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 A
MENDMENT IN THE
N
 ATURE OF A 
S
UBSTITUTE
 
TO
H.R. 3200O
FFERED BY
M
R
. W
 AXMAN OF
C
 ALIFORNIA 
 
Strike all after the enacting clause and insert thefollowing:
SECTION 1. SHORT TITLE; TABLE OF DIVISIONS, TITLES,
1
 AND SUBTITLES.
2
(a) S
HORT
T
ITLE
.—This Act may be cited as the
3
‘‘America’s Affordable Health Choices Act of 2009’’.
4
(b) T
 ABLE OF
D
IVISIONS
, T
ITLES
,
 AND
S
UB
-
5
TITLES
.—This Act is divided into divisions, titles, and
6
subtitles as follows:
7
DIVISION A—AFFORDABLE HEALTH CARE CHOICESTITLE I—PROTECTIONS AND STANDARDS FOR QUALIFIEDHEALTH BENEFITS PLANSSubtitle A—General StandardsSubtitle B—Standards Guaranteeing Access to Affordable CoverageSubtitle C—Standards Guaranteeing Access to Essential BenefitsSubtitle D—Additional Consumer ProtectionsSubtitle E—GovernanceSubtitle F—Relation to Other Requirements; MiscellaneousSubtitle G—Early InvestmentsTITLE II—HEALTH INSURANCE EXCHANGE AND RELATEDPROVISIONSSubtitle A—Health Insurance ExchangeSubtitle B—Public Health Insurance Option
VerDate Nov 24 2008 19:51 Jul 15, 2009Jkt 000000PO 00000Frm 00001Fmt 6652Sfmt 6211C:\TEMP\AINS-EC_001.XMLHOLCPC
July 15, 2009 (7:51 p.m.)
F:\P11\NHI\TRICOMM\AINS-EC_001.XML
f:\VHLC\071509\071509.523.xml (444682|3)
 
2
Subtitle C—Individual Affordability CreditsTITLE III—SHARED RESPONSIBILITYSubtitle A—Individual Responsibility Subtitle B—Employer Responsibility TITLE IV—AMENDMENTS TO INTERNAL REVENUE CODE OF 1986Subtitle A—Shared Responsibility Subtitle B—Credit for Small Business Employee Health Coverage ExpensesSubtitle C—Disclosures to Carry Out Health Insurance Exchange SubsidiesSubtitle D—Other Revenue ProvisionsDIVISION B—MEDICARE AND MEDICAID IMPROVEMENTSTITLE I—IMPROVING HEALTH CARE VALUESubtitle A—Provisions Related to Medicare Part A Subtitle B—Provisions Related to Part BSubtitle C—Provisions Related to Medicare Parts A and BSubtitle D—Medicare Advantage ReformsSubtitle E—Improvements to Medicare Part DSubtitle F—Medicare Rural Access ProtectionsTITLE II—MEDICARE BENEFICIARY IMPROVEMENTSSubtitle A—Improving and Simplifying Financial Assistance for Low IncomeMedicare BeneficiariesSubtitle B—Reducing Health DisparitiesSubtitle C—Miscellaneous ImprovementsTITLE III—PROMOTING PRIMARY CARE, MENTAL HEALTHSERVICES, AND COORDINATED CARETITLE IV—QUALITYSubtitle A—Comparative Effectiveness ResearchSubtitle B—Nursing Home Transparency Subtitle C—Quality MeasurementsSubtitle D—Physician Payments Sunshine ProvisionSubtitle E—Public Reporting on Health Care-Associated InfectionsTITLE V—MEDICARE GRADUATE MEDICAL EDUCATION
VerDate Nov 24 2008 19:51 Jul 15, 2009Jkt 000000PO 00000Frm 00002Fmt 6652Sfmt 6211C:\TEMP\AINS-EC_001.XMLHOLCPC
July 15, 2009 (7:51 p.m.)
F:\P11\NHI\TRICOMM\AINS-EC_001.XML
f:\VHLC\071509\071509.523.xml (444682|3)
 
3
TITLE VI—PROGRAM INTEGRITYSubtitle A—Increased Funding to Fight Waste, Fraud, and AbuseSubtitle B—Enhanced Penalties for Fraud and AbuseSubtitle C—Enhanced Program and Provider ProtectionsSubtitle D—Access to Information Needed to Prevent Fraud, Waste, and AbuseTITLE VII—MEDICAID AND CHIPSubtitle A—Medicaid and Health ReformSubtitle B—PreventionSubtitle C—AccessSubtitle D—CoverageSubtitle E—FinancingSubtitle F—Waste, Fraud, and AbuseSubtitle G—Puerto Rico and the TerritoriesSubtitle H—MiscellaneousTITLE VIII—REVENUE-RELATED PROVISIONSTITLE IX—MISCELLANEOUS PROVISIONSDIVISION C—PUBLIC HEALTH AND WORKFORCE DEVELOPMENTTITLE I—COMMUNITY HEALTH CENTERSTITLE II—WORKFORCESubtitle A—Primary Care WorkforceSubtitle B—Nursing WorkforceSubtitle C—Public Health WorkforceSubtitle D—Adapting Workforce to Evolving Health System NeedsTITLE III—PREVENTION AND WELLNESSTITLE IV—QUALITY AND SURVEILLANCETITLE V—OTHER PROVISIONSSubtitle A—Drug Discount for Rural and Other HospitalsSubtitle B—School-Based Health ClinicsSubtitle C—National Medical Device Registry 
VerDate Nov 24 2008 19:51 Jul 15, 2009Jkt 000000PO 00000Frm 00003Fmt 6652Sfmt 6211C:\TEMP\AINS-EC_001.XMLHOLCPC
July 15, 2009 (7:51 p.m.)
F:\P11\NHI\TRICOMM\AINS-EC_001.XML
f:\VHLC\071509\071509.523.xml (444682|3)
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