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Pub. L.
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Division D — Health and Human Services Extensions

117th Congress · Approved Sep 30, 2022 · 136 Stat. 2114 · Lineage

DIVISION D Health and Human Services Extensions

TITLE I Medicare and Medicaid

SEC. 101. Extension of Increased Inpatient Hospital Payment Adjustment for Certain Low-Volume Hospitals.

(a)
In General.— Section 1886(d)(12) of the Social Security Act (42 U.S.C. 1395ww(d)(12)) is amended—
(1)
in subparagraph (B), in the matter preceding clause (i), by striking “ in fiscal year 2023 and subsequent fiscal years” and inserting “ during the portion of fiscal year 2023 beginning on December 17, 2022, and ending on September 30, 2023, and in fiscal year 2024 and subsequent fiscal years”;
(2)
in subparagraph (C)(i)—
(A)
in the matter preceding subclause (I)—
(i)
by inserting “ or portion of a fiscal year” after “ for a fiscal year”; and
(ii)
by inserting “ and the portion of fiscal year 2023 beginning on October 1, 2022, and ending on December 16, 2022” after “ through 2022”;
(B)
in subclause (III), by inserting “ and the portion of fiscal year 2023 beginning on October 1, 2022, and ending on December 16, 2022” after “ through 2022”; and
(C)
in subclause (IV), by striking “ fiscal year 2023” and inserting “ the portion of fiscal year 2023 beginning on December 17, 2022, and ending on September 30, 2023, and fiscal year 2024”; and
(3)
in subparagraph (D)—
(A)
in the matter preceding clause (i), by inserting “ or during the portion of fiscal year 2023 beginning on October 1, 2022, and ending on December 16, 2022” after “ through 2022”; and
(B)
in clause (ii), by inserting “ and the portion of fiscal year 2023 beginning on October 1, 2022, and ending on December 16, 2022” after “ through 2022”.
(b)
Implementation.— Notwithstanding any other provision of law, the Secretary of Health and Human Services may implement the provisions of, including the amendments made by, this section by program instruction or otherwise.

SEC. 102. Extension of the Medicare-Dependent Hospital (mdh) Program.

(a)
In General.— Section 1886(d)(5)(G) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(G)) is amended—
(1)
in clause (i), by striking “ October 1, 2022” and inserting “ December 17, 2022”; and
(2)
in clause (ii)(II), by striking “ October 1, 2022” and inserting “ December 17, 2022”.
(b)
Conforming Amendments.—
(1)
Extension of target amount.— Section 1886(b)(3)(D) of the Social Security Act (42 U.S.C. 1395ww(b)(3)(D)) is amended—
(A)
in the matter preceding clause (i), by striking “ October 1, 2022” and inserting “ December 17, 2022”; and
(B)
in clause (iv), by inserting “ and the portion of fiscal year 2023 beginning on October 1, 2022, and ending on December 16, 2022,” after “ through fiscal year 2022”.
(2)
Permitting hospitals to decline reclassification.— Section 13501(e)(2) of the Omnibus Budget Reconciliation Act of 1993 (42 U.S.C. 1395ww note) is amended by striking “ or fiscal year 2000 through fiscal year 2022,” and inserting “ fiscal year 2000 through fiscal year 2022, or the portion of fiscal year 2023 beginning on October 1, 2022, and ending on December 16, 2022”.

SEC. 103. Extension of Increased Fmaps for the Territories.

Section 1905(ff) of the Social Security Act (42 U.S.C. 1396d(ff)) is amended by striking “ December 13” each place it appears and inserting “ December 16” in each such place.

SEC. 104. Reduction of Medicare Improvement Fund.

Section 1898(b)(1) of the Social Security Act (42 U.S.C. 1395iii(b)(1)) is amended by striking “ $7,500,000,000” and inserting “ $7,308,000,000”.

TITLE II Human Services

SEC. 201. Extension of Maternal, Infant, and Early Childhood Home Visiting Programs.

Activities authorized by section 511 of the Social Security Act shall continue through December 16, 2022, in the manner authorized for fiscal year 2022, and out of any money in the Treasury of the United States not otherwise appropriated, there is hereby appropriated for such purpose an amount equal to the pro rata portion of the amount appropriated for such activities for fiscal year 2022.

SEC. 202. Extension of Child and Family Services Programs.

Activities authorized by part B of title IV of the Social Security Act shall continue through December 16, 2022, in the manner authorized for fiscal year 2022, and out of any money in the Treasury of the United States not otherwise appropriated, there are hereby appropriated such sums as may be necessary for such purpose.

TITLE III Public Health

SEC. 301. Extension of the Program to Deem Certain Health Professional Volunteers Employees of the Public Health Service under Certain Circumstances.

(a)
In General.— Section 224(q) of the Public Health Service Act (42 U.S.C. 233(q)) is amended by striking paragraph (6).
(b)
Technical Corrections.— Section 224 of the Public Health Service Act (42 U.S.C. 233) is amended—
(1)
in subsection (g)(1)(H)(iv), by striking “ this section.” and inserting “ this section).”;
(2)
in subsection (k)(3), by inserting “ governing board members,” after “ officers,”;
(3)
in subsection (p)(7)(A)(i), by moving the margin of subclause (II) 2 ems to the left; and
(4)
in subsection (q)(5)(A), by striking “ and paragraph (6)”.

SEC. 302. Extension of Authorization for a Commissioned Officer of the Public Health Service to Accumulate Excess Annual Leave.

For purposes of annual leave accumulated in fiscal year 2022, the authority provided in section 2106 of division C of Public Law 116–159 (42 U.S.C. 210–1 note) shall apply to such leave by substituting “2022” for “2020” in subsections (a) and (d)(2).

TITLE IV Indian Health

SEC. 401. Extension of Moratorium.

Section 424(a) of title IV of division G of Public Law 113–76 is amended by striking “ October 1, 2019” and inserting “ December 16, 2022”.