public-law-119-4•Public Law 119–4: Making further continuing appropriations and other extensions for the fiscal year ending September 30, 2025, and for other purposes.
Public Law 119–4: Making further continuing appropriations and other extensions for the fiscal year ending September 30, 2025, and for other purposes.
public-law-119-4Public Law 119-4Statute
As enacted: this collection preserves GovInfo's listed Beta USLM public-law XML, including printed amendment instructions and legislative history. Later amendments are not consolidated here; availability in this XML inventory does not establish completeness of all laws enacted by Congress.
[H.R. 1968]
Full-Year Continuing Appropriations and Extensions Act, 2025.
SHORT TITLE.
TABLE OF CONTENTS.
The table of contents of this Act is as follows:
1 USC 1 note.
REFERENCES.
Full-Year Continuing Appropriations Act, 2025.
Applicability.
FULL-YEAR CONTINUING APPROPRIATIONS ACT, 2025
GENERAL PROVISIONS
Definition.
For purposes of this division, the term “Continuation.
Advanced payments.
In addition to the amounts otherwise provided by section 1101, the following amounts shall be available for the following accounts for advance payments for the first quarter of fiscal year 2026:Continuation.
Each amount incorporated by reference in this Act that was previously designated in division B of Public Law 117–159, division J of Public Law 117–58, or in section 443(b) of division G of Public Law 117–328 by the Congress as an emergency requirement pursuant to a concurrent resolution on the budget shall continue to be treated as an amount specified in section 103(b) of division A of Public Law 118–5.Definition.
of this section, the term “Deadline.
Plans.
Time period.
Time periods.
Reports.
18 USC 3551 note.
AGRICULTURE, RURAL DEVELOPMENT, FOOD AND DRUG ADMINISTRATION, AND RELATED AGENCIES
138 Stat. 117.
of division B of Public Law 118–42(including transfers of funds)
(including transfers of funds)
Determination.
136 Stat. 5201.
COMMERCE, JUSTICE, SCIENCE, AND RELATED AGENCIES
DEPARTMENT OF DEFENSE
138 Stat. 481.
amended by(rescissions)
Records.
That, for the purposes of carrying out the Congressional Budget Act of 1974, the Director of the Congressional Budget Office may request, and the Secretary shall promptly provide documentation and information relating to a project receiving capital assistance as authorized under section 149(e) of such title:(including transfer of funds)
Time period.
Execution plan.
That none of the funds provided under this section may be obligated or expended until 30 days after the Secretary of Defense provides to the congressional defense committees an execution plan:Deadline.
Notification.
Determination.
That upon a determination that all or part of the funds transferred from this appropriation are not necessary for the purposes provided herein, such amounts may be transferred back and merged with this appropriation.Deadline.
Plan.
Not later than 45 days after the date of the enactment of this division, the Department of Defense, after consultation with the Subcommittees on Defense of the Committees on Appropriations of the House of Representatives and the Senate, shall submit to such Subcommittees a spending, expenditure, or operating plan for fiscal year 2025 for appropriations or funds made available pursuant to section 1101(a)(3) or any other provision of this title for the Department of Defense at the same level of detail required for the report outlined by section 8007 of division A of Public Law 118–47.ENERGY AND WATER DEVELOPMENT AND RELATED AGENCIES
Deadline.
Work plan.
Time period.
Not later than 60 days after the date of enactment of this division, the Chief of Engineers shall submit directly to the Committees on Appropriations of the House of Representatives and the Senate a detailed work plan for fiscal year 2025 with respect to the funds appropriated by this division for “Corps of Engineers—Civil”:FINANCIAL SERVICES AND GENERAL GOVERNMENT
5 USC 5303 note.
Payment adjustment.
DEPARTMENT OF HOMELAND SECURITY
14 USC 561 note.
(division K of Public Law 117–263)(rescission)
Sec. 1706.(rescission)
Sec. 1707.(including transfer of funds)
Continuation.
Amounts repurposed or transferred pursuant to this section that were previously designated by the Congress as an emergency requirement pursuant to a concurrent resolution on the budget shall continue to be treated as an amount specified in section 103(b) of division A of Public Law 118–5.42 USC 4026 note.
Effective date.
Subject to paragraph (2), this section shall become effective immediately upon enactment of this Act.DEPARTMENT OF THE INTERIOR, ENVIRONMENT, AND RELATED AGENCIES
Time period.
In addition to amounts otherwise made available in section 1112, $38,709,000 is appropriated for “Department of Health and Human Services—Indian Health Service—Indian Health Services”, which shall become available on October 1, 2025, and remain available through September 30, 2027.Enactment by reference.
5 USC 5332a, prec. 5301, 5343, 5332a note; 16 USC 6592 note; 5 USC 5545c, 5544, 5547, prec. 5501, 5544 note.
are hereby enacted into law.Effective date.
take effect on the day of enactment of this Act; andDEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND RELATED AGENCIES
(rescission)
Sec. 1903.Time period.
Fees.
(including transfer of funds)
Deadline.
138 Stat. 677.
of division D of Public Law 118–4720 USC 1087h note.
of division D of Public Law 118–47(including rescission of funds)
Sec. 1910.Continuation.
42 USC 601 note.
LEGISLATIVE BRANCH
MILITARY CONSTRUCTION, VETERANS AFFAIRS, AND RELATED AGENCIES
Time period.
DEPARTMENT OF STATE, FOREIGN OPERATIONS, AND RELATED PROGRAMS
(including rescission of funds)
Sec. 11207.Debt Restructuring.—
TRANSPORTATION, HOUSING AND URBAN DEVELOPMENT, AND RELATED AGENCIES
This division may be cited as the “
HEALTH
PUBLIC HEALTH EXTENDERS
Time period.
EXTENSION FOR COMMUNITY HEALTH CENTERS, NATIONAL HEALTH SERVICE CORPS, AND TEACHING HEALTH CENTERS THAT OPERATE GME PROGRAMS.
Extension for Community Health Centers.—
Extension for the National Health Service Corps.—
Teaching Health Centers That Operate Graduate Medical Education Programs.—
Application of Provisions.—
Conforming Amendment.—
Time period.
EXTENSION OF SPECIAL DIABETES PROGRAMS.
Extension of Special Diabetes Programs for Type I Diabetes.—
Extending Funding for Special Diabetes Programs for Indians.—
NATIONAL HEALTH SECURITY EXTENSIONS.
MEDICARE
EXTENSION OF INCREASED INPATIENT HOSPITAL PAYMENT ADJUSTMENT FOR CERTAIN LOW-VOLUME HOSPITALS.
In General.—
42 USC 1395ww note.
Implementation.—
EXTENSION OF THE MEDICARE-DEPENDENT HOSPITAL (MDH) PROGRAM.
In General.—
Conforming Amendments.—
In general.—
Permitting hospitals to decline reclassification.—
EXTENSION OF ADD-ON PAYMENTS FOR AMBULANCE SERVICES.
EXTENSION OF FUNDING FOR QUALITY MEASURE ENDORSEMENT, INPUT, AND SELECTION.
EXTENSION OF FUNDING OUTREACH AND ASSISTANCE FOR LOW-INCOME PROGRAMS.
State Health Insurance Assistance Programs.—
Area Agencies on Aging.—
Aging and Disability Resource Centers.—
Coordination of Efforts to Inform Older Americans About Benefits Available Under Federal and State Programs.—
EXTENSION OF THE WORK GEOGRAPHIC INDEX FLOOR.
EXTENSION OF CERTAIN TELEHEALTH FLEXIBILITIES.
Removing Geographic Requirements and Expanding Originating Sites for Telehealth Services.—
Expanding Practitioners Eligible To Furnish Telehealth Services.—
Extending Telehealth Services for Federally Qualified Health Centers and Rural Health Clinics.—
Delaying the In-Person Requirements Under Medicare for Mental Health Services Furnished Through Telehealth and Telecommunications Technology.—
Delay in requirements for mental health services furnished through telehealth.—
Mental health visits furnished by rural health clinics.—
Mental health visits furnished by federally qualified health centers.—
Allowing for the Furnishing of Audio-only Telehealth Services.—
Extending Use of Telehealth To Conduct Face-to-Face Encounter Prior to Recertification of Eligibility for Hospice Care.—
42 USC 1395m note.
Program Instruction Authority.—
EXTENDING ACUTE HOSPITAL CARE AT HOME WAIVER AUTHORITIES.
EXTENSION OF TEMPORARY INCLUSION OF AUTHORIZED ORAL ANTIVIRAL DRUGS AS COVERED PART D DRUGS.
MEDICARE IMPROVEMENT FUND.
MEDICARE SEQUESTRATION.
HUMAN SERVICES
SEXUAL RISK AVOIDANCE EDUCATION EXTENSION.
PERSONAL RESPONSIBILITY EDUCATION EXTENSION.
EXTENSION OF FUNDING FOR FAMILY-TO-FAMILY HEALTH INFORMATION CENTERS.
MEDICAID
DELAYING MEDICAID DSH REDUCTIONS.
OTHER MATTERS
COMMODITY FUTURES TRADING COMMISSION WHISTLEBLOWER PROGRAM.
PROTECTION OF CERTAIN FACILITIES AND ASSETS FROM UNMANNED AIRCRAFT.
ADDITIONAL SPECIAL ASSESSMENT.
NATIONAL CYBERSECURITY PROTECTION SYSTEM AUTHORIZATION.
EXTENSION OF TEMPORARY ORDER FOR FENTANYL-RELATED SUBSTANCES.
BUDGETARY EFFECTS.
Statutory PAYGO Scorecards.—
Senate PAYGO Scorecards.—
Classification of Budgetary Effects.—
LEGISLATIVE HISTORY—H.R. 1968:
CONGRESSIONAL RECORD, Vol. 171 (2025):
Mar. 11, considered and passed House.
Mar. 14, considered and passed Senate.
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