Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Improving Children’s 
Doctor Access Act of 2009’’. 
SEC. 2. STATE REQUIREMENT UNDER SCHIP TO REPORT 
ON HEDIS MEASURE RELATING TO ACCESS 
TO PCPS. 
(a) IN GENERAL.—Section 2108(a) of the Social Se-
curity Act (42 U.S.C. 1397hh(a)) is amended— 
(1) by redesignating paragraphs (1) and (2) as 
subparagraphs (A) and (B), respectively, with appro-
priate indentation; 
(2) by designating the sentence beginning with 
‘‘The State shall’’ as a paragraph (1) with the hear-
ing ‘‘(1) IN GENERAL.—’’ and appropriate indenta-
tion; and 
(3) by adding at the end the following new 
paragraph: 
‘‘(2) INFORMATION ON CERTAIN HEDIS MEAS-
URE REQUIRED.— 
‘‘(A) IN GENERAL.—Each annual report of 
a State submitted under paragraph (1)(B) for 
a fiscal year shall include information on the 
access HEDIS measure described in subpara-
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graph (B) for individuals eligible for child 
health assistance under the State child health 
plan during the fiscal year. 
‘‘(B) 
ACCESS
HEDIS
MEASURE
DE-
SCRIBED.—The access HEDIS measure de-
scribed in this subparagraph is the Health Plan 
Employer Data and Information Set (HEDIS) 
measure established by the National Committee 
for Quality Assurance that is the following (or, 
in the case of an update to such measure, such 
update): 
‘‘(i) The percentage of each of the fol-
lowing populations of individuals described 
in subparagraph (A) who had a visit with 
a primary care practitioner during the pre-
vious 12-month period: 
‘‘(I) Individuals who are at least 
12 months of age and who have not 
attained 25 months of age. 
‘‘(II) Individuals who are at least 
25 months of age and have not at-
tained 7 years of age. 
‘‘(ii) The percentage of each of the 
following populations of individuals de-
scribed in subparagraph (A) who had a 
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visit with a primary care practitioner dur-
ing the previous 24-month period: 
‘‘(I) Individuals who are at least 
7 years of age and who have not at-
tained 12 years of age. 
‘‘(II) Individuals who are at least 
12 years of age and who have not at-
tained 19 years of age.’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a)(3) shall be effective for annual reports sub-
mitted for fiscal year 2010 and each subsequent fiscal 
year. 
SEC. 3. STATE EFFORTS UNDER SCHIP TO AVOID DIS-
PLACEMENT 
OF 
PRIVATE 
HEALTH 
COV-
ERAGE. 
(a) IN GENERAL.—Section 2102(c) of the Social Se-
curity Act (42 U.S.C. 1397bb(c)) is amended by adding 
at the end the following new paragraph: 
‘‘(3) EFFORTS
TO
AVOID
DISPLACEMENT
OF 
PRIVATE HEALTH COVERAGE.—(A) Prioritization of 
outreach to families with income below 200 percent 
of the Federal poverty level. 
‘‘(B) Discouragement of the crowd out of pri-
vate health insurance coverage for families with in-
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come at least 300 percent of the Federal poverty 
level.’’. 
(b) ANNUAL STATE REPORTS UNDER SCHIP ON 
EFFORTS
TO
AVOID
DISPLACEMENT
OF
PRIVATE 
HEALTH COVERAGE.— 
(1) IN GENERAL.—Section 2108(a) of the So-
cial Security Act (42 U.S.C. 1397hh(a)), as amend-
ed by section 2, is further amended by adding at the 
end the following new paragraph: 
‘‘(3) INFORMATION ON EFFORTS TO AVOID DIS-
PLACEMENT
OF
PRIVATE
HEALTH
COVERAGE.— 
Each annual report of a State submitted under 
paragraph (1)(B) shall include, with respect to the 
State child health plan under this title for a fiscal 
year, a description of the measures taken by the 
State, and the progress of the State, to follow the 
procedures described by the State pursuant to sub-
paragraphs (A) and (B) of section 2102(c)(3).’’. 
(2) EFFECTIVE DATE.—The amendment made 
by paragraph (1) shall be effective for annual re-
ports submitted for fiscal year 2010 and each subse-
quent fiscal year. 
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SEC. 4. SENSE OF CONGRESS REGARDING UTILIZATION OF 
CAHPS CONSUMER SATISFACTION SURVEYS. 
It is the sense of Congress that each State that has 
a State child health plan under title XXI of the Social 
Security Act should— 
(1) utilize consumer satisfaction surveys devel-
oped by the Consumer Assessment of Healthcare 
Providers and Systems (CAHPS) administered by 
the Agency for Healthcare Research and Quality, 
specifically the Getting Needed Care and Getting 
Care Quickly question components of the CAHPS 
4.0H Child Survey (or in the case of an update to 
such survey, of such update), to measure the extent 
to which individuals eligible for child health assist-
ance under the State plan have access to physicians, 
including primary care practitioners and specialists, 
and the degree of ease with which such access is at-
tainable by such individuals; and 
(2) include the results of such surveys for a fis-
cal year in the annual report submitted for such fis-
cal year by the State to the Secretary under section 
2108(a) of the Social Security Act (42 U.S.C. 
1397hh(a)). 
Æ 
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