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FRA09275.xml [file 1 of 7] S.L.C.
Calendar No.
 ll 
111
TH
CONGRESS1
ST
S
ESSION
 
S.
 ll 
[Report No. 111–
 lll 
]
To provide affordable, quality health care for all Americans and reducethe growth in health care spending, and for other purposes.
IN THE SENATE OF THE UNITED STATES
 llllllllll 
Mr. B
 AUCUS
, from the Committee on Finance, reported the following original bill; which was read twice and placed on the calendar
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 CONTENTS.
3
(a) S
HORT
T
ITLE
.—This Act may be cited as the
4
‘‘America’s Healthy Future Act of 2009’’.
5
(b) T
 ABLE OF
C
ONTENTS
.—The table of contents of 
6
this Act is as follows:
7
 
2
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FRA09275.xml [file 1 of 7] S.L.C.Sec.1.Short title; table of contents.TITLE I—HEALTH CARE COVERAGESubtitle A—Insurance Market ReformsSec.1001.Insurance market reforms in the individual and small group mar-kets.‘‘TITLE XXII—HEALTH INSURANCE COVERAGE‘‘Sec.2200.Ensuring essential and affordable health benefits coverage forall Americans.‘‘PART A—I
NSURANCE
R
EFORMS
 ‘‘
SUBPART 1
—
REQUIREMENTS IN INDIVIDUAL AND SMALL GROUP MARKETS
 ‘‘Sec.2201.General requirements and definitions.‘‘Sec.2202.Prohibition on preexisting condition exclusions.‘‘Sec.2203.Guaranteed issue and renewal for insured plans.‘‘Sec.2204.Premium rating rules.‘‘Sec.2205.Use of uniform outline of coverage documents.‘‘
SUBPART 2
—
REFORMS RELATING TO ALLOCATION OF RISKS
 ‘‘Sec.2211.Rating areas; pooling of risks; phase in of rating rules insmall group markets.‘‘Sec.2212.Risk adjustment.‘‘Sec.2213.Establishment of transitional reinsurance program for indi- vidual markets in each State.‘‘Sec.2214.Establishment of risk corridors for plans in individual andsmall group markets.‘‘Sec.2215.Temporary high risk pools for individuals with preexistingconditions.‘‘Sec.2216.Reinsurance for retirees covered by employer-based plans.‘‘
SUBPART 3
—
PRESERVATION OF RIGHT TO MAINTAIN EXISTING COVERAGE
 ‘‘Sec.2221.Grandfathered health benefits plans.‘‘
SUBPART 4
—
CONTINUED ROLE OF STATES
 ‘‘Sec.2225.Continued State enforcement of insurance regulations.‘‘Sec.2226.Waiver of health insurance reform requirements.‘‘Sec.2227.Provisions relating to offering of plans in more than oneState.‘‘Sec.2228.State flexibility to establish basic health programs for low-in-come individuals not eligible for Medicaid.‘‘
SUBPART 5
—
OTHER DEFINITIONS AND RULES
 ‘‘Sec.2230.Other definitions and rules.Subtitle B—Exchanges and Consumer AssistanceSec.1101.Establishment of qualified health benefits plan exchanges.‘‘PART B—E
 XCHANGE AND
C
ONSUMER
 A 
SSISTANCE
 
 
3
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FRA09275.xml [file 1 of 7] S.L.C.‘‘
SUBPART 1
—
INDIVIDUALS AND SMALL EMPLOYERS OFFERED AFFORDABLE
 
CHOICES
 ‘‘Sec.2231.Rights and responsibilities regarding choice of coveragethrough exchange.‘‘Sec.2232.Qualified individuals and small employers; access limited tocitizens and lawful residents.‘‘
SUBPART 2
—
ESTABLISHMENT OF EXCHANGES
 ‘‘Sec.2235.Establishment of exchanges by States.‘‘Sec.2236.Functions performed by Secretary, States, and exchanges.‘‘Sec.2237.Duties of the Secretary to facilitate exchanges.‘‘Sec.2238.Procedures for determining eligibility for exchange participa-tion, premium credits and cost-sharing subsidies, and indi- vidual responsibility exemptions.‘‘Sec.2239.Streamlining of procedures for enrollment through an ex-change and State Medicaid, CHIP, and health subsidy programs.Sec.1102.Encouraging meaningful use of electronic health records.Subtitle C—Making Coverage AffordablePART I—E
SSENTIAL
B
ENEFITS
C
OVERAGE
 Sec.1201.Provisions to ensure coverage of essential benefits.‘‘PART C—M
 AKING
C
OVERAGE
 A 
FFORDABLE
 ‘‘
SUBPART 1
—
ESSENTIAL BENEFITS COVERAGE
 ‘‘Sec.2241.Requirements for qualified health benefits plan.‘‘Sec.2242.Essential benefits package defined.‘‘Sec.2243.Levels of coverage.‘‘Sec.2244.Application of certain rules to plans in group markets.‘‘Sec.2245.Special rules relating to coverage of abortion services.Sec.1202.Application of State and Federal laws regarding abortion.Sec.1203.Application of emergency services laws.PART II—P
REMIUM
C
REDITS
, C
OST
-
SHARING
S
UBSIDIES
,
 AND
S
MALL
 B
USINESS
C
REDITS
 
SUBPART A 
—
PREMIUM CREDITS AND COST
-
SHARING SUBSIDIES
 Sec.1205.Refundable credit providing premium assistance for coverage undera qualified health benefits plan.‘‘Sec.36B.Refundable credit for coverage under a qualified health benefitsplan.Sec.1206.Cost-sharing subsidies and advance payments of premium creditsand cost-sharing subsidies.‘‘
SUBPART 2
—
PREMIUM CREDITS AND COST
-
SHARING SUBSIDIES
 ‘‘Sec.2246.Premium credits.‘‘Sec.2247.Cost-sharing subsidies for individuals enrolling in qualifiedhealth benefit plans.‘‘Sec.2248.Advance determination and payment of premium credits andcost-sharing subsidies.
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