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I
111
TH
CONGRESS1
ST
S
ESSION
 
H. R. 3200
To provide affordable, quality health care for all Americans and reducethe growth in health care spending, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
J
ULY
14, 2009Mr. D
INGELL
(for himself, Mr. R
 ANGEL
, Mr. W
 AXMAN
, Mr. G
EORGE
M
ILLER
 of California, Mr. S
TARK 
, Mr. P
 ALLONE
, and Mr. A 
NDREWS
) introducedthe following bill; which was referred to the Committee on Energy andCommerce, and in addition to the Committees on Ways and Means, Edu-cation and Labor, Oversight and Government Reform, and the Budget,for a period to be subsequently determined by the Speaker, in each casefor consideration of such provisions as fall within the jurisdiction of thecommittee concerned
A BILL
To provide affordable, quality health care for all Americansand reduce the growth in health care spending, andfor other purposes.
 Be it enacted by the Senate and House of Representa-
1
tives of the United States of America in Congress assembled,
2
SECTION 1. SHORT TITLE; TABLE OF DIVISIONS, TITLES,
3
 AND SUBTITLES.
4
(a) S
HORT
T
ITLE
.—This Act may be cited as the
5
‘‘America’s Affordable Health Choices Act of 2009’’.
6
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•
HR 3200 IH
(b) T
 ABLE OF
D
IVISIONS
, T
ITLES
,
 AND
S
UB
-
1
TITLES
.—This Act is divided into divisions, titles, and
2
subtitles as follows:
3
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 OptionSubtitle 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 B
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HR 3200 IH
Subtitle 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 EDUCATIONTITLE 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—Miscellaneous
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