Section 1. Short title
This Act may be cited as the Further Additional Continuing Appropriations and Other Extensions Act, 2025.
Section 101
The Continuing Appropriations Act, 2025 (division A of Public Law 118–83) is further amended—
(1) by striking the date specified in section 106(3) and inserting April 11, 2025;
(2) in section 156(b) to read as follows:
(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 $3,341,300,000.
(2) ; and
(3) by adding after section 169 the following new sections:
Section 170
Notwithstanding section 101, section 521(b)(1) of division C of Public Law 118–42 shall not apply during the period covered by this Act.
Section 171
Notwithstanding sections 102 and 104, amounts made available by section 101 to the Department of Defense for Procurement—Shipbuilding and Conversion, Navy may be apportioned up to the rate of operations necessary for Completion of Prior Year Shipbuilding Programs in an amount not to exceed $1,930,024,000 to fund prior year shipbuilding cost increases for the following programs in the following amounts:
(1) 2013/2025: Carrier Replacement Program, $236,000,000;
(2) 2016/2025: DDG 51 Program, $10,509,000;
(3) 2017/2025: Virginia Class Submarine Program, $219,370,000;
(4) 2017/2025: DDG 51 Program, $115,600,000;
(5) 2017/2025: Littoral Combat Ship Program, $8,100,000;
(6) 2017/2025: LHA Replacement Program, $115,397,000;
(7) 2018/2025: Virginia Class Submarine Program, $73,634,000;
(8) 2018/2025: DDG 51 Program, $107,405,000;
(9) 2018/2025: Littoral Combat Ship Program, $12,000,000;
(10) 2018/2025: LPD 17 (Flight II) Amphibious Transport Dock Program, $19,158,000;
(11) 2018/2025: Oceanographic Ships Program, $18,000,000;
(12) 2018/2025: Ship to Shore Connector Program, $14,694,000;
(13) 2019/2025: Littoral Combat Ship Program, $27,900,000;
(14) 2019/2025: T–AO Fleet Oiler Program, $49,995,000;
(15) 2019/2025: Ship to Shore Connector Program, $33,345,000;
(16) 2020/2025: CVN Refueling Overhauls, $669,171,000;
(17) 2020/2025: T–AO Fleet Oiler Program, $151,837,000;
(18) 2020/2025: Towing, Salvage, and Rescue Ship Program, $978,000;
(19) 2021/2025: Towing, Salvage, and Rescue Ship Program, $17,375,000;
(20) 2022/2025: T–AO Fleet Oiler Program, $13,222,000;
(21) U2022/2025: Towing, Salvage, and Rescue Ship Program, $4,234,000; and
(22) 2023/2025: T–AO Fleet Oiler Program, $12,100,000.
Section 172
In addition to amounts otherwise provided by section 101, for Federal Emergency Management Agency—Disaster Relief Fund, there is appropriated $750,000,000, for an additional amount for fiscal year 2025, to remain available until expended, for major disasters declared pursuant to the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5121 et seq.): 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, and shall be available only if the President subsequently so designates such amount and transmits such designation to the Congress.
Section 173
In addition to amounts otherwise provided by section 101, there is appropriated $1,650,000 for the Office of Navajo and Hopi Relocation—Salaries and Expenses to remain available until expended to carry out responsibilities under the Navajo-Hopi Land Settlement Act of 1974.
Section 174
Notwithstanding any other provision of this Act, there is hereby appropriated for fiscal year 2025, for payment to Ashley Paige Turner, beneficiary of Sylvester Turner, late a Representative from the State of Texas, $174,000.
Division A FURTHER ADDITIONAL CONTINUING APPROPRIATIONS ACT, 2025
This division may be cited as the Further Additional Continuing Appropriations Act, 2025.
(a) Extension for community health centers
Section 10503(b)(1)(I) of the Patient Protection and Affordable Care Act (42 U.S.C. 254b–2(b)(1)(I)) is amended by striking the period at the end and inserting, and $132,602,740 for the period beginning on April 1, 2025, and ending on April 11, 2025; and.
(b) Extension for the National Health Service Corps
Section 10503(b)(2)(J) of the Patient Protection and Affordable Care Act (42 U.S.C. 254b–2(b)(2)(J)) is amended by inserting, and $10,963,593 for the period beginning on April 1, 2025, and ending on April 11, 2025 before the period at the end.
(c) Teaching health centers that operate graduate medical education programs
Section 340H(g)(1)(E) of the Public Health Service Act (42 U.S.C. 256h(g)(1)(E)) is amended by inserting, and $6,058,748 for the period beginning on April 1, 2025, and ending on April 11, 2025 before the period at the end.
(d) Application of provisions
Amounts appropriated pursuant to the amendments made by this section shall be subject to the requirements contained in Public Law 118–47 for funds for programs authorized under sections 330 through 340 of the Public Health Service Act (42 U.S.C. 254b et seq.).
(e) Conforming amendments
Section 3014(h)(4) of title 18, United States Code, is amended by striking and section 3101(d) of the Health Extensions and Other Matters Act, 2025 and inserting section 3101(d) of the Health Extensions and Other Matters Act, 2025, and section 2101(d) of the Further Additional Continuing Appropriations and Other Extensions Act, 2025.
(a) Extension of special diabetes programs for type I diabetes
Section 330B(b)(2)(F) of the Public Health Service Act (42 U.S.C. 254c–2(b)(2)(F)) is amended by inserting, and $4,798,658 for the period beginning on April 1, 2025, and ending on April 11, 2025 before the period at the end.
(b) Extending funding for special diabetes programs for Indians
Section 330C(c)(2)(F) of the Public Health Service Act (42 U.S.C. 254c–3(c)(2)(F)) is amended by inserting, and $4,798,658 for the period beginning on April 1, 2025, and ending on April 11, 2025 before the period at the end.
(a) Section 319(e)(8) of the Public Health Service Act (42 U.S.C. 247d(e)(8)) is amended by striking March 31, 2025 and inserting April 11, 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 March 31, 2025 and inserting April 11, 2025.
(c) Section 319L–1(b) of the Public Health Service Act (42 U.S.C. 247d–7f(b)) is amended by striking March 31, 2025 and inserting April 11, 2025.
(1) Section 2811A(g) of the Public Health Service Act (42 U.S.C. 300hh–10b(g)) is amended by striking March 31, 2025 and inserting April 11, 2025.
(2) Section 2811B(g)(1) of the Public Health Service Act (42 U.S.C. 300hh–10c(g)(1)) is amended by striking March 31, 2025 and inserting April 11, 2025.
(3) Section 2811C(g)(1) of the Public Health Service Act (42 U.S.C. 300hh–10d(g)(1)) is amended by striking March 31, 2025 and inserting April 11, 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 March 31, 2025 and inserting April 11, 2025.
(a) In general
Section 1886(d)(12) of the Social Security Act (42 U.S.C. 1395ww(d)(12)) is amended—
(1) in subparagraph (B), in the matter preceding clause (i), by striking April 1, 2025 and inserting April 12, 2025;
(2) in subparagraph (C)(i)—
(A) in the matter preceding subclause (I), by striking March 31, 2025 and inserting April 11, 2025;
(B) in subclause (III), by striking March 31, 2025 and inserting April 11, 2025; and
(C) in subclause (IV), by striking April 1, 2025 and inserting April 12, 2025; and
(3) in subparagraph (D)—
(A) in the matter preceding clause (i), by striking March 31, 2025 and inserting April 11, 2025; and
(B) in clause (ii), by striking March 31, 2025 and inserting April 11, 2025.
(b) Implementation
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.
(a) In general
Section 1886(d)(5)(G) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(G)) is amended—
(1) in clause (i), by striking April 1, 2025 and inserting April 12, 2025; and
(2) in clause (ii)(II), by striking April 1, 2025 and inserting April 12, 2025.
(1) In general
Section 1886(b)(3)(D) of the Social Security Act (42 U.S.C. 1395ww(b)(3)(D)) is amended—
(A) in the matter preceding clause (i), by striking April 1, 2025 and inserting April 12, 2025; and
(B) in clause (iv), by striking March 31, 2025 and inserting April 11, 2025.
(2) Permitting hospitals to decline reclassification
Section 13501(e)(2) of the Omnibus Budget Reconciliation Act of 1993 (42 U.S.C. 1395ww note) is amended by striking March 31, 2025 and inserting April 11, 2025.
Section 2113. 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 April 1, 2025 and inserting April 12, 2025; and
(2) in paragraph (13), by striking April 1, 2025 each place it appears and inserting April 12, 2025 in each such place.
Section 2114. 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, by striking March 31, 2025 and inserting April 11, 2025; and
(2) in the third sentence, by striking March 31, 2025 and inserting April 11, 2025.
(a) State health insurance assistance programs
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 March 31, 2025, $22,500,000 and inserting April 11, 2025, $23,125,000.
(b) Area agencies on aging
Subsection (b)(1)(B)(xiv) of such section 119 is amended by striking March 31, 2025, $22,500,000 and inserting April 11, 2025, $23,125,000.
(c) Aging and disability resource centers
Subsection (c)(1)(B)(xiv) of such section 119 is amended by striking March 31, 2025, $8,500,000 and inserting April 11, 2025, $8,708,333.
(d) Coordination of efforts To inform older Americans about benefits available under Federal and State programs
Subsection (d)(2)(xiv) of such section 119 is amended by striking March 31, 2025, $22,500,000 and inserting April 11, 2025, $23,125,000.
Section 2116. 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 April 1, 2025 and inserting April 12, 2025.
(a) Removing geographic requirements and expanding originating sites for telehealth services
Section 1834(m) of the Social Security Act (42 U.S.C. 1395m(m)) is amended—
(1) in paragraph (2)(B)(iii), by striking ending March 31, 2025 and inserting ending April 11, 2025; and
(2) in paragraph (4)(C)(iii), by striking ending on March 31, 2025 and inserting ending on April 11, 2025.
(b) Expanding practitioners eligible To furnish telehealth services
Section 1834(m)(4)(E) of the Social Security Act (42 U.S.C. 1395m(m)(4)(E)) is amended by striking ending on March 31, 2025 and inserting ending on April 11, 2025.
(c) Extending telehealth services for federally qualified health centers and rural health clinics
Section 1834(m)(8)(A) of the Social Security Act (42 U.S.C. 1395m(m)(8)(A)) is amended by striking ending on March 31, 2025 and inserting ending on April 11, 2025.
(1) Delay in requirements for mental health services furnished through telehealth
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 April 1, 2025 and inserting April 12, 2025.
(2) Mental health visits furnished by rural health clinics
Section 1834(y)(2) of the Social Security Act (42 U.S.C. 1395m(y)(2)) is amended by striking April 1, 2025 and inserting April 12, 2025.
(3) Mental health visits furnished by Federally qualified health centers
Section 1834(o)(4)(B) of the Social Security Act (42 U.S.C. 1395m(o)(4)(B)) is amended by striking April 1, 2025 and inserting April 12, 2025..
(e) Allowing for the furnishing of audio-only telehealth services
Section 1834(m)(9) of the Social Security Act (42 U.S.C. 1395m(m)(9)) is amended by striking ending on March 31, 2025 and inserting ending on April 11, 2025.
(f) Extending use of telehealth To conduct face-to-Face encounter prior to recertification of eligibility for hospice care
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 March 31, 2025 and inserting ending on April 11, 2025.
Section 2118. 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 March 31, 2025 and inserting April 11, 2025.
Section 2119. 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 March 31, 2025 and inserting April 11, 2025.
Section 2120. Medicare improvement fund
Section 1898(b)(1) of the Social Security Act (42 U.S.C. 1395iii(b)(1)) is amended by striking $1,251,000,000 and inserting $1,018,000,000.
Section 2131. 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 March 31, 2025 and inserting April 11, 2025; and
(2) in subsection (f)(1), by striking March 31, 2025 and inserting April 11, 2025.
Section 2132. Personal responsibility education extension
Section 513 of the Social Security Act (42 U.S.C. 713) is amended—
(1) in subsection (a)(1)—
(A) in subparagraph (A), in the matter preceding clause (i), by striking March 31, 2025 and inserting April 11, 2025; and
(B) in subparagraph (B)(i), by striking March 31, 2025 and inserting April 11, 2025; and
(2) in subsection (f), by striking March 31, 2025 and inserting April 11, 2025.
Section 2133. 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 $3,000,000 and inserting $3,200,000; and
(2) by striking April 1, 2025 and inserting April 12, 2025.
Section 2141. 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 April 1 and inserting April 12; and
(2) in clause (ii), by striking April 1 and inserting April 12.
Section 2201. Commodity Futures Trading Commission whistleblower program
Section 1(b) of Public Law 117–25 (135 Stat. 297; 136 Stat. 2133; 136 Stat. 5984) is amended, in paragraphs (3) and (4), by striking March 14, 2025 each place it appears and inserting April 11, 2025.
Section 2202. 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 March 14, 2025 and inserting April 11, 2025.
Section 2203. Additional special assessment
Section 3014 of title 18, United States Code, is amended by striking March 14, 2025 and inserting April 11, 2025.
Section 2204. 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 March 14, 2025 and inserting April 11, 2025.
(a) Statutory PAYGO scorecards
The budgetary effects of this 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.
(b) Senate PAYGO scorecards
The budgetary effects of this division shall not be entered on any PAYGO scorecard maintained for purposes of section 4106 of H. Con. Res. 71 (115th Congress).
(c) Classification of budgetary effects
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 this division shall not be estimated—
(1) for purposes of section 251 of such Act;
(2) for purposes of an allocation to the Committee on Appropriations pursuant to section 302(a) of the Congressional Budget Act of 1974; and
(3) 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.