# 119-hr-1974: Further Additional Continuing Appropriations and Other Extensions Act, 2025 119-hr-1974, Further Additional Continuing Appropriations and Other Extensions Act, 2025, is a 119th Congress bill sponsored by Rep. DeLauro, Rosa L. [D-CT-3] (D-CT); status introduced; PRIA reads it as touching household money (as of 2026-09-10). - Canonical: https://policyrisk.com/legislation/119-hr-1974 - As of: 2026-09-10 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: 119-hr-1974 - Congress: 119 - Title: Further Additional Continuing Appropriations and Other Extensions Act, 2025 - Status: introduced - Introduced: 2025-03-10 - Sponsor: Rep. DeLauro, Rosa L. [D-CT-3] (D-CT) - Cosponsors: 0 - Policy area: Economics and Public Finance - Touches household money: yes - Last recorded action: 2026-09-10 ## Summary **Short‑term funding extensions** to keep key health, Medicare/Medicaid, human services, defense, and disaster accounts funded through April 11–12, 2025 while adding targeted appropriations for specific programs and emergencies. - Patients and community providers: extends funding for Community Health Centers ($132.6 million), the National Health Service Corps ($11.0 million), Teaching Health Centers ($6.1 million), and diabetes programs ($4.8 million) through April 11, 2025. This keeps clinic operations and provider scholarships running for the short gap. - Medicare, hospitals, and seniors: preserves higher payments for low‑volume and Medicare‑dependent hospitals, extends ambulance add‑ons and several telehealth flexibilities into mid‑April 2025, and delays certain Medicare payment changes to avoid immediate disruptions. - Defense, disaster response, and tribal relocation: authorizes up to $3.3 billion for Columbia Class submarine procurement, $1.9 billion for prior shipbuilding cost increases, and up to $750 million for FEMA’s Disaster Relief Fund if the President designates it. It also provides small, program‑specific payments for Navajo‑Hopi relocation and other accounts. *Adds several targeted emergency and continuing appropriations, increasing near‑term federal spending.* ## Provisions PRIA read - One-time payment to former lawmaker's heir: benefit, high. The bill would pay $174,000 in FY2025 to Ashley Paige Turner, the beneficiary of former Representative Sylvester Turner. This would be a single, directed payment. - Extra FEMA disaster relief, if designated: benefit, high. The bill would add $750 million for FEMA’s Disaster Relief Fund in FY2025. The money would be available only if Congress and the President both label it an emergency. If enacted and designated, funds would stay available until spent for major disasters. - Keep the government funded to April 11: benefit, high. The bill would extend current federal funding through April 11, 2025. If enacted, this would help keep federal programs operating and paychecks and benefits flowing for that period. - Navy shipbuilding funds and cost coverage: benefit, high. The bill would allow up to $3,341,300,000 for Columbia Class Submarine needs. It would also allow up to $1,930,024,000 to cover prior‑year shipbuilding cost increases across listed ship programs. Funds could be used during the Act’s period and some would remain available until spent. - Keep Medicare hospital and ambulance payments: benefit, medium. The bill would delay payment changes so current Medicare rates keep going until April 11–12, 2025. This includes low‑volume hospital and Medicare‑Dependent Hospital adjustments, ambulance add‑on payments, the work geographic index floor, and some DSH timing. HHS could implement by program instructi… - Short-term funding for community health: benefit, medium. Community Health Centers would get $132,602,740 for April 1–11, 2025. The National Health Service Corps would get $10,963,593, Teaching Health Centers $6,058,748, Special Diabetes Programs $4,798,658, and Family‑to‑Family Health Information Centers $3,200,000 (through April 12). Some public health… - Medicare telehealth and at-home care extended: benefit, low. If enacted, Medicare telehealth rules would stay in place to April 11, 2025 (some items to April 12). Audio-only visits, expanded provider types, and billing by rural and community health clinics would continue. Hospice recertification by telehealth and the delay of some in-person mental health vis… - Funds for Navajo-Hopi relocation office: benefit, low. The bill would provide $1,650,000 in FY2025 for the Office of Navajo and Hopi Relocation. The money would remain available until spent and support duties under the 1974 settlement law. - Cut to Medicare Improvement Fund: cost, medium. The bill would lower the Medicare Improvement Fund from $1,251,000,000 to $1,018,000,000. If enacted, this would reduce money available for future Medicare improvements. The change would take effect upon enactment. - Skip PAYGO scorekeeping for this division: mixed, medium. The bill would exclude this division’s costs or savings from statutory and Senate PAYGO scorecards and some budget estimates. If enacted, this would change how Congress counts these costs for enforcement and allocations. It would not directly change household benefits or taxes. - Short extension of certain federal authorities: mixed, low. Some federal authorities would be extended to April 11, 2025. This includes the CFTC whistleblower program, a Homeland Security authority, a special assessment under 18 U.S.C. 3014, and a federal cybersecurity authority. This keeps programs running briefly, but it also keeps the special assessment… ## Related bills - 119-hr-5450: Continuing Appropriations and Extensions and Other Matters Act, 2026 - 119-hr-6900: American Affordability Act of 2025 - 119-hr-7481: Department of Homeland Security Appropriations Act, 2026 - 119-hr-7973: Momnibus Act - 119-hr-6976: Duty Status Reform Act - 119-hr-3971: Domestic Workers Bill of Rights Act ## Sources - [119-hr-1974 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/1974) ## Related - [119-hr-5450: Continuing Appropriations and Extensions and Other Matters Act, 2026](https://policyrisk.com/legislation/119-hr-5450) - [119-hr-6900: American Affordability Act of 2025](https://policyrisk.com/legislation/119-hr-6900) - [119-hr-7481: Department of Homeland Security Appropriations Act, 2026](https://policyrisk.com/legislation/119-hr-7481) - [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973) - [119-hr-6976: Duty Status Reform Act](https://policyrisk.com/legislation/119-hr-6976) - [119-hr-3971: Domestic Workers Bill of Rights Act](https://policyrisk.com/legislation/119-hr-3971) - [All bills in Congress](https://policyrisk.com/legislation) Source: PRIA, https://policyrisk.com/legislation/119-hr-1974 (as of 2026-09-10).