Amends the American Recovery and Reinvestment Act of 2009 to extend until January 1, 2011, the temporary increase in the federal medical assistance percentage (FMAP), under title XIX (Medicaid) of the Social Security Act, for any state with a certain unemployment increase percentage during the recession adjustment period. Extends the entire recession adjustment period from December 31, 2010, through December 31, 2011.
Declares that voluntary contributions by a political subdivision to the non-federal share of expenditures under a state Medicaid plan, or to the non-federal share of payments for inpatient hospital services furnished by disproportionate share (DSH) hospitals shall not be considered to be required contributions. (Thus allows a state that otherwise requires such contributions during the recession adjustment period, but instead receives voluntary contributions from political subdivisions, to be eligible for an increase in its FMAP.)