HR1974-119

What This Bill Does

The Further Additional Continuing Appropriations and Other Extensions Act, 2025 is a short-term funding bridge. It moves the continuing-resolution end date to April 11, 2025, lets Navy shipbuilding accounts be apportioned for Columbia Class Submarine work and almost $1.93 billion of prior-year shipbuilding cost increases, adds $750 million to FEMA's Disaster Relief Fund for Stafford Act major disasters, provides $1.65 million for Navajo-Hopi relocation responsibilities, and makes a $174,000 beneficiary payment to Ashley Paige Turner. On health care, it extends community health centers, the National Health Service Corps, teaching health centers with graduate medical education, quality-measure endorsement work, Medicare low-income outreach, temporary Part D coverage for authorized oral antiviral drugs, and family-to-family health information centers. It offsets part of the package by reducing the Medicare Improvement Fund from $1.251 billion to $1.018 billion and excludes the division's budgetary effects from several PAYGO and scorekeeping calculations.

Who Benefits and How

Navy shipbuilding programs benefit because the bill permits higher apportionment rates for Columbia submarines and specific prior-year cost increases. Disaster survivors and state emergency managers benefit because FEMA receives an added $750 million for major disasters declared under the Stafford Act. Community health centers, National Health Service Corps sites, and teaching health centers benefit from short extension funding through April 11, 2025. Medicare beneficiaries using low-income assistance or authorized oral antivirals benefit because outreach funding and temporary Part D treatment continue. Navajo and Hopi relocation claimants benefit from continued Office of Navajo and Hopi Relocation funding.

Who Bears the Burden and How

Federal taxpayers fund the added disaster relief, health extenders, shipbuilding apportionments, relocation funding, and private beneficiary payment. The Medicare Improvement Fund bears a direct reduction of $233 million compared with its prior statutory amount. OMB and agency budget officers must implement short-term apportionment exceptions and scorekeeping exclusions. FEMA, HHS, CMS, HRSA, Navy, and relocation program staff must administer temporary funding windows and reporting conditions.

Key Provisions

• Extends continuing appropriations through April 11, 2025.
• Authorizes Navy apportionment for Columbia Class Submarine work and prior-year shipbuilding cost increases.
• Appropriates $750 million for FEMA disaster relief and $1.65 million for Navajo-Hopi relocation responsibilities.
• Extends community health centers, NHSC, teaching health centers, quality-measure work, Medicare outreach, oral antiviral coverage, and family-to-family health information centers.
• Reduces the Medicare Improvement Fund and blocks several PAYGO and scorekeeping entries for this division.