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Full-Year Continuing Appropriations and Extensions Act, 2025

Public Law 119-4 · H.R. 1968 · 119th Congress · began in the House

Signed by Donald Trump (R) on Mar 15, 2025 · Economics and Public Finance

Sponsor: Rep. Tom Cole (R-OK-4)

Cosponsors: None

Passage votesYeaNay

  • HouseRecorded vote: 217 yea, 213 nay217–213
  • SenateRecorded vote: 54 yea, 46 nay54–46
Data notes

The final version of the law, as each chamber passed it. A chamber that passed it by voice vote or unanimous consent has no count. “Method not stated” means the record does not say how the chamber voted. Where the record has a member-by-member vote, the “Who voted for it” section shows who voted yea.

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Summary

The Congressional Research Service’s plain-language summary of what the law does.

This act provides continuing FY2025 appropriations for federal agencies and extends various expiring programs and authorities.

DIVISION A--FULL-YEAR CONTINUING APPROPRIATIONS ACT, 2025

Full-Year Continuing Appropriations Act, 2025

This division provides continuing FY2025 appropriations to federal agencies for the remainder of FY2025 and extends various expiring programs and authorities. It is known as a continuing resolution (CR) and prevents a government shutdown that would otherwise occur if the FY2025 appropriations bills have not been enacted when the existing CR expires on March 14, 2025.

The CR funds most programs and activities at the FY2024 levels. It also includes several additional provisions that increase or decrease funding for various programs compared to FY2024 levels.

For more information, see CRS Report R48517, Section-by-Section Summary of the Full-Year Continuing Appropriations Act, 2025 (Division A of P.L. 119-4)

DIVISION B--HEALTH

This division extends several expiring programs and authorities related to public health, Medicare, and Medicaid.

TITLE I--PUBLIC HEALTH EXTENDERS

(Sec. 2101) This section extends through FY2025 funding for the Teaching Health Center Graduate Medical Education Program, the Community Health Center Fund, and the National Health Service Corps.

The Teaching Health Center Graduate Medical Education Program supports education and training of medical students in primary care residency programs in community-based ambulatory patient care centers. The Community Health Center Fund supports (1) grants for outpatient health care facilities that serve medically underserved populations; and (2) the National Health Service Corps, which provides scholarships and student loan repayment awards to health care providers who agree to work in areas with health care provider shortages.

(Sec. 2102) This section extends funding through FY2025 for the Special Diabetes Program for Type I Diabetes and the Special Diabetes Program for Indians. (The Special Diabetes Program for Type I Diabetes supports research on the prevention and cure of Type I diabetes, and the Special Diabetes Program for Indians supports diabetes treatment and prevention for tribal populations.)

(Sec. 2103) This section extends through FY2025 the authority that allows states and tribes to request the temporary reassignment of state and local health department personnel who are funded through certain federal programs to immediately address a public health emergency.

It also extends through FY2025 provisions that prohibit the disclosure of information about Department of Health and Human Services (HHS) programs that could compromise national security (e.g., information regarding biomedical threats).

The section extends through FY2025 provisions that authorize HHS to engage with developers of medical countermeasures, and that provide for related antitrust exemptions, for the purpose of furthering product development.

Additionally, the section extends through FY2025 the National Advisory Committee on Children and Disasters, the National Advisory Committee on Seniors and Disasters, and the National Advisory Committee on Individuals with Disabilities and Disasters.

It also extends through FY2025 the authority of HHS to directly appoint candidates to positions within the National Disaster Medical System if HHS determines the number of personnel in the system is insufficient to address a public health emergency or potential public health emergency. (The National Disaster Medical System is a partnership between HHS, the Department of Defense, and other federal departments that responds to public health and other emergencies, including by deploying medical response teams.)

TITLE II--MEDICARE

(Sec. 2201) This section extends through FY2025 certain increased payment adjustments for low-volume hospitals under Medicare's inpatient prospective payment system.

(Sec. 2202) This section extends through FY2025 the Medicare-Dependent Hospital Program, which provides additional payments to certain small rural hospitals that have a high proportion of Medicare patients.

(Sec. 2203) This section extends through FY2025 certain increased payment adjustments for ground ambulance services in rural and other areas under Medicare.

(Sec. 2204) This section extends through FY2025 funding for certain Medicare quality-measurement activities.

(Sec. 2205) This section extends through FY2025 funding for state health insurance programs, area agencies on aging, aging and disability resource centers, and technical assistance related to outreach and enrollment with respect to Medicare and other programs.

(Sec. 2206) This section extends through FY2025 certain minimum adjustments to the work geographic index with respect to payments for physician services under Medicare.

(Sec. 2207) This section extends through FY2025 certain telehealth flexibilities under Medicare.

Specifically, the section (1) removes geographic restrictions on originating sites (i.e., the location of the beneficiary); (2) allows the home of the beneficiary to serve as the originating site for all services; (3) allows audiologists, physical therapists, occupational therapists, and speech-language pathologists to furnish telehealth services; (4) allows federally qualified health centers and rural health clinics to serve as the distant site (i.e., the location of the health care practitioner); (5) delays implementation of certain in-person evaluation requirements for mental health telehealth services; (6) expands coverage to include audio-only services for evaluation and management and behavioral health services; and (7) allows, for purposes of hospice care recertification under Medicare, physicians and nurse practitioners to fulfill the requirement of a face-to-face encounter with the hospice patient via telehealth.

(Sec. 2208) This section extends through FY2025 the Acute Hospital Care at Home Program under Medicare. (The program allows hospitals to treat certain patients from emergency departments or inpatient hospital beds at home.)

(Sec. 2209) This section extends through FY2025 coverage under the Medicare prescription drug benefit of prescription oral antiviral drugs that were authorized in response to the COVID-19 public health emergency.

(Sec. 2210) This section increases funding for the Medicare Improvement Fund beginning in FY2026.

(Sec. 2211) This section extends by two months the sequestration that applies to Medicare payments in FY2032.

TITLE III--HUMAN SERVICES

(Sec. 2301) This section extends through FY2025 the Sexual Risk Avoidance Education Program. This program supports projects to implement sexual risk avoidance education that teaches participants to voluntarily refrain from nonmarital sexual activities.

(Sec. 2302) This section extends through FY2025 the Personal Responsibility Education Program. This program provides grants to states to (1) educate young people about abstinence and contraception to prevent pregnancy and sexually transmitted infections, and (2) support pregnant youth and mothers under the age of 21.

(Sec. 2303) This section extends through FY2025 the Family-to-Family Health Information Centers Program, which is administered by the Health Resources and Services Administration. The program awards grants to family-run organizations to support the provision of information and peer support to families of children with special health care needs.

TITLE IV--MEDICAID

This section delays reductions to Medicaid disproportionate-share hospital (DSH) allotments until FY2026. (DSHs are hospitals that receive additional payments under Medicaid for treating a large share of low-income patients.)

DIVISION C--OTHER MATTERS

This division extends several expiring programs and authorities through FY2025.

(Sec. 3101) This section extends authorities related to the Commodity Futures Trading Commission’s whistleblower program.

(Sec. 3102) This section extends the authority of the Department of Homeland Security (DHS) and the Department of Justice to take certain actions to mitigate a credible threat to certain facilities or assets from an unmanned aircraft system (UAS). These include certain facilities that are located in the United States and identified as high-risk and a potential target for unlawful UAS activity.

(Sec. 3103) This section extends the special assessment on nonindigent persons or entities convicted of certain offenses involving sexual abuse or human trafficking. The assessment funds programs for human trafficking survivors.

(Sec. 3104) This section extends the authority for DHS’s National Cybersecurity Protection System and related reporting requirements. The system authorizes multiple activities by DHS to help defend federal agencies from cyberthreats.

(Sec. 3105) This section extends, the temporary scheduling order issued by the Drug Enforcement Administration to place fentanyl-related substances in schedule I of the Controlled Substances Act.

(Sec. 3106) This section exempts the budgetary effects of Divisions B and C of this act from (1) the Statutory Pay-As-You-Go (PAYGO) Act of 2010, (2) the Senate PAYGO rule, and (3) certain budget scorekeeping rules.

Who voted for it

Every House member of the 119th Congress on the ideology compass. Highlighted: the 217 who voted yea on final passage. Faded: everyone else, including those who voted nay, did not vote, or had not yet taken office.

217 yea213 nay2 present or did not vote

ProEstablishmentAnti
Economic left–right
More liberalMore conservative

Democrats who voted yea(1)

Republicans who voted yea(216)

Data notes

The House’s recorded vote on the final version of the law (roll call 69 in Voteview), matched to the vote the record cites and checked against its totals. Positions are each member’s DW-NOMINATE score for that Congress, as on the Ideology page; left to right is more liberal to more conservative. Paired and announced yea votes count as yea. Lists follow the compass, most liberal first. A name links to a profile only for members of the current Congress. A law passed by voice vote or unanimous consent has no member list, and neither does a vote Voteview has not yet recorded.

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Committees

The committees the bill was sent to, and what each did with it.

Data notes

A committee links to its page only where it exists in the current Congress; older and renamed committees are named without a link.

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Related bills

2 bills the Library of Congress relates to this one.

  • H.Res. 211Procedurally related

    Providing for consideration of the joint resolution (H.J. Res. 25) providing for congressional disapproval under chapter 8 of title 5, United States Code, of the rule submitted by the Internal Revenue Service relating t…

  • S. 724Public law contains the text

    Temporary Extension of Fentanyl-Related Substances Scheduling Act

Data notes

Related bills are identified by the Congressional Research Service, the House and the Senate: companion and identical bills, bills with similar text, bills that were folded into this law, and rules that brought it to the floor. A bill that is itself a public law in this site’s data links here; the others link to Congress.gov.

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Timeline

From introduction to signing, newest first: the committees, the floor and the president. 29 actions.

  1. Mar 15, 2025Became lawBecame law · Became Public Law No: 119-4.
  2. Became lawBecame law · Signed by President.
  3. Mar 14, 2025FloorFloor · Presented to President.
  4. FloorFloor · Message on Senate action sent to the House.
  5. FloorFloor · Passed Senate without amendment by Yea-Nay Vote. 54 - 46. Record Vote Number: 133.Senate roll call 133
  6. FloorFloor · Cloture on the measure invoked in Senate by Yea-Nay Vote. 62 - 38. Record Vote Number: 128. (CR S1768)Senate roll call 128
  7. FloorFloor · Cloture motion on the measure presented in Senate. (CR S1768)
  8. FloorFloor · Measure laid before Senate by unanimous consent.
  9. FloorFloor · Motion to proceed to consideration of measure agreed to in Senate by Unanimous Consent. (CR S1768)
  10. FloorFloor · Cloture motion on the motion to proceed to the measure withdrawn by unanimous consent in Senate. (CR S1768)
  11. Mar 12, 2025FloorFloor · Cloture motion on the motion to proceed to the measure presented in Senate. (CR S1700)
  12. FloorFloor · Motion to proceed to consideration of measure made in Senate. (CR S1681)
  13. Mar 11, 2025FloorFloor · Motion to reconsider laid on the table Agreed to without objection.
  14. FloorFloor · On passage Passed by the Yeas and Nays: 217 - 213 (Roll no. 70).House roll call 70
  15. FloorFloor · On motion to recommit Failed by the Yeas and Nays: 213 - 216 (Roll no. 69).House roll call 69
  16. FloorFloor · Considered as unfinished business.
  17. FloorFloor · POSTPONED PROCEEDINGS - At the conclusion of debate on H.R. 1968, the Chair put the question on the motion to recommit and announced that the noes had prevailed. Ms. Meng demanded the yeas and nays and the Chair postponed further proceedings until a time to be announced.
  18. FloorFloor · The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.
  19. FloorFloor · Ms. Meng moved to recommit to the Committee on Appropriations.
  20. FloorFloor · The previous question was ordered pursuant to the rule.
  21. FloorFloor · DEBATE - The House proceeded with one hour of debate on H.R. 1968.
  22. FloorFloor · Rule provides for consideration of H.J. Res. 25, H.R. 1156 and H.R. 1968. The resolution provides for consideration of H.J. Res. 25, H.R. 1156, and H.R. 1968 under a closed rule. Also, the resolution provides for one hour of general debate and one motion to recommit on each meas…
  23. FloorFloor · Considered under the provisions of rule H. Res. 211.
  24. FloorFloor · Rule H. Res. 211 passed House.
  25. FloorFloor · Rules Committee Resolution H. Res. 211 Reported to House. Rule provides for consideration of H.J. Res. 25, H.R. 1156 and H.R. 1968. The resolution provides for consideration of H.J. Res. 25, H.R. 1156, and H.R. 1968 under a closed rule. Also, the resolution provides for one hour…
  26. CalendarCalendar · Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 26.
  27. CalendarCalendar · Received in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time. (Legislative Day March 10, 2025).
  28. Mar 10, 2025CommitteeCommittee · Referred to the Committee on Appropriations, and in addition to the Committee on the Budget, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
  29. IntroducedIntroduced · Introduced in House
Data notes

Every action the Library of Congress lists for the bill, from introduction to signing, plus the dated committee hearings. The source lists many steps twice (the chamber’s own entry and the Library of Congress copy, or a presidential and a became-law entry with the same words); those are shown once. Amendments are listed in their own section.

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Amendments

23 amendments offered to the bill, with the last recorded step of each.

Where each amendment ended up

  • H.Amdt. 8HouseRules Committee· offered Mar 11, 2025Agreed to

    Mar 11, 2025: On agreeing to the Rules amendment (A001) Agreed to without objection.

    Agreed to

  • S.Amdt. 1288SenateSen. Joni ErnstR-IA· offered Mar 14, 2025No vote recorded

    Mar 14, 2025: Senate amendment submitted

    Offered, no vote recorded

  • S.Amdt. 1287SenateSen. Cory BookerD-NJ· offered Mar 14, 2025No vote recorded

    Mar 14, 2025: Senate amendment submitted

    Offered, no vote recorded

  • S.Amdt. 1285SenateSen. Christopher CoonsD-DE· offered Mar 14, 2025No vote recorded

    Mar 14, 2025: Senate amendment submitted

    Offered, no vote recorded

  • S.Amdt. 1284SenateSen. Jeanne ShaheenD-NH· offered Mar 14, 2025No vote recorded

    Mar 14, 2025: Senate amendment submitted

    Offered, no vote recorded

  • S.Amdt. 1283SenateSen. Catherine Cortez MastoD-NV· offered Mar 14, 2025No vote recorded

    Mar 14, 2025: Senate amendment submitted

    Offered, no vote recorded

  • S.Amdt. 1282SenateSen. Catherine Cortez MastoD-NV· offered Mar 14, 2025No vote recorded

    Mar 14, 2025: Senate amendment submitted

    Offered, no vote recorded

  • S.Amdt. 1281SenateSen. Mark WarnerD-VA· offered Mar 14, 2025No vote recorded

    Mar 14, 2025: Senate amendment submitted

    Offered, no vote recorded

  • S.Amdt. 1280SenateSen. Angela AlsobrooksD-MD· offered Mar 14, 2025No vote recorded

    Mar 14, 2025: Senate amendment submitted

    Offered, no vote recorded

  • S.Amdt. 1279SenateSen. Angela AlsobrooksD-MD· offered Mar 14, 2025No vote recorded

    Mar 14, 2025: Senate amendment submitted

    Offered, no vote recorded

  • S.Amdt. 1278SenateSen. Jeanne ShaheenD-NH· offered Mar 14, 2025No vote recorded

    Mar 14, 2025: Senate amendment submitted

    Offered, no vote recorded

  • S.Amdt. 1277SenateSen. Richard BlumenthalD-CT· offered Mar 14, 2025No vote recorded

    Mar 14, 2025: Senate amendment submitted

    Offered, no vote recorded

  • S.Amdt. 1276SenateSen. Richard BlumenthalD-CT· offered Mar 14, 2025No vote recorded

    Mar 14, 2025: Senate amendment submitted

    Offered, no vote recorded

  • S.Amdt. 1275SenateSen. Jack ReedD-RI· offered Mar 14, 2025No vote recorded

    Mar 14, 2025: Senate amendment submitted

    Offered, no vote recorded

  • S.Amdt. 1274SenateSen. Tammy DuckworthD-IL· offered Mar 14, 2025Rejected

    To make veteran Federal employees who were involuntarily dismissed without cause eligible for reinstatement and to require reports from Executive agencies on the number of veteran employees fired from such agencies.

    Mar 14, 2025: Amendment SA 1274, under the order of 3/14/2025, not having achieved 60 votes in the affirmative, was not agreed to in Senate by Yea-Nay Vote. 47 - 53. Record Vote Number: 130.

    Rejected

  • S.Amdt. 1273SenateSen. Jeff MerkleyD-OR· offered Mar 14, 2025Rejected

    To except the application of certain rescissions.

    Mar 14, 2025: Amendment SA 1273, under the order of 3/14/2025, not having achieved 60 votes in the affirmative, was not agreed to in Senate by Yea-Nay Vote. 47 - 53. Record Vote Number: 129.

    Rejected

  • S.Amdt. 1272SenateSen. Chris Van HollenD-MD· offered Mar 13, 2025Rejected

    To prohibit the use of appropriated amounts by DOGE.

    Mar 14, 2025: Amendment SA 1272, under the order of 3/14/2025, not having achieved 60 votes in the affirmative, was not agreed to in Senate by Yea-Nay Vote. 48 - 52. Record Vote Number: 131.

    Rejected

  • S.Amdt. 1271SenateSen. Tim KaineD-VA· offered Mar 13, 2025No vote recorded

    Mar 13, 2025: Senate amendment submitted

    Offered, no vote recorded

  • S.Amdt. 1270SenateSen. Tim KaineD-VA· offered Mar 13, 2025No vote recorded

    Mar 13, 2025: Senate amendment submitted

    Offered, no vote recorded

  • S.Amdt. 1269SenateSen. Patty MurrayD-WA· offered Mar 13, 2025No vote recorded

    Mar 13, 2025: Senate amendment submitted

    Offered, no vote recorded

  • S.Amdt. 1268SenateSen. Ron JohnsonR-WI· offered Mar 13, 2025No vote recorded

    Mar 13, 2025: Senate amendment submitted

    Offered, no vote recorded

  • S.Amdt. 1267SenateSen. Angela AlsobrooksD-MD· offered Mar 12, 2025No vote recorded

    Mar 12, 2025: Senate amendment submitted

    Offered, no vote recorded

  • S.Amdt. 1266SenateSen. Rand PaulR-KY· offered Mar 12, 2025Rejected

    To reduce the amount appropriated for the United States Agency for International Development.

    Mar 14, 2025: Amendment SA 1266 not agreed to in Senate by Yea-Nay Vote. 27 - 73. Record Vote Number: 132.

    Rejected
Data notes

Amendments offered to this bill in either chamber, as the Library of Congress records them: each with a status read from its last recorded step: agreed to, rejected, withdrawn, ruled out of order, fell with another amendment, or offered with no vote recorded (most Senate amendments are only ever offered). The wording of each amendment is the source’s. Amendments to amendments and amendments to other bills are not listed.

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Official record

The bill’s full text is on Congress.gov. Data through Oct 7, 2026.