HR 4691 PCS 
mination that was a qualifying event 
prior to the date of enactment of the 
Department of Defense Appropria-
tions Act, 2010; and’’. 
(3) CLARIFICATION
OF
PERIOD
OF
ASSIST-
ANCE.—Subsection (a)(2)(A)(ii)(I) of such section is 
amended by striking ‘‘of the first month’’. 
(4) ENFORCEMENT.—Subsection (a)(5) of such 
section is amended by adding at the end the fol-
lowing: ‘‘In addition to civil actions that may be 
brought to enforce applicable provisions of such Act 
or other laws, the appropriate Secretary or an af-
fected individual may bring a civil action to enforce 
such determinations and for appropriate relief. In 
addition, such Secretary may assess a penalty 
against a plan sponsor or health insurance issuer of 
not more than $110 per day for each failure to com-
ply with such determination of such Secretary after 
10 days after the date of the plan sponsor’s or 
issuer’s receipt of the determination.’’. 
(5) AMENDMENTS RELATING TO SECTION 3001 
OF ARRA.— 
(A) Subsection (g)(9) of section 35 of the 
Internal Revenue Code of 1986 is amended by 
striking ‘‘section 3002(a) of the Health Insur-
VerDate Nov 24 2008 
22:34 Mar 01, 2010
Jkt 089200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6201
E:\BILLS\H4691.PCS
H4691
jlentini on DSKJ8SOYB1PROD with BILLS
HR 4691 PCS 
ance Assistance for the Unemployed Act of 
2009’’ and inserting ‘‘section 3001(a) of title 
III of division B of the American Recovery and 
Reinvestment Act of 2009’’. 
(B) Section 139C of such Code is amended 
by striking ‘‘section 3002 of the Health Insur-
ance Assistance for the Unemployed Act of 
2009’’ and inserting ‘‘section 3001 of title III 
of division B of the American Recovery and Re-
investment Act of 2009’’. 
(C) Section 6432 of such Code is amend-
ed— 
(i) in subsection (a), by striking ‘‘sec-
tion 3002(a) of the Health Insurance As-
sistance for the Unemployed Act of 2009’’ 
and inserting ‘‘section 3001(a) of title III 
of division B of the American Recovery 
and Reinvestment Act of 2009’’; 
(ii) in subsection (c)(3), by striking 
‘‘section 3002(a)(1)(A) of such Act’’ and 
inserting ‘‘section 3001(a)(1)(A) of title 
III of division B of the American Recovery 
and Reinvestment Act of 2009’’; and 
(iii) by redesignating subsections (e) 
and (f) as subsections (f) and (g), respec-
VerDate Nov 24 2008 
22:34 Mar 01, 2010
Jkt 089200
PO 00000
Frm 00009
Fmt 6652
Sfmt 6201
E:\BILLS\H4691.PCS
H4691
jlentini on DSKJ8SOYB1PROD with BILLS
HR 4691 PCS 
tively, and inserting after subsection (d) 
the following new subsection: 
‘‘(e) EMPLOYER DETERMINATION OF QUALIFYING 
EVENT AS INVOLUNTARY TERMINATION.—For purposes 
of this section, in any case in which— 
‘‘(1) based on a reasonable interpretation of 
section 3001(a)(3)(C) of division B of the American 
Recovery and Reinvestment Act of 2009 and admin-
istrative guidance thereunder, an employer deter-
mines that the qualifying event with respect to 
COBRA continuation coverage for an individual was 
involuntary termination of a covered employee’s em-
ployment, and 
‘‘(2) the employer maintains supporting docu-
mentation of the determination, including an attes-
tation by the employer of involuntary termination 
with respect to the covered employee, 
the qualifying event for the individual shall be deemed to 
be involuntary termination of the covered employee’s em-
ployment.’’. 
(D) Subsection (a) of section 6720C of 
such Code is amended by striking ‘‘section 
3002(a)(2)(C) of the Health Insurance Assist-
ance for the Unemployed Act of 2009’’ and in-
serting ‘‘section 3001(a)(2)(C) of title III of di-
VerDate Nov 24 2008 
22:34 Mar 01, 2010
Jkt 089200
PO 00000
Frm 00010
Fmt 6652
Sfmt 6201
E:\BILLS\H4691.PCS
H4691
jlentini on DSKJ8SOYB1PROD with BILLS
HR 4691 PCS 
vision B of the American Recovery and Rein-
vestment Act of 2009’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall take effect as if included in the provisions 
of section 3001 of division B of the American Recovery 
and Reinvestment Act of 2009 to which they relate, except 
that— 
(1) the amendments made by subsection (b)(1) 
shall apply to periods of coverage beginning after the 
date of the enactment of this Act; 
(2) the amendments made by subsection (b)(2) 
shall take effect as if included in the amendments 
made by section 1010 of division B of the Depart-
ment of Defense Appropriations Act, 2010; and 
(3) the amendments made by subsections (b)(3) 
and (b)(4) shall take effect on the date of the enact-
ment of this Act. 
SEC. 4. EXTENSION OF SURFACE TRANSPORTATION PRO-
GRAMS. 
(a) IN GENERAL.—Except as provided in subsection 
(b), for purposes of the continued extension of surface 
transportation programs and related authority to make ex-
penditures from the Highway Trust Fund and other trust 
funds under sections 157 through 162 of the Continuing 
Appropriations Resolution, 2010 (Public Law 111–68; 
VerDate Nov 24 2008 
22:34 Mar 01, 2010
Jkt 089200
PO 00000
Frm 00011
Fmt 6652
Sfmt 6201
E:\BILLS\H4691.PCS
H4691
jlentini on DSKJ8SOYB1PROD with BILLS
HR 4691 PCS 
123 Stat. 2050), the date specified in section 106(3) of 
that resolution (Public Law 111–68; 123 Stat. 2045) shall 
be deemed to be March 28, 2010. 
(b) EXCEPTION.—Subsection (a) shall not apply if an 
extension of the programs and authorities described in 
that subsection for a longer term than the extension con-
tained in the Continuing Appropriations Resolution, 2010 
(Public Law 111–68; 123 Stat. 2050), is enacted before 
the date of enactment of this Act. 
SEC. 5. INCREASE IN THE MEDICARE PHYSICIAN PAYMENT 
UPDATE. 
Paragraph (10) of section 1848(d) of the Social Secu-
rity Act, as added by section 1011(a) of the Department 
of Defense Appropriations Act, 2010 (Public Law 111– 
118), is amended— 
(1) in subparagraph (A), by striking ‘‘February 
28, 2010’’ and inserting ‘‘March 31, 2010’’; and 
(2) in subparagraph (B), by striking ‘‘March 1, 
2010’’ and inserting ‘‘April 1, 2010’’. 
SEC. 6. EXTENSION OF MEDICARE THERAPY CAPS EXCEP-
TIONS PROCESS. 
Section 1833(g)(5) of the Social Security Act (42 
U.S.C. 1395l(g)(5)) is amended by striking ‘‘December 
31, 2009’’ and inserting ‘‘March 31, 2010’’. 
VerDate Nov 24 2008 
22:34 Mar 01, 2010
Jkt 089200
PO 00000
Frm 00012
Fmt 6652
Sfmt 6201
E:\BILLS\H4691.PCS
H4691
jlentini on DSKJ8SOYB1PROD with BILLS
HR 4691 PCS 
SEC. 7. EXTENSION OF USE OF 2009 POVERTY GUIDELINES. 
Section 1012 of the Department of Defense Appro-
priations Act, 2010 (Public Law 111–118) is amended by 
striking ‘‘March 1, 2010’’ and inserting ‘‘March 31, 
2010’’. 
SEC. 8. EXTENSION OF NATIONAL FLOOD INSURANCE PRO-
GRAM. 
Section 129 of the Continuing Appropriations Reso-
lution, 2010 (Public Law 111–68), as amended by section 
1005 of Public Law 111–118, is further amended by strik-
ing ‘‘by substituting’’ and all that follows through the pe-
riod at the end, and inserting ‘‘by substituting March 28, 
2010, for the date specified in each such section.’’. 
SEC. 9. EXTENSION OF SMALL BUSINESS LOAN GUARANTEE 
PROGRAM. 
(a) IN GENERAL.—Section 502(f) of division A of the 
American Recovery and Reinvestment Act of 2009 (Public 
Law 111–5; 123 Stat. 153) is amended by striking ‘‘Feb-
ruary 28, 2010’’ and inserting ‘‘March 28, 2010’’. 
(b) APPROPRIATION.—There is appropriated, out of 
any funds in the Treasury not otherwise appropriated, for 
an additional amount for ‘‘Small Business Administration 
– Business Loans Program Account’’, $60,000,000, to re-
main available through March 28, 2010, for the cost of— 
(1) fee reductions and eliminations under sec-
tion 501 of division A of the American Recovery and 
VerDate Nov 24 2008 
22:34 Mar 01, 2010
Jkt 089200
PO 00000
Frm 00013
Fmt 6652
Sfmt 6201
E:\BILLS\H4691.PCS
H4691
jlentini on DSKJ8SOYB1PROD with BILLS
HR 4691 PCS 
Reinvestment Act of 2009 (Public Law 111–5; 123 
Stat. 151) for loans guaranteed under section 7(a) 
of the Small Business Act (15 U.S.C. 636(a)), title 
V of the Small Business Investment Act of 1958 (15 
U.S.C. 695 et seq.), or section 502 of division A of 
the American Recovery and Reinvestment Act of 
2009 (Public Law 111–5; 123 Stat. 152), as amend-
ed by this section; and 
(2) loan guarantees under section 502 of divi-
sion A of the American Recovery and Reinvestment 
Act of 2009 (Public Law 111–5; 123 Stat. 152), as 
amended by this section, 
Provided, That such costs, including the cost of modifying 
such loans, shall be as defined in section 502 of the Con-
gressional Budget Act of 1974. 
SEC. 10. SATELLITE TELEVISION EXTENSION. 
(a) AMENDMENTS TO SECTION 119 OF TITLE 17, 
UNITED STATES CODE.— 
(1) IN
GENERAL.—Section 119 of title 17, 
United States Code, is amended— 
(A) in subsection (c)(1)(E), by striking 
‘‘February 28, 2010’’ and inserting ‘‘March 28, 
2010’’; and 
VerDate Nov 24 2008 
22:34 Mar 01, 2010
Jkt 089200
PO 00000
Frm 00014
Fmt 6652
Sfmt 6201
E:\BILLS\H4691.PCS
H4691
jlentini on DSKJ8SOYB1PROD with BILLS
HR 4691 PCS 
(B) in subsection (e), by striking ‘‘Feb-
ruary 28, 2010’’ and inserting ‘‘March 28, 
2010’’. 
(2) 
TERMINATION
OF
LICENSE.—Section 
1003(a)(2)(A) of Public Law 111–118 is amended 
by striking ‘‘February 28, 2010’’, and inserting 
‘‘March 28, 2010’’. 
(b) AMENDMENTS
TO COMMUNICATIONS ACT
OF 
1934.—Section 325(b) of the Communications Act of 
1934 (47 U.S.C. 325(b)) is amended— 
(1) in paragraph (2)(C), by striking ‘‘February 
28, 2010’’ and inserting ‘‘March 28, 2010’’; and 
(2) in paragraph (3)(C), by striking ‘‘March 1, 
2010’’ each place it appears in clauses (ii) and (iii) 
and inserting ‘‘March 29, 2010’’. 
SEC. 11. DETERMINATION OF BUDGETARY EFFECTS. 
(a) IN GENERAL.—The budgetary effects of this Act, 
for the purpose of complying with the Statutory Pay-As- 
You-Go-Act of 2010, shall be determined by reference to 
the latest statement titled ‘‘Budgetary Effects of PAYGO 
Legislation’’ for this Act, submitted for printing in the 
Congressional Record by the Chairman of the Committee 
on the Budget of the House of Representatives, provided 
that such statement has been submitted prior to the vote 
on passage. 
VerDate Nov 24 2008 
22:34 Mar 01, 2010
Jkt 089200
PO 00000
Frm 00015
Fmt 6652
Sfmt 6201
E:\BILLS\H4691.PCS
H4691
jlentini on DSKJ8SOYB1PROD with BILLS
HR 4691 PCS 
(b) EMERGENCY DESIGNATION FOR CONGRESSIONAL 
ENFORCEMENT.—This Act, with the exception of section 
5, is designated as an emergency for purposes of pay-as- 
you-go principles. In the Senate, this Act is designated 
as an emergency requirement pursuant to section 403(a) 
of S. Con. Res. 13 (111th Congress), the concurrent reso-
lution on the budget for fiscal year 2010. 
(c) EMERGENCY
DESIGNATION
FOR
STATUTORY 
PAYGO.—This Act, with the exception of section 5, is 
designated as an emergency requirement pursuant to sec-
tion 4(g) of the Statutory Pay-As-You-Go Act of 2010 
(Public Law 111–139; 2 U.S.C. 933(g)). 
Passed the House of Representatives February 25, 
2010. 
Attest: 
LORRAINE C. MILLER, 
Clerk. 
VerDate Nov 24 2008 
22:34 Mar 01, 2010
Jkt 089200
PO 00000
Frm 00016
Fmt 6652
Sfmt 6201
E:\BILLS\H4691.PCS
H4691
jlentini on DSKJ8SOYB1PROD with BILLS
VerDate Nov 24 2008 
22:34 Mar 01, 2010
Jkt 089200
PO 00000
Frm 00017
Fmt 6652
Sfmt 6201
E:\BILLS\H4691.PCS
H4691
jlentini on DSKJ8SOYB1PROD with BILLS
Calendar No. 278 
111TH CONGRESS 
2D SESSION 
H. R. 4691 
AN ACT 
To provide a temporary extension of certain 
programs, and for other purposes. 
MARCH 1, 2010 
Read the second time and placed on the calendar 
VerDate Nov 24 2008 
22:34 Mar 01, 2010
Jkt 089200
PO 00000
Frm 00018
Fmt 6651
Sfmt 6651
E:\BILLS\H4691.PCS
H4691
jlentini on DSKJ8SOYB1PROD with BILLS