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: 
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‘‘(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)). 
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(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.— 
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(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. 
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(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-YouGo 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.