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[Congressional Bills 111th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4851 Enrolled Bill (ENR)]

        H.R.4851

                      One Hundred Eleventh Congress

                                 of the

                        United States of America

                          AT THE SECOND SESSION

          Begun and held at the City of Washington on Tuesday,
             the fifth day of January, two thousand and ten

                                 An Act

 
  To provide a temporary extension of certain programs, and for other 
                                purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
    This Act may be cited as the ``Continuing Extension Act of 2010''.
SEC. 2. EXTENSION OF UNEMPLOYMENT INSURANCE PROVISIONS.
    (a) In General.--(1) Section 4007 of the Supplemental 
Appropriations Act, 2008 (Public Law 110-252; 26 U.S.C. 3304 note) is 
amended--
        (A) by striking ``April 5, 2010'' each place it appears and 
    inserting ``June 2, 2010'';
        (B) in the heading for subsection (b)(2), by striking ``april 
    5, 2010'' and inserting ``june 2, 2010''; and
        (C) in subsection (b)(3), by striking ``September 4, 2010'' and 
    inserting ``November 6, 2010''.
    (2) Section 2002(e) of the Assistance for Unemployed Workers and 
Struggling Families Act, as contained in Public Law 111-5 (26 U.S.C. 
3304 note; 123 Stat. 438), is amended--
        (A) in paragraph (1)(B), by striking ``April 5, 2010'' and 
    inserting ``June 2, 2010'';
        (B) in the heading for paragraph (2), by striking ``april 5, 
    2010'' and inserting ``june 2, 2010''; and
        (C) in paragraph (3), by striking ``October 5, 2010'' and 
    inserting ``December 7, 2010''.
    (3) Section 2005 of the Assistance for Unemployed Workers and 
Struggling Families Act, as contained in Public Law 111-5 (26 U.S.C. 
3304 note; 123 Stat. 444), is amended--
        (A) by striking ``April 5, 2010'' each place it appears and 
    inserting ``June 2, 2010''; and
        (B) in subsection (c), by striking ``September 4, 2010'' and 
    inserting ``November 6, 2010''.
    (4) Section 5 of the Unemployment Compensation Extension Act of 
2008 (Public Law 110-449; 26 U.S.C. 3304 note) is amended by striking 
``September 4, 2010'' and inserting ``November 6, 2010''.
    (b) Funding.--Section 4004(e)(1) of the Supplemental Appropriations 
Act, 2008 (Public Law 110-252; 26 U.S.C. 3304 note) is amended--
        (1) in subparagraph (C), by striking ``and'' at the end;
        (2) by inserting after subparagraph (D) the following new 
    subparagraph:
            ``(E) the amendments made by section 2(a)(1) of the 
        Continuing Extension Act of 2010; and''.
    (c) Effective Date.--The amendments made by this section shall take 
effect as if included in the enactment of the Temporary Extension Act 
of 2010 (Public Law 111-144).
SEC. 3. EXTENSION AND IMPROVEMENT OF PREMIUM ASSISTANCE FOR COBRA 
BENEFITS.
    (a) Extension of Eligibility Period.--Subsection (a)(3)(A) of 
section 3001 of division B of the American Recovery and Reinvestment 
Act of 2009 (Public Law 111-5), as amended by section 3(a) of the 
Temporary Extension Act of 2010 (Public Law 111-144), is amended by 
striking ``March 31, 2010'' and inserting ``May 31, 2010''.
    (b) Rules Relating to 2010 Extension.--Subsection (a) of section 
3001 of division B of the American Recovery and Reinvestment Act of 
2009 (Public Law 111-5), as amended by section 3(b) of the Temporary 
Extension Act of 2010 (Public Law 111-144), is amended by adding at the 
end the following:
        ``(18) Rules related to april and may 2010 extension.--In the 
    case of an individual who, with regard to coverage described in 
    paragraph (10)(B), experiences a qualifying event related to a 
    termination of employment on or after April 1, 2010 and prior to 
    the date of the enactment of this paragraph, rules similar to those 
    in paragraphs (4)(A) and (7)(C) shall apply with respect to all 
    continuation coverage, including State continuation coverage 
    programs.''.
    (c) Effective Date.--The amendments made by this section shall take 
effect as if included in the provisions of section 3001 of division B 
of the American Recovery and Reinvestment Act of 2009.
SEC. 4. INCREASE IN THE MEDICARE PHYSICIAN PAYMENT UPDATE.
    Paragraph (10) of section 1848(d) of the Social Security Act, as 
added by section 1011(a) of the Department of Defense Appropriations 
Act, 2010 (Public Law 111-118) and as amended by section 5 of the 
Temporary Extension Act of 2010 (Public Law 111-144), is amended--
        (1) in subparagraph (A), by striking ``March 31, 2010'' and 
    inserting ``May 31, 2010''; and
        (2) in subparagraph (B), by striking ``April 1, 2010'' and 
    inserting ``June 1, 2010''.
SEC. 5. EHR CLARIFICATION.
    (a) Qualification for Clinic-based Physicians.--
        (1) Medicare.--Section 1848(o)(1)(C)(ii) of the Social Security 
    Act (42 U.S.C. 1395w-4(o)(1)(C)(ii)) is amended by striking 
    ``setting (whether inpatient or outpatient)'' and inserting 
    ``inpatient or emergency room setting''.
        (2) Medicaid.--Section 1903(t)(3)(D) of the Social Security Act 
    (42 U.S.C. 1396b(t)(3)(D)) is amended by striking ``setting 
    (whether inpatient or outpatient)'' and inserting ``inpatient or 
    emergency room setting''.
    (b) Effective Date.--The amendments made by subsection (a) shall be 
effective as if included in the enactment of the HITECH Act (included 
in the American Recovery and Reinvestment Act of 2009 (Public Law 111-
5)).
    (c) Implementation.--Notwithstanding any other provision of law, 
the Secretary of Health and Human Services may implement the amendments 
made by this section by program instruction or otherwise.
SEC. 6. EXTENSION OF USE OF 2009 POVERTY GUIDELINES.
    Section 1012 of the Department of Defense Appropriations Act, 2010 
(Public Law 111-118), as amended by section 7 of the Temporary 
Extension Act of 2010 (Public Law 111-144), is amended by striking 
``March 31, 2010'' and inserting ``May 31, 2010''.
SEC. 7. EXTENSION OF NATIONAL FLOOD INSURANCE PROGRAM.
    (a) Extension.--Section 129 of the Continuing Appropriations 
Resolution, 2010 (Public Law 111-68), as amended by section 8 of Public 
Law 111-144, is amended by striking ``by substituting'' and all that 
follows through the period at the end and inserting ``by substituting 
May 31, 2010, for the date specified in each such section.''.
    (b) Effective Date.--The amendments made by subsection (a) shall be 
considered to have taken effect on February 28, 2010.
SEC. 8. COMPENSATION AND RATIFICATION OF AUTHORITY RELATED TO LAPSE IN 
HIGHWAY PROGRAMS.
    (a) Compensation for Federal Employees.--Any Federal employees 
furloughed as a result of the lapse in expenditure authority from the 
Highway Trust Fund after 11:59 p.m. on February 28, 2010, through March 
2, 2010, shall be compensated for the period of that lapse at their 
standard rates of compensation, as determined under policies 
established by the Secretary of Transportation.
    (b) Ratification of Essential Actions.--All actions taken by 
Federal employees, contractors, and grantees for the purposes of 
maintaining the essential level of Government operations, services, and 
activities to protect life and property and to bring about orderly 
termination of Government functions during the lapse in expenditure 
authority from the Highway Trust Fund after 11:59 p.m. on February 28, 
2010, through March 2, 2010, are hereby ratified and approved if 
otherwise in accord with the provisions of the Continuing 
Appropriations Resolution, 2010 (division B of Public Law 111-68).
    (c) Funding.--Funds used by the Secretary to compensate employees 
described in subsection (a) shall be derived from funds previously 
authorized out of the Highway Trust Fund and made available or limited 
to the Department of Transportation by the Consolidated Appropriations 
Act, 2010 (Public Law 111-117) and shall be subject to the obligation 
limitations established in such Act.
    (d) Expenditures From Highway Trust Fund.--To permit expenditures 
from the Highway Trust Fund to effectuate the purposes of this section, 
this section shall be deemed to be a section of the Continuing 
Appropriations Resolution, 2010 (division B of Public Law 111-68), as 
in effect on the date of the enactment of the last amendment to such 
Resolution.
SEC. 9. SATELLITE TELEVISION EXTENSION.
    (a) Amendments to Section 119 of Title 17, United States Code.--
        (1) In general.--Section 119 of title 17, United States Code, 
    is amended--
            (A) in subsection (c)(1)(E), by striking ``April 30, 2010'' 
        and inserting ``May 31, 2010''; and
            (B) in subsection (e), by striking ``April 30, 2010'' and 
        inserting ``May 31, 2010''.
        (2) Termination of license.--Section 1003(a)(2)(A) of Public 
    Law 111-118 is amended by striking ``April 30, 2010'', and 
    inserting ``May 31, 2010''.
    (b) Amendments to Communications Act of 1934.--Section 325(b) of 
the Communications Act of 1934 (47 U.S.C. 325(b)) is amended--
        (1) in paragraph (2)(C), by striking ``April 30, 2010'' and 
    inserting ``May 31, 2010''; and
        (2) in paragraph (3)(C), by striking ``May 1, 2010'' each place 
    it appears in clauses (ii) and (iii) and inserting ``June 1, 
    2010''.
  SEC. 10. EXTENSION OF SMALL BUSINESS LOAN GUARANTEE PROGRAM.
    (a) Appropriation.--There is appropriated, out of any funds in the 
Treasury not otherwise appropriated, $80,000,000, for an additional 
amount for ``Small Business Administration--Business Loans Program 
Account'', to remain available until expended, for the cost of fee 
reductions and eliminations under section 501 of division A of the 
American Recovery and Reinvestment Act of 2009 (Public Law 111-5; 123 
Stat. 151) and loan guarantees under section 502 of division A of the 
American Recovery and Reinvestment Act of 2009 (Public Law 111-5; 123 
Stat. 152), as amended by this section:  Provided, That such costs 
shall be as defined in section 502 of the Congressional Budget Act of 
1974.
    (b) Extension of Sunset Date.--Section 502(f) of division A of the 
American Recovery and Reinvestment Act of 2009 (Public Law 111-5; 123 
Stat. 153) is amended by striking ``April 30, 2010'' and inserting 
``May 31, 2010''.
  SEC. 11. SENSE OF THE SENATE REGARDING A VALUE ADDED TAX.
    It is the sense of the Senate that the Value Added Tax is a massive 
tax increase that will cripple families on fixed income and only 
further push back America's economic recovery and the Senate opposes a 
Value Added Tax.
  SEC. 12. DETERMINATION OF BUDGETARY EFFECTS.
    (a) In General.--The budgetary effects of this Act, for the purpose 
of complying with the Statutory Pay-As-You-Go Act of 2010, shall be 
determined by reference to the latest statement titled ``Budgetary 
Effects of PAYGO Legislation'' for this Act, submitted for printing in 
the Congressional Record by the Chairman of the Senate Budget 
Committee, provided that such statement has been submitted prior to the 
vote on passage.
    (b) Emergency Designation for Congressional Enforcement.--This Act, 
with the exception of section 4, is designated as an emergency for 
purposes of pay-as-you-go principles. In the Senate, this Act is 
designated as an emergency requirement pursuant to section 403(a) of S. 
Con. Res. 13 (111th Congress), the concurrent resolution on the budget 
for fiscal year 2010.
    (c) Emergency Designation for Statutory PAYGO.--This Act, with the 
exception of section 4, is designated as an emergency requirement 
pursuant to section 4(g) of the Statutory Pay-As-You-Go Act of 2010 
(Public Law 111-139; 2 U.S.C. 933(g)).

                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.
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