H.R. 195House115th Congress (2017-2019)Enacted

Making further continuing appropriations for the fiscal year ending September 30, 2018, and for other purposes.

Introduced January 3, 2017

AI-Generated Summary

Updated April 15, 2026 at 11:24 AM UTC

The bill provides a continuing appropriations package for FY 2018 and extends funding and program authorizations through 2023 for health and child insurance programs. It adds rules limiting free printed copies of the Federal Register to members of Congress and federal employees unless requested, extends tax moratoriums on medical devices and high‑cost employer health coverage, and includes provisions for compensating furloughed federal employees. The measures affect federal agencies, state Medicaid and CHIP programs, and the public‑health insurance system.

Key Provisions

  • Limits free printed copies of the Federal Register to members of Congress and federal employees unless they request a specific issue or have a subscription, effective Jan 1 2018.
  • Extends the continuing appropriations deadline to Feb 8 2018 and authorizes use of certain defense, agriculture, NASA, Energy, SBA, and HUD funds to keep operations running during a lapse.
  • Requires payment to federal and D.C. employees furloughed due to a lapse in appropriations and reimburses states that advanced funds for federal programs.
  • Extends CHIP funding through FY 2023 with specified annual amounts and adds a $20.2 billion one‑time appropriation for FY 2023.
  • Creates a “parent mentor” role in CHIP outreach and excludes mentor compensation from income eligibility calculations.
  • Extends the moratorium on the medical device excise tax to Dec 31 2019, delays the high‑cost employer‑sponsored health coverage tax to Dec 31 2021, and suspends the annual fee on health‑insurance providers through 2019.
  • Exempts the budgetary effects of these divisions from PAYGO scoring.

Legislative Activity

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61 earlier actions
Became Law Latest Action

Became Public Law No: 115-120.

January 22, 2018

View full timeline
HouseIntro Referral

Introduced in House

January 3, 2017

HouseIntro Referral

Referred to the Committee on Oversight and Government Reform, and in addition to the Committee on House Administration, 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.

January 3, 2017

HouseCommittee

Committee Consideration and Mark-up Session Held.

February 14, 2017

HouseCommittee

Ordered to be Reported by Voice Vote.

February 14, 2017

HouseCommittee

Reported by the Committee on Oversight and Government Reform. H. Rept. 115-128, Part I.

May 17, 2017

HouseCommittee

Committee on House Administration discharged.

May 17, 2017

HouseCalendars

Placed on the Union Calendar, Calendar No. 78.

May 17, 2017

HouseFloor

Mr. Russell moved to suspend the rules and pass the bill.

May 17, 2017 • 3:21 PM

HouseFloor

Considered under suspension of the rules. (consideration: CR H4267-4268)

May 17, 2017 • 3:21 PM

HouseFloor

DEBATE - The House proceeded with forty minutes of debate on H.R. 195.

May 17, 2017 • 3:21 PM

HouseFloor

Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by voice vote.(text: CR H4267)

May 17, 2017 • 3:28 PM

HouseFloor

On motion to suspend the rules and pass the bill Agreed to by voice vote. (text: CR H4267)

May 17, 2017 • 3:28 PM

HouseFloor

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

May 17, 2017 • 3:28 PM

SenateIntro Referral

Received in the Senate and Read twice and referred to the Committee on Homeland Security and Governmental Affairs.

May 18, 2017

SenateCommittee

Committee on Homeland Security and Governmental Affairs. Ordered to be reported without amendment favorably.

July 26, 2017

SenateCommittee

Committee on Homeland Security and Governmental Affairs. Reported by Senator Johnson without amendment. With written report No. 115-184.

November 8, 2017

SenateCalendars

Placed on Senate Legislative Calendar under General Orders. Calendar No. 261.

November 8, 2017

SenateFloor

Measure laid before Senate by unanimous consent. (consideration: CR S8271)

December 21, 2017

SenateFloor

Passed Senate with an amendment by Unanimous Consent.

December 21, 2017

SenateFloor

Message on Senate action sent to the House.

December 22, 2017

HouseResolving Differences

Pursuant to the provisions of H.Res. 696, Mr. Frelinghuysen moved that the House agree with an amendment to the Senate amendment. (consideration: CR H521-536, H537-538)

January 18, 2018 • 4:44 PM

HouseFloor

DEBATE - The House proceeded with one hour of debate on the motion that the House agree to the Senate amendment with an amendment to H.R. 195.

January 18, 2018 • 4:44 PM

HouseResolving Differences

The previous question was ordered pursuant to the rule.

January 18, 2018 • 6:05 PM

HouseFloor

POSTPONED PROCEEDINGS - At the conclusion of debate on the Senate amendment, the Chair put the question on the motion to agree to the Senate amendment with an amendment, and by voice vote announced that the ayes had prevailed. Mr. Frelinghuysen demanded the yeas and nays and the Chair postponed further proceedings until a time to be announced.

January 18, 2018 • 6:05 PM

HouseNot Used

Resolving differences -- House actions: On motion the House agree with an amendment to the Senate amendment Agreed to by the Yeas and Nay: 230-197 (Roll no. 33).(text as House agreed to Senate amendment: CR H523-526)

January 18, 2018

HouseResolving Differences

On motion the House agree with an amendment to the Senate amendment Agreed to by the Yeas and Nay: 230-197 (Roll no. 33). (text as House agreed to Senate amendment: CR H523-526)

January 18, 2018 • 7:37 PM

HouseResolving Differences

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

January 18, 2018 • 7:37 PM

SenateFloor

Message on House action received in Senate and at desk: House amendment to Senate amendment.

January 18, 2018

SenateFloor

Motion to proceed to consideration of the House message to accompany H.R. 195 agreed to in Senate by Yea-Nay Vote. 97 - 2. Record Vote Number: 13. (consideration: CR S304-308)

January 18, 2018

SenateFloor

Measure laid before Senate by motion.

January 18, 2018

SenateFloor

Motion by Senator McConnell to concur in the House amendment to the Senate amendment to H.R. 195 made in Senate.

January 18, 2018

SenateFloor

Cloture motion on the motion to concur in the House amendment to the Senate amendment to H.R. 195 presented in Senate.

January 18, 2018

SenateFloor

Motion by Senator McConnell to concur in the House amendment to the Senate amendment to H.R. 195 with an amendment (SA 1903) made in Senate.

January 18, 2018

SenateFloor

Motion by Senator McConnell to refer to Senate Committee on Appropriations the House message to accompany H.R. 195 with instructions to report back forthwith with the following amendment (SA 1905) made in Senate.

January 18, 2018

SenateFloor

Considered by Senate (Message from the House considered). (consideration: CR S316-344, S351-355)

January 19, 2018

SenateFloor

Cloture on the motion to concur in the House amendment to the Senate amendment to H.R. 195 not invoked in Senate by Yea-Nay Vote. 50 - 49. Record Vote Number: 14. (1/19/18 CR S351-352)

January 20, 2018

SenateFloor

Motion by Senator McConnell to reconsider the vote by which cloture on the motion to concur in the House amendment to the Senate amendment to H.R. 195 was not invoked (Record Vote No. 14) entered in Senate.

January 20, 2018

SenateFloor

Motion by Senator McConnell to refer to Senate Committee on Appropriations the House message to accompany H.R. 195 with instructions to report back forthwith with the following amendment (SA 1905) tabled in Senate by Yea-Nay Vote. 55 - 44. Record Vote Number: 15.

January 20, 2018

SenateFloor

Motion by Senator McConnell to concur in the House amendment to the Senate amendment to H.R. 195 with an amendment (SA 1917) made in Senate.

January 20, 2018

SenateFloor

Cloture motion on the motion to concur in the House amendment to the Senate amendment to H.R. 195 with an amendment (SA 1917) presented in Senate. (1/19/18 CR S354)

January 20, 2018

SenateFloor

Motion by Senator McConnell to refer to Senate Committee on Appropriations the House message to accompany H.R. 195 with instructions to report back forthwith with the following amendment (SA 1918) made in Senate.

January 20, 2018

SenateFloor

Considered by Senate (Message from the House considered). (consideration: CR S359-393)

January 20, 2018

SenateFloor

Considered by Senate (Message from the House considered). (consideration: CR S397-428)

January 21, 2018

SenateFloor

Considered by Senate (Message from the House considered). (consideration: CR S429-438)

January 22, 2018

SenateFloor

Cloture on the motion to concur in the House amendment to the Senate amendment to H.R. 195 with an amendment (SA 1917) invoked in Senate by Yea-Nay Vote. 81 - 18. Record Vote Number: 16. (CR S431)

January 22, 2018

SenateFloor

Motion by Senator McConnell to refer to Senate Committee on Appropriations the House message to accompany H.R. 195 with instructions to report back forthwith with the following amendment (SA 1918) fell when cloture invoked on the motion to concur in the House amendment to the Senate amendment to H.R. 195 with an amendment (SA 1917) in Senate.

January 22, 2018

HouseNot Used

Resolving differences -- Senate actions: Senate concurred in the House amendment to the Senate amendment to H.R. 195 with an amendment (SA 1917) by Yea-Nay Vote. 81 - 18. Record Vote Number: 17.

January 22, 2018

SenateResolving Differences

Senate concurred in the House amendment to the Senate amendment to H.R. 195 with an amendment (SA 1917) by Yea-Nay Vote. 81 - 18. Record Vote Number: 17.

January 22, 2018

SenateFloor

Cloture motion on the motion to concur in the House amendment to the Senate amendment to H.R. 195 rendered moot in Senate.

January 22, 2018

SenateFloor

Motion by Senator McConnell to reconsider the vote by which cloture on the motion to concur in the House amendment to the Senate amendment to H.R. 195 was not invoked (Record Vote No. 14) rendered moot in Senate.

January 22, 2018

SenateFloor

Message on Senate action sent to the House.

January 22, 2018

HouseFloor

ORDER OF PROCEDURE - Mr. Sessions asked unanimous consent that it be in order at any time to take from the Speaker's table H.R. 195, with the Senate amendment to the House amendment to the Senate amendment thereto, and to consider in the House, without intervention of any point of order, a motion offered by the Majority Leader or his designee that the House concur in the Senate amendment to the House amendment to the Senate amendment; that the Senate amendment and the motion be considered as read; that the motion be debatable for 10 minutes equally divided and controlled by the Majority Leader and the Minority Leader or their respective designees; and that the previous question be considered as ordered on the motion to its adoption without intervening motion. Agreed to without objection. (consideration: CR H617-620)

January 22, 2018 • 5:33 PM

HouseFloor

Pursuant to the order of the House of January 22, 2018, Mr. McCarthy moved that the House agree to the Senate amendment to the House amendment to the Senate amendment to H.R. 195.

January 22, 2018 • 5:33 PM

HouseFloor

DEBATE - The House proceeded with 10 minutes of debate on the motion that the House agree to the Senate amendment to the House amendment to the Senate amendment to H.R. 195.

January 22, 2018 • 5:33 PM

HouseResolving Differences

The previous question was ordered pursuant to the order of the House of January 22, 2018.

January 22, 2018 • 5:49 PM

HouseNot Used

Resolving differences -- House actions: On motion that the House agree to the Senate amendment to the House amendment to the Senate amendment Agreed to by the Yeas and Nays: 266 - 150 (Roll no. 44).

January 22, 2018

HouseResolving Differences

On motion that the House agree to the Senate amendment to the House amendment to the Senate amendment Agreed to by the Yeas and Nays: 266 - 150 (Roll no. 44).

January 22, 2018 • 6:10 PM

HouseResolving Differences

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

January 22, 2018 • 6:10 PM

HouseFloor

Pursuant to the provisions of S. Con. Res. 33, enrollment corrections on H.R. 195 have been made.

January 22, 2018 • 7:10 PM

President

Presented to President.

January 22, 2018

Became Law

Signed by President.

January 22, 2018

Became Law

Became Public Law No: 115-120.

January 22, 2018

Amendments

18 amendments

Offered to this bill

S.Amdt. 1918Jan 22, 2018

Of a perfecting nature.

SA 1918 (the instructions of the motion to refer) fell when cloture invoked on the motion to concur in the House amendment to the Senate amendment to H.R. 195 with an amendment (SA 1917). · Sponsored by Mitch McConnell

S.Amdt. 1917Jan 22, 2018

Of a perfecting nature.

Amendment SA 1917 agreed to in Senate by Yea-Nay Vote. 81 - 18. Record Vote Number: 17. · Sponsored by Mitch McConnell

S.Amdt. 19073rd degreeJan 20, 2018

Of a perfecting nature.

SA 1907 fell when SA 1906 fell. · Sponsored by Mitch McConnell · Amends S.Amdt. 1906

S.Amdt. 19062nd degreeJan 20, 2018

Of a perfecting nature.

SA 1906 fell when SA 1905 (the instructions of the motion to refer) fell. · Sponsored by Mitch McConnell · Amends S.Amdt. 1905

S.Amdt. 1905Jan 20, 2018

Of a perfecting nature.

SA 1905 fell when the motion to refer the House message to accompany H.R. 195 tabled. · Sponsored by Mitch McConnell

S.Amdt. 19042nd degreeJan 20, 2018

Of a perfecting nature.

SA 1904 fell when the motion to concur in the House amendment to the Senate amendment to H.R. 195 with an amendment (SA 1903) tabled. · Sponsored by Mitch McConnell · Amends S.Amdt. 1903

S.Amdt. 1903Jan 20, 2018

To change the enactment date.

Motion to table the motion to concur in the House amendment to the Senate amendment to H.R. 195 with an amendment (SA 1903) agreed to in Senate by Voice Vote. · Sponsored by Mitch McConnell

S.Amdt. 1864Dec 21, 2017

To amend the Violent Crime Control and Law Enforcement Act of 1994, to reauthorize the Missing Alzheimer's Disease Patient Alert Program, and to promote initiatives that will reduce the risk of injury and death relating to the wandering characteristics of some children with autism.

Amendment SA 1864 agreed to in Senate by Unanimous Consent. · Sponsored by Chuck Grassley

S.Amdt. 19192nd degreeJan 22, 2018

Sponsored by Richard Burr · Amends S.Amdt. 1917

S.Amdt. 19162nd degreeJan 19, 2018

Sponsored by Richard J. Durbin · Amends S.Amdt. 1913

S.Amdt. 1915Jan 19, 2018

Sponsored by Dean Heller

S.Amdt. 1914Jan 19, 2018

Sponsored by Dean Heller

S.Amdt. 1913Jan 19, 2018

Sponsored by Charles E. Schumer

S.Amdt. 1912Jan 19, 2018

Sponsored by Benjamin L. Cardin

S.Amdt. 1911Jan 19, 2018

Sponsored by Dean Heller

S.Amdt. 1910Jan 19, 2018

Sponsored by Rand Paul

S.Amdt. 1909Jan 19, 2018

Sponsored by Rand Paul

S.Amdt. 1908Jan 19, 2018

Sponsored by Rand Paul

Floor Debate

24 members

What members said about H.R. 195 on the floor

11 Republicans13 Democrats
Kevin Yoder
Rep. Kevin YoderR-KS-3 · Jul 26, 2017

Mr. Chairman, I rise today to speak in favor of the bill before us, paying particular attention to the work of the Legislative Branch Subcommittee. I first want to thank my colleagues, Chairman…

Debbie Wasserman Schultz
Rep. Debbie Wasserman SchultzD-FL-23 · Jul 26, 2017

Mr. Chairman, I thank the distinguished ranking member for yielding me time and for her hard work during this arduous process. And I would also like to thank Chairman Frelinghuysen and Chairman Dent…

Gerald E. Connolly
Rep. Gerald E. ConnollyD-VA-11 · Jul 26, 2017

Mr. Chairman, I have an amendment at the desk. Mr. Chairman, I rise today to offer an amendment that would increase funding for the Government Accountability Office, offset by a minor decrease in the…

Tim Ryan
Rep. Tim RyanD-OH-13 · Jul 26, 2017

Mr. Chairman, while I rise to oppose this appropriations package, even though the Legislative Branch division of this package is worthy of our support, I commend Chairman Yoder both for the product…

Rodney P. Frelinghuysen
Rep. Rodney P. FrelinghuysenR-NJ-11 · Jul 26, 2017

Mr. Speaker, I ask unanimous consent that all Members may have 5 legislative days within which to revise and extend their remarks and include extraneous material in the consideration of H.R. 3219,…

Show 8 more
Sheila Jackson Lee
Rep. Sheila Jackson LeeD-TX-18 · Jul 26, 2017

Mr. Chair, thank you for this opportunity to briefly explain Jackson Lee Amendment No. 22. Before I begin, let me express my appreciation and thanks to my good friends, Chairman Dent and Ranking…

Charles W. Dent
Rep. Charles W. DentR-PA-15 · Jul 26, 2017

Mr. Chairman, the Appropriations Act before you today includes, in division C, appropriations for Military Construction, Veterans Affairs, and Related Agencies for Fiscal Year 2018. Division C is…

Nita M. Lowey
Rep. Nita M. LoweyD-NY-17 · Jul 26, 2017

Mr. Chair, I yield myself 4 minutes. Typically, the Legislative Branch, Military Construction and Veterans Affairs, Energy and Water, and Defense bills would be debated and amended by the full House…

Scott Perry
Rep. Scott PerryR-PA-4 · Jul 26, 2017

Mr. Chairman, I have an amendment at the desk. Mr. Chairman, our Nation is $20 trillion in debt, and there might be $100 trillion or $200 trillion in unfunded liabilities. I am not sure we really…

Marcy Kaptur
Rep. Marcy KapturD-OH-9 · Jul 26, 2017

Mr. Chairman, I thank Ranking Member Lowey for the time, and I also thank Chairman Frelinghuysen on his maiden voyage--not his first voyage, but his first as chair of the full committee--and the…

Michael K. Simpson
Rep. Michael K. SimpsonR-ID-2 · Jul 26, 2017

Mr. Chairman, it is my distinct honor to bring the fiscal year 2018 Energy and Water bill before you today. Before I go into the details, I would like to recognize Chairman Frelinghuysen. It is…

Peter J. Visclosky
Rep. Peter J. ViscloskyD-IN-1 · Jul 26, 2017

Mr. Chairman, I thank the ranking member for yielding to me. Mr. Chairman, I, first of all, thank Chairwoman Granger. This is her first time leading the Defense Appropriations bill on the floor. She…

Nancy Pelosi
Rep. Nancy PelosiD-CA-12 · Jul 26, 2017

Mr. Chair, I thank the gentlewoman from New York, the distinguished ranking member of the Appropriations Committee, for yielding, and more importantly, for her great leadership to advance the values…

Show 11 more
H. Morgan Griffith
Rep. H. Morgan GriffithR-VA-9 · Jul 26, 2017

Mr. Chairman, I have an amendment at the desk. Mr. Chairman, I yield myself such time as I may consume. Mr. Chairman, I would like to read the amendment because I think there must be some confusion…

Steny H. Hoyer
Rep. Steny H. HoyerD-MD-5 · Jul 26, 2017

Mr. Chairman, I served actively on the Appropriations Committee for 23 years. I am still a member on leave. Never, in the 36 years that I have been here, have I seen an omnibus appropriation bill or…

Lamar Smith
Rep. Lamar SmithR-TX-21 · Jul 26, 2017

Mr. Chairman, I thank the chairman of the Appropriations Committee for yielding me time. I am very pleased to support H.R. 3219, the Make America Secure Appropriations Act of 2018, especially because…

Lucille Roybal-Allard
Rep. Lucille Roybal-AllardD-CA-40 · Jul 26, 2017

Mr. Chairman, it is difficult to understand how a Make America Secure Appropriations minibus does not include the bill for the Department of Homeland Security which is responsible for security at our…

Henry Cuellar
Rep. Henry CuellarD-TX-28 · Jul 26, 2017

Mr. Chairman, I thank the ranking member for yielding. I also want to thank the Appropriations chair from New Jersey and the staff, and also the ranking young lady from New York and the staff for…

Harold Rogers
Rep. Harold RogersR-KY-5 · Jul 26, 2017

Mr. Chairman, thank you for yielding the time. Congratulations to you on your maiden voyage in this role that you are occupying--very expertly, I might add. During the forced march that we undertook…

Eddie Bernice Johnson
Rep. Eddie Bernice JohnsonD-TX-30 · Jul 26, 2017

Mr. Chair, I would like to state my strong objection to the Energy and Water Development Appropriations portion of H.R. 3219. It would completely eliminate ARPA-E, an agency that has already…

Kay Granger
Rep. Kay GrangerR-TX-12 · Jul 26, 2017

Mr. Chairman, today we consider the Make America Secure Appropriations Act which includes the Defense Appropriations bill for fiscal year 2018. I ask all Members for their support of this very…

Steve Russell
Rep. Steve RussellR-OK-5 · May 17, 2017

Mr. Speaker, I move to suspend the rules and pass the bill (H.R. 195) to amend title 44, United States Code, to restrict the distribution of free printed copies of the Federal Register to Members of…

Ken Calvert
Rep. Ken CalvertR-CA-42 · Jul 26, 2017

Mr. Chairman, I rise in strong support of H.R. 3219, the Make America Secure Appropriations Act. First, I would like to commend Chairman Frelinghuysen for his tireless work to report out all 12…

Donald S. Beyer, Jr.
Rep. Donald S. Beyer, Jr.D-VA-8 · Jul 26, 2017

Mr. Chairman, I, too, rise in strong opposition to this mean-spirited amendment. This attack on the integrity and professionalism of the Congressional Budget Office is shameful and is part of a…

Bill Text

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Enrolled BillPublication date not provided

One Hundred Fifteenth Congress of the United States of America

At the Second Session

Begun and held at the City of Washington on Wednesday, the third day of January, two thousand and eighteen

H. R. 195

AN ACT

Making further continuing appropriations for the fiscal year ending September 30, 2018, and for other purposes.

A

Federal Register Printing Savings Act of 2017

1.

Short title

This division may be cited as the Federal Register Printing Savings Act of 2017.

2.

Restrictions on distribution of free printed copies of Federal Register to Members of Congress and federal employees

(a)

Restrictions

Section 1506 of title 44, United States Code, is amended—

(1)

by striking “The Administrative Committee” and inserting (a) Composition; Duties.—The Administrative Committee;

(2)

in subsection (a)(4), by striking “the number of copies” and inserting “subject to subsection (b), the number of copies”; and

(3)

by adding at the end the following new subsection:

(b)

Restrictions on distribution of free printed copies to Members of Congress and officers and employees of the United States

(1)

Prohibiting subscription to printed copies without request

Under the regulations prescribed to carry out subsection (a)(4), the Director of the Government Publishing Office may not provide a printed copy of the Federal Register without charge to any Member of Congress or any other office of the United States during a year unless—

(A)

the Member or office requests a printed copy of a specific issue of the Federal Register; or

(B)

during that year or during the previous year, the Member or office requested a subscription to printed copies of the Federal Register for that year, as described in paragraph (2).

(2)

Administration of subscriptions

The regulations prescribed to carry out subsection (a)(4) shall include—

(A)

provisions regarding notifications to offices of Members of Congress and other offices of the United States of the restrictions of paragraph (1);

(B)

provisions describing the process by which Members and other offices may request a specific issue of the Federal Register for purposes of paragraph (1)(A); and

(C)

provisions describing the process by which Members and other offices may request a subscription to the Federal Register for purposes of paragraph (1)(B), except that such regulations shall limit the period for such a subscription to not longer than 1 year.

.

(b)

Effective date

The amendment made by subsection (a) shall take effect January 1, 2018.

B

Extension of Continuing Appropriations Act, 2018

2001.

The Continuing Appropriations Act, 2018 (division D of Public Law 115–56) is amended—

(1)

by striking the date specified in section 106(3) and inserting February 8, 2018; and

(2)

by adding after section 147 the following:

148.

Funds appropriated by the Department of Defense Missile Defeat and Defense Enhancements Appropriations Act, 2018 (division B of Public Law 115–96) may be obligated and expended notwithstanding section 504(a)(1) of the National Security Act of 1947 (50 U.S.C. 3094(a)(1)).

149.

Amounts made available by section 101 for Department of Agriculture—Food and Nutrition Service—Child Nutrition Programs to carry out section 749(g) of the Agriculture Appropriations Act of 2010 (Public Law 111–80) may be apportioned up to the rate for operations necessary to ensure that the program can be fully operational by May 2018.

150.

Amounts made available by section 101 for National Aeronautics and Space Administration—Exploration may be apportioned up to the rate for operations necessary to maintain the planned launch capability schedules for the Space Launch System launch vehicle, Exploration Ground Systems, and Orion Multi-Purpose Crew Vehicle programs.

151.

Amounts made available by section 101 for Department of Energy—Energy Programs—Office of the Inspector General may be apportioned up to the rate for operations necessary to sustain staffing levels achieved on June 30, 2017.

152.

Amounts made available by section 101 for Small Business Administration—Business Loans Program Account may be apportioned up to the rate for operations necessary to accommodate increased demand for commitments for general business loans authorized under section 7(a) of the Small Business Act (15 U.S.C. 636(a)).

153.

For 2018, the Secretary of Housing and Urban Development may make temporary adjustments to the Section 8 housing choice voucher annual renewal funding allocations and administrative fee eligibility determinations for public housing agencies in an area for which the President declared a disaster in 2017 or 2018 under title IV of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5170 et seq.), to avoid significant adverse funding impacts that would otherwise result from the disaster and that would otherwise prevent a public housing agency from leasing up to its authorized level of units under contract (but not to exceed such level), upon request by and in consultation with a public housing agency and supported by documentation as required by the Secretary that demonstrates the need for the adjustment.

154.
(a)

Employees furloughed as a result of any lapse in appropriations which begins on or about January 20, 2018, shall be compensated at their standard rate of compensation, for the period of such lapse in appropriations, as soon as practicable after such lapse in appropriations ends.

(b)

For purposes of this section, employee means:

(1)

a federal employee;

(2)

an employee of the District of Columbia Courts;

(3)

an employee of the Public Defender Service for the District of Columbia; or

(4)

a District of Columbia Government employee.

(c)

All obligations incurred in anticipation of the appropriations made and authority granted by this division for the purposes of maintaining the essential level of activity to protect life and property and bringing about orderly termination of Government functions, and for purposes as otherwise authorized by law, are hereby ratified and approved if otherwise in accord with the provisions of this division.

155.
(a)

If a State (or another Federal grantee) used State funds (or the grantee’s non-Federal funds) to continue carrying out a Federal program or furloughed State employees (or the grantee’s employees) whose compensation is advanced or reimbursed in whole or in part by the Federal Government—

(1)

such furloughed employees shall be compensated at their standard rate of compensation for such period;

(2)

the State (or such other grantee) shall be reimbursed for expenses that would have been paid by the Federal Government during such period had appropriations been available, including the cost of compensating such furloughed employees, together with interest thereon calculated under section 6503(d) of title 31, United States Code; and

(3)

the State (or such other grantee) may use funds available to the State (or the grantee) under such Federal program to reimburse such State (or the grantee), together with interest thereon calculated under section 6503(d) of title 31, United States Code.

(b)

For purposes of this section, the term State and the term grantee shall have the meaning as such term is defined under the applicable Federal program under subsection (a). In addition, to continue carrying out a Federal program means the continued performance by a State or other Federal grantee, during the period of a lapse in appropriations, of a Federal program that the State or such other grantee had been carrying out prior to the period of the lapse in appropriations.

(c)

The authority under this section applies with respect to any period in fiscal year 2018 (not limited to periods beginning or ending after the date of the enactment of this division) during which there occurs a lapse in appropriations with respect to any department or agency of the Federal Government which, but for such lapse in appropriations, would have paid, or made reimbursement relating to, any of the expenses referred to in this section with respect to the program involved. Payments and reimbursements under this authority shall be made only to the extent and in amounts provided in advance in appropriations Acts.

.

2002.

The Further Additional Continuing Appropriations Act, 2018 (division A of Public Law 115–96) is amended by striking section 1002.

2003.

For the purposes of division D of Public Law 115–56, the time covered by such division shall be considered to include the period which began on or about January 20, 2018, during which there occurred a lapse in appropriations.

This division may be cited as the Extension of Continuing Appropriations Act, 2018.

C

HEALTHY KIDS Act

3001.

Short title

This division may be cited as the Helping Ensure Access for Little Ones, Toddlers, and Hopeful Youth by Keeping Insurance Delivery Stable Act or the HEALTHY KIDS Act.

3002.

Six-year funding extension of the Children’s Health Insurance Program

(a)

Funding

(1)

In general

Section 2104(a) of the Social Security Act (42 U.S.C. 1397dd(a)), as amended by section 3201(a) of the CHIP and Public Health Funding Extension Act (division C of Public Law 115–96), is amended—

(A)

in paragraph (20)(B), by striking ; and and inserting a semicolon;

(B)

by striking paragraph (21) and inserting the following new paragraphs:

(21)

for fiscal year 2018, $21,500,000,000;

(22)

for fiscal year 2019, $22,600,000,000;

(23)

for fiscal year 2020, $23,700,000,000;

(24)

for fiscal year 2021, $24,800,000,000;

(25)

for fiscal year 2022, $25,900,000,000; and

(26)

for fiscal year 2023, for purposes of making two semi-annual allotments—

(A)

$2,850,000,000 for the period beginning on October 1, 2022, and ending on March 31, 2023; and

(B)

$2,850,000,000 for the period beginning on April 1, 2023, and ending on September 30, 2023.

.

(2)

Prevention of duplicate appropriations for fiscal year 2018

Notwithstanding any other provision of law, insofar as funds have been appropriated under subsection (a)(21) of section 2104 of the Social Security Act (42 U.S.C. 1397dd), as such subsection is in effect on the day before the date of the enactment of this Act, to provide allotments to States under the State Children's Health Insurance Program established under title XXI of the Social Security Act (42 U.S.C. 1397aa et seq.) (whether implemented under title XIX, XXI, or both, of the Social Security Act) for fiscal year 2018—

(A)

any amounts that are so appropriated that are not so allotted and obligated before the date of the enactment of this Act, are rescinded; and

(B)

any amount provided for CHIP allotments to a State under this section (and the amendments made by this section) for such fiscal year shall be reduced by the amount of such appropriations so allotted and obligated before such date.

(b)

Allotments

(1)

In general

Section 2104(m) of the Social Security Act (42 U.S.C. 1397dd(m)), as amended by section 3201(b) of the CHIP and Public Health Funding Extension Act (division C of Public Law 115–96), is amended—

(A)

in paragraph (2)(B)—

(i)

in the matter preceding clause (i), by striking (19) and inserting (25);

(ii)

in clause (i), by striking and 2017 and inserting , 2017, and 2023; and

(iii)

in clause (ii)—

(I)

in the matter preceding subclause (I), by striking and paragraph (10); and

(II)

in subclause (I), by inserting (or, in the case of fiscal year 2018, under paragraph (4)) after clause (i);

(B)

in paragraph (5), by striking 2018 and inserting 2023;

(C)

in paragraph (7)—

(i)

in subparagraph (A), by striking 2017 and inserting 2023;

(ii)

in subparagraph (B), in the matter preceding clause (i), by inserting (or, in the case of fiscal year 2018, by not later than the date that is 60 days after the date of the enactment of the HEALTHY KIDS Act) after before the August 31 preceding the beginning of the fiscal year; and

(iii)

in the matter following subparagraph (B), by striking or fiscal year 2016 and inserting fiscal year 2016, fiscal year 2018, fiscal year 2020, or fiscal year 2022;

(D)

in paragraph (9), by striking 2018 and inserting 2023; and

(E)

by amending paragraph (10) to read as follows:

(10)

For fiscal year 2023

(A)

First half

Subject to paragraphs (5) and (7), from the amount made available under subparagraph (A) of paragraph (26) of subsection (a) for the semi-annual period described in such subparagraph, increased by the amount of the appropriation for such period under section 3002(b)(2) of the HEALTHY KIDS Act, the Secretary shall compute a State allotment for each State (including the District of Columbia and each commonwealth and territory) for such semi-annual period in an amount equal to the first half ratio (described in subparagraph (D)) of the amount described in subparagraph (C).

(B)

Second half

Subject to paragraphs (5) and (7), from the amount made available under subparagraph (B) of paragraph (26) of subsection (a) for the semi-annual period described in such subparagraph, the Secretary shall compute a State allotment for each State (including the District of Columbia and each commonwealth and territory) for such semi-annual period in an amount equal to the amount made available under such subparagraph, multiplied by the ratio of—

(i)

the amount of the allotment to such State under subparagraph (A); to

(ii)

the total of the amount of all of the allotments made available under such subparagraph.

(C)

Full year amount based on rebased amount

The amount described in this subparagraph for a State is equal to the Federal payments to the State that are attributable to (and countable towards) the total amount of allotments available under this section to the State in fiscal year 2022 (including payments made to the State under subsection (n) for fiscal year 2022 as well as amounts redistributed to the State in fiscal year 2022), multiplied by the allotment increase factor under paragraph (6) for fiscal year 2023.

(D)

First half ratio

The first half ratio described in this subparagraph is the ratio of—

(i)

the sum of—

(I)

the amount made available under subsection (a)(26)(A); and

(II)

the amount of the appropriation for such period under section 3002(b)(2) of the HEALTHY KIDS Act; to

(ii)

the sum of—

(I)

the amount described in clause (i); and

(II)

the amount made available under subsection (a)(26)(B).

.

(2)

One-time appropriation for fiscal year 2023

There is appropriated to the Secretary of Health and Human Services, out of any money in the Treasury not otherwise appropriated, $20,200,000,000 to accompany the allotment made for the period beginning on October 1, 2022, and ending on March 31, 2023, under paragraph (26)(A) of section 2104(a) of the Social Security Act (42 U.S.C. 1397dd(a)) (as added by subsection (a)), to remain available until expended. Such amount shall be used to provide allotments to States under paragraph (10) of section 2104(m) of such Act (as added by paragraph (1)) for the first 6 months of fiscal year 2023 in the same manner as allotments are provided under subsection (a)(26)(A) of such section 2104 and subject to the same terms and conditions as apply to the allotments provided from such subsection (a)(26)(A).

(c)

Extension of the Child Enrollment Contingency Fund

Section 2104(n) of the Social Security Act (42 U.S.C. 1397dd(n)) is amended—

(1)

in paragraph (2)—

(A)

in subparagraph (A)(ii)—

(i)

by striking 2010, 2011, 2012, 2013, 2014, and 2016 and inserting 2010 through 2014, 2016, and 2018 through 2022; and

(ii)

by striking fiscal year 2015 and fiscal year 2017 and inserting fiscal years 2015, 2017, and 2023; and

(B)

in subparagraph (B)—

(i)

by striking 2010, 2011, 2012, 2013, 2014, and 2016 and inserting 2010 through 2014, 2016, and 2018 through 2022; and

(ii)

by striking fiscal year 2015 and fiscal year 2017 and inserting fiscal years 2015, 2017, and 2023; and

(2)

in paragraph (3)(A), in the matter preceding clause (i), by striking or a semi-annual allotment period for fiscal year 2015 or 2017 and inserting or in any of fiscal years 2018 through 2022 (or a semi-annual allotment period for fiscal year 2015, 2017, or 2023).

(d)

Extension of qualifying states option

(1)

In general

Section 2105(g)(4) of the Social Security Act (42 U.S.C. 1397ee(g)(4)) is amended—

(A)

in the heading, by striking through 2017 and inserting through 2023; and

(B)

in subparagraph (A), by striking 2017 and inserting 2023.

(2)

Technical amendments

Section 2104(f)(2)(B)(ii) of the Social Security Act (42 U.S.C. 1397dd(f)(2)(B)(ii)), as amended by section 3201(c) of the CHIP and Public Health Funding Extension Act (division C of Public Law 115–96), is amended—

(A)

in subclause (I), by striking for the month (as defined in subclause (II)) and inserting (as defined in subclause (II)) for the month;

(B)

in subclause (II), by inserting , as in effect on the day before the date of the enactment of the HEALTHY KIDS Act, after section 2105(g)(4)(A); and

(C)

in subclause (VI)—

(i)

by inserting , as in effect on the day before the date of the enactment of the HEALTHY KIDS Act after , section 2105(g)(4); and

(ii)

by inserting , as so in effect after under section 2105(g)(4).

(e)

Extension of express lane eligibility option

Section 1902(e)(13)(I) of the Social Security Act (42 U.S.C. 1396a(e)(13)(I)) is amended by striking 2017 and inserting 2023.

(f)

Assurance of affordability standard for children and families

(1)

In general

Section 2105(d)(3) of the Social Security Act (42 U.S.C. 1397ee(d)(3)) is amended—

(A)

in the paragraph heading, by striking until October 1, 2019 and inserting through September 30, 2023; and

(B)

in subparagraph (A), in the matter preceding clause (i)—

(i)

by striking 2019 and inserting 2023; and

(ii)

by striking The preceding sentence shall not be construed as preventing a State during such period and inserting During the period that begins on October 1, 2019, and ends on September 30, 2023, the preceding sentence shall only apply with respect to children in families whose income does not exceed 300 percent of the poverty line (as defined in section 2110(c)(5)) applicable to a family of the size involved. The preceding sentences shall not be construed as preventing a State during any such periods.

(2)

Conforming amendments

Section 1902(gg)(2) of the Social Security Act (42 U.S.C. 1396a(gg)(2)) is amended—

(A)

in the paragraph heading, by striking until October 1, 2019 and inserting through September 30, 2023; and

(B)

by striking September 30, 2019, and inserting September 30, 2023 (but during the period that begins on October 1, 2019, and ends on September 30, 2023, only with respect to children in families whose income does not exceed 300 percent of the poverty line (as defined in section 2110(c)(5)) applicable to a family of the size involved).

(g)

CHIP look-Alike plans

(1)

Blending risk pools

Section 2107 of the Social Security Act (42 U.S.C. 1397gg) is amended by adding at the end the following:

(g)

Use of blended risk pools

(1)

In general

Nothing in this title (or any other provision of Federal law) shall be construed as preventing a State from considering children enrolled in a qualified CHIP look-alike program and children enrolled in a State child health plan under this title (or a waiver of such plan) as members of a single risk pool.

(2)

Qualified CHIP look-alike program

In this subsection, the term qualified CHIP look-alike program means a State program—

(A)

under which children who are under the age of 19 and are not eligible to receive medical assistance under title XIX or child health assistance under this title may purchase coverage through the State that provides benefits that are at least identical to the benefits provided under the State child health plan under this title (or a waiver of such plan); and

(B)

that is funded exclusively through non-Federal funds, including funds received by the State in the form of premiums for the purchase of such coverage.

.

(2)

Coverage rule

(A)

In general

Section 5000A(f)(1) of the Internal Revenue Code of 1986 is amended in subparagraph (A)(iii), by inserting or under a qualified CHIP look-alike program (as defined in section 2107(g) of the Social Security Act) before the comma at the end.

(B)

Effective date

The amendment made by subparagraph (A) shall apply with respect to taxable years beginning after December 31, 2017.

(h)

Availability of unused fiscal year 2018 redistribution amounts

Any amounts that have been redistributed to States under subsection (f) of section 2104 of the Social Security Act (42 U.S.C. 1397dd) for fiscal year 2018 that are not, or will not be, expended by the end of that fiscal year shall be—

(1)

adjusted by the Secretary before the end of fiscal year 2018 to reflect an updated estimate of shortfalls under subsection (f)(2)(A) of such section; and

(2)

available for redistribution under subsection (f) of such section for subsequent fiscal years.

3003.

Extension of certain programs and demonstration projects

(a)

Childhood obesity demonstration project

Section 1139A(e)(8) of the Social Security Act (42 U.S.C. 1320b–9a(e)(8)) is amended—

(1)

by striking and $10,000,000 and inserting , $10,000,000; and

(2)

by inserting after 2017 the following: , and $30,000,000 for the period of fiscal years 2018 through 2023.

(b)

Pediatric quality measures program

Section 1139A(i) of the Social Security Act (42 U.S.C. 1320b–9a(i)) is amended—

(1)

by striking Out of any and inserting the following:

(1)

In general

Out of any

;

(2)

by striking there is appropriated for each and inserting “there is appropriated—

(A)

for each

;

(3)

by striking , and there is appropriated for the period and inserting “;

(B)

for the period

;

(4)

by striking . Funds appropriated under this subsection shall remain available until expended. and inserting ; and; and

(5)

by adding at the end the following:

(C)

for the period of fiscal years 2018 through 2023, $90,000,000 for the purpose of carrying out this section (other than subsections (e), (f), and (g)).

(2)

Availability

Funds appropriated under this subsection shall remain available until expended.

.

3004.

Extension of outreach and enrollment program

(a)

In general

Section 2113 of the Social Security Act (42 U.S.C. 1397mm) is amended—

(1)

in subsection (a)(1), by striking 2017 and inserting 2023; and

(2)

in subsection (g)—

(A)

by striking and $40,000,000 and inserting , $40,000,000; and

(B)

by inserting after 2017 the following: , and $120,000,000 for the period of fiscal years 2018 through 2023.

(b)

Making organizations that use parent mentors eligible To receive grants

Section 2113(f) of the Social Security Act (42 U.S.C. 1397mm(f)) is amended—

(1)

in paragraph (1)(E), by striking or community-based doula programs and inserting , community-based doula programs, or parent mentors; and

(2)

by adding at the end the following new paragraph:

(5)

Parent mentor

The term parent mentor means an individual who—

(A)

is a parent or guardian of at least one child who is an eligible child under this title or title XIX; and

(B)

is trained to assist families with children who have no health insurance coverage with respect to improving the social determinants of the health of such children, including by providing—

(i)

education about health insurance coverage, including, with respect to obtaining such coverage, eligibility criteria and application and renewal processes;

(ii)

assistance with completing and submitting applications for health insurance coverage;

(iii)

a liaison between families and representatives of State plans under title XIX or State child health plans under this title;

(iv)

guidance on identifying medical and dental homes and community pharmacies for children; and

(v)

assistance and referrals to successfully address social determinants of children’s health, including poverty, food insufficiency, and housing.

.

(c)

Exclusion from modified adjusted gross income

Section 1902(e) of the Social Security Act (42 U.S.C. 1396a(e)) is amended—

(1)

in the first paragraph (14), relating to income determined using modified adjusted gross income, by adding at the end the following new subparagraph:

(J)

Exclusion of parent mentor compensation from income determination

Any nominal amount received by an individual as compensation, including a stipend, for participation as a parent mentor (as defined in paragraph (5) of section 2113(f)) in an activity or program funded through a grant under such section shall be disregarded for purposes of determining the income eligibility of such individual for medical assistance under the State plan or any waiver of such plan.

; and

(2)

by striking (14) Exclusion and inserting (15) Exclusion.

3005.

Extension and reduction of additional Federal financial participation for CHIP

Section 2105(b) of the Social Security Act (42 U.S.C. 1397ee(b)) is amended in the second sentence by inserting and during the period that begins on October 1, 2019, and ends on September 30, 2020, the enhanced FMAP determined for a State for a fiscal year (or for any portion of a fiscal year occurring during such period) shall be increased by 11.5 percentage points after 23 percentage points,.

3006.

Medicaid Improvement Fund

Section 1941 of the Social Security Act (42 U.S.C. 1396w–1) is amended—

(1)

in subsection (a), in the first sentence, by inserting before the period at the end the following: , and, in accordance with subsection (b)(3), for the purposes of subparagraph (B) of such subsection; and

(2)

in subsection (b)—

(A)

in paragraph (2)—

(i)

in the first sentence, by inserting pursuant to paragraph (1) after in the Fund;

(ii)

by inserting after the first sentence the following sentence: Amounts in the Fund pursuant to paragraph (3) shall be available in advance of appropriations but only if the total amount obligated from the Fund does not exceed the amount available to the Fund under such paragraph (3).; and

(iii)

in the last sentence, by striking sentence and inserting sentences; and

(B)

by adding at the end the following new paragraph:

(3)

Additional funding for State activities relating to mechanized claims systems

(A)

In general

In addition to the amount made available under paragraph (1), there shall be available to the Fund, for expenditures from the Fund in accordance with subparagraph (B), for fiscal year 2023 and thereafter, $980,000,000, to remain available until expended.

(B)

Purposes

The Secretary shall use amounts made available to the Fund under subparagraph (A) to pay to each State which has a plan approved under this title, for each quarter beginning during or after fiscal year 2023 an amount equal to—

(i)

100 percent minus the percent specified in clause (i) of section 1903(a)(3)(A) of so much of the sums expended by the State during such quarter as are attributable to the activities described in such clause;

(ii)

100 percent minus the Federal medical assistance percentage applied under clause (iii) of such section of so much of the sums expended during such quarter (as found necessary by the Secretary under such clause) by the State as are attributable to the activities described in such clause; and

(iii)

100 percent minus the percent specified in section 1903(a)(3)(B) of so much of the sums expended by the State during such quarter as are attributable to the activities described in such section.

.

D

Suspension of certain health-related taxes

4001.

Extension of moratorium on medical device excise tax

(a)

In general

Section 4191(c) of the Internal Revenue Code of 1986 is amended by striking December 31, 2017 and inserting December 31, 2019 .

(b)

Effective date

The amendment made by this section shall apply to sales after December 31, 2017.

4002.

Delay in implementation of excise tax on high cost employer-sponsored health coverage

Section 9001(c) of the Patient Protection and Affordable Care Act is amended by striking December 31, 2019 and inserting December 31, 2021.

4003.

Suspension of annual fee on health insurance providers

(b)

In general

Section 9010(j) of the Patient Protection and Affordable Care Act is amended—

(1)

by striking and at the end of paragraph (1),

(2)

by striking the period at the end of paragraph (2) and inserting , and ending before January 1, 2019, and, and

(3)

by adding at the end the following new paragraph:

(3)

beginning after December 31, 2019.

.

(c)

Effective date

The amendments made by this section shall apply to calendar years beginning after December 31, 2018.

E

Budgetary Effects

5001.

Budgetary effects

(a)

In general

The budgetary effects of division C and each succeeding division shall not be entered on either PAYGO scorecard maintained pursuant to section 4(d) of the Statutory Pay-As-You-Go Act of 2010.

(b)

Senate paygo scorecards

The budgetary effects of division C and each succeeding division shall not be entered on any PAYGO scorecard maintained for purposes of section 4106 of H. Con. Res. 71 (115th Congress).

(c)

Classification of budgetary effects

Notwithstanding Rule 3 of the Budget Scorekeeping Guidelines set forth in the joint explanatory statement of the committee of conference accompanying Conference Report 105–217 and section 250(c)(8) of the Balanced Budget and Emergency Deficit Control Act of 1985, the budgetary effects of division C and each succeeding division shall not be estimated—

(1)

for purposes of section 251 of such Act; and

(2)

for purposes of paragraph (4)(C) of section 3 of the Statutory Pay-As-You-Go Act of 2010 as being included in an appropriation Act.

Speaker of the House of Representatives.

Vice President of the United States and President of the Senate.