Overview

Title

An Act 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 allowance from the government to keep important things like healthcare and fixing damages from storms going strong for another year. It also has extra money for building and security projects, but some grown-ups are worried about whether all that money is being spent wisely.

Summary AI

The bill, H. R. 10545, titled the "American Relief Act, 2025," extends funding and authorizations for various federal programs across sectors like agriculture, healthcare, and disaster relief. It includes provisions for continued appropriations for the fiscal year 2025 and extends certain healthcare programs, Medicare, and Medicaid support. Additionally, the bill provides significant disaster relief funding for addressing the aftermath of natural disasters, such as hurricanes and floods, and supports economic recovery and infrastructure rebuilding in affected areas. This package aims to ensure financial and operational stability for critical services and communities across the nation.

Published

2024-12-27
Congress: 118
Session: 2
Chamber: JOINT
Status: Enrolled Bill
Date: 2024-12-27
Package ID: BILLS-118hr10545enr

Keywords AI

appropriations american relief act 2025 fiscal year 2025 healthcare programs disaster relief medicare extensions national security systems funding allocation continuing appropriations opioid crisis temporary orders

Sources

Bill Statistics

Size

Sections:
61
Words:
25,896
Pages:
51
Sentences:
542

Language

Nouns: 7,850
Verbs: 1,746
Adjectives: 1,321
Adverbs: 244
Numbers: 1,827
Entities: 1,984

Complexity

Average Token Length:
4.51
Average Sentence Length:
47.78
Token Entropy:
5.64
Readability (ARI):
27.31

AnalysisAI

The bill, titled the "American Relief Act, 2025," seeks to make further continuing appropriations for the fiscal year ending September 30, 2025, among other key legislative measures. This act is structured into several divisions and titles, encompassing a wide range of subjects such as public health, disaster relief, Medicare, agricultural programs, and more. These segments outline budgetary allocations and program extensions for various governmental activities impacting the nation's operations and services.

General Summary of the Bill

At its core, the bill aims to govern the allocation of funds across multiple sectors, addressing both ongoing and newly arising needs. It encompasses extensions and adjustments of existing programs, as well as the introduction of emergency appropriations in response to potential crises. Divisions such as "Further Continuing Appropriations Act, 2025" and "Disaster Relief Supplemental Appropriations Act, 2025" outline funding for projects ranging from community health initiatives to defense programs and agricultural subsidies. The proposed legislation places emphasis on maintaining continuity for essential services while allowing for strategic funding adjustments to tackle specific challenges.

Significant Issues

A key issue with this bill is the notable increase in funding for certain projects without detailed justification. For example, the escalation in funding from $870 million to over $1.6 billion for a particular project section raises questions about the transparency and necessity of such an allocation. Other areas lack clear definitions or objectives, especially those granting broad financial leeway for national security improvements. Similarly concerning is the exclusion of certain budgetary impacts from PAYGO scorecards, potentially allowing unchecked spending without fiscal accountability. The decision to extend temporary orders, particularly relating to fentanyl substances, reflects ongoing challenges with policy efficacy and crisis management. These aspects could either reflect agility in legislators' responses to pressing needs or signal potential areas for oversight and further scrutiny.

Impact on the Public

For the general public, this bill could have varying implications. On one hand, funding for health centers and disaster relief reflects a continued commitment to public welfare, potentially leading to improved access to healthcare and more robust emergency responses. The extensions of Medicare and Medicaid programs could ensure that vulnerable populations continue receiving necessary support, maintaining healthcare stability for many. Conversely, significant portions of the taxpayer's money being diverted to programs with ambiguous objectives or unjustified increases could lead to dissatisfaction if public perceptions gear towards excessive government spending.

Impact on Specific Stakeholders

Different stakeholders stand to gain or face challenges from the execution of this bill. For entities benefiting from increased funding for infrastructure, defense, or health services, this bill represents a pool of resources to develop and sustain critical operations. However, concerns arise for fiscal watchdogs and policymakers tasked with maintaining budget discipline, who may see portions of the bill as detracting from structured financial planning. Agricultural stakeholders might find the provisions favorable, with extended subsidies providing stability, yet they might also grapple with the inequality of funding distribution. Specific sectors like healthcare see direct positive impacts from extended program funding, although managing these funds to ensure efficient outcomes remains crucial.

In conclusion, the "American Relief Act, 2025" includes comprehensive appropriations designed to meet various consistent and emergent needs. While it could provide continuity and enhancements across healthcare, defense, and disaster management, issues of fiscal oversight and clarity in fund allocation suggest a need for heightened diligence to ensure the act's intentions effectively translate into public benefits.

Financial Assessment

The legislative bill titled "American Relief Act, 2025," contains numerous sections detailing financial allocations and appropriations aimed at supporting various sectors, including healthcare, agriculture, and disaster relief. The following commentary analyzes the financial components of the bill and highlights concerns raised in the issues identified.

Summary of Financial Allocations

The bill authorizes substantial appropriations aimed at continuing operations and extending funding for several programs through fiscal year 2025. For example:

  • $90,000,000 is allocated for the District of Columbia, emphasizing emergency planning and security with a specific stipulation that no less than $50,000,000 is earmarked for costs associated with the January 2025 Presidential Inauguration.

  • The Department of Defense receives significant funding, with a notable apportionment of up to $5,996,130,000 for the Columbia Class Submarine (AP) project and an additional allocation of $5,691,000,000 specifically for the Virginia Class Submarine program.

  • Support for community health centers and related healthcare programs is extended with allocations including $4,000,000,000 annually for certain fiscal years and smaller, short-term amounts such as $1,050,410,959 for the initial quarter of 2025.

  • The bill designates $1,640,000,000 to the Northwestern New Mexico Rural Water Projects, more than doubling its previous allocation, which raises questions regarding the justification for this increase.

Discussion of Financial and Accountability Concerns

Project Funding Increases: One of the major issues with the bill is the increase from $870,000,000 to $1,640,000,000 for a project listed under "Sec. 161". This significant jump in funding without stated reasons or objectives invites scrutiny. Ensuring that additional funds are used effectively and for necessary purposes is paramount to avoiding unjustified expenditure.

Short-term Overlapping Fund Allocations: Sections like 3101 outline repeated allocations of funds to programs concerning community health centers. For instance, multiple short-term funding periods overlap within the fiscal year, which can introduce inefficiencies. Without precise strategies explaining how these overlapping funds should be managed, accountability and efficiency could be compromised.

Risk Reduction and Security Funding: The bill includes funding for risk reduction and improvements in national security systems, with allocations such as $16,668,000 for the Federal Bureau of Investigation. However, concerns arise from the lack of specific objectives, which could lead to ambiguous fund usage and hinder transparency.

Emergency Funds Without Urgency: Some funds, like those in Section 160, are available until 2026, labeled for emergency requirements but without specified emergencies. This reduces the urgency for their use and may lead to inefficient spending.

Exclusion from PAYGO Scorecards: The decision to exclude sections from statutory PAYGO scorecards, such as in Section 21306, means these expenditures are not considered when calculating annual deficits. This exclusion diverts from typical fiscal responsibility principles and could lead to increased deficit spending without proper checks.

In conclusion, while the bill seeks to address a broad array of needs across different sectors, certain financial allocations and legislative strategies require closer attention to prevent inefficiencies, undefined objectives, and potential misuse of appropriated funds.

Issues

  • The significant increase in funding from $870,000,000 to $1,640,000,000 for a project in 'Sec. 161' could warrant scrutiny to ensure that the additional funds are justified and used effectively, especially since the reasons for the increase and the extension of the project's completion date are not provided.

  • Section 3101 raises financial and accountability concerns due to repeated allocations of funds for short, overlapping periods for programs related to community health centers and teaching health centers, which could lead to inefficient resource use.

  • The lack of specificity and clear objectives in sections pertaining to 'risk reduction and modification of National Security Systems' (such as Sections 155, 158, 162) raise concerns about transparency and potential misuse of funds.

  • Section 21306 mentions the exclusion of the budgetary effects from PAYGO scorecards, potentially allowing for spending without adhering to fiscal responsibility measures, which might lead to increased deficits and lack of accountability.

  • The vague and broad authorization to apportion funds up to the necessary rate for specialized security activities in Section 159 may lack adequate oversight, creating opportunities for unchecked expenditures.

  • The financial implications of extending temporary orders for fentanyl-related substances in Section 5105 are unclear, raising questions about its long-term impact on addressing the opioid crisis.

  • Section 126 provides $50,000,000 for inauguration-related costs without detailed expenditure plans, raising concerns about potential wasteful spending.

  • Sections 162 and 163 reference multiple legislative acts without providing detailed explanation or context, making comprehension and compliance challenging for the average reader.

  • Section 160 allows for funds to remain available until 2026 for emergency requirements without specifying the emergency, reducing urgency and potentially leading to inefficient fund utilization.

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.