H.R. 5371: Continuing Appropriations and Extensions Act, 2026
The "Continuing Appropriations and Extensions Act, 2026" is a legislative proposal aimed at providing ongoing financial support and extending several government initiatives for the fiscal year 2026. The bill covers funding across various sectors, including health, public services, and defense, ensuring that critical government operations continue without interruption.
Health Care Provisions
The bill makes amendments to the Social Security Act, focusing on extending deadlines and funding for healthcare programs. Key provisions include:
- Extended support for Medicare-dependent hospitals.
- Continuation of funding for telehealth services, which facilitate remote medical consultations.
- Support for ambulance payment programs to ensure emergency medical services remain funded.
- Quality measure endorsements to help maintain and improve healthcare standards.
The deadlines related to these programs are primarily adjusted from October 1, 2025, to November 22, 2025, and September 30, 2026, allowing additional time for implementation.
Over-the-Counter Drug Regulations
The legislation includes stipulations surrounding the regulation of over-the-counter (OTC) monograph drugs. Key points include:
- Establishing requirements for reporting the number of order requests related to OTC drugs, along with their processing timelines.
- Addressing postmarket safety activities to monitor the safety of OTC medications after they are available to the public.
- Mandating assessments by the Government Accountability Office (GAO) regarding the supply chain of OTC drugs.
- Setting evidence standards for these drugs and outlining the processes for transitioning prescription (Rx) drugs to nonprescription (OTC) status.
Funding and Appropriations
Overall, the bill sets forth appropriations across multiple government sectors, reinforcing the funding necessary for essential services and programs. This is particularly crucial for maintaining government operations during the designated fiscal year.
Relevant Companies
- UNH - UnitedHealth Group: May be impacted due to its involvement in healthcare services and insurance, particularly regarding Medicare and telehealth services.
- CNC - Centene Corporation: Could be affected because it provides government-sponsored health plans, which may interact with the extended Medicare provisions in the bill.
- MCK - McKesson Corporation: As a distributor of pharmaceuticals, its supply chain operations could be influenced by the reporting requirements related to OTC drugs.
This is an AI-generated summary of the bill text. There may be mistakes.
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Sponsors
1 sponsor
Actions
78 actions
| Date | Action |
|---|---|
| Nov. 04, 2025 | Eighth cloture motion on the motion to proceed to the measure not invoked in Senate by Yea-Nay Vote. 54 - 44. Record Vote Number: 603. |
| Nov. 04, 2025 | Motion to proceed to consideration of measure made in Senate. |
| Nov. 03, 2025 | Motion to proceed to consideration of measure made in Senate. |
| Oct. 30, 2025 | Eighth cloture motion on the motion to proceed to the measure presented in Senate. |
| Oct. 30, 2025 | Motion to proceed to consideration of measure made in Senate. |
| Oct. 29, 2025 | Motion to proceed to consideration of measure made in Senate. |
| Oct. 28, 2025 | Motion by Senator Thune to reconsider the vote by which the fourth cloture on the motion to proceed to H.R. 5371 was not invoked (Record Vote No. 571) agreed to in Senate by Voice Vote. |
| Oct. 28, 2025 | Motion to proceed to consideration of measure made in Senate. |
| Oct. 28, 2025 | Motion to proceed to consideration of the motion to reconsider the vote by which the fourth cloture on the motion to proceed to H.R. 5371 was not invoked (Record Vote No. 571) agreed to in Senate by Voice Vote. |
| Oct. 28, 2025 | Upon reconsideration, the fourth cloture on the motion to proceed to H.R. 5371 not invoked in Senate by Yea-Nay Vote. 54 - 45. Record Vote Number: 590. |
| Oct. 27, 2025 | Motion to proceed to consideration of measure made in Senate. |
| Oct. 23, 2025 | Motion to proceed to consideration of measure made in Senate. |
| Oct. 22, 2025 | Motion by Senator Thune to reconsider the vote by which the seventh cloture on the motion to proceed to H.R. 5371 was not invoked (Record Vote No. 581) entered in Senate. |
| Oct. 22, 2025 | Seventh cloture motion on the motion to proceed to the measure not invoked in Senate by Yea-Nay Vote. 54 - 46. Record Vote Number: 581. |
| Oct. 21, 2025 | Motion to proceed to consideration of measure made in Senate. |
| Oct. 21, 2025 | Motion to proceed to consideration of measure withdrawn in Senate. |
| Oct. 20, 2025 | Motion by Senator Thune to reconsider the vote by which the sixth cloture on the motion to proceed to H.R. 5371 was not invoked (Record Vote No. 576) made in Senate. |
| Oct. 20, 2025 | Motion to proceed to consideration of measure made in Senate. |
| Oct. 20, 2025 | Seventh cloture motion on the motion to proceed to the measure presented in Senate. |
| Oct. 20, 2025 | Sixth cloture motion on the motion to proceed to the measure not invoked in Senate by Yea-Nay Vote. 50 - 43. Record Vote Number: 576. |
| Oct. 16, 2025 | Fifth cloture motion on the motion to proceed to the measure not invoked in Senate by Yea-Nay Vote. 51 - 45. Record Vote Number: 573. |
| Oct. 16, 2025 | Motion by Senator Thune to reconsider the vote by which the fifth cloture on the motion to proceed to H.R. 5371 was not invoked (Record Vote No. 573) entered in Senate. |
| Oct. 16, 2025 | Motion to proceed to consideration of measure made in Senate. |
| Oct. 16, 2025 | Sixth cloture motion on the motion to proceed to the measure presented in Senate. |
| Oct. 15, 2025 | Motion by Senator Murkowski to reconsider the vote by which the third cloture on the motion to proceed to H.R. 5371 was not invoked (Record Vote No. 558) agreed to in Senate by Voice Vote. |
| Oct. 15, 2025 | Motion to proceed to consideration of measure made in Senate. |
| Oct. 15, 2025 | Motion to proceed to consideration of the motion to reconsider the vote by which the third cloture on the motion to proceed to H.R. 5371 was not invoked (Record Vote No. 558) agreed to in Senate by Voice Vote. |
| Oct. 15, 2025 | Upon reconsideration, the third cloture on the motion to proceed to H.R. 5371 not invoked in Senate by Yea-Nay Vote. 51 - 44. Record Vote Number: 572. |
| Oct. 14, 2025 | Fifth cloture motion on the motion to proceed to the measure presented in Senate. |
| Oct. 14, 2025 | Fourth cloture motion on the motion to proceed to the measure not invoked in Senate by Yea-Nay Vote. 49 - 45. Record Vote Number: 571. |
| Oct. 14, 2025 | Motion by Senator Thune to reconsider the vote by which the fourth cloture on the motion to proceed to H.R. 5371 was not invoked (Record Vote No. 571) entered in Senate. |
| Oct. 14, 2025 | Motion to proceed to consideration of measure made in Senate. |
| Oct. 14, 2025 | Motion to proceed to consideration of measure withdrawn in Senate. |
| Oct. 09, 2025 | Fourth cloture motion on the motion to proceed to the measure presented in Senate. |
| Oct. 09, 2025 | Motion by Senator Thune to reconsider, under the order of 10/9/2025, not having voted on the prevailing side, the vote by which the third cloture on the motion to proceed to H.R. 5371 was not invoked (Record Vote No. 558) entered in Senate. |
| Oct. 09, 2025 | Motion to proceed to consideration of measure made in Senate. |
| Oct. 09, 2025 | Third cloture on the motion to proceed to the measure not invoked in Senate by Yea-Nay Vote. 54 - 45. Record Vote Number: 558. |
| Oct. 08, 2025 | Motion by Senator Marshall to reconsider the vote by which the second cloture on the motion to proceed to the measure was not invoked (Record Vote No. 545) agreed to in Senate by Voice Vote. |
| Oct. 08, 2025 | Motion to proceed to consideration of the motion to reconsider the vote by which the second cloture on the motion to proceed to H.R. 5371 was not invoked (Record Vote No. 545) agreed to in Senate by Voice Vote. |
| Oct. 08, 2025 | Upon reconsideration, the second cloture on the motion to proceed to the measure not invoked in Senate by Yea-Nay Vote. 54 - 45. Record Vote Number: 551. |
| Oct. 07, 2025 | Motion to proceed to consideration of measure made in Senate. |
| Oct. 07, 2025 | Third cloture motion on the motion to proceed to the measure presented in Senate. |
| Oct. 06, 2025 | Motion by Senator Thune to reconsider, under the order of 10/6/2025, not having voted on the prevailing side, the vote by which the second cloture on the motion to proceed to H.R. 5371 was not invoked (Record Vote No. 545) entered in Senate. |
| Oct. 06, 2025 | Second cloture on the motion to proceed to the measure not invoked in Senate by Yea-Nay Vote. 52 - 42. Record Vote Number: 545. |
| Oct. 03, 2025 | Motion by Senator Thune to reconsider the vote by which cloture on the motion to proceed to H.R. 5371 was not invoked (Record Vote No. 537) agreed to in Senate by Voice Vote. |
| Oct. 03, 2025 | Motion to proceed to consideration of measure made in Senate. |
| Oct. 03, 2025 | Motion to proceed to consideration of the motion to reconsider the vote by which cloture on the motion to proceed to H.R. 5371 was not invoked (Record Vote No. 537) agreed to in Senate by Voice Vote. |
| Oct. 03, 2025 | Second cloture motion on the motion to proceed to the measure presented in Senate. |
| Oct. 03, 2025 | Upon reconsideration, cloture on the motion to proceed to H.R. 5371 not invoked in Senate by Yea-Nay Vote. 54 - 44. Record Vote Number: 543. |
| Oct. 01, 2025 | Cloture on the motion to proceed to the measure not invoked in Senate by Yea-Nay Vote. 55 - 45. Record Vote Number: 537. |
| Oct. 01, 2025 | Motion by Senator Thune to reconsider, under the order of 10/1/2025, not having voted on the prevailing side, the vote by which cloture on the motion to proceed to H.R. 5371 was not invoked (Record Vote No. 537) entered in Senate. |
| Sep. 30, 2025 | Failed of passage/not agreed to in Senate: Upon reconsideration, under the order of 9/18/2025, not having achieved 60 votes in the affirmative, failed of passage in Senate by Yea-Nay Vote. 55 - 45. Record Vote Number: 535. |
| Sep. 30, 2025 | Motion by Senator Thune to reconsider the vote by which H.R. 5371 failed of passage (Record Vote No. 528) agreed to in Senate by Voice Vote. |
| Sep. 30, 2025 | Motion to proceed to consideration of the motion to reconsider the vote by which H.R. 5371 failed of passage (Record Vote No. 528) agreed to in Senate by Voice Vote. |
| Sep. 30, 2025 | Upon reconsideration, under the order of 9/18/2025, not having achieved 60 votes in the affirmative, failed of passage in Senate by Yea-Nay Vote. 55 - 45. Record Vote Number: 535. |
| Sep. 29, 2025 | Cloture motion on the motion to proceed to the measure presented in Senate. (: CR S6842) |
| Sep. 29, 2025 | Motion to proceed to consideration of measure made in Senate. (: CR S6842) |
| Sep. 19, 2025 | Considered read the second time. |
| Sep. 19, 2025 | Considered under the provisions of rule H. Res. 722. (consideration: CR H4462-4477) |
| Sep. 19, 2025 | DEBATE - The House proceeded with one hour of debate on H.R. 5371. |
| Sep. 19, 2025 | Failed of passage/not agreed to in Senate: Under the order of 9/18/2025, not having achieved 60 votes in the affirmative, failed of passage in Senate by Yea-Nay Vote. 44 - 48. Record Vote Number: 528. (consideration: CR S6785) |
| Sep. 19, 2025 | Motion to reconsider by Senator Thune, under the order of 9/19/2025 not having voted on the prevailing side, the vote by which H.R. 5371 failed of passage (Record Vote No. 528) entered in Senate. |
| Sep. 19, 2025 | Motion to reconsider laid on the table Agreed to without objection. |
| Sep. 19, 2025 | Ms. DeLauro moved to recommit to the Committee on Appropriations. (text: CR H4476) |
| Sep. 19, 2025 | On motion to recommit Failed by the Yeas and Nays: 210 - 218 (Roll no. 280). |
| Sep. 19, 2025 | On passage Passed by the Yeas and Nays: 217 - 212 (Roll no. 281). (text: CR H4462-4471) |
| Sep. 19, 2025 | Ordered placed on Senate Legislative Calendar under General Orders. Calendar No. 168. |
| Sep. 19, 2025 | Passed/agreed to in House: On passage Passed by the Yeas and Nays: 217 - 212 (Roll no. 281). |
| Sep. 19, 2025 | Received in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time. |
| Sep. 19, 2025 | Rule provides for consideration of H.R. 5371 and H. Res. 719. The resolution provides for consideration of H.R. 5371 and H. Res. 719 under a closed rule with one hour of general debate and one motion to recommit on H.R. 5371. |
| Sep. 19, 2025 | The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX. |
| Sep. 19, 2025 | The previous question was ordered pursuant to the rule. |
| Sep. 19, 2025 | Under the order of 9/18/2025 considered read the third time. |
| Sep. 19, 2025 | Under the order of 9/18/2025, not having achieved 60 votes in the affirmative, failed of passage in Senate by Yea-Nay Vote. 44 - 48. Record Vote Number: 528. (consideration: CR S6785) |
| Sep. 19, 2025 | Under the order of 9/19/2025, the third reading was vitiated. (: CR S6785) |
| Sep. 16, 2025 | Introduced in House |
| Sep. 16, 2025 | 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. |
| Sep. 16, 2025 | Rules Committee Resolution H. Res. 722 Reported to House. Rule provides for consideration of H.R. 5371 and H. Res. 719. The resolution provides for consideration of H.R. 5371 and H. Res. 719 under a closed rule with one hour of general debate and one motion to recommit on H.R. 5371. |
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