SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Simple Universal Healthcare Act of 2009’’. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
Sec. 2. Establishment of Citizens Congressional Health Benefits Program 
(CCHBP). 
Sec. 3. Contracts with entities to offer qualified CCHBP health plans. 
Sec. 4. Scope of benefits and coverage. 
Sec. 5. Eligibility. 
Sec. 6. Enrollment. 
Sec. 7. Premiums. 
Sec. 8. High-risk reinsurance fund. 
Sec. 9. Definitions. 
Sec. 10. Effective date and treatment of collective bargaining agreements. 
SEC. 2. ESTABLISHMENT OF CITIZENS CONGRESSIONAL 
HEALTH BENEFITS PROGRAM (CCHBP). 
(a) IN GENERAL.—The Director of the Office of Per-
sonnel Management shall establish a program (to be 
known as the ‘‘Citizen’s Congressional Health Benefits 
Program’’) to provide comprehensive health insurance cov-
erage to— 
(1) Federal elected officials (including the 
President, Vice President, and Members of Con-
gress); and 
(2) residents of the United States who are not 
covered under the Federal Employees Health Bene-
fits Program (FEHBP). 
(b) SIMILAR TO FEHBP.—The coverage shall be 
provided in a manner similar to the manner in which cov-
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erage has been provided to Members of Congress and Fed-
eral Government employees and retirees and their depend-
ents under the Federal Employees Health Benefits Pro-
gram (FEHBP). 
SEC. 3. CONTRACTS WITH ENTITIES TO OFFER QUALIFIED 
CCHBP HEALTH PLANS. 
(a) IN GENERAL.—The Director shall enter into con-
tracts with entities for the offering of qualified CCHBP 
health plans in accordance with this Act. Such contracts 
shall be entered into in a manner similar to the process 
by which the Director is authorized to enter into contracts 
with entities offering health benefits plans under FEHBP. 
(b) REQUIREMENTS
FOR
ENTITIES
OFFERING 
PLANS.—The Director may only enter into a contract 
under subsection (a) with an entity that is— 
(1) licensed— 
(A) as a health maintenance organization 
in the State in which the entity will offer the 
qualified CCHBP health plan; or 
(B) to sell group health insurance coverage 
in such State; 
(2) meets such requirements, similar to require-
ments under FEHBP, as the Director may estab-
lish, relating to solvency, adequacy of plan benefits 
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(subject to section 4), organization, structure, gov-
ernance, access, and quality; and 
(3) agrees to participate in the high-risk rein-
surance fund described in section 8. 
(c) FEHBP PLANS.—Any health plan offered under 
FEHBP shall be treated as a qualified CCHBP health 
plan for purposes of this Act. 
(d) PREEMPTION
OF STATE LAW.—The require-
ments of section 4, with respect to the scope and type of 
benefits required to be provided by a CCHBP health plan, 
shall supersede any and all State laws. 
SEC. 4. SCOPE OF BENEFITS AND COVERAGE. 
(a) COMPREHENSIVE BENEFITS.— 
(1) IN GENERAL.—Subject to paragraph (2), 
qualified CCHBP health plans shall provide for the 
same scope and type of benefits that are provided 
under FEHBP, including— 
(A) the types of benefits described in sec-
tion 8904 of title 5, United States Code; and 
(B) benefits required by regulation or 
guidance under FEHBP. 
(2) PREVENTIVE
BENEFITS
AND
MENTAL 
HEALTH
PARITY.—Qualified CCHBP health plans 
shall provide a minimum level of preventive benefits 
determined by the Director, in consultation with the 
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U.S. Preventive Service Task Force, which shall in-
clude vaccines for both children and adults, an an-
nual 
physical, 
cancer 
screening 
(including 
mammographies for women of an appropriate age), 
and mental health parity. 
(b) NO EXCLUSION
FOR PRE-EXISTING CONDI-
TIONS.—Subject to section 6(b)(2), qualified CCHBP 
health plans shall not impose pre-existing condition exclu-
sions or otherwise discriminate against any individual 
based on the health status of such individual (including 
genetic information relating to such enrollee, or any dis-
ease or condition). 
(c) ANNUAL AND LIFETIME OUT-OF-POCKET LIMIT 
INFORMATION.—An entity offering a qualified CCHBP 
health plan must provide notice to any individual covered 
by such plan of any benefit or service that is not included 
in the calculation of the annual or lifetime out-of-pocket 
limit under such plan. 
SEC. 5. ELIGIBILITY. 
(a) IN GENERAL.—An individual is eligible to enroll 
in a qualified CCHBP health plan if— 
(1) the individual resides in the United States; 
and 
(2) the individual is— 
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(A) a citizen or national of the United 
States; 
(B) an alien lawfully admitted to the 
United States for permanent residence; 
(C) an alien admitted into the United 
States under section 207 of the Immigration 
and Nationality Act (relating to refugees); 
(D) an alien otherwise permanently resid-
ing in the United States under color of law (as 
specified by the Director); or 
(E) an alien with the status of a non-
immigrant who is within a class of long-term 
nonimmigrants under section 101(a)(15) of the 
Immigration and Nationality Act that the Di-
rector determines, in consultation with the Sec-
retary of Homeland Security, to be appropriate. 
(b) EXCEPTIONS.—The following individuals are not 
eligible to enroll in a qualified CCHBP health plan: 
(1) INDIVIDUALS
ENROLLED
UNDER
PUBLIC 
HEALTH INSURANCE PROGRAMS.—An individual who 
is enrolled under the Federal employees health bene-
fits program under chapter 89 of title 5, United 
States Code (except for a member of Congress, as 
defined by section 2106 of title 5, United States 
Code; or the President); the Medicare program 
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