    [United States Statutes at Large, Volume 124, 111th Congress, 2nd Session]
    [From the U.S. Government Publishing Office, www.gpo.gov]

    Public Law 111-157
    111th Congress

    An Act

    To provide a temporary extension of certain programs, and for other
    purposes. <>

    Be it enacted by the Senate and House of Representatives of the
    United States of America in Congress assembled, <>
    SECTION 1. <> SHORT TITLE.

    This Act may be cited as the ``Continuing Extension Act of 2010''.
    SEC. 2. EXTENSION OF UNEMPLOYMENT INSURANCE PROVISIONS.

    (a) In General.--(1) Section 4007 of the Supplemental Appropriations
    Act, 2008 (Public Law 110-252; 26 U.S.C. 3304 note) is amended--
    (A) by striking ``April 5, 2010'' each place it appears and
    inserting ``June 2, 2010'';
    (B) in the heading for subsection (b)(2), by striking
    ``april 5, 2010'' and inserting ``june 2, 2010''; and
    (C) in subsection (b)(3), by striking ``September 4, 2010''
    and inserting ``November 6, 2010''.

    (2) 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--
    (A) in paragraph (1)(B), by striking ``April 5, 2010'' and
    inserting ``June 2, 2010'';
    (B) in the heading for paragraph (2), by striking ``april 5,
    2010'' and inserting ``june 2, 2010''; and
    (C) in paragraph (3), by striking ``October 5, 2010'' and
    inserting ``December 7, 2010''.

    (3) 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 ``April 5, 2010'' each place it appears and
    inserting ``June 2, 2010''; and
    (B) in subsection (c), by striking ``September 4, 2010'' and
    inserting ``November 6, 2010''.

    (4) Section 5 of the Unemployment Compensation Extension Act of 2008
    (Public Law 110-449; 26 U.S.C. 3304 note) is amended by striking
    ``September 4, 2010'' and inserting ``November 6, 2010''.
    (b) Funding.--Section 4004(e)(1) of the Supplemental Appropriations
    Act, 2008 (Public Law 110-252; 26 U.S.C. 3304 note) is amended--
    (1) in subparagraph (C), by striking ``and'' at the end;
    (2) by inserting after subparagraph (D) the following new
    subparagraph:

    [[Page 1117]]

    ``(E) the amendments made by section 2(a)(1) of the
    Continuing Extension Act of 2010; and''.

    (c) Effective Date.--The <> amendments made
    by this section shall take effect as if included in the enactment of the
    Temporary Extension Act of 2010 (Public Law 111-144).
    SEC. 3. EXTENSION AND IMPROVEMENT OF PREMIUM ASSISTANCE FOR COBRA
    BENEFITS.

    (a) Extension of Eligibility Period.--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 ``March 31, 2010'' and inserting ``May 31,
    2010''.

    (b) Rules Relating to 2010 Extension.--Subsection (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(b) of the Temporary
    Extension Act of 2010 (Public Law 111-144), is amended by adding at the
    end the following:
    ``(18) Rules related to april and may 2010 extension.--In
    the case of an individual <> who, with
    regard to coverage described in paragraph (10)(B), experiences a
    qualifying event related to a termination of employment on or
    after April 1, 2010 and prior to the date of the enactment of
    this paragraph, rules similar to those in paragraphs (4)(A) and
    (7)(C) shall apply with respect to all continuation coverage,
    including State continuation coverage programs.''.

    (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.
    SEC. 4. INCREASE IN THE MEDICARE PHYSICIAN PAYMENT UPDATE.

    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--
    (1) in subparagraph (A), by striking ``March 31, 2010'' and
    inserting ``May 31, 2010''; and
    (2) in subparagraph (B), by striking ``April 1, 2010'' and
    inserting ``June 1, 2010''.
    SEC. 5. EHR CLARIFICATION.

    (a) Qualification for Clinic-based Physicians.--
    (1) Medicare.--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 ``setting (whether inpatient or outpatient)'' and
    inserting ``inpatient or emergency room setting''.
    (2) Medicaid.--Section 1903(t)(3)(D) of the Social Security
    Act (42 U.S.C. 1396b(t)(3)(D)) is amended by striking ``setting
    (whether inpatient or outpatient)'' and inserting ``inpatient or
    emergency room setting''.

    (b) Effective <> Date.--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)).

    [[Page 1118]]

    (c) Implementation.--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.
    SEC. 6. EXTENSION OF USE OF 2009 POVERTY GUIDELINES.

    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 ``March 31, 2010'' and inserting ``May 31, 2010''.
    SEC. 7. EXTENSION OF NATIONAL FLOOD INSURANCE PROGRAM.

    (a) Extension.--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 ``by
    substituting'' and all that follows through the period at the end and
    inserting ``by substituting May 31, 2010, for the date specified in each
    such section.''.

    (b) Effective Date.--The amendments made by subsection (a) shall be
    considered to have taken effect on February 28, 2010.
    SEC. 8. <> COMPENSATION AND RATIFICATION OF
    AUTHORITY RELATED TO LAPSE IN HIGHWAY
    PROGRAMS.

    (a) Compensation for Federal Employees.--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.
    (b) Ratification of Essential Actions.--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).
    (c) Funding.--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.
    (d) Expenditures From Highway Trust Fund.-- <> 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.
    SEC. 9. SATELLITE TELEVISION EXTENSION.

    (a) Amendments to Section 119 of Title 17, United States Code.--

    [[Page 1119]]

    (1) In general.--Section 119 of title 17, United States
    Code, is amended--
    (A) in subsection (c)(1)(E), by striking ``April 30,
    2010'' and inserting ``May 31, 2010''; and
    (B) in subsection (e), by striking ``April 30,
    2010'' and inserting ``May 31, 2010''.
    (2) Termination of license.--Section 1003(a)(2)(A) of Public
    Law 111-118 <> is amended by striking
    ``April 30, 2010'', and inserting ``May 31, 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 ``April 30, 2010'' and
    inserting ``May 31, 2010''; and
    (2) in paragraph (3)(C), by striking ``May 1, 2010'' each
    place it appears in clauses (ii) and (iii) and inserting ``June
    1, 2010''.
    SEC. 10. EXTENSION OF SMALL BUSINESS LOAN GUARANTEE PROGRAM.

    (a) Appropriation.--There is appropriated, out of any funds in the
    Treasury not otherwise appropriated, $80,000,000, for an additional
    amount for ``Small Business Administration--Business Loans Program
    Account'', to remain available until expended, for the cost of fee
    reductions and eliminations under section 501 of division A of the
    American Recovery and Reinvestment Act of 2009 (Public Law 111-5; 123
    Stat. 151) and loan guarantees under section 502 of division 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 shall
    be as defined in section 502 of the Congressional Budget Act of 1974.
    (b) Extension of Sunset Date.--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 ``April 30, 2010'' and inserting ``May
    31, 2010''.
    SEC. 11. SENSE OF THE SENATE REGARDING A VALUE ADDED TAX.

    It is the sense of the Senate that the Value Added Tax is a massive
    tax increase that will cripple families on fixed income and only further
    push back America's economic recovery and the Senate opposes a Value
    Added Tax.
    SEC. 12. 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 Senate Budget Committee,
    provided that such statement has been submitted prior to the vote on
    passage.
    (b) Emergency Designation for Congressional Enforcement.--This Act,
    with the exception of section 4, 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 resolution on the budget
    for fiscal year 2010.

    [[Page 1120]]

    (c) Emergency Designation for Statutory PAYGO.--This Act, with the
    exception of section 4, is designated as an emergency requirement
    pursuant to section 4(g) of the Statutory Pay-As-You-Go Act of 2010
    (Public Law 111-139; 2 U.S.C. 933(g)).

    Approved April 15, 2010.

    LEGISLATIVE HISTORY--H.R. 4851 (S. 3153):
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    CONGRESSIONAL RECORD, Vol. 156 (2010):
    Mar. 17, considered and passed House.
    Apr. 13, 14, considered in Senate.
    Apr. 15, considered and passed Senate, amended. House
    concurred in Senate amendment.