Division B — Health

119th Congress · Approved Mar 15, 2025 · 139 Stat. 9

DIVISION B Health

TITLE I Public Health Extenders

SEC. 2101. 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 (H), by striking “ and” at the end;

(2)

in subparagraph (I), by striking the period at the end and inserting and inserting “ ; and”; and

(3)

by adding at the end the following:

“(J) $2,135,835,616 for the period beginning on April 1, 2025, and ending on September 30, 2025; and”

(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 (I), by striking “ and” at the end;

(2)

in subparagraph (J), by striking the period at the end and inserting “ ; and”; and

(3)

by adding at the end the following:

“(K) $172,972,603 for the period beginning on April 1, 2025, and ending on September 30, 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)

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) $87,739,726 for the period beginning on April 1, 2025, and ending on September 30, 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 Amendment.— Section 3014(h)(4) of title 18, United States Code, is amended by striking “ and section 3101(d) of the Health Extensions and Other Matters Act, 2025” and inserting “ section 3101(d) of the Health Extensions and Other Matters Act, 2025, and section 2101(d) of division B of the Full-Year Continuing Appropriations and Extensions Act, 2025”.

SEC. 2102. 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 (E), by striking “ and” at the end;

(2)

in subparagraph (F), by striking the period at the end and inserting “ ; and”; and

(3)

by adding at the end the following:

“(G) $79,832,215 for the period beginning on April 1, 2025, and ending on September 30, 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 (E), by striking “ and” at the end;

(2)

in subparagraph (F), by striking the period at the end and inserting “ ; and”; and

(3)

by adding at the end the following:

“(G) $79,832,215 for the period beginning on April 1, 2025, and ending on September 30, 2025, to remain available until expended.”

SEC. 2103. 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 “ March 31, 2025” and inserting “ September 30, 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 “ March 31, 2025” and inserting “ September 30, 2025”.

(c)

Section 319L–1(b) of the Public Health Service Act (42 U.S.C. 247d–7f(b)) is amended by striking “ March 31, 2025” and inserting “ September 30, 2025”.

(d)

(1)

Section 2811A(g) of the Public Health Service Act (42 U.S.C. 300hh–10b(g)) is amended by striking “ March 31, 2025” and inserting “ September 30, 2025”.

(2)

Section 2811B(g)(1) of the Public Health Service Act (42 U.S.C. 300hh–10c(g)(1)) is amended by striking “ March 31, 2025” and inserting “ September 30, 2025”.

(3)

Section 2811C(g)(1) of the Public Health Service Act (42 U.S.C. 300hh–10d(g)(1)) is amended by striking “ March 31, 2025” and inserting “ September 30, 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 “ March 31, 2025” and inserting “ September 30, 2025”.

TITLE II Medicare

SEC. 2201. 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), by striking “ during the portion of fiscal year 2025 beginning on April 1, 2025, and ending on September 30, 2025, and”;

(2)

in subparagraph (C)(i)—

(A)

in the matter preceding subclause (I)—

(i)

by striking “ or portion of a fiscal year”; and

(ii)

by striking “ 2024 and the portion of fiscal year 2025 beginning on October 1, 2024, and ending on March 31, 2025” and inserting “ 2025”;

(B)

in subclause (III), by striking “ 2024 and the portion of fiscal year 2025 beginning on October 1, 2024, and ending on March 31, 2025” and inserting “ 2025”; and

(C)

in subclause (IV), by striking “ the portion of fiscal year 2025 beginning on April 1, 2025, and ending on September 30, 2025, and”; and

(3)

in subparagraph (D)—

(A)

in the matter preceding clause (i), by striking “ 2024 or during the portion of fiscal year 2025 beginning on October 1, 2024, and ending on March 31, 2025” and inserting “ 2025”; and

(B)

in clause (ii), by striking “ 2024 and the portion of fiscal year 2025 beginning on October 1, 2024, and ending on March 31, 2025” and inserting “ 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. 2202. 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 “ April 1, 2025” and inserting “ October 1, 2025”; and

(2)

in clause (ii)(II), by striking “ April 1, 2025” and inserting “ October 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 “ April 1, 2025” and inserting “ October 1, 2025”; and

(B)

in clause (iv), by striking “ 2024 and the portion of fiscal year 2025 beginning on October 1, 2024, and ending on March 31, 2025” and inserting “ 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 “ 2024, or the portion of fiscal year 2025 beginning on October 1, 2024, and ending on March 31, 2025” and inserting “ 2025”.

SEC. 2203. 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 “ April 1, 2025” and inserting “ October 1, 2025”; and

(2)

in paragraph (13), by striking “ April 1, 2025” each place it appears and inserting “ October 1, 2025” in each such place.

SEC. 2204. 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 “ $11,030,000” and inserting “ $14,030,000”; and

(B)

by striking “ March 31, 2025” and inserting “ September 30, 2025”; and

(2)

in the third sentence, by striking “ March 31, 2025” and inserting “ September 30, 2025”.

SEC. 2205. 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 “ March 31, 2025, $22,500,000” and inserting “ September 30, 2025, $30,000,000”.

(b)

Area Agencies on Aging.— Subsection (b)(1)(B)(xiv) of such section 119 is amended by striking “ March 31, 2025, $22,500,000” and inserting “ September 30, 2025, $30,000,000”.

(c)

Aging and Disability Resource Centers.— Subsection (c)(1)(B)(xiv) of such section 119 is amended by striking “ March 31, 2025, $8,500,000” and inserting “ September 30, 2025, $10,000,000”.

(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 “ March 31, 2025, $22,500,000” and inserting “ September 30, 2025, $30,000,000”.

SEC. 2206. 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 “ April 1, 2025” and inserting “ October 1, 2025”.

SEC. 2207. 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 March 31, 2025” and inserting “ ending September 30, 2025”; and

(2)

in paragraph (4)(C)(iii), by striking “ ending on March 31, 2025” and inserting “ ending on September 30, 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 March 31, 2025” and inserting “ ending on September 30, 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 March 31, 2025” and inserting “ ending on September 30, 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 April 1, 2025” and inserting “ on or after October 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 “ April 1, 2025” and inserting “ October 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 “ April 1, 2025” and inserting “ October 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 March 31, 2025” and inserting “ ending on September 30, 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 March 31, 2025” and inserting “ ending on September 30, 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. 2208. 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 “ March 31, 2025” and inserting “ September 30, 2025”.

SEC. 2209. 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 “ March 31, 2025” and inserting “ September 30, 2025”.

SEC. 2210. Medicare Improvement Fund.

Section 1898(b)(1) of the Social Security Act (42 U.S.C. 1395iii(b)(1)) is amended by striking “ $1,251,000,000” and inserting “ $1,804,000,000”.

SEC. 2211. Medicare Sequestration.

Section 251A(6)(D) of the Balanced Budget and Emergency Deficit Control Act of 1985 (2 U.S.C. 901a(6)(D)) is amended—

(1)

in clause (i), by striking “ 8 months” and inserting “ 10 months”; and

(2)

in clause (ii), by striking “ 4 months” and inserting “ 2 months”.

TITLE III Human Services

SEC. 2301. Sexual Risk Avoidance Education Extension.

Section 510 of the Social Security Act (42 U.S.C. 710) is amended—

(1)

in subsection (a)(1)—

(A)

by striking “ the period beginning on October 1, 2024, and ending on March 31, 2025” and inserting “ fiscal year 2025”; and

(B)

by striking “ or 2025”; and

(2)

in subsection (f)(1), by striking “ the period beginning on October 1, 2024, and ending on March 31, 2025, an amount equal to the pro rata portion of the amount appropriated for the corresponding period for” and inserting “ for fiscal year 2025, an amount equal to the amount appropriated for”.

SEC. 2302. 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 “ the period beginning on October 1, 2024, and ending on March 31, 2025” and inserting “ fiscal year 2025”; and

(B)

in subparagraph (B)(i), by striking “ the period beginning on October 1, 2024, and ending on March 31, 2025” and inserting “ fiscal year 2025”; and

(2)

in subsection (f), by striking “ the period beginning on October 1, 2024, and ending on March 31, 2025, an amount equal to the pro rata portion of the amount appropriated for the corresponding period” and inserting “ fiscal year 2025, an amount equal to the amount appropriated for fiscal year 2024”.

SEC. 2303. 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 by striking “ $3,000,000 for the portion of fiscal year 2025 before April 1, 2025.” and inserting “ $6,000,000 for fiscal year 2025”.

TITLE IV Medicaid

SEC. 2401. Delaying Medicaid Dsh Reductions.

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)—

(A)

in the matter preceding subclause (I)—

(i)

by striking “ For the period beginning April 1, 2025, and ending September 30, 2025, and for” and inserting “ For”; and

(ii)

by striking “ through 2027” and inserting “ through 2028”;

(B)

in subclause (I), by striking “ or period”; and

(C)

in subclause (II), by striking “ or period”; and

(2)

in clause (ii)—

(A)

by striking “ for the period beginning April 1, 2025, and ending September 30, 2025, and”; and

(B)

by striking “ through 2027” and inserting “ through 2028”.

Division B — Health