Page:United States Statutes at Large Volume 124.djvu/1143

124 STAT. 1117 PUBLIC LAW 111–157—APR. 15, 2010 ‘‘(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 Reinvest- ment 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 Reinvest- ment 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 Appro- priations 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 Secu- rity 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)). 42 USC 1395w–4 note. 42 USC 1395w–4. Applicability. 26 USC 6432 note. 26 USC 3304 note.