTAIN LOW-VOLUME HOSPITALS.

(a) —Section 1886(d)(12) of the Social Security Act (42 U.S.C. 1395ww(d)(12)) is amended—

(a)(1) in subparagraph (B), in the matter preceding clause (i), by striking “January 1, 2025” and inserting “April 1, 2025”;

(a)(2) in subparagraph (C)(i)—

(a)(2)(A) in the matter preceding subclause (I), by striking “December 31, 2024” and inserting “March 31, 2025”;

(a)(2)(B) in subclause (III), by striking “December 31, 2024” and inserting “March 31, 2025”; and

(a)(2)(C) in subclause (IV), by striking “January 1, 2025” and inserting “April 1, 2025”; and

(a)(3) in subparagraph (D)—

(a)(3)(A) in the matter preceding clause (i), by striking “December 31, 2024” and inserting “March 31, 2025”; and

(a)(3)(B) in clause (ii), by striking “December 31, 2024” and inserting “March 31, 2025”.

(b) Notwithstanding any other provision of law, the Secretary of Health and Human Services may implement the amendments made by this section by program instruction or otherwise.

SEC. 3202. EXTENSION OF THE MEDICARE-DEPENDENT HOSPITAL (MDH) PROGRAM.

(a) —Section 1886(d)(5)(G) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(G)) is amended—

(a)(1) in clause (i), by striking “January 1, 2025” and inserting “April 1, 2025”; and

(a)(2) in clause (ii)(II), by striking “January 1, 2025” and inserting “April 1, 2025”.

(b)(1) Section 1886(b)(3)(D) of the Social Security Act (42 U.S.C. 1395ww(b)(3)(D)) is amended—

(b)(1)(A) in the matter preceding clause (i), by striking “January 1, 2025” and inserting “April 1, 2025”; and

(b)(1)(B) in clause (iv), by striking “December 31, 2024” and inserting “March 31, 2025”.

(b)(2) Section 13501(e)(2) of the Omnibus Budget Reconciliation Act of 1993 (42 U.S.C. 1395ww note) is amended by striking “December 31, 2024” and inserting “March 31, 2025”.

SEC. 3203. EXTENSION OF ADD-ON PAYMENTS FOR AMBULANCE SERVICES.

Section 1834(l) of the Social Security Act (42 U.S.C. 1395m(l)) is amended—

(1) in paragraph (12)(A), by striking “January 1, 2025” and inserting “April 1, 2025”; and

(2) in paragraph (13), by striking “January 1, 2025” each place it appears and inserting “April 1, 2025” in each such place.

SEC. 3204. EXTENSION OF FUNDING FOR QUALITY MEASURE ENDORSEMENT, INPUT, AND SELECTION.

Section 1890(d)(2) of the Social Security Act (42 U.S.C. 1395aaa(d)(2)) is amended—

(1) in the first sentence—

(1)(A) by striking “$9,000,000” and inserting “$11,030,000”; and

(1)(B) by striking “December 31, 2024” and inserting “March 31, 2025”; and

(2) in the third sentence, by striking “December 31, 2024” and inserting “March 31, 2025”.

SEC. 3205. EXTENSION OF FUNDING OUTREACH AND ASSISTANCE FOR LOW-INCOME PROGRAMS.

(a) Subsection (a)(1)(B)(xiv) of section 119 of the Medicare Improvements for Patients and Providers Act of 2008 (42 U.S.C. 1395b–3 note) is amended by striking “December 31, 2024, $18,750,000” and inserting “March 31, 2025, $22,500,000”.

(b) Subsection (b)(1)(B)(xiv) of such section 119 is amended by striking “December 31, 2024, $18,750,000” and inserting “March 31, 2025, $22,500,000”.

(c) Subsection (c)(1)(B)(xiv) of such section 119 is amended by striking “December 31, 2024, $6,250,000” and inserting “March 31, 2025, $8,500,000”.

(d) Subsection (d)(2)(xiv) of such section 119 is amended by striking “December 31, 2024, $18,750,000” and inserting “March 31, 2025, $22,500,000”.

SEC. 3206. EXTENSION OF THE WORK GEOGRAPHIC INDEX FLOOR.

Section 1848(e)(1)(E) of the Social Security Act (42 U.S.C. 1395w–4(e)(1)(E)) is amended by striking “January 1, 2025” and inserting “April 1, 2025”.

SEC. 3207. EXTENSION OF CERTAIN TELEHEALTH FLEXIBILITIES.

(a) Section 1834(m) of the Social Security Act (42 U.S.C. 1395m(m)) is amended—

(a)(1) in paragraph (2)(B)(iii), by striking “ending December 31, 2024” and inserting “ending March 31, 2025”; and

(a)(2) in paragraph (4)(C)(iii), by striking “ending on December 31, 2024” and inserting “ending on March 31, 2025”.

(b) Section 1834(m)(4)(E) of the Social Security Act (42 U.S.C. 1395m(m)(4)(E)) is amended by striking “ending on December 31, 2024” and inserting “ending on March 31, 2025”.

(c) Section 1834(m)(8)(A) of the Social Security Act (42 U.S.C. 1395m(m)(8)(A)) is amended by striking “ending on December 31, 2024” and inserting “ending on March 31, 2025”.

(d)(1) Section 1834(m)(7)(B)(i) of the Social Security Act (42 U.S.C. 1395m(m)(7)(B)(i)) is amended, in the matter preceding subclause (I), by striking “on or after” and all that follows through “described in section 1135(g)(1)(B))” and inserting “on or after April 1, 2025”.

(d)(2) Section 1834(y)(2) of the Social Security Act (42 U.S.C. 1395m(y)(2)) is amended by striking “January 1, 2025” and all that follows through the period at the end and inserting “April 1, 2025.”.

(d)(3) Section 1834(o)(4)(B) of the Social Security Act (42 U.S.C. 1395m(o)(4)(B)) is amended by striking “January 1, 2025” and all that follows through the period at the end and inserting “April 1, 2025.”.

(e) Section 1834(m)(9) of the Social Security Act (42 U.S.C. 1395m(m)(9)) is amended by striking “ending on December 31, 2024” and inserting “ending on March 31, 2025”.

(f) Section 1814(a)(7)(D)(i)(II) of the Social Security Act (42 U.S.C. 1395f(a)(7)(D)(i)(II)) is amended by striking “ending on December 31, 2024” and inserting “ending on March 31, 2025”.

(g) The Secretary of Health and Human Services may implement the amendments made by this section through program instruction or otherwise.

SEC. 3208. EXTENDING ACUTE HOSPITAL CARE AT HOME WAIVER AUTHORITIES.

Section 1866G(a)(1) of the Social Security Act (42 U.S.C. 1395cc–7(a)(1)) is amended by striking “December 31, 2024” and inserting “March 31, 2025”.

SEC. 3209. EXTENSION OF TEMPORARY INCLUSION OF AUTHORIZED ORAL ANTIVIRAL DRUGS AS COVERED PART D DRUGS.

Section 1860D–2(e)(1)(C) of the Social Security Act (42 U.S.C. 1395w–102(e)(1)(C)) is amended by striking “December 31, 2024” and inserting “March 31, 2025”.

SEC. 3210. MEDICARE IMPROVEMENT FUND.

Section 1898(b)(1) of the Social Security Act (42 U.S.C. 1395iii(b)(1)) is amended by striking “$3,197,000,000” and inserting “$1,251,000,000”.

SEC. 3301. SEXUAL RISK AVOIDANCE EDUCATION EXTENSION.

Section 510 of the Social Security Act (42 U.S.C. 710) is amended—

(1) in subsection (a)(1), by striking “December 31, 2024” and inserting “March 31, 2025”; and

(2) in subsection (f)(1), by striking “December 31, 2024” and inserting “March 31, 2025”.

SEC. 3302. PERSONAL RESPONSIBILITY EDUCATION EXTENSION.

Section 513 of the Social Security Act (42 U.S.C. 713) is amended—

(1) in subsection (a)(1)—

(1)(A) in subparagraph (A), in the matter preceding clause (i), by striking “December 31, 2024” and inserting “March 31, 2025”; and

(1)(B) in subparagraph (B)(i), by striking “December 31, 2024” and inserting “March 31, 2025”; and

(2) in subsection (f), by striking “December 31, 2024” and inserting “March 31, 2025”.

SEC. 3303. EXTENSION OF FUNDING FOR FAMILY-TO-FAMILY HEALTH INFORMATION CENTERS.

Section 501(c)(1)(A)(viii) of the Social Security Act (42 U.S.C. 701(c)(1)(A)(viii)) is amended—

(1) by striking “$1,500,000” and inserting “$3,000,000”; and

(2) by striking “January 1, 2025” and inserting “April 1, 2025”.

SEC. 3401. ELIMINATING CERTAIN DISPROPORTIONATE SHARE HOSPITAL PAYMENT CUTS.

Section 1923(f)(7)(A) of the Social Security Act (42 U.S.C. 1396r- 4(f)(7)(A)) is amended—

(1) in clause (i), by striking “January 1” and inserting “April 1”; and

(2) in clause (ii), by striking “January 1” and inserting “April 1”.

SEC. 4101. EXTENSION OF AGRICULTURAL PROGRAMS.

(a)(1) Except as otherwise provided in this section and the amendments made by this section, notwithstanding any other provision of law, the authorities (including any limitations on such authorities) provided by each provision of the Agriculture Improvement Act of 2018 (Public Law 115–334; 132 Stat. 4490) and each provision of law amended by that Act (and for mandatory programs at such funding levels) as in effect (including pursuant to section 102 of division B of the Further Continuing Appropriations and Other Extensions Act, 2024 (Public Law 118–22)) on September 30, 2024, shall continue and be carried out until the date specified in paragraph (2).

(a)(2) With respect to an authority described in paragraph (1), the date specified in this paragraph is the later of—

(a)(2)(A) September 30, 2025;

(a)(2)(B) the date specified with respect to such authority in the Agriculture Improvement Act of 2018 (Public Law 115–334; 132 Stat. 4490) or a provision of law amended by that Act (Public Law 115–334; 132 Stat. 4490); or

(a)(2)(C) the date in effect with respect to such authority pursuant to section 102 of division B of the Further Continuing Appropriations and Other Extensions Act, 2024 (Public Law 118–22)).

(b) Programs carried out using the authorities described in subsection (a)(1) that are funded by discretionary appropriations (as defined in section 250(c) of the Balanced Budget and Emergency Deficit Control Act of 1985 (2 U.S.C. 900(c))) shall be subject to the availability of appropriations.

(c)(1) The provisions of law applicable to a covered commodity (as defined in section 1111 of the Agricultural Act of 2014 (7 U.S.C. 9011)), a loan commodity (as defined in section 1201 of that Act (7 U.S.C. 9031)), sugarcane, or sugar beets for the 2024 crop year pursuant to title I of that Act (7 U.S.C. 9011 et seq.), each amendment made by subtitle C of title I of the Agriculture Improvement Act of 2018 (Public Law 115–334; 132 Stat. 4511), and section 102 of division B of the Further Continuing Appropriations and Other Extensions Act, 2024 (Public Law 118–22) shall be applicable to the 2025 crop year for that covered commodity, loan commodity, sugarcane, or sugar beets.

(c)(2) Section 1208(a) of the Agricultural Act of 2014 (7 U.S.C. 9038 (a)) is amended by striking “2024” and inserting “2026”.

(c)(3) Section 1116(d) of the Agricultural Act of 2014 (7 U.S.C. 9016(d)) is amended, in the matter preceding paragraph (1), by striking “2024” and inserting “2025”.

(c)(4)(A)(i) Section 1409 of the Agricultural Act of 2014 (7 U.S.C. 9059) is amended by striking “December 31, 2024” and inserting “December 31, 2025”.

(c)(4)(A)(ii) With respect to coverage for calendar year 2025, section 1407(g) of the Agricultural Act of 2014 (7 U.S.C. 9057(g)) shall only apply to a participating dairy operation with respect to which the premium was reduced in accordance with that section (as applied to such participating dairy operation pursuant to section 102(c)(2)(B)(ii) of division B of the Further Continuing Appropriations and Other Extensions Act, 2024 (Public Law 118–22)) for calendar year 2024.

(c)(4)(B) Section 1502(e)(2) of the Food, Conservation, and Energy Act of 2008 (7 U.S.C. 8772(e)(2)) is amended by striking “2027” and inserting “2028”.

(c)(5) The provisions of law specified in—

(c)(5)(A) subsections (a) and (b) of section 1602 of the Agricultural Act of 2014 (7 U.S.C. 9092)—

(c)(5)(A)(i) shall not be applicable to the 2025 crops of covered commodities (as defined in section 1111 of that Act (7 U.S.C. 9011)), cotton, and sugar; and

(c)(5)(A)(ii) shall not be applicable to milk through December 31, 2025; and

(c)(5)(B) section 1602(c) of that Act (7 U.S.C. 9092(c)) shall not be applicable to the crops of wheat planted for harvest in calendar year 2025.

(d)(1) Section 302(h)(2) of the Bill Emerson Humanitarian Trust Act (7 U.S.C. 1736f–1(h)(2)) is amended by striking “September 30, 2024” and inserting “September 30, 2025”.

(d)(2) Section 7502 of the Food, Conservation, and Energy Act of 2008 (Public Law 110–246; 122 Stat. 2019; 132 Stat. 4817) is amended to read as follows:

(d)(2) “SEC. 7502. Oklahoma.Time period.GRAZINGLANDS RESEARCH LABORATORY. “Except as otherwise specifically authorized by law and notwithstanding any other provision of law, the Federal land and facilities at El Reno, Oklahoma, administered by the Secretary (as of the date of enactment of this Act) as the Grazinglands Research Laboratory, shall not at any time, in whole or in part, be declared to be excess or surplus Federal property under chapter 5 of subtitle I of title 40, United States Code, or otherwise be conveyed or transferred in whole or in part, for the period beginning on the date of the enactment of this Act and ending on September 30, 2025.”

(d)(2) .

(d)(3) Section 9010(b) of the Farm Security and Rural Investment Act of 2002 (7 U.S.C. 8110(b)) is amended in paragraphs (1)(A) and (2)(A) by striking “2024” each place it appears and inserting “2025”.

(e)(1) Subsection (a) does not apply with respect to mandatory funding under the following provisions of law:

(e)(1)(A) Section 1614(c)(4) of the Agricultural Act of 2014 (7 U.S.C. 9097(c)(4)).

(e)(1)(B) Section 12314(h) of the Agricultural Act of 2014 (7 U.S.C. 2101 note; Public Law 113–79).

(e)(1)(C) Section 12315(f) of the Agricultural Act of 2014 (7 U.S.C. 7101 note; Public Law 113–79).

(e)(1)(D) Section 12316(a) of the Agricultural Act of 2014 (7 U.S.C. 7101 note; Public Law 113–79).

(e)(2)(A) Subsection (a) does not apply with respect to mandatory funding under the following provisions of law for fiscal years 2024 and 2025:

(e)(2)(A)(i) Section 1240O(b)(3) of the Food Security Act of 1985 (16 U.S.C. 3839bb–2(b)(3)).

(e)(2)(A)(ii) Section 1240R(f)(1) of the Food Security Act of 1985 (16 U.S.C. 3839bb–5(f)(1)).

(e)(2)(A)(iii) Subparagraphs (A) and (B) of section 1241(a)(1) of the Food Security Act of 1985 (16 U.S.C. 3841(a)(1)).

(e)(2)(A)(iv) Section 2408(g)(1) of the Agriculture Improvement Act of 2018 (7 U.S.C. 8351 note).

(e)(2)(B) Subsection (a) does not apply with respect to limitations under the following provisions of law:

(e)(2)(B)(i) Section 1240G of the Food Security Act of 1985 (16 U.S.C. 3839aa–7).

(e)(2)(B)(ii) Section 1240L(f) of the Food Security Act of 1985 (16 U.S.C. 3839aa–24(f)).

(e)(3) Subsection (a) does not apply with respect to the mandatory funding in section 203D(d)(5) of the Emergency Food Assistance Act of 1983 (7 U.S.C. 7507(d)(5)).

(e)(4) Subsection (a) does not apply with respect to the mandatory funding in section 313B(e)(2) of the Rural Electrification Act of 1936 (7 U.S.C. 940c–2(e)(2)).

(e)(5) Subsection (a) does not apply with respect to mandatory funding under the following provisions of law:

(e)(5)(A) Section 1446(b)(1) of the National Agricultural Research, Extension, and Teaching Policy Act of 1977 (7 U.S.C. 3222a(b)(1)).

(e)(5)(B) Section 1672E(d)(1) of the Food, Agriculture, Conservation, and Trade Act of 1990 (7 U.S.C. 5925g(d)(1)).

(e)(5)(C) Section 7601(g)(1)(A) of the Agricultural Act of 2014 (7 U.S.C. 5939(g)(1)(A)).

(e)(6) Subsection (a) does not apply with respect to mandatory funding under the following provisions of law:

(e)(6)(A) Section 9002(k)(1) of the Farm Security and Rural Investment Act of 2002 (7 U.S.C. 8102(k)(1)).

(e)(6)(B) Section 9003(g)(1)(A) of the Farm Security and Rural Investment Act of 2002 (7 U.S.C. 8103(g)(1)(A)).

(e)(6)(C) Section 9005(g)(1) of the Farm Security and Rural Investment Act of 2002 (7 U.S.C. 8105(g)(1)).

(e)(7) Subsection (a) does not apply with respect to mandatory funding under the following provisions of law:

(e)(7)(A) Section 7407(d)(1) of the Farm Security and Rural Investment Act of 2002 (7 U.S.C. 5925c(d)(1)).

(e)(7)(B) Section 2123(c)(4) of the Organic Foods Production Act of 1990 (7 U.S.C. 6522(c)(4)).

(e)(7)(C) Section 10606(d)(1)(C) of the Farm Security and Rural Investment Act of 2002 (7 U.S.C. 6523(d)(1)(C)).

(e)(7)(D) Section 10109(c)(1) of the Agriculture Improvement Act of 2018 (Public Law 115–334).

(e)(8) Subsection (a) does not apply with respect to mandatory funding under the following provisions of law:

(e)(8)(A) Section 209(c) of the Agricultural Marketing Act of 1946 (7 U.S.C. 1627a(c)).

(e)(8)(B) Section 12605(d) of the Agriculture Improvement Act of 2018 (7 U.S.C. 7632 note).

(f)(1) Subject to paragraph (2), any requirement under a provision of law described in paragraph (1) of subsection (a) to submit a report on a recurring basis, and the final report under which was required to be submitted during fiscal year 2024, shall continue, and the requirement shall be carried out, on the same recurring basis, until the later of the dates specified in paragraph (2) of that subsection.

(f)(2) If discretionary appropriations (as defined in section 250(c) of the Balanced Budget and Emergency Deficit Control Act of 1985 (2 U.S.C. 900(c))) are required to carry out a reporting requirement described in paragraph (1), the application of that paragraph to that reporting requirement shall be subject to the availability of appropriations.

(g) This section and the amendments made by this section shall be applied and administered as if this section and those amendments had been enacted on September 30, 2024.

SEC. 5101. COMMODITY FUTURES TRADING COMMISSION WHISTLEBLOWER PROGRAM.

(a) Section 1(b) of Public Law 117–25 (135 Stat. 297; 136 Stat. 2133; 136 Stat. 5984)136 Stat. 2309. is amended, in paragraphs (3) and (4), by striking “October 1, 2024” each place it appears and inserting “March 14, 2025”.

(b) The amendments made by subsection (a) shall take effect as if enacted on September 30, 2024.

SEC. 5102. PROTECTION OF CERTAIN FACILITIES AND ASSETS FROM UNMANNED AIRCRAFT.

Section 210G(i) of the Homeland Security Act of 2002 (6 U.S.C. 124n(i)) is amended by striking “December 20, 2024” and inserting “March 14, 2025”.

SEC. 5103. ADDITIONAL SPECIAL ASSESSMENT.

Section 3014 of title 18, United States Code, is amended by striking “December 23, 2024” and inserting “March 14, 2025”.

SEC. 5104. NATIONAL CYBERSECURITY PROTECTION SYSTEM AUTHORIZATION.

Section 227(a) of the Federal Cybersecurity Enhancement Act of 2015 (6 U.S.C. 1525(a)) is amended by striking “December 20, 2024” and inserting “March 14, 2025”.

SEC. 5105. EXTENSION OF TEMPORARY ORDER FOR FENTANYL-RELATED SUBSTANCES. Effective date.

Effective as if included in the enactment of the Temporary Reauthorization and Study of the Emergency Scheduling of Fentanyl Analogues Act (Public Law 116–114), section 2 of suchAct134 Stat. 103;135 Stat. 264,380; 136 Stat. 17,33, 801, 5231. is amended by striking “December 31, 2024” and inserting “March 31, 2025”.

Legislative History

LEGISLATIVE HISTORY—H.R. 10545:

CONGRESSIONAL RECORD, Vol. 170 (2024):

Dec. 20, considered and passed House and Senate.