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 a plan to give money to help fix problems like big storms and fires, keep people healthy, and make things like roads and the military safe, but some parts don't say exactly where the money will go, which might make it hard to check if it's being spent the right way.
Summary AI
H. R. 10545, known as the "American Relief Act, 2025," is a bill designed to provide continued funding and resources for various government programs and emergency relief efforts in the United States. It outlines further appropriations for the fiscal year ending September 30, 2025, and addresses disaster relief supplemental appropriations for dealing with the consequences of natural disasters such as hurricanes and wildfires. The bill also includes provisions to extend health care programs, support for agricultural initiatives, and financial assistance for military and infrastructure projects affected by these emergencies. Additionally, it contains measures aimed at enhancing cybersecurity, addressing unmanned aircraft threats, and managing costs related to federal programs.
Published
Keywords AI
Sources
Bill Statistics
Size
Language
Complexity
AnalysisAI
The proposed legislation, titled the "American Relief Act, 2025," details a comprehensive appropriation plan for the fiscal year ending September 30, 2025. This bill aims to extend funding across various sectors such as disaster relief, healthcare, defense, and agricultural programs. Primarily, the act focuses on ensuring continued financial support and operational extensions for governmental and public health programs.
General Overview
The bill introduces changes to ongoing programs across several domains, including healthcare, defense, agriculture, and public welfare. The primary goal appears to be maintaining ongoing operations and responding to emergent needs, such as natural disasters and healthcare demands. It specifies funding allocations with clearly defined periods and budgetary limits, impacting programs ranging from community health centers to large-scale defense initiatives.
Significant Issues
One noteworthy aspect involves substantial financial allocations to military and defense projects, such as the Columbia Class Submarine initiatives. Despite the significant monetary figures attached to these projects, the bill lacks detailed justifications, which raises concerns about potential favoritism and inefficiencies.
Additionally, several sections involve extending Medicare provisions and telehealth services without providing comprehensive evaluations or justifications for these extensions. This could lead to continued spending without ensuring program effectiveness.
The bill also deals with emergency appropriations for disaster relief, especially notable in its provisions for security and emergency planning in Washington D.C., which have raised concerns due to the lacking detailed accountability measures.
Broad Impact on the Public
The broad public might experience a mixture of positive and negative consequences from this bill. On one hand, by maintaining funding levels for vital healthcare and disaster relief programs, the Act ensures that critical services continue without interruption. This support is crucial for areas affected by recent disasters or reliant on ongoing healthcare services. On the other hand, the immense spending, particularly where oversight and detailed allocation are vague or unspecified, may strain public resources in the long term and contribute to economic inefficiencies.
Impact on Specific Stakeholders
Healthcare Providers: The extensions and continued funding in healthcare provide stability and resources necessary for service delivery to vulnerable populations, especially those impacted by public health emergencies and ongoing health initiatives.
Farmers and Agricultural Stakeholders: They stand to benefit from the extended agricultural programs. However, without a critical assessment of these programs' efficacy, farmers could face inefficiencies that might affect their access and use of resources.
Military and Defense: Contractors and employees within the defense sector may benefit from the significant appropriations for military projects. Yet, the substantial funding without transparent accountability raises concerns over potential financial management issues.
Policymakers and Fiscal Authorities: The exclusions from statutory PAYGO constraints might lead to a relaxed fiscal approach, potentially challenging budgetary discipline and fiscal responsibility, impacting financial planning at a national level.
In summary, while the American Relief Act, 2025, acts to preserve and advance current programs across multiple sectors, it does so with some ambiguities and lacks detailed justifications in several high-expenditure areas. As such, careful scrutiny and possibly additional oversight mechanisms may be necessary to mitigate potential financial mismanagement and ensure effective use of taxpayer dollars.
Financial Assessment
The "American Relief Act, 2025" outlines a multitude of financial allocations, appropriations, and extensions of various programs, each carrying significant sums and tailored purposes. A detailed exploration of these financial aspects reveals potential issues and inefficiencies that warrant careful scrutiny.
Summary of Financial Allocations and Appropriations
The bill includes substantial funding across a wide array of programs and sectors. Key financial highlights include:
- $90,000,000 allocated for "District of ColumbiaâFederal Payment for Emergency Planning and Security Costs" with at least $50,000,000 specifically designated for the Presidential Inauguration (Section 126).
- Almost $9,000,000,000 earmarked for the Columbia Class Submarine projects under the Department of Defense (Sections 156 and 157), which involves two massive separate allocations of $5,996,130,000 and $2,922,300,000.
- Healthcare extensions feature prominently, with $1,050,410,959 set aside for the National Health Service Corps and related programs until March 31, 2025 (Section 3101). Additionally, $39,261,745 is allocated for special diabetes programs during the same period (Section 3102).
- Various "Operation and Maintenance" and "Procurement" headings under the Department of Defense receive significant sums, most notably $913,440,000 for security systems risk reduction (Section 158).
Issues and Concerns Related to Financial Allocations
Several issues surface when analyzing the bill's financial provisions:
Potential Favoritism and Lack of Justification: The significant investments in the Columbia Class Submarine projects, totaling nearly $9 billion (Sections 156 and 157), could suggest a bias towards particular contractors. The absence of clear justification increases the risk of wasteful spending without adequate oversight.
Broad Designation and Undefined Allocations: Section 21301 displays a broad designation of appropriated amounts without clear specifics. Such vagueness poses a risk of misappropriation or inefficient use of resources, making it challenging to ensure funds are properly utilized.
Extensions Without Clear Justifications: Various Medicare and health-related program extensions (Sections 3201, 3202, 3203, and 3207) are funded into 2025 without substantive justification. This could lead to continued spending on initiatives whose ongoing necessity or effectiveness may not be substantiated, risking fiscal inefficiencies.
Emergency Spending without Detailed Oversight: The bill stipulates $50 million for Presidential Inaugural security (Section 126) and other substantial amounts for emergency requirements, like risk reduction for national security systems (Sections 161 and 162). However, it lacks detailed accounting or oversight measures, potentially leading to misuse or unaccounted spending.
Potential Confusion in Budgeting and Allocation: The identical funding for two different diabetes programs (Section 3102) might indicate either a budgeting error or lack of distinction, necessitating better clarity to prevent duplicated allocations.
Vague Language and Undefined Necessity: In Sections 161 and 162, the language used to describe allocations for "risk reduction and modification of National Security Systems" lacks specific detail. This could lead to a lack of oversight or misuse if expenditures are not meticulously defined and monitored.
Through these financial allocations, while the bill aims to address comprehensive needs across numerous sectors, its extensive spending plans require meticulous oversight and precision to ensure accountability and effectiveness in addressing national priorities. The noted issues spotlight areas where clarification and detailed monitoring are imperative to uphold fiscal responsibility and transparency.
Issues
The significant increase in funding for the Columbia Class Submarine projects in Sections 156 and 157 raises concerns about potential favoritism towards certain contractors and the lack of transparent justification for the allocation of nearly $9 billion. This massive expenditure highlights potential risks of wasteful spending if not carefully monitored and justified.
Section 21301 outlines the broad designation of appropriated amounts without specifying exact allocations, creating a risk of unclear financial management and possible misappropriation of funds. This lack of specificity might lead to oversight challenges in ensuring that the funds are appropriately utilized.
The extension of numerous Medicare provisions in Title II, particularly related to hospital payments and telehealth services without clear evidence of necessity or effectiveness, could lead to significant public spending. Sections 3201, 3202, 3203, and 3207 include extensions to 2025 without comprehensive justifications, which might result in financial inefficiencies.
Section 101 and Section 126 involve allocating substantial funds to emergency planning and security costs in the District of Columbia, including $50 million specifically for the Presidential Inauguration, without detailed accounting or oversight measures, raising concerns about potential misuse or unaccounted spending.
Section 3102's identical funding amounts for different diabetes programs might suggest possible confusion or error in budgeting or allocation, highlighting a need for clarity in financial reporting and fund management to avoid unnecessary or duplicated allocations.
The permits in Section 154 authorize broad and potentially unclear allocations for IT security initiatives, which might necessitate more detailed oversight to prevent misuse. The language's technical nature may obscure actual impacts and accountability for the expenditure of funds.
Section 4101 offers extensions for agricultural program authorities without critical evaluation, potentially perpetuating inefficiencies and requiring careful scrutiny to ensure resources are directed toward effective and equitable uses.
Section 5102, extending the protection of facilities from unmanned aircraft, is amended without providing context for urgency or effectiveness, raising concerns about the necessity and focus of such measures in budget allocations.
Vague language in Sections 161 and 162 regarding 'risk reduction and modification of National Security Systems' could lead to potential misuse or lack of oversight concerning substantial amounts allocated for emergency requirements, requiring more detailed descriptions to ensure proper expenditure.
The provision in Section 21306 to exclude certain budgetary effects from statutory PAYGO scorecards might circumvent fiscal constraints, potentially impacting national budget strategies and raising concerns over fiscal responsibility among policymakers.
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 document outlines the contents of an Act that includes measures for continued government funding, disaster relief, healthcare system improvements, Medicare and Medicaid extensions, agricultural programs, and various other topics like cybersecurity and drug control related to fentanyl. It details specific extensions and authorizations for various public health, service, and finance-related programs through titles and divisions.
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 118â83) is amendedâ (1) by striking the date specified in section 106(3) and inserting âMarch 14, 2025â; (2) in section 126 to read as follows: âSec. 126. Notwithstanding section 101, amounts are provided for âDistrict of ColumbiaâFederal Payment for Emergency Planning and Security Costs in the District of Columbiaâ 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.â; and (3) by adding after section 152 the following new sections: âSec. 153. Amounts made available by section 101 for âDepartment of CommerceâNational Oceanic and Atmospheric AdministrationâProcurement, Acquisition and Constructionâ 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. âSec. 154. Amounts made available by section 101 for âDepartment of JusticeâJustice Operations, Management and AccountabilityâJustice Information Sharing Technologyâ 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 âFederal Bureau of InvestigationâSalaries and Expensesâ, $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.
- âSec. 156. (a) Amounts made available by section 101 to the Department of Defense for âProcurementâShipbuilding and Conversion, Navyâ, may be apportioned up to the rate for operations necessary for âColumbia Class Submarine (AP)â in an amount not to exceed $5,996,130,000.
- â(b) Amounts made available by section 101 to the Department of Defense for âProcurementâShipbuilding and Conversion, Navyâ may be apportioned up to the rate for operations necessary for âColumbia Class Submarineâ in an amount not to exceed $2,922,300,000.
- âSec. 157. (a) In addition to amounts otherwise provided by section 101, there is appropriated to the Department of Defense for âProcurementâShipbuilding and Conversion, Navyâ, $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 âOperation and MaintenanceâDefense-Wideâ, $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 âAtomic Energy Defense ActivitiesâEnvironmental and Other Defense ActivitiesâOther Defense Activitiesâ, $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 111â11) shall be applied by substituting â$1,640,000,000â for â$870,000,000â and â2025â for â2024â.
- In addition to amounts otherwise provided by section 101, there is appropriated to the Department of the Treasury for âDepartmental OfficesâOffice of Terrorism and Financial IntelligenceâSalaries and Expensesâ, $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 âDistrict of ColumbiaâFederal Payment for Emergency Planning and Security Costs in the District of Columbiaâ 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 âDepartment of CommerceâNational Oceanic and Atmospheric AdministrationâProcurement, Acquisition and Constructionâ 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 âFederal Bureau of InvestigationâSalaries and Expensesâ, $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 âProcurementâShipbuilding and Conversion, Navyâ, may be apportioned up to the rate for operations necessary for âColumbia Class Submarine (AP)â in an amount not to exceed $5,996,130,000.
- (b) Amounts made available by section 101 to the Department of Defense for âProcurementâShipbuilding and Conversion, Navyâ may be apportioned up to the rate for operations necessary for âColumbia Class Submarineâ 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 âProcurementâShipbuilding and Conversion, Navyâ, $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 âOperation and MaintenanceâDefense-Wideâ, $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 âOperation and Maintenanceâ, âProcurementâ, and âResearch, Development, Test and Evaluationâ:
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 âAtomic Energy Defense ActivitiesâEnvironmental and Other Defense ActivitiesâOther Defense Activitiesâ, $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 111â11) shall be applied by substituting â$1,640,000,000â for â$870,000,000â and â2025â for â2024â.
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 âDepartmental OfficesâOffice of Terrorism and Financial IntelligenceâSalaries and Expensesâ, $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 108â494, 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 exceedâ (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 âDisaster Relief Supplemental Appropriations Act, 2025.â
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 with GME programs into 2025, specifying various budget amounts for different time periods. It also ensures that the allocated funds must follow specific existing requirements and updates any related legal citations to align with these extensions.
Money References
- (a) Extension for community health centers.âSection 10503(b)(1) of the Patient Protection and Affordable Care Act (42 U.S.C. 254bâ2(b)(1)) is amendedâ (1) in subparagraph (E), by striking âandâ at the end; (2) in subparagraph (F), by striking â, $4,000,000,000 for each of fiscal years 2019 through 2023â and all that follows through âand ending on December 31, 2024; andâ and inserting a semicolon; and (3) by adding at the end the following: â(G) $4,000,000,000 for each of fiscal years 2019 through 2023; â(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 â(I) $1,050,410,959 for the period beginning on January 1, 2025, and ending on March 31, 2025.â. (b) Extension for the National Health Service Corps.âSection 10503(b)(2) of the Patient Protection and Affordable Care Act (42 U.S.C. 254bâ2(b)(2)) is amendedâ (1) in subparagraph (H), by striking âandâ at the end; (2) in subparagraph (I), by striking the period at the end and inserting â; andâ; and (3) by adding at the end the following: â(J) $85,068,493 for the period beginning on January 1, 2025, and ending on March 31, 2025.â. (c) Teaching health centers that operate graduate medical education programs.âSection 340H(g)(1) of the Public Health Service Act (42 U.S.C. 256h(g)(1)) is amendedâ (1) by striking ânot to exceed $230,000,000â and all that follows through âand ending on December 31, 2024,â; and (2) by striking the period at the end and inserting the following: â, not to exceedâ â(A) $230,000,000, for the period of fiscal years 2011 through 2015; â(B) $60,000,000 for each of fiscal years 2016 and 2017; â(C) $126,500,000 for each of fiscal years 2018 through 2023; â(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 â(E) $43,150,685 for the period beginning on January 1, 2025, and ending on March 31, 2025.â. (d) Application of provisions.âAmounts appropriated pursuant to the amendments made by this section shall be subject to the requirements contained in Public Law 117â328 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.âSection 3014(h) of title 18, United States Code, is amendedâ (1) in paragraph (1), by striking âunder subparagraphs (E) and (F) of section 10503(b)(1) of the Patient Protection and Affordable Care Act (42 U.S.C. 254bâ2(b)(1))â and inserting âunder section 10503(b)(1) of the Patient Protection and Affordable Care Act (42 U.S.C. 254bâ2(b)(1)) for fiscal year 2015 and each subsequent fiscal year (or period thereof)â; and (2) in paragraph (4), by striking âand section 101(d) of the Consolidated Appropriations Act, 2024â and inserting âsection 101(d) of division G of the Consolidated Appropriations Act, 2024, and section 3101(d) of the Health Extensions and Other Matters Act, 2025â. ---
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.âSection 330B(b)(2) of the Public Health Service Act (42 U.S.C. 254câ2(b)(2)) is amendedâ (1) in subparagraph (D), by striking âandâ at the end; (2) in subparagraph (E), by striking the period at the end and inserting â; andâ; and (3) by adding at the end the following: â(F) $39,261,745 for the period beginning on January 1, 2025, and ending on March 31, 2025, to remain available until expended.â. (b) Extending funding for special diabetes programs for Indians.âSection 330C(c)(2) of the Public Health Service Act (42 U.S.C. 254câ3(c)(2)) is amendedâ (1) in subparagraph (D), by striking âandâ at the end; (2) in subparagraph (E), by striking the period at the end and inserting â; andâ; and (3) by adding at the end the following: â(F) $39,261,745 for the period beginning on January 1, 2025, and ending on March 31, 2025, to remain available until expended.â. ---
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 amendedâ (1) in the first sentenceâ (A) by striking â$9,000,000â and inserting â$11,030,000â ; and (B) by striking âDecember 31, 2024â and inserting âMarch 31, 2025â; and (2) in the third sentence, by striking âDecember 31, 2024â and inserting âMarch 31, 2025â. ---
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.âSubsection (a)(1)(B)(xiv) of section 119 of the Medicare Improvements for Patients and Providers Act of 2008 (42 U.S.C. 1395bâ3 note) is amended by striking âDecember 31, 2024, $18,750,000â and inserting âMarch 31, 2025, $22,500,000â.
- (b) Area agencies on aging.âSubsection (b)(1)(B)(xiv) of such section 119 is amended by striking âDecember 31, 2024, $18,750,000â and inserting âMarch 31, 2025, $22,500,000â.
- (c) Aging and disability resource centers.âSubsection (c)(1)(B)(xiv) of such section 119 is amended by striking âDecember 31, 2024, $6,250,000â and inserting âMarch 31, 2025, $8,500,000â.
- (d) Coordination of efforts to inform older Americans about benefits available under Federal and State programs.âSubsection (d)(2)(xiv) of such section 119 is amended by striking âDecember 31, 2024, $18,750,000â and inserting âMarch 31, 2025, $22,500,000â. ---
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 â$3,197,000,000â and inserting â$1,251,000,000â.
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 amendedâ (1) by striking â$1,500,000â and inserting â$3,000,000â; and (2) by striking âJanuary 1, 2025â and inserting âApril 1, 2025â. ---
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.