In the nature of a substitute.

SA 3721. Mr. BAUCUS proposed an amendment to the bill H.R. 4851, to
provide a temporary extension of certain programs, and for other
purposes; as follows:

Strike all after the enacting clause and insert the
following:

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:
``(E) the amendments made by section 101(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.--

[[Page S2247]]

(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)).
(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.--
(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. 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.
(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)).
______