# Patient Protection and Affordable Care Act

See Related: Executive Order 13535 of March 24, 2010 PL 111-148 or ENROLLED TEXT
Note: This is the original legislation as it was initially enacted. Any subsequent amendments hosted on Wikisource may be listed using What Links Here.
An Act Entitled The Patient Protection and Affordable Care Act.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

### Section 1. Short Title; Table of Contents.

    (a) Short Title.—
       This Act may be cited as the ``Patient Protection and Affordable Care Act´´.
    (b) Table of Contents.—
       The table of contents of this Act is as follows:
             TITLE I − QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS (Sections 1001 - 1563)
                Subtitle A − Immediate Improvements in Health Care Coverage for All Americans
                Subtitle B − Immediate Actions to Preserve and Expand Coverage
                Subtitle C − Quality Health Insurance Coverage for All Americans
                   Part I − Health Insurance Market Reforms
                   Part II − Other Provisions
                Subtitle D − Available Coverage Choices for All Americans
                   Part I − Establishment of Qualified Health Plans
                   Part II − Consumer Choices and Insurance Competition Through Health Benefit Exchanges
                   Part III − State Flexibility Relating to Exchanges
                   Part IV − State Flexibility to Establish Alternative Programs
                   Part V − Reinsurance and Risk Adjustment
                Subtitle E − Affordable Coverage Choices for All Americans
                   Part I − Premium Tax Credits and Cost-Sharing Reductions
                      Subpart A − Premium Tax Credits and Cost-sharing Reductions
                      Subpart B − Eligibility Determinations
                   Part II − Small Business Tax Credit
                Subtitle F − Shared Responsibility for Health Care
                   Part I − Individual Responsibilities
                   Part II − Employer Responsibilities
                Subtitle G − Miscellaneous Provisions
             TITLE II − ROLE OF PUBLIC PROGRAMS (Sections 2001-2955)
                Subtitle A − Improved Access to Medicaid
                Subtitle B − Enhanced Support for the Children's Health Insurance Program
                Subtitle C − Medicaid and CHIP Enrollment Simplification
                Subtitle D − Improvements to Medicaid Services
                Subtitle E − New Options for States to Provide Long-Term Services and Supports
                Subtitle F − Medicaid Prescription Drug Coverage
                Subtitle G − Medicaid Disproportionate Share Hospital (DSH) Payments
                Subtitle H − Improved Coordination for Dual Eligible Beneficiaries
                Subtitle I − Improving the Quality of Medicaid for Patients and Providers
                Subtitle J − Improvements to the Medicaid and CHIP Payment and Access Commission (MACPAC)
                Subtitle K − Protections for American Indians and Alaska Natives
                Subtitle L − Maternal and Child Health Services
             TITLE III − IMPROVING THE QUALITY AND EFFICIENCY OF HEALTH CARE (Sections 3001 - 3601)
                Subtitle A − Transforming the Health Care Delivery System
                   Part I − Linking Payment to Quality Outcomes Under the Medicare Program
                   Part II − National Strategy to Improve Health Care Quality
                   Part III − Encouraging Development of New Patient Care Models
                Subtitle B − Improving Medicare for Patients and Providers
                   Part I − Ensuring Beneficiary Access to Physician Care and Other Services
                   Part II − Rural Protections
                   Part III − Improving Payment Accuracy
                Subtitle C − Provisions Relating to Part C
                Subtitle D − Medicare Part D Improvements for Prescription Drug Plans and MA-PD Plans
                Subtitle E − Ensuring Medicare Sustainability
                Subtitle F − Health Care Quality Improvements
                Subtitle G − Protecting and Improving Guaranteed Medicare Benefits
             TITLE IV − PREVENTION OF CHRONIC DISEASE AND IMPROVING PUBLIC HEALTH
             TITLE V − HEALTH CARE WORKFORCE
             TITLE VI − TRANSPARENCY AND PROGRAM INTEGRITY
             TITLE VII − IMPROVING ACCESS TO INNOVATIVE MEDICAL THERAPIES
             TITLE VIII − CLASS ACT
             TITLE IX − REVENUE PROVISIONS
             TITLE X − STRENGTHENING QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS
Approved March 23, 2010.
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