Further Additional Continuing Appropriations and Other Extensions Act, 2025
Sponsored By: Senator Patty Murray
Introduced
Summary
This bill would provide short-term funding extensions and targeted fixes across federal health programs, Medicare and Medicaid, Navy shipbuilding, and disaster relief. It aims to keep key services running and give limited, program-specific funding flexibility through early April 2025.
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Bill Overview
Analyzed Economic Effects
9 provisions identified: 7 benefits, 0 costs, 2 mixed.
One-time payment to named beneficiary
If enacted, this bill would appropriate $174,000 for fiscal year 2025 as a one-time payment to Ashley Paige Turner, the named beneficiary of the late Representative Sylvester Turner.
Navy shipbuilding caps and cost relief
If enacted, this bill would let the Navy apportion extra money for Columbia Class submarine work up to about $3.34 billion and allow up to $1.93 billion to cover prior-year shipbuilding cost increases. The authority would be available through April 11, 2025 and applies to specific shipbuilding programs listed in the bill.
Government funding extended to April
If enacted, this bill would extend the continuing appropriations deadline to April 11, 2025. That would keep federal programs and payments funded and delay a funding lapse until that date unless Congress acts later.
Medicare hospital rules and fund change
If enacted, this bill would push several hospital and payment deadlines in Medicare to April 11 or April 12, 2025. It would preserve ambulance add-on payments, low-volume hospital payment adjustments, the Medicare-dependent hospital program, the work geographic index floor, and the Acute Hospital Care at Home waiver for that short period. At the same time, it would reduce the statutory Medicare Improvement Fund from $1,251,000,000 to $1,018,000,000, cutting that fund by $233,000,000 upon enactment.
Short-term health center program funding
If enacted, this bill would give short-term money to safety-net health programs through early April 2025. Community Health Centers would get about $132.6 million. The National Health Service Corps would get about $11.0 million and Teaching Health Centers about $6.1 million for April 1–11, 2025. The bill would also add $4.8 million to the Special Diabetes Programs and raise Family-to-Family center funding to $3.2 million. It would boost outreach funds for senior help programs through April 11, 2025.
Emergency disaster funding $750 million
If enacted, this bill would appropriate $750 million to FEMA's Disaster Relief Fund for fiscal year 2025. The money would be available until spent for major disasters, but only if the President formally designates and transmits the designation to Congress.
Short deadline and budget fixes
If enacted, this bill would move several non-health statutory dates to April 11, 2025 and temporarily suspend one narrow subsection of a prior law for the Act's covered period. It would also say the division's budget effects should not be entered on PAYGO scorecards or certain allocation calculations. These are procedural and timing fixes for agencies and budget recordkeeping.
Medicare telehealth flexibilities extended
If enacted, this bill would extend several Medicare telehealth rules into April 2025. It would keep expanded originating sites, allow more types of practitioners, let federally qualified health centers and rural clinics bill for telehealth, and keep audio-only visits and other temporary flexibilities through April 11 or April 12, 2025 as specified. The Secretary of HHS could use program instructions to implement these changes.
Navajo-Hopi relocation office funding
If enacted, this bill would appropriate $1.65 million for salaries and expenses of the Office of Navajo and Hopi Relocation for fiscal year 2025. The funds would remain available until spent to support the office's work under the 1974 land settlement.
Sponsors & CoSponsors
Sponsor
Patty Murray
WA • D
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
No roll call votes available for this bill.
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