Overview

Title

Making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes.

ELI5 AI

The American Relief Act, 2025, is like a big piggy bank that helps pay for important things like fixing stuff after storms, keeping people healthy, and making sure the country is safe until the end of 2025. But some parts of the plan are a bit tricky because they don't explain where all the money will go or why it's needed, which can make people worried.

Summary AI

H. R. 10515, known as the "American Relief Act, 2025," aims to continue government funding for various programs until September 30, 2025. It appropriates funds for disaster relief, public health, defense operations, and various federal agencies affected by recent natural disasters like hurricanes and wildfires. The bill also extends the government's temporary borrowing limit to manage debt and includes provisions to support agriculture, public health, and infrastructure programs. The legislation is designed to address emergency needs and ensure smooth operations across multiple sectors during the fiscal year.

Published

2024-12-19
Congress: 118
Session: 2
Chamber: HOUSE
Status: Introduced in House
Date: 2024-12-19
Package ID: BILLS-118hr10515ih

Keywords AI

american relief act, 2025 continuing appropriations public debt limit extension disaster relief funding geostationary earth orbit project emergency planning and security costs fiscal year 2025 virginia class submarine program department of defense funding federal aviation administration funding

Sources

Bill Statistics

Size

Sections:
62
Words:
25,808
Pages:
117
Sentences:
491

Language

Nouns: 7,869
Verbs: 1,755
Adjectives: 1,313
Adverbs: 241
Numbers: 1,843
Entities: 1,986

Complexity

Average Token Length:
4.52
Average Sentence Length:
52.56
Token Entropy:
5.64
Readability (ARI):
29.75

AnalysisAI

The bill in question, titled "American Relief Act, 2025," is an extensive piece of legislation designed to provide continuing appropriations for various governmental activities and projects through the fiscal year ending in September 2025. It encompasses a wide range of topics including public health, Medicare, Medicaid, disaster relief, defense, agriculture, and infrastructure funding.

General Summary

Central to the bill are mechanisms that ensure funding continuity for several critical public and government sector programs. These range from healthcare services such as community health centers and diabetes programs to agricultural subsidies and disaster relief appropriations. The bill also addresses national defense through appropriations for military projects and operations, notably for submarine programs. Furthermore, it extends several deadline-sensitive legal and fiscal provisions like debt limits and program expiries, alongside enabling certain federal operations to continue without disruption.

Summary of Significant Issues

The scrutiny of this bill reveals some notable issues, particularly related to transparency and fiscal responsibility:

  1. Lack of Justification for Spending: Significant amounts, such as $90 million for inaugural security costs and $625 million allocated for satellite acquisition, lack detailed justification.

  2. Complex Language and Financial Provisions: The bill's complexity might lead to misinterpretation, as seen with sections involving staggered funding periods and technical jargon.

  3. Extension of Deadlines and Limits: Changes to expiration dates in numerous sections, including the public debt limit, occur without thorough explanations, raising questions about the necessity and possible financial repercussions.

  4. Appointment Authority and Oversight: Provisions that allow direct government hires without competitive processes raise potential fairness and transparency concerns.

Impact on the Public

For the general public, the bill aims to maintain critical services and infrastructure. Continued appropriations for healthcare and emergency relief may ensure that essential services remain available, which is particularly crucial in times of fiscal uncertainty or disaster. However, the sections of the bill that lack transparency could lead to inefficient use of taxpayer money, potentially increasing the public financial burden without clear benefits.

Impact on Specific Stakeholders

Healthcare Providers and Patients: By extending funding for health centers and Medicare and Medicaid services, the bill could positively impact both healthcare providers and patients, ensuring continued access to necessary services.

Defense Contractors and Military Personnel: The significant appropriations for defense projects like the Virginia and Columbia Class submarine programs highlight a positive aspect for contractors involved in these projects and for military readiness, although the lack of clarity on the funds' necessity might stir debates on defense spending efficiency.

Agricultural Sector: Farmers stand to benefit from the extensions of agricultural programs, especially those focused on disaster aid and market stability. Yet, the lack of specificity around fund utilization might dilute the actual benefits, potentially favoring larger operations over smaller, struggling farms.

General Employment and Federal Workers: The provision for direct government hires could expedite filling critical positions required for effective government operations, supporting employment. However, it risks reducing fairness and standard recruiting due diligence, impacting transparency and worker equity perceptions.

In summary, while the bill aims to secure continued operations and services in vital areas, its complexity, and perceived lack of transparency in certain segments could overshadow its benefits. Stakeholders across government, healthcare, defense, and agriculture would do well to weigh these factors against the potential advantages of sustained funding and service continuity.

Financial Assessment

Summary of Financial Allocations and Spending

The "American Relief Act, 2025" outlines significant financial commitments aimed at extending funding for various government operations until September 30, 2025. Key allocations include funds for disaster relief, public health, defense, and agriculture, addressing emergency needs across different sectors. For instance, the bill allocates $90,000,000 for federal payments related to the District of Columbia's emergency planning, emphasizing the need for preparedness, particularly around events like the Presidential Inauguration. Another substantial allocation is $625,000,000 for the Geostationary Earth Orbit project under the Department of Commerce's budget, highlighting the focus on maintaining technological advancements and infrastructure.

Issues with Financial Transparency and Justification

Several concerns are raised regarding the transparency and necessity of financial allocations in the bill. A notable example is the $90,000,000 allocation for the District of Columbia, with $50,000,000 earmarked for Presidential Inauguration costs. This allocation appears substantial without detailed justification or a breakdown of expenses, suggesting potential for excessive spending. Similarly, the $625,000,000 designated for a Geostationary Earth Orbit project lacks a clear explanation regarding its necessity or expected outcomes, raising questions about potential wasteful spending.

Furthermore, amendments in various sections, such as Section 164, involve changes to dates and references to prior legislation, which may induce confusion. These revisions appear arbitrary without a clear explanation, suggesting possible manipulation of financial obligations by altering fiscal years. Such changes can confuse stakeholders and complicate planning processes.

Concerning Fiscal Practices and Oversight

The bill includes provisions, like those in Section 155, for unspecified apportionment “up to the rate for operations necessary.” This language could lead to fiscal mismanagement by enabling potentially excessive expenditures without stringent oversight mechanisms. For example, the allocation of $16,668,000 for FBI salaries and expenses and $5,691,000,000 for the Virginia Class Submarine program are substantial sums, but the bill does not provide clear justifications or intended outcomes for these amounts, raising accountability issues.

Additionally, Section 2701 allows for direct appointment of individuals without competitive hiring processes, projecting ethical concerns about fairness and transparency in government employment practices. Such an approach may undermine merit-based hiring, thereby affecting the perceived integrity of government operations.

Complex Financial Terms and Stakeholder Confusion

There is a discernible complexity in financial language and staged allocations, particularly in sections like 3101 that involve staggered funding periods. Such complexity could confuse stakeholders and public planners, who may find it challenging to interpret financial provisions or align them with broader policy objectives. This intricacy highlights the need for clearer communication and public explanation to ensure understanding and transparency.

Overall, while the "American Relief Act, 2025" aims to secure necessary funding across critical areas, there are notable issues regarding transparency, justification, and oversight of financial allocations that need to be addressed to enhance public confidence and ensure responsible fiscal management.

Issues

  • The justification for modifying the public debt limit in Section 5106 is not provided, raising significant concerns about transparency and fiscal responsibility, as changes from 2025 to 2027 could have broad financial implications without adequate explanation.

  • The allocation of $90,000,000 for 'District of Columbia—Federal Payment for Emergency Planning and Security Costs,' especially with $50,000,000 dedicated to the Presidential Inauguration, appears excessive without detailed justification or breakdown, according to Section 126.

  • The large funding allocation of $625,000,000 for a Geostationary Earth Orbit project in Section 153, without clear necessity or expected outcomes, may indicate potential wasteful spending.

  • The amendments in Section 164 contain multiple substitutions of years that can be confusing, raising concerns about arbitrary revisions without clear explanation or purpose.

  • Sections 161, 3201, 3202, and others involve extensions or increases in funding with insufficient justification for the revised dates or financial allocations, raising questions about the necessity and impact on long-term planning and budgeting.

  • The language allowing for the broad apportionment 'up to the rate for operations necessary' in multiple sections, such as Section 155, could lead to fiscal mismanagement by enabling potentially excessive expenditures without clear oversight.

  • The authority given to directly appoint individuals without competitive processes in Section 2701 could lead to ethical concerns about fairness and transparency in government hiring practices.

  • The amendments in Section 164 raise concerns with changes to dates and references to prior legislation that could lead to confusion or manipulation of financial obligations by altering fiscal years

  • The justification for certain allocations, such as $16,668,000 for the FBI in Section 155 and $5,691,000,000 for the Virginia Class Submarine program in Section 157, is not clearly explained, raising accountability and transparency issues.

  • Numerous sections, like 3101, involve complex language and financial allocations over staggered periods, which could confuse stakeholders and complicate planning without clear justification or public explanation.

Sections

Sections are presented as they are annotated in the original legislative text. Any missing headers, numbers, or non-consecutive order is due to the original text.

1. Short title Read Opens in new tab

Summary AI

The first section of this act states its official name, which is the "American Relief Act, 2025".

2. Table of contents Read Opens in new tab

Summary AI

The text provides a table of contents for a legislative act that includes various divisions and titles addressing topics such as public health, Medicare, human services, Medicaid, agricultural programs, and other matters like cybersecurity and public debt. It lists sections related to extending funding for health programs, regulating agricultural and economic activities, and maintaining certain temporary measures.

3. References Read Opens in new tab

Summary AI

Any reference to "this Act" within a specific section of the Act refers only to that particular section, unless stated otherwise.

101. Read Opens in new tab

Summary AI

The Continuing Appropriations Act, 2025, has been amended to adjust dates and allocate specific funds for various federal departments and activities. Key changes include new funding for emergency planning and security in Washington D.C., adjustments to appropriation limits for defense projects, allocated funds for wage improvements in naval programs, and modifications to student aid operations and veterans' health services.

Money References

  • The Continuing Appropriations Act, 2025 (division A of Public Law 118–83) is amended— (1) by striking the date specified in section 106(3) and inserting “March 14, 2025”; (2) in section 126 to read as follows: “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.”; and (3) by adding after section 152 the following new sections: “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. “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.
  • 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.
  • “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.
  • “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:
  • 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:
  • 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.
  • 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 by substituting ‘$1,640,000,000’ for ‘$870,000,000’ and ‘2025’ for ‘2024’.
  • 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.

126. Read Opens in new tab

Summary AI

The section allocates $90 million for emergency planning and security costs in Washington, D.C., with at least $50 million specifically for the Presidential Inauguration in January 2025. The funds can be distributed at the level necessary to support these activities.

Money References

  • 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.

153. Read Opens in new tab

Summary AI

The section allows funds allocated to the National Oceanic and Atmospheric Administration for procurement and construction to be used as needed to keep up with the purchase schedule for Geostationary Earth Orbits, with a spending limit of $625 million.

Money References

  • 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.

154. Read Opens in new tab

Summary AI

The section allows money allocated for specific Department of Justice technology projects to be used at a certain rate to support activities like identifying security weaknesses and testing system vulnerabilities proactively.

155. Read Opens in new tab

Summary AI

The bill allocates an additional $16,668,000 to the FBI for salaries and expenses in the fiscal year 2025, available until September 30, 2026, to enhance security systems, and classifies it as an emergency requirement under the Balanced Budget and Emergency Deficit Control Act of 1985.

Money References

  • 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. ---

156. Read Opens in new tab

Summary AI

The section allows the Department of Defense to spend up to $5,996,130,000 and $2,922,300,000 for operations related to the "Columbia Class Submarine" through Navy shipbuilding and conversion funds.

Money References

  • 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.

157. Read Opens in new tab

Summary AI

The bill allocates an additional $5,691,000,000 to the Department of Defense for use until September 30, 2029, specifically for the Virginia Class Submarine program and improving worker wages in other nuclear-powered ship programs. This funding, identified as an emergency requirement, can also support wage increases through new or current contracts.

Money References

  • 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:

158. Read Opens in new tab

Summary AI

The section allocates an additional $913,440,000 to the Department of Defense for fiscal year 2025, earmarked for operations, maintenance, and improving National Security Systems, with funds available until September 30, 2026. The money can be moved among certain accounts and is marked as an emergency need, with flexibility beyond standard transfer rules.

Money References

  • 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”:

159. Read Opens in new tab

Summary AI

The section allows funds allocated for certain defense activities within the Department of Energy to be used at a level necessary for continuing specific security operations. It also requires the Director of the Office of Management and Budget and the Secretary of Energy to inform Congress members within three days each time this funding authority is used.

160. Read Opens in new tab

Summary AI

The section allocates an additional $1,750,000 to the Department of Energy for the fiscal year 2025 to be used for activities related to national security systems, with the funds available until September 30, 2026. This amount is designated as an emergency requirement as per the Balanced Budget and Emergency Deficit Control Act of 1985.

Money References

  • 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. ---

161. Read Opens in new tab

Summary AI

For the time covered by this Act, a part of the Northwestern New Mexico Rural Water Projects Act will change to increase the funding limit from "$870,000,000" to "$1,640,000,000" and extend the deadline from "2024" to "2025".

Money References

  • 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 by substituting “$1,640,000,000” for “$870,000,000” and “2025” for “2024”.

162. Read Opens in new tab

Summary AI

In Section 162, an additional $908,000 is allocated to the Department of the Treasury's Office of Terrorism and Financial Intelligence for the fiscal year 2025. This money will be used to improve National Security Systems and is designated as an emergency fund, available until September 30, 2026.

Money References

  • 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. ---

163. Read Opens in new tab

Summary AI

This section changes a law by replacing every mention of the date "December 31, 2024," in Section 302 of Public Law 108–494, with a new date that is specified elsewhere in this Act.

164. Read Opens in new tab

Summary AI

In Section 164, the law amends previous laws to change specific dates until a new date specified in the Act. These changes include updating years from 2023 to 2026 and altering references to certain sections of previous laws. However, these changes will not take effect until the start of the first pay period after January 1, 2025.

165. Read Opens in new tab

Summary AI

The section allows funds allocated for "Student Aid Administration" under the Department of Education to be distributed at a rate necessary to keep student loan services and related processes running smoothly.

166. Read Opens in new tab

Summary AI

The section allows unused funds from previous years, originally allocated for military construction by the Department of Defense, to be repurposed for building an access road at Arlington National Cemetery, overriding restrictions from earlier laws.

167. Read Opens in new tab

Summary AI

The section states that certain rules under the Department of Veterans Affairs related to Medical Services, Medical Community Care, and Medical Support and Compliance are temporarily not applicable during the period covered by this Act.

168. Read Opens in new tab

Summary AI

The section of the bill changes the expiration date in a specific part of the law relating to the Millennium Challenge Corporation, pushing it back from December 31, 2024, to December 31, 2025.

169. Read Opens in new tab

Summary AI

The section allows the Federal Aviation Administration to use its funding to cover mandatory pay raises and other cost increases, improve air traffic services, hire and train new air traffic controllers, and ensure ongoing safety inspections, all without reducing service levels.

Read Opens in new tab

Summary AI

The section cited in the text establishes the "Further Continuing Appropriations Act, 2025" as the official name of the division.

Read Opens in new tab

Summary AI

For the fiscal year ending September 30, 2025, the government plans to allocate money from the Treasury for various purposes, using funds that haven't been assigned to other uses.

2101. Waiver of activity or project limitations Read Opens in new tab

Summary AI

The amendments to Section 10101 of the Disaster Relief and Recovery Supplemental Appropriations Act, 2008, allow the use of various financial tools like loans and grants for disaster recovery activities, enable the Secretary of Agriculture to waive certain limitations and use different data sources for eligibility, and designate these actions as emergency requirements.

2102. Read Opens in new tab

Summary AI

The section outlines that, for the 2024 crop year, the Secretary of Agriculture will provide one-time financial assistance to farmers if the expected income from specific crops is less than the cost to produce them. It also sets limits on payment amounts based on a person's or entity's income from agriculture and specifies how eligible crops are determined while following certain rules from existing agricultural acts.

Money References

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

2701. Read Opens in new tab

Summary AI

The section gives permission for the Secretary of the Interior and the Secretary of Agriculture to hire highly qualified people directly for specific projects without following the usual federal hiring rules, as long as they follow certain principles and requirements. This special hiring ability ends on September 30, 2029, and is meant to quickly meet urgent needs.

2702. Read Opens in new tab

Summary AI

The section requires agencies receiving funds from this title to submit a detailed plan about how they will use the funds to specific Congressional Committees within 45 days of the Act's enactment. No funds can be spent until these plans are provided, and the plans must be updated and resubmitted every 60 days until all funds are used.

2801. Read Opens in new tab

Summary AI

The section mandates that within 45 days of the law being enacted, agencies receiving funds must submit a detailed plan on how they intend to use the funds by state and program to specific Congressional committees. Additionally, no funds can be used until these plans are submitted, and updates on the use of funds must be provided every quarter until the funds are fully spent.

21301. Read Opens in new tab

Summary AI

Each amount of money allocated or made available by this law adds to the existing funds for the specified fiscal year.

21302. Read Opens in new tab

Summary AI

Funds allocated in this Act cannot be used after the current fiscal year unless the Act specifically states otherwise.

21303. Read Opens in new tab

Summary AI

The section states that, unless specified differently by this law, the additional money given by this law to budget accounts will be used under the same rules and conditions as those accounts for the fiscal year 2025.

21304. Read Opens in new tab

Summary AI

The section states that any funds designated by Congress for emergency purposes, based on a specific section of the Balanced Budget and Emergency Deficit Control Act of 1985, can only be used, repurposed, or transferred if the President also agrees to these designations and officially informs Congress about them.

21305. Read Opens in new tab

Summary AI

Any funds appropriated as an emergency requirement by Congress and the President, under the conditions of certain budget laws, will keep their emergency status even if they are transferred using the allowed transfer powers in this section.

21306. Statutory paygo scorecards Read Opens in new tab

Summary AI

The section specifies that the budgetary effects of division C and subsequent divisions will not be recorded on PAYGO scorecards, which are used to track budget compliance under certain fiscal laws. Additionally, any existing balances on these scorecards will be considered zero after the second session of the 118th Congress adjourns, preventing the need for a budget sequestration.

Read Opens in new tab

Summary AI

The section states that the division can be referred to as the “Disaster Relief Supplemental Appropriations Act, 2025.”

3001. Short title; table of contents Read Opens in new tab

Summary AI

This bill, titled the "Health Extensions and Other Matters Act, 2025," outlines plans to continue funding and support for various health-related initiatives. It covers extensions for community health centers, special diabetes programs, and telehealth services, as well as Medicare and Medicaid-related provisions to enhance hospital services, family health information centers, and educational programs on personal responsibility and sexual risk avoidance.

3101. Extension for community health centers, National Health Service Corps, and teaching health centers that operate GME programs Read Opens in new tab

Summary AI

The section extends funding for community health centers, the National Health Service Corps, and teaching health centers with GME programs into 2025, specifying various budget amounts for different time periods. It also ensures that the allocated funds must follow specific existing requirements and updates any related legal citations to align with these extensions.

Money References

  • (a) Extension for community health centers.—Section 10503(b)(1) of the Patient Protection and Affordable Care Act (42 U.S.C. 254b–2(b)(1)) is amended— (1) in subparagraph (E), by striking “and” at the end; (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 (3) by adding at the end the following: “(G) $4,000,000,000 for each of fiscal years 2019 through 2023; “(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 “(I) $1,050,410,959 for the period beginning on January 1, 2025, and ending on March 31, 2025.”. (b) Extension for the National Health Service Corps.—Section 10503(b)(2) of the Patient Protection and Affordable Care Act (42 U.S.C. 254b–2(b)(2)) is amended— (1) in subparagraph (H), by striking “and” at the end; (2) in subparagraph (I), by striking the period at the end and inserting “; and”; and (3) by adding at the end the following: “(J) $85,068,493 for the period beginning on January 1, 2025, and ending on March 31, 2025.”. (c) Teaching health centers that operate graduate medical education programs.—Section 340H(g)(1) of the Public Health Service Act (42 U.S.C. 256h(g)(1)) is amended— (1) by striking “not to exceed $230,000,000” and all that follows through “and ending on December 31, 2024,”; and (2) by striking the period at the end and inserting the following: “, not to exceed— “(A) $230,000,000, for the period of fiscal years 2011 through 2015; “(B) $60,000,000 for each of fiscal years 2016 and 2017; “(C) $126,500,000 for each of fiscal years 2018 through 2023; “(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 “(E) $43,150,685 for the period beginning on January 1, 2025, and ending on March 31, 2025.”. (d) Application of provisions.—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) Conforming amendments.—Section 3014(h) of title 18, United States Code, is amended— (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 (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”. ---

3102. Extension of special diabetes programs Read Opens in new tab

Summary AI

The section extends funding for special diabetes programs, allocating $39,261,745 for programs related to type I diabetes and diabetes programs for Indians, with the funds available from January 1, 2025, to March 31, 2025.

Money References

  • (a) Extension of special diabetes programs for type I diabetes.—Section 330B(b)(2) of the Public Health Service Act (42 U.S.C. 254c–2(b)(2)) is amended— (1) in subparagraph (D), by striking “and” at the end; (2) in subparagraph (E), by striking the period at the end and inserting “; and”; and (3) by adding at the end the following: “(F) $39,261,745 for the period beginning on January 1, 2025, and ending on March 31, 2025, to remain available until expended.”. (b) Extending funding for special diabetes programs for Indians.—Section 330C(c)(2) of the Public Health Service Act (42 U.S.C. 254c–3(c)(2)) is amended— (1) in subparagraph (D), by striking “and” at the end; (2) in subparagraph (E), by striking the period at the end and inserting “; and”; and (3) by adding at the end the following: “(F) $39,261,745 for the period beginning on January 1, 2025, and ending on March 31, 2025, to remain available until expended.”. ---

3103. National health security extensions Read Opens in new tab

Summary AI

The section in the bill makes several changes to the Public Health Service Act by extending the expiration dates in various sections from December 31, 2024, to March 31, 2025.

3201. Extension of increased inpatient hospital payment adjustment for certain low-volume hospitals Read Opens in new tab

Summary AI

The section extends the increased payment adjustment for certain low-volume hospitals under the Social Security Act by changing the expiration dates from December 31, 2024, and January 1, 2025, to March 31, 2025, and April 1, 2025, respectively. It also allows the Secretary of Health and Human Services to implement these changes through program instructions or other means.

3202. Extension of the Medicare-dependent hospital (MDH) program Read Opens in new tab

Summary AI

The section amends the Social Security Act to extend the deadlines related to the Medicare-dependent hospital (MDH) program by changing all references of "January 1, 2025" to "April 1, 2025" and one reference to "March 31, 2025," and it also updates the date by which hospitals can decline reclassification from "December 31, 2024" to "March 31, 2025."

3203. Extension of add-on payments for ambulance services Read Opens in new tab

Summary AI

Section 3203 of the bill changes the expiration date for extra payments for ambulance services under the Social Security Act from January 1, 2025, to April 1, 2025.

3204. Extension of funding for quality measure endorsement, input, and selection Read Opens in new tab

Summary AI

The amendment increases the funding for quality measure activities under the Social Security Act from $9,000,000 to $11,030,000 and extends the deadline for these activities from December 31, 2024, to March 31, 2025.

Money References

  • Section 1890(d)(2) of the Social Security Act (42 U.S.C. 1395aaa(d)(2)) is amended— (1) in the first sentence— (A) by striking “$9,000,000” and inserting “$11,030,000” ; and (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”. ---

3205. Extension of funding outreach and assistance for low-income programs Read Opens in new tab

Summary AI

The section extends funding for various programs assisting low-income individuals, including state health insurance programs, area agencies on aging, and resources for aging and disability, by moving the deadline from December 31, 2024, to March 31, 2025, and increasing the allocated amounts.

Money References

  • (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 “December 31, 2024, $18,750,000” and inserting “March 31, 2025, $22,500,000”.
  • (b) Area agencies on aging.—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) Aging and disability resource centers.—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) 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 “December 31, 2024, $18,750,000” and inserting “March 31, 2025, $22,500,000”. ---

3206. Extension of the work geographic index floor Read Opens in new tab

Summary AI

The section amends a part of the Social Security Act to extend the expiration date of the work geographic index floor from January 1, 2025, to April 1, 2025.

3207. Extension of certain telehealth flexibilities Read Opens in new tab

Summary AI

The section extends the duration of various telehealth flexibilities, including removing geographic restrictions and expanding sites eligible for telehealth, delaying in-person requirements for mental health services via telehealth, allowing audio-only telehealth services, and using telehealth for hospice care recertification, by changing the expiration from the end of 2024 to March 31, 2025. It also grants the Secretary of Health and Human Services the authority to implement these changes through program instructions.

3208. Extending acute hospital care at home waiver authorities Read Opens in new tab

Summary AI

The section modifies the Social Security Act by extending the deadline for the acute hospital care at home waiver from December 31, 2024, to March 31, 2025.

3209. Extension of temporary inclusion of authorized oral antiviral drugs as covered part D drugs Read Opens in new tab

Summary AI

The text extends the coverage period for certain authorized oral antiviral drugs under Medicare Part D. It changes the expiration date from December 31, 2024, to March 31, 2025.

3210. Medicare improvement fund Read Opens in new tab

Summary AI

The amendment to the Social Security Act reduces the amount in the Medicare improvement fund from $3,197,000,000 to $1,251,000,000.

Money References

  • 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”.

3301. Extension of child and family services programs Read Opens in new tab

Summary AI

The section extends the child and family services programs under part B of title IV of the Social Security Act until March 31, 2025, with funding provided as necessary from the U.S. Treasury for continuation during fiscal year 2024.

3302. Sexual risk avoidance education extension Read Opens in new tab

Summary AI

The section extends the sexual risk avoidance education program by changing its expiration date from December 31, 2024, to March 31, 2025, in the Social Security Act.

3303. Personal responsibility education extension Read Opens in new tab

Summary AI

The section extends the deadline for personal responsibility education funding under the Social Security Act from December 31, 2024, to March 31, 2025, by amending specific parts of the legislation that reference the original date.

3304. Extension of funding for family-to-family health information centers Read Opens in new tab

Summary AI

Section 3304 of the bill amends the Social Security Act to increase the funding for family-to-family health information centers from $1,500,000 to $2,500,000 and extends the funding deadline from January 1, 2025, to April 1, 2025.

Money References

  • 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 “$2,500,000”; and (2) by striking “January 1, 2025” and inserting “April 1, 2025”. ---

3401. Eliminating certain disproportionate share hospital payment cuts Read Opens in new tab

Summary AI

The bill proposes to change the start date for certain payments to disproportionate share hospitals under the Social Security Act from January 1 to April 1.

4101. Extension of agricultural programs Read Opens in new tab

Summary AI

The section extends several agricultural programs and laws originally set to expire in 2024 through 2025 or until other specified dates. It includes provisions for commodity programs, dairy programs, and trade and research programs, with some exceptions and adjustments in funding and reporting requirements.

5101. Commodity futures trading commission whistleblower program Read Opens in new tab

Summary AI

The section modifies the expiration date for specific provisions of the Commodity Futures Trading Commission's whistleblower program from October 1, 2024, to March 14, 2025, and states that these changes will be effective as of September 30, 2024.

5102. Protection of certain facilities and assets from unmanned aircraft Read Opens in new tab

Summary AI

The section of the bill updates the expiration date for the protection of certain facilities and assets from unmanned aircraft under the Homeland Security Act of 2002, changing it from December 20, 2024, to March 14, 2025.

5103. Additional special assessment Read Opens in new tab

Summary AI

The section modifies a part of the United States Code by changing a date, extending the expiration of a special assessment from December 23, 2024, to March 14, 2025.

5104. National cybersecurity protection system authorization Read Opens in new tab

Summary AI

The amendment updates the expiration date of a cybersecurity protection system authorized by the Federal Cybersecurity Enhancement Act of 2015, changing it from December 20, 2024, to March 14, 2025.

5105. Extension of temporary order for fentanyl-related substances Read Opens in new tab

Summary AI

The section extends the temporary order for fentanyl-related substances, moving the expiration date from December 31, 2024, to March 31, 2025, as if it had been originally included in a previous law.

5106. Temporary extension of public debt limit Read Opens in new tab

Summary AI

The section temporarily extends the public debt limit by changing the expiration dates in the Fiscal Responsibility Act of 2023 from January 2025 to January 2027.