Amends the Continuing Appropriations Act, 2025 to change funding dates and rules, add several new appropriations-authority provisions, and provide targeted funding. It authorizes additional apportionments for Navy shipbuilding (including coverage of prior-year cost increases), provides $750 million for disaster relief that is available only after a presidential emergency designation, funds the Office of Navajo and Hopi Relocation, and directs a one-time payment to a named beneficiary.

Makes a set of short-term extensions and technical updates for many health, human services, Medicaid, and Medicare authorities by moving expiring dates into April 2025, updates a few funding amounts, and gives the HHS Secretary limited authority to implement some health-related changes. The bill also specifies how its budgetary effects are to be treated for PAYGO and scoring purposes.