![]() ![]() Medicaid-related (Federal Medical Assistance Percentage (FMAP) increase for Puerto Rico, American Samoa, the Northern Mariana Islands (CNMI), Guam, and the U.S.Medicare-related (Low-Volume Hospital (LVH) adjustment Medicare Dependent Hospital (MDH) program). ![]() The following programs will soon expire again: These programs are likely to be given another extension during the Lame Duck session for the length of time covered by the new discretionary funding bill. Several programs that were set to expire on September 30th were given a short-term extension through December 16th as part of the discretionary funding legislation described above. Congress will need to pass additional funding legislation – either for the entire fiscal year or through another short-term extension – in order to avoid a government shutdown. Congress could only agree prior to elections to extend funding at FY22 levels through December 16th (the full fiscal year runs through September 30th). Congress has not finished work on the annual appropriations bills that fund the discretionary programs making up roughly one-fourth of the federal budget. These include the Water Resources Development Act, the Intelligence Authorization Act, the State Department Authorization Act, the Coast Guard Authorization Act, and Taiwan Foreign Military Financing. In addition to authorizing funding for the Department of Defense and the nuclear programs administered by the Department of Energy, the measure also includes several provisions outside the committees’ jurisdiction. The Senate is expected to debate the bill (H.R.7900) during the week of November 14th, after which it will be sent to the House for final passage. In the weeks leading up to the election, leaders of the House and Senate Armed Services Committees have been negotiating an NDAA compromise version that is expected to authorize more than $840 billion in defense spending. The National Defense Authorization Act (NDAA) has passed annually for 61 straight years. Here is a list of “must pass” measures, significant expiring programs, and other major legislation that may be considered. As Congress returns to session next week following the midterm elections, it will attempt to pass an enormous amount of pending legislation with only four to six weeks of session remaining.
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