PUBLIC LAW 117–7—APR. 14, 2021  135 STAT. 251  Public Law 117–7  117th Congress  An Act  To prevent across-the-board direct spending cuts, and for other purposes.  Be it enacted by the Senate and House of Representatives of  the United States of America in Congress assembled,  Apr. 14, 2021  [H.R. 1868]  (a) EXTENSION.—  (1) IN GENERAL.—Section 3709(a) of division A of the  CARES Act (2 U.S.C. 901a note) is amended by striking ‘‘March  31, 2021’’ and inserting ‘‘December 31, 2021’’.  (2) EFFECTIVE DATE.—The amendment made by paragraph  (1) shall take effect as if enacted as part of the CARES Act  (Public Law 116–136).  (b) OFFSET.—Section 251A(6)(C) of the Balanced Budget and  Emergency Deficit Control Act of 1985 (2 U.S.C. 901a(6)(C)) is  amended—  (1) in clause (i)—  (A) by striking ‘‘first 6 months’’ and inserting ‘‘first  5  1 ⁄2 months’’;  (B) by striking ‘‘4.0 percent’’ and inserting ‘‘2.0 per- cent’’; and  (C) by striking ‘‘and’’ at the end;  (2) in clause (ii)—  (A) by striking ‘‘second 6 months’’ and inserting ‘‘6-  month period beginning on the day after the last day  of the period described in clause (i)’’; and  (B) by striking ‘‘0.0 percent.’’ and inserting ‘‘4.0 percent;  and’’; and  (3) by adding at the end the following:  ‘‘(iii) with respect to the remaining  1 ⁄2 month in which  such order is so effective for such fiscal year, the payment  reduction shall be 0.0 percent.’’.  (a) RURAL HEALTH CLINIC PAYMENTS.—  (1) IN GENERAL.—Section 1833(f)(3) of the Social Security  Act (42 U.S.C. 1395l(f)(3)) is amended—  (A) in subparagraph (A)—  (i) in clause (i), by striking subclauses (I) and  (II) and inserting the following:  ‘‘(I) with respect to a rural health clinic that had  a per visit payment amount established for services  furnished in 2020—  SEC. 2. TECHNICAL CORRECTIONS.  SECTION 1. EXTENSION OF TEMPORARY SUSPENSION OF MEDICARE  SEQUESTRATION.  2 USC 901a note. 