[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 10545 Engrossed in House (EH)]
<DOC>
118th CONGRESS
2d Session
H. R. 10545
_______________________________________________________________________
AN ACT
Making further continuing appropriations for the fiscal year ending
September 30, 2025, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``American Relief Act, 2025''.
SEC. 2. TABLE OF CONTENTS.
The table of contents of this Act is as follows:
Sec. 1. Short title.
Sec. 2. Table of contents.
Sec. 3. References.
DIVISION A--FURTHER CONTINUING APPROPRIATIONS ACT, 2025
DIVISION B--DISASTER RELIEF SUPPLEMENTAL APPROPRIATIONS ACT, 2025
DIVISION C--HEALTH
Sec. 3001. Short title; table of contents.
TITLE I--PUBLIC HEALTH EXTENDERS
Sec. 3101. Extension for community health centers, National Health
Service Corps, and teaching health centers
that operate GME programs.
Sec. 3102. Extension of special diabetes programs.
Sec. 3103. National health security extensions.
TITLE II--MEDICARE
Sec. 3201. Extension of increased inpatient hospital payment adjustment
for certain low-volume hospitals.
Sec. 3202. Extension of the Medicare-dependent hospital (MDH) program.
Sec. 3203. Extension of add-on payments for ambulance services.
Sec. 3204. Extension of funding for quality measure endorsement, input,
and selection.
Sec. 3205. Extension of funding outreach and assistance for low-income
programs.
Sec. 3206. Extension of the work geographic index floor.
Sec. 3207. Extension of certain telehealth flexibilities.
Sec. 3208. Extending acute hospital care at home waiver authorities.
Sec. 3209. Extension of temporary inclusion of authorized oral
antiviral drugs as covered part D drugs.
Sec. 3210. Medicare improvement fund.
TITLE III--HUMAN SERVICES
Sec. 3301. Sexual risk avoidance education extension.
Sec. 3302. Personal responsibility education extension.
Sec. 3303. Extension of funding for family-to-family health information
centers.
TITLE IV--MEDICAID
Sec. 3401. Eliminating certain disproportionate share hospital payment
cuts.
DIVISION D--EXTENSION OF AGRICULTURAL PROGRAMS
Sec. 4101. Extension of agricultural programs.
DIVISION E--OTHER MATTERS
Sec. 5101. Commodity futures trading commission whistleblower program.
Sec. 5102. Protection of certain facilities and assets from unmanned
aircraft.
Sec. 5103. Additional special assessment.
Sec. 5104. National cybersecurity protection system authorization.
Sec. 5105. Extension of temporary order for fentanyl-related
substances.
SEC. 3. REFERENCES.
Except as expressly provided otherwise, any reference to ``this
Act'' contained in any division of this Act shall be treated as
referring only to the provisions of that division.
DIVISION A--FURTHER CONTINUING APPROPRIATIONS ACT, 2025
Sec. 101. The Continuing Appropriations Act, 2025 (division A of
Public Law 118-83) is amended--
(1) by striking the date specified in section 106(3) and
inserting ``March 14, 2025'';
(2) in section 126 to read as follows:
``Sec. 126. Notwithstanding section 101, amounts are provided for
`District of Columbia--Federal Payment for Emergency Planning and
Security Costs in the District of Columbia' 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.''; and
(3) by adding after section 152 the following new sections:
``Sec. 153. Amounts made available by section 101 for `Department
of Commerce--National Oceanic and Atmospheric Administration--
Procurement, Acquisition and Construction' 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.
``Sec. 154. Amounts made available by section 101 for `Department
of Justice--Justice Operations, Management and Accountability--Justice
Information Sharing Technology' may be apportioned up to the rate for
operations necessary to carry out proactive vulnerability detection and
penetration testing activities.
``Sec. 155. In addition to amounts otherwise provided by section
101, there is appropriated to the Department of Justice for `Federal
Bureau of Investigation--Salaries and Expenses', $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.
``Sec. 156. (a) Amounts made available by section 101 to the
Department of Defense for `Procurement--Shipbuilding and Conversion,
Navy', may be apportioned up to the rate for operations necessary for
`Columbia Class Submarine (AP)' in an amount not to exceed
$5,996,130,000.
``(b) Amounts made available by section 101 to the Department of
Defense for `Procurement--Shipbuilding and Conversion, Navy' may be
apportioned up to the rate for operations necessary for `Columbia Class
Submarine' in an amount not to exceed $2,922,300,000.
``Sec. 157. (a) In addition to amounts otherwise provided by
section 101, there is appropriated to the Department of Defense for
`Procurement--Shipbuilding and Conversion, Navy', $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: 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.
``(b) Amounts appropriated by subsection (a) may be used to
incrementally fund contract obligations for the improvement of
workforce wages and non-executive level salaries on new or existing
contracts pertaining to the Virginia Class Submarine program or to
other nuclear-powered vessel programs.
``Sec. 158. In addition to amounts otherwise provided by section
101, there is appropriated to the Department of Defense for `Operation
and Maintenance--Defense-Wide', $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 `Operation and Maintenance',
`Procurement', and `Research, Development, Test and Evaluation':
Provided further, That funds transferred pursuant to the preceding
proviso shall be merged with and available for the same purpose and for
the same time period as the appropriations to which the funds are
transferred: Provided further, That any transfer authority provided
herein is in addition to any other transfer authority provided by law:
Provided further, 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.
``Sec. 159. (a) Amounts made available by section 101 for
`Department of Energy--Atomic Energy Defense Activities--Environmental
and Other Defense Activities--Other Defense Activities' may be
apportioned up to the rate for operations necessary to sustain
specialized security activities.
``(b) The Director of the Office of Management and Budget and the
Secretary of Energy shall notify the Committees on Appropriations of
the House of Representatives and the Senate not later than 3 days after
each use of the authority provided in subsection (a).
``Sec. 160. In addition to amounts otherwise provided by section
101, there is appropriated to the Department of Energy for `Atomic
Energy Defense Activities--Environmental and Other Defense Activities--
Other Defense Activities', $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.
``Sec. 161. 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 111-11) shall be applied by
substituting `$1,640,000,000' for `$870,000,000' and `2025' for `2024'.
``Sec. 162. In addition to amounts otherwise provided by section
101, there is appropriated to the Department of the Treasury for
`Departmental Offices--Office of Terrorism and Financial Intelligence--
Salaries and Expenses', $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.
``Sec. 163. Section 302 of title III of Public Law 108-494 shall
be applied by substituting the date specified in section 106(3) of this
Act for `December 31, 2024' each place it appears.
``Sec. 164. (a) Notwithstanding section 101, section 747 of title
VII of division B of Public Law 118-47 shall be applied through the
date specified in section 106(3) of this Act by--
``(1) substituting `2024' for `2023' each place it appears;
``(2) substituting `2025' for `2024' each place it appears;
``(3) substituting `2026' for `2025'; and
``(4) substituting `section 747 of division B of Public Law
118-47, as in effect on September 30, 2024' for `section 747 of
division E of Public Law 117-328' each place it appears.
``(b) Subsection (a) shall not take effect until the first day of
the first applicable pay period beginning on or after January 1, 2025.
``Sec. 165. Amounts made available by section 101 for `Department
of Education--Student Aid Administration' may be apportioned up to the
rate for operations necessary to ensure the continuation of student
loan servicing activities and student aid application and eligibility
determination processes.
``Sec. 166. During the period covered by this Act, section 123 of
division A of Public Law 118-42 and the provisions carrying the same
restriction in prior Acts making appropriations to the Department of
Defense for military construction shall not apply to unobligated
balances from prior year appropriations made available under the
heading `Department of Defense--Military Construction, Army' and such
balances may be obligated for an access road project at Arlington
National Cemetery.
``Sec. 167. (a) Notwithstanding section 101, the second proviso
under the heading `Department of Veterans Affairs--Veterans Health
Administration--Medical Services' shall not apply during the period
covered by this Act.
``(b) Notwithstanding section 101, the second proviso under the
heading `Department of Veterans Affairs--Veterans Health
Administration--Medical Community Care' shall not apply during the
period covered by this Act.
``(c) Notwithstanding section 101, the second proviso under the
heading `Department of Veterans Affairs--Veterans Health
Administration--Medical Support and Compliance' shall not apply during
the period covered by this Act.
``Sec. 168. Notwithstanding section 101, the fifth and sixth
provisos under the heading `Millennium Challenge Corporation' in
division F of Public Law 118-47 shall be applied by substituting
`December 31, 2025' for `December 31, 2024' each place it appears.
``Sec. 169. Amounts made available by section 101 for `Department
of Transportation--Federal Aviation Administration--Operations' may be
apportioned up to the rate for operations necessary to fund mandatory
pay increases and other inflationary adjustments, to maintain and
improve air traffic services, to hire and train air traffic
controllers, and to continue aviation safety oversight, while avoiding
service reductions.''.
This division may be cited as the ``Further Continuing
Appropriations Act, 2025''.
DIVISION B--DISASTER RELIEF SUPPLEMENTAL APPROPRIATIONS ACT, 2025
The following sums are appropriated, out of any money in the
Treasury not otherwise appropriated, for the fiscal year ending
September 30, 2025, and for other purposes, namely:
TITLE I
DEPARTMENT OF AGRICULTURE
AGRICULTURAL PROGRAMS
Processing, Research, and Marketing
office of the secretary
For an additional amount for ``Office of the Secretary'',
$30,780,000,000, to remain available until expended, for necessary
expenses related to losses of revenue, quality or production of crops
(including milk, on-farm stored commodities, crops prevented from
planting, and harvested adulterated wine grapes), trees, bushes, and
vines, as a consequence of droughts, wildfires, hurricanes, floods,
derechos, excessive heat, tornadoes, winter storms, freeze, including a
polar vortex, smoke exposure, and excessive moisture occurring in
calendar years 2023 and 2024 under such terms and conditions as
determined by the Secretary of Agriculture (referred to in this title
as ``Secretary''): Provided, That of the amounts provided in this
paragraph under this heading in this Act, the Secretary shall use up to
$2,000,000,000 to provide assistance to producers of livestock, as
determined by the Secretary, for losses incurred during calendar years
2023 and 2024 due to drought, wildfires, or floods: Provided further,
That the Secretary may provide assistance for such losses in the form
of block grants to eligible States and territories and such assistance
may include compensation to producers, as determined by the Secretary,
for timber (including payments to non-Federal forest landowners),
citrus, pecan, and poultry (including infrastructure) losses, and for
agricultural producers who have suffered losses due to the failure of
Mexico to deliver water to the United States in accordance with the
1944 Water Treaty: Provided further, That of the amounts provided under
this heading in this Act, the Secretary shall offer individualized
technical assistance to interested non-insured producers to help them
apply for assistance made available under this heading: Provided
further, That of the amounts made available under this paragraph under
this heading in this Act, the Secretary may use up to $30,000,000, for
reimbursement for administrative and operating expenses available for
crop insurance contracts for 2022 and 2023 reinsurance years in a
manner consistent with Section 771 of the Consolidated Appropriations
Act, 2023 (Public Law 117-328): Provided further, That of the amounts
made available under this paragraph under this heading in this Act, and
without regard to 44 U.S.C. 3501 et. seq., the Secretary shall use
$3,000,000 to carry out regular testing for the purposes of verifying
and validating the methodology and protocols of the inspection of
molasses at any United States ports of entry, including whether the
molasses meets each statutory requirement without the use of additives
or blending, relevant definitional explanatory notes, and each property
typical of molasses in the United States as directed in Senate Report
118-193: Provided further, That at the election of a processor eligible
for a loan under section 156 of the Federal Agriculture Improvement and
Reform Act of 1996 (7 U.S.C. 7272) or a cooperative processor of dairy,
the Secretary shall make payments for losses in 2023 and 2024 to such
processors (to be paid to producers, as determined by such processors)
in lieu of payments to producers and under the same terms and
conditions as payments made to processors pursuant to title I of the
Additional Supplemental Appropriations for Disaster Relief Act, 2019
(Public Law 116-20) under the heading ``Department of Agriculture--
Agricultural Programs--Processing, Research and Marketing--Office of
the Secretary'', as last amended by section 791(c) of title VII of
division B of the Further Consolidated Appropriations Act, 2020 (Public
Law 116-94): Provided further, That notwithstanding section 760.1503(j)
of title 7, Code of Federal Regulations, in the event that a processor
described in the preceding proviso does not elect to receive payments
under such clause, the Secretary shall make direct payments to
producers under this heading in this Act: Provided further, That the
total amount of payments received under this paragraph under this
heading in this Act for producers who did not obtain a policy or plan
of insurance for an insurable commodity for the applicable crop year
under the Federal Crop Insurance Act (7 U.S.C. 1501 et seq.) for the
crop incurring the losses or did not file the required paperwork and
pay the service fee by the applicable State filing deadline for a
noninsurable commodity for the applicable crop year under Noninsured
Crop Disaster Assistance Program for the crop incurring the losses
shall not exceed 70 percent of the loss as determined by the Secretary,
except the Secretary shall provide payments not to exceed 90 percent of
the producer's revenue losses as determined by the Secretary if the
Secretary determines a de minimis amount of a producer's revenue loss
is attributable to crops for which the producer did not insure or
obtain Noninsured Crop Disaster Assistance Program coverage: Provided
further, That the amount provided in this paragraph under this heading
in this Act shall be subject to the terms and conditions set forth in
the first, second, sixth, seventh, eighth, ninth, tenth, and 12th
provisos under this heading in title I of the Disaster Relief
Supplemental Appropriations Act, 2022 (division B of Public Law 117-
43), except that such ninth proviso under such heading shall be applied
by substituting ``2023 and 2024'' for ``2020 and 2021'' and the
Secretary shall apply a separate payment limit for economic assistance
payments: Provided further, That not later than 120 days after the
enactment of this Act, and for each fiscal quarter thereafter until the
amounts provided under this heading in this Act are expended, the
Secretary shall report to the Committees on Appropriations of the House
of Representatives and the Senate on the implementation of any programs
provided for under this heading in this Act