PUBLIC LAW 116–69—NOV. 21, 2019 FURTHER CONTINUING APPROPRIATIONS ACT, 2020, AND FURTHER HEALTH EXTENDERS ACT OF 2019 VerDate Sep 11 2014 14:19 Nov 25, 2019 Jkt 099139 PO 00069 Frm 00001 Fmt 6579 Sfmt 6579 E:\PUBLAW\PUBL069.116 PUBL069 dkrause on DSKBC28HB2PROD with PUBLAWS 133 STAT. 1134 PUBLIC LAW 116–69—NOV. 21, 2019 Public Law 116–69 116th Congress An Act Making further continuing appropriations for fiscal year 2020, and for other pur- poses. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ‘‘Further Continuing Appropria- tions Act, 2020, and Further Health Extenders Act of 2019’’. SEC. 2. TABLE OF CONTENTS. The table of contents of this Act is as follows: DIVISION A—FURTHER CONTINUING APPROPRIATIONS ACT, 2020 DIVISION B—HEALTH AND HUMAN SERVICES EXTENDERS AND OTHER MATTERS Title I—Public Health Extenders Title II—Other Health Extenders Title III—Medicaid Extenders Title IV—Medicare Extenders Title V—Human Services Extenders Title VI—Miscellaneous Policies Title VII—Other Matters Title VIII—Budgetary Effects SEC. 3. REFERENCES. Except as expressly provided otherwise, any reference to ‘‘this Act’’ contained in any division of this Act shall be treated as referring only to the provisions of that division. DIVISION A—FURTHER CONTINUING APPROPRIATIONS ACT, 2020 SEC. 101. The Continuing Appropriations Act, 2020 (division A of Public Law 116–59) is amended— (1) by striking the date specified in section 106(3) and inserting ‘‘December 20, 2019’’; (2) by striking section 122 and inserting the following: ‘‘SEC. 122. Notwithstanding sections 101 and 104, amounts are provided for ‘Department of Commerce—Bureau of the Census— Periodic Censuses and Programs’ at a rate for operations of $7,284,319,000, of which not less than $90,000,000 is for the delivery of Mobile Questionnaire Assistance Centers: Provided, That such amounts may be apportioned up to the rate for operations necessary to maintain the schedule and deliver the required data according to statutory deadlines in the 2020 Decennial Census Program: Provided further, That the third proviso under such heading in Ante, p. 1098. Ante, p. 1093. Further Continuing Appropriations Act, 2020. Further Continuing Appropriations Act, 2020, and Further Health Extenders Act of 2019. Nov. 21, 2019 [H.R. 3055] VerDate Sep 11 2014 14:19 Nov 25, 2019 Jkt 099139 PO 00069 Frm 00002 Fmt 6580 Sfmt 6581 E:\PUBLAW\PUBL069.116 PUBL069 dkrause on DSKBC28HB2PROD with PUBLAWS 133 STAT. 1135 PUBLIC LAW 116–69—NOV. 21, 2019 title I of Division C of Public Law 116–6 shall not apply during the period covered by this Act.’’; (3) in section 136, by striking ‘‘$18,397,500’’ and inserting ‘‘$26,574,167’’ and by striking ‘‘$631,000’’ and inserting ‘‘$1,209,111’’; (4) in section 138, by striking ‘‘$20,000,000’’ and inserting ‘‘$30,000,000’’; and (5) by inserting after section 145 the following new sections: ‘‘SEC. 146. Amounts made available by section 101 for ‘Depart- ment of Agriculture—Domestic Food Programs—Food and Nutrition Service—Commodity Assistance Program’ may be apportioned up to the rate for operations necessary to maintain the current program caseload for the Commodity Supplemental Food Program. ‘‘SEC. 147. ADJUSTMENTS FOR CERTAIN RATES OF PAY FOR THE UNIFORMED SERVICES.— ‘‘Amounts made available in applicable accounts by section 101— ‘‘(1) for monthly basic pay for members of the uniformed services under section 203(a) of title 37, United States Code, may be apportioned up to the rate for operations necessary to provide monthly pay consistent with section 4 of Executive Order 13866 of March 28, 2019; and ‘‘(2) for monthly cadet or midshipmen pay for cadets or midshipmen under section 203(c) of title 37, United States Code, may be apportioned up to the rate for operations nec- essary to provide monthly pay consistent with section 4 of Executive Order 13866 of March 28, 2019. ‘‘SEC. 148. In addition to amounts provided in section 101, amounts are provided for the Payments in Lieu of Taxes program authorized by chapter 69 of title 31, United States Code, at a rate for operations of $400,000, to be used solely for administrative expenses. ‘‘SEC. 149. Notwithstanding any other provision of this Act, there is hereby appropriated for fiscal year 2020 for payment to Maya M. Rockeymoore, widow of Elijah E. Cummings, late a Rep- resentative from the State of Maryland, $174,000. ‘‘SEC. 150. Notwithstanding section 251(a)(1) of the Balanced Budget and Emergency Deficit Control Act of 1985 and the time- table in section 254(a) of such Act, the final sequestration report for fiscal year 2020 pursuant to section 254(f)(1) of such Act and any order for fiscal year 2020 pursuant to section 254(f)(5) of such Act shall be issued, for the Congressional Budget Office, 10 days after the date specified in section 106(3), and for the Office of Management and Budget, 15 days after the date specified in section 106(3).’’. This division may be cited as the ‘‘Further Continuing Appro- priations Act, 2020’’. Reports. Time periods. Maya M. Rockeymoore. Ante, p. 1101. Ante, p. 1100. VerDate Sep 11 2014 14:19 Nov 25, 2019 Jkt 099139 PO 00069 Frm 00003 Fmt 6580 Sfmt 6581 E:\PUBLAW\PUBL069.116 PUBL069 dkrause on DSKBC28HB2PROD with PUBLAWS 133 STAT. 1136 PUBLIC LAW 116–69—NOV. 21, 2019 DIVISION B—HEALTH AND HUMAN SERVICES EXTENDERS AND OTHER MATTERS TITLE I—PUBLIC HEALTH EXTENDERS SEC. 1101. EXTENSION FOR COMMUNITY HEALTH CENTERS, THE NATIONAL HEALTH SERVICE CORPS, AND TEACHING HEALTH CENTERS THAT OPERATE GME PROGRAMS. (a) COMMUNITY HEALTH CENTERS.—Section 10503(b)(1)(F) of the Patient Protection and Affordable Care Act (42 U.S.C. 254b– 2(b)(1)(F)) is amended by— (1) striking ‘‘$569,863,014’’ and inserting ‘‘$887,671,223’’; and (2) striking ‘‘November 21, 2019’’ and inserting ‘‘December 20, 2019’’. (b) NATIONAL HEALTH SERVICE CORPS.—Section 10503(b)(2) of the Patient Protection and Affordable Care Act (42 U.S.C. 254b– 2(b)(2)(G)) is amended— (1) by striking ‘‘$44,164,384’’ and inserting ‘‘$68,794,521’’; and (2) by striking ‘‘November 21, 2019’’ and inserting ‘‘December 20, 2019’’. (c) TEACHING HEALTH CENTERS THAT OPERATE GRADUATE MED- ICAL EDUCATION PROGRAMS.—Section 340H(g)(1) of the Public Health Service Act (42 U.S.C. 256h(g)(1)) is amended— (1) by striking ‘‘$18,021,918’’ and inserting ‘‘$28,072,603’’; and (2) by striking ‘‘November 21, 2019’’ and inserting ‘‘December 20, 2019’’. (d) APPLICATION OF PROVISIONS.—Amounts appropriated pursu- ant to the amendments made by this section for the period begin- ning on October 1, 2019, and ending on December 20, 2019, shall be subject to the requirements contained in Public Law 115–245 for funds for programs authorized under sections 330 through 340 of the Public Health Service Act (42 U.S.C. 254 through 256). (e) CONFORMING AMENDMENT.—Paragraph (4) of section 3014(h) of title 18, United States Code, as amended by section 1101(e) of division B of Public Law 116–59, is amended by striking ‘‘and section 1101(d) of division B of the Continuing Appropriations Act, 2020, and Health Extenders Act of 2019’’ and inserting ‘‘, section 1101(d) of division B of the Continuing Appropriations Act, 2020, and Health Extenders Act of 2019, and section 1101(d) of the Further Continuing Appropriations Act, 2020, and Further Health Extenders Act of 2019’’. SEC. 1102. DIABETES PROGRAMS. (a) TYPE I.—Section 330B(b)(2)(D) of the Public Health Service Act (42 U.S.C. 254c–2(b)(2)(D)) is amended— (1) by striking ‘‘$21,369,863’’ and inserting ‘‘$33,287,671’’; and (2) by striking ‘‘November 21, 2019’’ and inserting ‘‘December 20, 2019’’. (b) INDIANS.—Section 330C(c)(2)(D) of the Public Health Service Act (42 U.S.C. 254c–3(c)(2)(D)) is amended— Time period. VerDate Sep 11 2014 14:19 Nov 25, 2019 Jkt 099139 PO 00069 Frm 00004 Fmt 6580 Sfmt 6581 E:\PUBLAW\PUBL069.116 PUBL069 dkrause on DSKBC28HB2PROD with PUBLAWS 133 STAT. 1137 PUBLIC LAW 116–69—NOV. 21, 2019 (1) by striking ‘‘$21,369,863’’ and inserting ‘‘$33,287,671’’; and (2) by striking ‘‘November 21, 2019’’ and inserting ‘‘December 20, 2019’’. TITLE II—OTHER HEALTH EXTENDERS SEC. 1201. EXTENSION OF SEXUAL RISK AVOIDANCE EDUCATION PRO- GRAM. Section 510 of the Social Security Act (42 U.S.C. 710) is amended— (1) in subsection (a)— (A) in paragraph (1), in the matter preceding subpara- graph (A), by striking ‘‘November 21, 2019’’ and inserting ‘‘December 20, 2019’’; and (B) in paragraph (2)(A), by striking ‘‘November 21, 2019’’ and inserting ‘‘December 20, 2019’’; and (2) in subsection (f)(1), by striking ‘‘$10,684,931 for the period beginning October 1, 2019, and ending November 21, 2019’’ and inserting ‘‘$16,643,836 for the period beginning October 1, 2019, and ending December 20, 2019’’. SEC. 1202. EXTENSION OF PERSONAL RESPONSIBILITY EDUCATION PROGRAM. 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 ‘‘November 21, 2019’’ and inserting ‘‘December 20, 2019’’; and (B) in subparagraph (B)(i), by striking ‘‘November 21, 2019’’ and inserting ‘‘December 20, 2019’’; and (2) in subsection (f), by striking ‘‘$10,684,931 for the period beginning October 1, 2019, and ending November 21, 2019’’ and inserting ‘‘$16,643,836 for the period beginning October 1, 2019, and ending December 20, 2019’’. TITLE III—MEDICAID EXTENDERS SEC. 1301. EXTENSION OF COMMUNITY MENTAL HEALTH SERVICES DEMONSTRATION PROGRAM. Section 223(d)(3) of the Protecting Access to Medicare Act of 2014 (42 U.S.C. 1396a note) is amended by striking ‘‘November 21, 2019’’ and inserting ‘‘December 20, 2019’’. SEC. 1302. TEMPORARY INCREASE IN FEDERAL MEDICAL ASSISTANCE PERCENTAGE FOR TERRITORIES UNDER MEDICAID PRO- GRAM. Subsection (ff) of section 1905 of the Social Security Act (42 U.S.C. 1396d) is amended by striking ‘‘November 21, 2019’’ and inserting ‘‘December 20, 2019’’. SEC. 1303. DELAY OF REDUCTIONS IN MEDICAID DSH ALLOTMENTS. Section 1923(f)(7)(A) of the Social Security Act (42 U.S.C. 1396r–4(f)(7)(A)) is amended by striking ‘‘November 22, 2019’’ each place it appears and inserting ‘‘December 21, 2019’’. VerDate Sep 11 2014 14:19 Nov 25, 2019 Jkt 099139 PO 00069 Frm 00005 Fmt 6580 Sfmt 6581 E:\PUBLAW\PUBL069.116 PUBL069 dkrause on DSKBC28HB2PROD with PUBLAWS 133 STAT. 1138 PUBLIC LAW 116–69—NOV. 21, 2019 TITLE IV—MEDICARE EXTENDERS SEC. 1401. EXTENSION OF FUNDING FOR QUALITY MEASURE ENDORSE- MENT, INPUT, AND SELECTION. (a) IN GENERAL.—Section 1890(d)(2) of the Social Security Act (42 U.S.C. 1395aaa(d)(2)) is amended— (1) in the first sentence, by striking ‘‘$1,069,000 for the period beginning on October 1, 2019, and ending on November 21, 2019’’ and inserting ‘‘$1,665,000 for the period beginning on October 1, 2019, and ending on December 20, 2019’’; and (2) in the third sentence, by striking ‘‘November 21, 2019’’ and inserting ‘‘December 20, 2019’’. (b) EFFECTIVE DATE.—The amendments made by subsection (a) shall take effect as if included in the enactment of the Continuing Appropriations Act, 2020, and Health Extenders Act of 2019 (Public Law 116–59). SEC. 1402. EXTENSION OF FUNDING OUTREACH AND ASSISTANCE FOR LOW-INCOME PROGRAMS. (a) ADDITIONAL FUNDING FOR STATE HEALTH INSURANCE PRO- GRAMS.—Subsection (a)(1)(B) of section 119 of the Medicare Improvements for Patients and Providers Act of 2008 (42 U.S.C. 1395b–3 note), as amended by section 3306 of the Patient Protection and Affordable Care Act (Public Law 111–148), section 610 of the American Taxpayer Relief Act of 2012 (Public Law 112–240), section 1110 of the Pathway for SGR Reform Act of 2013 (Public Law 113–67), section 110 of the Protecting Access to Medicare Act of 2014 (Public Law 113–93), section 208 of the Medicare Access and CHIP Reauthorization Act of 2015 (Public Law 114–10), section 50207 of division E of the Bipartisan Budget Act of 2018 (Public Law 115–123), and section 1402 of the Continuing Appropriations Act, 2020, and Health Extenders Act of 2019 (Public Law 116– 59), is amended— (1) in clause (ix), by striking ‘‘and’’ at the end; (2) in clause (x), by striking the period at the end and inserting ‘‘; and’’; and (3) by inserting after clause (x) the following new clause: ‘‘(xi) for the period beginning on November 22, 2019, and ending on December 20, 2019, of $1,033,000.’’. (b) ADDITIONAL FUNDING FOR AREA AGENCIES ON AGING.— Subsection (b)(1)(B) of such section 119, as so amended, is amended— (1) in clause (ix), by striking ‘‘and’’ at the end; (2) in clause (x), by striking the period at the end and inserting ‘‘; and’’; and (3) by inserting after clause (x) the following new clause: ‘‘(xi) for the period beginning on November 22, 2019, and ending on December 20, 2019, of $597,000.’’. (c) ADDITIONAL FUNDING FOR AGING AND DISABILITY RESOURCE CENTERS.—Subsection (c)(1)(B) of such section 119, as so amended, is amended— (1) in clause (ix), by striking ‘‘and’’ at the end; (2) in clause (x), by striking the period at the end and inserting ‘‘; and’’; and (3) by inserting after clause (x) the following new clause: 42 USC 1395aaa note. VerDate Sep 11 2014 14:19 Nov 25, 2019 Jkt 099139 PO 00069 Frm 00006 Fmt 6580 Sfmt 6581 E:\PUBLAW\PUBL069.116 PUBL069 dkrause on DSKBC28HB2PROD with PUBLAWS 133 STAT. 1139 PUBLIC LAW 116–69—NOV. 21, 2019 ‘‘(xi) for the period beginning on November 22, 2019, and ending on December 20, 2019, of $397,000.’’. (d) ADDITIONAL FUNDING FOR CONTRACT WITH THE NATIONAL CENTER FOR BENEFITS AND OUTREACH ENROLLMENT.—Subsection (d)(2) of such section 119, as so amended, is amended— (1) in clause (ix), by striking ‘‘and’’ at the end; (2) in clause (x), by striking the period at the end and inserting ‘‘; and’’; and (3) by inserting after clause (x) the following new clause: ‘‘(xi) for the period beginning on November 22, 2019, and ending on December 20, 2019, of $953,000.’’. SEC. 1403. EXTENSION OF TERMINATION DATE OF PATIENT-CENTERED OUTCOMES RESEARCH TRUST FUND. Section 9511(f) of the Internal Revenue Code of 1986 is amended by striking ‘‘November 21’’ and inserting ‘‘December 20’’. TITLE V—HUMAN SERVICES EXTENDERS SEC. 1501. EXTENSION OF DEMONSTRATION PROJECTS TO ADDRESS HEALTH PROFESSIONS WORKFORCE NEEDS. Activities authorized by section 2008 of the Social Security Act shall continue through December 20, 2019, in the manner authorized for fiscal year 2019, 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. Grants and payments may be made pursuant to this authority t [Text truncated for display. Full text available on Congress.gov.]