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H.L.C.
.....................................................................(Original Signature of Member)
111
TH
CONGRESS1
ST
S
ESSION
 
H. R.
 ll 
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
Mr. 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
 lllllllllllllll 
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
‘‘Affordable Health Care for America Act’’.
6
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2(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—IMMEDIATE REFORMSTITLE II—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; MiscellaneousTITLE III—HEALTH INSURANCE EXCHANGE AND RELATED PROVI-SIONSSubtitle A—Health Insurance ExchangeSubtitle B—Public Health Insurance OptionSubtitle C—Individual Affordability CreditsTITLE IV—SHARED RESPONSIBILITYSubtitle A—Individual Responsibility Subtitle B—Employer Responsibility TITLE V—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 HEALTH SERV-ICES, 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 INTEGRITY
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3
Subtitle 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 Hospitals; 340B Program In-tegrity Subtitle B—ProgramsSubtitle C—Food and Drug AdministrationSubtitle D—Community Living Assistance Services and SupportsSubtitle E—MiscellaneousDIVISION D—INDIAN HEALTH CARE IMPROVEMENTTITLE I—AMENDMENTS TO INDIAN LAWSTITLE II—IMPROVEMENT OF INDIAN HEALTH CARE PROVIDEDUNDER THE SOCIAL SECURITY ACT
DIVISION A—AFFORDABLE
1
HEALTH CARE CHOICES
2
SEC. 100. PURPOSE; TABLE OF CONTENTS OF DIVISION;
3
GENERAL DEFINITIONS.
4
(a) P
URPOSE
.—
5
(1) I
N GENERAL
.—The purpose of this division
6
is to provide affordable, quality health care for all
7
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