Continuing Appropriations and Extensions and Other Matters Act, 2026
Legislative Progress
In CommitteeMs. DeLauro introduced the following bill; which was referred to …
Summary
What This Bill Does
This bill is a short-term "continuing resolution" that keeps the federal government funded through October 31, 2025, at roughly the same spending levels as fiscal year 2025. Beyond basic government operations, it extends numerous healthcare programs that would otherwise expire and makes the enhanced Affordable Care Act premium tax credits permanent.
Who Benefits and How
Healthcare Providers and Patients: Community health centers and the National Health Service Corps receive continued funding. Rural and low-volume hospitals maintain enhanced Medicare payments. Ambulance service providers keep their add-on payments. Telehealth providers and their patients benefit from extended flexibilities through October 2025.
Veterans: The bill extends nursing home care guarantees, housing assistance programs, and mental health services for veterans, including expanded eligibility for the Solid Start counseling program.
ACA Marketplace Enrollees: The enhanced premium tax credits that were set to expire are made permanent, meaning lower-income Americans purchasing health insurance on the ACA exchanges will continue paying reduced premiums.
Federal Judiciary and Law Enforcement: The Supreme Court, federal courts, and U.S. Marshals Service receive emergency security funding totaling hundreds of millions of dollars for enhanced protection of judges and justices.
Defense Contractors: Specific funding continues for the E-7 Wedgetail aircraft program and Virginia Class Submarine production.
Who Bears the Burden and How
Taxpayers: Emergency appropriations totaling hundreds of millions of dollars for judicial security, defense programs, and disaster relief will add to federal spending.
Medicare Improvement Fund: This fund is reduced by approximately $771 million (from $1.804 billion to $1.033 billion) to offset other costs in the bill.
Office of Personnel Management: Operational budget reduced to help pay for other provisions.
Key Provisions
- Government Funding: Continues all federal departments and agencies at FY2025 rates through October 31, 2025
- Healthcare Extensions: Extends community health center funding, Medicare telehealth flexibilities, ambulance add-on payments, and rural hospital payment enhancements
- Permanent ACA Tax Credits: Makes the enhanced premium tax credits from the Inflation Reduction Act permanent, reducing insurance costs for marketplace enrollees
- Veterans Programs: Extends nursing home care requirements, veterans housing assistance, and mental health counseling programs
- Judicial Security Funding: Provides $59 million for Supreme Court police, $50 million for U.S. Marshals judicial security, and $21 million for federal courts security
- Cybersecurity and Defense: Continues CISA cybersecurity operations and specific defense programs including aircraft and submarine procurement
Evidence Chain:
This summary is derived from the structured analysis below. See "Detailed Analysis" for per-title beneficiaries/burden bearers with clause-level evidence links.
Primary Purpose
Provides continuing appropriations for federal government operations through October 31, 2025, extends various healthcare and veterans programs, and includes emergency security funding for judicial protection.
Policy Domains
Legislative Strategy
"Short-term continuing resolution to fund government operations for one month while extending critical healthcare, Medicare, and veterans programs that would otherwise expire on September 30, 2025. Includes permanent extension of ACA enhanced premium tax credits."
Likely Beneficiaries
- Community health centers and National Health Service Corps (continued funding)
- Rural and low-volume hospitals (continued enhanced payments)
- Ambulance service providers (continued add-on payments)
- Telehealth providers (continued flexibilities through October 2025)
- Veterans (continued nursing home care, housing assistance, mental health services)
- Medicare beneficiaries using telehealth services
- ACA marketplace enrollees (permanent enhanced tax credits)
- Federal judiciary and Supreme Court (enhanced security funding)
- U.S. Marshals Service (enhanced security operations)
- Defense contractors for E-7 Wedgetail and Virginia Class Submarines
- Corporation for Public Broadcasting
- FEMA disaster relief operations
Likely Burden Bearers
- U.S. Treasury/Taxpayers (emergency appropriations totaling hundreds of millions)
- Medicare Improvement Fund (reduced by million from .804B to .033B)
- Office of Personnel Management (operational budget reduced)
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
- "the_director"
- → Director of the Office of Management and Budget
- "the_secretary"
- → Various department secretaries depending on context (Defense, Energy, HUD, Commerce, etc.)
- "the_comptroller_general"
- → Comptroller General of the United States
- "the_secretary"
- → Secretary of Health and Human Services
- "the_secretary"
- → Secretary of Health and Human Services
- "the_secretary"
- → Secretary of Health and Human Services
- "the_secretary"
- → Secretary of Veterans Affairs
- "the_secretary"
- → Various (Agriculture, Transportation, Homeland Security depending on section)
Note: 'The Secretary' refers to different department secretaries depending on the division and section context - must be resolved based on subject matter
Key Definitions
Terms defined in this bill
Any reference to this Act contained in any division shall be treated as referring only to the provisions of that division.
Any project, subproject, activity, budget activity, program element, and subprogram within a program element; investment items defined as P-1 line item or R-1 line item within an appropriation account.
Appropriations available until: (1) enactment of specific appropriation, (2) enactment of FY2026 appropriations act, or (3) October 31, 2025, whichever first occurs.
We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.
Learn more about our methodology