The House has approved a temporary extension of enhanced Medicaid matching funds as part of legislation designed to spur job creation. H.R. 2847, passed on December 16, 2009, would provide $23.5 billion to extend higher federal Medicaid matching fund levels under the American Recovery and Reinvestment Act of 2009 (ARRA) through June 2011. The bill also would provide $12.3 billion to extend from nine to 15 months the 65% COBRA health insurance subsidy for individuals who have lost their jobs. The bill, the “Jobs For Main Street Act of 2010,” now moves to the Senate, where the outlook is questionable given that chamber’s current focus on health reform legislation.