American Relief Act, 2025

This bill provides continuing appropriations for the federal government through March 14, 2025, and includes disaster relief, health program extensions, agricultural program extensions, and other matters. Division A, Further Continuing Appropriations Act, 2025: Extends government funding through March 14, 2025, and provides specific funding for District of Columbia emergency planning and security costs ($90,000,000, with at least $50,000,000 for the 2025 Presidential Inauguration), NOAA satellite procurement (up to $625,000,000), Justice Department cybersecurity activities, and an additional $16,668,000 for the FBI. Division B, Disaster Relief Supplemental Appropriations Act, 2025: Appropriates $30,780,000,000 for the Department of Agriculture to cover losses from natural disasters in 2023 and 2024, including up to $2,000,000,000 for livestock producers, and allows block grants to states for timber, citrus, pecan, and poultry losses. Division C, Health: Extends funding for community health centers, the National Health Service Corps, and teaching health centers through March 31, 2025. Extends special diabetes programs through March 31, 2025. Extends national health security programs through March 31, 2025. Extends Medicare provisions including low-volume hospital payments, the Medicare-dependent hospital program, ambulance add-on payments, quality measure funding, low-income outreach, the work geographic index floor, telehealth flexibilities, acute hospital care at home waivers, and oral antiviral drug coverage through March 31 or April 1, 2025. Reduces the Medicare Improvement Fund to $1,251,000,000. Extends child and family services, sexual risk avoidance education, personal responsibility education, and family-to-family health information centers through March 31 or April 1, 2025. Delays certain Medicaid disproportionate share hospital payment cuts from January 1 to April 1, 2025. Division D, Extension of Agricultural Programs: Extends authorities from the Agriculture Improvement Act of 2018 through September 30, 2025, or later. Division E, Other Matters: Extends the CFTC whistleblower program through March 14, 2025. Extends protection of facilities from unmanned aircraft through March 14, 2025. Extends a special assessment through March 14, 2025. Extends the national cybersecurity protection system authorization through March 14, 2025. Extends the temporary order for fentanyl-related substances through March 31, 2025. Extends the public debt limit suspension through January 29, 2027.