,,ii ,cal5d> ,no4 #fda #aag? ,,congress 
#b;d ,session  ,s4 #ebdd  ,,9 ,,!       
,,s5ate ,,( ,,! ,,unit$ ,,/ates         
,decemb] #ac1 #bjbb,mr4 ,lee 7= himself1
 ,mr4 ,braun1 ,mr4 ,scott ( ,florida1 & 
,mr4 ,johnson7 introduc$ ! foll[+ bill2 
:i* 0 read ! fir/ "t  ,decemb] #ad1     
#bjbb,read ! second "t & plac$ on !     
cal5d>  ,a ,,bill  ,mak+ cont9u+        
appropriations = fiscal ye> #bjbc1      
ext5d+ v>i\s heal? programs1 & = o!r    
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,cont9u+ ,appropriations & 
,heal? ,ext5d]s ,act ( #bjbb4  ,i       
,cont9u+ appropriations  #aja4 ,ext5sion
 ( appropriations ,section #ajf7c7 (    
division ,a ( ! ,cont9u+ ,appropriations
 & ,ukra9e ,supplem5tal ,appropriations 
,act1 #bjbc 7,public ,law #aag-ahj2 #acf
 ,/at4 #baaf7 is am5d$ by /rik+ ,decemb]
 #af1 #bjbb & ins]t+ ,febru>y #c1 #bjbc4
  #ajb4 ,,paygo report ,not)/&+         
subsection 7a7 ( section #e ( !         
,/atutory ,pay-,z-,y-,g ,act ( #bjaj 7#b
 ,u4,s4,c4 #icd71 ! ,(fice ( ,managem5t 

& ,budget %all make publicly available !
 annual ,,paygo report requir$ "u su*   
subsection = #bjbb & prep>e any ord]    
requir$ "u subsection 7b7 ( su* section 
n lat] ?an ,febru>y #d1 #bjbc4  ,,ii    
,ext5sions1 ,te*nical ,corrections1 &   
,o!r ,matt]s  #bja4 ,ext5sion ( ,,fcc   
,auction ,au?ority ,section             
#cji7;j77#aa7 ( ! ,communications ,act (
 #aicd 7#dg ,u4,s4,c4 #cji7;j77#aa77 is 
am5d$ by /rik+ ,decemb] #af1 #bjbb &    
ins]t+ ,febru>y #c1 #bjbc4  #bjb4       
,ext5sion ( ,au?orization = ,special    
,assessm5t = ,dome/ic ,traffick+        
,victims' ,fund ,section #cjad7;a7 (    
title #ah1 ,unit$ ,/ates ,code1 is      
am5d$1 9 ! matt] prec$+ p>agraph 7#a71  
by /rik+ ,decemb] #af1 #bjbb & ins]t+   
,febru>y #c1 #bjbc4  #bjc4 ,ext5sion (  
,commodity ,futures ,trad+ ,commission  
,cu/om] ,protection ,fund ,exp5ses      
,acc\nt ,section #a7;b7 ( ,public ,law  
#aag-be 7#ace ,/at4 #big7 is am5d$ by   
/rik+ ,decemb] #af1 #bjbb ea* place x   
appe>s & ins]t+ ,febru>y #c1 #bjbc4     

,,iii ,heal? & ,human ,s]vices          
,ext5sions  ,a ,m$ic>e & ,m$icaid  #cja4
 ,ext5sion ( increas$ inpati5t hospital 
paym5t adju/m5t = c]ta9 l[-volume       
hospitals  7a7 ,9 g5]al ,section        
#ahhf7;d77#ab7 ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acieww7d77#ab77 is 
am5d$-- 7#a7 9 subp>agraph 7,b71 9 !    
matt] prec$+ clause 7i71 by /rik+       
,decemb] #ag1 #bjbb & ins]t+ ,febru>y   
#d1 #bjbc2  7#b7 9 subp>agraph 7,c77i7--
 7,a7 9 ! matt] prec$+ subclause 7,i71  
by /rik+ ,decemb] #af1 #bjbb & ins]t+   
,febru>y #c1 #bjbc2  7,b7 9 subclause   
7,,iii71 by /rik+ ,decemb] #af1 #bjbb & 
ins]t+ ,febru>y #c1 #bjbc2  7,c7 9      
subclause 7,,iv71 by /rik+ ,decemb] #ag1
 #bjbb & ins]t+ ,febru>y #d1 #bjbc2 &   
7#c7 9 subp>agraph 7,d7-- 7,a7 9 ! matt]
 prec$+ clause 7i71 by /rik+ ,decemb]   
#af1 #bjbb & ins]t+ ,febru>y #c1 #bjbc2 
&  7,b7 9 clause 7ii71 by /rik+ ,decemb]
 #af1 #bjbb & ins]t+ ,febru>y #c1 #bjbc4
  7b7 ,implem5tation ,not)/&+ any o!r   
provision ( law1 ! ,secret>y ( ,heal? & 

,human ,s]vices may implem5t !          
provisions (1 includ+ ! am5dm5ts made   
by1 ?is section by program in/ruction or
 o!rwise4  #cjb4 ,ext5sion ( !          
,m$ic>e-dep5d5t hospital 7,,mdh7 program
  7a7 ,9 g5]al ,section                 
#ahhf7;d77#e77;,g7 ( ! ,social ,security
 ,act 7#db ,u4,s4,c4                    
#acieww7d77#e77;,g77 is am5d$-- 7#a7 9  
clause 7i71 by /rik+ ,decemb] #ag1 #bjbb
 & ins]t+ ,febru>y #d1 #bjbc2 &  7#b7 9 
clause 7ii77,,ii71 by /rik+ ,decemb]    
#ag1 #bjbb & ins]t+ ,febru>y #d1 #bjbc4 
7b7 ,con=m+ am5dm5ts  7#a7 ,ext5sion (  
t>get am\nt ,section #ahhf7;b77#c77;,d7 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #acieww7b77#c77;,d77 is       
am5d$-- 7,a7 9 ! matt] prec$+ clause    
7i71 by /rik+ ,decemb] #ag1 #bjbb &     
ins]t+ ,febru>y #d1 #bjbc2 &  7,b7 9    
clause 7iv71 by /rik+ ,decemb] #af1     
#bjbb & ins]t+ ,febru>y #c1 #bjbc4  7#b7
 ,p]mitt+ hospitals to decl9e           
reclassification ,section #aceja7;e77#b7
 ( ! ,omnibus ,budget ,reconciliation   

,act ( #aiic 7#db ,u4,s4,c4 #acieww     
note7 is am5d$ by /rik+ ,decemb] #af1   
#bjbb & ins]t+ ,febru>y #c1 #bjbc4      
#cjc4 ,ext5sion ( increas$ ,f,m,a,ps = !
 t]ritories ,section #aije7;ff7 ( !     
,social ,security ,act 7#db ,u4,s4,c4   
#acif;d7ff77 is am5d$ by /rik+ ,decemb] 
#af1 #bjbb ea* place x appe>s & ins]t+  
,febru>y #c1 #bjbc 9 ea* su* place4  ,b 
,human ,s]vices  #caa4 ,ext5sion (      
mat]nal1 infant1 & e>ly *ildhood home   
visit+ programs ,activities au?oriz$ by 
section #eaa ( ! ,social ,security ,act 
%all cont9ue ?r\gh ,febru>y #c1 #bjbc1 9
 ! mann] au?oriz$ = fiscal ye> #bjbb1 & 
out ( any money 9 ! ,treasury ( ! ,unit$
 ,/ates n o!rwise appropriat$1 !re is   
h]eby appropriat$ = su* purpose an am\nt
 equal to ! pro rata portion ( ! am\nt  
appropriat$ = su* activities = fiscal   
ye> #bjbb4  #cab4 ,ext5sion ( *ild &    
family s]vices programs ,activities     
au?oriz$ by "p ,b ( title ,,iv ( !      
,social ,security ,act %all cont9ue     
?r\gh ,febru>y #c1 #bjbc1 9 ! mann]     

au?oriz$ = fiscal ye> #bjbb1 & out ( any
 money 9 ! ,treasury ( ! ,unit$ ,/ates n
 o!rwise appropriat$1 !re are h]eby     
appropriat$ su* sums z may be necess>y =
 su* purpose4  ,c ,indian ,heal?  #cba4 
,ext5sion ( moratorium relat+ to funds =
 heal? c>e s]vices = c]ta9 ,alaska      
,native villages ,section #dbd7;a7 ( !  
,dep>tm5t ( ! ,int]ior1 ,environm5t1 &  
,relat$ ,ag5cies ,appropriations ,act1  
#bjad 7,public ,law #aac-gf2 #abh ,/at4 
#cdc2 #acb ,/at4 #fic2acf ,/at4 #bacf7  
is am5d$ by /rik+ ,decemb] #af1 #bjbb & 
ins]t+ ,febru>y #c1 #bjbc4  ,,iv        
,reau?orization ( o!r provisions  #dja4 
,reau?orization ( ! be/ ph>maceuticals =
 *ildr5 program ,section #dji;,i7d77#a7 
( ! ,public ,heal? ,s]vice ,act 7#db    
,u4,s4,c4 #bhdm7d77#a77 is am5d$ by     
/rik+ #e1bgc1igc = ! p]iod beg9n+ on    
,octob] #a1 #bjbb & end+ on ,decemb]    
#af1 #bjbb & ins]t+ #h1fcj1ach = ! p]iod
 beg9n+ on ,octob] #a1 #bjbb1 & end+ on 
,febru>y #c1 #bjbc4  #djb4              
,reau?orization ( ! humanit>ian device  

exemption inc5tive ,section             
#ebj7m77#f77;,a77iv7 ( ! ,f$]al ,food1  
,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4  
#cfj;j7m77#f77;,a77iv77 is am5d$ by     
/rik+ ,decemb] #ag1 #bjbb & ins]t+      
,febru>y #d1 #bjbc4  #djc4              
,reau?orization ( ! p$iatric device     
consortia program ,section #cje7;e7 ( ! 
,food & ,drug ,adm9i/ration ,am5dm5ts   
,act ( #bjjg 7,public ,law #aaj-he2 #db 
,u4,s4,c4 #bhb note7 is am5d$ by /rik+  
#a1ajg1ecd = ! p]iod beg9n+ on ,octob]  
#a1 #bjbb1 & end+ on ,decemb] #af1 #bjbb
 & ins]t+ #a1hab1cbh = ! p]iod beg9n+ on
 ,octob] #a1 #bjbb1 & end+ on ,febru>y  
#c1 #bjbc4  #djd4 ,reau?orization (     
provision p]ta9+ to drugs conta9+ s+le  
enantiom]s ,section #eje7u77#d7 ( !     
,f$]al ,food1 ,drug1 & ,cosmetic ,act   
7#ba ,u4,s4,c4 #cee7u77#d77 is am5d$ by 
/rik+ ,decemb] #ag1 #bjbb & ins]t+      
,febru>y #d1 #bjbc4  #dje4              
,reau?orization ( ! critical pa?        
public-private p>tn]%ip ,section        
#eff7;f7 ( ! ,f$]al ,food1 ,drug1 &     

,cosmetic ,act 7#ba ,u4,s4,c4           
#cfj;bbb-#e7;f77 is am5d$ by /rik+      
#a1bfe1gec = ! p]iod beg9n+ on ,octob]  
#a1 #bjbb & end+ on ,decemb] #af1 #bjbb 
& ins]t+ #b1jga1bcb = ! p]iod beg9n+ on 
,octob] #a1 #bjbb1 & end+ on ,febru>y   
#c1 #bjbc4  #djf4 ,reau?orization (     
orphan drug grants ,section #e7;c7 ( !  
,orphan ,drug ,act 7#ba ,u4,s4,c4       
#cfj;ee7c77 is am5d$ by /rik+ #f1cbh1gfg
 = ! p]iod beg9n+ on ,octob] #a1 #bjbb1 
& end+ on ,decemb] #af1 #bjbb & ins]t+  
#aj1cef1afd = ! p]iod beg9n+ on ,octob] 
#a1 #bjbb1 & end+ on ,febru>y #c1 #bjbc4
  #djg4 ,reau?orization ( c]ta9 device  
inspections ,section #gjd7;g77#aa7 ( !  
,f$]al ,food1 ,drug1 & ,cosmetic ,act   
7#ba ,u4,s4,c4 #cgd7;g77#aa77 is am5d$  
by /rik+ ,decemb] #ag1 #bjbb & ins]t+   
,febru>y #d1 #bjbc4  #djh4              
,reau?orization ( report+ requirem5ts   
relat$ to p5d+ g5]ic drug applications &
 priority review applications ,section  
#hjg ( ! ,,fda ,reau?orization ,act (   
#bjag 7,public ,law #aae-eb7 is am5d$1 9

 ! matt] prec$+ p>agraph 7#a71 by /rik+ 
,decemb] #af1 #bjbb & ins]t+ ,febru>y   
#c1 #bjbc4  ,decemb] #ad1 #bjbb,read !  
second "t & plac$ on ! cal5d>