# H.R. 3200

'Superseded by H.R. 3962, October 29, 2009. H.R. 3200 Revison Date: July 15, 2009 '  Division A: Fully Complete - Aug. 13, 2009  Division B: Fully Complete - Aug. 18, 2009  Division C: Fully Complete - Aug. 13, 2009
H.R. 3200
    Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
A BILL
To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes

### SECTION 1. SHORT TITLE; TABLE OF DIVISIONS, TITLES, AND SUBTITLES.

    (a) Short Title.—
       This Act may be cited as the ``America's Affordable Health Choices Act of 2009´´.
    (b) Table of Divisions, Titles, and Subtitles.—
       This Act is divided into divisions, titles, and subtitles as follows:

### DIVISION A—AFFORDABLE HEALTH CARE CHOICES

             TITLE I—PROTECTIONS AND STANDARDS FOR QUALIFIED HEALTH BENEFITS PLANS
                Subtitle A—General Standards
                Subtitle B—Standards Guaranteeing Access to Affordable Coverage
                Subtitle C—Standards Guaranteeing Access to Essential Benefits
                Subtitle D—Additional Consumer Protections
                Subtitle E—Governance
                Subtitle F—Relation to Other Requirements; Miscellaneous
                Subtitle G—Early Investments
             TITLE II—HEALTH INSURANCE EXCHANGE AND RELATED PROVISIONS
                Subtitle A—Health Insurance Exchange
                Subtitle B—Public Health Insurance Option
                Subtitle C—Individual Affordability Credits
             TITLE III—SHARED RESPONSIBILITY
                Subtitle A—Individual Responsibility
                Subtitle B—Employer Responsibility
             TITLE IV—AMENDMENTS TO INTERNAL REVENUE CODE OF 1986
                Subtitle A—Shared Responsibility
                Subtitle B—Credit for Small Business Employee Health Coverage Expenses
                Subtitle C—Disclosures To carry out health insurance exchange subsidies
                Subtitle D—Other Revenue Provisions

### DIVISION B—MEDICARE AND MEDICAID IMPROVEMENTS

             TITLE I—IMPROVING HEALTH 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 and B
                Subtitle D—Medicare Advantage Reforms
                Subtitle E—Improvements to Medicare PART D
                Subtitle F—Medicare Rural Access Protections
             TITLE II—MEDICARE BENEFICIARY IMPROVEMENTS
                Subtitle A—Improving and Simplifying Financial Assistance for Low Income Medicare Beneficiaries
                Subtitle B—Reducing Health Disparities
                Subtitle C—Miscellaneous Improvements
             TITLE III—PROMOTING PRIMARY CARE, MENTAL HEALTH SERVICES, AND COORDINATED CARE
             TITLE IV—QUALITY
                Subtitle A—Comparative Effectiveness Research
                Subtitle B—Nursing Home Transparency
                Subtitle C—Quality Measurements
                Subtitle D—Physician Payments Sunshine Provision
                Subtitle E—Public Reporting on Health Care-Associated Infections
             TITLE V—MEDICARE GRADUATE MEDICAL EDUCATION
             TITLE VI—PROGRAM INTEGRITY
                Subtitle A—Increased Funding to Fight Waste, Fraud, and Abuse
                Subtitle B—Enhanced Penalties for Fraud and Abuse
                Subtitle C—Enhanced Program and Provider Protections
                Subtitle D—Access to Information Needed to Prevent Fraud, Waste, and Abuse
             TITLE VII—MEDICAID AND CHIP
                Subtitle A—Medicaid and Health Reform
                Subtitle B—Prevention
                Subtitle 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—MISCELLANEOUS PROVISIONS

### DIVISION C—PUBLIC HEALTH AND WORKFORCE DEVELOPMENT

             TITLE I—COMMUNITY HEALTH CENTERS
             TITLE II—WORKFORCE
                Subtitle A—Primary Care Workforce
                Subtitle B—Nursing Workforce
                Subtitle C—Public Health Workforce
                Subtitle D—Adapting Workforce to Evolving Health System Needs
             TITLE III—PREVENTION AND WELLNESS
             TITLE IV—QUALITY AND SURVEILLANCE
             TITLE V—OTHER PROVISIONS
                Subtitle A—Drug Discount for Rural and Other Hospitals
                Subtitle B—School-Based Health Clinics
                Subtitle C—National Medical Device Registry
                Subtitle D—Grants for Comprehensive Programs to Provide Education to Nurses and Create a Pipeline to Nursing
                Subtitle E—States Failing to Adhere to Certain Employment Obligations
Approved ? . . ..