Signed by President Joe Biden, Jr.

Vote Smart's Synopsis:

Vote to concur with senate passage and final pass a bill that makes further continuing appropriations for the fiscal year ending September 30, 2024, to avert a federal government shutdown and for other purposes.

Highlights:

• Authorizes continuing fiscal year 2024 appropriations for federal agencies and extends several expiring programs and authorities, including several public health programs through continuing resolutions (CR) (Div. A, Sec. 101).

• Appropriates federal funding via CR’s through March 1, 2024 for agencies and programs that were funded in the following 4 fiscal year 2023 appropriation acts, including (Sec. ):

• The Agriculture, Rural Development, Food and Drug Adminstration, and Related Agencies Appropriations Act, 2023;

• The Energy and Water Development and Related Agencies Appropriations Act, 2023;

• The Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2023; and

• The Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2023.

• Authorizes exceptions for the National Nuclear Security Adminstration and the Federal Aviation Adminstration (Div. A, Sec. 101).

• Authorizes the Department of Defense to obligate specified funds from the Shipbuilding and Conversion, Navy account for the procurement of one Columbia Class Submarine (Div. A, Sec. 101).

• Extends the authority for the U.S. Parole Commission through March 8, 2024 (Div. A, Sec. 101).

• Extends through March 8, 2024, federal funding for the Teaching Health Center Graduate Medical Education Program, the Community Health Fund, and the National Health Services Corp. (Div. B, Title I, Subtitle A, Sec. 101).

• Specifies that the aforementioned extensions shall accomplish the following (Div. B, Title I, Subtitle A, Sec. 101).

• Support education and training of medical students in primary care residency programs in community-basaed ambulatory patient care centers; and

• The National Health Service Corps, which provides scholarships and student loan repayment awards to health care providers who agree to work in areas with health care provider shortages.

• Extends through March 8, 2024, federal funding for the Specified Diabetes Program for Type I Diabetes and the Special Diabetes Program for Indians to support research on the prevention and cure of Type I diabetes, and the Special Diabetes Program for Indians supports diabetes treatment and prevention for tribal populations (Div. B, Title I, Subtitle A, Sec. 102).

• Extends through March 8, 2024 the authority that allows states and tribes to request the temporary reassignment of state and local health department personnel who are funded through certain federal programs to immediately address a public health emergency (Div. B, Title I, Subtitle A, Sec. 103).

• Extends through March 8, 2024 provisions that prohibit the disclosure of information about Department of Health and Human Services (HHS) programs that could compromise national security such as information regarding biomedical threats (Div. B, Title I, Subtitle A, Sec. 103).

• Extends provisions that authorize HHS to engage with developers of medical countermeasures to provde for related antitrust exemptions for the purpose of futhering product development through March 8, 2024 (Div. B, Title I, Subtitle A, Sec. 103).

• Extends federal funding through March 8, 2024 for the National Advisory Committee on Children and Disasters, the National Advisory Commitee on Seniors and Disasters, and the National Advisory Commitee on Individuals with Disabilities and Disasters (Div. B, Title I, Subtitle A, Sec. 103).

• Extends through March 8, 2024 the authority of HHS to directly appoint candidates to positions within the National Medical System if HHS determines the number of personnel in the system in the system is insufficient to address a public health emergency or potential public health emergency (Div. B, Title I, Subtitle A, Sec. 103).

• Specifies that the National Disaster Medical System is a partnership between HHS, the Department of Defense, and other federal departments that responds to public health and other emergencies, including by deploying medical response teams (Div. B, Title I, Subtitle A, Sec. 103).

• Reduces and delays reductions to Medicaid disproportionate-share hospital (DSH) allotments until March 9, 2024 and specifies that DSH’s are hospitals that recieve additional payments under Medicaid for treating a large share of low-income patients (Div. B, Title I, Subtitle B, Sec. 102).

• Reduces the amount of funding available to the Medicaid Improvement Fund for activities relating to mechanized claims systems beginning in fiscal year 2028 (Div. B, Title I, Subtitle B, Sec. 122).

• Extends through March 8, 2024 certain minimum adjustments to the work geographic index with respect to payments for physician services under Medicare (Div. B, Title I, Subtitle C, Sec. 131).

• Reduces funding to the Medicare Improvement Fund (Div. B, Title I, Subtitle C, Sec. 132).

• Appropriates federal funding through March 8, 2024 for programs that support child welfare services and activities, specifically for the following, including (Div. B, Title I, Subtitle D, Sec. 141):

• The Stephanie Tubbs Jones Child Welfare Service Program, which provides grants to states and Indian tribes to support preventative interventions and other activities to keep families together; and

• The MaryLee Allen Promoting Safe and Stable Families Program which supports efforts to prevent the unnecessary separation of children from their families, improve quality of care and services to children and their families, and ensure permanent living arrangements for children (parental reunification or adoption).

• Extends through March 8, 2024, federal funding for the Sexual Risk Avoidance Education Program to support projects to implement sexual risk avoidance education that teaches participants to voluntarily refrain from nonmartial sexual activities (Div. B, Title I, Subtitle D, Sec. 142).

• Extends through March 8, 2024, federal funding for the Personal Responsibility Education Program to provide grants to states to educate young people about abstinence and contraception for prevention of pregnancy and sexually transmitted infections as well as support pregnant and parenting youth (Div. B, Title I, Subtitle D, Sec. 143).

• Extends through March 8, 2024 provisions that provide grants and other financial assistance to th Federates States of Micronesia and the Republic of the Marshall Islands (Div. B, Title II, Subtitle D, Sec. 201).

• Extends through March 8, 2024 the authority of the Department of Homeland Security and the Department of Justice to take certain actions to mitigate a credible threat to certain facilities or assets from an anmanned aircraft system (UAS) activity (Div. B, Title III, Subtile D, Sec. 301).

• Exempts the budgetary effects of this divisions from the Statutory Pay-As-You-Go Act of 2010 (PAYGO Act), the Senate PAYGO rule, and certain budget scorekeeping rules (Div. B, Title IV, Subtile D, Sec. 401).

Full Bill Text

Vote Smart's Synopsis:

Vote to pass a bill that makes further continuing appropriations for the fiscal year ending September 30, 2024, to avert a federal government shutdown and for other purposes.

Highlights:

• Authorizes continuing fiscal year 2024 appropriations for federal agencies and extends several expiring programs and authorities, including several public health programs through continuing resolutions (CR) (Div. A, Sec. 101).

• Appropriates federal funding via CR’s through March 1, 2024 for agencies and programs that were funded in the following 4 fiscal year 2023 appropriation acts, including (Sec. ):

• The Agriculture, Rural Development, Food and Drug Adminstration, and Related Agencies Appropriations Act, 2023;

• The Energy and Water Development and Related Agencies Appropriations Act, 2023;

• The Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2023; and

• The Transportation, Housing and Urban Development, and Related Agencies Appropriations Act, 2023.

• Authorizes exceptions for the National Nuclear Security Adminstration and the Federal Aviation Adminstration (Div. A, Sec. 101).

• Authorizes the Department of Defense to obligate specified funds from the Shipbuilding and Conversion, Navy account for the procurement of one Columbia Class Submarine (Div. A, Sec. 101).

• Extends the authority for the U.S. Parole Commission through March 8, 2024 (Div. A, Sec. 101).

• Extends through March 8, 2024, federal funding for the Teaching Health Center Graduate Medical Education Program, the Community Health Fund, and the National Health Services Corp. (Div. B, Title I, Subtitle A, Sec. 101).

• Specifies that the aforementioned extensions shall accomplish the following (Div. B, Title I, Subtitle A, Sec. 101).

• Support education and training of medical students in primary care residency programs in community-basaed ambulatory patient care centers; and

• The National Health Service Corps, which provides scholarships and student loan repayment awards to health care providers who agree to work in areas with health care provider shortages.

• Extends through March 8, 2024, federal funding for the Specified Diabetes Program for Type I Diabetes and the Special Diabetes Program for Indians to support research on the prevention and cure of Type I diabetes, and the Special Diabetes Program for Indians supports diabetes treatment and prevention for tribal populations (Div. B, Title I, Subtitle A, Sec. 102).

• Extends through March 8, 2024 the authority that allows states and tribes to request the temporary reassignment of state and local health department personnel who are funded through certain federal programs to immediately address a public health emergency (Div. B, Title I, Subtitle A, Sec. 103).

• Extends through March 8, 2024 provisions that prohibit the disclosure of information about Department of Health and Human Services (HHS) programs that could compromise national security such as information regarding biomedical threats (Div. B, Title I, Subtitle A, Sec. 103).

• Extends provisions that authorize HHS to engage with developers of medical countermeasures to provde for related antitrust exemptions for the purpose of futhering product development through March 8, 2024 (Div. B, Title I, Subtitle A, Sec. 103).

• Extends federal funding through March 8, 2024 for the National Advisory Committee on Children and Disasters, the National Advisory Commitee on Seniors and Disasters, and the National Advisory Commitee on Individuals with Disabilities and Disasters (Div. B, Title I, Subtitle A, Sec. 103).

• Extends through March 8, 2024 the authority of HHS to directly appoint candidates to positions within the National Medical System if HHS determines the number of personnel in the system in the system is insufficient to address a public health emergency or potential public health emergency (Div. B, Title I, Subtitle A, Sec. 103).

• Specifies that the National Disaster Medical System is a partnership between HHS, the Department of Defense, and other federal departments that responds to public health and other emergencies, including by deploying medical response teams (Div. B, Title I, Subtitle A, Sec. 103).

• Reduces and delays reductions to Medicaid disproportionate-share hospital (DSH) allotments until March 9, 2024 and specifies that DSH’s are hospitals that recieve additional payments under Medicaid for treating a large share of low-income patients (Div. B, Title I, Subtitle B, Sec. 102).

• Reduces the amount of funding available to the Medicaid Improvement Fund for activities relating to mechanized claims systems beginning in fiscal year 2028 (Div. B, Title I, Subtitle B, Sec. 122).

• Extends through March 8, 2024 certain minimum adjustments to the work geographic index with respect to payments for physician services under Medicare (Div. B, Title I, Subtitle C, Sec. 131).

• Reduces funding to the Medicare Improvement Fund (Div. B, Title I, Subtitle C, Sec. 132).

• Appropriates federal funding through March 8, 2024 for programs that support child welfare services and activities, specifically for the following, including (Div. B, Title I, Subtitle D, Sec. 141):

• The Stephanie Tubbs Jones Child Welfare Service Program, which provides grants to states and Indian tribes to support preventative interventions and other activities to keep families together; and

• The MaryLee Allen Promoting Safe and Stable Families Program which supports efforts to prevent the unnecessary separation of children from their families, improve quality of care and services to children and their families, and ensure permanent living arrangements for children (parental reunification or adoption).

• Extends through March 8, 2024, federal funding for the Sexual Risk Avoidance Education Program to support projects to implement sexual risk avoidance education that teaches participants to voluntarily refrain from nonmartial sexual activities (Div. B, Title I, Subtitle D, Sec. 142).

• Extends through March 8, 2024, federal funding for the Personal Responsibility Education Program to provide grants to states to educate young people about abstinence and contraception for prevention of pregnancy and sexually transmitted infections as well as support pregnant and parenting youth (Div. B, Title I, Subtitle D, Sec. 143).

• Extends through March 8, 2024 provisions that provide grants and other financial assistance to th Federates States of Micronesia and the Republic of the Marshall Islands (Div. B, Title II, Subtitle D, Sec. 201).

• Extends through March 8, 2024 the authority of the Department of Homeland Security and the Department of Justice to take certain actions to mitigate a credible threat to certain facilities or assets from an anmanned aircraft system (UAS) activity (Div. B, Title III, Subtile D, Sec. 301).

• Exempts the budgetary effects of this divisions from the Statutory Pay-As-You-Go Act of 2010 (PAYGO Act), the Senate PAYGO rule, and certain budget scorekeeping rules (Div. B, Title IV, Subtile D, Sec. 401).

Full Bill Text

Full Bill Text

Full Bill Text