(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 ‘‘May 5, 2010’’; and 
(B) in subsection (c), by striking ‘‘September 4, 
2010’’ and inserting ‘‘October 2, 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 ‘‘October 2, 2010’’. 
(b) FUNDING.—Section 4004(e)(1) of the Supple-
mental 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 fol-
lowing 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 amend-
ments made by section 2 of the Temporary Extension Act 
of 2010 (Public Law 111–144). 
SEC. 3. EXTENSION AND IMPROVEMENT OF PREMIUM AS-
SISTANCE FOR COBRA BENEFITS. 
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 
‘‘April 30, 2010’’. 
SEC. 4. INCREASE IN THE MEDICARE PHYSICIAN PAYMENT 
UPDATE. 
Paragraph (10) of section 1848(d) of the Social Secu-
rity 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 Ex-
tension Act of 2010 (Public Law 111–144), is amended— 
(1) in subparagraph (A), by striking ‘‘March 
31, 2010’’ and inserting ‘‘April 30, 2010’’; and 
(2) in subparagraph (B), by striking ‘‘April 1, 
2010’’ and inserting ‘‘May 1, 2010’’. 
SEC. 5. EXTENSION OF MEDICARE THERAPY CAPS EXCEP-
TIONS PROCESS. 
Section 1833(g)(5) of the Social Security Act (42 
U.S.C. 1395l(g)(5)), as amended by section 6 of the Tem-
porary Extension Act of 2010 (Public Law 111–144), is 
amended by striking ‘‘March 31, 2009’’ and inserting 
‘‘April 30, 2010’’. 
SEC. 6. EHR CLARIFICATION. 
(a) QUALIFICATION
FOR
CLINIC-BASED
PHYSI-
CIANS.— 
(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 ‘‘in-
patient 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 enact-
ment of the HITECH Act (included in the American Re-
covery 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. 7. EXTENSION OF USE OF 2009 POVERTY GUIDELINES. 
Section 1012 of the Department of Defense Appro-
priations 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 ‘‘April 30, 2010’’. 
SEC. 8. EXTENSION OF NATIONAL FLOOD INSURANCE PRO-
GRAM. 
(a) EXTENSION.—Section 129 of the Continuing Ap-
propriations 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 April 
30, 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. 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 
‘‘March 28, 2010’’ and inserting ‘‘April 30, 
2010’’; and
(B) in subsection (e), by striking ‘‘March 
28, 2010’’ and inserting ‘‘April 30, 2010’’. 
(2) 
TERMINATION
OF
LICENSE.—Section 
1003(a)(2)(A) of Public Law 111–118 is amended 
by striking ‘‘March 28, 2010’’, and inserting ‘‘April 
30, 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 ‘‘March 28, 
2010’’ and inserting ‘‘April 30, 2010’’; and 
(2) in paragraph (3)(C), by striking ‘‘March 29, 
2010’’ each place it appears in clauses (ii) and (iii) 
and inserting ‘‘May 1, 2010’’. 
SEC. 10. COMPENSATION AND RATIFICATION OF AUTHOR-
ITY RELATED TO LAPSE IN HIGHWAY PRO-
GRAMS. 
(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 Transpor-
tation.
(b) RATIFICATION OF ESSENTIAL ACTIONS.—All ac-
tions taken by Federal employees, contractors, and grant-
ees 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 provi-
sions of the Continuing Appropriations Resolution, 2010 
(division B of Public Law 111–68). 
(c) FUNDING.—Funds used by the Secretary to com-
pensate employees described in subsection (a) shall be de-
rived from funds previously authorized out of the Highway 
Trust Fund and made available or limited to the Depart-
ment of Transportation by the Consolidated Appropria-
tions Act, 2010 (Public Law 111–117) and shall be sub-
ject 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 sec-
tion shall be deemed to be a section of the Continuing Ap-
propriations 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.
111TH CONGRESS 
2D SESSION 
H. R. 4851 
AN ACT 
To provide a temporary extension of certain 
programs, and for other purposes.