I 
110TH CONGRESS 
1ST SESSION H. R. 3163 
To provide affordable, guaranteed private health coverage that will make 
Americans healthier and can never be taken away. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 24, 2007 
Mr. BAIRD (for himself, Mrs. EMERSON, Mr. BLUMENAUER, and Mr. COO-
PER) introduced the following bill; which was referred to the Committee 
on Energy and Commerce, and in addition to the Committees on Ways 
and Means, Education and Labor, and Oversight and Government Re-
form, for a period to be subsequently determined by the Speaker, in each 
case for consideration of such provisions as fall within the jurisdiction of 
the committee concerned 
A BILL 
To provide affordable, guaranteed private health coverage 
that will make Americans healthier and can never be 
taken away. 
Be it enacted by the Senate and House of Representa-
tives 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 
‘‘Healthy Americans Act’’. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows: 
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Sec. 1. Short title; table of contents. 
Sec. 2. Findings. 
Sec. 3. Definitions. 
TITLE I—HEALTHY AMERICANS PRIVATE INSURANCE PLANS 
Subtitle A—Guaranteed Private Coverage 
Sec. 101. Guarantee of Healthy Americans Private Insurance coverage. 
Sec. 102. Individual responsibility to enroll in a Healthy Americans Private In-
surance plan. 
Subtitle B—Standards for Healthy Americans Private Insurance Coverage 
Sec. 111. Healthy Americans Private Insurance Plans. 
Sec. 112. Specific coverage requirements. 
Sec. 113. Updating Healthy Americans Private Insurance plan requirements. 
Subtitle C—Eligibility for Premium and Personal Responsibility Contribution 
Subsidies 
Sec. 121. Eligibility for premium subsidies. 
Sec. 122. Eligibility for personal responsibility contribution subsidies. 
Sec. 123. Definitions and special rules. 
Subtitle D—Wellness Programs 
Sec. 131. Requirements for wellness programs. 
TITLE II—HEALTHY START FOR CHILDREN 
Subtitle A—Benefits and Eligibility 
Sec. 201. General goal and authorization of appropriations for HAPI plan cov-
erage for children. 
Sec. 202. Coordination of supplemental coverage under the Medicaid program 
to HAPI plan coverage for children. 
Subtitle B—Service Providers 
Sec. 211. Inclusion of providers under HAPI plans. 
Sec. 212. Use of school-based health centers. 
TITLE III—BETTER HEALTH FOR OLDER AND DISABLED 
AMERICANS 
Sec. 301. Coordination of supplemental coverage under the Medicaid program 
for elderly and disabled individuals. 
TITLE IV—HEALTHIER MEDICARE 
Subtitle A—Authority To Adjust Amount of Part B Premium To Reward 
Positive Health Behavior 
Sec. 401. Authority to adjust amount of Medicare part B premium to reward 
positive health behavior. 
Subtitle B—Promoting Primary Care for Medicare Beneficiaries 
Sec. 411. Primary care services management payment. 
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Subtitle C—Chronic Care Disease Management 
Sec. 421. Chronic care disease management. 
Sec. 422. Chronic Care Education Centers. 
Subtitle D—Improving Quality in Hospitals for All Patients 
Sec. 431. Improving quality in hospitals for all patients. 
Subtitle E—Additional Provisions 
Sec. 441. Additional cost information. 
Sec. 442. Reducing Medicare paperwork and regulatory burdens. 
TITLE V—STATE HEALTH HELP AGENCIES 
Sec. 501. Establishment. 
Sec. 502. Responsibilities and authorities. 
Sec. 503. Appropriations for Transition to State Health Help Agencies. 
TITLE VI—SHARED RESPONSIBILITIES 
Subtitle A—Individual Responsibilities 
Sec. 601. Individual responsibility to ensure HAPI plan coverage. 
Subtitle B—Employer Responsibilities 
Sec. 611. Health care responsibility payments. 
Sec. 612. Distribution of individual responsibility payments to HHAs. 
Subtitle C—Insurer Responsibilities 
Sec. 621. Insurer responsibilities. 
Subtitle D—State Responsibilities 
Sec. 631. State responsibilities. 
Sec. 632. Empowering States to innovate through waivers. 
Subtitle E—Federal Fallback Guarantee Responsibility 
Sec. 641. Federal guarantee of access to coverage. 
Subtitle F—Federal Financing Responsibilities 
Sec. 651. Appropriation for subsidy payments. 
Sec. 652. Recapture of Medicare and 90 percent of Medicaid Federal DSH 
funds to strengthen Medicare and ensure continued support for 
public health programs. 
Subtitle G—Tax Treatment of Health Care Coverage Under Healthy Ameri-
cans Program; Termination of Coverage Under Other Governmental Pro-
grams and Transition Rules for Medicaid and SCHIP 
PART 1—TAX TREATMENT OF HEALTH CARE COVERAGE UNDER HEALTHY 
AMERICANS PROGRAM 
Sec. 661. Limited employee income and payroll tax exclusion for employer 
shared responsibility payments, historic retiree health contribu-
tions, and transitional coverage contributions. 
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Sec. 662. Exclusion for limited employer-provided health care fringe benefits. 
Sec. 663. Limited employer deduction for employer shared responsibility pay-
ments, historic retiree health contributions, and other health 
care expenses. 
Sec. 664. Refundable credit for individual shared responsibility payments. 
Sec. 665. Modification of other tax incentives to complement Healthy Ameri-
cans program. 
Sec. 666. Termination of certain employer incentives when replaced by lower 
health care costs. 
PART 2—TERMINATION OF COVERAGE UNDER OTHER GOVERNMENTAL 
PROGRAMS AND TRANSITION RULES FOR MEDICAID AND SCHIP 
Sec. 671. Group and individual health plan requirements not applicable to 
HAPI plans. 
Sec. 672. Federal Employees Health Benefits Plan. 
Sec. 673. Medicaid and SCHIP. 
TITLE VII—PURCHASING HEALTH SERVICES AND PRODUCTS 
THAT ARE MOST EFFECTIVE 
Sec. 701. One time disallowance of deduction for advertising and promotional 
expenses for certain prescription pharmaceuticals. 
Sec. 702. Enhanced new drug and device approval. 
Sec. 703. Medical schools and finding what works in health care. 
Sec. 704. Finding affordable health care providers nearby. 
TITLE VIII—ENHANCED HEALTH CARE VALUE 
Sec. 801. Short title. 
Sec. 802. Research on comparative effectiveness of health care items and serv-
ices. 
Sec. 803. Health Care Comparative Effectiveness Research Trust Fund; financ-
ing for Trust Fund. 
Sec. 804. Coordination of Health Services Research. 
TITLE IX—CONTAINING MEDICAL COSTS AND GETTING MORE 
VALUE FOR THE HEALTH CARE DOLLAR 
Sec. 901. Cost-containment results of the Healthy Americans Act. 
SEC. 2. FINDINGS. 
Congress makes the following findings: 
(1) Americans want affordable, guaranteed pri-
vate health coverage that makes them healthier and 
can never be taken away. 
(2) American health care provides primarily 
‘‘sick care’’ and does not do enough to prevent 
chronic illnesses like heart disease, stroke, and dia-
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