118-hr-2872118th CongressWALLET

Making further continuing appropriations for the fiscal year ending September 30, 2024, and for other purposes.

Sponsored By: Representative Graves, Garret [R-LA-6]

Became Law

Summary

Extends short-term federal funding and program authorities through early March 2024. It keeps health, human services, and certain defense and compact authorities active while setting specific dollar amounts and timing for the short extension.

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Bill Overview

Analyzed Economic Effects

10 provisions identified: 7 benefits, 0 costs, 3 mixed.

Medicaid hospital cuts delayed, fund reduced

The law delays scheduled cuts to Medicaid hospital DSH payments until March 9, 2024. It also lowers the Medicaid Improvement Fund cap from about $5.80 billion to $5.14 billion per year. That postpones some hospital cuts but reduces a separate Medicaid funding pool.

Child welfare services continue through March

Child welfare and family services continue through March 8, 2024. The government provides the funds needed to keep services running during that time.

Keeps clinics and doctor training funded

The law funds Community Health Centers with about $690.4 million (Nov 18–Jan 19) and $537.0 million (Jan 20–Mar 8). It gives the National Health Service Corps about $53.5 million, then $41.6 million for those periods. It gives Teaching Health Centers graduate medical education about $21.8 million, then $17.0 million. This keeps primary care and training in underserved areas running through March 8, 2024.

Public health emergency tools extended

Several national public health authorities now run through March 8, 2024. This keeps federal emergency health tools and programs available to protect communities during that time.

Keeps diabetes programs funded

The Type 1 diabetes program gets about $25.9 million (Nov 18–Jan 19) and $20.1 million (Jan 20–Mar 8). The Special Diabetes Program for Indians gets about $25.9 million, then $20.1 million for those periods. This keeps research and tribal diabetes care going through March 8, 2024.

Teen health education grants continue

From Jan 20 to Mar 8, 2024, the law continues Personal Responsibility Education and Sexual Risk Avoidance grants. Funding equals the pro rata share of the same period in FY2023. This keeps local teen health education programs operating for that short time.

Compacts of Free Association extended

Parts of the Compacts of Free Association are extended until March 8, 2024. Existing program rules and benefits under those compacts stay in effect during that time.

Homeland Security counter-drone powers extended

Homeland Security counter-drone powers stay in effect until March 9, 2024. The agency can keep using counter-drone tools to protect public safety in that period.

Medicare pay floor extended, fund cut

The law keeps the Medicare geographic payment floor in place until March 9, 2024. It also cuts the Medicare Improvement Fund by $53 million (from $2,250,795,056 to $2,197,795,056). This briefly holds up some payments but trims a funding reserve.

Deficit scorecard rules waived

This division’s budget effects are not entered on PAYGO scorecards or certain allocation tables. Congress counts these dollars outside those deficit rules for this law.

Sponsors & CoSponsors

Sponsor

Graves, Garret [R-LA-6]

LA • R

Cosponsors

  • Rep. Thompson, Mike [D-CA-4]

    CA • D

    Sponsored 4/26/2023

  • Rep. Duarte, John S. [R-CA-13]

    CA • R

    Sponsored 5/5/2023

  • Rep. De La Cruz, Monica [R-TX-15]

    TX • R

    Sponsored 9/8/2023

Roll Call Votes

All Roll Calls

Yes: 472 • No: 221

senate vote • 1/18/2024

On Passage of the Bill H.R. 2872

Yes: 77 • No: 18

senate vote • 1/18/2024

On the Motion (Marshall Motion to Commit H.R. 2872 to the Committee on Appropriations with instructions)

Yes: 13 • No: 82

house vote • 1/18/2024

On Motion to Suspend the Rules and Concur in the Senate Amendment

Yes: 314 • No: 108

senate vote • 1/16/2024

On Cloture on the Motion to Proceed H.R. 2872

Yes: 68 • No: 13

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