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S.L.C.

Calendar No.ll

111TH CONGRESS

1ST SESSION

S.ll

[Report No. 111–lll]

To provide affordable, quality health care for all Americans and reduce

the growth in health care spending, and for other purposes.

IN THE SENATE OF THE UNITED STATES

llllllllll

Mr. BAUCUS, 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 Americans and reduce the growth in health care spending, and for other purposes.

Be it enacted by the Senate and House of Representa-

tives of the United States of America in Congress assembled,

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

(a) SHORTTITLE.—This Act may be cited as the

‘‘America’s Healthy Future Act of 2009’’.

(b) TABLE OFCONTENTS.—The table of contents of

this Act is as follows:

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Sec. 1. Short title; table of contents.

TITLE I—HEALTH CARE COVERAGE

Subtitle A—Insurance Market Reforms

Sec. 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 for

all Americans.

‘‘PART A—INSURANCEREFORMS

‘‘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 in

small 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 and

small group markets.

‘‘Sec. 2215. Temporary high risk pools for individuals with preexisting

conditions.

‘‘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 one

State.

‘‘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 Assistance

Sec. 1101. Establishment of qualified health benefits plan exchanges.

‘‘PART B—EXCHANGE AND CONSUMER ASSISTANCE

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‘‘SUBPART 1—INDIVIDUALS AND SMALL EMPLOYERS OFFERED AFFORDABLE

CHOICES

‘‘Sec. 2231. Rights and responsibilities regarding choice of coverage

through exchange.

‘‘Sec. 2232. Qualified individuals and small employers; access limited to

citizens 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 individual responsibility exemptions.

‘‘Sec. 2239. Streamlining of procedures for enrollment through an exchange and State Medicaid, CHIP, and health subsidy programs.

Sec. 1102. Encouraging meaningful use of electronic health records.

Subtitle C—Making Coverage Affordable

PART I—ESSENTIAL BENEFITS COVERAGE

Sec. 1201. Provisions to ensure coverage of essential benefits.

‘‘PART C—MAKING COVERAGE AFFORDABLE

‘‘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.