# H.R. 3962

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H.R. 3962
    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 ``Affordable Health Care for America Act´´.
    (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 − IMMEDIATE REFORMS
             TITLE II − 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
             TITLE III − HEALTH INSURANCE EXCHANGE AND RELATED PROVISIONS
                Subtitle A − Health Insurance Exchange
                Subtitle B − Public Health Insurance Option
                Subtitle C − Individual Affordability Credits
             TITLE IV − SHARED RESPONSIBILITY
                Subtitle A − Individual Responsibility
                Subtitle B − Employer Responsibility
             TITLE V − AMENDMENTS TO INTERNAL REVENUE CODE OF 1986
                Subtitle A − Shared Responsibility
                Subtitle B − 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 − Payments to 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; 340B Program Integrity
                Subtitle B − Programs
                Subtitle C − Food and Drug Administration
                Subtitle D − Community Living Assistance Services and Supports
                Subtitle E − Miscellaneous

### DIVISION D − INDIAN HEALTH CARE IMPROVEMENT

             TITLE I − AMENDMENTS TO INDIAN LAWS
             TITLE II − IMPROVEMENT OF INDIAN HEALTH CARE PROVIDED UNDER THE SOCIAL SECURITY ACT
Engrossed as Agreed to or Passed by House, November 7, 2009.