S. 5244Senate117th Congress (2021-2023)Introduced

Continuing Appropriations and Health Extenders Act of 2022

Sponsored by Mike LeeSen. Mike Lee (R-UT)
Introduced December 13, 2022

AI-Generated Summary

Updated February 8, 2026 at 6:43 PM UTC

The Continuing Appropriations and Health Extenders Act of 2022 extends federal funding and program deadlines into early February 2023 while providing short‑term appropriations for FY 2023. It mainly prolongs health‑related programs such as Medicare, Medicaid, maternal‑child services, and several FDA initiatives, and it updates a few non‑health authorizations. The bill also requires the OMB to release a 2022 PAYGO report.

Key Provisions

  • Extends the FY 2023 continuing appropriations deadline from Dec 16, 2022 to Feb 3, 2023.
  • Orders the Office of Management and Budget to publish the 2022 PAYGO report and any required order by Feb 4, 2023.
  • Extends FCC auction authority, the domestic trafficking victims’ fund, and the CFTC customer‑protection fund authority to Feb 3, 2023.
  • Prolongs Medicare inpatient payment adjustments for low‑volume hospitals and the Medicare‑Dependent Hospital program through early February 2023.
  • Continues maternal, infant, and early childhood home‑visiting programs and child‑and‑family services through Feb 3, 2023, with funding drawn from existing appropriations.
  • Extends the moratorium on funds for health services to certain Alaska Native villages until Feb 3, 2023.
  • Reauthorizes and increases funding for several health initiatives (Best Pharmaceuticals for Children, Humanitarian Device Exemption, Pediatric Device Consortia, Critical Path PPP, Orphan Drug Grants) for the period ending early February 2023.
  • Updates various FDA reporting and inspection deadlines, moving them from mid‑December 2022 to early February 2023.

Legislative Activity

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2 earlier actions
SenateCalendars Latest Action

Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 641.

December 14, 2022

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SenateIntro Referral

Introduced in Senate

December 13, 2022

SenateCalendars

Introduced in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time.

December 13, 2022

SenateCalendars

Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 641.

December 14, 2022

Floor Debate

6 members

What members said about S. 5244 on the floor

4 Republicans2 Democrats
Mike Lee
Sen. Mike LeeR-UT · Dec 13, 2022

Mr. President, this Friday at midnight, the government will run out of funding. That leaves us with just a few options. One, we could pass the massive, yet-to-be-drafted, Pelosi-Schumer omnibus…

Ron Johnson
Sen. Ron JohnsonR-WI · Dec 13, 2022

Mr. President, you will notice that the senior Senator from Vermont didn't talk about overall spending numbers. I would ask the President--I would ask anybody listening to these floor speeches today:…

Rick Scott
Sen. Rick ScottR-FL · Dec 13, 2022

Mr. President, let me begin with a simple question: When are we going to say enough? The American people are saying it. Heck, even traditionally liberal, mainstream news outlets are getting there.…

Patrick J. Leahy
Sen. Patrick J. LeahyD-VT · Dec 13, 2022

Mr. President, reserving the right to object, and I will, but let me explain why. The bill offered by my colleague on the other side of the aisle is shortsighted and premature. We have been working…

Mike Braun
Sen. Mike BraunR-IN · Dec 13, 2022

It is going to be real easy, real short. In November, the House of Representatives was returned back to Republicans. It was in a much wider kind of popular margin when you add up the votes that we…

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Charles E. Schumer
Sen. Charles E. SchumerD-NY · Dec 13, 2022

Madam President, I understand that there is a bill at the desk, and I ask for its first reading. I now ask for a second reading, and in order to place the bill on the calendar under the provisions of…

Charles E. Schumer
Sen. Charles E. SchumerD-NY · Dec 14, 2022

Mr. President, first, I understand that there is a bill at the desk that is due for a second reading. In order to place the bill on the calendar under the provisions of rule XIV, I would object to…

Bill Text

Latest available legislative text

Reading Mode
Latest
Placed on Calendar SenateIssued December 14, 2022

II

Calendar No. 641

117th CONGRESS

2d Session

S. 5244

IN THE SENATE OF THE UNITED STATES

December 13, 2022

Mr. Lee (for himself, Mr. Braun, Mr. Scott of Florida, and Mr. Johnson) introduced the following bill; which was read the first time

December 14, 2022

Read the second time and placed on the calendar

A BILL

Making continuing appropriations for fiscal year 2023, extending various health programs, and for other purposes.

1.

Short title

This Act may be cited as the Continuing Appropriations and Health Extenders Act of 2022.

I

Continuing appropriations

101.

Extension of appropriations

Section 106(3) of division A of the Continuing Appropriations and Ukraine Supplemental Appropriations Act, 2023 (Public Law 117–180; 136 Stat. 2116) is amended by striking December 16, 2022 and inserting February 3, 2023.

102.

PAYGO report

Notwithstanding subsection (a) of section 5 of the Statutory Pay-As-You-Go Act of 2010 (2 U.S.C. 934), the Office of Management and Budget shall make publicly available the annual PAYGO report required under such subsection for 2022 and prepare any order required under subsection (b) of such section not later than February 4, 2023.

II

Extensions, Technical Corrections, and Other Matters

201.

Extension of FCC Auction Authority

Section 309(j)(11) of the Communications Act of 1934 (47 U.S.C. 309(j)(11)) is amended by striking December 16, 2022 and inserting February 3, 2023.

202.

Extension of Authorization for Special Assessment for Domestic Trafficking Victims’ Fund

Section 3014(a) of title 18, United States Code, is amended, in the matter preceding paragraph (1), by striking December 16, 2022 and inserting February 3, 2023.

203.

Extension of Commodity Futures Trading Commission Customer Protection Fund Expenses Account

Section 1(b) of Public Law 117–25 (135 Stat. 297) is amended by striking December 16, 2022 each place it appears and inserting February 3, 2023.

III

Health and Human Services Extensions

A

Medicare and Medicaid

301.

Extension of increased inpatient hospital payment adjustment for certain low-volume hospitals

(a)

In general

Section 1886(d)(12) of the Social Security Act (42 U.S.C. 1395ww(d)(12)) is amended—

(1)

in subparagraph (B), in the matter preceding clause (i), by striking December 17, 2022 and inserting February 4, 2023;

(2)

in subparagraph (C)(i)—

(A)

in the matter preceding subclause (I), by striking December 16, 2022 and inserting February 3, 2023;

(B)

in subclause (III), by striking December 16, 2022 and inserting February 3, 2023;

(C)

in subclause (IV), by striking December 17, 2022 and inserting February 4, 2023; and

(3)

in subparagraph (D)—

(A)

in the matter preceding clause (i), by striking December 16, 2022 and inserting February 3, 2023; and

(B)

in clause (ii), by striking December 16, 2022 and inserting February 3, 2023.

(b)

Implementation

Notwithstanding any other provision of law, the Secretary of Health and Human Services may implement the provisions of, including the amendments made by, this section by program instruction or otherwise.

302.

Extension of the Medicare-dependent hospital (MDH) program

(a)

In general

Section 1886(d)(5)(G) of the Social Security Act (42 U.S.C. 1395ww(d)(5)(G)) is amended—

(1)

in clause (i), by striking December 17, 2022 and inserting February 4, 2023; and

(2)

in clause (ii)(II), by striking December 17, 2022 and inserting February 4, 2023.

(b)

Conforming amendments

(1)

Extension of target amount

Section 1886(b)(3)(D) of the Social Security Act (42 U.S.C. 1395ww(b)(3)(D)) is amended—

(A)

in the matter preceding clause (i), by striking December 17, 2022 and inserting February 4, 2023; and

(B)

in clause (iv), by striking December 16, 2022 and inserting February 3, 2023.

(2)

Permitting hospitals to decline reclassification

Section 13501(e)(2) of the Omnibus Budget Reconciliation Act of 1993 (42 U.S.C. 1395ww note) is amended by striking December 16, 2022 and inserting February 3, 2023.

303.

Extension of increased FMAPs for the territories

Section 1905(ff) of the Social Security Act (42 U.S.C. 1396d(ff)) is amended by striking December 16, 2022 each place it appears and inserting February 3, 2023 in each such place.

B

Human Services

311.

Extension of maternal, infant, and early childhood home visiting programs

Activities authorized by section 511 of the Social Security Act shall continue through February 3, 2023, in the manner authorized for fiscal year 2022, and out of any money in the Treasury of the United States not otherwise appropriated, there is hereby appropriated for such purpose an amount equal to the pro rata portion of the amount appropriated for such activities for fiscal year 2022.

312.

Extension of child and family services programs

Activities authorized by part B of title IV of the Social Security Act shall continue through February 3, 2023, in the manner authorized for fiscal year 2022, and out of any money in the Treasury of the United States not otherwise appropriated, there are hereby appropriated such sums as may be necessary for such purpose.

C

Indian Health

321.

Extension of moratorium relating to funds for health care services for certain Alaska Native villages

Section 424(a) of the Department of the Interior, Environment, and Related Agencies Appropriations Act, 2014 (Public Law 113–76; 128 Stat. 343; 132 Stat. 693;136 Stat. 2136) is amended by striking December 16, 2022 and inserting February 3, 2023.

IV

Reauthorization of other provisions

401.

Reauthorization of the best pharmaceuticals for children program

Section 409I(d)(1) of the Public Health Service Act (42 U.S.C. 284m(d)(1)) is amended by striking $5,273,973 for the period beginning on October 1, 2022 and ending on December 16, 2022 and inserting $8,630,138 for the period beginning on October 1, 2022, and ending on February 3, 2023.

402.

Reauthorization of the humanitarian device exemption incentive

Section 520(m)(6)(A)(iv) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 360j(m)(6)(A)(iv)) is amended by striking December 17, 2022 and inserting February 4, 2023.

403.

Reauthorization of the pediatric device consortia program

Section 305(e) of the Food and Drug Administration Amendments Act of 2007 (Public Law 110–85; 42 U.S.C. 282 note) is amended by striking $1,107,534 for the period beginning on October 1, 2022, and ending on December 16, 2022 and inserting $1,812,328 for the period beginning on October 1, 2022, and ending on February 3, 2023.

404.

Reauthorization of provision pertaining to drugs containing single enantiomers

Section 505(u)(4) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355(u)(4)) is amended by striking December 17, 2022 and inserting February 4, 2023.

405.

Reauthorization of the critical path public-private partnership

Section 566(f) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 360bbb–5(f)) is amended by striking $1,265,753 for the period beginning on October 1, 2022 and ending on December 16, 2022 and inserting $2,071,232 for the period beginning on October 1, 2022, and ending on February 3, 2023.

406.

Reauthorization of orphan drug grants

Section 5(c) of the Orphan Drug Act (21 U.S.C. 360ee(c)) is amended by striking $6,328,767 for the period beginning on October 1, 2022, and ending on December 16, 2022 and inserting $10,356,164 for the period beginning on October 1, 2022, and ending on February 3, 2023.

407.

Reauthorization of certain device inspections

Section 704(g)(11) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 374(g)(11)) is amended by striking December 17, 2022 and inserting February 4, 2023.

408.

Reauthorization of reporting requirements related to pending generic drug applications and priority review applications

Section 807 of the FDA Reauthorization Act of 2017 (Public Law 115–52) is amended, in the matter preceding paragraph (1), by striking December 16, 2022 and inserting February 3, 2023.

December 14, 2022

Read the second time and placed on the calendar