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F:\P11\NHI\TRICOMM\AHCAA_001.XMLH.L.C...................................................................... (OriginalSignature of Member)111TH CONGRESS 1ST SESSIONH. R. llTo provide affordable, quality health care for all Americans and reduce the growthin health care spending, and for other purposes.IN THE HOUSE OF REPRESENTATIVESMr. DINGELL (for himself, Mr. RANGEL, Mr. WAXMAN, Mr. GEORGE MILLER of California,Mr. STARK, Mr. PALLONE, and Mr. ANDREWS) introduced the following bill; which wasreferred to the Committee on lllllllllllllllA BILLTo provide affordable, quality health care for all Americans and reduce the growthin health care spending, and for other purposes. 1 Be it enacted by the Senate andHouse of Representa-2 tives of the United States of America in Congress assembled, 3 4 5SECTION 1. SHORT TITLE; TABLE OF DIVISIONS, TITLES, AND SUBTITLES.(a) SHORT TITLE.—This Act may be cited as the6 ‘‘Affordable Health Care for America Act’’.f:\VHLC\102909\102909.022.xml October 29, 2009 (10:05 a.m.)VerDate Nov 24 2008 10:05 Oct 29, 2009 Jkt 000000(453769|4)PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 C:\TEMP\AHCAA_001.XML HOLCPC
 
F:\P11\NHI\TRICOMM\AHCAA_001.XML2 1 2 (b) TABLETITLES.—This OFDIVISIONS, TITLES,ANDSUB-Act is divided into divisions, titles, and3 subtitles as follows:DIVISION A—AFFORDABLE HEALTH CARE CHOICES TITLE I—IMMEDIATE REFORMS TITLE II—PROTECTIONS AND STANDARDS FOR QUALIFIED HEALTH BENEFITS PLANS Subtitle A—GeneralStandards Subtitle B—Standards Guaranteeing Access to Affordable Coverage SubtitleC—Standards Guaranteeing Access to Essential Benefits Subtitle D—AdditionalConsumer Protections Subtitle E—Governance Subtitle F—Relation to OtherRequirements; Miscellaneous TITLE III—HEALTH INSURANCE EXCHANGE AND RELATEDPROVISIONS Subtitle A—Health Insurance Exchange Subtitle B—Public Health InsuranceOption Subtitle C—Individual Affordability Credits TITLE IV—SHARED RESPONSIBILITYSubtitle A—Individual Responsibility Subtitle B—Employer Responsibility TITLE V—AMENDMENTS TO INTERNAL REVENUE CODE OF 1986 Subtitle A—Shared ResponsibilitySubtitle B—Credit for Small Business Employee Health Coverage Expenses Subtitle C—Disclosures To Carry Out Health Insurance Exchange Subsidies Subtitle D—OtherRevenue Provisions DIVISION B—MEDICARE AND MEDICAID IMPROVEMENTS TITLE I—IMPROVINGHEALTH CARE VALUE Subtitle A—Provisions related to Medicare part A Subtitle B—Provisions Related to Part B Subtitle C—Provisions Related to Medicare Parts A andB Subtitle D—Medicare Advantage Reforms Subtitle E—Improvements to Medicare Part DSubtitle F—Medicare Rural Access Protections TITLE II—MEDICARE BENEFICIARYIMPROVEMENTS Subtitle A—Improving and Simplifying Financial Assistance for LowIncome Medicare Beneficiaries Subtitle B—Reducing Health Disparities Subtitle C—Miscellaneous Improvements TITLE III—PROMOTING PRIMARY CARE, MENTAL HEALTHSERVICES, AND COORDINATED CARE TITLE IV—QUALITY Subtitle A—ComparativeEffectiveness Research Subtitle B—Nursing Home Transparency Subtitle C—QualityMeasurements Subtitle D—Physician Payments Sunshine Provision Subtitle E—PublicReporting on Health Care-Associated Infections TITLE V—MEDICARE GRADUATE MEDICALEDUCATION TITLE VI—PROGRAM INTEGRITYf:\VHLC\102909\102909.022.xml October 29, 2009 (10:05 a.m.)VerDate Nov 24 2008 10:05 Oct 29, 2009 Jkt 000000(453769|4)PO 00000 Frm 00002 Fmt 6652 Sfmt 6211 C:\TEMP\AHCAA_001.XML HOLCPC
 
F:\P11\NHI\TRICOMM\AHCAA_001.XML3Subtitle A—Increased funding to fight waste, fraud, and abuse Subtitle B—Enhancedpenalties for fraud and abuse Subtitle C—Enhanced Program and Provider ProtectionsSubtitle D—Access to Information Needed to Prevent Fraud, Waste, and Abuse TITLEVII—MEDICAID AND CHIP Subtitle A—Medicaid and Health Reform Subtitle B—PreventionSubtitle C—Access Subtitle D—Coverage Subtitle E—Financing Subtitle F—Waste,Fraud, and Abuse Subtitle G—Puerto Rico and the Territories Subtitle H—Miscellaneous TITLE VIII—REVENUE-RELATED PROVISIONS TITLE IX—MISCELLANEOUSPROVISIONS DIVISION C—PUBLIC HEALTH AND WORKFORCE DEVELOPMENT TITLE I—COMMUNITYHEALTH CENTERS TITLE II—WORKFORCE Subtitle A—Primary Care Workforce Subtitle B—Nursing Workforce Subtitle C—Public Health Workforce Subtitle D—Adapting Workforceto Evolving Health System Needs TITLE III—PREVENTION AND WELLNESS TITLE IV—QUALITYAND SURVEILLANCE TITLE V—OTHER PROVISIONS Subtitle A—Drug Discount for Rural andOther Hospitals; 340B Program Integrity Subtitle B—Programs Subtitle C—Food andDrug Administration Subtitle D—Community Living Assistance Services and SupportsSubtitle E—Miscellaneous DIVISION D—INDIAN HEALTH CARE IMPROVEMENT TITLE I—AMENDMENTS TO INDIAN LAWS TITLE II—IMPROVEMENT OF INDIAN HEALTH CARE PROVIDEDUNDER THE SOCIAL SECURITY ACT1 2 3 4 5 6 7DIVISION A—AFFORDABLE HEALTH CARE CHOICESSEC. 100. PURPOSE; TABLE OF CONTENTS OF DIVISION; GENERAL DEFINITIONS.(a) PURPOSE.— (1) INGENERAL.—Thepurpose of this divisionis to provide affordable, quality health care for allf:\VHLC\102909\102909.022.xml October 29, 2009 (10:05 a.m.)VerDate Nov 24 2008 10:05 Oct 29, 2009 Jkt 000000(453769|4)PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 C:\TEMP\AHCAA_001.XML HOLCPC
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