Overview
Title
An Act Making further continuing appropriations for the fiscal year ending September 30, 2024, and for other purposes.
ELI5 AI
H.R. 2872 is a plan to keep paying for important services like health and education until March 2024, making sure things like Medicare and Medicaid keep going. It changes how much money is given to some projects and has some money management rules that some people think could be clearer and more fair.
Summary AI
H.R. 2872 is a bill titled "Further Additional Continuing Appropriations and Other Extensions Act, 2024," which makes continuing appropriations for the fiscal year ending September 30, 2024. It extends funding for various programs related to health services, education, and government operations to ensure they continue until March 2024. The Act also aims to prevent budgetary impacts from being counted under certain budgetary rules. Additionally, it includes extensions for key programs like Medicaid, Medicare, and diabetes initiatives, maintaining their operations during the specified period.
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AnalysisAI
This editorial commentary provides an overview and analysis of the United States Congressional Bill H.R. 2872, also known as the "Further Additional Continuing Appropriations and Other Extensions Act, 2024." This bill aims to extend the current fiscal appropriations toward several government functions through early 2024.
General Summary of the Bill
H.R. 2872 primarily focuses on making further continuing appropriations for the fiscal year ending on September 30, 2024, along with several other provisions. The bill is divided into two divisions: Division A covers continuing appropriations, while Division B encompasses additional matters such as health services, compact extensions, and authorities related to unmanned aircraft systems. Key aspects include adjustments to the Continuing Appropriations Act of 2024—such as date and budget changes—and extensions of funding for health programs, diabetes care, and various social and educational initiatives.
Summary of Significant Issues
A notable issue within the bill is the significant increase in budget allocations for certain areas without transparent justifications. For example, Section 101 increases a budget allocation from approximately $663 million to over $2.1 billion. Such large increases raise questions about the bill's implications for taxpayers and the potential for inefficient use of funds. Additionally, Section 401's exemption of certain budget effects from the statutory PAYGO scorecards could foster fiscal irresponsibility by allowing spending without the usual tracking and accountability measures.
Another area of concern is the authorization of substantial funding for specific projects, such as the $760 million for the National Nuclear Security Administration's Weapons Activities project in Section 147, which might suggest preferential allocation without clear necessity or benefits. Similarly, budget reductions, like the one affecting the Medicaid Improvement Fund in Section 122, lack clear explanations and could impact public health services.
Potential Impact on the Public
Broadly, the bill's enactments may lead to extended funding for important social and health programs, which could have beneficial effects by maintaining or improving these services. However, this might also lead to increased public expenditure without sufficient oversight, potentially resulting in inefficient spending of taxpayer dollars.
Potential Impact on Specific Stakeholders
Positive Impacts:
- Health services beneficiaries may experience continued or even improved service levels due to extended funding in various health-related programs, including community health centers and diabetes care initiatives.
- Government entities and departments, like the Department of Energy and the Federal Aviation Administration, could benefit from increased funds, allowing them to maintain or improve their operational capabilities without resorting to layoffs or service reductions.
Negative Impacts:
- Without clear justifications or accountability mechanisms, the taxpayers might bear the costs of unforeseen increases in public spending due to unchecked budget allocations.
- Stakeholders relying on Medicaid services might face uncertainties due to the reduction in fund allocations, potentially leading to cuts or limitations in health services for low-income communities.
In summary, while H.R. 2872 aims to continue and extend critical appropriations into 2024, it presents potential challenges in terms of financial accountability and transparency. These issues warrant careful consideration to ensure the bill effectively serves public interests without inadvertently encouraging inefficient or unaccounted fiscal practices.
Financial Assessment
The bill known as H.R. 2872, titled the "Further Additional Continuing Appropriations and Other Extensions Act, 2024," primarily focuses on continuing appropriations for the fiscal year ending on September 30, 2024. The bill outlines key financial allocations and extensions for various government programs, particularly in health services, education, and defense. The financial terms in this bill raise several concerns about transparency, accountability, and fiscal management.
Summary of Financial Allocations
H.R. 2872 encompasses significant spending allocations, which include:
Section 101 increases the budget allocation for certain projects from $663,070,000 to $2,199,260,000. This change could indicate an expansion in project scope or potential inefficiency that is not immediately clear from the text, highlighting concerns about transparency and accountability.
Section 147 authorizes up to $760,000,000 to mitigate issuing WARN notices for a specific Department of Energy facility. This allocation suggests potential preferential treatment which could be inefficient without a clearly demonstrated necessity.
Sections 101, 102, and related parts involve precise allocations for extensions involving community health centers, the National Health Service Corps, and diabetes programs. These allocations include amounts such as $16,982,192 and $536,986,301, indicating continued funding through early 2024. While this supports essential services, the lack of detailed justification for specific amounts raises questions about budget transparency.
Section 122 reduces the Medicaid improvement fund from $5,796,117,810 to $5,140,428,729. This reduction is unexplained, raising concerns about its impact on Medicaid services.
In Section 132, the Medicare improvement fund is decreased from $2,250,795,056 to $2,197,795,056. The rationale for this reduction is not provided, potentially affecting the fund's purpose and efficiency.
Issues with Budget Transparency and Accountability
The bill poses several issues related to financial management:
Exemption from PAYGO: Section 401 of the bill ensures that the budgetary impacts are not recorded on PAYGO scorecards, potentially leading to unmonitored spending that escapes established fiscal regulations. This exemption could pave the way for fiscal irresponsibility as it bypasses conventional channels for financial scrutiny.
Lack of Detailed Justification: Sections like the one altering the budget in Section 124, from $663,070,000 to $2,199,260,000, lack clarity about the reasons behind the significant increase. Without transparency on why additional funds are required, this raises potential alarms about possible inefficiencies or scope expansions not explained to the public.
Potential Preferential Treatment: The authorization of up to $760,000,000 to avert WARN notices for a single project may suggest unequal allocation of funds. Such decisions need clear criteria and internal oversight to ensure fairness and efficiency, especially when dealing with substantial amounts.
Ambiguity and Complexity: The use of complex legal and financial terminologies throughout the bill, especially without explanations of terms such as "inflationary adjustments" in Section 148, could obfuscate the true fiscal impact from those without specialized knowledge. Simplifying communication could enhance public understanding and accountability.
In conclusion, while H.R. 2872 supports the continuity of vital programs, it raises significant concerns about financial transparency, allocation justifications, and accountability, which are crucial elements for maintaining public trust and effective governmental financial management.
Issues
The exemption of budgetary effects from PAYGO scorecards in Section 401 could lead to untracked spending and potential fiscal irresponsibility by bypassing established financial regulations. This reduces transparency and accountability in budget management, which is a significant concern for fiscal policy.
The significant increase in the budget allocation for section 124 from $663,070,000 to $2,199,260,000 in Section 101 may indicate either an expanded project scope or potential inefficient spending without clear justification, raising concerns about transparency and accountability.
The authorization of up to $760,000,000 in Section 147 to mitigate issuing WARN notices for a specific project could suggest preferential treatment for a particular facility. The criteria and reporting requirements may lead to inefficient fund management, especially without a demonstrated necessity for the project.
Section 122's significant reduction of the Medicaid improvement fund from $5,796,117,810 to $5,140,428,729 lacks an explanation of the rationale, raising concerns about the impact on Medicaid services and transparency.
The ambiguities in terms like 'inflationary adjustments' and lack of financial caps in Section 148 might lead to unchecked increases in spending without proper oversight, raising concerns about financial accountability.
Numerous precise dollar amounts and adjustments in sections such as 101's extension for health-related programs might lack justification or supporting details, raising transparency concerns about how public funds are allocated.
The extension of funding for sexual risk avoidance education and personal responsibility education in Sections 142 and 143 without clear rationale for date changes or explanations for appropriated amounts could signify potential wasteful or unnecessary spending.
The consistent use of complex terminology and references across multiple sections, such as in Section 101, may hinder understanding by those without legal expertise, potentially limiting public and legislative transparency.
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 the Act states that it can be referred to as the "Further Additional Continuing Appropriations and Other Extensions Act, 2024."
2. Table of contents Read Opens in new tab
Summary AI
The text provides the table of contents for a legislative bill, listing the different sections and divisions included, such as continuing appropriations for 2024 and other matters like health services, compacts, counter-UAS authorities, and budgetary effects.
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 proposed amendments to the Continuing Appropriations Act, 2024, include changing certain dates and amounts in the law, such as extending the spending period and increasing budgets, specifically allowing funding up to $760 million for a nuclear facility to prevent layoffs and ensuring adequate funds for the Federal Aviation Administration to maintain services and hire staff. Additionally, there are requirements for regular updates to Congress on the use of these funds.
Money References
- The Continuing Appropriations Act, 2024 (division A of Public Law 118–15) is further amended— (1) by striking the date specified in section 106(3) and inserting “March 8, 2024”; (2) by striking the date specified in section 106(4) and inserting “March 1, 2024”; (3) in section 123, by striking “94 days” and inserting “129 days” and by striking “94-day” and inserting “129-day”; (4) in section 124, by striking “$663,070,000” and inserting “$2,199,260,000”; and (5) by adding after section 146 the following new sections: “Sec. 147. (a) Amounts made available by section 101 for ‘Department of Energy—Atomic Energy Defense Activities—National Nuclear Security Administration—Weapons Activities’ may be apportioned up to the rate for operations necessary to mitigate issuing WARN notices for ‘06–D–141 Uranium Processing Facility, Y–12’ in an amount not to exceed $760,000,000.
147. Read Opens in new tab
Summary AI
The section allows for up to $760 million to be used for the National Nuclear Security Administration's Weapons Activities to avoid issuing WARN notices for the Uranium Processing Facility project. Additionally, it requires that the Office of Management and Budget notify Congress each time this authority is used, and the Secretary of Energy has to provide a weekly report on the expenses incurred.
Money References
- SEC. 147. (a) Amounts made available by section 101 for “Department of Energy—Atomic Energy Defense Activities—National Nuclear Security Administration—Weapons Activities” may be apportioned up to the rate for operations necessary to mitigate issuing WARN notices for “06–D–141 Uranium Processing Facility, Y–12” in an amount not to exceed $760,000,000.
148. Read Opens in new tab
Summary AI
The section allows funds allocated to the Federal Aviation Administration (FAA) operations to be used to cover necessary pay raises, inflation adjustments, and improvements to air traffic services. It also ensures the hiring and training of air traffic controllers and the continuation of aviation safety without reducing services.
Read Opens in new tab
Summary AI
The section of the bill refers to it as the “Further Additional Continuing Appropriations Act, 2024,” indicating that it concerns continued funding provisions for the fiscal year 2024.
101. 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 updates funding for several health-related programs, including teaching health centers, community health centers, and the National Health Service Corps, by extending financial support through specific dates in 2024. It also makes technical adjustments to related legal provisions to align with these funding changes.
Money References
- (a) 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)) is amended by striking “and $21,834,247 for the period beginning on November 18, 2023, and ending on January 19, 2024” and inserting “$21,834,247 for the period beginning on November 18, 2023, and ending on January 19, 2024, and $16,982,192 for the period beginning on January 20, 2024, and ending on March 8, 2024”.
- (b) Extension for community health centers.—Section 10503(b)(1)(F) of the Patient Protection and Affordable Care Act (42 U.S.C. 254b–2(b)(1)(F)) is amended by striking “and $690,410,959 for the period beginning on November 18, 2023, and ending on January 19, 2024” and inserting “$690,410,959 for the period beginning on November 18, 2023, and ending on January 19, 2024, and $536,986,301 for the period beginning on January 20, 2024, and ending on March 8, 2024”.
- (c) Extension for the National Health Service Corps.—Section 10503(b)(2)(I) of the Patient Protection and Affordable Care Act (42 U.S.C. 254b–2(b)(2)(I)) is amended by striking “and $53,506,849 for the period beginning on November 18, 2023, and ending on January 19, 2024” and inserting “$53,506,849 for the period beginning on November 18, 2023, and ending on January 19, 2024, and $41,616,438 for the period beginning on January 20, 2024, and ending on March 8, 2024”.
102. Extension of special diabetes programs Read Opens in new tab
Summary AI
The section extends funding for special diabetes programs by allocating $25,890,411 from November 18, 2023, to January 19, 2024, and $20,136,986 from January 20, 2024, to March 8, 2024. This applies to both programs for Type I diabetes and programs for diabetes among Native American communities.
Money References
- (a) Extension of special diabetes programs for Type I diabetes.—Section 330B(b)(2)(E) of the Public Health Service Act (42 U.S.C. 254c–2(b)(2)(E)) is amended by striking “and $25,890,411 for the period beginning on November 18, 2023, and ending on January 19, 2024” and inserting “$25,890,411 for the period beginning on November 18, 2023, and ending on January 19, 2024, and $20,136,986 for the period beginning on January 20, 2024, and ending on March 8, 2024”.
- (b) Extending funding for special diabetes programs for Indians.—Section 330C(c)(2)(E) of the Public Health Service Act (42 U.S.C. 254c–3(c)(2)(E)) is amended by striking “and $25,890,411 for the period beginning on November 18, 2023, and ending on January 19, 2024” and inserting “$25,890,411 for the period beginning on November 18, 2023, and ending on January 19, 2024, and $20,136,986 for the period beginning on January 20, 2024, and ending on March 8, 2024”. ---
103. National Health Security Extensions Read Opens in new tab
Summary AI
The section outlines amendments to various parts of the Public Health Service Act, changing the expiry date from "January 19, 2024" to "March 8, 2024" for provisions related to national health security.
121. Delaying certain disproportionate share payment cuts Read Opens in new tab
Summary AI
In this section, the Social Security Act is amended to change the date for certain payment cuts from January 20, 2024, to March 9, 2024.
122. Medicaid improvement fund reduction Read Opens in new tab
Summary AI
The amendment reduces the amount specified in Section 1941(b)(3)(A) of the Social Security Act for the Medicaid Improvement Fund from $5,796,117,810 to $5,140,428,729.
Money References
- Section 1941(b)(3)(A) of the Social Security Act (42 U.S.C. 1396w–1(b)(3)(A)) is amended by striking “$5,796,117,810” and inserting “$5,140,428,729”. ---
131. Extension of the work geographic index floor under the Medicare program Read Opens in new tab
Summary AI
The section extends the deadline for a provision under the Medicare program that relates to the work geographic index floor. The original end date was January 20, 2024, and this amendment changes it to March 9, 2024.
132. Medicare improvement fund Read Opens in new tab
Summary AI
The Medicare Improvement Fund's total amount is being reduced from $2,250,795,056 to $2,197,795,056 as per the amendment to Section 1898(b)(1) of the Social Security Act.
Money References
- SEC. 132.Medicare improvement fund. Section 1898(b)(1) of the Social Security Act (42 U.S.C. 1395iii(b)(1)) is amended by striking “$2,250,795,056” and inserting “$2,197,795,056”.
141. Extension of child and family services programs Read Opens in new tab
Summary AI
The section extends the child and family services programs under part B of title IV of the Social Security Act until March 8, 2024, using funds from the U.S. Treasury that are not already designated for other purposes.
142. Sexual risk avoidance education extension Read Opens in new tab
Summary AI
The section extends funding for the sexual risk avoidance education program under the Social Security Act by adding a new period from January 20, 2024, to March 8, 2024, for which an appropriate amount of money will be allocated based on the corresponding portion of the fiscal year 2023 budget.
143. Personal responsibility education extension Read Opens in new tab
Summary AI
The amendment to Section 513 of the Social Security Act extends the personal responsibility education program by addressing specific time periods: it adds the timeframe from January 20, 2024, to March 8, 2024, into the existing provisions, allowing for funding and program continuation during this new period.
201. Extension of certain provisions of the compacts of free association with the Federated States of Micronesia and the Republic of the Marshall Islands Read Opens in new tab
Summary AI
The section extends specific parts of agreements with the Federated States of Micronesia and the Republic of the Marshall Islands, changing the expiration date from February 2, 2024, to March 8, 2024.
301. Counter-UAS Authorities Read Opens in new tab
Summary AI
The section of the bill amends the Homeland Security Act of 2002 by changing the expiration date from February 3, 2024, to March 9, 2024, in relation to certain authorities concerning counter-unmanned aircraft systems (Counter-UAS).
401. Budgetary Effects Read Opens in new tab
Summary AI
The section specifies that the budgetary effects of this division will not be recorded in certain federal budget scorecards, including those under the Statutory Pay-As-You-Go Act of 2010 and Senate PAYGO scorecards. Additionally, it states that these budgetary effects should not be estimated for certain purposes under budget-related laws, such as the Balanced Budget and Emergency Deficit Control Act of 1985 and the Congressional Budget Act of 1974.