197 
sion of law established by or under this subtitle (including 
State standards of negligence) shall be governed by other-
wise applicable State or Federal law. 
(2) This subtitle shall not preempt or supersede any 
State or Federal law that imposes greater procedural or 
substantive protections for health care providers and 
health care organizations from liability, loss, or damages 
than those provided by this subtitle or create a cause of 
action. 
(c) STATE FLEXIBILITY.—No provision of this sub-
title shall be construed to preempt— 
(1) any State law (whether effective before, on, 
or after the date of the enactment of this Act) that 
specifies a particular monetary amount of compen-
satory or punitive damages (or the total amount of 
damages) that may be awarded in a health care law-
suit, regardless of whether such monetary amount is 
greater or lesser than is provided for under this sub-
title, notwithstanding section 502(a); or 
(2) any defense available to a party in a health 
care lawsuit under any other provision of State or 
Federal law. 
SEC. 510. APPLICABILITY; EFFECTIVE DATE. 
This subtitle shall apply to any health care lawsuit 
brought in a Federal or State court, or subject to an alter-
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native dispute resolution system, that is initiated on or 
after the date of the enactment of this Act, except that 
any health care lawsuit arising from an injury occurring 
prior to the date of the enactment of this Act shall be 
governed by the applicable statute of limitations provisions 
in effect at the time the injury occurred. 
SEC. 511. SENSE OF CONGRESS. 
It is the sense of Congress that a health insurer 
should be liable for damages for harm caused when it 
makes a decision as to what care is medically necessary 
and appropriate. 
Subtitle B—Liability Protection for 
Community Health Center Vol-
unteers 
SEC. 521. HEALTH CENTERS UNDER PUBLIC HEALTH SERV-
ICE ACT; LIABILITY PROTECTIONS FOR VOL-
UNTEER PRACTITIONERS. 
(a) IN GENERAL.—Section 224 of the Public Health 
Service Act (42 U.S.C. 233) is amended— 
(1) in subsection (g)(1)(A)— 
(A) in the first sentence, by striking ‘‘or 
employee’’ and inserting ‘‘employee, or (subject 
to subsection (k)(4)) volunteer practitioner’’; 
and 
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(B) in the second sentence, by inserting 
‘‘and subsection (k)(4)’’ after ‘‘subject to para-
graph (5)’’; and 
(2) in each of subsections (g), (i), (j), (k), (l), 
and (m)— 
(A) by striking the term ‘‘employee, or 
contractor’’ each place such term appears and 
inserting ‘‘employee, volunteer practitioner, or 
contractor’’; 
(B) by striking the term ‘‘employee, and 
contractor’’ each place such term appears and 
inserting ‘‘employee, volunteer practitioner, and 
contractor’’; 
(C) by striking the term ‘‘employee, or any 
contractor’’ each place such term appears and 
inserting ‘‘employee, volunteer practitioner, or 
contractor’’; and 
(D) by striking the term ‘‘employees, or 
contractors’’ each place such term appears and 
inserting ‘‘employees, volunteer practitioners, or 
contractors’’. 
(b) APPLICABILITY; DEFINITION.—Section 224(k) of 
the Public Health Service Act (42 U.S.C. 233(k)) is 
amended by adding at the end the following paragraph: 
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‘‘(4)(A) Subsections (g) through (m) apply with re-
spect to volunteer practitioners beginning with the first 
fiscal year for which an appropriations Act provides that 
amounts in the fund under paragraph (2) are available 
with respect to such practitioners. 
‘‘(B) For purposes of subsections (g) through (m), 
the term ‘volunteer practitioner’ means a practitioner who, 
with respect to an entity described in subsection (g)(4), 
meets the following conditions: 
‘‘(i) The practitioner is a licensed physician or 
a licensed clinical psychologist. 
‘‘(ii) At the request of such entity, the practi-
tioner provides services to patients of the entity, at 
a site at which the entity operates or at a site des-
ignated by the entity. The weekly number of hours 
of services provided to the patients by the practi-
tioner is not a factor with respect to meeting condi-
tions under this subparagraph. 
‘‘(iii) The practitioner does not for the provision 
of such services receive any compensation from such 
patients, from the entity, or from third-party payors 
(including reimbursement under any insurance pol-
icy or health plan, or under any Federal or State 
health benefits program).’’. 
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201 
TITLE VI—MISCELLANEOUS 
Subtitle A—Fighting Fraud and 
Abuse 
SEC. 601. PROVIDE ADEQUATE FUNDING TO HHS OIG AND 
HCFAC. 
(a) HCFAC FUNDING.—Section 1817(k)(3)(A) of 
the Social Security Act (42 U.S.C. 1395i(k)(3)(A)) is 
amended— 
(1) in clause (i)— 
(A) in subclause (IV), by striking ‘‘2009, 
and 2010’’ and inserting ‘‘and 2009’’; and 
(B) by amending subclause (V) to read as 
follows: 
‘‘(V) for each fiscal year after fis-
cal year 2009, $300,000,000.’’; and 
(2) in clause (ii)— 
(A) in subclause (IX), by striking ‘‘2009, 
and 2010’’ and inserting ‘‘and 2009’’; and 
(B) in subclause (X), by striking ‘‘2010’’ 
and inserting ‘‘2009’’ and by inserting before 
the period at the end the following: ‘‘, plus the 
amount by which the amount made available 
under clause (i)(V) for fiscal year 2010 exceeds 
the amount made available under clause (i)(IV) 
for 2009’’. 
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(b) OIG FUNDING.—There are authorized to be ap-
propriated for each of fiscal years 2010 through 2019 
$100,000,000 for the Office of the Inspector General of 
the Department of Health and Human Services for fraud 
prevention activities under the Medicare and Medicaid 
programs. 
SEC. 602. INCREASED CIVIL MONEY PENALTIES AND CRIMI-
NAL FINES FOR MEDICARE FRAUD AND 
ABUSE. 
(a) INCREASED CIVIL MONEY PENALTIES.—Section 
1128A of the Social Security Act (42 U.S.C. 1320a–7a) 
is amended— 
(1) in subsection (a), in the flush matter fol-
lowing paragraph (7)— 
(A) by striking ‘‘$10,000’’ each place it 
appears and inserting ‘‘$20,000’’; 
(B) by striking ‘‘$15,000’’ and inserting 
‘‘$30,000’’; and 
(C) by striking ‘‘$50,000’’ and inserting 
‘‘$100,000’’; and 
(2) in subsection (b)— 
(A) in paragraph (1), in the flush matter 
following 
subparagraph 
(B), 
by 
striking 
‘‘$2,000’’ and inserting ‘‘$4,000’’; 
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(B) in paragraph (2), by striking ‘‘$2,000’’ 
and inserting ‘‘$4,000’’; and 
(C) in paragraph (3)(A)(i), by striking 
‘‘$5,000’’ and inserting ‘‘$10,000’’. 
(b) INCREASED CRIMINAL FINES.—Section 1128B of 
the Social Security Act (42 U.S.C. 1320a–7b) is amend-
ed— 
(1) in subsection (a), in the flush matter fol-
lowing paragraph (6)— 
(A) by striking ‘‘$25,000’’ and inserting 
‘‘$100,000’’; and 
(B) by striking ‘‘$10,000’’ and inserting 
‘‘$20,000’’; 
(2) in subsection (b)— 
(A) in paragraph (1), in the flush matter 
following 
subparagraph 
(B), 
by 
striking 
‘‘$25,000’’ and inserting ‘‘$100,000’’; and 
(B) in paragraph (2), in the flush matter 
following 
subparagraph 
(B), 
by 
striking 
‘‘$25,000’’ and inserting ‘‘$100,000’’; 
(3) in subsection (c), by striking ‘‘$25,000’’ and 
inserting ‘‘$100,000’’; 
(4) in subsection (d), in the second flush matter 
following subparagraph (B), by striking ‘‘$25,000’’ 
and inserting ‘‘$100,000’’; and 
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(5) in subsection (e), by striking ‘‘$2,000’’ and 
inserting ‘‘$4,000’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to civil money penalties and fines 
imposed for actions taken on or after the date of enact-
ment of this Act. 
SEC. 603. INCREASED SENTENCES FOR FELONIES INVOLV-
ING MEDICARE FRAUD AND ABUSE. 
(a) FALSE STATEMENTS AND REPRESENTATIONS.— 
Section 1128B(a) of the Social Security Act (42 U.S.C. 
1320a–7b(a)) is amended, in clause (i) of the flush matter 
following paragraph (6), by striking ‘‘not more than 5 
years’’ and inserting ‘‘not more than 10 years’’. 
(b) ANTI-KICKBACK.—Section 1128B(b) of the So-
cial Security Act (42 U.S.C. 1320a–7b(b)) is amended— 
(1) in paragraph (1), in the flush matter fol-
lowing subparagraph (B), by striking ‘‘not more 
than 5 years’’ and inserting ‘‘not more than 10 
years’’; and 
(2) in paragraph (2), in the flush matter fol-
lowing subparagraph (B), by striking ‘‘not more 
than 5 years’’ and inserting ‘‘not more than 10 
years’’. 
(c) FALSE STATEMENT OR REPRESENTATION WITH 
RESPECT TO CONDITIONS OR OPERATIONS OF FACILI-
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TIES.—Section 1128B(c) of the Social Security Act (42 
U.S.C. 1320a–7b(c)) is amended by striking ‘‘not more 
than 5 years’’ and inserting ‘‘not more than 10 years’’. 
(d) EXCESS CHARGES.—Section 1128B(d) of the So-
cial Security Act (42 U.S.C. 1320a–7b(d)) is amended, in 
the second flush matter following subparagraph (B), by 
striking ‘‘not more than 5 years’’ and inserting ‘‘not more 
than 10 years’’. 
(e) EFFECTIVE DATE.—The amendments made by 
this section shall apply to criminal penalties imposed for 
actions taken on or after the date of enactment of this 
Act. 
SEC. 604. ILLEGAL DISTRIBUTION OF A MEDICARE OR MED-
ICAID 
BENEFICIARY 
IDENTIFICATION 
OR 
PROVIDER NUMBER. 
Section 1128B(b) of the Social Security Act (42 
U.S.C. 1320a–7b(b)), as amended by section 4(b), is 
amended by adding at the end the following: 
‘‘(5) Whoever knowingly, intentionally, and with the 
intent to defraud purchases, sells or distributes, or ar-
ranges for the purchase, sale, or distribution of two or 
more Medicare or Medicaid beneficiary identification num-
bers or provider numbers shall be imprisoned for not more 
than three years or fined under title 18, United States 
Code (or, if greater, an amount equal to the monetary loss 
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to the Federal and any State government as a result of 
such acts), or both.’’. 
SEC. 605. USE OF TECHNOLOGY FOR REAL-TIME DATA RE-
VIEW. 
Title XVIII of the Social Security Act is amended by 
adding at the end the following new section: 
‘‘USE OF TECHNOLOGY FOR REAL-TIME DATA REVIEW 
‘‘SEC. 1899. (a) IN GENERAL.—The Secretary shall 
establish procedures for the use of technology (including 
front-end, pre-payment technology similar to that used by 
hedge funds, investment funds, and banks) to provide real- 
time data analysis of claims for payment under this title 
to identify and investigate unusual billing or order prac-
tices under this title that could indicate fraud or abuse. 
‘‘(b) COMPETITIVE BIDDING.—The procedures estab-
lished under subsection (a) shall ensure that the imple-
mentation of such technology is conducted through a com-
petitive bidding process.’’. 
Subtitle B—State Transparency 
Plan Portal 
SEC. 611. PROVIDING INFORMATION ON HEALTH COV-
ERAGE OPTIONS AND HEALTH CARE PRO-
VIDERS. 
(a) STATE-BASED PORTAL.—A State (by itself or 
jointly with other States) may contract with a private enti-
ty to establish a Health Plan and Provider Portal website 
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(referred to in this section as a ‘‘plan portal’’) for the pur-
poses of providing standardized information— 
(1) on health insurance plans that have been 
certified to be available for purchase in that State; 
and 
(2) on price and quality information on health 
care providers (including physicians, hospitals, and 
other health care institutions). 
(b) PILOT PROGRAM.— 
(1) IN GENERAL.—Not later than 90 days after 
the date of the enactment of this Act the Secretary 
of Health and Human Services shall work with 
States to establish no later than 2011, consistent 
with this title, a website that will serve as a pilot 
program for a national portal for information struc-
tured in a manner so individuals may directly link 
to the State plan portal for the State in which they 
reside. 
(2) CONTRACTS WITH STATE.—The Secretary 
shall enter into contracts with States, in a number 
and distribution determined by the Secretary, to de-
velop State plan portals that follow the applicable 
standards and regulations under this section. 
(3) COMMON
STANDARDS
FOR
PLAN
POR-
TALS.— 
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(A) IN GENERAL.—In connection with such 
website, the Secretary shall establish standards 
for interoperability and consistency for State 
plan portals so that individuals can access and 
view information in a similar manner on plan 
portals of different States. Such standards shall 
include standard definitions for health insur-
ance plan benefits so that individuals can accu-
rately compare health insurance plans within 
such portals and standards for the inclusion of 
information described in subsection (c). 
(B) CONSULTATION.—The Secretary shall 
consult with a group consisting of a balanced 
representation of the critical stakeholders (in-
cluding States, health insurance issuers, the 
National Association of Insurance Commis-
sioners, qualified health care provider-based en-
tities (including physicians, hospitals, and other 
health care institutions), and a standards devel-
opment organization) to develop such stand-
ards. 
(C) ISSUANCE.— 
(i) IN GENERAL.—Not later than 6 
months after the date of the enactment of 
this Act, the Secretary shall issue, by regu-
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lation, after notice and opportunity for 
public comment, standards that are con-
sistent with the recommendations made by 
the group under subparagraph (B). 
(ii) DISSEMINATION.—The Secretary 
shall broadly disseminate the standards so 
issued. 
(D) REVIEW.—One year after the date of 
establishment of the pilot program under this 
subsection, the Secretary, in consultation with 
stakeholder group described in subparagraph 
(B), shall review the standards established and 
make such changes in such standards as may 
be appropriate. 
(4) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated to the Sec-
retary such amounts as may be necessary for— 
(A) the development and operation of the 
national website under this subsection; and 
(B) contracts with States under paragraph 
(2) to assist in the development and initial op-
eration of plan portals in accordance with 
standards established under paragraph (3) and 
other applicable provisions of this section. 
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(c) INFORMATION IN PLAN PORTALS.—The stand-
ards for plan portals under subsection (b)(3) shall include 
the following: 
(1) HEALTH INSURANCE INFORMATION.—Each 
plan portal shall meet the following requirements 
with respect to information on health insurance 
plans: 
(A) The plan portal shall present complete 
information on the costs and benefits of health 
insurance plans (including information on 
monthly premium, copayments, deductibles, and 
covered benefits) in a uniform manner that— 
(i) uses the standard definitions devel-
oped under subsection (b)(3); and 
(ii) is designed to allow consumers to 
easily compare such plans. 
(B) The plan portal shall be available on 
the Internet and accessible to all individuals in 
the United States. 
(C) The plan portal shall allow consumers 
to search and sort data on the health insurance 
plans in the plan portal on criteria such as cov-
erage of specific benefits (such as coverage of 
disease management services or pediatric care 
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services), as well as data available respecting 
quality of plans. 
(D) The plan portal shall meet all relevant 
State laws and regulations, including laws and 
regulations related to the marketing of insur-
ance products. 
(E) Notwithstanding subsection (d)(1), the 
plan portal shall provide information to individ-
uals who are eligible for the Medicaid program 
under title XIX of the Social Security Act or 
State Children’s Health Insurance Program 
under title XXI of such Act by including infor-
mation on options, eligibility, and how to enroll 
through providing a link to a website main-
tained with respect to such State programs. 
(F) The plan portal shall provide support 
to individuals who are eligible for tax credits 
and deductions under the amendments made by 
this Act to enhance such individual’s ability to 
access such credits and deductions. 
(G) The plan portal shall allow consumers 
to access quality data on providers as made 
available through a website once that data is 
available. 
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(2) PROVIDER INFORMATION.—Each plan por-
tal shall meet the following requirements with re-
spect to information on health care providers: 
(A) Identifying and licensure information. 
(B) Self-pay prices charged, including vari-
ation in such prices. 
For purposes of subparagraph (B), the term ‘‘self- 
pay price’’ means the price charged by a provider to 
individuals for items or services where the price is 
not established or negotiated through a health care 
program or third party. 
(3) TAX
CREDIT
AND
DEDUCTION
INFORMA-
TION.—Each plan portal shall also include informa-
tion on tax credits and deductions that may be avail-
able for purpose of qualified health plans. 
(4) INCLUSION
OF
QUALITY
INFORMATION.— 
The Secretary, after collaboration with States and 
health care providers (including practicing physi-
cians, hospitals, and other health care institutions), 
shall submit to Congress recommendations on how 
to include on plan portals information on perform-
ance-based quality measures obtained under section 
612. 
(d) PROHIBITIONS.— 
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(1) DIRECT ENROLLMENT.—A plan portal may 
not directly enroll individuals in health insurance 
plans or under a State Medicaid plan or a State 
children’s health insurance plan. 
(2) CONFLICTS OF INTEREST.— 
(A) 
COMPANIES.—A 
health 
insurance 
issuer offering a health insurance plan through 
a plan portal may not— 
(i) be the private entity developing 
and maintaining a plan portal under this 
section; or 
(ii) have an ownership interest in such 
private entity or in the plan portal. 
(B) 
INDIVIDUALS.—An 
individual 
em-
ployed by a health insurance issuer offering a 
health insurance plan through a plan portal 
may not serve as a director or officer for— 
(i) the private entity developing and 
maintaining a plan portal under this sec-
tion; or 
(ii) the plan portal. 
(e) CONSTRUCTION.—Nothing in this section shall be 
construed to prohibit health insurance brokers and agents 
from— 
(1) utilizing the plan portal for any purpose; or 
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(2) marketing or offering health insurance 
products. 
(f) STATE DEFINED.—In this section, the term 
‘‘State’’ has the meaning given such term for purposes of 
title XIX of the Social Security Act. 
SEC. 
612. 
ESTABLISHMENT 
OF 
PERFORMANCE-BASED 
QUALITY MEASURES. 
Not later than January 1, 2010, the Secretary of 
Health and Human Services shall submit to Congress a 
proposal for a formalized process for the development of 
performance-based quality measures that could be applied 
to physicians’ services under the Medicare program. Such 
proposal shall be in concert and agreement with the Physi-
cian Consortium for Performance Improvement and shall 
only utilize measures agreed upon by each physician spe-
cialty organization. 
Subtitle C—Medicare Accountable 
Care Organization Demonstra-
tion Program 
SEC. 621. MEDICARE ACCOUNTABLE CARE ORGANIZATION 
DEMONSTRATION PROGRAM. 
(a) ESTABLISHMENT.— 
(1) IN GENERAL.—In order to promote innova-
tive care coordination and delivery that is cost-effec-
tive, the Secretary of Health and Human Services 
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(in this section referred to as the ‘‘Secretary’’) shall 
conduct a demonstration program under the Medi-
care program under which— 
(A) groups of providers meeting certain 
criteria may work together to manage and co-
ordinate care for Medicare fee-for-service bene-
ficiaries through an Accountable Care Organi-
zation (in this section referred to as an 
‘‘ACO’’); and 
(B) providers in participating ACOs are el-
igible for bonuses based on performance. 
(2) MEDICARE FEE-FOR-SERVICE BENEFICIARY 
DEFINED.—In this section, the term ‘‘Medicare fee- 
for-service beneficiary’’ means an individual who is 
enrolled in the original Medicare fee-for-service pro-
gram under parts A and B of title XVIII of the So-
cial Security Act and not enrolled in an MA plan 
under part C of such title. 
(b) ELIGIBLE ACOS.— 
(1) IN GENERAL.—Subject to paragraph (2), 
the following provider groups are eligible to partici-
pate as ACOs under the demonstration program 
under this section: 
(A) Physicians in group practice arrange-
ments. 
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(B) Networks of individual physician prac-
tices. 
(C) Partnerships or joint venture arrange-
ments between hospitals and physicians. 
(D) Partnerships or joint ventures, which 
may include pharmacists providing medication 
therapy management. 
(E) Hospitals employing physicians. 
(F) Integrated delivery systems. 
(G) Community-based coalitions of pro-
viders. 
(2) REQUIREMENTS.—An ACO shall meet the 
following requirements: 
(A) The ACO shall have a formal legal 
structure that would allow the organization to 
receive and distribute bonuses to participating 
providers. 
(B) The ACO shall include the primary 
care providers of at least 5,000 Medicare fee- 
for-service beneficiaries. 
(C) The ACO shall be willing to become 
accountable for the overall care of the Medicare 
fee-for-service beneficiaries. 
(D) The ACO shall provide the Secretary 
with a list of primary care and specialist physi-
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217 
cians participating in the ACO to support the 
beneficiary assignment, implementation of per-
formance measures, and the determination of 
bonus payments under the demonstration pro-
gram. 
(E) The ACO shall have in place contracts 
with a core group of key specialist physicians, 
a leadership and management structure, and 
processes to promote evidence-based medicine 
and to coordinate care. 
(c) ASSIGNMENT OF MEDICARE FEE-FOR-SERVICE 
BENEFICIARIES.— 
(1) IN
GENERAL.—Under the demonstration 
program under this section, each Medicare fee-for- 
service Medicare beneficiary shall be automatically 
assigned to a primary care provider. Such assign-
ment shall be based on the physician from whom the 
beneficiary received the most primary care in the 
preceding year. 
(2) BENEFICIARIES
MAY
CONTINUE
TO
SEE 
PROVIDERS OUTSIDE OF THE ACO.—Under the dem-
onstration program under this section, a Medicare 
fee-for-service Medicare beneficiary may continue to 
see providers in and outside of the ACO to which 
they have been assigned. 
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(d) BONUS PAYMENTS.— 
(1) IN
GENERAL.—Under the demonstration 
program, Medicare payments shall continue to be 
made to providers under the original Medicare fee- 
for-service program in the same manner as they 
would otherwise be made except that a participating 
ACO is eligible for bonuses if— 
(A) it meets certain quality performance 
measures; and 
(B) spending for their Medicare fee-for- 
service beneficiaries meets the requirement 
under paragraph (3). 
(2) QUALITY.—Under the demonstration pro-
gram under this section, providers meet the require-
ment under paragraph (1)(A) if they generally follow 
consensus-based guidelines established by non-gov-
ernment professional medical societies. Patient satis-
faction and risk-adjusted outcomes shall be deter-
mined through an independent entity with medical 
expertise. 
(3) REQUIREMENT RELATING TO SPENDING.— 
(A) IN GENERAL.—An ACO shall only be 
eligible to receive a bonus payment if the aver-
age Medicare expenditures under the ACO for 
Medicare fee-for-service beneficiaries over a 
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two-year period is at least 2 percent below the 
average benchmark for the corresponding two- 
year period. The benchmark for each ACO shall 
be set using the most recent three years of total 
per-beneficiary spending for Medicare fee-for- 
service beneficiaries assigned to the ACO. Such 
benchmark shall be updated by the projected 
rate of growth in national per capita spending 
for the original Medicare fee-for-service pro-
gram, as projected (using the most recent three 
years of data) by the Chief Actuary of the Cen-
ters for Medicare & Medicaid Services. 
(4) AMOUNT
OF
BONUS
PAYMENTS.—The 
amount of the bonus payment to a participating 
ACO shall be one-half of the percentage point dif-
ference between the two-year average of their pa-
tients’ Medicare expenditures and 98 percent of the 
two-year average benchmark. The bonus amount, in 
dollars, shall be equal to the bonus share multiplied 
by the benchmark for the most recent year. 
(5) LIMITATION.—Bonus payments may only be 
made to an ACO if the primary care provider to 
which the Medicare fee-for-service beneficiary has 
been assigned under subsection (c) elects to partici-
pate in such ACO. 
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220 
(e) WAIVER AUTHORITY.—The Secretary may waive 
such requirements of titles XI and XVIII of the Social 
Security Act (42 U.S.C. 1301 et seq.; 1395 et seq.) as 
may be appropriate for the purpose of carrying out the 
demonstration program under this section. 
(f) REPORT.—Upon completion of the demonstration 
program under this section, the Secretary shall submit to 
Congress a report on the program together with such rec-
ommendations as the Secretary determines appropriate. 
Subtitle D—Repeal of Unused 
Stimulus Funds 
SEC. 631. RESCISSION AND REPEAL IN ARRA. 
(a) RESCISSION.—Of the discretionary appropria-
tions made available in division A of the American Recov-
ery and Reinvestment Act of 2009 (Public Law 111–5), 
all unobligated balances are rescinded. 
(b) REPEAL.—Subtitles B and C of title II and titles 
III through VII of division B of the American Recovery 
and Reinvestment Act of 2009 (Public Law 111–5) are 
repealed. 
Æ 
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