Further Additional Continuing Appropriations and Other Extensions Act, 2025
Sponsored By: Representative DeLauro
Introduced
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.
Show full summary
- 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.*
Bill Overview
Analyzed Economic Effects
11 provisions identified: 8 benefits, 1 costs, 2 mixed.
One-time payment to former lawmaker's heir
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
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
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
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
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 instruction. This helps hospitals and ambulance providers avoid short‑term cuts and keeps access steadier for patients.
Short-term funding for community health
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 and youth education program authorities would be extended to April 11. CHC funds would follow rules in Public Law 118‑47.
Cut to Medicare Improvement Fund
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
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.
Medicare telehealth and at-home care extended
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 visits would also continue. Medicare Part D would keep covering certain oral antivirals through April 11. HHS could carry this out by program instructions.
Funds for Navajo-Hopi relocation office
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.
Short extension of certain federal authorities
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 in place for that period.
Sponsors & CoSponsors
Sponsor
DeLauro
CT • D
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
No roll call votes available for this bill.
View on Congress.govRelated Bills
HR5450 — Continuing Appropriations and Extensions and Other Matters Act, 2026
Would continue FY2025 funding into FY2026 at FY2025 rates while adding short-term extensions, targeted appropriations, and strict limits on new Department of Defense production and project starts. The package would carry most programs forward into a narrow October 2025 window and add emergency-designated boosts for security and select programs.
HR6900 — American Affordability Act of 2025
This bill would be a broad tax-credit overhaul that rewrites incentives across housing, families, and clean energy. It would create monthly child payments, reshape housing tax programs, and add new investment credits for recycling, transmission, and batteries. - Families, children, and caregivers: It would create a monthly Child Tax Credit of $300 for children 6 and older and $360 for those under 6, with a portal and presumptive eligibility rules. It would also raise the Child and Dependent Care Tax Credit rates to 50% and increase qualifying expense limits to $8,000 single and $16,000 per family. - Renters, homebuyers, and developers: It would change Low‑Income Housing Tax Credit rules, repeal the qualified contract option for most buildings, and create new housing incentives including an Affordable Housing Conversion Credit with program caps described that include $12.0 billion and a separate $3.0 billion AHCC designation program. - Clean energy, transport, and industry: It would extend many clean energy and clean vehicle credits and add new investment credits that are generally 30%. It would authorize a $3.0 billion advanced battery credit allocation and create credits for water reuse, recycling, and transmission line projects.
HR7481 — Department of Homeland Security Appropriations Act, 2026
DHS funding with strict oversight. This bill would set FY2026 funding levels across the Department of Homeland Security and attach detailed reporting, transfer limits, and program rules to many accounts.
HR3971 — Domestic Workers Bill of Rights Act
Extending workplace rights to domestic workers. The bill would set enforceable labor standards for household workers, add overtime and live‑in protections, require written agreements, create a Domestic Employee Standards Board, and push Medicaid rules to cover home care workers.
HR51 — Washington, D.C. Admission Act
Full statehood for Washington, Douglass Commonwealth would admit the District of Columbia as a new state on equal footing, while defining a smaller federal "Capital" and setting staged transitions for courts, property, and federal programs. - Capital residents would gain full congressional representation: two U.S. Senators and one U.S. Representative. The bill also requires states to allow "absent Capital" residents to vote by absentee ballot in federal elections. - The U.S. House would be permanently increased to 436 members and apportionment would be adjusted beginning with the first decennial census after admission. - The bill defines the federal Capital with a required 180-day survey, preserves federal court, prosecutorial, prison, parole, National Guard, and employee benefit arrangements on a temporary basis, and phases those responsibilities to the State as it certifies the necessary laws and personnel are in place.
HR20 — Richard L. Trumka Protecting the Right to Organize Act of 2025
Strengthens worker organizing rights and enforcement. The bill broadens who counts as an employee or joint employer and builds tougher remedies, penalties, and election rules to make organizing and bargaining easier to enforce and monitor. - Workers: Expands who is treated as an employee by tightening the three-part test for independent contractors and broadening the joint-employer test to include direct, indirect, and reserved control. It adds clear protections for strike participation and allows back pay without reduction and liquidated damages equal to twice awarded damages. - Employers: Requires prompt disclosure and new notice duties including a detailed voter list within two business days and multilingual employee notices. Noncompliance can trigger civil penalties including up to $50,000 per unfair labor practice, up to $10,000 per refusal to obey Board orders, and fines for posting or voter-list violations. - Elections, agencies, and unions: NLRB must adopt remote electronic voting within one year and aim to hold elections within twenty business days. The bill also boosts NLRB reporting and transparency, expands private suits, and creates new whistleblower protections and expedited enforcement.
Take It Personal
Get Your Personalized Policy View
Create a free account to save research, track policy impacts, and unlock your personalized versions of these pages.
Already have an account? Sign in