Continuing Extension Act of 2010

Amends the American Recovery and Reinvestment Act of 2009 (ARRA) to extend through April 30, 2010, premium assistance for COBRA benefits (health insurance continuation benefits under the Consolidated Omnibus Budget Reconciliation Act of 1985).

Amends title XVIII (Medicare) of the Social Security Act (SSA) to extend through April 30, 2010, the 0% update to the conversion factor in the Medicare physican payment computation.

Amends SSA titles XVIII (Medicare) and XIX (Medicaid) with respect to incentive payments for certain eligible hospitals that adopt and meaningfully use certified electronic health record (EHR) technology.

Redefines "hospital-based eligible professional" to permit incentive payments to a hospital-based eligible professional who furnishes services in an outpatient clinic.

Repeals Section 10324 of the Patient Protection and Affordable Care Act (PPACA) (and the amendments made by such section) establishing floors: (1) on the area wage index for hospitals in frontier states; (2) on the area wage adjustment factor for hospital outpatient department services in frontier states; and (3) for the practice expense index for services furnished in frontier states. (Thus eliminates an increase in Medicare reimbursement just for frontier states.)

Amends the Department of Defense Appropriations Act, 2010 to extend the use of 2009 poverty guidelines through April 30, 2010. Prohibits the Secretary of Health and Human Services (HHS) from publishing updated poverty guidelines for 2010 until after such date.

Amends the Continuing Appropriations Resolution, 2010 to extend through April 30, 2010, the national flood insurance program.

Extends through April 30, 2010, the adjustment of royalty fees for the secondary transmission of the primary analog transmissions of network stations and superstations. Extends through such date the moratorium on copyright liability for certain subscribers not receiving a signal of Grade A intensity of a local network television broadcast station and receiving signals of network stations affiliated with the same network, if such subscribers had satellite service of such network signal terminated between July 11, 1998, and October 31, 1999.

Amends the Communications Act of 1934 to extend through April 30, 2010, the exemption of a subscriber from the originating station consent requirement for retransmission of broadcasting station signals if the subscriber receives the retransmitted signals directly to a home satellite antenna, is located outside the station's local market, and resides in an unserved household.

Extends through May 1, 2010, the requirement that certain Federal Communications Commission (FCC) regulations prohibit: (1) a television broadcast station that provides retransmission consent from engaging in exclusive contracts for carriage or failing to negotiate in good faith; and (2) a multichannel video programming distributor from failing to negotiate in good faith for retransmission consent.

Requires 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, to be compensated for such lapse at their standard rates of compensation.

Ratifies and approves all actions taken by federal employees, contractors, and grantees to maintain the essential level of government operations, services, and activities to protect life and property and to bring about orderly termination of government functions during such lapse, if otherwise in accord with the provisions of the Continuing Appropriations Resolution, 2010.

Requires funds used by the Secretary of Transportation (DOT) to compensate such employees to be: (1) derived from funds previously authorized out of the Highway Trust Fund and made available or limited to DOT by the Consolidated Appropriations Act, 2010; and (2) subject to the obligation limitations established in such Act.

Rescinds pro rata the unobligated balance of each amount appropriated or made available under ARRA (except under title X: Military Construction and Veterans Affairs of division A), so that the aggregate amount of such rescissions equals $9.2 billion to offset the net increase in spending resulting from this Act.