H.R. 1370House115th Congress (2017-2019)Enacted

An Act to amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland Security-wide guidance and develop training programs as part of the Department of Homeland Security Blue Campaign, and for other purposes.

Introduced March 6, 2017

AI-Generated Summary

Updated April 15, 2026 at 1:37 PM UTC

H.R. 1370 amends the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue department‑wide guidance and develop training programs for the DHS Blue Campaign, a public‑awareness effort on human trafficking. The bill also packages a wide range of FY 2018 appropriations and policy changes, adding funding for missile‑defense projects, extending health‑care program funding (community health centers, National Health Service Corps, teaching health centers, diabetes programs, CHIP), and providing $2.1 billion for the Veterans Choice Fund.

Key Provisions

  • Requires DHS Secretary to issue guidance and create training for the Blue Campaign to improve anti‑human‑trafficking efforts.
  • Amends the Continuing Appropriations Act, 2018 by adjusting dates and adding specific funding allocations for Coast Guard retired pay and other items.
  • Provides additional emergency appropriations for missile‑defense operations, procurement, research, development, and construction projects.
  • Extends funding for community health centers, the National Health Service Corps, teaching health centers, and special diabetes programs for the first half of FY 2018.
  • Increases and adjusts funding for the Children’s Health Insurance Program (CHIP) and related redistribution rules for short‑fall states.
  • Allocates $2.1 billion to the Veterans Choice Fund for veteran health‑care services.

Legislative Activity

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35 earlier actions
Became Law Latest Action

Became Public Law No: 115-96.

December 22, 2017

View full timeline
HouseIntro Referral

Introduced in House

March 6, 2017

HouseIntro Referral

Referred to the Committee on Homeland Security, and in addition to the Committee on the Judiciary, 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.

March 6, 2017

HouseCommittee

Committee Consideration and Mark-up Session Held.

March 8, 2017

HouseCommittee

Ordered to be Reported (Amended) by Voice Vote.

March 8, 2017

HouseCommittee

Referred to the Subcommittee on Crime, Terrorism, Homeland Security, and Investigations.

March 16, 2017

HouseCommittee

Reported (Amended) by the Committee on Homeland Security. H. Rept. 115-143, Part I.

May 22, 2017

HouseCommittee

Committee on the Judiciary discharged.

May 22, 2017

HouseCalendars

Placed on the Union Calendar, Calendar No. 92.

May 22, 2017

HouseFloor

Mr. McCaul moved to suspend the rules and pass the bill, as amended.

May 23, 2017 • 4:32 PM

HouseFloor

Considered under suspension of the rules. (consideration: CR H4480-4483)

May 23, 2017 • 4:32 PM

HouseFloor

DEBATE - The House proceeded with forty minutes of debate on H.R. 1370.

May 23, 2017 • 4:32 PM

HouseFloor

Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.(text: CR H4480-4481)

May 23, 2017 • 4:47 PM

HouseFloor

On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H4480-4481)

May 23, 2017 • 4:47 PM

HouseFloor

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

May 23, 2017 • 4:47 PM

SenateIntro Referral

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

May 24, 2017

SenateCommittee

Senate Committee on Homeland Security and Governmental Affairs discharged by Unanimous Consent.

November 6, 2017

SenateFloor

Measure laid before Senate by unanimous consent. (consideration: CR S7029-7030)

November 6, 2017

SenateFloor

Passed Senate with an amendment by Voice Vote.

November 6, 2017

SenateFloor

Message on Senate action sent to the House.

November 7, 2017

HouseFloor

Pursuant to the provisions of H. Res. 670, Mr. Frelinghuysen brought up H.R. 1370 and offered a motion. (consideration: CR H10394-10403)

December 21, 2017 • 3:55 PM

HouseResolving Differences

Mr. Frelinghuysen moved that the House agree with an amendment to the Senate amendment.

December 21, 2017 • 3:55 PM

HouseFloor

DEBATE - The House proceeded with one hour of debate on the motion to agree in the Senate amendment with an amendment to H.R. 1370.

December 21, 2017 • 3:55 PM

HouseNot Used

Resolving differences -- House actions: On motion that the House agree with an amendment to the Agreed to by the Yeas and Nays: 231 - 188 (Roll no. 708).(text: CR H10394-10397)

December 21, 2017

HouseResolving Differences

On motion that the House agree with an amendment to the Agreed to by the Yeas and Nays: 231 - 188 (Roll no. 708). (text: CR H10394-10397)

December 21, 2017 • 4:54 PM

HouseResolving Differences

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

December 21, 2017 • 4:54 PM

SenateFloor

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

December 21, 2017

SenateFloor

Measure laid before Senate by unanimous consent. (consideration: CR S8235)

December 21, 2017

SenateFloor

Motion by Senator McConnell to concur in the House amendment to the Senate amendment made in the Senate. (CR S8235)

December 21, 2017

SenateFloor

Point of order that the motion to concur in the House amendment to the Senate amendment violates section 306 of the CBA against the measure raised in Senate.

December 21, 2017

SenateFloor

Motion to waive all applicable budgetary discipline with respect to the measure (the motion to concur in the House amendment to the Senate amendment) agreed to in Senate by Yea-Nay Vote. 91 - 8. Record Vote Number: 324.

December 21, 2017

HouseNot Used

Resolving differences -- Senate actions: Senate agreed, having achieved 60 votes in the affirmative, to the House amendment to the Senate amendment to H.R. 1370 by Yea-Nay Vote. 66 - 32. Record Vote Number: 325.

December 21, 2017

SenateResolving Differences

Senate agreed, having achieved 60 votes in the affirmative, to the House amendment to the Senate amendment to H.R. 1370 by Yea-Nay Vote. 66 - 32. Record Vote Number: 325.

December 21, 2017

SenateFloor

Message on Senate action sent to the House.

December 21, 2017

President

Presented to President.

December 21, 2017

Became Law

Signed by President.

December 22, 2017

Became Law

Became Public Law No: 115-96.

December 22, 2017

Floor Debate

21 members

What members said about H.R. 1370 on the floor

8 Republicans13 Democrats
Rob Woodall
Rep. Rob WoodallR-GA-7 · Dec 21, 2017

Mr. Speaker, by direction of the Committee on Rules, I call up House Resolution 670 and ask for its immediate consideration. Mr. Speaker, for the purpose of debate only, I yield the customary 30…

James P. McGovern
Rep. James P. McGovernD-MA-2 · Dec 21, 2017

Mr. Speaker, I yield myself such time as I may consume. (Mr. McGOVERN asked and was given permission to revise and extend his remarks.) Mr. Speaker, we are strongly opposed to this rule. Mr. Speaker,…

Sheila Jackson Lee
Rep. Sheila Jackson LeeD-TX-18 · Dec 21, 2017

Mr. Speaker, this has been a painful season for so many of us, from California to Texas to Florida, Louisiana, to Puerto Rico and the U.S. Virgin Islands, and so I am still here begging my colleagues…

Nancy Pelosi
Rep. Nancy PelosiD-CA-12 · Dec 21, 2017

Mr. Speaker, I thank the gentleman for yielding. I also thank all of the members of the Rules Committee for the exceptional service they provide to the House in reviewing legislation that will come…

Sheila Jackson Lee
Rep. Sheila Jackson LeeD-TX-18 · Dec 21, 2017

Mr. Speaker, I rise to speak about H.R. 1370, ``Department of Homeland Security Blue Campaign Authorization Act of 2017'' [Further Continuing Resolution]. This resolution is an imperfect vehicle for…

Show 8 more
Michael B. Enzi
Sen. Michael B. EnziR-WY · Feb 28, 2018

Mr. President, I wish to submit to the Senate the budget scorekeeping report for February 2018. The report compares current-law levels of spending and revenues with the amounts the Senate agreed to…

Alcee L. Hastings
Rep. Alcee L. HastingsD-FL-20 · Dec 21, 2017

Mr. Speaker, my dear friend that just spoke with reference to acting, let me tell you what action was undertaken with reference to CHIP. Prevention money was used as the pay-for. So, somehow or…

Michael B. Enzi
Sen. Michael B. EnziR-WY · Apr 12, 2018

Mr. President, I wish to submit to the Senate the budget scorekeeping report for April 2018. The report compares current-law levels of spending and revenues with the amounts the Senate agreed to in…

Michael T. McCaul
Rep. Michael T. McCaulR-TX-10 · May 23, 2017

Mr. Speaker, I move to suspend the rules and pass the bill (H.R. 1370) to amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland…

David P. Roe
Rep. David P. RoeR-TN-1 · Dec 21, 2017

Mr. Speaker, I rise in support of the provision within this legislation that would authorize and appropriate $2.1 billion for the Veterans Choice Program. Choice was created by Congress in 2014,…

Nita M. Lowey
Rep. Nita M. LoweyD-NY-17 · Dec 21, 2017

Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, I rise in opposition to this epic failure of governing. Nearly 3 months into the fiscal year, the Republican majority is advancing…

Pete Sessions
Rep. Pete SessionsR-TX-32 · Dec 21, 2017

Mr. Speaker, I thank the distinguished gentleman from Georgia (Mr. Woodall) for yielding. Mr. Speaker, Mr. Woodall serves not only the Rules Committee and this body in the Republican majority, but he…

Filemon Vela
Rep. Filemon VelaD-TX-34 · May 23, 2017

Mr. Speaker, I yield myself such time as I may consume. Mr. Speaker, I rise in strong support of H.R. 1370, the Department of Homeland Security Blue Campaign Authorization Act of 2017. Mr. Speaker,…

Show 11 more
Rodney P. Frelinghuysen
Rep. Rodney P. FrelinghuysenR-NJ-11 · Dec 21, 2017

Mr. Speaker, I ask unanimous consent that all Members may have 5 legislative days in which to revise and extend their remarks and include extraneous material on H.R. 1370. Mr. Speaker, pursuant to…

Michael B. Enzi
Sen. Michael B. EnziR-WY · Jan 18, 2018

Madam President, I wish to submit to the Senate the budget scorekeeping report for January 2018. The report compares current-law levels of spending and revenues with the amounts the Senate agreed to…

Betty McCollum
Rep. Betty McCollumD-MN-4 · Dec 22, 2017

Mr. Speaker, it is no secret that the Republican majority has utterly failed to govern responsibly and has neglected the needs of the American people. The federal government's fiscal year started…

Greg Walden
Rep. Greg WaldenR-OR-2 · Dec 21, 2017

Mr. Speaker, I thank my friend and colleague, the chairman of the House Appropriations Committee, Mr. Frelinghuysen, for his incredible and tenacious work to bring us this legislation. By the way,…

Lloyd Doggett
Rep. Lloyd DoggettD-TX-35 · Dec 21, 2017

Mr. Speaker, I am all in favor of keeping our government open. The difference that I have with my Republican colleagues is that I want to keep it open for everyone. Here, at Christmas, we think of…

Steny H. Hoyer
Rep. Steny H. HoyerD-MD-5 · Dec 21, 2017

Mr. Speaker, I thank Mrs. Lowey for yielding. Here we are again, Mr. Speaker. Two weeks ago, the Republican majority asked for another 2 weeks to write an appropriations package to fund the…

Nanette Diaz Barragán
Rep. Nanette Diaz BarragánD-CA-44 · Dec 21, 2017

Mr. Speaker, I thank the gentleman from Massachusetts for yielding. We are in a critical and urgent time. People's lives are on the line. On September 5, the President suddenly and cruelly terminated…

Rosa L. DeLauro
Rep. Rosa L. DeLauroD-CT-3 · Dec 21, 2017

Mr. Speaker, I strongly oppose this continuing resolution. Yet again we are punting one of our core obligations as Members of Congress: funding government programs. The Republican majority has failed…

Lucille Roybal-Allard
Rep. Lucille Roybal-AllardD-CA-40 · Dec 21, 2017

Mr. Speaker, I rise in opposition to this Continuing Resolution because we can't keep kicking the can down the road, and that is all this CR will do. Since Republicans took control of the House in…

Michael K. Simpson
Rep. Michael K. SimpsonR-ID-2 · Dec 21, 2017

Mr. Speaker, I rise to support the continuing resolution before us today. First, I'd like to acknowledge the Chairman of the Appropriations Committee, Chairman Frelinghuysen. Under his leadership,…

Barbara Lee
Rep. Barbara LeeD-CA-13 · Dec 21, 2017

Mr. Speaker, I thank the gentlewoman for yielding and for her tremendous leadership on so many issues as a ranking member. As a member of the Appropriations and Budget Committees, I rise in strong…

Bill Text

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One Hundred Fifteenth Congress of the United States of America

At the First Session

Begun and held at the City of Washington on Tuesday, the third day of January, two thousand and seventeen

H. R. 1370

AN ACT

To amend the Homeland Security Act of 2002 to require the Secretary of Homeland Security to issue Department of Homeland Security-wide guidance and develop training programs as part of the Department of Homeland Security Blue Campaign, and for other purposes.

A

Further Additional Continuing Appropriations Act, 2018

1001.

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

(1)

by striking the date specified in section 106(3) and inserting January 19, 2018; and

(2)

by adding after section 142 the following:

143.

Notwithstanding section 104, amounts made available by section 111 for Department of Homeland Security—Coast Guard—Retired Pay may be obligated to carry out Retired Pay Reform, as authorized by part 1 of subtitle D of title VI of the National Defense Authorization Act for Fiscal Year 2016 (Public Law 114–92, as amended), and the matter under such heading in division F of the Consolidated Appropriations Act, 2017 (Public Law 115–31; 131 Stat. 409) shall be applied during the period covered by this Act by inserting payment of continuation pay under section 356 of title 37, United States Code, after payment for career status bonuses,.

144.

In addition to amounts provided by section 101, amounts are provided for Department of Health and Human Services—Indian Health Service—Indian Health Services at a rate for operations of $11,761,000 and amounts are provided for Department of Health and Human Services—Indian Health Service—Indian Health Facilities at a rate for operations of $1,104,000, for an additional amount for costs of staffing and operating newly constructed facilities; and such amounts may be apportioned up to the rate for operations necessary to staff and operate newly constructed facilities.

145.

Amounts made available by section 101 for Department of Health and Human Services—Administration for Children and Families—Refugee and Entrant Assistance may be apportioned up to the rate for operations necessary to maintain program operations for carrying out section 235 of the William Wilberforce Trafficking Victims Protection Reauthorization Act of 2008 (8 U.S.C. 1232) and section 462 of the Homeland Security Act of 2002 (6 U.S.C. 279) at the level provided in fiscal year 2017.

146.

Notwithstanding section 101, amounts are provided for the purposes described in the third paragraph under the heading Department of Health and Human Services—Office of the Secretary—Public Health and Social Services Emergency Fund at a rate for operations of $112,000,000; and such amounts may be apportioned up to the rate for operations necessary to prepare for or respond to an influenza pandemic.

147.

Notwithstanding section 251(a)(1) of the Balanced Budget and Emergency Deficit Control Act of 1985 and the timetable in section 254(a) of such Act, the final sequestration report for fiscal year 2018 pursuant to section 254(f)(1) of such Act and any order for fiscal year 2018 pursuant to section 254(f)(5) of such Act shall be issued, for the Congressional Budget Office, 10 days after the date specified in section 106(3), and for the Office of Management and Budget, 15 days after the date specified in section 106(3).

.

1002.
(a)

Notwithstanding the dates specified in section 403(b) of the FISA Amendments Act of 2008 (Public Law 110–261; 122 Stat. 2474), the amendments made by such section shall not take effect until the date specified in section 106(3) of the Continuing Appropriations Act, 2018 (division D of Public Law 115–56), as amended.

(b)

If during the period beginning on the date of the enactment of this Act and ending on the date specified in section 106(3) of the Continuing Appropriations Act, 2018 (division D of Public Law 115–56), as amended, any Act amending the dates specified in section 403(b) of the FISA Amendments Act of 2008 (Public Law 110–261; 122 Stat. 2474) is enacted, this section shall be repealed.

This division may be cited as the Further Additional Continuing Appropriations Act, 2018.

B

Missile Defense

The following sums are appropriated, out of any money in the Treasury not otherwise appropriated, for the fiscal year ending September 30, 2018, and for other purposes, namely:

I

Missile Defeat and Defense Enhancements

Department of Defense

Operation and Maintenance

Operation and Maintenance, Navy

For an additional amount for Operation and Maintenance, Navy for necessary costs to repair damage to the U.S.S. John S. McCain and the U.S.S. Fitzgerald, $673,500,000: Provided, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.

Operation and Maintenance, Air Force

For an additional amount for Operation and Maintenance, Air Force for necessary costs to detect, defeat, and defend against the use of ballistic missiles, $18,750,000: Provided, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.

Operation and Maintenance, Defense-Wide

For an additional amount for Operation and Maintenance, Defense-Wide for necessary costs to detect, defeat, and defend against the use of ballistic missiles, $23,735,000: Provided, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.

Procurement

Missile Procurement, Army

For an additional amount for Missile Procurement, Army for necessary costs to detect, defeat, and defend against the use of ballistic missiles, $884,000,000, to remain available until September 30, 2020: Provided, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.

Missile Procurement, Air Force

For an additional amount for Missile Procurement, Air Force for necessary costs to detect, defeat, and defend against the use of ballistic missiles, $12,000,000 to remain available until September 30, 2020: Provided, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.

Other Procurement, Air Force

For an additional amount for Other Procurement, Air Force for necessary costs to detect, defeat, and defend against the use of ballistic missiles, $288,055,000 to remain available until September 30, 2020: Provided, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.

Procurement, Defense-Wide

For an additional amount for Procurement, Defense-Wide for necessary costs to detect, defeat, and defend against the use of ballistic missiles, $1,239,140,000 to remain available until September 30, 2020: Provided, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.

Research, Development, Test and Evaluation

Research, Development, Test and Evaluation, Army

For an additional amount for Research, Development, Test and Evaluation, Army for necessary costs to detect, defeat, and defend against the use of ballistic missiles, $20,700,000 to remain available until September 30, 2019: Provided, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.

Research, Development, Test and Evaluation, Navy

For an additional amount for Research, Development, Test and Evaluation, Navy for necessary costs to detect, defeat, and defend against the use of ballistic missiles, $60,000,000 to remain available until September 30, 2019: Provided, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.

Research, Development, Test and Evaluation, Air Force

For an additional amount for Research, Development, Test and Evaluation, Air Force for necessary costs to detect, defeat, and defend against the use of ballistic missiles, $255,744,000 to remain available until September 30, 2019: Provided, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.

Research, Development, Test and Evaluation, Defense-Wide

For an additional amount for Research, Development, Test and Evaluation, Defense-Wide for necessary costs to detect, defeat, and defend against the use of ballistic missiles, $1,010,220,000 to remain available until September 30, 2019: Provided, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.

II

Missile Construction Enhancements

department of defense

military construction, defense-wide

For an additional amount for “Military Construction, Defense-Wide”, $200,000,000, to remain available until September 30, 2022, to carry out construction of a missile field in Alaska: Provided, That such funds may be obligated or expended for planning and design and military construction projects not otherwise authorized by law: Provided further, That such amount is designated by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985.

III

General Provisions

2001.

Notwithstanding any other provision of law, funds made available in this division are in addition to amounts appropriated or otherwise made available for the Department of Defense for fiscal year 2018.

2002.
(a)

Funds made available in title I of this division shall be allocated to programs, projects, and activities in accordance with the detailed congressional budget justifications submitted by the Department of Defense to accompany the Fiscal Year 2018 Budget Amendments requested by the President on November 6, 2017: Provided, That changes to the allocation of such funds shall be subject to the reprogramming requirements set forth in the annual appropriations Act.

(b)

Funds made available in this division may be obligated and expended notwithstanding sections 102 and 104 of division D of Public Law 115–56.

2003.

Each amount designated in this division by the Congress as an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985 shall be available only if the President subsequently so designates all such amounts and transmits such designations to the Congress.

This division may be cited as the Department of Defense Missile Defeat and Defense Enhancements Appropriations Act, 2018.

C

Health provisions

I

Public Health Extenders

3101.

Extension for community health centers, the National Health Service Corps, and teaching health centers that operate GME programs

(a)

Community health centers funding

Section 10503(b)(1) of the Patient Protection and Affordable Care Act (42 U.S.C. 254b–2(b)(1)) is amended—

(1)

in subparagraph (D), by striking and at the end; and

(2)

by inserting after subparagraph (E) the following:

(F)

$550,000,000 for the period of the first and second quarters of fiscal year 2018; and

.

(b)

National Health Service Corps

Section 10503(b)(2) of the Patient Protection and Affordable Care Act (42 U.S.C. 254b–2(b)(2)) is amended—

(1)

in subparagraph (D), by striking and at the end;

(2)

in subparagraph (E), by striking the period at the end and inserting ; and; and

(3)

by inserting after subparagraph (E) the following:

(F)

$65,000,000 for period of the first and second quarters of fiscal year 2018.

.

(c)

Teaching health centers that operate graduate medical education programs

Subsection (g) of section 340H of the Public Health Service Act (42 U.S.C. 256h) is amended—

(1)

by striking To carry out and inserting the following:

(1)

In general

To carry out

;

(2)

by striking and $15,000,000 for the first quarter of fiscal year 2018 and inserting and $30,000,000 for the period of the first and second quarters of fiscal year 2018, to remain available until expended; and

(3)

by adding at the end the following:

(2)

Administrative expenses

Of the amount made available to carry out this section for any fiscal year, the Secretary may not use more than 5 percent of such amount for the expenses of administering this section.

.

(d)

Application

Amounts appropriated pursuant to this section are subject to the requirements contained in Public Law 115–31 for funds for programs authorized under sections 330 through 340 of the Public Health Service Act (42 U.S.C. 254b–256).

(e)

Conforming amendments

Section 3014(h) of title 18, United States Code, is amended—

(1)

in paragraph (1), by striking section 10503(b)(1)(E) of the Patient Protection and Affordable Care Act (42 U.S.C. 254b-2(b)(1)(E)), as amended by section 221 of the Medicare Access and CHIP Reauthorization Act of 2015 and inserting subparagraphs (E) and (F) of section 10503(b)(1) of the Patient Protection and Affordable Care Act (42 U.S.C. 254b-2(b)(1)); and

(2)

in paragraph (4), by inserting and section 3101(d) of the CHIP and Public Health Funding Extension Act after section 221(c) of the Medicare Access and CHIP Reauthorization Act of 2015.

3102.

Extension for special diabetes programs

(a)

Special diabetes program for type I diabetes

Section 330B(b)(2) of the Public Health Service Act (42 U.S.C. 254c–2(b)(2)) is amended—

(1)

in subparagraph (B), by striking and at the end;

(2)

in subparagraph (C), by striking the period at the end and inserting ; and; and

(3)

by inserting after subparagraph (C) the following:

(D)

$37,500,000 for the period of the first and second quarters of fiscal year 2018, to remain available until expended.

.

(b)

Special diabetes program for Indians

Subparagraph (D) of section 330C(c)(2) of the Public Health Service Act (42 U.S.C. 254c–3(c)(2)) is amended by inserting and $37,500,000 for the second quarter of fiscal year 2018 before the period at the end.

3103.

Prevention and Public Health Fund

Section 4002(b) of the Patient Protection and Affordable Care Act (42 U.S.C. 300u–11(b)) is amended—

(1)

in paragraph (3), by striking each of fiscal years 2018 and 2019 and inserting fiscal year 2018;

(2)

by redesignating paragraphs (4) through (8) as paragraphs (5) through (9);

(3)

by inserting after paragraph (3) the following new paragraph:

(4)

for fiscal year 2019, $800,000,000;

;

(4)

in paragraph (5), as so redesignated, by striking $1,000,000,000 and inserting $800,000,000; and

(5)

in paragraph (6), as so redesignated, by striking $1,500,000,000 and inserting $1,250,000,000.

II

Children’s Health Insurance Program (CHIP)

3201.

Funding extension of the Children’s Health Insurance Program

(a)

Appropriation; total allotment

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

(1)

in paragraph (19), by striking and;

(2)

in paragraph (20), by striking the period at the end and inserting ; and; and

(3)

by adding at the end the following new paragraph:

(21)

for fiscal year 2018, for purposes of making 1 semi-annual allotment—

(A)

$2,850,000,000 for the period beginning on October 1, 2017, and ending on March 31, 2018.

.

(b)

Allotments

(1)

In general

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

(A)

in paragraph (2)(B)(ii), in the matter preceding subclause (I), by inserting and paragraph (10) after clauses (iii) and (iv);

(B)

in paragraph (5)—

(i)

by striking or (4) and inserting (4), or (10); and

(ii)

by striking or 2017 and inserting , 2017, or 2018;

(C)

in paragraph (9)—

(i)

in the heading, by striking fiscal years 2015 and 2017 and inserting certain fiscal years;

(ii)

by striking or (4) and inserting , (4), or (10); and

(iii)

by striking or fiscal year 2017 and inserting , 2017, or 2018; and

(D)

by adding at the end the following new paragraph:

(10)

For fiscal year 2018

(A)

First half

(i)

In general

Subject to paragraphs (5) and (7), from the amount made available under subparagraph (A) of paragraph (21) 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 1/2 of the amount described in clause (ii) for the State.

(ii)

Full year amount based on growth factor updated amount

The amount described in this clause for a State is equal to the sum of—

(I)

the sum of the 2 semi-annual allotments made to the State under paragraph (4) for fiscal year 2017; and

(II)

the amount of any payments made to the State under subsection (n) for fiscal year 2017,

multiplied by the allotment increase factor under paragraph (6) for fiscal year 2018.

.

(2)

Conforming amendments

Section 2104(m)(2) of such Act (42 U.S.C. 1397dd(m)(2)) is amended—

(A)

in the paragraph heading, by striking 2010 through 2016 and inserting beginning with fiscal year 2010; and

(B)

by striking the allotment increase factor under paragraph (5) each place it appears and inserting the allotment increase factor under paragraph (6).

(3)

Application of regular expenditure rules

Amounts allotted to a State under section 2104(m)(10)(A) of the Social Security Act (42 U.S.C. 1397dd(m)(10)(A)) (as added by paragraph (1)) shall be subject to the same requirements of title XXI of such Act and applicable regulations of the Secretary of Health and Human Services as apply to other allotments made to States for a fiscal year under section 2104 of such Act.

(c)

Extension of CHIP allocation redistribution special rule for certain shortfall States

(1)

In general

Section 2104(f)(2)(B)(ii) of the Social Security Act (42 U.S.C. 1397dd(f)(2)(B)), as amended by section 201 of Public Law 115–90, is amended—

(A)

in the clause heading, by striking first quarter and inserting first half;

(B)

by redesignating subclause (III) as subclause (VI); and

(C)

by striking subclauses (I) and (II) and inserting the following:

(I)

In general

For each month beginning during the period beginning on October 1, 2017, and ending March 31, 2018, subject to the succeeding subclauses of this clause, the Secretary shall redistribute any amounts available for redistribution under paragraph (1) for fiscal year 2018, to each State that is an emergency shortfall State for the month (as defined in subclause (II)) such amount as the Secretary determines will eliminate the estimated shortfall described in subclause (II) for such State for the month (as may be adjusted under subparagraph (C)) before the Secretary may redistribute such amounts to any shortfall State that is not an emergency shortfall State. In the case of any amounts redistributed under this subclause to a State that is not an emergency shortfall State, such amounts shall be determined in accordance with clause (i).

(II)

Emergency shortfall State defined

For purposes of this clause, the term emergency shortfall State means, with respect to a month beginning during the period beginning October 1, 2017, and ending March 31, 2018, a shortfall State for which the Secretary estimates, in accordance with subparagraph (A) (unless otherwise specified in this subclause) and on a monthly basis using the most recent data available to the Secretary as of such month, that the projected expenditures under the State child health plan and under section 2105(g) (calculated as if the reference under section 2105(g)(4)(A) to 2017 were a reference to 2018 and insofar as the allotments are available to the State under this subsection or subsection (e) or (m)) for such month will exceed the sum of the amounts described in clauses (i) through (iii) of subparagraph (A) for such month, including after application of any amount redistributed under paragraph (1) for a previous month for fiscal year 2018 in accordance with this clause, to such State. A shortfall State may be an emergency shortfall State under the previous sentence without regard to whether any amounts were redistributed to such State under paragraph (1) for a previous month in fiscal year 2018.

(III)

Funds redistributed in the order in which States realize funding shortfalls

The Secretary shall redistribute the amounts available for redistribution under paragraph (1) to emergency shortfall States described in subclause (II) in the order in which such States realize monthly funding shortfalls under this title for fiscal year 2018. The Secretary shall only make redistributions under this clause to the extent that such amounts are available for such redistributions.

(IV)

Proration rule

If the amounts available for redistribution under paragraph (1) for a month during the period described in subclause (I) are less than the total amounts of the estimated shortfalls determined for the month for emergency shortfall States described in subclause (II), the amount computed under subclause (I) for each emergency shortfall State shall be reduced proportionally.

(V)

Unobligated redistributed funds

The Secretary shall withhold any funds redistributed under paragraph (1) for fiscal year 2018 before January 1, 2018, but which have not been obligated for amounts expended by a State as of that date, and shall redistribute such funds in accordance with the preceding subclauses of this clause.

.

(2)

Rule of construction

Nothing in the amendments made by paragraph (1) shall be construed as authorizing the Secretary of Health and Human Services to de-obligate any funds redistributed under clause (ii) of section 2104(f)(2)(B) of the Social Security Act (42 U.S.C. 1397dd(f)(2)(B)) that have been obligated for amounts expended by an emergency shortfall State described in such clause as of January 1, 2018.

This division may be cited as the CHIP and Public Health Funding Extension Act.

D

Other Matters

4001.

VA Choice

There is appropriated, out of any funds in the Treasury not otherwise appropriated, $2,100,000,000, to remain available until expended, to be deposited in the Veterans Choice Fund under section 802 of the Veterans Access, Choice, and Accountability Act of 2014 (Public Law 113–146; 38 U.S.C. 1701 note).

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.

5002.

Budgetary effects of reconciliation Act

(a)

Definition of reconciliation Act

In this section, the term reconciliation Act means an Act enacted into law before, on, or after the date of enactment of this Act that was considered pursuant to the reconciliation instructions in H. Con. Res. 71 (115th Congress), the concurrent resolution on the budget for fiscal year 2018.

(b)

PAYGO Scorecard

The budgetary effects of the reconciliation Act shall not be entered on either PAYGO scorecard maintained pursuant to section 4(d) of the Statutory Pay-As-You-Go Act of 2010 (2 U.S.C. 933(d)).

Speaker of the House of Representatives.

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