H. R. 4691 
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 ‘‘Temporary Extension Act of 
2010’’. 
SEC. 2. EXTENSION OF UNEMPLOYMENT INSURANCE PROVISIONS. 
(a) IN GENERAL.—(1) Section 4007 of the Supplemental Appro-
priations Act, 2008 (Public Law 110–252; 26 U.S.C. 3304 note) 
is amended— 
(A) by striking ‘‘February 28, 2010’’ each place it appears 
and inserting ‘‘April 5, 2010’’; 
(B) in the heading for subsection (b)(2), by striking ‘‘FEB-
RUARY 28, 2010’’ and inserting ‘‘APRIL 5, 2010’’; and 
(C) in subsection (b)(3), by striking ‘‘July 31, 2010’’ and 
inserting ‘‘September 4, 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 ‘‘February 28, 2010’’ 
and inserting ‘‘April 5, 2010’’; 
(B) in the heading for paragraph (2), by striking ‘‘FEBRUARY 
28, 2010’’ and inserting ‘‘APRIL 5, 2010’’; and 
(C) in paragraph (3), by striking ‘‘August 31, 2010’’ and 
inserting ‘‘October 5, 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 ‘‘February 28, 2010’’ each place it appears 
and inserting ‘‘April 5, 2010’’; and 
(B) in subsection (c), by striking ‘‘July 31, 2010’’ and 
inserting ‘‘September 4, 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 ‘‘July 31, 2010’’ and inserting ‘‘September 4, 2010’’. 
(b) FUNDING.—Section 4004(e)(1) of the Supplemental Appro-
priations Act, 2008 (Public Law 110–252; 26 U.S.C. 3304 note) 
is amended— 
(1) in subparagraph (B), by striking ‘‘and’’ at the end; 
(2) in subparagraph (C), by striking ‘‘1009’’ and inserting 
‘‘1009(a)(1)’’; and
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(3) by inserting after subparagraph (C) the following new 
subparagraph: 
‘‘(D) the amendments made by section 2(a)(1) of the 
Temporary Extension Act of 2010; and’’. 
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 Reinvest-
ment Act of 2009 (Public Law 111–5) is amended by striking ‘‘Feb-
ruary 28, 2010’’ and inserting ‘‘March 31, 2010’’. 
(b) CLARIFICATIONS RELATING TO SECTION 3001 OF ARRA.— 
(1) 
CLARIFICATION
REGARDING
COBRA
CONTINUATION 
RESULTING FROM REDUCTIONS IN HOURS.—Subsection (a) of sec-
tion 3001 of division B of the American Recovery and Reinvest-
ment Act of 2009 (Public Law 111–5) is amended— 
(A) in paragraph (3)(C), by inserting before the period 
at the end the following: ‘‘or consists of a reduction of 
hours followed by such an involuntary termination of 
employment during such period (as described in paragraph 
(17)(C))’’; and 
(B) by adding at the end the following: 
‘‘(17) SPECIAL RULES IN CASE OF INDIVIDUALS LOSING COV-
ERAGE BECAUSE OF A REDUCTION OF HOURS.— 
‘‘(A) NEW ELECTION PERIOD.— 
‘‘(i) IN GENERAL.—For the purposes of the COBRA 
continuation provisions, in the case of an individual 
described in subparagraph (C) who did not make (or 
who made and discontinued) an election of COBRA 
continuation coverage on the basis of the reduction 
of hours of employment, the involuntary termination 
of employment of such individual on or after the date 
of the enactment of this paragraph shall be treated 
as a qualifying event. 
‘‘(ii) COUNTING COBRA DURATION PERIOD FROM PRE-
VIOUS QUALIFYING EVENT.—In any case of an individual 
referred to in clause (i), the period of such individual’s 
continuation coverage shall be determined as though 
the qualifying event were the reduction of hours of 
employment. 
‘‘(iii) CONSTRUCTION.—Nothing in this paragraph 
shall be construed as requiring an individual referred 
to in clause (i) to make a payment for COBRA continu-
ation coverage between the reduction of hours and 
the involuntary termination of employment. 
‘‘(iv) PREEXISTING CONDITIONS.—With respect to an 
individual referred to in clause (i) who elects COBRA 
continuation coverage pursuant to such clause, rules 
similar to the rules in paragraph (4)(C) shall apply. 
‘‘(B) NOTICES.—In the case of an individual described 
in subparagraph (C), the administrator of the group health 
plan (or other entity) involved shall provide, during the 
60-day period beginning on the date of such individual’s 
involuntary termination of employment, an additional 
notification described in paragraph (7)(A), including 
information on the provisions of this paragraph. Rules
H. R. 4691—3 
similar to the rules of paragraph (7) shall apply with 
respect to such notification. 
‘‘(C) INDIVIDUALS DESCRIBED.—Individuals described in 
this subparagraph are individuals who are assistance 
eligible individuals on the basis of a qualifying event con-
sisting of a reduction of hours occurring during the period 
described in paragraph (3)(A) followed by an involuntary 
termination of employment insofar as such involuntary 
termination of employment occurred on or after the date 
of the enactment of this paragraph.’’. 
(2) CODIFICATION
OF
CURRENT
INTERPRETATION.—Sub-
section (a)(16) of such section is amended— 
(A) by striking clause (ii) of subparagraph (A) and 
inserting the following: 
‘‘(ii) such individual pays, the amount of such pre-
mium, after the application of paragraph (1)(A), by 
the latest of— 
‘‘(I) 60 days after the date of the enactment 
of this paragraph, 
‘‘(II) 30 days after the date of provision of 
the notification required under subparagraph 
(D)(ii), or 
‘‘(III) the end of the period described in section 
4980B(f)(2)(B)(iii) of the Internal Revenue Code 
of 1986.’’; and 
(B) by striking subclause (I) of subparagraph (C)(i), 
and inserting the following: 
‘‘(I) such assistance eligible individual experi-
enced an involuntary termination that was a quali-
fying event prior to the date of enactment of the 
Department of Defense Appropriations Act, 2010; 
and’’. 
(3) CLARIFICATION OF PERIOD OF ASSISTANCE.—Subsection 
(a)(2)(A)(ii)(I) of such section is amended by striking ‘‘of the 
first month’’. 
(4) ENFORCEMENT.—Subsection (a)(5) of such section is 
amended by adding at the end the following: ‘‘In addition to 
civil actions that may be brought to enforce applicable provi-
sions of such Act or other laws, the appropriate Secretary 
or an affected individual may bring a civil action to enforce 
such determinations and for appropriate relief. In addition, 
such Secretary may assess a penalty against a plan sponsor 
or health insurance issuer of not more than $110 per day 
for each failure to comply with such determination of such 
Secretary after 10 days after the date of the plan sponsor’s 
or issuer’s receipt of the determination.’’. 
(5) AMENDMENTS RELATING TO SECTION 3001 OF ARRA.— 
(A) Subsection (g)(9) of section 35 of the Internal Rev-
enue Code of 1986 is amended by striking ‘‘section 3002(a) 
of the Health Insurance Assistance for the Unemployed 
Act of 2009’’ and inserting ‘‘section 3001(a) of title III 
of division B of the American Recovery and Reinvestment 
Act of 2009’’. 
(B) Section 139C of such Code is amended by striking 
‘‘section 3002 of the Health Insurance Assistance for the 
Unemployed Act of 2009’’ and inserting ‘‘section 3001 of
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title III of division B of the American Recovery and 
Reinvestment Act of 2009’’. 
(C) Section 6432 of such Code is amended— 
(i) in subsection (a), by striking ‘‘section 3002(a) 
of the Health Insurance Assistance for the Unemployed 
Act of 2009’’ and inserting ‘‘section 3001(a) of title 
III of division B of the American Recovery and 
Reinvestment Act of 2009’’; 
(ii) in subsection (c)(3), by striking ‘‘section 
3002(a)(1)(A) of such Act’’ and inserting ‘‘section 
3001(a)(1)(A) of title III of division B of the American 
Recovery and Reinvestment Act of 2009’’; and 
(iii) by redesignating subsections (e) and (f) as 
subsections (f) and (g), respectively, and inserting after 
subsection (d) the following new subsection: 
‘‘(e) EMPLOYER
DETERMINATION
OF
QUALIFYING
EVENT
AS 
INVOLUNTARY TERMINATION.—For purposes of this section, in any 
case in which— 
‘‘(1) based on a reasonable interpretation of section 
3001(a)(3)(C) of division B of the American Recovery and 
Reinvestment Act of 2009 and administrative guidance there-
under, an employer determines that the qualifying event with 
respect to COBRA continuation coverage for an individual was 
involuntary termination of a covered employee’s employment, 
and 
‘‘(2) the employer maintains supporting documentation of 
the determination, including an attestation by the employer 
of involuntary termination with respect to the covered 
employee, 
the qualifying event for the individual shall be deemed to be invol-
untary termination of the covered employee’s employment.’’. 
(D) Subsection (a) of section 6720C of such Code is 
amended by striking ‘‘section 3002(a)(2)(C) of the Health 
Insurance Assistance for the Unemployed Act of 2009’’ 
and inserting ‘‘section 3001(a)(2)(C) of title III of division 
B of the American Recovery and Reinvestment Act of 2009’’. 
(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 to which they relate, except that— 
(1) the amendments made by subsection (b)(1) shall apply 
to periods of coverage beginning after the date of the enactment 
of this Act; 
(2) the amendments made by subsection (b)(2) shall take 
effect as if included in the amendments made by section 1010 
of division B of the Department of Defense Appropriations 
Act, 2010; and 
(3) the amendments made by subsections (b)(3) and (b)(4) 
shall take effect on the date of the enactment of this Act. 
SEC. 4. EXTENSION OF SURFACE TRANSPORTATION PROGRAMS. 
(a) IN GENERAL.—Except as provided in subsection (b), for 
purposes of the continued extension of surface transportation pro-
grams and related authority to make expenditures from the High-
way Trust Fund and other trust funds under sections 157 through 
162 of the Continuing Appropriations Resolution, 2010 (Public Law 
111–68; 123 Stat. 2050), the date specified in section 106(3) of
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that resolution (Public Law 111–68; 123 Stat. 2045) shall be deemed 
to be March 28, 2010. 
(b) EXCEPTION.—Subsection (a) shall not apply if an extension 
of the programs and authorities described in that subsection for 
a longer term than the extension contained in the Continuing 
Appropriations Resolution, 2010 (Public Law 111–68; 123 Stat. 
2050), is enacted before the date of enactment of this Act. 
SEC. 5. 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 Appro-
priations Act, 2010 (Public Law 111–118), is amended— 
(1) in subparagraph (A), by striking ‘‘February 28, 2010’’ 
and inserting ‘‘March 31, 2010’’; and 
(2) in subparagraph (B), by striking ‘‘March 1, 2010’’ and 
inserting ‘‘April 1, 2010’’. 
SEC. 6. EXTENSION OF MEDICARE THERAPY CAPS EXCEPTIONS 
PROCESS. 
Section 1833(g)(5) of the Social Security Act (42 U.S.C. 
1395l(g)(5)) is amended by striking ‘‘December 31, 2009’’ and 
inserting ‘‘March 31, 2010’’. 
SEC. 7. EXTENSION OF USE OF 2009 POVERTY GUIDELINES. 
Section 1012 of the Department of Defense Appropriations Act, 
2010 (Public Law 111–118) is amended by striking ‘‘March 1, 2010’’ 
and inserting ‘‘March 31, 2010’’. 
SEC. 8. EXTENSION OF NATIONAL FLOOD INSURANCE PROGRAM. 
Section 129 of the Continuing Appropriations Resolution, 2010 
(Public Law 111–68), as amended by section 1005 of Public Law 
111–118, is further amended by striking ‘‘by substituting’’ and 
all that follows through the period at the end, and inserting ‘‘by 
substituting March 28, 2010, for the date specified in each such 
section.’’. 
SEC. 9. EXTENSION OF SMALL BUSINESS LOAN GUARANTEE PROGRAM. 
(a) IN GENERAL.—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 ‘‘February 28, 2010’’ and inserting 
‘‘March 28, 2010’’. 
(b) APPROPRIATION.—There is appropriated, out of any funds 
in the Treasury not otherwise appropriated, for an additional 
amount for ‘‘Small Business Administration – Business Loans Pro-
gram Account’’, $60,000,000, to remain available through March 
28, 2010, for the cost of— 
(1) 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) for loans guaranteed 
under section 7(a) of the Small Business Act (15 U.S.C. 636(a)), 
title V of the Small Business Investment Act of 1958 (15 U.S.C. 
695 et seq.), or 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; and 
(2) 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,
H. R. 4691—6 
Provided, That such costs, including the cost of modifying such 
loans, shall be as defined in section 502 of the Congressional Budget 
Act of 1974. 
SEC. 10. 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 ‘‘February 28, 
2010’’ and inserting ‘‘March 28, 2010’’; and 
(B) in subsection (e), by striking ‘‘February 28, 2010’’ 
and inserting ‘‘March 28, 2010’’. 
(2) TERMINATION
OF
LICENSE.—Section 1003(a)(2)(A) of 
Public Law 111–118 is amended by striking ‘‘February 28, 
2010’’, and inserting ‘‘March 28, 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 ‘‘February 28, 2010’’ 
and inserting ‘‘March 28, 2010’’; and 
(2) in paragraph (3)(C), by striking ‘‘March 1, 2010’’ each 
place it appears in clauses (ii) and (iii) and inserting ‘‘March 
29, 2010’’. 
SEC. 11. 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 
Committee on the Budget of the House of Representatives, provided 
that such statement has been submitted prior to the vote on pas-
sage. 
(b) EMERGENCY DESIGNATION FOR CONGRESSIONAL ENFORCE-
MENT.—This Act, with the exception of section 5, is designated 
as an emergency for purposes of pay-as-you-go principles. In the 
Senate, this Act is designated as an emergency requirement pursu-
ant 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 5, is designated as an emergency
H. R. 4691—7 
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.