II 

Calendar No. 333 

111TH CONGRESS 

2D SESSION S. 3153 

To provide a fully offset temporary extension of certain programs so as 

not to increase the deficit, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

MARCH 23 (legislative day, MARCH 19), 2010 

Mr. GRASSLEY introduced the following bill; which was read the first time 

MARCH 23, 2010 

Read the second time and placed on the calendar 

A BILL 

To provide a fully offset temporary extension of certain programs so as not to increase the deficit, and for other 

purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Continuing Extension 

5 Act of 2010’’. 


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1 SEC. 2. EXTENSION OF UNEMPLOYMENT INSURANCE PRO2 VISIONS. 

3 (a) IN GENERAL.—(1) Section 4007 of the Supple4 mental Appropriations Act, 2008 (Public Law 110–252; 

5 26 U.S.C. 3304 note) is amended— 

6 (A) by striking ‘‘April 5, 2010’’ each place it 

7 appears and inserting ‘‘May 5, 2010’’; 

8 (B) in the heading for subsection (b)(2), by 

9 striking ‘‘APRIL 5, 2010’’ and inserting ‘‘MAY 5, 

10 2010’’; and 

11 (C) in subsection (b)(3), by striking ‘‘Sep12 tember 4, 2010’’ and inserting ‘‘October 2, 2010’’. 

13 (2) Section 2002(e) of the Assistance for Unemployed 

14 Workers and Struggling Families Act, as contained in 

15 Public Law 111–5 (26 U.S.C. 3304 note; 123 Stat. 438), 

16 is amended— 

17 (A) in paragraph (1)(B), by striking ‘‘April 5, 

18 2010’’ and inserting ‘‘May 5, 2010’’; 

19 (B) in the heading for paragraph (2), by strik20 ing ‘‘APRIL 5, 2010’’ and inserting ‘‘MAY 5, 2010’’; 

21 and 

22 (C) in paragraph (3), by striking ‘‘October 5, 

23 2010’’ and inserting ‘‘November 5, 2010’’. 

24 (3) Section 2005 of the Assistance for Unemployed 

25 Workers and Struggling Families Act, as contained in 


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1 Public Law 111–5 (26 U.S.C. 3304 note; 123 Stat. 444), 

2 is amended— 

3 (A) by striking ‘‘April 5, 2010’’ each place it 

4 appears and inserting ‘‘May 5, 2010’’; and 

5 (B) in subsection (c), by striking ‘‘September 4, 

6 2010’’ and inserting ‘‘October 2, 2010’’. 

7 (4) Section 5 of the Unemployment Compensation 

8 Extension Act of 2008 (Public Law 110–449; 26 U.S.C. 

9 3304 note) is amended by striking ‘‘September 4, 2010’’ 

10 and inserting ‘‘October 2, 2010’’. 

11 (b) FUNDING.—Section 4004(e)(1) of the Supple12 mental Appropriations Act, 2008 (Public Law 110–252; 

13 26 U.S.C. 3304 note) is amended— 

14 (1) in subparagraph (C), by striking ‘‘and’’ at 

15 the end; 

16 (2) by inserting after subparagraph (D) the fol17 lowing new subparagraph: 

18 ‘‘(E) the amendments made by section 

19 2(a)(1) of the Continuing Extension Act of 

20 2010; and’’. 

21 (c) EFFECTIVE DATE.—The amendments made by 

22 this section shall take effect as if included in the amend23 ments made by section 2 of the Temporary Extension Act 

24 of 2010 (Public Law 111–144). 


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1 SEC. 3. EXTENSION AND IMPROVEMENT OF PREMIUM AS2 SISTANCE FOR COBRA BENEFITS. 

3 Subsection (a)(3)(A) of section 3001 of division B of 

4 the American Recovery and Reinvestment Act of 2009 

5 (Public Law 111–5), as amended by section 3(a) of the 

6 Temporary Extension Act of 2010 (Public Law 111–144), 

7 is amended by striking ‘‘March 31, 2010’’ and inserting 

8 ‘‘April 30, 2010’’. 

9 SEC. 4. INCREASE IN THE MEDICARE PHYSICIAN PAYMENT 

10 UPDATE. 

11 Paragraph (10) of section 1848(d) of the Social Secu12 rity Act, as added by section 1011(a) of the Department 

13 of Defense Appropriations Act, 2010 (Public Law 111– 

14 118) and as amended by section 5 of the Temporary Ex15 tension Act of 2010 (Public Law 111–144), is amended— 

16 (1) in subparagraph (A), by striking ‘‘March 

17 31, 2010’’ and inserting ‘‘April 30, 2010’’; and 

18 (2) in subparagraph (B), by striking ‘‘April 1, 

19 2010’’ and inserting ‘‘May 1, 2010’’. 

20 SEC. 5. EHR CLARIFICATION. 

21 (a) QUALIFICATION FOR CLINIC-BASED PHYSI22 CIANS.— 

23 (1) MEDICARE.—Section 1848(o)(1)(C)(ii) of 

24 the Social Security Act (42 U.S.C. 1395w– 

25 4(o)(1)(C)(ii)) is amended by striking ‘‘setting 


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1 (whether inpatient or outpatient)’’ and inserting ‘‘in2 patient or emergency room setting’’. 

3 (2) MEDICAID.—Section 1903(t)(3)(D) of the 

4 Social Security Act (42 U.S.C. 1396b(t)(3)(D)) is 

5 amended by striking ‘‘setting (whether inpatient or 

6 outpatient)’’ and inserting ‘‘inpatient or emergency 

7 room setting’’. 

8 (b) EFFECTIVE DATE.—The amendments made by 

9 subsection (a) shall be effective as if included in the enact10 ment of the HITECH Act (included in the American Re11 covery and Reinvestment Act of 2009 (Public Law 111– 

12 5)). 

13 (c) IMPLEMENTATION.—Notwithstanding any other 

14 provision of law, the Secretary of Health and Human 

15 Services may implement the amendments made by this 

16 section by program instruction or otherwise. 

17 SEC. 6. ELIMINATION OF A SWEETHEART DEAL THAT IN18 CREASES MEDICARE REIMBURSEMENT JUST 

19 FOR FRONTIER STATES. 

20 Effective as if included in the enactment of the Pa21 tient Protection and Affordable Care Act, section 10324 

22 of such Act (and the amendments made by such section) 

23 is repealed. 


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1 SEC. 7. EXTENSION OF USE OF 2009 POVERTY GUIDELINES. 

2 Section 1012 of the Department of Defense Appro3 priations Act, 2010 (Public Law 111–118), as amended 

4 by section 7 of the Temporary Extension Act of 2010 

5 (Public Law 111–144), is amended by striking ‘‘March 31, 

6 2010’’ and inserting ‘‘April 30, 2010’’. 

7 SEC. 8. EXTENSION OF NATIONAL FLOOD INSURANCE PRO8 GRAM. 

9 (a) EXTENSION.—Section 129 of the Continuing Ap10 propriations Resolution, 2010 (Public Law 111–68), as 

11 amended by section 8 of Public Law 111–144, is amended 

12 by striking ‘‘by substituting’’ and all that follows through 

13 the period at the end and inserting ‘‘by substituting April 

14 30, 2010, for the date specified in each such section.’’. 

15 (b) EFFECTIVE DATE.—The amendments made by 

16 subsection (a) shall be considered to have taken effect on 

17 February 28, 2010. 

18 SEC. 9. SATELLITE TELEVISION EXTENSION. 

19 (a) AMENDMENTS TO SECTION 119 OF TITLE 17, 

20 UNITED STATES CODE.— 

21 (1) IN GENERAL.—Section 119 of title 17, 

22 United States Code, is amended— 

23 (A) in subsection (c)(1)(E), by striking 

24 ‘‘March 28, 2010’’ and inserting ‘‘April 30, 

25 2010’’; and 


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1 (B) in subsection (e), by striking ‘‘March 

2 28, 2010’’ and inserting ‘‘April 30, 2010’’. 

3 (2) TERMINATION OF LICENSE.—Section 

4 1003(a)(2)(A) of Public Law 111–118 is amended 

5 by striking ‘‘March 28, 2010’’, and inserting ‘‘April 

6 30, 2010’’. 

7 (b) AMENDMENTS TO COMMUNICATIONS ACT OF

8 1934.—Section 325(b) of the Communications Act of 

9 1934 (47 U.S.C. 325(b)) is amended— 

10 (1) in paragraph (2)(C), by striking ‘‘March 28, 

11 2010’’ and inserting ‘‘April 30, 2010’’; and 

12 (2) in paragraph (3)(C), by striking ‘‘March 29, 

13 2010’’ each place it appears in clauses (ii) and (iii) 

14 and inserting ‘‘May 1, 2010’’. 

15 SEC. 10. COMPENSATION AND RATIFICATION OF AUTHOR16 ITY RELATED TO LAPSE IN HIGHWAY PRO17 GRAMS. 

18 (a) COMPENSATION FOR FEDERAL EMPLOYEES.— 

19 Any Federal employees furloughed as a result of the lapse 

20 in expenditure authority from the Highway Trust Fund 

21 after 11:59 p.m. on February 28, 2010, through March 

22 2, 2010, shall be compensated for the period of that lapse 

23 at their standard rates of compensation, as determined 

24 under policies established by the Secretary of Transpor25 tation. 


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1 (b) RATIFICATION OF ESSENTIAL ACTIONS.—All ac2 tions taken by Federal employees, contractors, and grant3 ees for the purposes of maintaining the essential level of 

4 Government operations, services, and activities to protect 

5 life and property and to bring about orderly termination 

6 of Government functions during the lapse in expenditure 

7 authority from the Highway Trust Fund after 11:59 p.m. 

8 on February 28, 2010, through March 2, 2010, are hereby 

9 ratified and approved if otherwise in accord with the provi10 sions of the Continuing Appropriations Resolution, 2010 

11 (division B of Public Law 111–68). 

12 (c) FUNDING.—Funds used by the Secretary to com13 pensate employees described in subsection (a) shall be de14 rived from funds previously authorized out of the Highway 

15 Trust Fund and made available or limited to the Depart16 ment of Transportation by the Consolidated Appropria17 tions Act, 2010 (Public Law 111–117) and shall be sub18 ject to the obligation limitations established in such Act. 

19 (d) EXPENDITURES FROM HIGHWAY TRUST

20 FUND.—To permit expenditures from the Highway Trust 

21 Fund to effectuate the purposes of this section, this sec22 tion shall be deemed to be a section of the Continuing Ap23 propriations Resolution, 2010 (division B of Public Law 

24 111–68), as in effect on the date of the enactment of the 

25 last amendment to such Resolution. 


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1 SEC. 11. USE OF STIMULUS FUNDS TO OFFSET SPENDING. 

2 The unobligated balance of each amount appro3 priated or made available under the American Recovery 

4 and Reinvestment Act of 2009 (Public Law 111–5) (other 

5 than under title X of division A of such Act) is rescinded 

6 pro rata such that the aggregate amount of such rescis7 sions equals $9,200,000,000 in order to offset the net in8 crease in spending resulting from the provisions of, and 

9 amendments made by, sections 2 through 10. The Direc10 tor of the Office of Management and Budget shall report 

11 to each congressional committee the amounts so rescinded 

12 within the jurisdiction of such committee. 


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Calendar No. 333 

111TH CONGRESS 

2D SESSION S. 3153 

A BILL 

To provide a fully offset temporary extension of 

and for other purposes. certain programs so as not to increase the deficit, 

MARCH 23, 2010 

Read the second time and placed on the calendar 


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