US Codex
Pub. L.
Notes

Division C — Health

118th Congress · Approved Dec 21, 2024 · 138 Stat. 1722 · Lineage

DIVISION C Health

SEC. 3001. Short Title; Table of Contents.

(a)
Short Title.— This division may be cited as the “Health Extensions and Other Matters Act, 2025”.
(b)
Table of Contents.— The table of contents for this division is as follows:

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.

TITLE I Public Health Extenders

SEC. 3101. Extension for Community Health Centers, National Health Service Corps, and Teaching Health Centers That Operate Gme Programs.

(a)
Extension for Community Health Centers.— Section 10503(b)(1) of the Patient Protection and Affordable Care Act (42 U.S.C. 254b–2(b)(1)) is amended—
(1)
in subparagraph (E), by striking “ and” at the end;
(2)
in subparagraph (F), by striking “ , $4,000,000,000 for each of fiscal years 2019 through 2023” and all that follows through “ and ending on December 31, 2024; and” and inserting a semicolon; and
(3)
by adding at the end the following:

“(G) $4,000,000,000 for each of fiscal years 2019 through 2023;

“(H) $526,027,397 for the period beginning on October 1, 2023, and ending on November 17, 2023, $690,410,959 for the period beginning on November 18, 2023, and ending on January 19, 2024, $536,986,301 for the period beginning on January 20, 2024, and ending on March 8, 2024, and $3,592,328,767 for the period beginning on October 1, 2023, and ending on December 31, 2024; and

“(I) $1,050,410,959 for the period beginning on January 1, 2025, and ending on March 31, 2025.”

(b)
Extension for the National Health Service Corps.— Section 10503(b)(2) of the Patient Protection and Affordable Care Act (42 U.S.C. 254b–2(b)(2)) is amended—
(1)
in subparagraph (H), by striking “ and” at the end;
(2)
in subparagraph (I), by striking the period at the end and inserting “ ; and”; and
(3)
by adding at the end the following:

“(J) $85,068,493 for the period beginning on January 1, 2025, and ending on March 31, 2025.”

(c)
Teaching Health Centers That Operate Graduate Medical Education Programs.— Section 340H(g)(1) of the Public Health Service Act (42 U.S.C. 256h(g)(1)) is amended—
(1)
by striking “ not to exceed $230,000,000” and all that follows through “ and ending on December 31, 2024,”; and
(2)
by striking the period at the end and inserting the following:

“(A) $230,000,000, for the period of fiscal years 2011 through 2015;

“(B) $60,000,000 for each of fiscal years 2016 and 2017;

“(C) $126,500,000 for each of fiscal years 2018 through 2023;

“(D) $16,635,616 for the period beginning on October 1, 2023, and ending on November 17, 2023, $21,834,247 for the period beginning on November 18, 2023, and ending on January 19, 2024, $16,982,192 for the period beginning on January 20, 2024, and ending on March 8, 2024, and $164,136,986 for the period beginning on October 1, 2023, and ending on December 31, 2024; and

“(E) $43,150,685 for the period beginning on January 1, 2025, and ending on March 31, 2025.”

(d)
Application of Provisions.— Amounts appropriated pursuant to the amendments made by this section shall be subject to the requirements contained in Public Law 117–328 for funds for programs authorized under sections 330 through 340 of the Public Health Service Act (42 U.S.C. 254b et seq.).
(e)
Conforming Amendments.— Section 3014(h) of title 18, United States Code, is amended—
(1)
in paragraph (1), by striking “ under subparagraphs (E) and (F) of section 10503(b)(1) of the Patient Protection and Affordable Care Act (42 U.S.C. 254b–2(b)(1))” and inserting “ under section 10503(b)(1) of the Patient Protection and Affordable Care Act (42 U.S.C. 254b–2(b)(1)) for fiscal year 2015 and each subsequent fiscal year (or period thereof)”; and
(2)
in paragraph (4), by striking “ and section 101(d) of the Consolidated Appropriations Act, 2024” and inserting “ section 101(d) of division G of the Consolidated Appropriations Act, 2024, and section 3101(d) of the Health Extensions and Other Matters Act, 2025”.

SEC. 3102. Extension of Special Diabetes Programs.

(a)
Extension of Special Diabetes Programs for Type I Diabetes.— Section 330B(b)(2) of the Public Health Service Act (42 U.S.C. 254c–2(b)(2)) is amended—
(1)
in subparagraph (D), by striking “ and” at the end;
(2)
in subparagraph (E), by striking the period at the end and inserting “ ; and”; and
(3)
by adding at the end the following:

“(F) $39,261,745 for the period beginning on January 1, 2025, and ending on March 31, 2025, to remain available until expended.”

(b)
Extending Funding for Special Diabetes Programs for Indians.— Section 330C(c)(2) of the Public Health Service Act (42 U.S.C. 254c–3(c)(2)) is amended—
(1)
in subparagraph (D), by striking “ and” at the end;
(2)
in subparagraph (E), by striking the period at the end and inserting “ ; and”; and
(3)
by adding at the end the following:

“(F) $39,261,745 for the period beginning on January 1, 2025, and ending on March 31, 2025, to remain available until expended.”

SEC. 3103. National Health Security Extensions.

(a)
Section 319(e)(8) of the Public Health Service Act (42 U.S.C. 247d(e)(8)) is amended by striking “ December 31, 2024” and inserting “ March 31, 2025”.
(b)
Section 319L(e)(1)(D) of the Public Health Service Act (42 U.S.C. 247d–7e(e)(1)(D)) is amended by striking “ December 31, 2024” and inserting “ March 31, 2025”.
(c)
Section 319L–1(b) of the Public Health Service Act (42 U.S.C. 247d–7f(b)) is amended by striking “ December 31, 2024” and inserting “ March 31, 2025”.
(d)
(1)
Section 2811A(g) of the Public Health Service Act (42 U.S.C. 300hh–10b(g)) is amended by striking “ December 31, 2024” and inserting “ March 31, 2025”.
(2)
Section 2811B(g)(1) of the Public Health Service Act (42 U.S.C. 300hh–10c(g)(1)) is amended by striking “ December 31, 2024” and inserting “ March 31, 2025”.
(3)
Section 2811C(g)(1) of the Public Health Service Act (42 U.S.C. 300hh–10d(g)(1)) is amended by striking “ December 31, 2024” and inserting “ March 31, 2025”.
(e)
Section 2812(c)(4)(B) of the Public Health Service Act (42 U.S.C. 300hh–11(c)(4)(B)) is amended by striking “ December 31, 2024” and inserting “ March 31, 2025”.

TITLE II Medicare

SEC. 3201. 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 “ January 1, 2025” and inserting “ April 1, 2025”;
(2)
in subparagraph (C)(i)—
(A)
in the matter preceding subclause (I), by striking “ December 31, 2024” and inserting “ March 31, 2025”;
(B)
in subclause (III), by striking “ December 31, 2024” and inserting “ March 31, 2025”; and
(C)
in subclause (IV), by striking “ January 1, 2025” and inserting “ April 1, 2025”; and
(3)
in subparagraph (D)—
(A)
in the matter preceding clause (i), by striking “ December 31, 2024” and inserting “ March 31, 2025”; and
(B)
in clause (ii), by striking “ December 31, 2024” and inserting “ March 31, 2025”.
(b)
Implementation.— Notwithstanding any other provision of law, the Secretary of Health and Human Services may implement the amendments made by this section by program instruction or otherwise.

SEC. 3202. 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 “ January 1, 2025” and inserting “ April 1, 2025”; and
(2)
in clause (ii)(II), by striking “ January 1, 2025” and inserting “ April 1, 2025”.
(b)
Conforming Amendments.—
(1)
In general.— 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 “ January 1, 2025” and inserting “ April 1, 2025”; and
(B)
in clause (iv), by striking “ December 31, 2024” and inserting “ March 31, 2025”.
(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 “ December 31, 2024” and inserting “ March 31, 2025”.

SEC. 3203. Extension of Add-On Payments for Ambulance Services.

Section 1834(l) of the Social Security Act (42 U.S.C. 1395m(l)) is amended—
(1)
in paragraph (12)(A), by striking “ January 1, 2025” and inserting “ April 1, 2025”; and
(2)
in paragraph (13), by striking “ January 1, 2025” each place it appears and inserting “ April 1, 2025” in each such place.

SEC. 3204. Extension of Funding for Quality Measure Endorsement, Input, and Selection.

Section 1890(d)(2) of the Social Security Act (42 U.S.C. 1395aaa(d)(2)) is amended—
(1)
in the first sentence—
(A)
by striking “ $9,000,000” and inserting “ $11,030,000”; and
(B)
by striking “ December 31, 2024” and inserting “ March 31, 2025”; and
(2)
in the third sentence, by striking “ December 31, 2024” and inserting “ March 31, 2025”.

SEC. 3205. Extension of Funding Outreach and Assistance for Low-Income Programs.

(a)
State Health Insurance Assistance Programs.— Subsection (a)(1)(B)(xiv) of section 119 of the Medicare Improvements for Patients and Providers Act of 2008 (42 U.S.C. 1395b–3 note) is amended by striking “ December 31, 2024, $18,750,000” and inserting “ March 31, 2025, $22,500,000”.
(b)
Area Agencies on Aging.— Subsection (b)(1)(B)(xiv) of such section 119 is amended by striking “ December 31, 2024, $18,750,000” and inserting “ March 31, 2025, $22,500,000”.
(c)
Aging and Disability Resource Centers.— Subsection (c)(1)(B)(xiv) of such section 119 is amended by striking “ December 31, 2024, $6,250,000” and inserting “ March 31, 2025, $8,500,000”.
(d)
Coordination of Efforts to Inform Older Americans About Benefits Available Under Federal and State Programs.— Subsection (d)(2)(xiv) of such section 119 is amended by striking “ December 31, 2024, $18,750,000” and inserting “ March 31, 2025, $22,500,000”.

SEC. 3206. Extension of the Work Geographic Index Floor.

Section 1848(e)(1)(E) of the Social Security Act (42 U.S.C. 1395w–4(e)(1)(E)) is amended by striking “ January 1, 2025” and inserting “ April 1, 2025”.

SEC. 3207. Extension of Certain Telehealth Flexibilities.

(a)
Removing Geographic Requirements and Expanding Originating Sites for Telehealth Services.— Section 1834(m) of the Social Security Act (42 U.S.C. 1395m(m)) is amended—
(1)
in paragraph (2)(B)(iii), by striking “ ending December 31, 2024” and inserting “ ending March 31, 2025”; and
(2)
in paragraph (4)(C)(iii), by striking “ ending on December 31, 2024” and inserting “ ending on March 31, 2025”.
(b)
Expanding Practitioners Eligible to Furnish Telehealth Services.— Section 1834(m)(4)(E) of the Social Security Act (42 U.S.C. 1395m(m)(4)(E)) is amended by striking “ ending on December 31, 2024” and inserting “ ending on March 31, 2025”.
(c)
Extending Telehealth Services for Federally Qualified Health Centers and Rural Health Clinics.— Section 1834(m)(8)(A) of the Social Security Act (42 U.S.C. 1395m(m)(8)(A)) is amended by striking “ ending on December 31, 2024” and inserting “ ending on March 31, 2025”.
(d)
Delaying the In-person Requirements Under Medicare for Mental Health Services Furnished Through Telehealth and Telecommunications Technology.—
(1)
Delay in requirements for mental health services furnished through telehealth.— Section 1834(m)(7)(B)(i) of the Social Security Act (42 U.S.C. 1395m(m)(7)(B)(i)) is amended, in the matter preceding subclause (I), by striking “ on or after” and all that follows through “ described in section 1135(g)(1)(B))” and inserting “ on or after April 1, 2025”.
(2)
Mental health visits furnished by rural health clinics.— Section 1834(y)(2) of the Social Security Act (42 U.S.C. 1395m(y)(2)) is amended by striking “ January 1, 2025” and all that follows through the period at the end and inserting “ April 1, 2025.”.
(3)
Mental health visits furnished by federally qualified health centers.— Section 1834(o)(4)(B) of the Social Security Act (42 U.S.C. 1395m(o)(4)(B)) is amended by striking “ January 1, 2025” and all that follows through the period at the end and inserting “ April 1, 2025.”.
(e)
Allowing for the Furnishing of Audio-only Telehealth Services.— Section 1834(m)(9) of the Social Security Act (42 U.S.C. 1395m(m)(9)) is amended by striking “ ending on December 31, 2024” and inserting “ ending on March 31, 2025”.
(f)
Extending Use of Telehealth to Conduct Face-to-face Encounter Prior to Recertification of Eligibility for Hospice Care.— Section 1814(a)(7)(D)(i)(II) of the Social Security Act (42 U.S.C. 1395f(a)(7)(D)(i)(II)) is amended by striking “ ending on December 31, 2024” and inserting “ ending on March 31, 2025”.
(g)
Program Instruction Authority.— The Secretary of Health and Human Services may implement the amendments made by this section through program instruction or otherwise.

SEC. 3208. Extending Acute Hospital Care at Home Waiver Authorities.

Section 1866G(a)(1) of the Social Security Act (42 U.S.C. 1395cc–7(a)(1)) is amended by striking “ December 31, 2024” and inserting “ March 31, 2025”.

SEC. 3209. Extension of Temporary Inclusion of Authorized Oral Antiviral Drugs as Covered Part D Drugs.

Section 1860D–2(e)(1)(C) of the Social Security Act (42 U.S.C. 1395w–102(e)(1)(C)) is amended by striking “ December 31, 2024” and inserting “ March 31, 2025”.

SEC. 3210. Medicare Improvement Fund.

Section 1898(b)(1) of the Social Security Act (42 U.S.C. 1395iii(b)(1)) is amended by striking “ $3,197,000,000” and inserting “ $1,251,000,000”.

TITLE III Human Services

SEC. 3301. Sexual Risk Avoidance Education Extension.

Section 510 of the Social Security Act (42 U.S.C. 710) is amended—
(1)
in subsection (a)(1), by striking “ December 31, 2024” and inserting “ March 31, 2025”; and
(2)
in subsection (f)(1), by striking “ December 31, 2024” and inserting “ March 31, 2025”.

SEC. 3302. Personal Responsibility Education Extension.

Section 513 of the Social Security Act (42 U.S.C. 713) is amended—
(1)
in subsection (a)(1)—
(A)
in subparagraph (A), in the matter preceding clause (i), by striking “ December 31, 2024” and inserting “ March 31, 2025”; and
(B)
in subparagraph (B)(i), by striking “ December 31, 2024” and inserting “ March 31, 2025”; and
(2)
in subsection (f), by striking “ December 31, 2024” and inserting “ March 31, 2025”.

SEC. 3303. Extension of Funding for Family-To-Family Health Information Centers.

Section 501(c)(1)(A)(viii) of the Social Security Act (42 U.S.C. 701(c)(1)(A)(viii)) is amended—
(1)
by striking “ $1,500,000” and inserting “ $3,000,000”; and
(2)
by striking “ January 1, 2025” and inserting “ April 1, 2025”.

TITLE IV Medicaid

SEC. 3401. Eliminating Certain Disproportionate Share Hospital Payment Cuts.

Section 1923(f)(7)(A) of the Social Security Act (42 U.S.C. 1396r- 4(f)(7)(A)) is amended—
(1)
in clause (i), by striking “ January 1” and inserting “ April 1”; and
(2)
in clause (ii), by striking “ January 1” and inserting “ April 1”.