,,ii #aafth ,,congress #b;d ,session ,h4 ,r4 #hijj ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,december #i1 #bjbj,received ,,an ,,act ,making further continuing appropriations for fiscal year #bjba1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,further ,continuing ,appropriations ,act1 #bjba1 and ,other ,extensions ,act4 #b4 ,table of contents ,the table of contents of this ,act is as follows3 ,sec4 #a4 ,short title4,sec4 #b4 ,table of contents4,sec4 #c4 ,references4 ,division ,a--,further ,continuing ,appropriations ,act1 #bjba;,division ,b--,health ,extenders,title ,i--,medicare and ,medicaid ,extenders,title ,,ii--,public ,health ,extenders and ,food and ,drug ,administration ,provisions,title ,,iii--,offsets,title ,,iv--,budgetary ,effects #c4 ,references ,except as expressly provided otherwise1 any reference to this ,act contained in any division of this ,act shall be treated as referring only to the provisions of that division4 ,a ,further ,continuing ,appropriations ,act1 #bjba #aja4 ,the ,continuing ,appropriations ,act1 #bjba 7division ,a of ,public ,law #aaf-aei7 is amended by striking the date specified in section #ajf7c7 and inserting ,december #ah1 #bjbj4 ,this division may be cited as the ,further ,continuing ,appropriations ,act1 #bjba4 ,b ,health ,extenders ,i ,medicare and ,medicaid ,extenders #aaja4 ,extension of the work geographic index floor under the medicare program ,section #ahdh7;e77#a77;,e7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7;e77#a77;,e771 as amended by section #chja of the ,,cares ,act 7,public ,law #aaf-acf7 and section #bbja of the ,continuing ,appropriations ,act1 #bjba and ,other ,extensions ,act 7,public ,law #aaf-aei71 is amended by striking ,december #ab1 #bjbj and inserting ,december #ai1 #bjbj4 #aajb4 ,extension of funding outreach and assistance for low-income programs 7a7 ,state health insurance programs ,subsection 7a77#a77;,b77xi7 of section #aai of the ,medicare ,improvements for ,patients and ,providers ,act of #bjjh 7#db ,u4,s4,c4 #acie;b-#c note71 as amended by section #ccjf of the ,patient ,protection and ,affordable ,care ,act 7,public ,law #aaa-adh71 section #faj of the ,american ,taxpayer ,relief ,act of #bjab 7,public ,law #aab-bdj71 section #aaaj of the ,pathway for ,,sgr ,reform ,act of #bjac 7,public ,law #aac-fg71 section #aaj of the ,protecting ,access to ,medicare ,act of #bjad 7,public ,law #aac-ic71 section #bjh of the ,medicare ,access and ,,chip ,reauthorization ,act of #bjae 7,public ,law #aad-aj71 section #ejbjg of division ,e of the ,bipartisan ,budget ,act of #bjah 7,public ,law #aae-abc71 section #adjb of division ,b of the ,continuing ,appropriations ,act1 #bjbj1 and ,health ,extenders ,act of #bjai 7,public ,law #aaf-ei71 section #adjb of division ,b of the ,further ,continuing ,appropriations ,act1 #bjbj1 and ,further ,health ,extenders ,act of #bjai 7,public ,law #aaf-fi71 section #ajc of division ,n of the ,further ,consolidated ,appropriations ,act1 #bjbj 7,public ,law #aaf-id71 section #chjc of the ,,cares ,act 7,public ,law #aaf-acf71 and section #bbjc of the ,continuing ,appropriations ,act1 #bjba and ,other ,extensions ,act 7,public ,law #aaf-aei71 is amended by striking ,december #aa and inserting ,december #ah4 7b7 ,area agencies on aging ,subsection 7b77#a77;,b77xi7 of such section #aai1 as so amended1 is amended by striking ,december #aa and inserting ,december #ah4 7c7 ,aging and disability resource centers ,subsection 7c77#a77;,b77xi7 of such section #aai1 as so amended1 is amended by striking ,december #aa and inserting ,december #ah4 7d7 ,contract with the national center for benefits and outreach enrollment ,subsection 7d77#b77xi7 of such section #aai1 as so amended1 is amended by striking ,december #aa and inserting ,december #ah4 #aajc4 ,extension of funding for quality measure endorsement1 input1 and selection ,section #ahij7;d77#b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;aaa7d77#b77 is amended by striking ,december #aa each place such phrase appears and inserting ,december #ah in each such place4 #aajd4 ,extension of community mental health services demonstration program ,section #bbc7;d77#c7 of the ,protecting ,access to ,medicare ,act of #bjad 7#db ,u4,s4,c4 #acif;a note71 as amended by ,public ,law #aaf-aei1 is amended by striking ,december #aa and inserting ,december #ah4 #aaje4 ,extension of spousal impoverishment protections 7a7 ,in general ,section #bdjd of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #acifr-#e note71 as amended by ,public ,law #aaf-aei1 is amended by striking ,december #aa and inserting ,december #ah4 7b7 ,rule of construction ,nothing in section #bdjd of ,public ,law #aaa-adh 7#db ,u4,s4,c4 #acifr-#e note7 or section #aijb7;a77#ag7 or #aibd of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;a7a77#ag71 #acifr-#e7 shall be construed as prohibiting a ,state from-- 7#a7 applying an income or resource disregard under a methodology authorized under section #aijb7r77#b7 of such ,act 7#db ,u4,s4,c4 #acif;a7r77#b77-- 7,a7 to the income or resources of an individual described in section #aijb7;a77#aj77;,a77ii77,,vi7 of such ,act 7#db ,u4,s4,c4 #acif;a7a77#aj77;,a77ii77,,vi77 7including a disregard of the income or resources of such individual's spouse72 or 7,b7 on the basis of an individual's need for home and community-based services authorized under subsection 7c71 7d71 7i71 or 7k7 of section #aiae of such ,act 7#db ,u4,s4,c4 #acifn7 or under section #aaae of such ,act 7#db ,u4,s4,c4 #acae72 or 7#b7 disregarding an individual's spousal income and assets under a plan amendment to provide medical assistance for home and community-based services for individuals by reason of being determined eligible under section #aijb7;a77#aj77;,c7 of such ,act 7#db ,u4,s4,c4 #acif;a7a77#aj77;,c77 or by reason of section #aijb7;f7 of such ,act 7#db ,u4,s4,c4 #acif;a7f77 or otherwise on the basis of a reduction of income based on costs incurred for medical or other remedial care under which the ,state disregarded the income and assets of the individual's spouse in determining the initial and ongoing financial eligibility of an individual for such services in place of the spousal impoverishment provisions applied under section #aibd of such ,act 7#db ,u4,s4,c4 #acifr-#e74 #aajf4 ,extension of delay of ,,dsh reductions ,section #aibc7;f77#g7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acifr-#d7;f77#g77;,a77 is amended by striking ,december #ab each place such phrase appears and inserting ,december #ai in each such place4 #aajg4 ,extension of ,money ,follows the ,person ,section #fjga7;h77#a77;,h7 of the ,deficit ,reduction ,act of #bjje 7#db ,u4,s4,c4 #acif;a note7 is amended by striking ,december #aa and inserting ,december #ah4 ,,ii ,public ,health ,extenders and ,food and ,drug ,administration ,provisions ,a ,public ,health ,extenders #abja4 ,extending funding for community health centers1 ,national ,health ,service ,corps1 and ,teaching ,health ,center ,,gme 7a7 ,community health centers ,section #ajejc7;b77#a77;,f7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #bed;b-#b7;b77#a77;,f77 is amended-- 7#a7 by striking #ghi1jda1jif and inserting #hfe1gec1dbe2 and 7#b7 by striking ,december #aa1 #bjbj and inserting ,december #ah1 #bjbj4 7b7 ,national health service corps ,section #ajejc7;b77#b77;,h7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #bed;b-#b7;b77#b77;,h77 is amended-- 7#a7 by striking #fa1aej1fhe and inserting #fg1jie1hij2 and 7#b7 by striking ,december #aa1 #bjbj and inserting ,december #ah1 #bjbj4 7c7 ,teaching health centers that operate graduate medical education programs ,section #cdj;,h7g77#a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bef;h7g77#a77 is amended-- 7#a7 by striking #bd1iec1dbe and inserting #bg1cgi1deb2 and 7#b7 by striking ,december #aa1 #bjbj and inserting ,december #ah1 #bjbj4 7d7 ,application of provisions ,amounts appropriated pursuant to the amendments made by this section for the period beginning on ,december #aa1 #bjbj1 and ending on ,december #ah1 #bjbj1 shall be subject to the requirements contained in ,public ,law #aaf-id for funds for programs authorized under sections #ccj through #cdj of the ,public ,health ,service ,act4 7e7 ,conforming amendments ,paragraph 7#d7 of section #cjad7;h7 of title #ah1 ,united ,states ,code1 as amended by section #chca7;e7 of the ,,cares ,act 7,public ,law #aaf-acf71 is amended-- 7#a7 by striking ,social ,services ,act11 and inserting ,social ,services ,act12 and 7#b7 by striking and section #baja of the ,continuing ,appropriations ,act1 #bjba and ,other ,extensions ,act and inserting section #baja of the ,continuing ,appropriations ,act1 #bjba and ,other ,extensions ,act1 and section #abja7;d7 of the ,further ,continuing ,appropriations ,act1 #bjba1 and ,other ,extensions ,act4 #abjb4 ,diabetes programs 7a7 ,special diabetes programs for type ,i diabetes ,section #ccj;,b7b77#b77;,d7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bed;c-#b7;b77#b77;,d77 is amended-- 7#a7 by striking #bi1ehi1jdb and inserting #cb1dfe1gec2 and 7#b7 by striking ,december #aa1 #bjbj and inserting ,december #ah1 #bjbj4 7b7 ,special diabetes programs for ,indians ,section #ccj;,c7c77#b77;,d7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bed;c-#c7;c77#b77;,d77 is amended-- 7#a7 by striking #bi1ehi1jdb and inserting #cb1dfe1gec2 and 7#b7 by striking ,december #aa1 #bjbj and inserting ,december #ah1 #bjbj4 #abjc4 ,personal responsibility education2 sexual risk avoidance education 7a7 ,sexual risk avoidance education ,section #eaj of the ,social ,security ,act 7#db ,u4,s4,c4 #gaj7 is amended by striking ,december #aa1 #bjbj each place it appears and inserting ,december #ah1 #bjbj4 7b7 ,personal responsibility education ,section #eac of the ,social ,security ,act 7#db ,u4,s4,c4 #gac7 is amended by striking ,december #aa1 #bjbj each place it appears and inserting ,december #ah1 #bjbj4 ,b ,food and ,drug ,administration ,provisions #abaa4 ,rare pediatric disease priority review voucher extension ,section #ebi7;b77#e7 of the ,federal ,food1 ,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4 #cfj;ff7b77#e77 is amended-- 7#a7 by striking ,december #aa1 #bjbj each place it appears and inserting ,december #ah1 #bjbj2 and 7#b7 in subparagraph 7,b71 by striking ,december #aa1 #bjbb and inserting ,december #ah1 #bjbb4 ,,iii ,offsets #acja4 ,transparency of medicare secondary payer reporting information ,section #ahfb7;b77#h77;,g7 of the ,social ,security ,act 7#db ,u4,s4,c4 #ciey7b77#h77;,g77 is amended-- 7#a7 by striking information4--,the ,secretary and inserting information4-- 7i7 ,in general ,the ,secretary 2 and 7#b7 by adding at the end the following new clause3 7ii7 ,specified information ,in responding to any query made on or after the date that is #a year after the date of the enactment of this clause from an applicable plan related to a determination described in subparagraph 7,a77i71 the ,secretary1 notwithstanding any other provision of law1 shall provide to such applicable plan-- 7,i7 whether a claimant subject to the query is1 or during the preceding #c-year period has been1 entitled to benefits under the program under this title on any basis2 and 7,,ii7 to the extent applicable1 the plan name and address of any ,medicare ,advantage plan under part ,c and any prescription drug plan under part ,d in which the claimant is enrolled or has been enrolled during such period4 4 #acjb4 ,dispensation of narcotic drugs for the purpose of relieving acute withdrawal symptoms from opioid use disorder ,not later than #ahj days after the date of enactment of this ,act1 the ,attorney ,general shall revise section #acjf4jg7;b7 of title #ba1 ,code of ,federal ,regulations1 so that practitioners1 in accordance with applicable ,state1 ,federal1 or local laws relating to controlled substances1 are allowed to dispense not more than a three-day supply of narcotic drugs to one person or for one person's use at one time for the purpose of initiating maintenance treatment or detoxification treatment 7or both74 #acjc4 ,medicaid ,improvement ,fund ,section #aida7;b77#c77;,a7 of the ,social ,security ,act 7#db ,u4,s4,c #acifw-#a7;b77#c77;,a77 is amended by striking #c1ddf1jjj1jjj and inserting #c1dfd1jjj1jjj4 ,,iv ,budgetary ,effects #adja4 ,budgetary effects 7a7 ,statutory ,,paygo ,scorecards ,the budgetary effects of this division shall not be entered on either ,,paygo scorecard maintained pursuant to section #d7;d7 of the ,statutory ,pay-,as-,you-,go ,act of #bjaj4 7b7 ,senate ,,paygo ,scorecards ,the budgetary effects of this division shall not be entered on any ,,paygo scorecard maintained for purposes of section #dajf of ,h4 ,con4 ,res4 #ga 7#aaeth ,congress74 7c7 ,classification of ,budgetary ,effects ,notwithstanding ,rule #c of the ,budget ,scorekeeping ,guidelines set forth in the joint explanatory statement of the committee of conference accompanying ,conference ,report #aje-bag and section #bej7;c77#h7 of the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe1 the budgetary effects of this division shall not be estimated-- 7#a7 for purposes of section #bea of such ,act2 and 7#b7 for purposes of paragraph 7#d77;,c7 of section #c of the ,statutory ,pay-,as-,you-,go ,act of #bjaj as being included in an appropriation ,act4 ,passed the ,house of ,representatives ,december #i1 #bjbj4;,cheryl ,l4 ,johnson1,clerk