Read theMandate

Consolidated Appropriations Act, 2026

Making further consolidated appropriations for the fiscal year ending September 30, 2026, and for other purposes

H.R. 7148 of the 119th Congress, approved February 3, 2026, enacted as Public Law 119-75 (140 Stat. 173). The text indexed here is the law as enrolled and printed by the Government Publishing Office, in 89 sections.

All 89 sections indexed, holding 334 proposals. Each shows the Act's own words, the section they sit in, and anything that has happened since. This is the law in force, not a proposal for one.

What this law does

This is a spending law. It funds more of the government through September 2026.

This is a law. Both houses of Congress passed it. It was signed on February 3, 2026. It is in force now.

Its number is Public Law 119-75. It started out as the bill H.R. 7148.

It has 89 parts. Each part is called a section. Pick one below to see what it says.

89
sections indexed
334
proposals recorded
0
actions tracked
566
pages in the Statutes at Large
How much of the Act is indexed

One cell per section, filled once it has been broken into proposals.

All 89 sections indexed. Each section page says what was taken from it and what was not.

Where the 334 proposals sit in the Act

One bar per section of the Act. Bar length compares one with another. It is not how much of a section is indexed.

Section 1. Short Title1Section 2. Table of Contents1Section 3. References1Section 4. Explanatory Statement2Section 5. Statement of Appropriations1Section 6. Payment to Widows and Heirs of Deceased Members of Congress41Section 101. Funding Limitation8Section 5001. United States Grain Standards Act Extension1Section 5002. Commodity Futures Trading Commission Whistleblower Program1Section 5003. Forest Service Participation in Aces Program1Section 5004. Extension of National Flood Insurance Program3Section 5005. Extension of Reimbursable Screening Services Program1Section 5006. Motor Carrier Safety Advisory Committee1Section 5007. National Cybersecurity Protection System Authorization1Section 5008. Cybersecurity Information Sharing Act of 20151Section 5009. State and Local Cybersecurity Grant Program1Section 5010. Extension of the Technology Modernization Fund and Board1Section 5011. Extension of Existence of Parole Commission1Section 5012. Additional Special Assessment1Section 5013. Rural Healthcare Workers1Section 5014. E-Verify1Section 5015. Non-Minister Religious Workers1Section 5016. H-2B Supplemental Visa Exemption1Section 5017. Emergency Authority for Sentencing Commission3Section 5018. Bankruptcy Fees3Section 5019. Extension of African Growth and Opportunity Act5Section 5020. Extension of Haiti Economic Lift Program7Section 5021. Budgetary Effects3Section 6001. Table of Contents1Section 6101. Streamlined Enrollment Process for Eligible Out-Of-State Providers under Medicaid and Chip5Section 6102. Removing Certain Age Restrictions on Medicaid Eligibility for Working Adults with Disabilities3Section 6103. Medicaid State Plan Requirement for Determining Residency and Coverage for Military Families5Section 6104. State Studies and HHS Report on Costs of Providing Maternity, Labor, and Delivery Services7Section 6105. Modifying Certain Disproportionate Share Hospital Allotments2Section 6106. Modifying Certain Limitations on Disproportionate Share Hospital Payment Adjustments under the Medicaid Program8Section 6201. Extension of Increased Inpatient Hospital Payment Adjustment for Certain Low-Volume Hospitals2Section 6202. Extension of the Medicare-Dependent Hospital (mdh) Program2Section 6203. Extension of Add-On Payments for Ambulance Services1Section 6204. Extending Incentive Payments for Participation in Eligible Alternative Payment Models2Section 6205. Extension of Funding for Quality Measure Endorsement, Input, and Selection1Section 6206. Extension of Funding Outreach and Assistance for Low-Income Programs4Section 6207. Extension of Funding for Medicare Hospice Surveys1Section 6208. Extension of the Work Geographic Index Floor1Section 6209. Extension of Certain Telehealth Flexibilities7Section 6210. Extending Acute Hospital Care at Home Waiver Flexibilities6Section 6211. In-Home Cardiopulmonary Rehabilitation Flexibility2Section 6212. Enhancing Certain Program Integrity Requirements for Dme under Medicare5Section 6213. Guidance on Furnishing Services Via Telehealth to Individuals with Limited English Proficiency2Section 6214. Inclusion of Virtual Diabetes Prevention Program Suppliers in Mdpp Expanded Model4Section 6215. Medication-Induced Movement Disorder Outreach and Education2Section 6216. Report on Wearable Medical Devices1Section 6217. Extension of Temporary Inclusion of Authorized Oral Antiviral Drugs as Covered Part D Drugs1Section 6218. Extension of Adjustment to Calculation of Hospice Cap Amount under Medicare1Section 6219. Adjustments to Medicare Part D Cost-Sharing Reductions for Low-Income Individuals5Section 6220. Requiring Enhanced and Accurate Lists of (real) Health Providers Act15Section 6221. Medicare Coverage of Multi-Cancer Early Detection Screening Tests8Section 6222. Medicare Coverage of External Infusion Pumps and Non-Self-Administrable Home Infusion Drugs3Section 6223. Assuring Pharmacy Access and Choice for Medicare Beneficiaries13Section 6224. Modernizing and Ensuring Pbm Accountability19Section 6225. Requiring a Separate Identification Number and an Attestation for Each Off-Campus Outpatient Department of a Provider6Section 6226. Revising Phase-In of Medicare Clinical Laboratory Test Payment Changes4Section 6227. Medicare Sequestration2Section 6228. Medicare Improvement Fund1Section 6301. Sexual Risk Avoidance Education Extension1Section 6302. Personal Responsibility Education Extension1Section 6303. Extension of Funding for Family-To-Family Health Information Centers1Section 6304. Extension of the Temporary Assistance for Needy Families Program1Section 6401. Extension for Community Health Centers, National Health Service Corps, and Teaching Health Centers That Operate Gme Programs4Section 6402. Extension of Special Diabetes Programs2Section 6403. Extension of National Health Security Programs1Section 6404. No Surprises Act Implementation1Section 6411. 9/11 Responder and Survivor Health Funding Corrections3Section 6501. Preventing Maternal Deaths3Section 6502. Organ Procurement and Transplantation Network5Section 6503. Honor Our Living Donors3Section 6504. Program for Pediatric Studies of Drugs1Section 6505. Sickle Cell Disease Prevention and Treatment4Section 6506. Lifespan Respite Care2Section 6507. Preemie5Section 6508. Dr. Lorna Breen Health Care Provider Protection3Section 6601. Research into Pediatric Uses of Drugs; Additional Authorities of Food and Drug Administration Regarding Molecularly Targeted Cancer Drugs6Section 6602. Ensuring Completion of Pediatric Study Requirements4Section 6603. Fda Report on Prea Enforcement2Section 6604. Extension of Authority to Issue Priority Review Vouchers to Encourage Treatments for Rare Pediatric Diseases3Section 6605. Limitations on Exclusive Approval or Licensure of Orphan Drugs2Section 6611. Establishment of Abraham Accords Office Within Food and Drug Administration5Section 6701. Oversight of Pharmacy Benefit Management Services13Section 6702. Full Rebate Pass Through to Plan; Exception for Innocent Plan Fiduciaries7Section 6703. Increasing Transparency in Generic Drug Applications5
How firmly the Act is worded

Grouped from each provision's own verb, quoted on its page. A statute that says shall not is making a different demand from one that says may.

A firm demand134
A recommendation200
A suggestion or a possibility0
Section 1

Short Title

Sec. 1 · 1 proposal indexed

Section 2

Table of Contents

Sec. 2 · 1 proposal indexed

Section 3

References

Sec. 3 · 1 proposal indexed

Section 4

Explanatory Statement

Sec. 4 · 2 proposals indexed

Section 5

Statement of Appropriations

Sec. 5 · 1 proposal indexed

Section 6

Payment to Widows and Heirs of Deceased Members of Congress

Sec. 6 · 41 proposals indexed

Section 101

Funding Limitation

Sec. 101 · 8 proposals indexed

Section 5001

United States Grain Standards Act Extension

Sec. 5001 · 1 proposal indexed

Section 5002

Commodity Futures Trading Commission Whistleblower Program

Sec. 5002 · 1 proposal indexed

Section 5003

Forest Service Participation in Aces Program

Sec. 5003 · 1 proposal indexed

Section 5004

Extension of National Flood Insurance Program

Sec. 5004 · 3 proposals indexed

Section 5005

Extension of Reimbursable Screening Services Program

Sec. 5005 · 1 proposal indexed

Section 5006

Motor Carrier Safety Advisory Committee

Sec. 5006 · 1 proposal indexed

Section 5007

National Cybersecurity Protection System Authorization

Sec. 5007 · 1 proposal indexed

Section 5008

Cybersecurity Information Sharing Act of 2015

Sec. 5008 · 1 proposal indexed

Section 5009

State and Local Cybersecurity Grant Program

Sec. 5009 · 1 proposal indexed

Section 5010

Extension of the Technology Modernization Fund and Board

Sec. 5010 · 1 proposal indexed

Section 5011

Extension of Existence of Parole Commission

Sec. 5011 · 1 proposal indexed

Section 5012

Additional Special Assessment

Sec. 5012 · 1 proposal indexed

Section 5013

Rural Healthcare Workers

Sec. 5013 · 1 proposal indexed

Section 5014

E-Verify

Sec. 5014 · 1 proposal indexed

Section 5015

Non-Minister Religious Workers

Sec. 5015 · 1 proposal indexed

Section 5016

H-2B Supplemental Visa Exemption

Sec. 5016 · 1 proposal indexed

Section 5017

Emergency Authority for Sentencing Commission

Sec. 5017 · 3 proposals indexed

Section 5018

Bankruptcy Fees

Sec. 5018 · 3 proposals indexed

Section 5019

Extension of African Growth and Opportunity Act

Sec. 5019 · 5 proposals indexed

Section 5020

Extension of Haiti Economic Lift Program

Sec. 5020 · 7 proposals indexed

Section 5021

Budgetary Effects

Sec. 5021 · 3 proposals indexed

Section 6001

Table of Contents

Sec. 6001 · 1 proposal indexed

Section 6101

Streamlined Enrollment Process for Eligible Out-Of-State Providers under Medicaid and Chip

Sec. 6101 · 5 proposals indexed

Section 6102

Removing Certain Age Restrictions on Medicaid Eligibility for Working Adults with Disabilities

Sec. 6102 · 3 proposals indexed

Section 6103

Medicaid State Plan Requirement for Determining Residency and Coverage for Military Families

Sec. 6103 · 5 proposals indexed

Section 6104

State Studies and HHS Report on Costs of Providing Maternity, Labor, and Delivery Services

Sec. 6104 · 7 proposals indexed

Section 6105

Modifying Certain Disproportionate Share Hospital Allotments

Sec. 6105 · 2 proposals indexed

Section 6106

Modifying Certain Limitations on Disproportionate Share Hospital Payment Adjustments under the Medicaid Program

Sec. 6106 · 8 proposals indexed

Section 6201

Extension of Increased Inpatient Hospital Payment Adjustment for Certain Low-Volume Hospitals

Sec. 6201 · 2 proposals indexed

Section 6202

Extension of the Medicare-Dependent Hospital (mdh) Program

Sec. 6202 · 2 proposals indexed

Section 6203

Extension of Add-On Payments for Ambulance Services

Sec. 6203 · 1 proposal indexed

Section 6204

Extending Incentive Payments for Participation in Eligible Alternative Payment Models

Sec. 6204 · 2 proposals indexed

Section 6205

Extension of Funding for Quality Measure Endorsement, Input, and Selection

Sec. 6205 · 1 proposal indexed

Section 6206

Extension of Funding Outreach and Assistance for Low-Income Programs

Sec. 6206 · 4 proposals indexed

Section 6207

Extension of Funding for Medicare Hospice Surveys

Sec. 6207 · 1 proposal indexed

Section 6208

Extension of the Work Geographic Index Floor

Sec. 6208 · 1 proposal indexed

Section 6209

Extension of Certain Telehealth Flexibilities

Sec. 6209 · 7 proposals indexed

Section 6210

Extending Acute Hospital Care at Home Waiver Flexibilities

Sec. 6210 · 6 proposals indexed

Section 6211

In-Home Cardiopulmonary Rehabilitation Flexibility

Sec. 6211 · 2 proposals indexed

Section 6212

Enhancing Certain Program Integrity Requirements for Dme under Medicare

Sec. 6212 · 5 proposals indexed

Section 6213

Guidance on Furnishing Services Via Telehealth to Individuals with Limited English Proficiency

Sec. 6213 · 2 proposals indexed

Section 6214

Inclusion of Virtual Diabetes Prevention Program Suppliers in Mdpp Expanded Model

Sec. 6214 · 4 proposals indexed

Section 6215

Medication-Induced Movement Disorder Outreach and Education

Sec. 6215 · 2 proposals indexed

Section 6216

Report on Wearable Medical Devices

Sec. 6216 · 1 proposal indexed

Section 6217

Extension of Temporary Inclusion of Authorized Oral Antiviral Drugs as Covered Part D Drugs

Sec. 6217 · 1 proposal indexed

Section 6218

Extension of Adjustment to Calculation of Hospice Cap Amount under Medicare

Sec. 6218 · 1 proposal indexed

Section 6219

Adjustments to Medicare Part D Cost-Sharing Reductions for Low-Income Individuals

Sec. 6219 · 5 proposals indexed

Section 6220

Requiring Enhanced and Accurate Lists of (real) Health Providers Act

Sec. 6220 · 15 proposals indexed

Section 6221

Medicare Coverage of Multi-Cancer Early Detection Screening Tests

Sec. 6221 · 8 proposals indexed

Section 6222

Medicare Coverage of External Infusion Pumps and Non-Self-Administrable Home Infusion Drugs

Sec. 6222 · 3 proposals indexed

Section 6223

Assuring Pharmacy Access and Choice for Medicare Beneficiaries

Sec. 6223 · 13 proposals indexed

Section 6224

Modernizing and Ensuring Pbm Accountability

Sec. 6224 · 19 proposals indexed

Section 6225

Requiring a Separate Identification Number and an Attestation for Each Off-Campus Outpatient Department of a Provider

Sec. 6225 · 6 proposals indexed

Section 6226

Revising Phase-In of Medicare Clinical Laboratory Test Payment Changes

Sec. 6226 · 4 proposals indexed

Section 6227

Medicare Sequestration

Sec. 6227 · 2 proposals indexed

Section 6228

Medicare Improvement Fund

Sec. 6228 · 1 proposal indexed

Section 6301

Sexual Risk Avoidance Education Extension

Sec. 6301 · 1 proposal indexed

Section 6302

Personal Responsibility Education Extension

Sec. 6302 · 1 proposal indexed

Section 6303

Extension of Funding for Family-To-Family Health Information Centers

Sec. 6303 · 1 proposal indexed

Section 6304

Extension of the Temporary Assistance for Needy Families Program

Sec. 6304 · 1 proposal indexed

Section 6401

Extension for Community Health Centers, National Health Service Corps, and Teaching Health Centers That Operate Gme Programs

Sec. 6401 · 4 proposals indexed

Section 6402

Extension of Special Diabetes Programs

Sec. 6402 · 2 proposals indexed

Section 6403

Extension of National Health Security Programs

Sec. 6403 · 1 proposal indexed

Section 6404

No Surprises Act Implementation

Sec. 6404 · 1 proposal indexed

Section 6411

9/11 Responder and Survivor Health Funding Corrections

Sec. 6411 · 3 proposals indexed

Section 6501

Preventing Maternal Deaths

Sec. 6501 · 3 proposals indexed

Section 6502

Organ Procurement and Transplantation Network

Sec. 6502 · 5 proposals indexed

Section 6503

Honor Our Living Donors

Sec. 6503 · 3 proposals indexed

Section 6504

Program for Pediatric Studies of Drugs

Sec. 6504 · 1 proposal indexed

Section 6505

Sickle Cell Disease Prevention and Treatment

Sec. 6505 · 4 proposals indexed

Section 6506

Lifespan Respite Care

Sec. 6506 · 2 proposals indexed

Section 6507

Preemie

Sec. 6507 · 5 proposals indexed

Section 6508

Dr. Lorna Breen Health Care Provider Protection

Sec. 6508 · 3 proposals indexed

Section 6601

Research into Pediatric Uses of Drugs; Additional Authorities of Food and Drug Administration Regarding Molecularly Targeted Cancer Drugs

Sec. 6601 · 6 proposals indexed

Section 6602

Ensuring Completion of Pediatric Study Requirements

Sec. 6602 · 4 proposals indexed

Section 6603

Fda Report on Prea Enforcement

Sec. 6603 · 2 proposals indexed

Section 6604

Extension of Authority to Issue Priority Review Vouchers to Encourage Treatments for Rare Pediatric Diseases

Sec. 6604 · 3 proposals indexed

Section 6605

Limitations on Exclusive Approval or Licensure of Orphan Drugs

Sec. 6605 · 2 proposals indexed

Section 6611

Establishment of Abraham Accords Office Within Food and Drug Administration

Sec. 6611 · 5 proposals indexed

Section 6701

Oversight of Pharmacy Benefit Management Services

Sec. 6701 · 13 proposals indexed

Section 6702

Full Rebate Pass Through to Plan; Exception for Innocent Plan Fiduciaries

Sec. 6702 · 7 proposals indexed

Section 6703

Increasing Transparency in Generic Drug Applications

Sec. 6703 · 5 proposals indexed

How the Chapter List Was Built

Section numbers and headings are read from the Government Publishing Office's own text of the enrolled law, not typed. Every quotation on the site is checked against the section it is attributed to before the site will build. The approval line and the legislative history the GPO prints after the last section are held out of the text, so that neither can be quoted as a provision.

The source is the publisher's own PDF. Quotations link to the page they came from. The full document →