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Signed into law

Full-Year Continuing Appropriations and Extensions Act, 2025

This act provides continuing FY2025 appropriations for federal agencies and extends various expiring programs and authorities.

Measure
H.R. 1968 · 119th Congress
Latest action
March 15, 2025
Policy changes
23
Source
CRS summary (Public Law) · Congress.gov

Became Public Law No: 119-4.

Read it yourself · The summaries below are the Congressional Research Service’s. Under each one you can open the bill’s own wording, or read the full text (enrolled (sent to the President)).

What it would cost

Congressional Budget Office estimate

March 11, 2025 · As Posted on the Website of the House Committee on Rules, March 8, 2025 · Read CBO’s estimate

Open the estimate for CBO’s figures; we haven’t copied them here yet.

Dollar amounts in the bill itself

Money the bill providesup to $45.25 billion over fiscal 2024–2025

Appropriated by the bill itself: it can be spent once the bill becomes law.

  • $89 million (fiscal 2025) Sec. 1420For an additional amount there is appropriated to the “Department of Defense Credit Program Account” established pursuant to section 149(e)(5) of title 10, United States Code, as amended by section 905(a) of the National Defense Authorization Act for Fiscal Year 2025 (Public Law 118–159), $89,049,000, to remain available until expended, to carry out a pilot program on capital assistance to support…
  • $7.9 million (fiscal 2025) Sec. 1420For an additional amount there is appropriated to the “Department of Defense Credit Program Account” established pursuant to section 149(e)(5) of title 10, United States Code, as amended by section 905(a) of the National Defense Authorization Act for Fiscal Year 2025 (Public Law 118–159), $89,049,000, to remain available until expended, to carry out a pilot program on capital assistance to support…
  • $4 billion (fiscal 2025) Sec. 1420For an additional amount there is appropriated to the “Department of Defense Credit Program Account” established pursuant to section 149(e)(5) of title 10, United States Code, as amended by section 905(a) of the National Defense Authorization Act for Fiscal Year 2025 (Public Law 118–159), $89,049,000, to remain available until expended, to carry out a pilot program on capital assistance to support…
  • $38.7 million Sec. 1803(b) In addition to amounts otherwise made available in section 1112, $38,709,000 is appropriated for “Department of Health and Human Services—Indian Health Service—Indian Health Services”, which shall become available on October 1, 2025, and remain available through September 30, 2027.
  • $3.9 million Sec. 1804(b) In addition to amounts otherwise made available in section 1112, $3,920,000 is appropriated for “Department of Health and Human Services—Indian Health Service—Indian Health Facilities”, which shall become available on October 1, 2025, and remain available until expended.
  • $1.6 million (fiscal 2024) Sec. 1805Notwithstanding section 1101 of this Act, there is appropriated $1,650,000 for the “Office of Navajo and Hopi Indian Relocation—Salaries and Expenses” account, which shall be subject to the same terms and conditions as amounts otherwise made available to that account in fiscal year 2024 consistent with section 1105.
  • $30.24 billion Sec. 11110(1) $30,242,064,000 for “Department of Veterans Affairs—Veterans Benefits Administration—Compensation and Pensions”, to remain available until expended.
  • $4.86 billion Sec. 11110(2) $4,864,566,000 for “Department of Veterans Affairs—Veterans Benefits Administration—Readjustment Benefits”, to remain available until expended.
  • $6 billion Sec. 11110(3) $6,000,000,000 for “Department of Veterans Affairs—Cost of War Toxic Exposure Fund”, to remain available until expended.
457 other dollar figures (thresholds, limits, tax amounts)
  • $1.9 billion Sec. 1101(2) The Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024 (division C of Public Law 118–42), except section 510 shall be applied by substituting “$1,900,000,000” for “$1,353,000,000”, except section 521(a)(1) shall be applied by substituting “$30,000,000” for “$35,000,000”, except section 521(a)(4) shall be applied by substituting “$9,560,000,000” for “$12,440,000,000”, exc…
  • $1.35 billion Sec. 1101(2) The Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024 (division C of Public Law 118–42), except section 510 shall be applied by substituting “$1,900,000,000” for “$1,353,000,000”, except section 521(a)(1) shall be applied by substituting “$30,000,000” for “$35,000,000”, except section 521(a)(4) shall be applied by substituting “$9,560,000,000” for “$12,440,000,000”, exc…
  • $30 million Sec. 1101(2) The Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024 (division C of Public Law 118–42), except section 510 shall be applied by substituting “$1,900,000,000” for “$1,353,000,000”, except section 521(a)(1) shall be applied by substituting “$30,000,000” for “$35,000,000”, except section 521(a)(4) shall be applied by substituting “$9,560,000,000” for “$12,440,000,000”, exc…
  • $35 million Sec. 1101(2) The Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024 (division C of Public Law 118–42), except section 510 shall be applied by substituting “$1,900,000,000” for “$1,353,000,000”, except section 521(a)(1) shall be applied by substituting “$30,000,000” for “$35,000,000”, except section 521(a)(4) shall be applied by substituting “$9,560,000,000” for “$12,440,000,000”, exc…
  • $9.56 billion Sec. 1101(2) The Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024 (division C of Public Law 118–42), except section 510 shall be applied by substituting “$1,900,000,000” for “$1,353,000,000”, except section 521(a)(1) shall be applied by substituting “$30,000,000” for “$35,000,000”, except section 521(a)(4) shall be applied by substituting “$9,560,000,000” for “$12,440,000,000”, exc…
  • $12.44 billion Sec. 1101(2) The Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024 (division C of Public Law 118–42), except section 510 shall be applied by substituting “$1,900,000,000” for “$1,353,000,000”, except section 521(a)(1) shall be applied by substituting “$30,000,000” for “$35,000,000”, except section 521(a)(4) shall be applied by substituting “$9,560,000,000” for “$12,440,000,000”, exc…
  • $15 million Sec. 1101(2) The Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024 (division C of Public Law 118–42), except section 510 shall be applied by substituting “$1,900,000,000” for “$1,353,000,000”, except section 521(a)(1) shall be applied by substituting “$30,000,000” for “$35,000,000”, except section 521(a)(4) shall be applied by substituting “$9,560,000,000” for “$12,440,000,000”, exc…
  • $5 million Sec. 1101(2) The Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024 (division C of Public Law 118–42), except section 510 shall be applied by substituting “$1,900,000,000” for “$1,353,000,000”, except section 521(a)(1) shall be applied by substituting “$30,000,000” for “$35,000,000”, except section 521(a)(4) shall be applied by substituting “$9,560,000,000” for “$12,440,000,000”, exc…
  • $125 million Sec. 1101(2) The Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024 (division C of Public Law 118–42), except section 510 shall be applied by substituting “$1,900,000,000” for “$1,353,000,000”, except section 521(a)(1) shall be applied by substituting “$30,000,000” for “$35,000,000”, except section 521(a)(4) shall be applied by substituting “$9,560,000,000” for “$12,440,000,000”, exc…
  • $120 million Sec. 1101(2) The Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024 (division C of Public Law 118–42), except section 510 shall be applied by substituting “$1,900,000,000” for “$1,353,000,000”, except section 521(a)(1) shall be applied by substituting “$30,000,000” for “$35,000,000”, except section 521(a)(4) shall be applied by substituting “$9,560,000,000” for “$12,440,000,000”, exc…
  • $20 million Sec. 1101(2) The Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024 (division C of Public Law 118–42), except section 510 shall be applied by substituting “$1,900,000,000” for “$1,353,000,000”, except section 521(a)(1) shall be applied by substituting “$30,000,000” for “$35,000,000”, except section 521(a)(4) shall be applied by substituting “$9,560,000,000” for “$12,440,000,000”, exc…
  • $15 million Sec. 1101(2) The Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024 (division C of Public Law 118–42), except section 510 shall be applied by substituting “$1,900,000,000” for “$1,353,000,000”, except section 521(a)(1) shall be applied by substituting “$30,000,000” for “$35,000,000”, except section 521(a)(4) shall be applied by substituting “$9,560,000,000” for “$12,440,000,000”, exc…
  • $300 million Sec. 1101(2) The Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024 (division C of Public Law 118–42), except section 510 shall be applied by substituting “$1,900,000,000” for “$1,353,000,000”, except section 521(a)(1) shall be applied by substituting “$30,000,000” for “$35,000,000”, except section 521(a)(4) shall be applied by substituting “$9,560,000,000” for “$12,440,000,000”, exc…
  • $131.6 million Sec. 1101(2) The Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024 (division C of Public Law 118–42), except section 510 shall be applied by substituting “$1,900,000,000” for “$1,353,000,000”, except section 521(a)(1) shall be applied by substituting “$30,000,000” for “$35,000,000”, except section 521(a)(4) shall be applied by substituting “$9,560,000,000” for “$12,440,000,000”, exc…
  • $250 million Sec. 1101(2) The Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024 (division C of Public Law 118–42), except section 510 shall be applied by substituting “$1,900,000,000” for “$1,353,000,000”, except section 521(a)(1) shall be applied by substituting “$30,000,000” for “$35,000,000”, except section 521(a)(4) shall be applied by substituting “$9,560,000,000” for “$12,440,000,000”, exc…
  • $500 million Sec. 1101(2) The Commerce, Justice, Science, and Related Agencies Appropriations Act, 2024 (division C of Public Law 118–42), except section 510 shall be applied by substituting “$1,900,000,000” for “$1,353,000,000”, except section 521(a)(1) shall be applied by substituting “$30,000,000” for “$35,000,000”, except section 521(a)(4) shall be applied by substituting “$9,560,000,000” for “$12,440,000,000”, exc…
  • $400 million Sec. 1101(5) The Financial Services and General Government Appropriations Act, 2024 (division B of Public Law 118–47), except section 635 shall be applied by substituting “$400,000,000” for “$387,500,000”, except the last proviso under the heading “Federal Payment for Defender Services in District of Columbia Courts” shall be applied by substituting “$12,000,000” for “$25,000,000”, and except sections 636,…
  • $387.5 million Sec. 1101(5) The Financial Services and General Government Appropriations Act, 2024 (division B of Public Law 118–47), except section 635 shall be applied by substituting “$400,000,000” for “$387,500,000”, except the last proviso under the heading “Federal Payment for Defender Services in District of Columbia Courts” shall be applied by substituting “$12,000,000” for “$25,000,000”, and except sections 636,…
  • $12 million Sec. 1101(5) The Financial Services and General Government Appropriations Act, 2024 (division B of Public Law 118–47), except section 635 shall be applied by substituting “$400,000,000” for “$387,500,000”, except the last proviso under the heading “Federal Payment for Defender Services in District of Columbia Courts” shall be applied by substituting “$12,000,000” for “$25,000,000”, and except sections 636,…
  • $25 million Sec. 1101(5) The Financial Services and General Government Appropriations Act, 2024 (division B of Public Law 118–47), except section 635 shall be applied by substituting “$400,000,000” for “$387,500,000”, except the last proviso under the heading “Federal Payment for Defender Services in District of Columbia Courts” shall be applied by substituting “$12,000,000” for “$25,000,000”, and except sections 636,…
  • $1.47 billion Sec. 1101(8) The Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024 (division D of Public Law 118–47), except section 240 shall be applied by substituting “$1,471,000,000” for “$1,250,000,000” and by substituting “2025, except that no amounts may be rescinded from amounts that were previously designated by the Congress as being for an emergency req…
  • $1.25 billion Sec. 1101(8) The Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024 (division D of Public Law 118–47), except section 240 shall be applied by substituting “$1,471,000,000” for “$1,250,000,000” and by substituting “2025, except that no amounts may be rescinded from amounts that were previously designated by the Congress as being for an emergency req…
  • $13.06 billion Sec. 1101(8) The Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024 (division D of Public Law 118–47), except section 240 shall be applied by substituting “$1,471,000,000” for “$1,250,000,000” and by substituting “2025, except that no amounts may be rescinded from amounts that were previously designated by the Congress as being for an emergency req…
  • $14.22 billion Sec. 1101(8) The Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024 (division D of Public Law 118–47), except section 240 shall be applied by substituting “$1,471,000,000” for “$1,250,000,000” and by substituting “2025, except that no amounts may be rescinded from amounts that were previously designated by the Congress as being for an emergency req…
  • $160 million Sec. 1101(8) The Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024 (division D of Public Law 118–47), except section 240 shall be applied by substituting “$1,471,000,000” for “$1,250,000,000” and by substituting “2025, except that no amounts may be rescinded from amounts that were previously designated by the Congress as being for an emergency req…
  • $4.31 billion Sec. 1101(8) The Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2024 (division D of Public Law 118–47), except section 240 shall be applied by substituting “$1,471,000,000” for “$1,250,000,000” and by substituting “2025, except that no amounts may be rescinded from amounts that were previously designated by the Congress as being for an emergency req…
  • $6 million Sec. 1109(1) “Department of Labor—Office of Workers’ Compensation Programs—Special Benefits for Disabled Coal Miners”, for benefit payments under title IV of the Federal Mine Safety and Health Act of 1977, $6,000,000, to remain available until expended.
  • $261.06 billion Sec. 1109(2) “Department of Health and Human Services—Centers for Medicare & Medicaid Services—Grants to States for Medicaid”, for payments to States or in the case of section 1928 on behalf of States under title XIX of the Social Security Act, $261,063,820,000, to remain available until expended.
  • $1.6 billion Sec. 1109(3) “Department of Health and Human Services—Administration for Children and Families—Payments to States for Child Support Enforcement and Family Support Programs”, for payments to States or other non-Federal entities under titles I, IV–D, X, XI, XIV, and XVI of the Social Security Act and the Act of July 5, 1960 (24 U.S.C. ch. 9), $1,600,000,000, to remain available until expended.
  • $3.6 billion Sec. 1109(4) “Department of Health and Human Services—Administration for Children and Families—Payments for Foster Care and Permanency”, for payments to States or other non-Federal entities under title IV–E of the Social Security Act, $3,600,000,000.

And 427 more in the full text.

Read from the bill’s text by matching dollar amounts and the words around them; check the linked section before relying on a figure.

Who wrote it

Portrait of Tom Cole

Sponsor

Rep. Tom Cole (R-OK-4)

No cosponsors. Introduced March 10, 2025.

How Congress voted

  • House · March 11, 2025

    On passage Passed by the Yeas and Nays: 217 - 213 (Roll no. 70). (text of amendment in the nature of a substitute: CR H1102-1113)

    217 yea · 213 nay · 2 other · Republicans 216–1 · Democrats 1–212 · Official record

  • Senate · March 14, 2025

    Passed Senate without amendment by Yea-Nay Vote. 54 - 46. Record Vote Number: 133.

    54 yea · 46 nay · Republicans 52–1 · Democrats 1–44 · Independents 1–1 · Official record

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›DIVISION B — Health17 provisions

TITLE I — Public Health Extenders

Sec. 2101

Extends through FY2025 funding for the Teaching Health Center Graduate Medical Education Program, the Community Health Center Fund, and the National Health Service Corps.

The Teaching Health Center Graduate Medical Education Program supports education and training of medical students in primary care residency programs in community-based ambulatory patient care centers. The Community Health Center Fund supports (1) grants for outpatient health care facilities that serve medically underserved populations; and (2) the National Health Service Corps, which provides scholarships and student loan repayment awards to health care providers who agree to work in areas with health care provider shortages.

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Sec. 2102

Extends funding through FY2025 for the Special Diabetes Program for Type I Diabetes and the Special Diabetes Program for Indians.

(The Special Diabetes Program for Type I Diabetes supports research on the prevention and cure of Type I diabetes, and the Special Diabetes Program for Indians supports diabetes treatment and prevention for tribal populations.)

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Sec. 2103

Extends through FY2025 the authority that allows states and tribes to request the temporary reassignment of state and local health department personnel who are funded through certain federal programs to immediately address a public health emergency.

It also extends through FY2025 provisions that prohibit the disclosure of information about Department of Health and Human Services (HHS) programs that could compromise national security (e.g., information regarding biomedical threats). The section extends through FY2025 provisions that authorize HHS to engage with developers of medical countermeasures, and that provide for related antitrust exemptions, for the purpose of furthering product development. Additionally, the section extends through FY2025 the National Advisory Committee on Children and Disasters, the National Advisory Committee on Seniors and Disasters, and the National Advisory Committee on Individuals with Disabilities and Disasters. It also extends through FY2025 the authority of HHS to directly appoint candidates to positions within the National Disaster Medical System if HHS determines the number of personnel in the system is insufficient to address a public health emergency or potential public health emergency. (The National Disaster Medical System is a partnership between HHS, the Department of Defense, and other federal departments that responds to public health and other emergencies, including by deploying medical response teams.)

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TITLE II — Medicare

Sec. 2201

Extends through FY2025 certain increased payment adjustments for low-volume hospitals under Medicare's inpatient prospective payment system.

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Sec. 2202

Extends through FY2025 the Medicare-Dependent Hospital Program, which provides additional payments to certain small rural hospitals that have a high proportion of Medicare patients.

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Sec. 2203

Extends through FY2025 certain increased payment adjustments for ground ambulance services in rural and other areas under Medicare.

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Sec. 2204

Extends through FY2025 funding for certain Medicare quality-measurement activities.

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Sec. 2205

Extends through FY2025 funding for state health insurance programs, area agencies on aging, aging and disability resource centers, and technical assistance related to outreach and enrollment with respect to Medicare and other programs.

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Sec. 2206

Extends through FY2025 certain minimum adjustments to the work geographic index with respect to payments for physician services under Medicare.

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Sec. 2207

Extends through FY2025 certain telehealth flexibilities under Medicare.

Specifically, the section (1) removes geographic restrictions on originating sites (i.e., the location of the beneficiary); (2) allows the home of the beneficiary to serve as the originating site for all services; (3) allows audiologists, physical therapists, occupational therapists, and speech-language pathologists to furnish telehealth services; (4) allows federally qualified health centers and rural health clinics to serve as the distant site (i.e., the location of the health care practitioner); (5) delays implementation of certain in-person evaluation requirements for mental health telehealth services; (6) expands coverage to include audio-only services for evaluation and management and behavioral health services; and (7) allows, for purposes of hospice care recertification under Medicare, physicians and nurse practitioners to fulfill the requirement of a face-to-face encounter with the hospice patient via telehealth.

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Sec. 2208

Extends through FY2025 the Acute Hospital Care at Home Program under Medicare.

(The program allows hospitals to treat certain patients from emergency departments or inpatient hospital beds at home.)

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Sec. 2209

Extends through FY2025 coverage under the Medicare prescription drug benefit of prescription oral antiviral drugs that were authorized in response to the COVID-19 public health emergency.

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Sec. 2210

Increases funding for the Medicare Improvement Fund beginning in FY2026.

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Sec. 2211

Extends by two months the sequestration that applies to Medicare payments in FY2032.

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TITLE III — Human Services

Sec. 2301

Extends through FY2025 the Sexual Risk Avoidance Education Program.

This program supports projects to implement sexual risk avoidance education that teaches participants to voluntarily refrain from nonmarital sexual activities.

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Sec. 2302

Extends through FY2025 the Personal Responsibility Education Program.

This program provides grants to states to (1) educate young people about abstinence and contraception to prevent pregnancy and sexually transmitted infections, and (2) support pregnant youth and mothers under the age of 21.

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Sec. 2303

Extends through FY2025 the Family-to-Family Health Information Centers Program, which is administered by the Health Resources and Services Administration.

The program awards grants to family-run organizations to support the provision of information and peer support to families of children with special health care needs. This section delays reductions to Medicaid disproportionate-share hospital (DSH) allotments until FY2026. (DSHs are hospitals that receive additional payments under Medicaid for treating a large share of low-income patients.) This division extends several expiring programs and authorities through FY2025.

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›DIVISION C — Other Matters6 provisions

Sec. 3101

Extends authorities related to the Commodity Futures Trading Commission’s whistleblower program.

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Sec. 3102

Extends the authority of the Department of Homeland Security (DHS) and the Department of Justice to take certain actions to mitigate a credible threat to certain facilities or assets from an unmanned aircraft system (UAS).

These include certain facilities that are located in the United States and identified as high-risk and a potential target for unlawful UAS activity.

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Sec. 3103

Extends the special assessment on nonindigent persons or entities convicted of certain offenses involving sexual abuse or human trafficking.

The assessment funds programs for human trafficking survivors.

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Sec. 3104

Extends the authority for DHS’s National Cybersecurity Protection System and related reporting requirements.

The system authorizes multiple activities by DHS to help defend federal agencies from cyberthreats.

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Sec. 3105

Extends, the temporary scheduling order issued by the Drug Enforcement Administration to place fentanyl-related substances in schedule I of the Controlled Substances Act.

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Sec. 3106

Exempts the budgetary effects of Divisions B and C of this act from (1) the Statutory Pay-As-You-Go (PAYGO) Act of 2010, (2) the Senate PAYGO rule, and (3) certain budget scorekeeping rules.

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