This act provides continuing FY2025 appropriations for federal agencies and extends various expiring programs and authorities. DIVISION A--FULL-YEAR CONTINUING APPROPRIATIONS ACT, 2025 Full-Year Continuing Appropriations Act, 2025 This division provides continuing FY2025 appropriations to federal agencies for the remainder of FY2025 and extends various expiring programs and authorities. It is known as a continuing resolution (CR) and prevents a government shutdown that would otherwise occur if the FY2025 appropriations bills have not been enacted when the existing CR expires on March 14, 2025. The CR funds most programs and activities at the FY2024 levels. It also includes several additional provisions that increase or decrease funding for various programs compared to FY2024 levels. For more information, see CRS Report R48517, Section-by-Section Summary of the Full-Year Continuing Appropriations Act, 2025 (Division A of P.L. 119-4) DIVISION B--HEALTH This division extends several expiring programs and authorities related to public health, Medicare, and Medicaid. TITLE I--PUBLIC HEALTH EXTENDERS (Sec. 2101) This section extends through FY2025 funding for the Teaching Health Center Graduate Medical Education Program, the Community Health Center Fund, and the National Health Service Corps. The Teaching Health Center Graduate Medical Education Program supports education and training of medical students in primary care residency programs in community-based ambulatory patient care centers. The Community Health Center Fund supports (1) grants for outpatient health care facilities that serve medically underserved populations; and (2) 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. (Sec. 2102) This section extends funding through FY2025 for the Special Diabetes Program for Type I Diabetes and the Special Diabetes Program for Indians. (The Special Diabetes Program for Type I Diabetes supports 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.) (Sec. 2103) This section extends through FY2025 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. It also extends through FY2025 provisions that prohibit the disclosure of information about Department of Health and Human Services (HHS) programs that could compromise national security (e.g., information regarding biomedical threats). The section extends through FY2025 provisions that authorize HHS to engage with developers of medical countermeasures, and that provide for related antitrust exemptions, for the purpose of furthering product development. Additionally, the section extends through FY2025 the National Advisory Committee on Children and Disasters, the National Advisory Committee on Seniors and Disasters, and the National Advisory Committee on Individuals with Disabilities and Disasters. It also extends through FY2025 the authority of HHS to directly appoint candidates to positions within the National Disaster Medical System if HHS determines the number of personnel in the system is insufficient to address a public health emergency or potential public health emergency. (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.) TITLE II--MEDICARE (Sec. 2201) This section extends through FY2025 certain increased payment adjustments for low-volume hospitals under Medicare's inpatient prospective payment system. (Sec. 2202) This section extends through FY2025 the Medicare-Dependent Hospital Program, which provides additional payments to certain small rural hospitals that have a high proportion of Medicare patients. (Sec. 2203) This section extends through FY2025 certain increased payment adjustments for ground ambulance services in rural and other areas under Medicare. (Sec. 2204) This section extends through FY2025 funding for certain Medicare quality-measurement activities. (Sec. 2205) This section extends through FY2025 funding for state health insurance programs, area agencies on aging, aging and disability resource centers, and technical assistance related to outreach and enrollment with respect to Medicare and other programs. (Sec. 2206) This section extends through FY2025 certain minimum adjustments to the work geographic index with respect to payments for physician services under Medicare. (Sec. 2207) This section extends through FY2025 certain telehealth flexibilities under Medicare. Specifically, the section (1) removes geographic restrictions on originating sites (i.e., the location of the beneficiary); (2) allows the home of the beneficiary to serve as the originating site for all services; (3) allows audiologists, physical therapists, occupational therapists, and speech-language pathologists to furnish telehealth services; (4) allows federally qualified health centers and rural health clinics to serve as the distant site (i.e., the location of the health care practitioner); (5) delays implementation of certain in-person evaluation requirements for mental health telehealth services; (6) expands coverage to include audio-only services for evaluation and management and behavioral health services; and (7) allows, for purposes of hospice care recertification under Medicare, physicians and nurse practitioners to fulfill the requirement of a face-to-face encounter with the hospice patient via telehealth. (Sec. 2208) This section extends through FY2025 the Acute Hospital Care at Home Program under Medicare. (The program allows hospitals to treat certain patients from emergency departments or inpatient hospital beds at home.) (Sec. 2209) This section extends through FY2025 coverage under the Medicare prescription drug benefit of prescription oral antiviral drugs that were authorized in response to the COVID-19 public health emergency. (Sec. 2210) This section increases funding for the Medicare Improvement Fund beginning in FY2026. (Sec. 2211) This section extends by two months the sequestration that applies to Medicare payments in FY2032. TITLE III--HUMAN SERVICES (Sec. 2301) This section extends through FY2025 the Sexual Risk Avoidance Education Program. This program supports projects to implement sexual risk avoidance education that teaches participants to voluntarily refrain from nonmarital sexual activities. (Sec. 2302) This section extends through FY2025 the Personal Responsibility Education Program. This program provides grants to states to (1) educate young people about abstinence and contraception to prevent pregnancy and sexually transmitted infections, and (2) support pregnant youth and mothers under the age of 21. (Sec. 2303) This section extends through FY2025 the Family-to-Family Health Information Centers Program, which is administered by the Health Resources and Services Administration. The program awards grants to family-run organizations to support the provision of information and peer support to families of children with special health care needs. TITLE IV--MEDICAID This section delays reductions to Medicaid disproportionate-share hospital (DSH) allotments until FY2026. (DSHs are hospitals that receive additional payments under Medicaid for treating a large share of low-income patients.) DIVISION C--OTHER MATTERS This division extends several expiring programs and authorities through FY2025. (Sec. 3101) This section extends authorities related to the Commodity Futures Trading Commission’s whistleblower program. (Sec. 3102) This section extends the authority of the Department of Homeland Security (DHS) and the Department of Justice to take certain actions to mitigate a credible threat to certain facilities or assets from an unmanned aircraft system (UAS). These include certain facilities that are located in the United States and identified as high-risk and a potential target for unlawful UAS activity. (Sec. 3103) This section extends the special assessment on nonindigent persons or entities convicted of certain offenses involving sexual abuse or human trafficking. The assessment funds programs for human trafficking survivors. (Sec. 3104) This section extends the authority for DHS’s National Cybersecurity Protection System and related reporting requirements. The system authorizes multiple activities by DHS to help defend federal agencies from cyberthreats. (Sec. 3105) This section extends, the temporary scheduling order issued by the Drug Enforcement Administration to place fentanyl-related substances in schedule I of the Controlled Substances Act. (Sec. 3106) This section exempts the budgetary effects of Divisions B and C of this act from (1) the Statutory Pay-As-You-Go (PAYGO) Act of 2010, (2) the Senate PAYGO rule, and (3) certain budget scorekeeping rules.

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processBuilding constructionBusiness investment and capitalBuy American requirementsCaliforniaCanadaCardiovascular and respiratory healthCell biology and embryologyCemeteries and funeralsCensus and government statisticsChild healthChild safety and welfareChinaCivil actions and liabilityClimate change and greenhouse gasesCoalCoast guardCollective securityColoradoCommission of Fine ArtsCommission on Civil RightsCommodities marketsCommodity Credit CorporationCommodity Futures Trading CommissionCommunity life and organizationCompetition and antitrustCompetitiveness, trade promotion, trade deficitsComputer security and identity theftComputers and information technologyConflicts and warsCongressional officers and employeesConnecticutCorrectional facilities and imprisonmentCrime preventionCrime victimsCrimes against childrenCrimes against womenCriminal investigation, prosecution, interrogationCriminal justice information and recordsCriminal procedure and sentencingCubaCurrencyCustoms 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CommissionElections, voting, political campaign regulationElectric power generation and transmissionElementary and secondary educationEmergency communications systemsEmergency planning and evacuationEmployee benefits and pensionsEmployment and training programsEmployment discrimination and employee rightsEndangered and threatened speciesEnergy efficiency and conservationEnvironmental Protection Agency (EPA)Environmental assessment, monitoring, researchEnvironmental healthEnvironmental regulatory proceduresEnvironmental technologyEqual Employment Opportunity Commission (EEOC)EuropeEvidence and witnessesExecutive Office of the PresidentExecutive agency funding and structureFamily planning and birth controlFamily relationshipsFamily servicesFarm Credit AdministrationFarmlandFederal Bureau of Investigation (FBI)Federal Crop Insurance CorporationFederal Emergency Management Agency (FEMA)Federal Energy Regulatory Commission (FERC)Federal Maritime CommissionFederal appellate courtsFederal 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XML scalars

congress: 119
type: HR
number: 1968
originChamber: House
originChamberCode: H
introducedDate: 2025-03-10
updateDate: 2026-09-08T19:31:27Z
updateDateIncludingText: 2026-09-08T19:31:27Z
title: Full-Year Continuing Appropriations and Extensions Act, 2025
legislationUrl: https://www.congress.gov/bill/119th-congress/house-bill/1968

Constitutional authority statement (CDATA)

[Congressional Record Volume 171, Number 44 (Monday, March 10, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mr. COLE:H.R. 1968.Congress has the power to enact this legislation pursuantto the following:The principal constitutional authority for this legislationis clause 7 of section 9 of article I of the Constitution ofthe United States (the appropriation power), which states:``No Money shall be drawn from the Treasury, but inConsequence of Appropriations made by Law. . . .'' Inaddition, clause 1 of section 8 of article I of theConstitution (the spending power) provides: ``The Congressshall have the Power . . . to pay the Debts and provide forthe common Defence and general Welfare of the United States.. . .'' Together, these specific constitutional provisionsestablish the congressional power of the purse, grantingCongress the authority to appropriate funds, to determinetheir purpose, amount, and period of availability, and to setforth terms and conditions governing their use.[Page H1067]

Pipeline

Track

federal_terminal

Stage

Final Outcome

Stage rank

Sponsor

Rep. Cole, Tom [R-OK-4] · [R-OK-4] · C001053
Rep-OK-4 current · 12 terms · @TomColeOK04 · 3 district offices

Sponsor record (congress_legislators)

Bio (legislators)

bioguide

C001053

status

current

official_full

Tom Cole

first

Tom

middle

null

last

Cole

suffix

null

nickname

null

birthday

1949-04-28

gender

Current term (12 total)

type

rep

state

district

class

null

party

Republican

caucus

null

start

2025-01-03

end

2027-01-03

end_type

null

how

null

url

https://cole.house.gov

address

2207 Rayburn House Office Building Washington DC 20515-3604

office

2207 Rayburn House Office Building

phone

202-225-6165

fax

null

contact_form

null

rss_url

http://cole.house.gov/rss.xml

Leadership roles (0)

none

Committee memberships (1)

House Committee on Appropriations (house) · house · Chair · rank 1 · site

Social media

Twitter: @TomColeOK04
Facebook: @TomColeOK04
Instagram: @TomColeOK04
YouTube: @reptomcole

District offices (3)

711 SW. D Ave., Suite 201, Lawton, OK, 73501 · 580-357-2131 · fax 580-357-7477 · 34.6044481,-98.3995211
3219 Rock Creek Rd., Suite 125, Norman, OK, 73072 · 405-329-6500 · fax 405-321-7369 · 35.2481222,-97.3950727
100 E. 13th St., Suite 213, Ada, OK, 74820 · 580-436-5375 · fax 580-436-5451 · 34.7723614,-96.6790693

Other names (0)

none

Sponsor FEC record (fec_live)

Candidate record (candidates) · cycle 2026

candidate_id

H2OK04055

cycle

2026

name

COLE, TOM

party

REPUBLICAN PARTY

office

House

state

district

incumbent_challenge

Incumbent

candidate_status

active_through

2026

election_year

null

first_file_date

2002-07-10

last_file_date

2024-12-05

last_f2_date

2024-12-05

address

null

Candidate summary (candidate_summaries) · cycle 2026

cycle

2026

total_receipts

$3,827,891.36

total_disbursements

$3,008,431.84

cash_on_hand_end_period

$2,599,732.95

debts_owed_by_committee

$0.00

coverage_start_date

2025-01-01

coverage_end_date

2026-06-30

Connected committees (0)

none

Cosponsors (0)

none

Committees (2)

Appropriations Committee [House Standing]
2025-03-11T21:40:49ZUnknown
2025-03-11T21:10:32ZUnknown
2025-03-10T16:00:05ZReferred To
Budget Committee [House Standing]
2025-03-10T16:00:10ZReferred To

Actions — from XML (36)

2025-03-15PresidentE40000via Library of Congress
Became Public Law No: 119-4.
2025-03-15BecameLaw36000via Library of Congress
Became Public Law No: 119-4.
2025-03-15PresidentE30000via Library of Congress
Signed by President.
2025-03-15BecameLaw36000via Library of Congress
Signed by President.
2025-03-14FloorE20000via House floor actions
Presented to President.
2025-03-14President28000via Library of Congress
Presented to President.
2025-03-14Floorvia Senate
Message on Senate action sent to the House.
2025-03-14Floorvia Senate
Passed Senate without amendment by Yea-Nay Vote. 54 - 46. Record Vote Number: 133.
VoteSenate roll 133 — source
2025-03-14Floor17000via Library of Congress
Passed/agreed to in Senate: Passed Senate without amendment by Yea-Nay Vote. 54 - 46. Record Vote Number: 133.
VoteSenate roll 133 — source
2025-03-14Floorvia Senate
Cloture on the measure invoked in Senate by Yea-Nay Vote. 62 - 38. Record Vote Number: 128. (CR S1768)
VoteSenate roll 128 — source
2025-03-14Floorvia Senate
Cloture motion on the measure presented in Senate. (CR S1768)
2025-03-14Floorvia Senate
Measure laid before Senate by unanimous consent. (consideration: CR S1768-1772)
2025-03-14Floorvia Senate
Motion to proceed to consideration of measure agreed to in Senate by Unanimous Consent. (CR S1768)
2025-03-14Floorvia Senate
Cloture motion on the motion to proceed to the measure withdrawn by unanimous consent in Senate. (CR S1768)
2025-03-12Floorvia Senate
Cloture motion on the motion to proceed to the measure presented in Senate. (CR S1700)
2025-03-12Floorvia Senate
Motion to proceed to consideration of measure made in Senate. (CR S1681)
2025-03-11Calendarsvia Senate
Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 26.
2025-03-11Calendarsvia Senate
Received in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time. (Legislative Day March 10, 2025).
2025-03-11 17:47:30FloorH38310via House floor actions
Motion to reconsider laid on the table Agreed to without objection.
2025-03-11 17:47:28FloorH37100via House floor actions
On passage Passed by the Yeas and Nays: 217 - 213 (Roll no. 70). (text of amendment in the nature of a substitute: CR H1102-1113)
VoteHouse roll 70 — source
2025-03-11 17:47:28Floor8000via Library of Congress
Passed/agreed to in House: On passage Passed by the Yeas and Nays: 217 - 213 (Roll no. 70). (text of amendment in the nature of a substitute: CR H1102-1113)
VoteHouse roll 70 — source
2025-03-11 17:40:49FloorH36210via House floor actions
On motion to recommit Failed by the Yeas and Nays: 213 - 216 (Roll no. 69).
VoteHouse roll 69 — source
2025-03-11 17:34:21FloorH30000via House floor actions
Considered as unfinished business. (consideration: CR H1124-1126)
2025-03-11 17:11:11FloorH8D000via House floor actions
POSTPONED PROCEEDINGS - At the conclusion of debate on H.R. 1968, the Chair put the question on the motion to recommit and announced that the noes had prevailed. Ms. Meng demanded the yeas and nays and the Chair postponed further proceedings until a time to be announced.
2025-03-11 17:10:45FloorH8D000via House floor actions
The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.
2025-03-11 17:10:32FloorH36200via House floor actions
Ms. Meng moved to recommit to the Committee on Appropriations. (text: CR H1123-1124)
2025-03-11 17:10:00FloorH35000via House floor actions
The previous question was ordered pursuant to the rule.
2025-03-11 15:38:22FloorH8D000via House floor actions
DEBATE - The House proceeded with one hour of debate on H.R. 1968.
2025-03-11 15:37:38FloorH8D000via House floor actions
Rule provides for consideration of H.J. Res. 25, H.R. 1156 and H.R. 1968. The resolution provides for consideration of H.J. Res. 25, H.R. 1156, and H.R. 1968 under a closed rule. Also, the resolution provides for one hour of general debate and one motion to recommit on each measure.
2025-03-11 15:37:33FloorH30000via House floor actions
Considered under the provisions of rule H. Res. 211. (consideration: CR H1102-1124)
2025-03-11 14:06:23FloorH1L220via House floor actions
Rule H. Res. 211 passed House.
2025-03-11 10:09:59FloorH1L210via House floor actions
Rules Committee Resolution H. Res. 211 Reported to House. Rule provides for consideration of H.J. Res. 25, H.R. 1156 and H.R. 1968. The resolution provides for consideration of H.J. Res. 25, H.R. 1156, and H.R. 1968 under a closed rule. Also, the resolution provides for one hour of general debate and one motion to recommit on each measure.
2025-03-10IntroReferralH11100via House floor actions
Referred to the Committee on Appropriations, and in addition to the Committee on the Budget, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
2025-03-10IntroReferralH11100via House floor actions
Referred to the Committee on Appropriations, and in addition to the Committee on the Budget, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
2025-03-10IntroReferralIntro-Hvia Library of Congress
Introduced in House
2025-03-10IntroReferral1000via Library of Congress
Introduced in House

Actions — from bill_actions table (0)

none

Titles

Official Titles from EH (Engrossed in House) bill textEHH2026-07-10T19:23:33Z
Making further continuing appropriations and other extensions for the fiscal year ending September 30, 2025, and for other purposes.
Short Titles from ENR (Enrolled) bill textENRJ2025-03-18T04:38:21Z
Full-Year Continuing Appropriations and Extensions Act, 2025
Short Title(s) from PCS (Placed on Senate Calendar) bill textPCSS2025-03-12T12:53:20Z
Full-Year Continuing Appropriations and Extensions Act, 2025
Short Title(s) as Passed HouseEHH2025-03-12T04:38:21Z
Full-Year Continuing Appropriations and Extensions Act, 2025
Short Title(s) as IntroducedIH2025-03-11T08:23:19Z
Full-Year Continuing Appropriations and Extensions Act, 2025
Display Title2025-03-11T08:23:19Z
Full-Year Continuing Appropriations and Extensions Act, 2025
Official Title as IntroducedIH2025-03-11T08:18:29Z
Making further continuing appropriations and other extensions for the fiscal year ending September 30, 2025, and for other purposes.

Text versions (from XML)

Enrolled Bill
https://www.govinfo.gov/content/pkg/BILLS-119hr1968enr/uslm/BILLS-119hr1968enr.xml
https://www.govinfo.gov/content/pkg/BILLS-119hr1968enr/xml/BILLS-119hr1968enr.xml
Placed on Calendar Senate2025-03-11T04:00:00Z
https://www.govinfo.gov/content/pkg/BILLS-119hr1968pcs/xml/BILLS-119hr1968pcs.xml
Engrossed in House2025-03-11T04:00:00Z
https://www.govinfo.gov/content/pkg/BILLS-119hr1968eh/xml/BILLS-119hr1968eh.xml
Introduced in House2025-03-10T04:00:00Z
https://www.govinfo.gov/content/pkg/BILLS-119hr1968ih/xml/BILLS-119hr1968ih.xml
Public Law2025-03-16T03:59:59Z
https://www.govinfo.gov/content/pkg/PLAW-119publ4/uslm/PLAW-119publ4.xml

Versions — from bill_versions table (0)

none

Policy area

Economics and Public Finance

Summaries

00 · 2025-03-10 · Introduced in House

Full-Year Continuing Appropriations and Extensions Act, 2025

This bill provides continuing FY2025 appropriations for federal agencies and extends various expiring programs and authorities.

Specifically, the bill provides continuing FY2025 appropriations to federal agencies for the remainder of FY2025. It is known as a continuing resolution (CR) and prevents a government shutdown that would otherwise occur if the FY2025 appropriations bills have not been enacted when the existing CR expires on March 14, 2025.

The CR funds most programs and activities at the FY2024 levels. It also includes several additional provisions that increase or decrease funding for various programs compared to FY2024 levels.

In addition, the bill extends several expiring programs and authorities, including

several public health, Medicare, and Medicaid authorities and programs;
the National Flood Insurance Program;
authorities related to the Commodity Futures Trading Commission whistleblower program;
the Department of Homeland Security (DHS) National Cybersecurity Protection System;
authorities for DHS and the Department of Justice to take certain actions to mitigate a credible threat from an unmanned aircraft system;
the Temporary Assistance for Needy Families (TANF) program;
several immigration-related programs and authorities;
the special assessment on nonindigent persons or entities convicted of certain offenses involving sexual abuse or human trafficking;
the temporary scheduling order issued by the Drug Enforcement Administration to place fentanyl-related substances in Schedule I of the Controlled Substances Act;
the authorization for the U.S. Parole Commission; and
the Department of Agriculture livestock mandatory price reporting program.

49 · 2025-03-15 · Public Law

Full-Year Continuing Appropriations and Extensions Act, 2025

This act provides continuing FY2025 appropriations for federal agencies and extends various expiring programs and authorities.

DIVISION A--FULL-YEAR CONTINUING APPROPRIATIONS ACT, 2025

Full-Year Continuing Appropriations Act, 2025

This division provides continuing FY2025 appropriations to federal agencies for the remainder of FY2025 and extends various expiring programs and authorities. It is known as a continuing resolution (CR) and prevents a government shutdown that would otherwise occur if the FY2025 appropriations bills have not been enacted when the existing CR expires on March 14, 2025.

The CR funds most programs and activities at the FY2024 levels. It also includes several additional provisions that increase or decrease funding for various programs compared to FY2024 levels.

For more information, see CRS Report R48517, Section-by-Section Summary of the Full-Year Continuing Appropriations Act, 2025 (Division A of P.L. 119-4)

DIVISION B--HEALTH

This division extends several expiring programs and authorities related to public health, Medicare, and Medicaid.

TITLE I--PUBLIC HEALTH EXTENDERS

(Sec. 2101) This section extends through FY2025 funding for the Teaching Health Center Graduate Medical Education Program, the Community Health Center Fund, and the National Health Service Corps.

The Teaching Health Center Graduate Medical Education Program supports education and training of medical students in primary care residency programs in community-based ambulatory patient care centers. The Community Health Center Fund supports (1) grants for outpatient health care facilities that serve medically underserved populations; and (2) 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.

(Sec. 2102) This section extends funding through FY2025 for the Special Diabetes Program for Type I Diabetes and the Special Diabetes Program for Indians. (The Special Diabetes Program for Type I Diabetes supports 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.)

(Sec. 2103) This section extends through FY2025 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.

It also extends through FY2025 provisions that prohibit the disclosure of information about Department of Health and Human Services (HHS) programs that could compromise national security (e.g., information regarding biomedical threats).

The section extends through FY2025 provisions that authorize HHS to engage with developers of medical countermeasures, and that provide for related antitrust exemptions, for the purpose of furthering product development.

Additionally, the section extends through FY2025 the National Advisory Committee on Children and Disasters, the National Advisory Committee on Seniors and Disasters, and the National Advisory Committee on Individuals with Disabilities and Disasters.

It also extends through FY2025 the authority of HHS to directly appoint candidates to positions within the National Disaster Medical System if HHS determines the number of personnel in the system is insufficient to address a public health emergency or potential public health emergency. (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.)

TITLE II--MEDICARE

(Sec. 2201) This section extends through FY2025 certain increased payment adjustments for low-volume hospitals under Medicare's inpatient prospective payment system.

(Sec. 2202) This section extends through FY2025 the Medicare-Dependent Hospital Program, which provides additional payments to certain small rural hospitals that have a high proportion of Medicare patients.

(Sec. 2203) This section extends through FY2025 certain increased payment adjustments for ground ambulance services in rural and other areas under Medicare.

(Sec. 2204) This section extends through FY2025 funding for certain Medicare quality-measurement activities.

(Sec. 2205) This section extends through FY2025 funding for state health insurance programs, area agencies on aging, aging and disability resource centers, and technical assistance related to outreach and enrollment with respect to Medicare and other programs.

(Sec. 2206) This section extends through FY2025 certain minimum adjustments to the work geographic index with respect to payments for physician services under Medicare.

(Sec. 2207) This section extends through FY2025 certain telehealth flexibilities under Medicare.

Specifically, the section (1) removes geographic restrictions on originating sites (i.e., the location of the beneficiary); (2) allows the home of the beneficiary to serve as the originating site for all services; (3) allows audiologists, physical therapists, occupational therapists, and speech-language pathologists to furnish telehealth services; (4) allows federally qualified health centers and rural health clinics to serve as the distant site (i.e., the location of the health care practitioner); (5) delays implementation of certain in-person evaluation requirements for mental health telehealth services; (6) expands coverage to include audio-only services for evaluation and management and behavioral health services; and (7) allows, for purposes of hospice care recertification under Medicare, physicians and nurse practitioners to fulfill the requirement of a face-to-face encounter with the hospice patient via telehealth.

(Sec. 2208) This section extends through FY2025 the Acute Hospital Care at Home Program under Medicare. (The program allows hospitals to treat certain patients from emergency departments or inpatient hospital beds at home.)

(Sec. 2209) This section extends through FY2025 coverage under the Medicare prescription drug benefit of prescription oral antiviral drugs that were authorized in response to the COVID-19 public health emergency.

(Sec. 2210) This section increases funding for the Medicare Improvement Fund beginning in FY2026.

(Sec. 2211) This section extends by two months the sequestration that applies to Medicare payments in FY2032.

TITLE III--HUMAN SERVICES

(Sec. 2301) This section extends through FY2025 the Sexual Risk Avoidance Education Program. This program supports projects to implement sexual risk avoidance education that teaches participants to voluntarily refrain from nonmarital sexual activities.

(Sec. 2302) This section extends through FY2025 the Personal Responsibility Education Program. This program provides grants to states to (1) educate young people about abstinence and contraception to prevent pregnancy and sexually transmitted infections, and (2) support pregnant youth and mothers under the age of 21.

(Sec. 2303) This section extends through FY2025 the Family-to-Family Health Information Centers Program, which is administered by the Health Resources and Services Administration. The program awards grants to family-run organizations to support the provision of information and peer support to families of children with special health care needs.

TITLE IV--MEDICAID

This section delays reductions to Medicaid disproportionate-share hospital (DSH) allotments until FY2026. (DSHs are hospitals that receive additional payments under Medicaid for treating a large share of low-income patients.)

DIVISION C--OTHER MATTERS

This division extends several expiring programs and authorities through FY2025.

(Sec. 3101) This section extends authorities related to the Commodity Futures Trading Commission’s whistleblower program.

(Sec. 3102) This section extends the authority of the Department of Homeland Security (DHS) and the Department of Justice to take certain actions to mitigate a credible threat to certain facilities or assets from an unmanned aircraft system (UAS). These include certain facilities that are located in the United States and identified as high-risk and a potential target for unlawful UAS activity.

(Sec. 3103) This section extends the special assessment on nonindigent persons or entities convicted of certain offenses involving sexual abuse or human trafficking. The assessment funds programs for human trafficking survivors.

(Sec. 3104) This section extends the authority for DHS’s National Cybersecurity Protection System and related reporting requirements. The system authorizes multiple activities by DHS to help defend federal agencies from cyberthreats.

(Sec. 3105) This section extends, the temporary scheduling order issued by the Drug Enforcement Administration to place fentanyl-related substances in schedule I of the Controlled Substances Act.

(Sec. 3106) This section exempts the budgetary effects of Divisions B and C of this act from (1) the Statutory Pay-As-You-Go (PAYGO) Act of 2010, (2) the Senate PAYGO rule, and (3) certain budget scorekeeping rules.

Related bills

S 724 (119) Temporary Extension of Fentanyl-Related Substances Scheduling Act
Latest: 2025-02-25 — Read twice and referred to the Committee on the Judiciary.
Relationship: Public law contains the text (via CRS)
HRES 211 (119) Providing for consideration of the joint resolution (H.J. Res. 25) providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Internal Revenue Service relating to ‘‘Gross Proceeds Reporting by Brokers That Regularly Provide Services Effectuating Digital Asset Sales’’; providing for consideration of the bill (H.R. 1156) to amend the CARES Act to extend the statute of limitations for fraud under certain unemployment programs, and for other purposes; providing for consideration of the bill (H.R. 1968) making further continuing appropriations and other extensions for the fiscal year ending September 30, 2025, and for other purposes; and for other purposes.
Latest: 2025-09-16 — Pursuant to the provisions of H.Res. 707, H.Res. 211 is amended.
Relationship: Procedurally related (via House)

Amendments (23)

HAMDT 8 (119)
Pursuant to the provisions of H. Res. 211, the amendment printed in report 119-15 is considered adopted.
Submitted 2025-03-11T04:00:00Z
Chamber: House of Representatives
Amends: HR 1968 (119)
Latest: 2025-03-11 — On agreeing to the Rules amendment (A001) Agreed to without objection.
Sponsors
- null
SAMDT 1288 (119)
Submitted 2025-03-14T04:00:00Z
Chamber: Senate
Amends: HR 1968 (119)
Sponsors
- Sen. Ernst, Joni [R-IA] · [R-IA] · E000295
SAMDT 1287 (119)
Submitted 2025-03-14T04:00:00Z
Chamber: Senate
Amends: HR 1968 (119)
Sponsors
- Sen. Booker, Cory A. [D-NJ] · [D-NJ] · B001288
SAMDT 1285 (119)
Submitted 2025-03-14T04:00:00Z
Chamber: Senate
Amends: HR 1968 (119)
Sponsors
- Sen. Coons, Christopher A. [D-DE] · [D-DE] · C001088
SAMDT 1284 (119)
Submitted 2025-03-14T04:00:00Z
Chamber: Senate
Amends: HR 1968 (119)
Sponsors
- Sen. Shaheen, Jeanne [D-NH] · [D-NH] · S001181
SAMDT 1283 (119)
Submitted 2025-03-14T04:00:00Z
Chamber: Senate
Amends: HR 1968 (119)
Sponsors
- Sen. Cortez Masto, Catherine [D-NV] · [D-NV] · C001113
SAMDT 1282 (119)
Submitted 2025-03-14T04:00:00Z
Chamber: Senate
Amends: HR 1968 (119)
Sponsors
- Sen. Cortez Masto, Catherine [D-NV] · [D-NV] · C001113
SAMDT 1281 (119)
Submitted 2025-03-14T04:00:00Z
Chamber: Senate
Amends: HR 1968 (119)
Sponsors
- Sen. Warner, Mark R. [D-VA] · [D-VA] · W000805
SAMDT 1280 (119)
Submitted 2025-03-14T04:00:00Z
Chamber: Senate
Amends: HR 1968 (119)
Sponsors
- Sen. Alsobrooks, Angela D. [D-MD] · [D-MD] · A000382
SAMDT 1279 (119)
Submitted 2025-03-14T04:00:00Z
Chamber: Senate
Amends: HR 1968 (119)
Sponsors
- Sen. Alsobrooks, Angela D. [D-MD] · [D-MD] · A000382
SAMDT 1278 (119)
Submitted 2025-03-14T04:00:00Z
Chamber: Senate
Amends: HR 1968 (119)
Sponsors
- Sen. Shaheen, Jeanne [D-NH] · [D-NH] · S001181
SAMDT 1277 (119)
Submitted 2025-03-14T04:00:00Z
Chamber: Senate
Amends: HR 1968 (119)
Sponsors
- Sen. Blumenthal, Richard [D-CT] · [D-CT] · B001277
SAMDT 1276 (119)
Submitted 2025-03-14T04:00:00Z
Chamber: Senate
Amends: HR 1968 (119)
Sponsors
- Sen. Blumenthal, Richard [D-CT] · [D-CT] · B001277
SAMDT 1275 (119)
Submitted 2025-03-14T04:00:00Z
Chamber: Senate
Amends: HR 1968 (119)
Sponsors
- Sen. Reed, Jack [D-RI] · [D-RI] · R000122
SAMDT 1274 (119)
To make veteran Federal employees who were involuntarily dismissed without cause eligible for reinstatement and to require reports from Executive agencies on the number of veteran employees fired from such agencies.
Submitted 2025-03-14T04:00:00Z
Chamber: Senate
Amends: HR 1968 (119)
Latest: 2025-03-14 — Amendment SA 1274, under the order of 3/14/2025, not having achieved 60 votes in the affirmative, was not agreed to in Senate by Yea-Nay Vote. 47 - 53. Record Vote Number: 130.
Sponsors
- Sen. Duckworth, Tammy [D-IL] · [D-IL] · D000622
SAMDT 1273 (119)
To except the application of certain rescissions.
Submitted 2025-03-14T04:00:00Z
Chamber: Senate
Amends: HR 1968 (119)
Latest: 2025-03-14 — Amendment SA 1273, under the order of 3/14/2025, not having achieved 60 votes in the affirmative, was not agreed to in Senate by Yea-Nay Vote. 47 - 53. Record Vote Number: 129.
Sponsors
- Sen. Merkley, Jeff [D-OR] · [D-OR] · M001176
SAMDT 1272 (119)
To prohibit the use of appropriated amounts by DOGE.
Submitted 2025-03-13T04:00:00Z
Chamber: Senate
Amends: HR 1968 (119)
Latest: 2025-03-14 — Amendment SA 1272, under the order of 3/14/2025, not having achieved 60 votes in the affirmative, was not agreed to in Senate by Yea-Nay Vote. 48 - 52. Record Vote Number: 131.
Sponsors
- Sen. Van Hollen, Chris [D-MD] · [D-MD] · V000128
SAMDT 1271 (119)
Submitted 2025-03-13T04:00:00Z
Chamber: Senate
Amends: HR 1968 (119)
Sponsors
- Sen. Kaine, Tim [D-VA] · [D-VA] · K000384
SAMDT 1270 (119)
Submitted 2025-03-13T04:00:00Z
Chamber: Senate
Amends: HR 1968 (119)
Sponsors
- Sen. Kaine, Tim [D-VA] · [D-VA] · K000384
SAMDT 1269 (119)
Submitted 2025-03-13T04:00:00Z
Chamber: Senate
Amends: HR 1968 (119)
Sponsors
- Sen. Murray, Patty [D-WA] · [D-WA] · M001111
SAMDT 1268 (119)
Submitted 2025-03-13T04:00:00Z
Chamber: Senate
Amends: HR 1968 (119)
Sponsors
- Sen. Johnson, Ron [R-WI] · [R-WI] · J000293
SAMDT 1267 (119)
Submitted 2025-03-12T04:00:00Z
Chamber: Senate
Amends: HR 1968 (119)
Sponsors
- Sen. Alsobrooks, Angela D. [D-MD] · [D-MD] · A000382
SAMDT 1266 (119)
To reduce the amount appropriated for the United States Agency for International Development.
Submitted 2025-03-12T04:00:00Z
Chamber: Senate
Amends: HR 1968 (119)
Latest: 2025-03-14 — Amendment SA 1266 not agreed to in Senate by Yea-Nay Vote. 27 - 73. Record Vote Number: 132.
Sponsors
- Sen. Paul, Rand [R-KY] · [R-KY] · P000603

Laws

Public Law 119-4

Committee reports

none

Calendar number

null

CBO cost estimates

H.R. 1968, Full-Year Continuing Appropriations and Extensions Act, 20252025-03-11T15:41:00Z
https://www.cbo.gov/publication/61248
As Posted on the Website of the House Committee on Rules, March 8, 2025

Latest action

Date

2025-03-15

Text

Became Public Law No: 119-4.

Time

null

Dublin Core

format

text/xml

language

rights

Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

contributor

Congressional Research Service, Library of Congress

description

This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.

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537

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119

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1968

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hr-1968-119

title

Full-Year Continuing Appropriations and Extensions Act, 2025

short_title

Full-Year Continuing Appropriations and Extensions Act, 2025

sponsor_bioguide_id

C001053

sponsor_name

Rep. Cole, Tom [R-OK-4]

sponsor_party

sponsor_state

introduced_date

2025-03-10

latest_action_date

2025-03-15

latest_action_text

Became Public Law No: 119-4.

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