Overview

Title

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

ELI5 AI

H.R. 10545 is like a big money plan that helps the U.S. pay for important things like fixing roads, helping farms, and keeping people safe until September 2025. It gives out lots of money to make sure everyone is ready for bad weather, has good health, and that important projects keep running smoothly.

Summary AI

H.R. 10545 provides further continuing appropriations for the fiscal year ending September 30, 2025, including funds for disaster relief and health programs. It extends existing agricultural, health, and economic programs while offering financial support for government expenses related to various natural disasters and emergencies outlined in the bill. This legislation also includes provisions for extending several healthcare and agricultural programs into 2025, supporting community health centers, and allowing disaster assistance for producers affected by natural disasters.

Published

2024-12-20
Congress: 118
Session: 2
Chamber: HOUSE
Status: Engrossed in House
Date: 2024-12-20
Package ID: BILLS-118hr10545eh

Keywords AI

appropriations disaster relief healthcare programs agricultural programs emergency funding national security systems infrastructure spending telehealth services medicare extensions department of defense funding

Sources

Bill Statistics

Size

Sections:
61
Words:
25,913
Pages:
120
Sentences:
538

Language

Nouns: 7,862
Verbs: 1,758
Adjectives: 1,321
Adverbs: 244
Numbers: 1,828
Entities: 1,953

Complexity

Average Token Length:
4.51
Average Sentence Length:
48.17
Token Entropy:
5.64
Readability (ARI):
27.51

AnalysisAI

The "American Relief Act, 2025," as introduced in Congress, is a comprehensive legislative measure designed to extend financial appropriations for a variety of governmental operations through the fiscal year ending September 30, 2025. It encompasses several divisions titled "Further Continuing Appropriations," "Disaster Relief Supplemental Appropriations," and "Health Extensions and Other Matters," among others. The bill addresses funding for public health, Medicare, Medicaid programs, disaster relief efforts, security enhancements, and agricultural program extensions.

General Summary

The bill continues government funding across a broad spectrum of areas, ensuring that federal operations and programs remain solvent in the fiscal year 2025. Notable allocations include emergency funding for disaster-affected regions, extensions for health services, and allowances for defense and infrastructural projects. The legislation navigates between various needs such as education, energy, agriculture, and security, integrating measures designed to extend existing programs and enact new ones where deemed necessary by Congress.

Significant Issues

Several critical issues emerge from the bill:

  1. Excessive Spending Concerns: Certain sections involve significant financial allocations, such as $90 million for emergency planning in D.C., with $50 million earmarked for the presidential inauguration. These allocations lack detailed breakdowns, raising concerns about potential excess.

  2. Ambiguities and Flexibility in Expenditure: The language concerning defense and security systems, like "risk reduction and modification," appears vague, possibly leading to fund misuse. Additionally, the ability to transfer funds within defense accounts without stringent oversight further complicates the financial management picture.

  3. Favoritism Indicators: The allocation of significant funds to specific infrastructure projects, such as the Francis Scott Key Bridge, points towards potential favoritism without adequate justification or transparency.

  4. Extensions Without Justification: Extensions of agricultural and other program deadlines and funding are made without clear justification. This lack of clarity could result in inefficient or wasteful spending if not evaluated against performance metrics.

  5. Complex Language: The bill's dependence on cross-referencing multiple existing laws and amendments can be a hurdle for readers unfamiliar with legislative language, possibly leading to misinterpretation of its provisions.

Impact on the Public

For the general public, this bill promises an extension of crucial services and programs, particularly in health care and emergency relief efforts, which could stabilize immediate needs post-disaster or health crises. However, if expenditures are not managed with transparency, taxpayers might bear the burden of inefficiencies or misallocations.

Impact on Specific Stakeholders

  • Government and Public Agencies: Benefiting from extended funding and operational flexibility, agencies could continue to provide vital public services without interruption. However, they might encounter increased scrutiny over how funds are allocated and managed.

  • Defense Contractors and Federal Employees: With continued funding and possibly increased financial scope for defense projects, these stakeholders might experience job security and potential growth opportunities. Nevertheless, this could be scrutinized as favoritism or unchecked defense spending.

  • Agricultural and Health Sectors: Farmers and health service providers would see continued support through program extensions, potentially stabilizing operations. Yet, they remain vulnerable to fluctuations if these extensions were to expire or lack rigorous oversight.

In essence, the "American Relief Act, 2025" aims to be a comprehensive safety net for numerous federal programs while extending fiscal appropriations to ensure stability across various sectors. However, it is critical to balance this approach with a keen eye on fiscal responsibility and transparency to prevent potential overreach or misuse of public funds.

Financial Assessment

The bill H.R. 10545 outlines a comprehensive plan for continuing appropriations through September 30, 2025, involving substantial financial allocations to various sectors, notably disaster relief, national defense, health programs, and infrastructure projects. Below, financial allocations and related issues are discussed.

Financial Allocations

  1. District of Columbia Security Costs: The bill allocates $90,000,000 for emergency planning and security in the District of Columbia, with at least $50,000,000 earmarked for the Presidential Inauguration in 2025. Although aimed at ensuring preparedness, the lack of detailed breakdowns raises concerns over potential excessive spending.

  2. National Security Systems: Multiple sections of the bill reference financial allocations for "risk reduction and modification of National Security Systems," including $16,668,000 for the Department of Justice and $913,440,000 for the Department of Defense. While these allocations underscore the importance of national security, the broad language used might lead to ambiguity regarding the specific use and oversight of these funds.

  3. Defense and Maritime Projects: Notably, the bill provides significant funding for naval projects, with $5,996,130,000 allocated for the Columbia Class Submarine and an additional $5,691,000,000 for the Virginia Class Submarine program. This highlights a focus on bolstering military capabilities but suggests the necessity for stringent monitoring to ensure funds are used appropriately.

  4. Federal Highway Administration: The allocation of $8,086,020,000 to the Emergency Relief Program, specifically addressing damage to the Francis Scott Key Bridge, is a major expenditure. Concerns might arise over whether appropriate justification and oversight accompany such a significant investment to mitigate risks of favoritism or fiscal favoritism.

  5. Agricultural Programs: The extension of agricultural programs through legislative date adjustments supports agricultural continuity. However, without justification, there is a risk of inefficiencies or waste if these programs are not evaluated for their effectiveness, especially given the amount of help extended from previous years.

  6. Geostationary Earth Orbit: The National Oceanic and Atmospheric Administration (NOAA) is allotted $625,000,000 for procurement related to the Geostationary Earth Orbit. While strategic in maintaining satellite operations, the scale of this funding necessitates clear articulation of expected outcomes to avoid potential financial waste.

Related Issues

The allocations in this bill, like many large appropriation bills, present the risk of financial mismanagement if appropriate overseeing mechanisms are not established. The prominent use of the term "emergency requirement" could lead to inconsistent application or expedited processing, bypassing traditional checks and balances designed to prevent misuse. Additionally, the bill’s reliance on complex cross-referencing of existing laws may confuse interpreting fiscal responsibilities and outcomes for those without specialized legal knowledge.

Effective legislative and administrative oversight, coupled with transparent justifications for financial allocations, remain crucial to mitigate risks of inefficiency and ensure that these substantial sums are utilized for their intended purposes.

Issues

  • The increase in spending for District of Columbia—Federal Payment for Emergency Planning and Security Costs from a previous amount to $90,000,000, with $50,000,000 specifically allocated for the Presidential Inauguration, raises concerns about potentially excessive spending and lack of detailed breakdowns (Section 101).

  • The broad language of 'risk reduction and modification of National Security Systems' used in various sections such as those concerning the Department of Justice and Department of Defense creates ambiguity and risks misuse of funds without proper definition or monitoring (Sections 155, 157, and 158).

  • Allowing funds to be transferred between accounts, particularly in the Department of Defense under 'Operation and Maintenance,' without additional oversight raises concerns of financial mismanagement or excessive flexibility not aligned with legislative intent (Section 158).

  • The allocation of $8,086,020,000 to the Federal Highway Administration's Emergency Relief Program with specific attention to the Francis Scott Key Bridge may indicate potential favoritism towards this infrastructure project, especially without detailed justification (Division XII).

  • The extension of agricultural programs, permanent exclusions, and specific date changes without clear justifications could lead to inefficient or wasteful spending if effectiveness is not evaluated (Section 4101).

  • Numerous emergency designations and lack of clear criteria or guidelines for such designations can lead to inconsistent interpretations and potential bypassing of traditional checks and balances (Sections 21304 and 21305).

  • The complex language used in cross-referencing multiple public laws and amendments could make understanding difficult for those not well-versed in legislative processes, leading to potential misinterpretation or oversight of critical legislative impacts (various sections including Section 163 and 2701).

  • Significant sums allocated to specific programs, like the $625,000,000 for Geostationary Earth Orbit, without detailed information on necessity or expected outcomes could indicate potential wasteful spending (Section 153).

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

This section provides the table of contents for a legislative act that includes several divisions and titles addressing various issues. It outlines divisions related to further appropriations, disaster relief, public health, and Medicare, as well as other subjects like agricultural programs, cybersecurity, and aviation security.

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

The "Health Extensions and Other Matters Act, 2025" includes various provisions to extend health services and funding programs. It covers public health initiatives like community health centers, Medicare enhancements, including hospital payments and telehealth services, human services programs focused on education and family support, and Medicaid adjustments addressing hospital payments.

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 that run graduate medical education programs, by updating the allocation amounts for specific periods from 2023 to 2025. It also makes necessary adjustments to existing laws to align with these funding changes.

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 extends the Medicare-dependent hospital program by changing the expiration dates from January 1, 2025, to April 1, 2025, and from December 31, 2024, to March 31, 2025, allowing hospitals more time before needing reclassification.

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 bill extends funding for programs assisting low-income individuals with health insurance and support services. It increases the funds from approximately December 2024 to March 2025, raising the budget for various state programs and resources centers accordingly.

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 various telehealth flexibilities under the Social Security Act by moving the expiration dates for these provisions from the end of 2024 to March 31, 2025. These changes include allowing more healthcare professionals to offer telehealth services, permitting audio-only telehealth, and delaying in-person visit requirements for mental health services.

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. Sexual risk avoidance education extension Read Opens in new tab

Summary AI

Section 3301 of the text extends the deadlines in the Social Security Act relating to sexual risk avoidance education from December 31, 2024, to March 31, 2025.

3302. Personal responsibility education extension Read Opens in new tab

Summary AI

The section extends the deadline for personal responsibility education programs as outlined in the Social Security Act from December 31, 2024, to March 31, 2025, by making several date changes in the legal text.

3303. Extension of funding for family-to-family health information centers Read Opens in new tab

Summary AI

The section extends funding for family-to-family health information centers by increasing the amount from $1,500,000 to $3,000,000 and changes the end date 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 “$3,000,000”; 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 amendment to the Social Security Act changes the start date for certain adjustments to hospital payment cuts from January 1 to April 1.

4101. Extension of agricultural programs Read Opens in new tab

Summary AI

The section extends various agricultural programs originally authorized by the Agriculture Improvement Act of 2018 to continue through September 30, 2025, unless specified otherwise. It includes specific changes to commodities, dairy programs, and other areas, and it excludes certain programs from the extension, focusing instead on the continuation of discretionary and mandatory funding, reporting requirements, and program modifications.

7502. Grazinglands research laboratory Read Opens in new tab

Summary AI

The Grazinglands Research Laboratory in El Reno, Oklahoma, operated by the Secretary, cannot be declared surplus property or transferred until September 30, 2025, unless specifically allowed by another law.

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.