H. R. 3326—65 
relating to COBRA continuation coverage on or after 
such date, the administrator of the group health plan 
(or other entity) involved shall provide an additional 
notification with information regarding the amend-
ments made by section 1010 of the Department of 
Defense Appropriations Act, 2010, within 60 days after 
the date of the enactment of such Act or, in the case 
of a qualifying event occurring after such date of enact-
ment, consistent with the timing of notifications under 
paragraph (7)(A). 
‘‘(ii) TO
INDIVIDUALS
WHO
LOST
ASSISTANCE.—In 
the case of an assistance eligible individual described 
in subparagraph (A)(i) who did not timely pay the 
premium for any period of coverage during such 
individual’s transition period or paid the premium for 
such period without regard to paragraph (1)(A), the 
administrator of the group health plan (or other entity) 
involved shall provide to such individual, within the 
first 60 days of such individual’s transition period, 
an additional notification with information regarding 
the amendments made by section 1010 of the Depart-
ment of Defense Appropriations Act, 2010, including 
information on the ability under subparagraph (A) to 
make retroactive premium payments with respect to 
the transition period of the individual in order to main-
tain COBRA continuation coverage. 
‘‘(iii) APPLICATION OF RULES.—Rules similar to the 
rules of paragraph (7) shall apply with respect to 
notifications under this subparagraph.’’. 
(d) CLARIFICATION THAT ELIGIBILITY
AND NOTICE IS BASED 
ON TIMING OF QUALIFYING EVENT.—Subsection (a) of such section 
is amended— 
(1) in paragraph (3)(A)— 
(A) by striking ‘‘at any time’’ and inserting ‘‘such quali-
fied beneficiary is eligible for COBRA continuation coverage 
related to a qualifying event occurring’’; and 
(B) by striking ‘‘, such qualified beneficiary is eligible 
for COBRA continuation coverage’’; and 
(2) in paragraph (7)(A), by striking ‘‘become entitled to 
elect COBRA continuation coverage’’ and inserting ‘‘have a 
qualifying event relating to COBRA continuation coverage’’. 
(e) EFFECTIVE DATE.—The amendments made by this section 
shall take effect as if included in the provisions of section 3001 
of division B of the American Recovery and Reinvestment Act 
of 2009 to which they relate. 
(f) EMERGENCY DESIGNATIONS.— 
(1) IN GENERAL.—Amounts in this section are designated 
as emergency requirements and necessary to meet emergency 
needs pursuant to sections 403 and 423(b) of S. Con. Res. 
13 (111th Congress), the concurrent resolution on the budget 
for fiscal year 2010. 
(2) PAYGO.—All applicable provisions in this section are 
designated as an emergency for purposes of pay-as-you-go prin-
ciples. 
SEC. 1011. (a) IN GENERAL.—Section 1848(d) of the Social Secu-
rity Act (42 U.S.C. 1395w–4(d)) is amended by adding at the end 
the following new paragraph:
H. R. 3326—66 
‘‘(10) UPDATE FOR PORTION OF 2010.— 
‘‘(A) IN GENERAL.—Subject to paragraphs (7)(B), (8)(B), 
and (9)(B), in lieu of the update to the single conversion 
factor established in paragraph (1)(C) that would otherwise 
apply for 2010 for the period beginning on January 1, 
2010, and ending on February 28, 2010, the update to 
the single conversion factor shall be 0 percent for 2010. 
‘‘(B) NO
EFFECT
ON
COMPUTATION
OF
CONVERSION 
FACTOR FOR REMAINING PORTION OF 2010 AND SUBSEQUENT 
YEARS.—The conversion factor under this subsection shall 
be computed under paragraph (1)(A) for the period begin-
ning on March 1, 2010, and ending on December 31, 2010, 
and for 2011 and subsequent years as if subparagraph 
(A) had never applied.’’. 
(b) FUNDING FROM MEDICARE IMPROVEMENT FUND.—Section 
1898(b)(1) of such Act (42 U.S.C. 1395iii(b)(1)) is amended— 
(1) in subparagraph (A)— 
(A) 
by 
striking 
‘‘$22,290,000,000’’ 
and 
inserting 
‘‘$20,740,000,000’’; and 
(B) by striking ‘‘and’’ at the end; 
(2) by redesignating subparagraph (B) as subparagraph 
(C); and 
(3) by inserting after subparagraph (A) the following new 
subparagraph: 
‘‘(B) fiscal year 2015, $550,000,000; and’’. 
SEC. 1012. Notwithstanding any other provision of law, the 
Secretary of Health and Human Services shall not publish updated 
poverty guidelines for 2010 under section 673(2) of the Omnibus 
Budget Reconciliation Act of 1981 (42 U.S.C. 9902(2)) before March 
1, 2010, and the poverty guidelines published under such section 
on January 23, 2009, shall remain in effect until updated poverty 
guidelines are published. 
SEC. 1013. From the ‘‘National Telecommunications and 
Information Administration—Digital-to-Analog Converter Box Pro-
gram’’ in the Department of Commerce, $128,000,000 is hereby 
rescinded. 
SEC. 1014. The explanatory statement regarding this Act 
printed in the House of Representatives section of the Congressional 
Record on or about December 16, 2010, by the Chairman of the 
Subcommittee on Defense of the Committee on Appropriations of 
the House of Representatives shall have the same effect with respect
H. R. 3326—67 
to the allocation of funds and implementation of this Act as if 
it were a joint explanatory statement of a committee of conference. 
Speaker of the House of Representatives. 
Vice President of the United States and
President of the Senate.