I 
112TH CONGRESS 
1ST SESSION H. R. 3630 
To provide incentives for the creation of jobs, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 9, 2011 
Mr. CAMP (for himself, Mr. BACHUS, Mr. DANIEL E. LUNGREN of California, 
Mr. LUCAS, Mr. UPTON, and Ms. ROS-LEHTINEN) introduced the fol-
lowing bill; which was referred to the Committee on Ways and Means, 
and in addition to the Committees on Energy and Commerce, Financial 
Services, Foreign Affairs, Transportation and Infrastructure, Agriculture, 
Oversight and Government Reform, House Administration, the Budget, 
Natural Resources, Rules, and Select Intelligence (Permanent Select), for 
a period to be subsequently determined by the Speaker, in each case for 
consideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
A BILL 
To provide incentives for the creation of jobs, and for other 
purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Middle Class Tax Relief and Job Creation Act of 2011’’. 
(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
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Sec. 1. Short title. 
TITLE I—JOB CREATION INCENTIVES 
Subtitle A—North American Energy Access 
Sec. 1001. Short title. 
Sec. 1002. Permit for Keystone XL Pipeline. 
Subtitle B—EPA Regulatory Relief 
Sec. 1101. Short title. 
Sec. 1102. Legislative stay. 
Sec. 1103. Compliance dates. 
Sec. 1104. Energy recovery and conservation. 
Sec. 1105. Other provisions. 
Subtitle C—Extension of 100 Percent Expensing 
Sec. 1201. Extension of allowance for bonus depreciation for certain business 
assets. 
TITLE II—EXTENSION OF CERTAIN EXPIRING PROVISIONS AND 
RELATED MEASURES 
Subtitle A—Extension of Payroll Tax Reduction 
Sec. 2001. Extension of temporary employee payroll tax reduction through end 
of 2012. 
Subtitle B—Unemployment Compensation 
Sec. 2101. Short title. 
PART 1—REFORMS OF UNEMPLOYMENT COMPENSATION TO PROMOTE WORK 
AND JOB CREATION 
Sec. 2121. Consistent job search requirements. 
Sec. 2122. Participation in reemployment services made a condition of benefit 
receipt. 
Sec. 2123. State flexibility to promote the reemployment of unemployed work-
ers. 
Sec. 2124. Assistance and guidance in implementing self-employment assistance 
programs. 
Sec. 2125. Improving program integrity by better recovery of overpayments. 
Sec. 2126. Data standardization for improved data matching. 
Sec. 2127. Drug testing of applicants. 
PART 2—PROVISIONS RELATING TO EXTENDED BENEFITS 
Sec. 2141. Short title. 
Sec. 2142. Extension and modification of emergency unemployment compensa-
tion program. 
Sec. 2143. Temporary extension of extended benefit provisions. 
Sec. 2144. Additional extended unemployment benefits under the Railroad Un-
employment Insurance Act. 
PART 3—IMPROVING REEMPLOYMENT STRATEGIES UNDER THE EMERGENCY 
UNEMPLOYMENT COMPENSATION PROGRAM 
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Sec. 2161. Improved work search for the long-term unemployed. 
Sec. 2162. Reemployment services and reemployment and eligibility assessment 
activities. 
Sec. 2163. State flexibility to support long-term unemployed workers with im-
proved reemployment services. 
Sec. 2164. Promoting program integrity through better recovery of overpay-
ments. 
Sec. 2165. Restore State flexibility to improve unemployment program solvency. 
Subtitle C—Medicare Extensions; Other Health Provisions 
PART 1—MEDICARE EXTENSIONS 
Sec. 2201. Physician payment update. 
Sec. 2202. Ambulance add-ons. 
Sec. 2203. Medicare payment for outpatient therapy services. 
Sec. 2204. Work geographic adjustment. 
PART 2—OTHER HEALTH PROVISIONS 
Sec. 2211. Qualifying individual (QI) program. 
Sec. 2212. Extension of Transitional Medical Assistance (TMA). 
Sec. 2213. Modification to requirements for qualifying for exception to Medi-
care prohibition on certain physician referrals for hospitals. 
PART 3—OFFSETS 
Sec. 2221. Adjustments to maximum thresholds for recapturing overpayments 
resulting from certain Federally-subsidized health insurance. 
Sec. 2222. Prevention and Public Health Fund. 
Sec. 2223. Parity in Medicare payments for hospital outpatient department 
evaluation and management office visit services. 
Sec. 2224. Reduction of bad debt treated as an allowable cost. 
Sec. 2225. Rebasing of State DSH allotments for fiscal year 2021. 
Subtitle D—TANF Extension 
Sec. 2301. Short title. 
Sec. 2302. Extension of program. 
Sec. 2303. Data standardization. 
Sec. 2304. Spending policies for assistance under State TANF programs. 
Sec. 2305. Technical corrections. 
TITLE III—FLOOD INSURANCE REFORM 
Sec. 3001. Short title. 
Sec. 3002. Extensions. 
Sec. 3003. Mandatory purchase. 
Sec. 3004. Reforms of coverage terms. 
Sec. 3005. Reforms of premium rates. 
Sec. 3006. Technical Mapping Advisory Council. 
Sec. 3007. FEMA incorporation of new mapping protocols. 
Sec. 3008. Treatment of levees. 
Sec. 3009. Privatization initiatives. 
Sec. 3010. FEMA annual report on insurance program. 
Sec. 3011. Mitigation assistance. 
Sec. 3012. Notification to homeowners regarding mandatory purchase require-
ment applicability and rate phase-ins. 
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Sec. 3013. Notification to members of congress of flood map revisions and up-
dates. 
Sec. 3014. Notification and appeal of map changes; notification to communities 
of establishment of flood elevations. 
Sec. 3015. Notification to tenants of availability of contents insurance. 
Sec. 3016. Notification to policy holders regarding direct management of policy 
by FEMA. 
Sec. 3017. Notice of availability of flood insurance and escrow in RESPA good 
faith estimate. 
Sec. 3018. Reimbursement for costs incurred by homeowners and communities 
obtaining letters of map amendment or revision. 
Sec. 3019. Enhanced communication with certain communities during map up-
dating process. 
Sec. 3020. Notification to residents newly included in flood hazard areas. 
Sec. 3021. Treatment of swimming pool enclosures outside of hurricane season. 
Sec. 3022. Information regarding multiple perils claims. 
Sec. 3023. FEMA authority to reject transfer of policies. 
Sec. 3024. Appeals. 
Sec. 3025. Reserve fund. 
Sec. 3026. CDBG eligibility for flood insurance outreach activities and commu-
nity building code administration grants. 
Sec. 3027. Technical corrections. 
Sec. 3028. Requiring competition for national flood insurance program policies. 
Sec. 3029. Studies of voluntary community-based flood insurance options. 
Sec. 3030. Report on inclusion of building codes in floodplain management cri-
teria. 
Sec. 3031. Study on graduated risk. 
Sec. 3032. Report on flood-in-progress determination. 
Sec. 3033. Study on repaying flood insurance debt. 
Sec. 3034. No cause of action. 
Sec. 3035. Authority for the corps of engineers to provide specialized or tech-
nical services. 
TITLE IV—JUMPSTARTING OPPORTUNITY WITH BROADBAND 
SPECTRUM ACT OF 2011 
Sec. 4001. Short title. 
Sec. 4002. Definitions. 
Sec. 4003. Rule of construction. 
Sec. 4004. Enforcement. 
Sec. 4005. National security restrictions on use of funds and auction participa-
tion. 
Subtitle A—Spectrum Auction Authority 
Sec. 4101. Deadlines for auction of certain spectrum. 
Sec. 4102. 700 MHz public safety narrowband spectrum and guard band spec-
trum. 
Sec. 4103. General authority for incentive auctions. 
Sec. 4104. Special requirements for incentive auction of broadcast TV spec-
trum. 
Sec. 4105. Administration of auctions by Commission. 
Sec. 4106. Extension of auction authority. 
Sec. 4107. Unlicensed use in the 5 GHz band. 
Subtitle B—Advanced Public Safety Communications 
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PART 1—NATIONAL IMPLEMENTATION 
Sec. 4201. Licensing of spectrum to Administrator. 
Sec. 4202. National Public Safety Communications Plan. 
Sec. 4203. Plan administration. 
Sec. 4204. Initial funding for Administrator. 
Sec. 4205. Study on emergency communications by amateur radio and impedi-
ments to amateur radio communications. 
PART 2—STATE IMPLEMENTATION 
Sec. 4221. Negotiation and approval of contracts. 
Sec. 4222. State implementation grant program. 
Sec. 4223. State Implementation Fund. 
Sec. 4224. Grants to States for network buildout. 
Sec. 4225. Wireless facilities deployment. 
PART 3—PUBLIC SAFETY TRUST FUND 
Sec. 4241. Public Safety Trust Fund. 
PART 4—NEXT GENERATION 9–1–1 ADVANCEMENT ACT OF 2011 
Sec. 4261. Short title. 
Sec. 4262. Findings. 
Sec. 4263. Purposes. 
Sec. 4264. Definitions. 
Sec. 4265. Coordination of 9–1–1 implementation. 
Sec. 4266. Requirements for multi-line telephone systems. 
Sec. 4267. GAO study of State and local use of 9–1–1 service charges. 
Sec. 4268. Parity of protection for provision or use of Next Generation 9–1– 
1 services. 
Sec. 4269. Commission proceeding on autodialing. 
Sec. 4270. NHTSA report on costs for requirements and specifications of Next 
Generation 9–1–1 services. 
Sec. 4271. FCC recommendations for legal and statutory framework for Next 
Generation 9–1–1 services. 
Subtitle C—Federal Spectrum Relocation 
Sec. 4301. Relocation of and spectrum sharing by Federal Government sta-
tions. 
Sec. 4302. Spectrum Relocation Fund. 
Sec. 4303. National security and other sensitive information. 
Subtitle D—Telecommunications Development Fund 
Sec. 4401. No additional Federal funds. 
Sec. 4402. Independence of the Fund. 
TITLE V—OFFSETS 
Subtitle A—Guarantee Fees 
Sec. 5001. Guarantee Fees. 
Subtitle B—Social Security Provisions 
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Sec. 5101. Information for administration of Social Security provisions related 
to noncovered employment. 
Subtitle C—Child Tax Credit 
Sec. 5201. Social Security number required to claim the refundable portion of 
the child tax credit. 
Subtitle D—Eliminating Taxpayer Benefits for Millionaires 
Sec. 5301. Ending unemployment and supplemental nutrition assistance pro-
gram benefits for millionaires. 
Subtitle E—Federal Civilian Employees 
PART 1—RETIREMENT ANNUITIES 
Sec. 5401. Short title. 
Sec. 5402. Retirement contributions. 
Sec. 5403. Amendments relating to secure annuity employees. 
Sec. 5404. Annuity supplement. 
PART 2—FEDERAL WORKFORCE 
Sec. 5421. Extension of pay limitation for Federal employees. 
Sec. 5422. Reduction of discretionary spending limits to achieve savings from 
Federal employee provisions. 
Sec. 5423. Reduction of revised discretionary spending limits to achieve savings 
from Federal employee provisions. 
Subtitle F—Health Care Provisions 
Sec. 5501. Increase in applicable percentage used to calculate Medicare part B 
and part D premiums for high-income beneficiaries. 
Sec. 5502. Temporary adjustment to the calculation of Medicare part B and 
part D premiums. 
TITLE VI—MISCELLANEOUS PROVISIONS 
Sec. 6001. Repeal of certain shifts in the timing of corporate estimated tax 
payments. 
Sec. 6002. Repeal of requirement relating to time for remitting certain mer-
chandise processing fees. 
Sec. 6003. Points of order in the Senate. 
Sec. 6004. PAYGO scorecard estimates. 
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TITLE I—JOB CREATION 
INCENTIVES 
Subtitle A—North American 
Energy Access 
SEC. 1001. SHORT TITLE. 
This subtitle may be cited as the ‘‘North American 
Energy Security Act’’. 
SEC. 1002. PERMIT FOR KEYSTONE XL PIPELINE. 
(a) IN GENERAL.—Except as provided in subsection 
(b), not later than 60 days after the date of enactment 
of this Act, the President, acting through the Secretary 
of State, shall grant a permit under Executive Order 
13337 (3 U.S.C. 301 note; relating to issuance of permits 
with respect to certain energy-related facilities and land 
transportation crossings on the international boundaries 
of the United States) for the Keystone XL pipeline project 
application filed on September 19, 2008 (including amend-
ments). 
(b) EXCEPTION.— 
(1) IN GENERAL.—The President shall not be 
required to grant the permit under subsection (a) if 
the President determines that the Keystone XL 
pipeline would not serve the national interest. 
(2) REPORT.—If the President determines that 
the Keystone XL pipeline is not in the national in-
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terest under paragraph (1), the President shall, not 
later than 15 days after the date of the determina-
tion, submit to the Committee on Foreign Relations 
of the Senate, the Committee on Foreign Affairs of 
the House of Representatives, the majority leader of 
the Senate, the minority leader of the Senate, the 
Speaker of the House of Representatives, and the 
minority leader of the House of Representatives a 
report that provides a justification for determina-
tion, including consideration of economic, employ-
ment, energy security, foreign policy, trade, and en-
vironmental factors. 
(3) EFFECT OF NO FINDING OR ACTION.—If a 
determination is not made under paragraph (1) and 
no action is taken by the President under subsection 
(a) not later than 60 days after the date of enact-
ment of this Act, the permit for the Keystone XL 
pipeline described in subsection (a) that meets the 
requirements of subsections (c) and (d) shall be in 
effect by operation of law. 
(c) REQUIREMENTS.—The permit granted under sub-
section (a) shall require the following: 
(1) The permittee shall comply with all applica-
ble Federal and State laws (including regulations) 
and all applicable industrial codes regarding the con-
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struction, connection, operation, and maintenance of 
the United States facilities. 
(2) The permittee shall obtain all requisite per-
mits from Canadian authorities and relevant Fed-
eral, State, and local governmental agencies. 
(3) The permittee shall take all appropriate 
measures to prevent or mitigate any adverse envi-
ronmental impact or disruption of historic properties 
in connection with the construction, operation, and 
maintenance of the United States facilities. 
(4) For the purpose of the permit issued under 
subsection (a) (regardless of any modifications under 
subsection (d))— 
(A) the final environmental impact state-
ment issued by the Secretary of State on Au-
gust 26, 2011, satisfies all requirements of the 
National Environmental Policy Act of 1969 (42 
U.S.C. 4321 et seq.) and section 106 of the Na-
tional Historic Preservation Act (16 U.S.C. 
470f); 
(B) any modification required by the Sec-
retary of State to the Plan described in para-
graph (5)(A) shall not require supplementation 
of the final environmental impact statement de-
scribed in that paragraph; and 
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(C) no further Federal environmental re-
view shall be required. 
(5) The construction, operation, and mainte-
nance of the facilities shall be in all material re-
spects similar to that described in the application 
described in subsection (a) and in accordance with— 
(A) the construction, mitigation, and rec-
lamation measures agreed to by the permittee 
in the Construction Mitigation and Reclamation 
Plan found in appendix B of the final environ-
mental impact statement issued by the Sec-
retary of State on August 26, 2011, subject to 
the modification described in subsection (d); 
(B) the special conditions agreed to be-
tween the permittee and the Administrator of 
the Pipeline Hazardous Materials Safety Ad-
ministration of the Department of Transpor-
tation found in appendix U of the final environ-
mental impact statement described in subpara-
graph (A); 
(C) if the modified route submitted by the 
Governor 
of 
Nebraska 
under 
subsection 
(d)(3)(B) crosses the Sand Hills region, the 
measures agreed to by the permittee for the 
Sand Hills region found in appendix H of the 
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final environmental impact statement described 
in subparagraph (A); and 
(D) the stipulations identified in appendix 
S of the final environmental impact statement 
described in subparagraph (A). 
(6) Other requirements that are standard in-
dustry practice or commonly included in Federal 
permits that are similar to a permit issued under 
subsection (a). 
(d) MODIFICATION.—The permit issued under sub-
section (a) shall require— 
(1) the reconsideration of routing of the Key-
stone XL pipeline within the State of Nebraska; 
(2) a review period during which routing within 
the State of Nebraska may be reconsidered and the 
route of the Keystone XL pipeline through the State 
altered with any accompanying modification to the 
Plan described in subsection (c)(5)(A); and 
(3) the President— 
(A) to coordinate review with the State of 
Nebraska and provide any necessary data and 
reasonable technical assistance material to the 
review process required under this subsection; 
and 
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(B) to approve the route within the State 
of Nebraska that has been submitted to the 
Secretary of State by the Governor of Ne-
braska. 
(e) EFFECT OF NO APPROVAL.—If the President 
does not approve the route within the State of Nebraska 
submitted by the Governor of Nebraska under subsection 
(d)(3)(B) not later than 10 days after the date of submis-
sion, the route submitted by the Governor of Nebraska 
under subsection (d)(3)(B) shall be considered approved, 
pursuant to the terms of the permit described in sub-
section (a) that meets the requirements of subsection (c) 
and this subsection, by operation of law. 
Subtitle B—EPA Regulatory Relief 
SEC. 1101. SHORT TITLE. 
This subtitle may be cited as the ‘‘EPA Regulatory 
Relief Act of 2011’’. 
SEC. 1102. LEGISLATIVE STAY. 
(a) ESTABLISHMENT OF STANDARDS.—In place of 
the rules specified in subsection (b), and notwithstanding 
the date by which such rules would otherwise be required 
to be promulgated, the Administrator of the Environ-
mental Protection Agency (in this subtitle referred to as 
the ‘‘Administrator’’) shall— 
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(1) propose regulations for industrial, commer-
cial, and institutional boilers and process heaters, 
and commercial and industrial solid waste inciner-
ator units, subject to any of the rules specified in 
subsection (b)— 
(A) establishing maximum achievable con-
trol technology standards, performance stand-
ards, and other requirements under sections 
112 and 129, as applicable, of the Clean Air 
Act (42 U.S.C. 7412, 7429); and 
(B) identifying non-hazardous secondary 
materials that, when used as fuels or ingredi-
ents in combustion units of such boilers, proc-
ess heaters, or incinerator units are solid waste 
under the Solid Waste Disposal Act (42 U.S.C. 
6901 et seq.; commonly referred to as the ‘‘Re-
source Conservation and Recovery Act’’) for 
purposes of determining the extent to which 
such combustion units are required to meet the 
emissions standards under section 112 of the 
Clean Air Act (42 U.S.C. 7412) or the emission 
standards under section 129 of such Act (42 
U.S.C. 7429); and 
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(c) INAPPLICABILITY
OF CERTAIN PROVISIONS.— 
With respect to any standard required by subsection (a) 
to be promulgated in regulations under section 112 of the 
Clean Air Act (42 U.S.C. 7412), the provisions of sub-
sections (g)(2) and (j) of such section 112 shall not apply 
prior to the effective date of the standard specified in such 
regulations. 
SEC. 1103. COMPLIANCE DATES. 
(a) ESTABLISHMENT OF COMPLIANCE DATES.—For 
each regulation promulgated pursuant to section 1012, the 
Administrator— 
(1) shall establish a date for compliance with 
standards and requirements under such regulation 
that is, notwithstanding any other provision of law, 
not earlier than 5 years after the effective date of 
the regulation; and 
(2) in proposing a date for such compliance, 
shall take into consideration— 
(A) the costs of achieving emissions reduc-
tions; 
(B) any non-air quality health and environ-
mental impact and energy requirements of the 
standards and requirements; 
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(C) the feasibility of implementing the 
standards and requirements, including the time 
needed to— 
(i) obtain necessary permit approvals; 
and 
(ii) procure, install, and test control 
equipment; 
(D) the availability of equipment, sup-
pliers, and labor, given the requirements of the 
regulation and other proposed or finalized regu-
lations of the Environmental Protection Agency; 
and 
(E) potential net employment impacts. 
(b) NEW SOURCES.—The date on which the Adminis-
trator proposes a regulation pursuant to section 
1012(a)(1) establishing an emission standard under sec-
tion 112 or 129 of the Clean Air Act (42 U.S.C. 7412, 
7429) shall be treated as the date on which the Adminis-
trator first proposes such a regulation for purposes of ap-
plying the definition of a new source under section 
112(a)(4) of such Act (42 U.S.C. 7412(a)(4)) or the defi-
nition of a new solid waste incineration unit under section 
129(g)(2) of such Act (42 U.S.C. 7429(g)(2)). 
(c) RULE OF CONSTRUCTION.—Nothing in this sub-
title shall be construed to restrict or otherwise affect the 
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provisions of paragraphs (3)(B) and (4) of section 112(i) 
of the Clean Air Act (42 U.S.C. 7412(i)). 
SEC. 1104. ENERGY RECOVERY AND CONSERVATION. 
Notwithstanding any other provision of law, and to 
ensure the recovery and conservation of energy consistent 
with the Solid Waste Disposal Act (42 U.S.C. 6901 et 
seq.; commonly referred to as the ‘‘Resource Conservation 
and Recovery Act’’), in promulgating rules under section 
1012(a) addressing the subject matter of the rules speci-
fied in paragraphs (3) and (4) of section 1012(b), the Ad-
ministrator— 
(1) shall adopt the definitions of the terms 
‘‘commercial and industrial solid waste incineration 
unit’’, ‘‘commercial and industrial waste’’, and ‘‘con-
tained gaseous material’’ in the rule entitled ‘‘Stand-
ards of Performance for New Stationary Sources 
and Emission Guidelines for Existing Sources: Com-
mercial and Industrial Solid Waste Incineration 
Units’’, published at 65 Fed. Reg. 75338 (December 
1, 2000); and 
(2) shall identify non-hazardous secondary ma-
terial to be solid waste only if— 
(A) the material meets such definition of 
commercial and industrial waste; or 
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(B) if the material is a gas, it meets such 
definition of contained gaseous material. 
SEC. 1105. OTHER PROVISIONS. 
(a) ESTABLISHMENT OF STANDARDS ACHIEVABLE IN 
PRACTICE.—In promulgating rules under section 1012(a), 
the Administrator shall ensure that emissions standards 
for existing and new sources established under section 112 
or 129 of the Clean Air Act (42 U.S.C. 7412, 7429), as 
applicable, can be met under actual operating conditions 
consistently and concurrently with emission standards for 
all other air pollutants regulated by the rule for the source 
category, taking into account variability in actual source 
performance, source design, fuels, inputs, controls, ability 
to measure the pollutant emissions, and operating condi-
tions. 
(b) REGULATORY ALTERNATIVES.—For each regula-
tion promulgated pursuant to section 1012(a), from 
among the range of regulatory alternatives authorized 
under the Clean Air Act (42 U.S.C. 7401 et seq.) includ-
ing work practice standards under section 112(h) of such 
Act (42 U.S.C. 7412(h)), the Administrator shall impose 
the least burdensome, consistent with the purposes of such 
Act and Executive Order No. 13563 published at 76 Fed. 
Reg. 3821 (January 21, 2011). 
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Subtitle C—Extension of 100 
Percent Expensing 
SEC. 1201. EXTENSION OF ALLOWANCE FOR BONUS DEPRE-
CIATION FOR CERTAIN BUSINESS ASSETS. 
(a) EXTENSION OF 100 PERCENT BONUS DEPRECIA-
TION.— 
(1) IN
GENERAL.—Paragraph (5) of section 
168(k) of the Internal Revenue Code of 1986 is 
amended— 
(A) by striking ‘‘January 1, 2012’’ each 
place it appears and inserting ‘‘January 1, 
2013’’, and 
(B) by striking ‘‘January 1, 2013’’ and in-
serting ‘‘January 1, 2014’’. 
(2) CONFORMING AMENDMENTS.— 
(A) The heading for paragraph (5) of sec-
tion 168(k) of such Code is amended by strik-
ing ‘‘PRE-2012 PERIODS’’ and inserting ‘‘PRE- 
2013 PERIODS’’. 
(B) Clause (ii) of section 460(c)(6)(B) of 
such Code is amended to read as follows: 
‘‘(ii) is placed in service— 
‘‘(I) after December 31, 2009, 
and before January 1, 2011 (January 
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1, 2012, in the case of property de-
scribed in section 168(k)(2)(B)), or 
‘‘(II) after December 31, 2011, 
and before January 1, 2013 (January 
1, 2014, in the case of property de-
scribed in section 168(k)(2)(B)).’’. 
(3) EFFECTIVE DATE.—The amendments made 
by this subsection shall apply to property placed in 
service after December 31, 2011. 
(b) EXPANSION OF ELECTION TO ACCELERATE AMT 
CREDITS IN LIEU OF BONUS DEPRECIATION.— 
(1) IN
GENERAL.—Paragraph (4) of section 
168(k) of such Code is amended to read as follows: 
‘‘(4) ELECTION TO ACCELERATE AMT CREDITS 
IN LIEU OF BONUS DEPRECIATION.— 
‘‘(A) IN GENERAL.—If a corporation elects 
to have this paragraph apply for any taxable 
year— 
‘‘(i) paragraph (1) shall not apply to 
any eligible qualified property placed in 
service by the taxpayer in such taxable 
year, 
‘‘(ii) the applicable depreciation meth-
od used under this section with respect to 
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paragraph (1) did not apply to any 
such property. 
The aggregate amounts determined under 
subclauses (I) and (II) shall be determined 
without regard to any election made under 
subsection (b)(2)(D), (b)(3)(D), or (g)(7) 
and 
without 
regard 
to 
subparagraph 
(A)(ii). 
‘‘(ii) LIMITATION.—The bonus depre-
ciation amount for any taxable year shall 
not exceed the lesser of— 
‘‘(I) the minimum tax credit 
under section 53(b) for such taxable 
year determined by taking into ac-
count only the adjusted minimum tax 
for taxable years ending before Janu-
ary 1, 2012 (determined by treating 
credits as allowed on a first-in, first- 
out basis), or 
‘‘(II) 50 percent of the minimum 
tax credit under section 53(b) for the 
first taxable year ending after Decem-
ber 31, 2011. 
‘‘(iii) AGGREGATION RULE.—All cor-
porations which are treated as a single em-
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ployer under section 52(a) shall be treat-
ed— 
‘‘(I) as 1 taxpayer for purposes 
of this paragraph, and 
‘‘(II) as having elected the appli-
cation of this paragraph if any such 
corporation so elects. 
‘‘(C) ELIGIBLE
QUALIFIED
PROPERTY.— 
For purposes of this paragraph, the term ‘eligi-
ble qualified property’ means qualified property 
under paragraph (2), except that in applying 
paragraph (2) for purposes of this paragraph— 
‘‘(i) ‘March 31, 2008’ shall be sub-
stituted for ‘December 31, 2007’ each 
place it appears in subparagraph (A) and 
clauses (i) and (ii) of subparagraph (E) 
thereof, 
‘‘(ii) ‘April 1, 2008’ shall be sub-
stituted for ‘January 1, 2008’ in subpara-
graph (A)(iii)(I) thereof, and 
‘‘(iii) only adjusted basis attributable 
to manufacture, construction, or produc-
tion— 
‘‘(I) after March 31, 2008, and 
before January 1, 2010, and 
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‘‘(II) after December 31, 2010, 
and before January 1, 2013, shall be 
taken into account under subpara-
graph (B)(ii) thereof. 
‘‘(D) CREDIT
REFUNDABLE.—For pur-
poses of section 6401(b), the aggregate increase 
in the credits allowable under part IV of sub-
chapter A for any taxable year resulting from 
the application of this paragraph shall be treat-
ed as allowed under subpart C of such part 
(and not any other subpart). 
‘‘(E) OTHER RULES.— 
‘‘(i) ELECTION.—Any election under 
this paragraph may be revoked only with 
the consent of the Secretary. 
‘‘(ii) PARTNERSHIPS WITH ELECTING 
PARTNERS.—In the case of a corporation 
making an election under subparagraph 
(A) and which is a partner in a partner-
ship, for purposes of determining such cor-
poration’s distributive share of partnership 
items under section 702— 
‘‘(I) paragraph (1) shall not 
apply to any eligible qualified prop-
erty, and 
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‘‘(II) the applicable depreciation 
method used under this section with 
respect to such property shall be the 
straight line method. 
‘‘(iii) CERTAIN
PARTNERSHIPS.—In 
the case of a partnership in which more 
than 50 percent of the capital and profits 
interests are owned (directly or indirectly) 
at all times during the taxable year by one 
corporation (or by corporations treated as 
1 taxpayer under subparagraph (B)(iii)), 
each partner shall be treated as having an 
amount equal to such partner’s allocable 
share of the eligible property for such tax-
able year (as determined under regulations 
prescribed by the Secretary). 
‘‘(iv) SPECIAL RULE FOR PASSENGER 
AIRCRAFT.—In the case of any passenger 
aircraft, the written binding contract limi-
tation under paragraph (2)(A)(iii)(I) shall 
not apply for purposes of subparagraphs 
(B)(i)(I) and (C).’’. 
(2) EFFECTIVE DATE.—The amendment made 
by this subsection shall apply to taxable years end-
ing after December 31, 2011. 
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(3) TRANSITIONAL RULE.—In the case of a tax-
able year beginning before January 1, 2012, and 
ending after December 31, 2011, the bonus depre-
ciation amount determined under paragraph (4) of 
section 168(k) of Internal Revenue Code of 1986 for 
such year shall be the sum of— 
(A) such amount determined under such 
paragraph as in effect on the date before the 
date of enactment of this Act taking into ac-
count only property placed in service before 
January 1, 2012, and 
(B) such amount determined under such 
paragraph as amended by this Act taking into 
account only property placed in service after 
December 31, 2011. 
TITLE II—EXTENSION OF CER-
TAIN EXPIRING PROVISIONS 
AND RELATED MEASURES 
Subtitle A—Extension of Payroll 
Tax Reduction 
SEC. 2001. EXTENSION OF TEMPORARY EMPLOYEE PAY-
ROLL TAX REDUCTION THROUGH END OF 
2012. 
Subsection (c) of section 601 of the Tax Relief, Un-
employment Insurance Reauthorization, and Job Creation 
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Act of 2010 is amended by striking ‘‘calendar year 2011’’ 
and inserting ‘‘calendar years 2011 and 2012’’. 
Subtitle B—Unemployment 
Compensation 
SEC. 2101. SHORT TITLE. 
This subtitle may be cited as the ‘‘Extended Benefits, 
Reemployment, and Program Integrity Improvement 
Act’’. 
PART 1—REFORMS OF UNEMPLOYMENT COM-
PENSATION TO PROMOTE WORK AND JOB 
CREATION 
SEC. 2121. CONSISTENT JOB SEARCH REQUIREMENTS. 
(a) IN GENERAL.—Section 303(a) of the Social Secu-
rity Act is amended by adding at the end the following: 
‘‘(11)(A) A requirement that, as a condition of 
eligibility for regular compensation for any week, a 
claimant must be able to work, available to work, 
and actively seeking work. 
‘‘(B) For purposes of this paragraph, the term 
‘actively seeking work’ means, with respect to an in-
dividual, that such individual is actively engaged in 
a systematic and sustained effort to obtain work, as 
determined based on evidence (whether in electronic 
format or otherwise) satisfactory to the State agency 
charged with the administration of the State law. 
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‘‘(C) The specific requirements that must be 
met in order to satisfy this paragraph shall be estab-
lished by the State agency, and shall include at least 
the following: 
‘‘(i) Registration for employment services 
within 10 days after making initial application 
for regular compensation. 
‘‘(ii) Posting a resume, record, or other ap-
plication for employment on such database as 
the State agency may require. 
‘‘(iii) Applying for work in such manner as 
the State agency may require.’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall apply to weeks beginning after the end 
of the first session of the State legislature which begins 
after the date of enactment of this Act. 
SEC. 2122. PARTICIPATION IN REEMPLOYMENT SERVICES 
MADE A CONDITION OF BENEFIT RECEIPT. 
(a) SOCIAL SECURITY ACT.—Paragraph (10) of sec-
tion 303(a) of the Social Security Act is amended to read 
as follows: 
‘‘(10)(A) A requirement that, as a condition of 
eligibility for regular compensation for any week and 
in addition to State work search requirements— 
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‘‘(i) a claimant shall meet the minimum 
educational requirements set forth in subpara-
graph (B); and 
‘‘(ii) any claimant who has been referred to 
reemployment services shall participate in such 
services. 
‘‘(B) For purposes of this paragraph, an indi-
vidual shall not be considered to have met the min-
imum educational requirements of this subparagraph 
unless such individual— 
‘‘(i) has earned a high school diploma; 
‘‘(ii) has earned the General Educational 
Development (GED) credential or other State- 
recognized equivalent (including by meeting rec-
ognized alternative standards for individuals 
with disabilities); or 
‘‘(iii) is enrolled and making satisfactory 
progress in classes leading to satisfaction of 
clause (i) or (ii). 
‘‘(C) The requirements of subparagraph (B) 
may be waived for an individual to the extent that 
the State agency charged with the administration of 
the State law deems such requirements to be unduly 
burdensome.’’. 
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(b) INTERNAL REVENUE CODE
OF 1986.—Para-
graph (8) of section 3304(a) of the Internal Revenue Code 
of 1986 is amended to read as follows: 
‘‘(8) compensation shall not be denied to an in-
dividual for any week in which the individual is en-
rolled and making satisfactory progress in education 
or training which has been previously approved by 
the State agency;’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to weeks beginning after the end 
of the first session of the State legislature which begins 
after the date of enactment of this Act. 
SEC. 2123. STATE FLEXIBILITY TO PROMOTE THE REEM-
PLOYMENT OF UNEMPLOYED WORKERS. 
Title III of the Social Security Act (42 U.S.C. 501 
and following) is amended by adding at the end the fol-
lowing: 
‘‘DEMONSTRATION PROJECTS 
‘‘SEC. 305. (a) The Secretary of Labor may enter 
into agreements, with up to 10 States per year that submit 
an application described in subsection (b), for the purpose 
of allowing such States to conduct demonstration projects 
to test and evaluate measures designed— 
‘‘(1) to expedite the reemployment of individ-
uals who have established a benefit year and are 
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otherwise eligible to claim unemployment compensa-
tion under the State law of such State; or 
‘‘(2) to improve the effectiveness of a State in 
carrying out its State law with respect to reemploy-
ment. 
‘‘(b) The Governor of any State desiring to conduct 
a demonstration project under this section shall submit 
an application to the Secretary of Labor. Any such appli-
cation shall include— 
‘‘(1) a general description of the proposed dem-
onstration project, including the authority (under 
the laws of the State) for the measures to be tested, 
as well as the period of time during which such dem-
onstration project would be conducted; 
‘‘(2) if a waiver under subsection (c) is re-
quested, a statement describing the specific aspects 
of the project to which the waiver would apply and 
the reasons why such waiver is needed; 
‘‘(3) a description of the goals and the expected 
programmatic 
outcomes 
of 
the 
demonstration 
project, including how the project would contribute 
to the objective described in subsection (a)(1), sub-
section (a)(2), or both; 
‘‘(4) assurances (accompanied by supporting 
analysis) that the demonstration project would oper-
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ate for a period of at least 1 calendar year and not 
result in any increased net costs to the State’s ac-
count in the Unemployment Trust Fund; 
‘‘(5) a description of the manner in which the 
State— 
‘‘(A) will conduct an impact evaluation, 
using a methodology appropriate to determine 
the effects of the demonstration project; and 
‘‘(B) will determine the extent to which the 
goals and outcomes described in paragraph (3) 
were achieved; and 
‘‘(6) assurances that the State will provide any 
reports relating to the demonstration project, after 
its approval, as the Secretary of Labor may require. 
‘‘(c) The Secretary of Labor may waive any of the 
requirements of section 3304(a)(4) of the Internal Rev-
enue Code of 1986 or of paragraph (1) or (5) of section 
303(a), to the extent and for the period the Secretary of 
Labor considers necessary to enable the State to carry out 
a demonstration project under this section. 
‘‘(d) A demonstration project under this section— 
‘‘(1) may be commenced any time after the date 
of enactment of this section; 
‘‘(2) may not be approved for a period of time 
greater than 3 years, subject to extension upon re-
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quest of the Governor of the State involved for such 
additional period as the Secretary of Labor may 
agree to, except that in no event may a demonstra-
tion project under this section be conducted after 
the end of the 5-year period beginning on the date 
of enactment of this section; and 
‘‘(3) may not be extended without sufficient 
data to show that the project— 
‘‘(A) did not increase the net cost to the 
State’s account in the Unemployment Trust 
Fund during the initial demonstration period; 
and 
‘‘(B) may be reasonably projected not to 
increase the net cost to the State’s account in 
the Unemployment Trust Fund during the ex-
tended period requested. 
‘‘(e) The Secretary of Labor shall, in the case of any 
State for which an application is submitted under sub-
section (b)— 
‘‘(1) notify the State as to whether such appli-
cation has been approved or denied within 30 days 
after receipt of a complete application; and 
‘‘(2) provide public notice of the decision within 
10 days after providing notification to the State in 
accordance with paragraph (1). 
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Public notice under paragraph (2) may be provided 
through the Internet or other appropriate means. Any ap-
plication under this section that has not been denied with-
in the 30-day period described in paragraph (1) shall be 
deemed approved, and public notice of any approval under 
this sentence shall be provided within 10 days thereafter. 
‘‘(f) The Secretary of Labor may terminate a dem-
onstration project under this section if the Secretary de-
termines that the State has violated the substantive terms 
or conditions of the project. 
‘‘(g) Funding certified under section 302(a) may be 
used for an approved demonstration project.’’. 
SEC. 2124. ASSISTANCE AND GUIDANCE IN IMPLEMENTING 
SELF-EMPLOYMENT ASSISTANCE PROGRAMS. 
(a) IN GENERAL.—For purposes of assisting States 
in establishing, improving, and administering self-employ-
ment assistance programs, the Secretary shall— 
(1) develop model language that may be used 
by States in enacting such programs, as well as peri-
odically review and revise such model language; 
(2) provide technical assistance and guidance in 
establishing, improving, and administering such pro-
grams; and 
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(3) establish reporting requirements for States 
in regard to such programs, including reporting 
on— 
(A) the number of businesses and jobs cre-
ated, both directly and indirectly, by self-em-
ployment assistance programs; and 
(B) the estimated Federal and State tax 
revenues collected from such businesses and 
their employees. 
(b) MODEL LANGUAGE AND GUIDANCE.—The model 
language, guidance, and reporting requirements developed 
by the Secretary pursuant to subsection (a) shall— 
(1) allow sufficient flexibility for States and 
participating individuals; and 
(2) ensure accountability and program integ-
rity. 
(c) CONSULTATION.—In developing the model lan-
guage, guidance, and reporting requirements pursuant to 
subsection (a), the Secretary shall consult with employers, 
labor organizations, State agencies, and other relevant 
program experts. 
(d) ENTREPRENEURIAL TRAINING PROGRAMS.—The 
Secretary shall coordinate with the Administrator of the 
Small Business Administration to ensure that adequate 
funding is reserved and made available for the provision 
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of entrepreneurial training to individuals participating in 
self-employment assistance programs. 
SEC. 2125. IMPROVING PROGRAM INTEGRITY BY BETTER 
RECOVERY OF OVERPAYMENTS. 
(a) USE
OF UNEMPLOYMENT COMPENSATION TO 
REPAY OVERPAYMENTS.—Section 3304(a)(4)(D) of the 
Internal Revenue Code of 1986 and section 303(g)(1) of 
the Social Security Act are amended by striking ‘‘may’’ 
and inserting ‘‘shall’’. 
(b) USE
OF UNEMPLOYMENT COMPENSATION TO 
REPAY FEDERAL ADDITIONAL COMPENSATION OVERPAY-
MENTS.—Section 303(g)(3) of the Social Security Act is 
amended by inserting ‘‘Federal additional compensation,’’ 
after ‘‘trade adjustment allowances,’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to weeks beginning after the end 
of the first session of the State legislature which begins 
after the date of enactment of this Act. 
SEC. 2126. DATA STANDARDIZATION FOR IMPROVED DATA 
MATCHING. 
(a) IN GENERAL.—Title IX of the Social Security Act 
is amended by adding at the end the following: 
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‘‘DATA STANDARDIZATION FOR IMPROVED DATA 
MATCHING 
‘‘Standard Data Elements 
‘‘SEC. 911. (a)(1) The Secretary of Labor, in con-
sultation with an interagency work group which shall be 
established by the Office of Management and Budget, and 
considering State and employer perspectives, shall, by 
rule, designate standard data elements for any category 
of information required under title III or this title. 
‘‘(2) The standard data elements designated under 
paragraph (1) shall, to the extent practicable, be non-
proprietary and interoperable. 
‘‘(3) In designating standard data elements under 
this subsection, the Secretary of Labor shall, to the extent 
practicable, incorporate— 
‘‘(A) interoperable standards developed and 
maintained by an international voluntary consensus 
standards body, as defined by the Office of Manage-
ment and Budget, such as the International Organi-
zation for Standardization; 
‘‘(B) interoperable standards developed and 
maintained by intergovernmental partnerships, such 
as the National Information Exchange Model; and 
‘‘(C) interoperable standards developed and 
maintained by Federal entities with authority over 
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contracting and financial assistance, such as the 
Federal Acquisition Regulations Council. 
‘‘Data Standards for Reporting 
‘‘(b)(1) The Secretary of Labor, in consultation with 
an interagency work group established by the Office of 
Management and Budget, and considering State and em-
ployer perspectives, shall, by rule, designate data reporting 
standards to govern the reporting required under title III 
or this title. 
‘‘(2) The data reporting standards required by para-
graph (1) shall, to the extent practicable— 
‘‘(A) incorporate a widely-accepted, nonpropri-
etary, searchable, computer-readable format; 
‘‘(B) be consistent with and implement applica-
ble accounting principles; and 
‘‘(C) be capable of being continually upgraded 
as necessary. 
‘‘(3) In designating reporting standards under this 
subsection, the Secretary of Labor shall, to the extent 
practicable, incorporate existing nonproprietary standards, 
such as the eXtensible Business Reporting Language.’’. 
(b) EFFECTIVE DATE.—The amendment made by 
this section shall apply after September 30, 2012. 
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SEC. 2127. DRUG TESTING OF APPLICANTS. 
Section 303 of the Social Security Act is amended 
by adding at the end the following: 
‘‘(k)(1) Nothing in this Act or any other provision 
of Federal law shall be considered to prevent a State 
from— 
‘‘(A) testing an applicant for unemployment 
compensation for the unlawful use of controlled sub-
stances as a condition for receiving such compensa-
tion; or 
‘‘(B) denying such compensation to such appli-
cant on the basis of the result of such testing. 
‘‘(2) For purposes of this subsection— 
‘‘(A) the term ‘unemployment compensation’ 
has the meaning given such term in subsection 
(d)(2)(A); and 
‘‘(B) the term ‘controlled substance’ has the 
meaning given such term in section 102 of the Con-
trolled Substances Act (21 U.S.C. 802).’’. 
PART 2—PROVISIONS RELATING TO EXTENDED 
BENEFITS 
SEC. 2141. SHORT TITLE. 
This part may be cited as the ‘‘Unemployment Bene-
fits Extension Act of 2011’’. 
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(in this title referred to as ‘first-tier emergency un-
employment compensation’) equal to the lesser of— 
‘‘(A) 80 percent of the total amount of 
regular compensation (including dependents’ al-
lowances) payable to the individual during the 
individual’s benefit year under the State law; or 
‘‘(B) 20 times the individual’s average 
weekly benefit amount for the benefit year. 
‘‘(2) WEEKLY
BENEFIT
AMOUNT.—For pur-
poses of this subsection, an individual’s weekly ben-
efit amount for any week is the amount of regular 
compensation (including dependents’ allowances) 
under the State law payable to such individual for 
such week for total unemployment. 
‘‘(c) SECOND-TIER EMERGENCY UNEMPLOYMENT 
COMPENSATION.— 
‘‘(1) IN GENERAL.—If, at the time that the 
amount established in an individual’s account under 
subsection (b)(1) is exhausted or at any time there-
after, such individual’s State is in an extended ben-
efit period (as determined under paragraph (2)), 
such account shall be augmented by an amount (in 
this title referred to as ‘second-tier emergency unem-
ployment compensation’) equal to the lesser of— 
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‘‘(A) 50 percent of the total amount of 
regular compensation (including dependents’ al-
lowances) payable to the individual during the 
individual’s benefit year under the State law; or 
‘‘(B) 13 times the individual’s average 
weekly benefit amount (as determined under 
subsection (b)(2)) for the benefit year. 
‘‘(2) EXTENDED BENEFIT PERIOD.—For pur-
poses of paragraph (1), a State shall be considered 
to be in an extended benefit period, as of any given 
time, if— 
‘‘(A) such a period would then be in effect 
for such State, under the Federal-State Ex-
tended Unemployment Compensation Act of 
1970, if section 203(d) of such Act— 
‘‘(i) were applied by substituting ‘4’ 
for ‘5’ each place it appears; and 
‘‘(ii) did not include the requirement 
under paragraph (1)(A) thereof; or 
‘‘(B) such a period would then be in effect 
for such State, under the Federal-State Ex-
tended Unemployment Compensation Act of 
1970, if— 
‘‘(i) section 203(f) of such Act were 
applied to such State (regardless of wheth-
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er or not the State by law had provided for 
such application); and 
‘‘(ii) such section 203(f)— 
‘‘(I) were applied by substituting 
‘6.0’ for ‘6.5’ in paragraph (1)(A)(i) 
thereof; and 
‘‘(II) did not include the require-
ment 
under 
paragraph 
(1)(A)(ii) 
thereof. 
‘‘(3) LIMITATION.—The account of an indi-
vidual may be augmented not more than once under 
this subsection.’’. 
(2) TECHNICAL
AND
CONFORMING
AMEND-
MENTS.—Section 4002 of the Supplemental Appro-
priations Act, 2008 (Public Law 110–252; 26 
U.S.C. 3304 note), as amended by paragraph (1), is 
further amended— 
(A) by striking subsection (f); and 
(B) by redesignating subsection (g) as sub-
section (d). 
(c) ORDER OF PAYMENTS REQUIREMENT.— 
(1) IN GENERAL.—Section 4001(e) of the Sup-
plemental Appropriations Act, 2008 (Public Law 
110–252; 26 U.S.C. 3304 note) is amended to read 
as follows: 
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‘‘(e) COORDINATION RULE.—An agreement under 
this section shall not apply (or shall cease to apply) with 
respect to a State upon a determination by the Secretary 
that, under the State law or other applicable rules of such 
State, the payment of extended compensation for which 
an individual is otherwise eligible may or must be deferred 
until after the payment of any emergency unemployment 
compensation under section 4002, as amended by the Un-
employment Benefits Extension Act of 2011, for which the 
individual is concurrently eligible.’’. 
(2) TECHNICAL
AND
CONFORMING
AMEND-
MENTS.—Section 4001(b)(2) of such Act is amend-
ed— 
(A) by striking ‘‘or extended compensa-
tion’’; and 
(B) by striking ‘‘(except as provided under 
subsection (e))’’. 
(d) 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 (F), by striking ‘‘and’’ at 
the end; and 
(2) by inserting after subparagraph (G) the fol-
lowing: 
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‘‘(H) the amendments made by section 
2302 of the Unemployment Benefits Extension 
Act of 2011; and’’. 
(e) EFFECTIVE DATES; TRANSITION RULES RELAT-
ING TO SUBSECTION (b).— 
(1) IN GENERAL.—The amendments made by— 
(A) subsection (a) shall take effect as if in-
cluded in the enactment of the Tax Relief, Un-
employment Insurance Reauthorization, and 
Job Creation Act of 2010 (Public Law 111– 
312); 
(B) subsections (b) and (c) shall take ef-
fect on December 28, 2011, and shall apply 
with respect to weeks of unemployment begin-
ning after that date; and 
(C) subsection (d) shall take effect on the 
date of enactment of this Act. 
(2) TRANSITION RULES FOR THE APPLICATION 
OF THE AMENDMENTS MADE BY SUBSECTION (b) IN 
THE
CASE
OF
INDIVIDUALS
HAVING
RESIDUAL 
AMOUNTS IN THEIR ACCOUNT.— 
(A) 
EXHAUSTION
OF
RESIDUAL 
AMOUNTS.—In the case of an individual who, as 
of any time during the last week ending before 
January 3, 2012, has amounts remaining in an 
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account established under section 4002 of the 
Supplemental Appropriations Act, 2008, emer-
gency unemployment compensation shall con-
tinue to be payable to such individual from the 
amounts so remaining, subject to section 
4007(b) of such Act, as amended by this sub-
title. 
(B) NON-AUGMENTATION RULE.— 
(i) IN GENERAL.—Except as provided 
in clause (ii), after exhausting the amounts 
remaining in the individual’s account 
under subparagraph (A), no augmentation 
(or further augmentation) to such account 
may be made. 
(ii) EXCEPTION.—In the case of an 
individual whose residual amounts (as de-
scribed in subparagraph (A)) represent 
amounts that were established in such in-
dividual’s account under section 4002(b) of 
the 
Supplemental 
Appropriations 
Act, 
2008, as in effect before the date of enact-
ment of this Act, no augmentation to such 
account may be made except in accordance 
with section 4002(c) of such Act, as 
amended by this subtitle. 
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(3) TRANSITION RULES FOR THE APPLICATION 
OF THE AMENDMENTS MADE BY SUBSECTION (b) IN 
THE CASE OF INDIVIDUALS BETWEEN TIERS.— 
(A) IN GENERAL.—In the case of an indi-
vidual for whom an emergency unemployment 
compensation account has been established 
under section 4002 of the Supplemental Appro-
priations Act, 2008, as in effect before the date 
of enactment of this Act, but who is not covered 
by paragraph (2), no augmentation (or further 
augmentation) to such account shall be allow-
able, except as provided in subparagraph (B). 
(B) EXCEPTION.— 
(i) RULE.—In the case of a first-tier 
exhaustee, augmentation shall be allowable 
in a manner similar to that described in 
paragraph (2)(B)(ii). 
(ii) DEFINITION.—For purposes of 
this subparagraph, the term ‘‘first-tier 
exhaustee’’ means an individual— 
(I) who is described in subpara-
graph (A); and 
(II) whose emergency unemploy-
ment compensation account— 
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(aa) has been exhausted of 
amounts described in section 
4002(b) of the Supplemental Ap-
propriations Act, 2008, as in ef-
fect before the enactment of this 
Act; but 
(bb) has never been aug-
mented. 
(4) WEEK DEFINED.—For purposes of this sub-
section, the term ‘‘week’’ has the meaning given 
such term under section 4006 of the Supplemental 
Appropriations Act, 2008. 
SEC. 2143. TEMPORARY EXTENSION OF EXTENDED BENEFIT 
PROVISIONS. 
(a) IN GENERAL.—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), 
is amended— 
(1) by striking ‘‘January 4, 2012’’ each place 
it appears and inserting ‘‘January 31, 2013’’; and 
(2) in subsection (c), by striking ‘‘June 11, 
2012’’ and inserting ‘‘January 31, 2013’’. 
(b) EXTENSION OF MATCHING FOR STATES WITH 
NO WAITING WEEK.—Section 5 of the Unemployment 
Compensation Extension Act of 2008 (Public Law 110– 
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449; 26 U.S.C. 3304 note) is amended by striking ‘‘June 
10, 2012’’ and inserting ‘‘January 31, 2013’’. 
(c) EXTENSION OF MODIFICATION OF INDICATORS 
UNDER THE EXTENDED BENEFIT PROGRAM.—Section 
203 of the Federal-State Extended Unemployment Com-
pensation Act of 1970 (26 U.S.C. 3304 note) is amend-
ed— 
(1) in subsection (d), by striking ‘‘December 
31, 2011’’ and inserting ‘‘January 31, 2013’’; and 
(2) in subsection (f)(2), by striking ‘‘December 
31, 2011’’ and inserting ‘‘January 31, 2013’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall take effect as if included in the enact-
ment of the Tax Relief, Unemployment Insurance Reau-
thorization, and Job Creation Act of 2010 (Public Law 
111–312; 26 U.S.C. 3304 note). 
SEC. 2144. ADDITIONAL EXTENDED UNEMPLOYMENT BENE-
FITS UNDER THE RAILROAD UNEMPLOY-
MENT INSURANCE ACT. 
(a) EXTENSION.—Section 2(c)(2)(D)(iii) of the Rail-
road Unemployment Insurance Act, as added by section 
2006 of the American Recovery and Reinvestment Act of 
2009 (Public Law 96 111–5) and as amended by section 
9 of the Worker, Homeownership, and Business Assist-
ance Act of 2009 (Public Law 111–92) and section 505 
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of the Tax Relief, Unemployment Insurance Reauthoriza-
tion, and Job Creation Act of 2010 (Public Law 111– 
312), is amended— 
(1) by striking ‘‘June 30, 2011’’ and inserting 
‘‘June 30, 2012’’; and 
(2) by striking ‘‘December 31, 2011’’ and in-
serting ‘‘January 31, 2012’’. 
(b) 
CLARIFICATION
ON
AUTHORITY
TO
USE 
FUNDS.—Funds appropriated under either the first or 
second sentence of clause (iv) of section 2(c)(2)(D) of the 
Railroad Unemployment Insurance Act shall be available 
to cover the cost of additional extended unemployment 
benefits provided under such section 2(c)(2)(D) by reason 
of the amendments made by subsection (a) as well as to 
cover the cost of such benefits provided under such section 
2(c)(2)(D), as in effect on the day before the date of en-
actment of this Act. 
PART 3—IMPROVING REEMPLOYMENT STRATE-
GIES UNDER THE EMERGENCY UNEMPLOY-
MENT COMPENSATION PROGRAM 
SEC. 2161. IMPROVED WORK SEARCH FOR THE LONG-TERM 
UNEMPLOYED. 
(a) IN GENERAL.—Section 4001(b) of the Supple-
mental Appropriations Act, 2008 (Public Law 110–252; 
26 U.S.C. 3304 note) is amended— 
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(1) by striking ‘‘and’’ at the end of paragraph 
(2); 
(2) by striking the period at the end of para-
graph (3) and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(4) are able to work, available to work, and 
actively seeking work.’’. 
(b) ACTIVELY SEEKING WORK.—Section 4001 of 
such Act is amended by adding at the end the following: 
‘‘(h) ACTIVELY SEEKING WORK.— 
‘‘(1) IN GENERAL.—For purposes of subsection 
(b)(4), the term ‘actively seeking work’ means, with 
respect to any individual, that such individual is ac-
tively engaged in a systematic and sustained effort 
to obtain work, as determined based on evidence 
(whether in electronic format or otherwise) satisfac-
tory to the State agency charged with the adminis-
tration of the State law. 
‘‘(2) SPECIFIC
REQUIREMENTS.—The specific 
requirements that must be met in order to satisfy 
subsection (b)(4), to the extent that it relates to ac-
tively seeking work, shall be established by the State 
agency, and shall include the following: 
‘‘(A) Registration for employment services 
within 30 days after the date on which occurs 
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whichever of the following events occurs first, in 
the case of the individual referred to in para-
graph (1): 
‘‘(i) The submission of the claim on 
the basis of which amounts described in 
section 4002(b) (as amended by the Unem-
ployment Benefits Extension Act of 2011) 
first become payable to such individual. 
‘‘(ii) The submission of the claim on 
the basis of which amounts described in 
section 4002(c) (as amended by the Unem-
ployment Benefits Extension Act of 2011) 
first become payable to such individual. 
‘‘(B) Posting a resume, record, or other 
application for employment on such database as 
the State agency may require. 
‘‘(C) Applying, in such manner as the 
State agency may require, for work.’’. 
SEC. 2162. REEMPLOYMENT SERVICES AND REEMPLOY-
MENT AND ELIGIBILITY ASSESSMENT ACTIVI-
TIES. 
(a) IN GENERAL.— 
(1) PROVISION OF SERVICES AND ACTIVITIES.— 
Section 4001 of the Supplemental Appropriations 
Act, 2008 (Public Law 110–252; 26 U.S.C. 3304 
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note) is amended by inserting after subsection (h) 
(as added by section 2161) the following: 
‘‘(i) PROVISION OF SERVICES AND ACTIVITIES.— 
‘‘(1) IN GENERAL.—An agreement under this 
section shall require the following: 
‘‘(A) The State which is party to such 
agreement shall provide reemployment services 
and reemployment and eligibility assessment ac-
tivities to each individual— 
‘‘(i) who, on or after the 30th day 
after the date of enactment of the Ex-
tended Benefits, Reemployment, and Pro-
gram Integrity Improvement Act, begins 
receiving amounts described in subsection 
(b) and (c) of 4002 of the Supplemental 
Appropriations Act of 2008, as amended 
by the Extended Benefits, Reemployment, 
and Program Integrity Improvement Act; 
and 
‘‘(ii) while such individual continues 
to receive emergency unemployment com-
pensation under this title. 
‘‘(B) As a condition of eligibility for emer-
gency unemployment compensation for any 
week— 
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‘‘(i) a claimant shall meet the min-
imum educational requirements set forth in 
section 303(a)(10)(B) of the Social Secu-
rity Act; 
‘‘(ii) a claimant who has been duly re-
ferred to reemployment services shall par-
ticipate in such services; and 
‘‘(iii) a claimant shall be actively seek-
ing work (determined applying subsection 
(h)). 
‘‘(2) DESCRIPTION OF SERVICES AND ACTIVI-
TIES.—The reemployment services and in-person re-
employment and eligibility assessment activities pro-
vided to individuals receiving emergency unemploy-
ment compensation described in paragraph (1)— 
‘‘(A) shall include— 
‘‘(i) the provision of labor market and 
career information; 
‘‘(ii) an assessment of the skills of the 
individual; 
‘‘(iii) orientation to the services avail-
able through the one-stop centers estab-
lished under title I of the Workforce In-
vestment Act of 1998; and 
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‘‘(iv) review of the eligibility of the in-
dividual for emergency unemployment com-
pensation relating to the job search activi-
ties of the individual; and 
‘‘(B) may include the provision of— 
‘‘(i) comprehensive and specialized as-
sessments; 
‘‘(ii) individual and group career 
counseling; 
‘‘(iii) training services; 
‘‘(iv) additional reemployment serv-
ices; and 
‘‘(v) job search counseling and the de-
velopment or review of an individual reem-
ployment plan that includes participation 
in job search activities and appropriate 
workshops. 
‘‘(3) PARTICIPATION REQUIREMENT.—As a con-
dition of continuing eligibility for emergency unem-
ployment compensation for any week, an individual 
who has been referred to reemployment services or 
reemployment and eligibility assessment activities 
under this subsection shall participate in such serv-
ices or activities, unless the State agency responsible 
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for the administration of State unemployment com-
pensation law determines that— 
‘‘(A) such individual has completed partici-
pating in such services or activities; or 
‘‘(B) there is justifiable cause for failure to 
participate or to complete participating in such 
services or activities, as determined in accord-
ance with guidance to be issued by the Sec-
retary.’’. 
(2) ISSUANCE OF GUIDANCE.—Not later than 
30 days after the date of enactment of this Act, the 
Secretary shall issue guidance on the implementation 
of the reemployment services and reemployment and 
eligibility assessment activities required to be pro-
vided under the amendment made by paragraph (1). 
(b) FUNDING.—Section 4002 of the Supplemental 
Appropriations Act, 2008 (Public Law 110–252; 26 
U.S.C. 3304 note), as amended by section 2142(b), is fur-
ther amended by adding at the end the following: 
‘‘(e) OPTIONAL
FUNDING
FOR
REEMPLOYMENT 
SERVICES AND REEMPLOYMENT AND ELIGIBILITY AS-
SESSMENT ACTIVITIES.—In order to carry out section 
4001(i)(2), a State may withhold up to $5 from any 
amount otherwise payable to an individual under this title 
for any week.’’. 
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SEC. 2163. STATE FLEXIBILITY TO SUPPORT LONG-TERM 
UNEMPLOYED WORKERS WITH IMPROVED 
REEMPLOYMENT SERVICES. 
Title IV of the Supplemental Appropriations Act, 
2008 (Public Law 110–252; 26 U.S.C. 3304 note) is 
amended by adding at the end the following: 
‘‘DEMONSTRATION PROJECTS 
‘‘SEC. 4008. (a) The Secretary may enter into an 
agreement under this section, with any State which has 
an agreement with the Secretary under section 4001 and 
which submits an application under subsection (b), for the 
purpose of allowing such State to divert, in any month, 
a number of emergency unemployment compensation 
beneficiaries not to exceed 20 percent of the total number 
of beneficiaries, attributable to such State and receiving 
emergency unemployment compensation for the first week 
of such month, to conduct demonstration projects to test 
and evaluate measures designed— 
‘‘(1) to expedite the reemployment of individ-
uals who establish initial eligibility for unemploy-
ment compensation under the State law of such 
State; or 
‘‘(2) to improve the effectiveness of a State in 
carrying out its State law with respect to reemploy-
ment. 
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‘‘(b) The Governor of any State desiring to conduct 
a demonstration project under this section shall submit 
an application to the Secretary. Any such application shall 
include— 
‘‘(1) a description of the activities to be carried 
out by the State to assist in the reemployment of eli-
gible individuals to be served in accordance with this 
part, including activities the State intends to carry 
out and an estimate of the amounts the State in-
tends to allocate to those respective activities; 
‘‘(2) a description of the performance outcomes 
to be achieved by the State through the activities 
carried out under this part, including the employ-
ment outcomes to be achieved by participants and 
the processes the State will use to track perform-
ance, consistent with guidance provided by the Sec-
retary regarding such outcomes and processes; 
‘‘(3) the timelines for implementation of the ac-
tivities described in the application and the number 
of emergency unemployment compensation claimants 
expected to be enrolled in such activities for each 
quarter; 
‘‘(4) assurances that the State will participate 
in the evaluation activities carried out by the Sec-
retary under this section; 
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‘‘(5) assurances that the State will provide ap-
propriate reemployment services to individuals par-
ticipating in the demonstration project; 
‘‘(6) assurances that the State will report such 
information as the Secretary may require relating to 
fiscal, performance and other matters, including em-
ployment outcomes. 
‘‘(7) the specific aspects of the project to which 
the waiver would apply and the reasons why such 
waiver is needed; 
‘‘(8) a description of the goals and the expected 
programmatic 
outcomes 
of 
the 
demonstration 
project, including how the project would contribute 
to the objective described in subsection (a)(1), sub-
section (a)(2), or both; 
‘‘(9) assurances (accompanied by supporting 
analysis) that the demonstration project would not 
result in any increased net costs to the emergency 
unemployment compensation program; 
‘‘(10) a description of the manner in which the 
State— 
‘‘(A) will conduct an impact evaluation, 
using a control or comparison group or other 
valid methodology, of the demonstration project; 
and 
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‘‘(B) will determine the extent to which the 
goals and outcomes described in paragraph (8) 
were achieved; and 
‘‘(11) assurances that the State will provide any 
reports relating to the demonstration project, after 
its approval, as the Secretary may require. 
‘‘(c) Activities that may be pursued under a dem-
onstration project under this section, including— 
‘‘(1) subsidies for employer-provided training, 
such as wage subsidies; 
‘‘(2) work sharing or short-time compensation; 
and 
‘‘(3) enhanced employment strategies, which 
may include services such as— 
‘‘(A) assessments, counseling, and other 
intensive services that are provided by staff on 
a one-to-one basis and may be customized to 
meet the reemployment needs of emergency un-
employment compensation claimants and indi-
viduals; 
‘‘(B) comprehensive assessments designed 
to identify alternative career paths; 
‘‘(C) case management; 
‘‘(D) reemployment services that are pro-
vided more frequently and more intensively 
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than such reemployment services have pre-
viously been provided by the State; 
‘‘(E) self-employment assistance programs; 
‘‘(F) services that are designed to enhance 
communication skills, interviewing skills, and 
other skills that would assist in obtaining reem-
ployment; 
‘‘(G) direct disbursements to employers 
who hire individuals receiving emergency unem-
ployment compensation to cover part of the cost 
of wages that exceed the unemployed individ-
ual’s prior benefit level; and 
‘‘(H) other innovative activities which use 
a strategy that is different from the reemploy-
ment strategies described above and which are 
designed to facilitate the reemployment of indi-
viduals 
receiving 
emergency 
unemployment 
compensation. 
‘‘(d) The Secretary shall, in the case of any State 
for which an application is submitted under subsection 
(b)— 
‘‘(1) notify the State as to whether such appli-
cation has been approved or denied within 30 days 
after receipt of a complete application; and 
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‘‘(2) provide public notice of the decision within 
10 days after providing notification to the State in 
accordance with paragraph (1). 
Public notice under paragraph (2) may be provided 
through the Internet or other appropriate means. Any ap-
plication under this section that has not been denied with-
in such 30 days shall be deemed approved, and public no-
tice of any approval under this sentence shall be provided 
within 10 days thereafter. 
‘‘(e) The Secretary may terminate a demonstration 
project under this section if the Secretary determines that 
the State has violated the substantive terms or conditions 
of the project. 
‘‘(f) Authority to carry out a demonstration project 
under this section shall terminate with respect to any 
State after compensation under this title ceases to be pay-
able with respect to such State.’’. 
SEC. 2164. PROMOTING PROGRAM INTEGRITY THROUGH 
BETTER RECOVERY OF OVERPAYMENTS. 
Section 4005(c)(1) of the Supplemental Appropria-
tions Act, 2008 (Public Law 110–252; 26 U.S.C. 3304 
note) is amended— 
(1) by striking ‘‘may’’ and inserting ‘‘shall’’; 
(2) by striking ‘‘exceed’’ and inserting ‘‘be less 
than’’; and 
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(3) by striking ‘‘made.’’ and inserting ‘‘made, 
unless the amount to be repaid is less than 50 per-
cent of the weekly benefit amount.’’. 
SEC. 2165. RESTORE STATE FLEXIBILITY TO IMPROVE UN-
EMPLOYMENT PROGRAM SOLVENCY. 
Subsection (g) of section 4001 of the Supplemental 
Appropriations Act, 2008 (Public Law 110–252; 26 
U.S.C. 3304 note) is repealed. 
Subtitle C—Medicare Extensions; 
Other Health Provisions 
PART 1—MEDICARE EXTENSIONS 
SEC. 2201. PHYSICIAN PAYMENT UPDATE. 
(a) IN GENERAL.—Section 1848(d) of the Social Se-
curity Act (42 U.S.C. 1395w–4(d)) is amended by adding 
at the end the following new paragraph: 
‘‘(13) UPDATE FOR 2012 AND 2013.— 
‘‘(A) IN GENERAL.—Subject to paragraphs 
(7)(B), (8)(B), (9)(B), (10)(B), (11)(B), and 
(12)(B), in lieu of the update to the single con-
version factor established in paragraph (1)(C) 
that would otherwise apply for 2012 and for 
2013, the update to the single conversion factor 
shall be 1.0 percent for the year. 
‘‘(B) NO
EFFECT
ON
COMPUTATION
OF 
CONVERSION
FACTOR
FOR
2014
AND
SUBSE-
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QUENT
YEARS.—The conversion factor under 
this subsection shall be computed under para-
graph (1)(A) for 2014 and subsequent years as 
if subparagraph (A) had never applied.’’. 
(b) MANDATED STUDIES ON PHYSICIAN PAYMENT 
REFORM.— 
(1) STUDY
BY
SECRETARY
ON
OPTIONS
FOR 
BUNDLED OR EPISODE-BASED PAYMENT.— 
(A) 
IN
GENERAL.—The 
Secretary 
of 
Health and Human Services shall conduct a 
study that examines options for bundled or epi-
sode-based payments, to cover physicians’ serv-
ices currently paid under the physician fee 
schedule under section 1848 of the Social Secu-
rity Act (42 U.S.C. 1395w–4), for one or more 
prevalent chronic conditions (such as cancer, di-
abetes, and congestive heart failure) or episodes 
of care for one or more major procedures (such 
as medical device implantation). In conducting 
the study the Secretary shall consult with med-
ical professional societies and other relevant 
stakeholders. The study shall include an exam-
ination of related private payer payment initia-
tives. 
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(B) REPORT.—Not later than January 1, 
2013, the Secretary shall submit to the Com-
mittees on Ways and Means and Energy and 
Commerce of the House of Representatives and 
the Committee on Finance in the Senate a re-
port on the study conducted under this para-
graph. The Secretary shall include in the report 
recommendations on suitable alternative pay-
ment options for services paid under such fee 
schedule and on associated implementation re-
quirements (such as timelines, operational 
issues, and interactions with other payment re-
form initiatives). 
(2) GAO STUDY
OF
PRIVATE
PAYER
INITIA-
TIVES.— 
(A) IN GENERAL.—The Comptroller Gen-
eral of the United States shall conduct a study 
that examines initiatives of private entities of-
fering or administering health insurance cov-
erage, group health plans, or other private 
health benefit plans to base or adjust physician 
payment rates under such coverage or plans for 
performance on quality and efficiency as well as 
demonstration of care delivery improvement ac-
tivities (such as adherence to evidence based 
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guidelines and patient shared decision making 
programs). In conducting such study, the 
Comptroller General shall consult, to the extent 
appropriate, with medical professional societies 
and other relevant stakeholders. 
(B) REPORT.—Not later than January 1, 
2013, the Comptroller General shall submit to 
the Committees on Ways and Means and En-
ergy and Commerce of the House of Represent-
atives and the Committee on Finance in the 
Senate a report on the study conducted under 
this paragraph. Such report shall include an as-
sessment of applicability of the payer initiatives 
described in subparagraph (A) to the Medicare 
program and recommendations on modifications 
to existing Medicare performance-based pay-
ment initiatives. 
(3) MEDPAC STUDY
OF
ALIGNING
PAYMENT 
INCENTIVES.—Not later than March 1, 2013, the 
Medicare Payment Advisory Commission shall con-
duct a study, and submit to the Committees on 
Ways and Means and Energy and Commerce of the 
House of Representatives and the Committee on Fi-
nance in the Senate a report, that examines the fea-
sibility of aligning private payer quality and effi-
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ciency programs with those in the Medicare pro-
gram. In conducting such study, the Medicare Pay-
ment Advisory Commission shall consult with med-
ical professional societies and other relevant stake-
holders. Such report shall include recommendations 
on how to achieve such alignment. 
(4) COLLABORATION.—The Secretary, Comp-
troller General, and Commission may collaborate to 
the extent beneficial in conducting their respective 
studies and submitting their respective reports under 
this subsection. 
(c) STUDY AND REVIEW OF MEASURES TO IMPROVE 
PHYSICIAN PAYMENTS, HEALTH OUTCOMES, AND EFFI-
CIENCY.—During the 112th Congress, the Committees on 
Energy and Commerce and Ways and Means of the House 
of Representatives and the Committee on Finance in the 
Senate shall each study and review value-based measures 
and practice arrangements which may improve health out-
comes and efficiency in the Medicare program to the end 
of replacing the Medicare sustainable growth rate in a fis-
cally responsible manner and establishing a sustainable 
payment system. In conducting such study and review, the 
committees shall solicit comments from stakeholder physi-
cian groups, including State medical associations. 
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SEC. 2202. AMBULANCE ADD-ONS. 
(a) GROUND AMBULANCE.—Section 1834(l)(13)(A) 
of the Social Security Act (42 U.S.C. 1395m(l)(13)(A)), 
as amended by section 106(a) of the Medicare and Med-
icaid Extenders Act of 2010 (Public Law 111–309), is 
amended— 
(1) in the matter preceding clause (i), by strik-
ing ‘‘2012’’ and inserting ‘‘2013’’; and 
(2) in each of clauses (i) and (ii), by striking 
‘‘2012’’ and inserting ‘‘2013’’ each place it appears. 
(b) 
SUPER
RURAL
AMBULANCE.—Section 
1834(l)(12)(A) of the Social Security Act (42 U.S.C. 
1395m(l)(12)(A)), as amended by section 106(c) of the 
Medicare and Medicaid Extenders Act of 2010 (Public 
Law 111–309), is amended in the first sentence by strik-
ing ‘‘2012’’ and inserting ‘‘2013’’. 
(c) GAO REPORT UPDATE.—Not later than October 
1, 2012, the Comptroller General of the United States 
shall update the GAO report GAO–07–383 (relating to 
Ambulance Providers: Costs and Expected Medicare Mar-
gins Vary Greatly) to reflect current costs for ambulance 
providers. 
(d) MEDPAC REPORT.—The Medicare Payment Ad-
visory Commission shall conduct a study of— 
(1) the appropriateness of the add-on payments 
for ambulance providers under paragraphs (12)(A) 
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and (13)(A) of section 1834(l) of the Social Security 
Act (42 U.S.C. 1395m(l)); 
(2) the effect these additional payments have on 
the Medicare margins of ambulance providers; and 
(3) whether there is a need to reform the Medi-
care ambulance fee schedule under such section and, 
if so, what should such reforms be, including rolling 
the add-on payments into the base rate. 
Not later than July 1, 2012, the Commission shall submit 
to the Committees on Ways and Means and Energy and 
Commerce of the House of Representatives and the Com-
mittee on Finance of the Senate a report on such study 
and shall include in the report such recommendations as 
the Commission deems appropriate. 
(e) EFFECTIVE DATE.—The amendments made by 
subsections (a) and (b) shall apply to ambulance services 
furnished on or after January 1, 2012. 
SEC. 2203. MEDICARE PAYMENT FOR OUTPATIENT THER-
APY SERVICES. 
(a) 
APPLICATION
OF
ADDITIONAL
REQUIRE-
MENTS.—Section 1833(g)(5) of the Social Security Act 
(42 U.S.C. 1395l(g)(5)) is amended— 
(1) by inserting ‘‘(A)’’ after ‘‘(5)’’; 
(2) by striking ‘‘December 31, 2011’’ and in-
serting ‘‘December 31, 2013’’; 
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(3) in the first sentence, by inserting ‘‘and if 
the requirement of subparagraph (B) is met’’ after 
‘‘medically necessary’’; 
(4) in the second sentence, by inserting ‘‘made 
in accordance with such requirement’’ after ‘‘receipt 
of the request’’; and 
(5) by adding at the end the following new sub-
paragraphs: 
‘‘(B) In the case of outpatient therapy services for 
which an exception is requested under the first sentence 
of subparagraph (A), the claim for such services contains 
an appropriate modifier (such as the KX modifier used 
as of the date of the enactment of this subparagraph) indi-
cating that such services are medically necessary as justi-
fied by appropriate documentation in the medical record 
involved. 
‘‘(C)(i) In applying this paragraph with respect to a 
request for an exception with respect to expenses that 
would be incurred for outpatient therapy services (includ-
ing services described in subsection (a)(8)(B)) that would 
exceed the threshold described in clause (ii) for a year, 
the request for such an exception, for services furnished 
on or after July 1, 2012, shall be subject to a manual 
medical review process that is similar to the manual med-
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ical review process used for certain exceptions under this 
paragraph in 2006. 
‘‘(ii) The threshold under this clause for a year is 
$3,700. Such threshold shall be applied separately— 
‘‘(I) for physical therapy services and speech- 
language pathology services; and 
‘‘(II) for occupational therapy services.’’. 
(b) APPLICATION OF THERAPY CAP TO THERAPY 
FURNISHED AS PART OF HOSPITAL OUTPATIENT SERV-
ICES.—Paragraphs (1) and (3) of section 1833(g) of such 
Act are each amended by striking ‘‘but not described in 
section 1833(a)(8)(B)’’ and inserting ‘‘but (with respect 
to services furnished before July 1, 2012) not described 
in subsection (a)(8)(B)’’. 
(c) REQUIREMENT FOR INCLUSION ON CLAIMS OF 
NPI OF PHYSICIAN WHO REVIEWS THERAPY PLAN.— 
Section 1842(t) of such Act (42 U.S.C. 1395u(t)) is 
amended— 
(1) by inserting ‘‘(1)’’ after ‘‘(t)’’; and 
(2) by adding at the end the following new 
paragraph: 
‘‘(2) Each request for payment, or bill submitted, for 
therapy services described in paragraph (1) or (3) of sec-
tion 1833(g) furnished on or after July 1, 2012, for which 
payment may be made under this part shall include the 
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national provider identifier of the physician who periodi-
cally reviews the plan for such services under section 
1861(p)(2).’’. 
(d) IMPLEMENTATION.—The Secretary of Health and 
Human Services shall implement such claims processing 
edits and issue such guidance as may be necessary to im-
plement the amendments made by this section in a timely 
manner. Notwithstanding any other provision of law, the 
Secretary may implement the amendments made by this 
section by program instruction. Of the amount of funds 
made available to the Secretary for fiscal year 2012 for 
program management for the Centers for Medicare & 
Medicaid Services, not to exceed $7,500,000 shall be avail-
able for such fiscal year to carry out section 1833(g)(5)(C) 
of the Social Security Act (relating to manual medical re-
view), as added by subsection (a). Of the amount of funds 
made available to the Secretary for fiscal year 2013 for 
such program management, not to exceed $7,500,000 
shall be available for such fiscal year to carry out such 
section. 
(e) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall apply to services furnished on or after 
January 1, 2012. 
(f) MEDPAC REPORT
ON IMPROVED MEDICARE 
THERAPY BENEFITS.—Not later than March 1, 2013, the 
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Medicare Payment Advisory Commission shall submit to 
the Committees on Energy and Commerce and Ways and 
Means of the House of Representatives and to the Com-
mittee on Finance of the Senate a report making rec-
ommendations on how to improve the outpatient therapy 
benefit under part B of title XVIII of the Social Security 
Act. The report shall include recommendations on how to 
reform the payment system for such outpatient therapy 
services under such part so that the benefit is better de-
signed to reflect individual acuity, condition, and therapy 
needs of the patient. Such report shall include an examina-
tion of private sector initiatives relating to outpatient ther-
apy benefits. 
(g) COLLECTION OF ADDITIONAL DATA.— 
(1) STRATEGY.—The Secretary of Health and 
Human Services shall implement, beginning on Jan-
uary 1, 2013, a claims-based data collection strategy 
that is designed to assist in reforming the Medicare 
payment system for outpatient therapy services sub-
ject to the limitations of section 1833(g) of the So-
cial Security Act. Such strategy shall be designed to 
provide for the collection of data on patient function 
during the course of therapy services in order to bet-
ter understand patient condition and outcomes. 
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(2) CONSULTATION.—In proposing and imple-
menting such strategy, the Secretary shall consult 
with relevant stakeholders. 
(h) GAO REPORT ON MANUAL MEDICAL REVIEW 
PROCESS IMPLEMENTATION.—Not later than May 1, 
2013, the Comptroller General of the United States shall 
submit to the Committees on Energy and Commerce and 
Ways and Means of the House of Representatives and to 
the Committee on Finance of the Senate a report on the 
implementation of the manual medical review process re-
ferred to in section 1833(g)(5)(C) of the Social Security 
Act. Such report shall include aggregate data on the num-
ber of individuals and claims subject to such process, the 
number of reviews conducted under such process, and the 
outcome of such reviews. 
SEC. 2204. WORK GEOGRAPHIC ADJUSTMENT. 
(a) IN GENERAL.—Section 1848(e)(1)(E) of the So-
cial Security Act (42 U.S.C. 1395w–4(e)(1)(E)) is amend-
ed by striking ‘‘January 1, 2012’’ and inserting ‘‘January 
1, 2013’’. 
(b) REPORT.—Not later than June 1, 2012, the 
Medicare Payment Advisory Commission shall submit to 
the Committees on Ways and Means and Energy and 
Commerce of the House of Representatives and the Com-
mittee on Finance of the Senate a report that assesses 
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whether any geographic adjustment is needed under sec-
tion 1848 of the Social Security Act (42 U.S.C. 1395w– 
4) to distinguish the difference in work effort by geo-
graphic area and, if so, what that level should be and 
where it should be applied. The report shall also assess 
the impact of the work geographic adjustment under such 
section, including the extent to which the floor impacts 
access to care. 
PART 2—OTHER HEALTH PROVISIONS 
SEC. 2211. QUALIFYING INDIVIDUAL (QI) PROGRAM. 
(a) EXTENSION.—Section 1902(a)(10)(E)(iv) of the 
Social Security Act (42 U.S.C. 1396a(a)(10)(E)(iv)) is 
amended by striking ‘‘December 2011’’ and inserting ‘‘De-
cember 2012’’. 
(b) EXTENDING TOTAL AMOUNT AVAILABLE FOR 
ALLOCATION.—Section 1933(g) of such Act (42 U.S.C. 
1396u–3(g)) is amended— 
(1) in paragraph (2)— 
(A) by striking ‘‘and’’ at the end of sub-
paragraph (O); 
(B) in subparagraph (P), by striking the 
period at the end and inserting a semicolon; 
and 
(C) by adding at the end the following new 
subparagraphs: 
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‘‘(Q) for the period that begins on January 
1, 2012, and ends on September 30, 2012, the 
total allocation amount is $450,000,000; and 
‘‘(R) for the period that begins on October 
1, 2012, and ends on December 31, 2012, the 
total allocation amount is $280,000,000.’’; and 
(2) in paragraph (3), in the matter preceding 
subparagraph (A), by striking ‘‘or (P)’’ and insert-
ing ‘‘(P), or (R)’’. 
SEC. 2212. EXTENSION OF TRANSITIONAL MEDICAL ASSIST-
ANCE (TMA). 
(a) 
EXTENSION.—Sections 
1902(e)(1)(B) 
and 
1925(f) 
of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1396a(e)(1)(B), 1396r–6(f)) are each amended by strik-
ing ‘‘December 31, 2011’’ and inserting ‘‘December 31, 
2012’’. 
(b) EXTENDING APPLICATION OF TERMINATION OF 
ELIGIBILITY BASED ON INCOME TO INITIAL EXTENSION 
PERIOD.— 
(1) INCOME REPORTING REQUIREMENTS.—Sub-
section (b)(2)(B)(i) of section 1925 of such Act (42 
U.S.C. 1396r–6) is amended— 
(A) by striking ‘‘additional extended assist-
ance under this subsection’’ and inserting ‘‘con-
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tinued extended assistance under subsection 
(a)’’; and 
(B) by inserting ‘‘(and, in the case of a 
State that makes an election under subsection 
(a)(5), the 7th month and the 11th month)’’ 
after ‘‘4th month’’. 
(2) TERMINATION.—Subsection (a)(3) of such 
section is amended— 
(A) in subparagraph (B)— 
(i) by inserting ‘‘or (D)’’ after ‘‘sub-
paragraph (A)’’; and 
(ii) by striking the period at the end 
and inserting the following: ‘‘, which notice 
shall include (in the case of termination 
under subparagraph (D)(ii), relating to no 
continued earnings) a description of how 
the family may reestablish eligibility for 
medical assistance under the State plan. 
No termination shall be effective under 
subparagraph (D) earlier than 10 days 
after the date of mailing of such notice.’’; 
(B) in subparagraph (C)— 
(i) by designating the matter begin-
ning with ‘‘With respect to’’ as a clause (i) 
with the heading ‘‘DEPENDENT
CHIL-
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DREN.—’’ and appropriate indentation; 
and 
(ii) by adding at the end the following 
new clause: 
‘‘(ii) MEDICALLY
NEEDY.—With re-
spect to an individual who would cease to 
receive medical assistance because of sub-
paragraph (D) but who may be eligible for 
assistance under the State plan because 
the individual is within a category of per-
son for which medical assistance under the 
State plan is available under section 
1902(a)(10)(C) 
(relating 
to 
medically 
needy individuals), the State may not dis-
continue such assistance under such sub-
paragraph until the State has determined 
that the individual is not eligible for assist-
ance under the plan.’’; and 
(C) by adding at the end the following new 
subparagraph: 
‘‘(D) QUARTERLY INCOME REPORTING AND 
TEST.—Subject to subparagraphs (B) and (C), 
extension of assistance during the 6-month pe-
riod described in paragraph (1) to a family 
shall terminate (during the period) at the close 
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of the 4th month of the 6-month period (or 4th, 
7th, or 11th month in case of a State that 
makes an election under paragraph (5)) if— 
‘‘(i) the family fails to report to the 
State, by the 21st day of such month, the 
information 
required 
under 
subsection 
(b)(2)(B)(i), unless the family has estab-
lished, to the satisfaction of the State, 
good cause for the failure to report on a 
timely basis; 
‘‘(ii) the caretaker relative had no 
earnings in one or more of the previous 3 
months, unless such lack of any earnings 
was due to an involuntary loss of employ-
ment, illness, or other good cause, estab-
lished to the satisfaction of the State; or 
‘‘(iii) the State determines that the 
family’s average gross monthly earnings 
(less such costs for such child care as is 
necessary for the employment of the care-
taker relative) during the immediately pre-
ceding 3-month period exceed 185 percent 
of the official poverty line (as defined by 
the Office of Management and Budget, 
and revised annually in accordance with 
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section 673(2) of the Omnibus Budget 
Reconciliation Act of 1981) applicable to a 
family of the size involved. 
Information described in clause (i) shall be sub-
ject to the restrictions on use and disclosure of 
information provided under section 402(a)(9). 
Instead of terminating a family’s extension 
under clause (i), a State, at its option, may pro-
vide for suspension of the extension until the 
month after the month in which the family re-
ports information required under subsection 
(b)(2)(B)(i), but only if the family’s extension 
has not otherwise been terminated under clause 
(ii) or (iii). The State shall make determina-
tions under clause (iii) for a family each time 
a report under subsection (b)(2)(B)(i) for the 
family is received.’’. 
(3) EFFECTIVE DATE.— 
(A) IN GENERAL.—The amendments made 
by this subsection shall, subject to subpara-
graph (B), apply to assistance furnished for 
months beginning with January 2012. 
(B) TRANSITION
FOR
CURRENT
BENE-
FICIARIES.— 
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(i) IN
GENERAL.—Subject to clause 
(ii), such amendments shall not apply to 
any individual who is receiving extended 
assistance under subsection (a) of section 
1925 of the Social Security Act for Decem-
ber 2011 during the period of assistance 
that includes such month. 
(ii) SPECIAL RULE FOR INDIVIDUALS 
ELIGIBLE FOR 12 MONTHS EXTENDED AS-
SISTANCE.—In the case of a State that 
makes an election under paragraph (5) of 
such section, such amendments shall apply 
to an individual who is receiving such ex-
tended assistance for such month if such 
month is within the first 6 months of the 
12-month period referred to in such para-
graph but only with respect to the second 
6 months of such 12-month period. 
SEC. 2213. MODIFICATION TO REQUIREMENTS FOR QUALI-
FYING FOR EXCEPTION TO MEDICARE PROHI-
BITION ON CERTAIN PHYSICIAN REFERRALS 
FOR HOSPITALS. 
(a) IN GENERAL.—Section 1877(i) of the Social Se-
curity Act (42 U.S.C. 1395nn(i)) is amended— 
(1) in paragraph (1)(A)— 
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(A) in the matter preceding clause (i), by 
striking ‘‘had’’; 
(B) in clause (i), by inserting ‘‘had’’ before 
‘‘physician ownership’’; and 
(C) by amending clause (ii) to read as fol-
lows: 
‘‘(ii) either— 
‘‘(I) had a provider agreement 
under section 1866 in effect on such 
date; or 
‘‘(II) was under construction on 
such date.’’; and 
(2) in paragraph (3)— 
(A) by amending subparagraph (E) to read 
as follows: 
‘‘(E) APPLICABLE
HOSPITAL.—In this 
paragraph, the term ‘applicable hospital’ means 
a hospital that does not discriminate against 
beneficiaries of Federal health care programs 
and does not permit physicians practicing at 
the hospital to discriminate against such bene-
ficiaries.’’; and 
(B) in subparagraph (F)(iii), by striking 
‘‘subparagraph (E)(iii)’’ and inserting ‘‘sub-
paragraph (E)’’. 
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(b) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall be effective as if as if included in the 
enactment of subsection (i) of section 1877 of the Social 
Security Act (42 U.S.C. 1395nn). 
PART 3—OFFSETS 
SEC. 2221. ADJUSTMENTS TO MAXIMUM THRESHOLDS FOR 
RECAPTURING OVERPAYMENTS RESULTING 
FROM 
CERTAIN 
FEDERALLY-SUBSIDIZED 
HEALTH INSURANCE. 
The table specified in clause (i) of section 
36B(f)(2)(B) of the Internal Revenue Code of 1986 is 
amended to read as follows: 
‘‘If the household income (expressed as 
a percent of poverty line) is: 
The applicable dollar amount is: 
Less than 100 percent 
$600 
At least 100 percent and less than 150 
percent 
$800 
At least 150 percent but less than 200 
percent 
$1,000 
At least 200 percent but less than 250 
percent 
$1,500 
At least 250 percent but less than 300 
percent 
$2,200 
At least 300 percent but less than 350 
percent 
$2,500 
At least 350 percent but less than 400 
percent 
$3,200.’’. 
SEC. 2222. PREVENTION AND PUBLIC HEALTH FUND. 
Section 4002(b) of the Patient Protection and Af-
fordable Care Act (42 U.S.C. 300u–11(b)) is amended— 
(1) in paragraph (3), by adding at the end 
‘‘and’’; and 
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(2) by striking each of paragraphs (4) through 
(6) and inserting the following: 
‘‘(4) for fiscal year 2013 and each subsequent 
fiscal year, $640,000,000.’’. 
SEC. 2223. PARITY IN MEDICARE PAYMENTS FOR HOSPITAL 
OUTPATIENT 
DEPARTMENT 
EVALUATION 
AND MANAGEMENT OFFICE VISIT SERVICES. 
Section 1833(t) of the Social Security Act (42 U.S.C. 
1395l(t)) is amended— 
(1) in paragraph (3)— 
(A) in subparagraph (D), by striking ‘‘The 
Secretary’’ and inserting ‘‘Subject to subpara-
graph (H), the Secretary’’; and 
(B) by adding at the end the following new 
subparagraph: 
‘‘(H) PARITY IN FEE SCHEDULE AMOUNT 
FOR
SPECIFIED
EVALUATION
AND
MANAGE-
MENT SERVICES.— 
‘‘(i) IN GENERAL.—In the case of cov-
ered OPD services that are specified eval-
uation and management services furnished 
during 2012 or a subsequent year, there 
shall be substituted for the medicare OPD 
fee schedule amount established under sub-
paragraph (D) for such services and year, 
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before application of any geographic or 
other adjustment, an amount equal to the 
product of the conversion factor estab-
lished under section 1848(d) for such year 
and the amount by which— 
‘‘(I) the non-facility practice ex-
pense relative value units under the 
fee schedule under section 1848 for 
such year for physicians’ services that 
are such specified evaluation and 
management services; exceeds 
‘‘(II) the facility practice expense 
relative value unit under such fee 
schedule for such year and services. 
‘‘(ii) BUDGET
NEUTRALITY.—In de-
termining the adjustments under para-
graph (9)(B) for 2012 or a subsequent 
year, the Secretary shall not take into ac-
count under such paragraph or paragraph 
(2)(E) any changes in expenditures that 
result from the application of this subpara-
graph. 
‘‘(iii) SPECIFIED
EVALUATION
AND 
MANAGEMENT
SERVICES
DEFINED.—For 
the purposes of this subparagraph, the 
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term ‘specified evaluation and management 
services’ means the HCPCS codes in the 
range 99201 through 99215 as of January 
1, 2011 (and such codes as subsequently 
modified by the Secretary).’’; and 
(2) in paragraph (9)(B), by striking ‘‘If the 
Secretary’’ and inserting ‘‘Subject to paragraph 
(3)(H)(ii), if the Secretary’’. 
SEC. 2224. REDUCTION OF BAD DEBT TREATED AS AN AL-
LOWABLE COST. 
(a) HOSPITALS.—Section 1861(v)(1)(T) of the Social 
Security Act (42 U.S.C. 1395x(v)(1)(T)) is amended— 
(1) in clause (iii), by striking ‘‘and’’ at the end; 
(2) in clause (iv)— 
(A) by striking ‘‘a subsequent fiscal year’’ 
and inserting ‘‘fiscal years 2001 through 
2012’’; and 
(B) by striking the period at the end and 
inserting ‘‘, and’’; and 
(3) by adding at the end the following: 
‘‘(v) for cost reporting periods begin-
ning during fiscal year 2013, by 35 per-
cent of such amount otherwise allowable, 
‘‘(vi) for cost reporting periods begin-
ning during fiscal year 2014, by 40 per-
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cent of such amount otherwise allowable, 
and 
‘‘(vii) for cost reporting periods begin-
ning during a subsequent fiscal year, by 45 
percent of such amount otherwise allow-
able.’’. 
(b) 
SKILLED
NURSING
FACILITIES.—Section 
1861(v)(1)(V) of such Act (42 U.S.C. 1395x(v)(1)(V)) is 
amended— 
(1) in the matter preceding clause (i), by strik-
ing ‘‘with respect to cost reporting periods beginning 
on or after October 1, 2005’’ and inserting ‘‘and 
(beginning with respect to cost reporting periods be-
ginning during fiscal year 2013) for covered skilled 
nursing services described in section 1888(e)(2)(A) 
furnished by hospital providers of extended care 
services (as described in section 1883)’’; 
(2) in clause (i), by striking ‘‘reduced by’’ and 
all that follows through ‘‘allowable; and’’ and insert-
ing the following: ‘‘reduced by— 
‘‘(I) for cost reporting periods be-
ginning on or after October 1, 2005, 
but before fiscal year 2013, 30 per-
cent of such amount otherwise allow-
able; 
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‘‘(II) for cost reporting periods 
beginning during fiscal year 2013, by 
35 percent of such amount otherwise 
allowable; 
‘‘(III) for cost reporting periods 
beginning during fiscal year 2014, by 
40 percent of such amount otherwise 
allowable; and 
‘‘(IV) for cost reporting periods 
beginning during a subsequent fiscal 
year, by 45 percent of such amount 
otherwise allowable; and’’; and 
(3) in clause (ii), by striking ‘‘such section shall 
not be reduced.’’ and inserting ‘‘such section— 
‘‘(I) for cost reporting periods be-
ginning on or after October 1, 2005, 
but before fiscal year 2013, shall not 
be reduced; 
‘‘(II) for cost reporting periods 
beginning during fiscal year 2013, 
shall be reduced by 15 percent of such 
amount otherwise allowable; 
‘‘(III) for cost reporting periods 
beginning during fiscal year 2014, 
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shall be reduced by 30 percent of such 
amount otherwise allowable; and 
‘‘(IV) for cost reporting periods 
beginning during a subsequent fiscal 
year, shall be reduced by 45 percent 
of such amount otherwise allowable.’’. 
(c) 
CERTAIN
OTHER
PROVIDERS.—Section 
1861(v)(1) of such Act (42 U.S.C. 1395x(v)(1)) is amend-
ed by adding at the end the following new subparagraph: 
‘‘(W)(i) In determining such reasonable costs for pro-
viders described in clause (ii), the amount of bad debts 
otherwise treated as allowable costs which are attributable 
to deductibles and coinsurance amounts under this title 
shall be reduced— 
‘‘(I) for cost reporting periods beginning during 
fiscal year 2013, by 15 percent of such amount oth-
erwise allowable; 
‘‘(II) for cost reporting periods beginning dur-
ing fiscal year 2014, by 30 percent of such amount 
otherwise allowable; and 
‘‘(III) for cost reporting periods beginning dur-
ing a subsequent fiscal year, by 45 percent of such 
amount otherwise allowable. 
‘‘(ii) A provider described in this clause is a provider 
of services not described in subparagraph (T) or (V), a 
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supplier, or any other type of entity that receives payment 
for bad debts under the authority under subparagraph 
(A).’’. 
(d) CONFORMING AMENDMENT FOR HOSPITAL SERV-
ICES.—Section 4008(c) of the Omnibus Budget Reconcili-
ation Act of 1987, as amended by section 8402 of the 
Technical and Miscellaneous Revenue Act of 1988 and 
section 6023 of the Omnibus Budget Reconciliation Act 
of 1989, is amended by adding at the end the following 
new sentence: ‘‘Effective for cost reporting periods begin-
ning on or after October 1, 2012, the provisions of the 
previous two sentences shall not apply.’’. 
SEC. 2225. REBASING OF STATE DSH ALLOTMENTS FOR FIS-
CAL YEAR 2021. 
Section 1923(f) of the Social Security Act (42 U.S.C. 
1396r–4(f)) is amended— 
(1) by redesignating paragraph (8) as para-
graph (9); 
(2) in paragraph (3)(A) by striking ‘‘para-
graphs (6) and (7)’’ and inserting ‘‘paragraphs (6), 
(7), and (8)’’; and 
(3) by inserting after paragraph (7) the fol-
lowing new paragraph: 
‘‘(8) REBASING OF STATE DSH ALLOTMENTS 
FOR FISCAL YEAR 2021.—With respect to fiscal 2021 
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and each subsequent fiscal year, for purposes of ap-
plying paragraph (3)(A) to determine the DSH al-
lotment for a State, the amount of the DSH allot-
ment for the State under paragraph (3) for fiscal 
year 2020 shall be treated as if it were such amount 
as reduced under paragraph (7).’’. 
Subtitle D—TANF Extension 
SEC. 2301. SHORT TITLE. 
This subtitle may be cited as the ‘‘Welfare Integrity 
and Data Improvement Act’’. 
SEC. 2302. EXTENSION OF PROGRAM. 
(a) 
FAMILY
ASSISTANCE
GRANTS.—Section 
403(a)(1) of the Social Security Act (42 U.S.C. 603(a)(1)) 
is amended— 
(1) in subparagraph (A), by striking ‘‘each of 
fiscal years 1996’’ and all that follows through 
‘‘2003’’ and inserting ‘‘fiscal year 2012’’; 
(2) in subparagraph (B)— 
(A) by inserting ‘‘(as in effect just before 
the enactment of the Welfare Integrity and 
Data Improvement Act)’’ after ‘‘this para-
graph’’ the 1st place it appears; and 
(B) by inserting ‘‘(as so in effect)’’ after 
‘‘this paragraph’’ the 2nd place it appears; and 
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(3) in subparagraph (C), by striking ‘‘2003’’ 
and inserting ‘‘2012’’. 
(b) HEALTHY MARRIAGE PROMOTION AND RESPON-
SIBLE FATHERHOOD GRANTS.—Section 403(a)(2)(D) of 
such Act (42 U.S.C. 603(a)(2)(D)) is amended by striking 
‘‘2011’’ and inserting ‘‘2012’’. 
(c) MAINTENANCE
OF EFFORT REQUIREMENT.— 
Section 409(a)(7) of such Act (42 U.S.C. 609(a)(7)) is 
amended— 
(1) in subparagraph (A), by striking ‘‘fiscal 
year’’ and all that follows through ‘‘2012’’ and in-
serting ‘‘a fiscal year’’; and 
(2) in subparagraph (B)(ii)— 
(A) by striking ‘‘for fiscal years 1997 
through 2011,’’; and 
(B) by striking ‘‘407(a) for the fiscal 
year,’’ and inserting ‘‘407(a),’’. 
(d) TRIBAL GRANTS.—Section 412(a) of such Act 
(42 U.S.C. 612(a)) is amended in each of paragraphs 
(1)(A) and (2)(A) by striking ‘‘each of fiscal years 1997’’ 
and all that follows through ‘‘2003’’ and inserting ‘‘fiscal 
year 2012’’. 
(e) 
STUDIES
AND
DEMONSTRATIONS.—Section 
413(h)(1) of such Act (42 U.S.C. 613(h)(1)) is amended 
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by striking ‘‘each of fiscal years 1997 through 2002’’ and 
inserting ‘‘fiscal year 2012’’. 
(f) CENSUS BUREAU STUDY.—Section 414(b) of 
such Act (42 U.S.C. 614(b)) is amended by striking ‘‘each 
of fiscal years 1996’’ and all that follows through ‘‘2003’’ 
and inserting ‘‘fiscal year 2012’’. 
(g) CHILD CARE ENTITLEMENT.—Section 418(a)(3) 
of such Act (42 U.S.C. 618(a)(3)) is amended by striking 
‘‘appropriated’’ and all that follows and inserting ‘‘appro-
priated $2,917,000,000 for fiscal year 2012.’’. 
(h) GRANTS TO TERRITORIES.—Section 1108(b)(2) 
of such Act (42 U.S.C. 1308(b)(2)) is amended by striking 
‘‘for fiscal years 1997 through 2003’’ and inserting ‘‘fiscal 
year 2012’’. 
(i) PREVENTION
OF DUPLICATE APPROPRIATIONS 
FOR FISCAL YEAR 2012.—Expenditures made pursuant 
to the Short-Term TANF Extension Act (Public Law 
112–35) or section 403(b) of the Social Security Act for 
fiscal year 2012 shall be charged to the applicable appro-
priation or authorization provided by the amendments 
made by this section for such fiscal year. 
(j) EFFECTIVE DATE.—This section and the amend-
ments made by this section shall take effect on the date 
of the enactment of this Act. 
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SEC. 2303. DATA STANDARDIZATION. 
(a) IN GENERAL.—Section 411 of the Social Security 
Act (42 U.S.C. 611) is amended by adding at the end the 
following: 
‘‘(d) DATA STANDARDIZATION.— 
‘‘(1) STANDARD DATA ELEMENTS.— 
‘‘(A) DESIGNATION.—The Secretary, in 
consultation with an interagency work group 
which shall be established by the Office of Man-
agement and Budget, and considering State 
and tribal perspectives, shall, by rule, designate 
standard data elements for any category of in-
formation required to be reported under this 
part. 
‘‘(B) REQUIREMENTS.—In designating the 
standard data elements, the Secretary shall, to 
the extent practicable— 
‘‘(i) ensure that the data elements are 
nonproprietary and interoperable; 
‘‘(ii) incorporate interoperable stand-
ards developed and maintained by an inter-
national voluntary consensus standards 
body, as defined by the Office of Manage-
ment and Budget, such as the Inter-
national Organization for Standardization; 
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‘‘(iii) incorporate interoperable stand-
ards developed and maintained by inter-
governmental partnerships, such as the 
National Information Exchange Model; 
and 
‘‘(iv) incorporate interoperable stand-
ards developed and maintained by Federal 
entities with authority over contracting 
and financial assistance, such as the Fed-
eral Acquisition Regulatory Council. 
‘‘(2) DATA REPORTING STANDARDS.— 
‘‘(A) DESIGNATION.—The Secretary, in 
consultation with an interagency work group es-
tablished by the Office of Management and 
Budget, and considering State and tribal per-
spectives, shall, by rule, designate standards to 
govern the data reporting required under this 
part. 
‘‘(B) REQUIREMENTS.—In designating the 
data reporting standards, the Secretary shall, to 
the extent practicable, incorporate existing non-
proprietary standards, such as the eXtensible 
Business Reporting Language. Such standards 
shall, to the extent practicable— 
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