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H.R. 1968U.S. CongressBecame law 119th Congress

Full-Year Continuing Appropriations and Extensions Act, 2025

Last status update Mar 15, 2025

What this measure contains

Full-Year Continuing Appropriations and Extensions Act, 2025 This act provides continuing FY2025 appropriations for federal agencies and extends various expiring programs and authorities. DIVISION A--FULL-YEAR CONTINUING APPROPRIATIONS ACT, 2025 Full-Year Continuing Appropriations Act, 2025 This division provides continuing FY2025 appropriations to federal agencies for the remainder of FY2025 and extends various expiring programs and authorities. It is known as a continuing resolution (CR) and prevents a government shutdown that would otherwise occur if the FY2025 appropriations bills have not been enacted when the existing CR expires on March 14, 2025. The CR funds most programs and activities at the FY2024 levels. It also includes several additional provisions that increase or decrease funding for various programs compared to FY2024 levels. For more information, see CRS Report R48517, Section-by-Section Summary of the Full-Year Continuing Appropriations Act, 2025 (Division A of P.L. 119-4) DIVISION B--HEALTH This division extends several expiring programs and authorities related to public health, Medicare, and Medicaid. TITLE I--PUBLIC HEALTH EXTENDERS (Sec. 2101) This section 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. (Sec. 2102) This section 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.) (Sec. 2103) This section 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.) TITLE II--MEDICARE (Sec. 2201) This section extends through FY2025 certain increased payment adjustments for low-volume hospitals under Medicare's inpatient prospective payment system. (Sec. 2202) This section 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. (Sec. 2203) This section extends through FY2025 certain increased payment adjustments for ground ambulance services in rural and other areas under Medicare. (Sec. 2204) This section extends through FY2025 funding for certain Medicare quality-measurement activities. (Sec. 2205) This section 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. (Sec. 2206) This section extends through FY2025 certain minimum adjustments to the work geographic index with respect to payments for physician services under Medicare. (Sec. 2207) This section 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. (Sec. 2208) This section 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.) (Sec. 2209) This section 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. (Sec. 2210) This section increases funding for the Medicare Improvement Fund beginning in FY2026. (Sec. 2211) This section extends by two months the sequestration that applies to Medicare payments in FY2032. TITLE III--HUMAN SERVICES (Sec. 2301) This section 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. (Sec. 2302) This section 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. (Sec. 2303) This section 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. TITLE IV--MEDICAID 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.) DIVISION C--OTHER MATTERS This division extends several expiring programs and authorities through FY2025. (Sec. 3101) This section extends authorities related to the Commodity Futures Trading Commission’s whistleblower program. (Sec. 3102) This section 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. (Sec. 3103) This section 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. (Sec. 3104) This section 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. (Sec. 3105) This section extends, the temporary scheduling order issued by the Drug Enforcement Administration to place fentanyl-related substances in schedule I of the Controlled Substances Act. (Sec. 3106) This section 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.

The latest Congressional Research Service summary in the bill's GovInfo status record, or its official title when no summary has been published. Amendments can change the wording; read a specific version for its complete provisions.

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Bill text and versions

Drafts can change as a measure moves through Congress. Check the version attached to a recorded vote.

How this measure moved

Legislative path

Each stage below is a House or Senate floor decision: every recorded roll call on this measure, plus passage by voice vote or unanimous consent, which records no individual votes. Each stage shows the latest version published before that day; the chamber may have voted on an amended text. Roll calls name every member. A member's row follows their votes, and a highlighted vote marks where they voted for advancing the measure at one stage and against it at another (passage, cloture, motions to proceed, agreeing to the other chamber's version). Amendments and motions such as recommit or table don't count as a change, because an aye there isn't a vote for the measure.

  1. Introduced in House
  2. Placed on Calendar Senate
  3. Engrossed in Houseby House passage
  4. Enrolled Bill
  5. Public Law

Decision stages

  1. House motion to recommit on Introduced in House: Failed

    213 aye · 216 no · 3 not voting · Source roll call

  2. House passage on Introduced in House: Passed, reported as Engrossed in House

    217 aye · 213 no · 2 not voting · Source roll call

  3. Senate cloture on Engrossed in House: Cloture Motion Agreed to

    62 aye · 38 no · Source roll call

  4. Senate amendment on Engrossed in House: Amendment Rejected

    47 aye · 53 no · Source roll call

  5. Senate amendment on Engrossed in House: Amendment Rejected

    47 aye · 53 no · Source roll call

  6. Senate amendment on Engrossed in House: Amendment Rejected

    48 aye · 52 no · Source roll call

  7. Senate amendment on Engrossed in House: Amendment Rejected

    27 aye · 73 no · Source roll call

  8. Senate passage on Engrossed in House: Bill Passed

    54 aye · 46 no · Source roll call

Senate members along the path

91 more Senate members

House members along the path

430 more House members

Aye yea or aye · No nay or no · Present · NV not voting · Changed reversed on advancing the measure

Members are identified by the Bioguide ID in each roll call, not by name. Not voting is not a no vote; a blank cell means the member wasn't listed for that roll call.Congress.gov actions ↗

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Legislative history

  1. Introduced in House

  2. Referred to the Committee on Appropriations, and in addition to the Committee on the Budget, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  3. Rules Committee Resolution H. Res. 211 Reported to House. Rule provides for consideration of H.J. Res. 25, H.R. 1156 and H.R. 1968. The resolution provides for consideration of H.J. Res. 25, H.R. 1156, and H.R. 1968 under a closed rule. Also, the resolution provides for one hour of general debate and one motion to recommit on each measure.

  4. Rule H. Res. 211 passed House.

  5. Considered under the provisions of rule H. Res. 211. (consideration: CR H1102-1124)

  6. Rule provides for consideration of H.J. Res. 25, H.R. 1156 and H.R. 1968. The resolution provides for consideration of H.J. Res. 25, H.R. 1156, and H.R. 1968 under a closed rule. Also, the resolution provides for one hour of general debate and one motion to recommit on each measure.

  7. DEBATE - The House proceeded with one hour of debate on H.R. 1968.

  8. The previous question was ordered pursuant to the rule.

  9. Ms. Meng moved to recommit to the Committee on Appropriations. (text: CR H1123-1124)

  10. The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.

  11. POSTPONED PROCEEDINGS - At the conclusion of debate on H.R. 1968, the Chair put the question on the motion to recommit and announced that the noes had prevailed. Ms. Meng demanded the yeas and nays and the Chair postponed further proceedings until a time to be announced.

  12. Considered as unfinished business. (consideration: CR H1124-1126)

  13. On motion to recommit Failed by the Yeas and Nays: 213 - 216 (Roll no. 69).

  14. Passed/agreed to in House: 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)

  15. 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)

  16. Motion to reconsider laid on the table Agreed to without objection.

  17. Received in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time. (Legislative Day March 10, 2025).

  18. Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 26.

  19. Motion to proceed to consideration of measure made in Senate. (CR S1681)

  20. Cloture motion on the motion to proceed to the measure presented in Senate. (CR S1700)

  21. Cloture motion on the motion to proceed to the measure withdrawn by unanimous consent in Senate. (CR S1768)

  22. Motion to proceed to consideration of measure agreed to in Senate by Unanimous Consent. (CR S1768)

  23. Measure laid before Senate by unanimous consent. (consideration: CR S1768-1772)

  24. Cloture motion on the measure presented in Senate. (CR S1768)

  25. Cloture on the measure invoked in Senate by Yea-Nay Vote. 62 - 38. Record Vote Number: 128. (CR S1768)

  26. Passed/agreed to in Senate: Passed Senate without amendment by Yea-Nay Vote. 54 - 46. Record Vote Number: 133.

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

  28. Message on Senate action sent to the House.

  29. Presented to President.

  30. Signed by President.

  31. Became Public Law No: 119-4.

Bill sponsors