,,ii ,calendar ,no4 #be #aaith ,,congress #ast ,session ,s4 #ibd ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,march #aj1 #bjbe,mrs4 ,murray introduced the following bill2 which was read the first time ,march #aa1 #bjbe ,read the second time and placed on the calendar ,a ,,bill ,making further continuing appropriations for the fiscal year ending ,september #cj1 #bjbe1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,further ,additional ,continuing ,appropriations and ,other ,extensions ,act1 #bjbe4 #b4 ,table of contents ,sec4 #a4 ,short ,title4,sec4 #b4 ,table of ,contents4,division ,a--,further ,additional ,continuing ,appropriations ,act1 #bjbe;,division ,b--,extensions and ,other ,matters ,a ,,further ,,additional ,,continuing ,,appropriations ,,act1 #bjbe #aja4 ,the ,continuing ,appropriations ,act1 #bjbe 7division ,a of ,public ,law #aah-hc7 is further amended-- 7#a7 by striking the date specified in section #ajf7c7 and inserting ,april #aa1 #bjbe2 7#b7 in section #aef7;b7 to read as follows3 7b7 ,amounts made available by section #aja to the ,department of ,defense for ,procurement--,shipbuilding and ,conversion1 ,navy may be apportioned up to the rate for operations necessary for ,columbia ,class ,submarine in an amount not to exceed #c1cda1cjj1jjj4 2 and 7#c7 by adding after section #afi the following new sections3 #agj4 ,notwithstanding section #aja1 section #eba7;b77#a7 of division ,c of ,public ,law #aah-db shall not apply during the period covered by this ,act4 #aga4 ,notwithstanding sections #ajb and #ajd1 amounts made available by section #aja to the ,department of ,defense for ,procurement--,shipbuilding and ,conversion1 ,navy may be apportioned up to the rate of operations necessary for ,completion of ,prior ,year ,shipbuilding ,programs in an amount not to exceed #a1icj1jbd1jjj to fund prior year shipbuilding cost increases for the following programs in the following amounts3 7#a7 #bjac_/bjbe3 ,carrier ,replacement ,program1 #bcf1jjj1jjj2 7#b7 #bjaf_/bjbe3 ,,ddg #ea ,program1 #aj1eji1jjj2 7#c7 #bjag_/bjbe3 ,virginia ,class ,submarine ,program1 #bai1cgj1jjj2 7#d7 #bjag_/bjbe3 ,,ddg #ea ,program1 #aae1fjj1jjj2 7#e7 #bjag_/bjbe3 ,littoral ,combat ,ship ,program1 #h1ajj1jjj2 7#f7 #bjag_/bjbe3 ,,lha ,replacement ,program1 #aae1cig1jjj2 7#g7 #bjah_/bjbe3 ,virginia ,class ,submarine ,program1 #gc1fcd1jjj2 7#h7 #bjah_/bjbe3 ,,ddg #ea ,program1 #ajg1dje1jjj2 7#i7 #bjah_/bjbe3 ,littoral ,combat ,ship ,program1 #ab1jjj1jjj2 7#aj7 #bjah_/bjbe3 ,,lpd #ag 7,flight ,,ii7 ,amphibious ,transport ,dock ,program1 #ai1aeh1jjj2 7#aa7 #bjah_/bjbe3 ,oceanographic ,ships ,program1 #ah1jjj1jjj2 7#ab7 #bjah_/bjbe3 ,ship to ,shore ,connector ,program1 #ad1fid1jjj2 7#ac7 #bjai_/bjbe3 ,littoral ,combat ,ship ,program1 #bg1ijj1jjj2 7#ad7 #bjai_/bjbe3 ,t-,,ao ,fleet ,oiler ,program1 #di1iie1jjj2 7#ae7 #bjai_/bjbe3 ,ship to ,shore ,connector ,program1 #cc1cde1jjj2 7#af7 #bjbj_/bjbe3 ,,cvn ,refueling ,overhauls1 #ffi1aga1jjj2 7#ag7 #bjbj_/bjbe3 ,t-,,ao ,fleet ,oiler ,program1 #aea1hcg1jjj2 7#ah7 #bjbj_/bjbe3 ,towing1 ,salvage1 and ,rescue ,ship ,program1 #igh1jjj2 7#ai7 #bjba_/bjbe3 ,towing1 ,salvage1 and ,rescue ,ship ,program1 #ag1cge1jjj2 7#bj7 #bjbb_/bjbe3 ,t-,,ao ,fleet ,oiler ,program1 #ac1bbb1jjj2 7#ba7 ,u#bjbb_/bjbe3 ,towing1 ,salvage1 and ,rescue ,ship ,program1 #d1bcd1jjj2 and 7#bb7 #bjbc_/bjbe3 ,t-,,ao ,fleet ,oiler ,program1 #ab1ajj1jjj4 #agb4 ,in addition to amounts otherwise provided by section #aja1 for ,federal ,emergency ,management ,agency--,disaster ,relief ,fund1 there is appropriated #gej1jjj1jjj1 for an additional amount for fiscal year #bjbe1 to remain available until expended1 for major disasters declared pursuant to the ,robert ,t4 ,stafford ,disaster ,relief and ,emergency ,assistance ,act 7#db ,u4,s4,c4 #eaba et seq473 ,provided1 ,that such amount is designated by the ,congress as being for an emergency requirement pursuant to section #bea7;b77#b77;,a77i7 of the ,balanced ,budget and ,emergency ,deficit ,control ,act of #aihe1 and shall be available only if the ,president subsequently so designates such amount and transmits such designation to the ,congress4 #agc4 ,in addition to amounts otherwise provided by section #aja1 there is appropriated #a1fej1jjj for the ,office of ,navajo and ,hopi ,relocation--,salaries and ,expenses to remain available until expended to carry out responsibilities under the ,navajo-,hopi ,land ,settlement ,act of #aigd4 #agd4 ,notwithstanding any other provision of this ,act1 there is hereby appropriated for fiscal year #bjbe1 for payment to ,ashley ,paige ,turner1 beneficiary of ,sylvester ,turner1 late a ,representative from the ,state of ,texas1 #agd1jjj4 4 ,this division may be cited as the ,further ,additional ,continuing ,appropriations ,act1 #bjbe4 ,b ,extensions and other matters ,i ,health extensions ,a ,public health extenders #baja4 ,extension for community health centers1 ,national ,health ,service ,corps1 and teaching health centers that operate ,,gme programs 7a7 ,extension for community health centers ,section #ajejc7;b77#a77;,i7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #bed;b-#b7;b77#a77;,i77 is amended by striking the period at the end and inserting 1 and #acb1fjb1gdj for the period beginning on ,april #a1 #bjbe1 and ending on ,april #aa1 #bjbe2 and4 7b7 ,extension for the ,national ,health ,service ,corps ,section #ajejc7;b77#b77;,j7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #bed;b-#b7;b77#b77;,j77 is amended by inserting 1 and #aj1ifc1eic for the period beginning on ,april #a1 #bjbe1 and ending on ,april #aa1 #bjbe before the period at the end4 7c7 ,teaching health centers that operate graduate medical education programs ,section #cdj;,h7g77#a77;,e7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bef;h7g77#a77;,e77 is amended by inserting 1 and #f1jeh1gdh for the period beginning on ,april #a1 #bjbe1 and ending on ,april #aa1 #bjbe before the period at the end4 7d7 ,application of provisions ,amounts appropriated pursuant to the amendments made by this section shall be subject to the requirements contained in ,public ,law #aah-dg for funds for programs authorized under sections #ccj through #cdj of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bed;b et seq474 7e7 ,conforming amendments ,section #cjad7;h77#d7 of title #ah1 ,united ,states ,code1 is amended by striking and section #caja7;d7 of the ,health ,extensions and ,other ,matters ,act1 #bjbe and inserting section #caja7;d7 of the ,health ,extensions and ,other ,matters ,act1 #bjbe1 and section #baja7;d7 of the ,further ,additional ,continuing ,appropriations and ,other ,extensions ,act1 #bjbe4 #bajb4 ,extension of special diabetes programs 7a7 ,extension of special diabetes programs for type ,i diabetes ,section #ccj;,b7b77#b77;,f7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bed;c-#b7;b77#b77;,f77 is amended by inserting 1 and #d1gih1feh for the period beginning on ,april #a1 #bjbe1 and ending on ,april #aa1 #bjbe before the period at the end4 7b7 ,extending funding for special diabetes programs for ,indians ,section #ccj;,c7c77#b77;,f7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bed;c-#c7;c77#b77;,f77 is amended by inserting 1 and #d1gih1feh for the period beginning on ,april #a1 #bjbe1 and ending on ,april #aa1 #bjbe before the period at the end4 #bajc4 ,national health security extensions 7a7 ,section #cai7;e77#h7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;d7e77#h77 is amended by striking ,march #ca1 #bjbe and inserting ,april #aa1 #bjbe4 7b7 ,section #cai,l7e77#a77;,d7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;d-#g;e7e77#a77;,d77 is amended by striking ,march #ca1 #bjbe and inserting ,april #aa1 #bjbe4 7c7 ,section #cai,l-#a7;b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdg;d-#g;f7b77 is amended by striking ,march #ca1 #bjbe and inserting ,april #aa1 #bjbe4 7d7 7#a7 ,section #bhaa;,a7g7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;hh-#aj;b7g77 is amended by striking ,march #ca1 #bjbe and inserting ,april #aa1 #bjbe4 7#b7 ,section #bhaa;,b7g77#a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;hh-#aj;c7g77#a77 is amended by striking ,march #ca1 #bjbe and inserting ,april #aa1 #bjbe4 7#c7 ,section #bhaa;,c7g77#a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;hh-#aj;d7g77#a77 is amended by striking ,march #ca1 #bjbe and inserting ,april #aa1 #bjbe4 7e7 ,section #bhab7;c77#d77;,b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;hh-#aa7;c77#d77;,b77 is amended by striking ,march #ca1 #bjbe and inserting ,april #aa1 #bjbe4 ,b ,medicare #baaa4 ,extension of increased inpatient hospital payment adjustment for certain low-volume hospitals 7a7 ,in general ,section #ahhf7;d77#ab7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acieww7d77#ab77 is amended-- 7#a7 in subparagraph 7,b71 in the matter preceding clause 7i71 by striking ,april #a1 #bjbe and inserting ,april #ab1 #bjbe2 7#b7 in subparagraph 7,c77i7-- 7,a7 in the matter preceding subclause 7,i71 by striking ,march #ca1 #bjbe and inserting ,april #aa1 #bjbe2 7,b7 in subclause 7,,iii71 by striking ,march #ca1 #bjbe and inserting ,april #aa1 #bjbe2 and 7,c7 in subclause 7,,iv71 by striking ,april #a1 #bjbe and inserting ,april #ab1 #bjbe2 and 7#c7 in subparagraph 7,d7-- 7,a7 in the matter preceding clause 7i71 by striking ,march #ca1 #bjbe and inserting ,april #aa1 #bjbe2 and 7,b7 in clause 7ii71 by striking ,march #ca1 #bjbe and inserting ,april #aa1 #bjbe4 7b7 ,implementation ,notwithstanding any other provision of law1 the ,secretary of ,health and ,human ,services may implement the amendments made by this section by program instruction or otherwise4 #baab4 ,extension of the ,medicare-dependent hospital 7,,mdh7 program 7a7 ,in general ,section #ahhf7;d77#e77;,g7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acieww7d77#e77;,g77 is amended-- 7#a7 in clause 7i71 by striking ,april #a1 #bjbe and inserting ,april #ab1 #bjbe2 and 7#b7 in clause 7ii77,,ii71 by striking ,april #a1 #bjbe and inserting ,april #ab1 #bjbe4 7b7 ,conforming amendments 7#a7 ,in general ,section #ahhf7;b77#c77;,d7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acieww7b77#c77;,d77 is amended-- 7,a7 in the matter preceding clause 7i71 by striking ,april #a1 #bjbe and inserting ,april #ab1 #bjbe2 and 7,b7 in clause 7iv71 by striking ,march #ca1 #bjbe and inserting ,april #aa1 #bjbe4 7#b7 ,permitting hospitals to decline reclassification ,section #aceja7;e77#b7 of the ,omnibus ,budget ,reconciliation ,act of #aiic 7#db ,u4,s4,c4 #acieww note7 is amended by striking ,march #ca1 #bjbe and inserting ,april #aa1 #bjbe4 #baac4 ,extension of add-on payments for ambulance services ,section #ahcd7l7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7l77 is amended-- 7#a7 in paragraph 7#ab77;,a71 by striking ,april #a1 #bjbe and inserting ,april #ab1 #bjbe2 and 7#b7 in paragraph 7#ac71 by striking ,april #a1 #bjbe each place it appears and inserting ,april #ab1 #bjbe in each such place4 #baad4 ,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-- 7#a7 in the first sentence1 by striking ,march #ca1 #bjbe and inserting ,april #aa1 #bjbe2 and 7#b7 in the third sentence1 by striking ,march #ca1 #bjbe and inserting ,april #aa1 #bjbe4 #baae4 ,extension of funding outreach and assistance for low-income programs 7a7 ,state health insurance assistance programs ,subsection 7a77#a77;,b77xiv7 of section #aai of the ,medicare ,improvements for ,patients and ,providers ,act of #bjjh 7#db ,u4,s4,c4 #acie;b-#c note7 is amended by striking ,march #ca1 #bjbe1 #bb1ejj1jjj and inserting ,april #aa1 #bjbe1 #bc1abe1jjj4 7b7 ,area agencies on aging ,subsection 7b77#a77;,b77xiv7 of such section #aai is amended by striking ,march #ca1 #bjbe1 #bb1ejj1jjj and inserting ,april #aa1 #bjbe1 #bc1abe1jjj4 7c7 ,aging and disability resource centers ,subsection 7c77#a77;,b77xiv7 of such section #aai is amended by striking ,march #ca1 #bjbe1 #h1ejj1jjj and inserting ,april #aa1 #bjbe1 #h1gjh1ccc4 7d7 ,coordination of efforts to inform older ,americans about benefits available under ,federal and ,state programs ,subsection 7d77#b77xiv7 of such section #aai is amended by striking ,march #ca1 #bjbe1 #bb1ejj1jjj and inserting ,april #aa1 #bjbe1 #bc1abe1jjj4 #baaf4 ,extension of the work geographic index floor ,section #ahdh7;e77#a77;,e7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#d7;e77#a77;,e77 is amended by striking ,april #a1 #bjbe and inserting ,april #ab1 #bjbe4 #baag4 ,extension of certain telehealth flexibilities 7a7 ,removing geographic requirements and expanding originating sites for telehealth services ,section #ahcd7m7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7m77 is amended-- 7#a7 in paragraph 7#b77;,b77iii71 by striking ending ,march #ca1 #bjbe and inserting ending ,april #aa1 #bjbe2 and 7#b7 in paragraph 7#d77;,c77iii71 by striking ending on ,march #ca1 #bjbe and inserting ending on ,april #aa1 #bjbe4 7b7 ,expanding practitioners eligible ,to furnish telehealth services ,section #ahcd7m77#d77;,e7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7m77#d77;,e77 is amended by striking ending on ,march #ca1 #bjbe and inserting ending on ,april #aa1 #bjbe4 7c7 ,extending telehealth services for federally qualified health centers and rural health clinics ,section #ahcd7m77#h77;,a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7m77#h77;,a77 is amended by striking ending on ,march #ca1 #bjbe and inserting ending on ,april #aa1 #bjbe4 7d7 ,delaying the in-person requirements under ,medicare for mental health services furnished through telehealth and telecommunications technology 7#a7 ,delay in requirements for mental health services furnished through telehealth ,section #ahcd7m77#g77;,b77i7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7m77#g77;,b77i77 is amended1 in the matter preceding subclause 7,i71 by striking ,april #a1 #bjbe and inserting ,april #ab1 #bjbe4 7#b7 ,mental health visits furnished by rural health clinics ,section #ahcd7y77#b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7y77#b77 is amended by striking ,april #a1 #bjbe and inserting ,april #ab1 #bjbe4 7#c7 ,mental health visits furnished by ,federally qualified health centers ,section #ahcd7o77#d77;,b7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7o77#d77;,b77 is amended by striking ,april #a1 #bjbe and inserting ,april #ab1 #bjbe44 7e7 ,allowing for the furnishing of audio-only telehealth services ,section #ahcd7m77#i7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciem7m77#i77 is amended by striking ending on ,march #ca1 #bjbe and inserting ending on ,april #aa1 #bjbe4 7f7 ,extending use of telehealth ,to conduct face-to-face encounter prior to recertification of eligibility for hospice care ,section #ahad7;a77#g77;,d77i77,,ii7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;f7a77#g77;,d77i77,,ii77 is amended by striking ending on ,march #ca1 #bjbe and inserting ending on ,april #aa1 #bjbe4 7g7 ,program instruction authority ,the ,secretary of ,health and ,human ,services may implement the amendments made by this section through program instruction or otherwise4 #baah4 ,extending acute hospital care at home waiver authorities ,section #ahff;,g7a77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;cc-#g7;a77#a77 is amended by striking ,march #ca1 #bjbe and inserting ,april #aa1 #bjbe4 #baai4 ,extension of temporary inclusion of authorized oral antiviral drugs as covered part ,d drugs ,section #ahfj;,d-#b7;e77#a77;,c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciew-#ajb7;e77#a77;,c77 is amended by striking ,march #ca1 #bjbe and inserting ,april #aa1 #bjbe4 #babj4 ,medicare improvement fund ,section #ahih7;b77#a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acie;iii7b77#a77 is amended by striking #a1bea1jjj1jjj and inserting #a1jah1jjj1jjj4 ,c ,human services #baca4 ,sexual risk avoidance education extension ,section #eaj of the ,social ,security ,act 7#db ,u4,s4,c4 #gaj7 is amended-- 7#a7 in subsection 7a77#a71 by striking ,march #ca1 #bjbe and inserting ,april #aa1 #bjbe2 and 7#b7 in subsection 7f77#a71 by striking ,march #ca1 #bjbe and inserting ,april #aa1 #bjbe4 #bacb4 ,personal responsibility education extension ,section #eac of the ,social ,security ,act 7#db ,u4,s4,c4 #gac7 is amended-- 7#a7 in subsection 7a77#a7-- 7,a7 in subparagraph 7,a71 in the matter preceding clause 7i71 by striking ,march #ca1 #bjbe and inserting ,april #aa1 #bjbe2 and 7,b7 in subparagraph 7,b77i71 by striking ,march #ca1 #bjbe and inserting ,april #aa1 #bjbe2 and 7#b7 in subsection 7f71 by striking ,march #ca1 #bjbe and inserting ,april #aa1 #bjbe4 #bacc4 ,extension of funding for family-to-family health information centers ,section #eja7;c77#a77;,a77viii7 of the ,social ,security ,act 7#db ,u4,s4,c4 #gja7;c77#a77;,a77viii77 is amended-- 7#a7 by striking #c1jjj1jjj and inserting #c1bjj1jjj2 and 7#b7 by striking ,april #a1 #bjbe and inserting ,april #ab1 #bjbe4 ,d ,medicaid #bada4 ,eliminating certain disproportionate share hospital payment cuts ,section #aibc7;f77#g77;,a7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acifr- #d7;f77#g77;,a77 is amended-- 7#a7 in clause 7i71 by striking ,april #a and inserting ,april #ab2 and 7#b7 in clause 7ii71 by striking ,april #a and inserting ,april #ab4 ,,ii ,miscellaneous extensions #bbja4 ,commodity ,futures ,trading ,commission whistleblower program ,section #a7;b7 of ,public ,law #aag-be 7#ace ,stat4 #big2 #acf ,stat4 #bacc2 #acf ,stat4 #eihd7 is amended1 in paragraphs 7#c7 and 7#d71 by striking ,march #ad1 #bjbe each place it appears and inserting ,april #aa1 #bjbe4 #bbjb4 ,protection of certain facilities and assets from unmanned aircraft ,section #baj;,g7i7 of the ,homeland ,security ,act of #bjjb 7#f ,u4,s4,c4 #abdn7i77 is amended by striking ,march #ad1 #bjbe and inserting ,april #aa1 #bjbe4 #bbjc4 ,additional special assessment ,section #cjad of title #ah1 ,united ,states ,code1 is amended by striking ,march #ad1 #bjbe and inserting ,april #aa1 #bjbe4 #bbjd4 ,national ,cybersecurity ,protection ,system authorization ,section #bbg7;a7 of the ,federal ,cybersecurity ,enhancement ,act of #bjae 7#f ,u4,s4,c4 #aebe7;a77 is amended by striking ,march #ad1 #bjbe and inserting ,april #aa1 #bjbe4 ,,iii ,budgetary effects #bcja4 ,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 7#b7 for purposes of an allocation to the ,committee on ,appropriations pursuant to section #cjb7;a7 of the ,congressional ,budget ,act of #aigd2 and 7#c7 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 ,march #aa1 #bjbe,read the second time and placed on the calendar