I 
112TH CONGRESS 
1ST SESSION H. R. 3743 
To provide incentives for the creation of jobs, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 20, 2011 
Mr. LEVIN (for himself, Ms. PELOSI, Mr. HOYER, Mr. CLYBURN, Mr. LARSON 
of Connecticut, Mr. BECERRA, Mr. GEORGE MILLER of California, Ms. 
DELAURO, Mr. ISRAEL, Ms. SLAUGHTER, Mr. VAN HOLLEN, Mr. PAL-
LONE, Mrs. MALONEY, Mr. RANGEL, Mr. STARK, Mr. MCDERMOTT, Mr. 
LEWIS of Georgia, Mr. NEAL, Mr. THOMPSON of California, Mr. BLU-
MENAUER, Mr. PASCRELL, Ms. BERKLEY, Mr. CROWLEY, Mr. ACKER-
MAN, Mr. ALTMIRE, Mr. ANDREWS, Mr. BACA, Ms. BALDWIN, Ms. BASS 
of California, Mr. BERMAN, Mr. BISHOP of New York, Ms. BORDALLO, 
Mr. BRALEY of Iowa, Ms. BROWN of Florida, Mr. BUTTERFIELD, Mrs. 
CAPPS, Mr. CARNAHAN, Mr. CARNEY, Mr. CARSON of Indiana, Ms. CAS-
TOR of Florida, Mr. CHANDLER, Mrs. CHRISTENSEN, Ms. CHU, Mr. 
CICILLINE, Mr. CLARKE of Michigan, Ms. CLARKE of New York, Mr. 
CLAY, Mr. CLEAVER, Mr. CONNOLLY of Virginia, Mr. CONYERS, Mr. 
COOPER, Mr. COSTA, Mr. COSTELLO, Mr. COURTNEY, Mr. CRITZ, Mr. 
CUELLAR, Mr. CUMMINGS, Mr. DAVIS of Illinois, Mrs. DAVIS of Cali-
fornia, Mr. DEUTCH, Mr. DICKS, Mr. DINGELL, Mr. DONNELLY of Indi-
ana, Ms. EDWARDS, Mr. ELLISON, Mr. ENGEL, Ms. ESHOO, Mr. FARR, 
Mr. FATTAH, Mr. FILNER, Mr. FRANK of Massachusetts, Ms. FUDGE, 
Mr. GARAMENDI, Mr. GONZALEZ, Mr. AL GREEN of Texas, Mr. GENE 
GREEN of Texas, Mr. GRIJALVA, Mr. GUTIERREZ, Ms. HANABUSA, Ms. 
HAHN, Mr. HASTINGS of Florida, Mr. HEINRICH, Mr. HIGGINS, Mr. 
HIMES, Mr. HINCHEY, Mr. HINOJOSA, Ms. HIRONO, Ms. HOCHUL, Mr. 
HOLDEN, Mr. HOLT, Mr. HONDA, Mr. INSLEE, Mr. JACKSON of Illinois, 
Ms. JACKSON LEE of Texas, Ms. EDDIE BERNICE JOHNSON of Texas, 
Mr. JOHNSON of Georgia, Ms. KAPTUR, Mr. KEATING, Mr. KILDEE, Mr. 
LANGEVIN, Mr. LARSEN of Washington, Ms. LEE of California, Mr. 
LOEBSACK, Ms. ZOE LOFGREN of California, Mrs. LOWEY, Mr. LUJA´N, 
Mr. MARKEY, Mr. MATHESON, Ms. MATSUI, Mrs. MCCARTHY of New 
York, Ms. MCCOLLUM, Mr. MCGOVERN, Mr. MCINTYRE, Mr. MCNER-
NEY, Mr. MEEKS, Mr. MICHAUD, Mr. MILLER of North Carolina, Ms. 
MOORE, Mr. MORAN, Mr. MURPHY of Connecticut, Mr. NADLER, Mrs. 
NAPOLITANO, Ms. NORTON, Mr. OLVER, Mr. OWENS, Mr. PASTOR of Ari-
zona, Mr. PAYNE, Mr. PERLMUTTER, Mr. PIERLUISI, Ms. PINGREE of 
Maine, Mr. POLIS, Mr. PRICE of North Carolina, Mr. RAHALL, Mr. 
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REYES, Ms. RICHARDSON, Mr. RICHMOND, Mr. ROSS of Arkansas, Mr. 
ROTHMAN of New Jersey, Ms. ROYBAL-ALLARD, Mr. RUPPERSBERGER, 
Mr. RUSH, Mr. RYAN of Ohio, Mr. SABLAN, Ms. LORETTA SANCHEZ of 
California, Mr. SARBANES, Ms. SCHAKOWSKY, Mr. SCHIFF, Ms. 
SCHWARTZ, Mr. SCOTT of Virginia, Mr. SERRANO, Ms. SEWELL, Mr. 
SHULER, Mr. SIRES, Mr. SMITH of Washington, Ms. SPEIER, Mr. 
THOMPSON of Mississippi, Mr. TIERNEY, Mr. TONKO, Mr. TOWNS, Ms. 
TSONGAS, Ms. VELA´ZQUEZ, Ms. WASSERMAN SCHULTZ, Ms. WATERS, 
Mr. WATT, Mr. WAXMAN, Mr. WELCH, Ms. WILSON of Florida, Mr. YAR-
MUTH, Mr. SHERMAN, Mr. BOSWELL, Mr. BRADY of Pennsylvania, Ms. 
WOOLSEY, Mr. BISHOP of Georgia, Mr. FALEOMAVAEGA, Mr. PETERS, 
Ms. LINDA T. SA´NCHEZ of California, Mr. DAVID SCOTT of Georgia, Mr. 
KISSELL, and Mr. KUCINICH) introduced the following bill; which was re-
ferred to the Committee on Ways and Means, and in addition to the 
Committees on Energy and Commerce, Transportation and Infrastruc-
ture, Natural Resources, Foreign Affairs, Financial Services, and the 
Budget, for a period to be subsequently determined by the Speaker, in 
each case for consideration of such provisions as fall within the jurisdic-
tion of the committee 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; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Temporary Payroll Tax Cut Continuation Act of 2011’’. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
TITLE I—TEMPORARY PAYROLL TAX RELIEF 
Sec. 101. Extension of payroll tax holiday. 
TITLE II—TEMPORARY EXTENSION OF UNEMPLOYMENT 
COMPENSATION PROVISIONS 
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Sec. 201. Temporary extension of unemployment compensation provisions. 
Sec. 202. Extended unemployment benefits under the Railroad Unemployment 
Insurance Act. 
TITLE III—TEMPORARY EXTENSION OF HEALTH PROVISIONS 
Sec. 301. Medicare physician payment update. 
Sec. 302. 2-month extension of MMA section 508 reclassifications. 
Sec. 303. Extension of Medicare work geographic adjustment floor. 
Sec. 304. Extension of exceptions process for Medicare therapy caps. 
Sec. 305. Extension of payment for technical component of certain physician 
pathology services. 
Sec. 306. Extension of ambulance add-ons. 
Sec. 307. Extension of physician fee schedule mental health add-on payment. 
Sec. 308. Extension of outpatient hold harmless provision. 
Sec. 309. Extending minimum payment for bone mass measurement. 
Sec. 310. Extension of the qualifying individual (QI) program. 
Sec. 311. Extension of Transitional Medical Assistance (TMA). 
Sec. 312. Extension of the temporary assistance for needy families program. 
TITLE IV—MORTGAGE FEES AND PREMIUMS 
Sec. 401. Guarantee Fees. 
Sec. 402. FHA guarantee fees. 
TITLE V—OTHER PROVISIONS 
Subtitle A—Keystone XL Pipeline 
Sec. 501. Permit for Keystone XL pipeline. 
Subtitle B—Budgetary Provisions 
Sec. 511. Senate point of order against an emergency designation. 
Sec. 512. PAYGO scorecard estimates. 
TITLE I—TEMPORARY PAYROLL 
TAX RELIEF 
SEC. 101. EXTENSION OF PAYROLL TAX HOLIDAY. 
(a) IN GENERAL.—Subsection (c) of section 601 of 
the Tax Relief, Unemployment Insurance Reauthorization, 
and Job Creation Act of 2010 (26 U.S.C. 1401 note) is 
amended to read as follows: 
‘‘(c) PAYROLL TAX HOLIDAY PERIOD.—The term 
‘payroll tax holiday period’ means— 
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‘‘(1) in the case of the tax described in sub-
section (a)(1), calendar years 2011 and 2012, and 
‘‘(2) in the case of the taxes described in sub-
section (a)(2), the period beginning January 1, 
2011, and ending February 29, 2012.’’. 
(b) SPECIAL RULES FOR 2012.—Section 601 of such 
Act (26 U.S.C. 1401 note) is amended by adding at the 
end the following new subsection: 
‘‘(f) SPECIAL RULES FOR 2012.— 
‘‘(1) LIMITATION
ON
WAGES
AND
SELF-EM-
PLOYMENT INCOME.—In the case of— 
‘‘(A) any taxable year beginning in 2012, 
subsection (a)(1) shall only apply with respect 
to so much of the taxpayer’s self-employment 
income (as defined in section 1402(b) of the In-
ternal Revenue Code of 1986) as does not ex-
ceed the excess (if any) of— 
‘‘(i) $18,350, over 
‘‘(ii) the amount of wages and com-
pensation taken into account under sub-
paragraph (B), and 
‘‘(B) any remuneration received during the 
portion of the payroll tax holiday period occur-
ring during 2012, subsection (a)(2) shall only 
apply to so much of the sum of the taxpayer’s 
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wages (as defined in section 3121(a) of such 
Code) and compensation (as defined section 
3231(e) of such Code) as does not exceed 
$18,350. 
‘‘(2) COORDINATION WITH DEDUCTION FOR EM-
PLOYMENT TAXES.—In the case of a taxable year 
beginning in 2012, subparagraph (A) of subsection 
(b)(2) shall be applied as if it read as follows: 
‘‘ ‘(A) the sum of— 
‘‘ ‘(i) 59.6 percent of the portion of 
such taxes attributable to the tax imposed 
by section 1401(a) of such Code (deter-
mined after the application of this section) 
on so much of self-employment income (as 
defined in section 1402(b) of such Code) 
as does not exceed the amount of self-em-
ployment income described in paragraph 
(1)(A), plus 
‘‘ ‘(ii) one-half of the portion of such 
taxes attributable to the tax imposed by 
section 1401(a) of such Code (determined 
without regard to this section) on self-em-
ployment income (as so defined) in excess 
of such amount, plus’.’’ 
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TITLE II—TEMPORARY EXTEN-
SION 
OF 
UNEMPLOYMENT 
COMPENSATION PROVISIONS 
SEC. 201. TEMPORARY EXTENSION OF UNEMPLOYMENT 
COMPENSATION PROVISIONS. 
(a) IN GENERAL.—(1) Section 4007 of the Supple-
mental Appropriations Act, 2008 (Public Law 110–252; 
26 U.S.C. 3304 note) is amended— 
(A) by striking ‘‘January 3, 2012’’ each place 
it appears and inserting ‘‘March 6, 2012’’; 
(B) in the heading for subsection (b)(2), by 
striking ‘‘JANUARY 3, 2012’’ and inserting ‘‘MARCH 6, 
2012’’; and 
(C) in subsection (b)(3), by striking ‘‘June 9, 
2012’’ and inserting ‘‘August 15, 2012’’. 
(2) Section 2005 of the Assistance for Unemployed 
Workers and Struggling Families Act, as contained in 
Public Law 111–5 (26 U.S.C. 3304 note; 123 Stat. 444), 
is amended— 
(A) by striking ‘‘January 4, 2012’’ each place 
it appears and inserting ‘‘March 7, 2012’’; and 
(B) in subsection (c), by striking ‘‘June 11, 
2012’’ and inserting ‘‘August 15, 2012’’. 
(3) Section 5 of the Unemployment Compensation 
Extension Act of 2008 (Public Law 110–449; 26 U.S.C. 
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3304 note) is amended by striking ‘‘June 10, 2012’’ and 
inserting ‘‘August 15, 2012’’. 
(4) Section 203 of the Federal-State Extended Un-
employment Compensation Act of 1970 (26 U.S.C. 3304 
note) is amended— 
(A) in subsection (d), in the second sentence of 
the flush matter following paragraph (2), by striking 
‘‘December 31, 2011’’ and inserting ‘‘February 29, 
2012’’; and 
(B) in subsection (f)(2), by striking ‘‘December 
31, 2011’’ and inserting ‘‘February 29, 2012’’. 
(b) FUNDING.—Section 4004(e)(1) of the Supple-
mental Appropriations Act, 2008 (Public Law 110–252; 
26 U.S.C. 3304 note) is amended— 
(1) in subparagraph (F), by striking ‘‘and’’ at 
the end; and 
(2) by inserting after subparagraph (G) the fol-
lowing: 
‘‘(H) the amendments made by section 
201(a)(1) of the Temporary Payroll Tax Cut 
Continuation Act of 2011; and’’. 
(c) 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-
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thorization, and Job Creation Act of 2010 (Public Law 
111–312). 
SEC. 202. EXTENDED UNEMPLOYMENT BENEFITS UNDER 
THE RAILROAD UNEMPLOYMENT 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 111–5) and as amended by section 9 
of the Worker, Homeownership, and Business Assistance 
Act of 2009 (Public Law 111–92) and section 505 of the 
Tax Relief, Unemployment Insurance Reauthorization, 
and Job Creation Act of 2010 (Public Law 111–312), is 
amended— 
(1) by striking ‘‘June 30, 2011’’ and inserting 
‘‘August 31, 2011’’; and 
(2) by striking ‘‘December 31, 2011’’ and in-
serting ‘‘February 29, 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 
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cover the cost of such benefits provided under such section 
2(c)(2)(D), as in effect on the day before the date of the 
enactment of this Act. 
TITLE III—TEMPORARY EXTEN-
SION OF HEALTH PROVISIONS 
SEC. 301. MEDICARE PHYSICIAN PAYMENT UPDATE. 
Section 1848(d) of the Social Security Act (42 U.S.C. 
1395w–4(d)) is amended by adding at the end the fol-
lowing new paragraph: 
‘‘(13) UPDATE
FOR
FIRST
TWO
MONTHS
OF 
2012.— 
‘‘(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 the period begin-
ning on January 1, 2012, and ending on Feb-
ruary 29, 2012, the update to the single conver-
sion factor shall be zero percent. 
‘‘(B) NO
EFFECT
ON
COMPUTATION
OF 
CONVERSION FACTOR FOR REMAINING PORTION 
OF 2012 AND SUBSEQUENT YEARS.—The con-
version factor under this subsection shall be 
computed under paragraph (1)(A) for the pe-
riod beginning on March 1, 2012, and ending 
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on December 31, 2012, and for 2013 and sub-
sequent years as if subparagraph (A) had never 
applied.’’. 
SEC. 302. 2-MONTH EXTENSION OF MMA SECTION 508 RE-
CLASSIFICATIONS. 
(a) IN GENERAL.—Section 106(a) of division B of 
the Tax Relief and Health Care Act of 2006 (42 U.S.C. 
1395 note), as amended by section 117 of the Medicare, 
Medicaid, and SCHIP Extension Act of 2007 (Public Law 
110–173), section 124 of the Medicare Improvements for 
Patients and Providers Act of 2008 (Public Law 110– 
275), sections 3137(a) and 10317 of the Patient Protec-
tion and Affordable Care Act (Public Law 111–148), and 
section 102(a) of the Medicare and Medicaid Extenders 
Act of 2010 (Public Law 111–309), is amended by strik-
ing ‘‘September 30, 2011’’ and inserting ‘‘November 30, 
2011’’. 
(b) SPECIAL RULE FOR OCTOBER AND NOVEMBER 
2011.— 
(1) IN GENERAL.—Subject to paragraph (2), 
for purposes of implementation of the amendment 
made by subsection (a), including for purposes of 
the implementation of paragraph (2) of section 
117(a) of the Medicare, Medicaid, and SCHIP Ex-
tension Act of 2007 (Public Law 110–173), for the 
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period beginning on October 1, 2011, and ending on 
November 30, 2011, the Secretary of Health and 
Human Services shall use the hospital wage index 
that was promulgated by the Secretary of Health 
and Human Services in the Federal Register on Au-
gust 18, 2011 (76 Fed. Reg. 51476), and any subse-
quent corrections. 
(2) EXCEPTION.—In determining the wage 
index applicable to hospitals that qualify for wage 
index reclassification, the Secretary shall, for the pe-
riod beginning on October 1, 2011, and ending on 
November 30, 2011, include the average hourly wage 
data of hospitals whose reclassification was extended 
pursuant to the amendment made by subsection (a) 
only if including such data results in a higher appli-
cable reclassified wage index. Any revision to hos-
pital wage indexes made as a result of this para-
graph shall not be effected in a budget neutral man-
ner. 
(c) TIMEFRAME
FOR PAYMENTS.—The Secretary 
shall make payments required under subsections (a) and 
(b) by not later than December 31, 2012. 
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SEC. 303. EXTENSION OF MEDICARE WORK GEOGRAPHIC 
ADJUSTMENT FLOOR. 
Section 1848(e)(1)(E) of the Social Security Act (42 
U.S.C. 1395w–4(e)(1)(E)) is amended by striking ‘‘before 
January 1, 2012’’ and inserting ‘‘before March 1, 2012’’. 
SEC. 304. EXTENSION OF EXCEPTIONS PROCESS FOR MEDI-
CARE THERAPY CAPS. 
Section 1833(g)(5) of the Social Security Act (42 
U.S.C. 1395l(g)(5)) is amended by striking ‘‘December 
31, 2011’’ and inserting ‘‘February 29, 2012’’. 
SEC. 305. EXTENSION OF PAYMENT FOR TECHNICAL COM-
PONENT OF CERTAIN PHYSICIAN PATHOL-
OGY SERVICES. 
Section 542(c) of the Medicare, Medicaid, and 
SCHIP Benefits Improvement and Protection Act of 2000 
(as enacted into law by section 1(a)(6) of Public Law 106– 
554), as amended by section 732 of the Medicare Prescrip-
tion Drug, Improvement, and Modernization Act of 2003 
(42 U.S.C. 1395w–4 note), section 104 of division B of 
the Tax Relief and Health Care Act of 2006 (42 U.S.C. 
1395w–4 note), section 104 of the Medicare, Medicaid, 
and SCHIP Extension Act of 2007 (Public Law 110– 
173), section 136 of the Medicare Improvements for Pa-
tients and Providers Act of 2008 (Public Law 110–275), 
section 3104 of the Patient Protection and Affordable 
Care Act (Public Law 111–148), and section 105 of the 
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Medicare and Medicaid Extenders Act of 2010 (Public 
Law 111–309), is amended by striking ‘‘and 2011’’ and 
inserting ‘‘2011, and the first two months of 2012’’. 
SEC. 306. EXTENSION OF AMBULANCE ADD-ONS. 
(a) GROUND AMBULANCE.—Section 1834(l)(13)(A) 
of the Social Security Act (42 U.S.C. 1395m(l)(13)(A)) 
is amended— 
(1) in the matter preceding clause (i), by strik-
ing ‘‘January 1, 2012’’ and inserting ‘‘March 1, 
2012’’; and 
(2) in each of clauses (i) and (ii), by striking 
‘‘January 1, 2012’’ and inserting ‘‘March 1, 2012’’ 
each place it appears. 
(b) AIR AMBULANCE.—Section 146(b)(1) of the 
Medicare Improvements for Patients and Providers Act of 
2008 (Public Law 110–275), as amended by sections 
3105(b) and 10311(b) of Public Law 111–148 and section 
106(b) of the Medicare and Medicaid Extenders Act of 
2010 (Public Law 111–309), is amended by striking ‘‘De-
cember 31, 2011’’ and inserting ‘‘February 29, 2012’’. 
(c) 
SUPER
RURAL
AMBULANCE.—Section 
1834(l)(12)(A) of the Social Security Act (42 U.S.C. 
1395m(l)(12)(A)) is amended by striking ‘‘January 1, 
2012’’ and inserting ‘‘March 1, 2012’’. 
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SEC. 307. EXTENSION OF PHYSICIAN FEE SCHEDULE MEN-
TAL HEALTH ADD-ON PAYMENT. 
Section 138(a)(1) of the Medicare Improvements for 
Patients and Providers Act of 2008 (Public Law 110– 
275), as amended by section 3107 of the Patient Protec-
tion and Affordable Care Act (Public Law 111–148) and 
section 107 of the Medicare and Medicaid Extenders Act 
of 2010 (Public Law 111–309), is amended by striking 
‘‘December 31, 2011’’ and inserting ‘‘February 29, 
2012’’. 
SEC. 308. EXTENSION OF OUTPATIENT HOLD HARMLESS 
PROVISION. 
Section 1833(t)(7)(D)(i) of the Social Security Act 
(42 U.S.C. 1395l(t)(7)(D)(i)), as amended by section 
3121(a) of the Patient Protection and Affordable Care Act 
(Public Law 111–148) and section 108 of the Medicare 
and Medicaid Extenders Act of 2010 (Public Law 111– 
309), is amended— 
(1) in subclause (II)— 
(A) in the first sentence, by striking ‘‘Jan-
uary 1, 2012’’ and inserting ‘‘March 1, 2012’’; 
and 
(B) in the second sentence, by striking ‘‘or 
2011’’ and inserting ‘‘2011, or the first two 
months of 2012’’; and 
(2) in subclause (III)— 
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(A) in the first sentence, by striking 
‘‘2009, and’’ and all that follows through ‘‘for 
which’’ and inserting ‘‘2009, and before March 
1, 2012, for which’’; and 
(B) in the second sentence, by striking 
‘‘2010, and’’ and all that follows through ‘‘the 
preceding’’ and inserting ‘‘2010, and before 
March 1, 2012, the preceding’’. 
SEC. 309. EXTENDING MINIMUM PAYMENT FOR BONE MASS 
MEASUREMENT. 
Section 1848 of the Social Security Act (42 U.S.C. 
1395w–4) is amended— 
(1) in subsection (b)— 
(A) in paragraph (4)(B), by striking ‘‘and 
2011’’ and inserting ‘‘, 2011, and the first 2 
months of 2012’’; and 
(B) in paragraph (6)— 
(i) in the matter preceding subpara-
graph (A), by striking ‘‘and 2011’’ and in-
serting ‘‘, 2011, and the first 2 months of 
2012’’; and 
(ii) in subparagraph (C), by striking 
‘‘and 2011’’ and inserting ‘‘, 2011, and the 
first 2 months of 2012’’; and 
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(2) in subsection (c)(2)(B)(iv)(IV), by striking 
‘‘or 2011’’ and inserting ‘‘, 2011, or the first 2 
months of 2012’’. 
SEC. 310. EXTENSION OF THE 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 
‘‘February 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 ‘‘; and’’; and 
(C) by adding at the end the following new 
subparagraphs: 
‘‘(Q) for the period that begins on January 
1, 2012, and ends on February 29, 2012, the 
total allocation amount is $150,000,000.’’. 
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SEC. 311. EXTENSION OF TRANSITIONAL MEDICAL ASSIST-
ANCE (TMA). 
Sections 1902(e)(1)(B) and 1925(f) of the Social Se-
curity Act (42 U.S.C. 1396a(e)(1)(B), 1396r–6(f)) are 
each amended by striking ‘‘December 31, 2011’’ and in-
serting ‘‘February 29, 2012’’. 
SEC. 312. EXTENSION OF THE TEMPORARY ASSISTANCE 
FOR NEEDY FAMILIES PROGRAM. 
Activities authorized by part A of title IV and section 
1108(b) of the Social Security Act (other than under sub-
sections (a)(3) and (b) of section 403 of such Act) shall 
continue through February 29, 2012, in the manner au-
thorized for fiscal year 2011, and out of any money in 
the Treasury of the United States not otherwise appro-
priated, there are hereby appropriated such sums as may 
be necessary for such purpose. Grants and payments may 
be made pursuant to this authority through the applicable 
portion of the second quarter of fiscal year 2012 at the 
pro rata portion of the level provided for such activities 
through the second quarter of fiscal year 2011. 
TITLE IV—MORTGAGE FEES AND 
PREMIUMS 
SEC. 401. GUARANTEE FEES. 
Subpart A of part 2 of subtitle A of title XIII of the 
Housing and Community Development Act of 1992 is 
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amended by adding after section 1326 (12 U.S.C. 4546) 
the following new section: 
‘‘SEC. 1327. ENTERPRISE GUARANTEE FEES. 
‘‘(a) DEFINITIONS.—For purposes of this section, the 
following definitions shall apply: 
‘‘(1) GUARANTEE FEE.—The term ‘guarantee 
fee’— 
‘‘(A) means a fee described in subsection 
(b); and 
‘‘(B) includes— 
‘‘(i) the guaranty fee charged by the 
Federal National Mortgage Association 
with respect to mortgage-backed securities; 
and 
‘‘(ii) the management and guarantee 
fee charged by the Federal Home Loan 
Mortgage Corporation with respect to par-
ticipation certificates. 
‘‘(2) AVERAGE FEES.—The term ‘average fees’ 
means the average contractual fee rate of single- 
family guaranty arrangements by an enterprise en-
tered into during 2011, plus the recognition of any 
up-front cash payments over an estimated average 
life, expressed in terms of basis points. Such defini-
tion shall be interpreted in a manner consistent with 
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