<?xml version="1.0"?>
<?xml-stylesheet type="text/xsl" href="billres.xsl"?>
<!DOCTYPE bill PUBLIC "-//US Congress//DTDs/bill.dtd//EN" "bill.dtd">
<bill bill-stage="Placed-on-Calendar-Senate" public-private="public">
	<form>
		<distribution-code display="yes">II</distribution-code>
		<calendar>Calendar No. 333</calendar>
		<congress>111th CONGRESS</congress>
		<session>2d Session</session>
		<legis-num>S. 3153</legis-num>
		<current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber>
		<action>
			<action-date date="20100323" legis-day="20100319">March 23 (legislative
			 day, March 19), 2010</action-date>
			<action-desc><sponsor name-id="S153">Mr. Grassley</sponsor> introduced
			 the following bill; which was read the first time</action-desc>
		</action>
		<action>
			<action-date>March 23, 2010</action-date>
			<action-desc>Read the second time and placed on the
			 calendar</action-desc>
		</action>
		<legis-type>A BILL</legis-type>
		<official-title display="yes">To provide a fully offset temporary
		  extension of certain programs so as not to increase the deficit, and for other
		  purposes. </official-title>
	</form>
	<legis-body style="OLC">
		<section commented="no" display-inline="no-display-inline" id="H45591F3644E545D59EDB2235A130B85C" section-type="section-one"><enum>1.</enum><header display-inline="yes-display-inline">Short title</header><text display-inline="no-display-inline">This Act may be cited as the
			 <quote><short-title>Continuing Extension Act of
			 2010</short-title></quote>.</text>
		</section><section commented="no" display-inline="no-display-inline" id="H8F3FB0630A274513BB003A6B93597710" section-type="subsequent-section"><enum>2.</enum><header display-inline="yes-display-inline">Extension of unemployment insurance
			 provisions</header>
			<subsection commented="no" display-inline="no-display-inline" id="H793A0F14CA184423B1491FDE3442032B"><enum>(a)</enum><header display-inline="yes-display-inline">In general</header><paragraph commented="no" display-inline="yes-display-inline" id="HE950604A5D4C4532A2EF49D4BEA40E05"><enum>(1)</enum><text display-inline="yes-display-inline">Section 4007 of the Supplemental
			 Appropriations Act, 2008 (Public Law 110–252; 26 U.S.C. 3304 note) is
			 amended—</text>
					<subparagraph commented="no" display-inline="no-display-inline" id="HD5020DD9CA7A4856A769B69F618709D2" indent="up1"><enum>(A)</enum><text display-inline="yes-display-inline">by striking <quote>April 5, 2010</quote>
			 each place it appears and inserting <quote>May 5, 2010</quote>;</text>
					</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H81FED878A17043EB9DE0147BE5E26793" indent="up1"><enum>(B)</enum><text display-inline="yes-display-inline">in the heading for subsection (b)(2), by
			 striking <quote><header-in-text level="paragraph" style="OLC">april 5,
			 2010</header-in-text></quote> and inserting <quote><header-in-text level="paragraph" style="OLC">may 5, 2010</header-in-text></quote>; and</text>
					</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HDD4D0884A83D49EFB85BDE2F853F863B" indent="up1"><enum>(C)</enum><text display-inline="yes-display-inline">in subsection (b)(3), by striking
			 <quote>September 4, 2010</quote> and inserting <quote>October 2,
			 2010</quote>.</text>
					</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="HB27B57DC0B5846DBB9656036A39AF2F4" indent="up1"><enum>(2)</enum><text display-inline="yes-display-inline">Section 2002(e) of the Assistance for
			 Unemployed Workers and Struggling Families Act, as contained in Public Law
			 111–5 (26 U.S.C. 3304 note; 123 Stat. 438), is amended—</text>
					<subparagraph commented="no" display-inline="no-display-inline" id="HCEE0F8B040484F1FA7EB110B23BC1C77"><enum>(A)</enum><text display-inline="yes-display-inline">in paragraph (1)(B), by striking
			 <quote>April 5, 2010</quote> and inserting <quote>May 5, 2010</quote>;</text>
					</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H6609534C887D4E8A8A149C92EC0B748F"><enum>(B)</enum><text display-inline="yes-display-inline">in the heading for paragraph (2), by
			 striking <quote><header-in-text level="paragraph" style="OLC">april 5,
			 2010</header-in-text></quote> and inserting <quote><header-in-text level="paragraph" style="OLC">may 5, 2010</header-in-text></quote>; and</text>
					</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H930727DFE60D491C9D4681D8F0457A45"><enum>(C)</enum><text display-inline="yes-display-inline">in paragraph (3), by striking
			 <quote>October 5, 2010</quote> and inserting <quote>November 5,
			 2010</quote>.</text>
					</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="H7F0DB063F9494FAFA6AFBB4C041A0AF1" indent="up1"><enum>(3)</enum><text display-inline="yes-display-inline">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—</text>
					<subparagraph commented="no" display-inline="no-display-inline" id="H54D599ED77B1407C886CD4D1D3433F5F"><enum>(A)</enum><text display-inline="yes-display-inline">by striking <quote>April 5, 2010</quote>
			 each place it appears and inserting <quote>May 5, 2010</quote>; and</text>
					</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HF2FFAD446DF64B2A9E709826B33790B3"><enum>(B)</enum><text display-inline="yes-display-inline">in subsection (c), by striking
			 <quote>September 4, 2010</quote> and inserting <quote>October 2,
			 2010</quote>.</text>
					</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="HF215EE4C690447B6BBA77CAF66E09013" indent="up1"><enum>(4)</enum><text display-inline="yes-display-inline">Section 5 of the Unemployment Compensation
			 Extension Act of 2008 (Public Law 110–449; 26 U.S.C. 3304 note) is amended by
			 striking <quote>September 4, 2010</quote> and inserting <quote>October 2,
			 2010</quote>.</text>
				</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="HA47B1A5D61D843CD8099C977E0E50235"><enum>(b)</enum><header display-inline="yes-display-inline">Funding</header><text display-inline="yes-display-inline">Section 4004(e)(1) of the Supplemental
			 Appropriations Act, 2008 (Public Law 110–252; 26 U.S.C. 3304 note) is
			 amended—</text>
				<paragraph commented="no" display-inline="no-display-inline" id="HE0AE43990B974D1E95D42041992C43C5"><enum>(1)</enum><text display-inline="yes-display-inline">in subparagraph (C), by striking
			 <quote>and</quote> at the end;</text>
				</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H56B515A4FF6F4C39B5CF4383925A107B"><enum>(2)</enum><text display-inline="yes-display-inline">by inserting after subparagraph (D) the
			 following new subparagraph:</text>
					<quoted-block display-inline="no-display-inline" id="H34F24095C3014E1C855D0E16E5615B80" style="OLC">
						<subparagraph commented="no" display-inline="no-display-inline" id="H8675B8AA84364813BE996A4D35FD7F6F"><enum>(E)</enum><text display-inline="yes-display-inline">the amendments made by section 2(a)(1) of
				the <short-title>Continuing Extension Act of
				2010</short-title>;
				and</text>
						</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
				</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="HE277C5CBFE634C24BB880AE8FBCC68CD"><enum>(c)</enum><header display-inline="yes-display-inline">Effective
			 date</header><text display-inline="yes-display-inline">The amendments made by
			 this section shall take effect as if included in the amendments made by section
			 2 of the Temporary Extension Act of 2010 (Public Law 111–144).</text>
			</subsection></section><section commented="no" display-inline="no-display-inline" id="H1BAD69DC03F14091BFB497B17689299E" section-type="subsequent-section"><enum>3.</enum><header display-inline="yes-display-inline">Extension and improvement of premium
			 assistance for COBRA benefits</header><text display-inline="no-display-inline">Subsection (a)(3)(A) of section 3001 of
			 division B of the American Recovery and Reinvestment Act of 2009 (Public Law
			 111–5), as amended by section 3(a) of the Temporary Extension Act of 2010
			 (Public Law 111–144), is amended by striking <quote>March 31, 2010</quote> and
			 inserting <quote>April 30, 2010</quote>.</text>
		</section><section commented="no" display-inline="no-display-inline" id="H14FF5B23B9784EFC98B61AC241D41381" section-type="subsequent-section"><enum>4.</enum><header display-inline="yes-display-inline">Increase in the Medicare physician payment
			 update</header><text display-inline="no-display-inline">Paragraph (10) of
			 section 1848(d) of the Social Security Act, as added by section 1011(a) of the
			 Department of Defense Appropriations Act, 2010 (Public Law 111–118) and as
			 amended by section 5 of the Temporary Extension Act of 2010 (Public Law
			 111–144), is amended—</text>
			<paragraph commented="no" display-inline="no-display-inline" id="HB5DC932CCE6D462D886C06512CAC335D"><enum>(1)</enum><text display-inline="yes-display-inline">in subparagraph (A), by striking
			 <quote>March 31, 2010</quote> and inserting <quote>April 30, 2010</quote>;
			 and</text>
			</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H130C2D35C73B4D9DB3E3DB479703E741"><enum>(2)</enum><text display-inline="yes-display-inline">in subparagraph (B), by striking
			 <quote>April 1, 2010</quote> and inserting <quote>May 1, 2010</quote>.</text>
			</paragraph></section><section commented="no" display-inline="no-display-inline" id="H0A594098A755445091BFD6DCF4BDECFC" section-type="subsequent-section"><enum>5.</enum><header display-inline="yes-display-inline">EHR clarification</header>
			<subsection commented="no" display-inline="no-display-inline" id="HBB2A01AE0D0E43B2BC3F4088C6C99C12"><enum>(a)</enum><header display-inline="yes-display-inline">Qualification for clinic-based
			 physicians</header>
				<paragraph commented="no" display-inline="no-display-inline" id="H230FB6DA99844CCABB31CBDF5C4ECA40"><enum>(1)</enum><header display-inline="yes-display-inline">Medicare</header><text display-inline="yes-display-inline">Section 1848(o)(1)(C)(ii) of the Social
			 Security Act (42 U.S.C. 1395w–4(o)(1)(C)(ii)) is amended by striking
			 <quote>setting (whether inpatient or outpatient)</quote> and inserting
			 <quote>inpatient or emergency room setting</quote>.</text>
				</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H70840EC1B34348BB826B431FFE9DDDE9"><enum>(2)</enum><header display-inline="yes-display-inline">Medicaid</header><text display-inline="yes-display-inline">Section 1903(t)(3)(D) of the Social
			 Security Act (42 U.S.C. 1396b(t)(3)(D)) is amended by striking <quote>setting
			 (whether inpatient or outpatient)</quote> and inserting <quote>inpatient or
			 emergency room setting</quote>.</text>
				</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="HBFBCDEDA748D4E32BDC5589F876593C8"><enum>(b)</enum><header display-inline="yes-display-inline">Effective
			 date</header><text display-inline="yes-display-inline">The amendments made by
			 subsection (a) shall be effective as if included in the enactment of the HITECH
			 Act (included in the American Recovery and Reinvestment Act of 2009 (Public Law
			 111–5)).</text>
			</subsection><subsection commented="no" display-inline="no-display-inline" id="HB0B870C38020471DB31E609BD3FF7A48"><enum>(c)</enum><header display-inline="yes-display-inline">Implementation</header><text display-inline="yes-display-inline">Notwithstanding any other provision of law,
			 the Secretary of Health and Human Services may implement the amendments made by
			 this section by program instruction or otherwise.</text>
			</subsection></section><section id="id2EEE392B6A5F4A66839F5F0EAF78C091"><enum>6.</enum><header>Elimination of a
			 sweetheart deal that increases Medicare reimbursement just for frontier
			 States</header><text display-inline="no-display-inline">Effective as if
			 included in the enactment of the Patient Protection and Affordable Care Act,
			 section 10324 of such Act (and the amendments made by such section) is
			 repealed.</text>
		</section><section commented="no" display-inline="no-display-inline" id="H6327AED7AF2241CAA0525C6F5F634EFE" section-type="subsequent-section"><enum>7.</enum><header display-inline="yes-display-inline">Extension of use of 2009 poverty
			 guidelines</header><text display-inline="no-display-inline">Section 1012 of the
			 Department of Defense Appropriations Act, 2010 (Public Law 111–118), as amended
			 by section 7 of the Temporary Extension Act of 2010 (Public Law 111–144), is
			 amended by striking <quote>March 31, 2010</quote> and inserting <quote>April
			 30, 2010</quote>.</text>
		</section><section commented="no" display-inline="no-display-inline" id="HD86DCE89BDD54F03ACFC23A1F157DBD0" section-type="subsequent-section"><enum>8.</enum><header display-inline="yes-display-inline">Extension of national flood insurance
			 program</header>
			<subsection commented="no" display-inline="no-display-inline" id="H513E1D94EB314BACB4340E7792FB4009"><enum>(a)</enum><header display-inline="yes-display-inline">Extension</header><text display-inline="yes-display-inline">Section 129 of the Continuing
			 Appropriations Resolution, 2010 (Public Law 111–68), as amended by section 8 of
			 Public Law 111–144, is amended by striking <quote>by substituting</quote> and
			 all that follows through the period at the end and inserting <quote>by
			 substituting April 30, 2010, for the date specified in each such
			 section.</quote>.</text>
			</subsection><subsection commented="no" display-inline="no-display-inline" id="HF5E409BDEA7B4EA899E704C7C41E3CF7"><enum>(b)</enum><header display-inline="yes-display-inline">Effective
			 date</header><text display-inline="yes-display-inline">The amendments made by
			 subsection (a) shall be considered to have taken effect on February 28,
			 2010.</text>
			</subsection></section><section commented="no" display-inline="no-display-inline" id="H6C2AB575F6584AC78CB301FBB2AA5D80" section-type="subsequent-section"><enum>9.</enum><header display-inline="yes-display-inline">Satellite Television Extension</header>
			<subsection commented="no" display-inline="no-display-inline" id="H1FD1BA9E07F949E0AEF571EB0AB2A09A"><enum>(a)</enum><header display-inline="yes-display-inline">Amendments to section 119 of title 17,
			 United States Code</header>
				<paragraph commented="no" display-inline="no-display-inline" id="HDA392A10FA2F48AEBE42F2801D8FBC17"><enum>(1)</enum><header display-inline="yes-display-inline">In general</header><text display-inline="yes-display-inline">Section 119 of title 17, United States
			 Code, is amended—</text>
					<subparagraph commented="no" display-inline="no-display-inline" id="HB60C9CA6A78E4F69950EEB164A6472EF"><enum>(A)</enum><text display-inline="yes-display-inline">in subsection (c)(1)(E), by striking
			 <quote>March 28, 2010</quote> and inserting <quote>April 30, 2010</quote>;
			 and</text>
					</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H0DB0AD5F47A0431BB730FF08AEF1DD76"><enum>(B)</enum><text display-inline="yes-display-inline">in subsection (e), by striking <quote>March
			 28, 2010</quote> and inserting <quote>April 30, 2010</quote>.</text>
					</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="HD9DC8EE4A99C4965AB46387FC71F3CB8"><enum>(2)</enum><header display-inline="yes-display-inline">Termination of license</header><text display-inline="yes-display-inline">Section 1003(a)(2)(A) of Public Law 111–118
			 is amended by striking <quote>March 28, 2010</quote>, and inserting
			 <quote>April 30, 2010</quote>.</text>
				</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="HC4A7AADDC5434EE595FD91F5727AA592"><enum>(b)</enum><header display-inline="yes-display-inline">Amendments to Communications Act of
			 1934</header><text display-inline="yes-display-inline">Section 325(b) of the
			 Communications Act of 1934 (47 U.S.C. 325(b)) is amended—</text>
				<paragraph commented="no" display-inline="no-display-inline" id="H07ABD1B0D81E4353ACD266754C7A0ADD"><enum>(1)</enum><text display-inline="yes-display-inline">in paragraph (2)(C), by striking
			 <quote>March 28, 2010</quote> and inserting <quote>April 30, 2010</quote>;
			 and</text>
				</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H3FA8C303BFF748D9ABFC5224481B5F82"><enum>(2)</enum><text display-inline="yes-display-inline">in paragraph (3)(C), by striking
			 <quote>March 29, 2010</quote> each place it appears in clauses (ii) and (iii)
			 and inserting <quote>May 1, 2010</quote>.</text>
				</paragraph></subsection></section><section commented="no" display-inline="no-display-inline" id="H0C5BA592B6B64C5389FCA697620B6678" section-type="subsequent-section"><enum>10.</enum><header display-inline="yes-display-inline">Compensation and ratification of authority
			 related to lapse in highway programs</header>
			<subsection commented="no" display-inline="no-display-inline" id="H0F345DBA4B41401B8E9DB467D30E5373"><enum>(a)</enum><header display-inline="yes-display-inline">Compensation for Federal
			 employees</header><text display-inline="yes-display-inline">Any Federal
			 employees furloughed as a result of the lapse in expenditure authority from the
			 Highway Trust Fund after 11:59 p.m. on February 28, 2010, through March 2,
			 2010, shall be compensated for the period of that lapse at their standard rates
			 of compensation, as determined under policies established by the Secretary of
			 Transportation.</text>
			</subsection><subsection commented="no" display-inline="no-display-inline" id="HC3F78FAAD0924384B1771CA3DE2641A5"><enum>(b)</enum><header display-inline="yes-display-inline">Ratification of essential
			 actions</header><text display-inline="yes-display-inline">All actions taken by
			 Federal employees, contractors, and grantees for the purposes of maintaining
			 the essential level of Government operations, services, and activities to
			 protect life and property and to bring about orderly termination of Government
			 functions during the lapse in expenditure authority from the Highway Trust Fund
			 after 11:59 p.m. on February 28, 2010, through March 2, 2010, are hereby
			 ratified and approved if otherwise in accord with the provisions of the
			 Continuing Appropriations Resolution, 2010 (division B of Public Law
			 111–68).</text>
			</subsection><subsection commented="no" display-inline="no-display-inline" id="H410A83B35679435DBDB5AFB67A54937F"><enum>(c)</enum><header display-inline="yes-display-inline">Funding</header><text display-inline="yes-display-inline">Funds used by the Secretary to compensate
			 employees described in subsection (a) shall be derived from funds previously
			 authorized out of the Highway Trust Fund and made available or limited to the
			 Department of Transportation by the Consolidated Appropriations Act, 2010
			 (Public Law 111–117) and shall be subject to the obligation limitations
			 established in such Act.</text>
			</subsection><subsection commented="no" display-inline="no-display-inline" id="H7CC8F8FE789146B5AF7A873BA38C38E3"><enum>(d)</enum><header display-inline="yes-display-inline">Expenditures from Highway Trust
			 Fund</header><text display-inline="yes-display-inline">To permit expenditures
			 from the Highway Trust Fund to effectuate the purposes of this section, this
			 section shall be deemed to be a section of the Continuing Appropriations
			 Resolution, 2010 (division B of Public Law 111–68), as in effect on the date of
			 the enactment of the last amendment to such Resolution.</text>
			</subsection></section><section id="idBDDE6B1C3EF54AA59FDCF0E5C0AF68BE"><enum>11.</enum><header>Use of stimulus
			 funds to offset spending</header><text display-inline="no-display-inline">The
			 unobligated balance of each amount appropriated or made available under the
			 American Recovery and Reinvestment Act of 2009 (Public Law 111–5) (other than
			 under title X of division A of such Act) is rescinded pro rata such that the
			 aggregate amount of such rescissions equals $9,200,000,000 in order to offset
			 the net increase in spending resulting from the provisions of, and amendments
			 made by, sections 2 through 10. The Director of the Office of Management and
			 Budget shall report to each congressional committee the amounts so rescinded
			 within the jurisdiction of such committee.</text>
		</section></legis-body>
	<endorsement>
		<action-date>March 23, 2010</action-date>
		<action-desc>Read the second time and placed on the
		  calendar</action-desc>
	</endorsement>
</bill>
