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O:\FRA\FRA09275.xml [file 1 of 7]
S.L.C.
Calendar No.ll
111TH CONGRESS
1ST SESSION
S.ll
[Report No. 111\u2013lll]
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-
1
tives of the United States of America in Congress assembled,
2
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
3
(a) SHORTTITLE.\u2014This Act may be cited as the
4
\u2018\u2018America\u2019s Healthy Future Act of 2009\u2019\u2019.
5
(b) TABLE OFCONTENTS.\u2014The table of contents of
6
this Act is as follows:
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2
O:\FRA\FRA09275.xml [file 1 of 7]
S.L.C.
Sec. 1. Short title; table of contents.
TITLE I\u2014HEALTH CARE COVERAGE
Subtitle A\u2014Insurance Market Reforms
Sec. 1001. Insurance market reforms in the individual and small group mar-
kets.
\u2018\u2018TITLE XXII\u2014HEALTH INSURANCE COVERAGE
\u2018\u2018Sec. 2200. Ensuring essential and affordable health benefits coverage for
all Americans.
\u2018\u2018PART A\u2014INSURANCEREFORMS
\u2018\u2018SUBPART 1\u2014REQUIREMENTS IN INDIVIDUAL AND SMALL GROUP MARKETS

\u2018\u2018Sec. 2201. General requirements and definitions.
\u2018\u2018Sec. 2202. Prohibition on preexisting condition exclusions.
\u2018\u2018Sec. 2203. Guaranteed issue and renewal for insured plans.
\u2018\u2018Sec. 2204. Premium rating rules.
\u2018\u2018Sec. 2205. Use of uniform outline of coverage documents.

\u2018\u2018SUBPART 2\u2014REFORMS RELATING TO ALLOCATION OF RISKS
\u2018\u2018Sec. 2211. Rating areas; pooling of risks; phase in of rating rules in
small group markets.
\u2018\u2018Sec. 2212. Risk adjustment.
\u2018\u2018Sec. 2213. Establishment of transitional reinsurance program for indi-
vidual markets in each State.
\u2018\u2018Sec. 2214. Establishment of risk corridors for plans in individual and
small group markets.
\u2018\u2018Sec. 2215. Temporary high risk pools for individuals with preexisting
conditions.
\u2018\u2018Sec. 2216. Reinsurance for retirees covered by employer-based plans.
\u2018\u2018SUBPART 3\u2014PRESERVATION OF RIGHT TO MAINTAIN EXISTING COVERAGE
\u2018\u2018Sec. 2221. Grandfathered health benefits plans.
\u2018\u2018SUBPART 4\u2014CONTINUED ROLE OF STATES
\u2018\u2018Sec. 2225. Continued State enforcement of insurance regulations.
\u2018\u2018Sec. 2226. Waiver of health insurance reform requirements.
\u2018\u2018Sec. 2227. Provisions relating to offering of plans in more than one
State.
\u2018\u2018Sec. 2228. State flexibility to establish basic health programs for low-in-
come individuals not eligible for Medicaid.
\u2018\u2018SUBPART 5\u2014OTHER DEFINITIONS AND RULES
\u2018\u2018Sec. 2230. Other definitions and rules.
Subtitle B\u2014Exchanges and Consumer Assistance
Sec. 1101. Establishment of qualified health benefits plan exchanges.
\u2018\u2018PART B\u2014EXCHANGE AND CONSUMER ASSISTANCE
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O:\FRA\FRA09275.xml [file 1 of 7]
S.L.C.
\u2018\u2018SUBPART 1\u2014INDIVIDUALS AND SMALL EMPLOYERS OFFERED AFFORDABLE
CHOICES
\u2018\u2018Sec. 2231. Rights and responsibilities regarding choice of coverage
through exchange.
\u2018\u2018Sec. 2232. Qualified individuals and small employers; access limited to
citizens and lawful residents.
\u2018\u2018SUBPART 2\u2014ESTABLISHMENT OF EXCHANGES

\u2018\u2018Sec. 2235. Establishment of exchanges by States.
\u2018\u2018Sec. 2236. Functions performed by Secretary, States, and exchanges.
\u2018\u2018Sec. 2237. Duties of the Secretary to facilitate exchanges.

\u2018\u2018Sec. 2238. Procedures for determining eligibility for exchange participa- tion, premium credits and cost-sharing subsidies, and indi- vidual responsibility exemptions.

\u2018\u2018Sec. 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\u2014Making Coverage Affordable
PART I\u2014ESSENTIAL BENEFITS COVERAGE
Sec. 1201. Provisions to ensure coverage of essential benefits.
\u2018\u2018PART C\u2014MAKING COVERAGE AFFORDABLE
\u2018\u2018SUBPART 1\u2014ESSENTIAL BENEFITS COVERAGE

\u2018\u2018Sec. 2241. Requirements for qualified health benefits plan.
\u2018\u2018Sec. 2242. Essential benefits package defined.
\u2018\u2018Sec. 2243. Levels of coverage.
\u2018\u2018Sec. 2244. Application of certain rules to plans in group markets.
\u2018\u2018Sec. 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\u2014PREMIUM CREDITS, COST-SHARING SUBSIDIES,AND SMALL
BUSINESS CREDITS
SUBPART A\u2014PREMIUM CREDITS AND COST-SHARING SUBSIDIES
Sec. 1205. Refundable credit providing premium assistance for coverage under
a qualified health benefits plan.
\u2018\u2018Sec. 36B. Refundable credit for coverage under a qualified health benefits
plan.
Sec. 1206. Cost-sharing subsidies and advance payments of premium credits
and cost-sharing subsidies.
\u2018\u2018SUBPART 2\u2014PREMIUM CREDITS AND COST-SHARING SUBSIDIES
\u2018\u2018Sec. 2246. Premium credits.
\u2018\u2018Sec. 2247. Cost-sharing subsidies for individuals enrolling in qualified
health benefit plans.
\u2018\u2018Sec. 2248. Advance determination and payment of premium credits and
cost-sharing subsidies.
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