On 2024-12-20, Representative Pete Stauber (R-MN-8) delivered a floor speech titled "AMERICAN RELIEF ACT, 2025" in the House. The speech addressed healthcare and also covered the economy, the environment. It referenced legislation: HR10545.
AMERICAN RELIEF ACT, 2025 Congressional Record, Volume 170 Issue 190 (Friday, December 20, 2024) [Congressional Record Volume 170, Number 190 (Friday, December 20, 2024)] [House] [Pages H7395-H7413] From the Congressional Record Online through the Government Publishing Office [ www.gpo.gov ] AMERICAN RELIEF ACT, 2025 Mr. COLE. Mr. Speaker, I move to suspend the rules and pass the bill (H.R. 10545) making further continuing appropriations for the fiscal year ending September 30, 2025, and for other purposes. The Clerk read the title of the bill. The text of the bill is as follows: H.R. 10545 Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``American Relief Act, 2025''. SEC. 2. TABLE OF CONTENTS. The table of contents of this Act is as follows: Sec. 1. Short title. Sec. 2. Table of contents. Sec. 3. References. DIVISION A--FURTHER CONTINUING APPROPRIATIONS ACT, 2025 DIVISION B--DISASTER RELIEF SUPPLEMENTAL APPROPRIATIONS ACT, 2025 DIVISION C--HEALTH Sec. 3001. Short title; table of contents. TITLE I--PUBLIC HEALTH EXTENDERS Sec. 3101. Extension for community health centers, National Health Service Corps, and teaching health centers that operate GME programs. Sec. 3102. Extension of special diabetes programs. Sec. 3103. National health security extensions. TITLE II--MEDICARE Sec. 3201. Extension of increased inpatient hospital payment adjustment for certain low-volume hospitals. Sec. 3202. Extension of the Medicare-dependent hospital (MDH) program. Sec. 3203. Extension of add-on payments for ambulance services. Sec. 3204. Extension of funding for quality measure endorsement, input, and selection. Sec. 3205. Extension of funding outreach and assistance for low-income programs. Sec. 3206. Extension of the work geographic index floor. Sec. 3207. Extension of certain telehealth flexibilities. Sec. 3208. Extending acute hospital care at home waiver authorities. Sec. 3209. Extension of temporary inclusion of authorized oral antiviral drugs as covered part D drugs. Sec. 3210. Medicare improvement fund. TITLE III--HUMAN SERVICES Sec. 3301. Sexual risk avoidance education extension. Sec. 3302. Personal responsibility education extension. Sec. 3303. Extension of funding for family-to-family health information centers. TITLE IV--MEDICAID Sec. 3401. Eliminating certain disproportionate share hospital payment cuts. DIVISION D--EXTENSION OF AGRICULTURAL PROGRAMS Sec. 4101. Extension of agricultural programs. DIVISION E--OTHER MATTERS Sec. 5101. Commodity futures trading commission whistleblower program. Sec. 5102. Protection of certain facilities and assets from unmanned aircraft. Sec. 5103. Additional special assessment. Sec. 5104. National cybersecurity protection system authorization. Sec. 5105. Extension of temporary order for fentanyl-related substances. SEC. 3. REFERENCES. Except as expressly provided otherwise, any reference to ``this Act'' contained in any division of this Act shall be treated as referring only to the provisions of that division. DIVISION A--FURTHER CONTINUING APPROPRIATIONS ACT, 2025 Sec. 101. The Continuing Appropriations Act, 2025 (division A of Public Law 118-83) is amended-- (1) by striking the date specified in section 106(3) and inserting ``March 14, 2025''; (2) in section 126 to read as follows: ``Sec. 126. Notwithstanding section 101, amounts are provided for `District of Columbia--Federal Payment for Emergency Planning and Security Costs in the District of Columbia' at a rate for operations of $90,000,000, of which not less than $50,000,000 shall be for costs associated with the Presidential Inauguration to be held in January 2025: Provided, That such amounts may be apportioned up to the rate for operations necessary to maintain emergency planning and security activities.''; and [[Page H7396]] (3) by adding after section 152 the following new sections: ``Sec. 153. Amounts made available by section 101 for `Department of Commerce--National Oceanic and Atmospheric Administration--Procurement, Acquisition and Construction' may be apportioned up to the rate for operations necessary to maintain the acquisition schedule for Geostationary Earth Orbit in an amount not to exceed $625,000,000. ``Sec. 154. Amounts made available by section 101 for `Department of Justice--Justice Operations, Management and Accountability--Justice Information Sharing Technology' may be apportioned up to the rate for operations necessary to carry out proactive vulnerability detection and penetration testing activities. ``Sec. 155. In addition to amounts otherwise provided by section 101, there is appropriated to the Department of Justice for `Federal Bureau of Investigation--Salaries and Expenses', $16,668,000, for an additional amount for fiscal year 2025, to remain available until September 30, 2026, to conduct risk reduction and modification of National Security Systems: Provided, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. ``Sec. 156. (a) Amounts made available by section 101 to the Department of Defense for `Procurement--Shipbuilding and Conversion, Navy', may be apportioned up to the rate for operations necessary for `Columbia Class Submarine (AP)' in an amount not to exceed $5,996,130,000. ``(b) Amounts made available by section 101 to the Department of Defense for `Procurement--Shipbuilding and Conversion, Navy' may be apportioned up to the rate for operations necessary for `Columbia Class Submarine' in an amount not to exceed $2,922,300,000. ``Sec. 157. (a) In addition to amounts otherwise provided by section 101, there is appropriated to the Department of Defense for `Procurement--Shipbuilding and Conversion, Navy', $5,691,000,000, for an additional amount for fiscal year 2025, to remain available until September 30, 2029, for the Virginia Class Submarine program and for workforce wage and non-executive salary improvements for other nuclear-powered vessel programs: Provided, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. ``(b) Amounts appropriated by subsection (a) may be used to incrementally fund contract obligations for the improvement of workforce wages and non-executive level salaries on new or existing contracts pertaining to the Virginia Class Submarine program or to other nuclear-powered vessel programs. ``Sec. 158. In addition to amounts otherwise provided by section 101, there is appropriated to the Department of Defense for `Operation and Maintenance--Defense-Wide', $913,440,000, for an additional amount for fiscal year 2025, to remain available until September 30, 2026, to conduct risk reduction and modification of National Security Systems: Provided, That the amount provided by this section may be transferred to accounts under the headings `Operation and Maintenance', `Procurement', and `Research, Development, Test and Evaluation': Provided further, That funds transferred pursuant to the preceding proviso shall be merged with and available for the same purpose and for the same time period as the appropriations to which the funds are transferred: Provided further, That any transfer authority provided herein is in addition to any other transfer authority provided by law: Provided further, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. ``Sec. 159. (a) Amounts made available by section 101 for `Department of Energy--Atomic Energy Defense Activities-- Environmental and Other Defense Activities--Other Defense Activities' may be apportioned up to the rate for operations necessary to sustain specialized security activities. ``(b) The Director of the Office of Management and Budget and the Secretary of Energy shall notify the Committees on Appropriations of the House of Representatives and the Senate not later than 3 days after each use of the authority provided in subsection (a). ``Sec. 160. In addition to amounts otherwise provided by section 101, there is appropriated to the Department of Energy for `Atomic Energy Defense Activities--Environmental and Other Defense Activities--Other Defense Activities', $1,750,000, for an additional amount for fiscal year 2025, to remain available until September 30, 2026, to conduct risk reduction and modification of National Security Systems: Provided, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. ``Sec. 161. During the period covered by this Act, section 10609(a) of the Northwestern New Mexico Rural Water Projects Act (subtitle B of title X of Public Law 111-11) shall be applied by substituting `$1,640,000,000' for `$870,000,000' and `2025' for `2024'. ``Sec. 162. In addition to amounts otherwise provided by section 101, there is appropriated to the Department of the Treasury for `Departmental Offices--Office of Terrorism and Financial Intelligence--Salaries and Expenses', $908,000, for an additional amount for fiscal year 2025, to remain available until September 30, 2026, to conduct risk reduction and modification of National Security Systems: Provided, That such amount is designated by the Congress as being for an emergency requirement pursuant to section 251(b)(2)(A)(i) of the Balanced Budget and Emergency Deficit Control Act of 1985. ``Sec. 163. Section 302 of title III of Public Law 108-494 shall be applied by substituting the date specified in section 106(3) of this Act for `December 31, 2024' each place it appears. ``Sec. 164. (a) Notwithstanding section 101, section 747 of title VII of division B of Public Law 118-47 Referenced legislation: HCONRES71, HR10545