I 
111TH CONGRESS 
1ST SESSION H. R. 1200 
To provide for health care for every American and to control the cost and 
enhance the quality of the health care system. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 25, 2009 
Mr. MCDERMOTT (for himself, Mr. ENGEL, Mr. FARR, Mr. HINCHEY, Mr. 
KUCINICH, Mr. DICKS, Ms. LEE of California, and Mr. OLVER) intro-
duced the following bill; which was referred to the Committee on Energy 
and Commerce, and in addition to the Committees on Ways and Means, 
Oversight and Government Reform, and Armed Services, for a period to 
be subsequently determined by the Speaker, in each case for consider-
ation of such provisions as fall within the jurisdiction of the committee 
concerned 
A BILL 
To provide for health care for every American and to control 
the cost and enhance the quality of the health care system. 
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 
‘‘American Health Security Act of 2009’’. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows: 
VerDate Nov 24 2008 
22:51 Feb 26, 2009
Jkt 079200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H1200.IH
H1200
mstockstill on PROD1PC66 with BILLS
Sec. 1. Short title; table of contents. 
TITLE 
I—ESTABLISHMENT 
OF 
A 
STATE-BASED 
AMERICAN 
HEALTH SECURITY PROGRAM; UNIVERSAL ENTITLEMENT; EN-
ROLLMENT 
Sec. 101. Establishment of a State-based American Health Security Program. 
Sec. 102. Universal entitlement. 
Sec. 103. Enrollment. 
Sec. 104. Portability of benefits. 
Sec. 105. Effective date of benefits. 
Sec. 106. Relationship to existing Federal health programs. 
TITLE II—COMPREHENSIVE BENEFITS, INCLUDING PREVENTIVE 
BENEFITS AND BENEFITS FOR LONG-TERM CARE 
Sec. 201. Comprehensive benefits. 
Sec. 202. Definitions relating to services. 
Sec. 203. Special rules for home and community-based long-term care services. 
Sec. 204. Exclusions and limitations. 
Sec. 205. Certification; quality review; plans of care. 
TITLE III—PROVIDER PARTICIPATION 
Sec. 301. Provider participation and standards. 
Sec. 302. Qualifications for providers. 
Sec. 303. Qualifications for comprehensive health service organizations. 
Sec. 304. Limitation on certain physician referrals. 
TITLE IV—ADMINISTRATION 
Subtitle A—General Administrative Provisions 
Sec. 401. American Health Security Standards Board. 
Sec. 402. American Health Security Advisory Council. 
Sec. 403. Consultation with private entities. 
Sec. 404. State health security programs. 
Sec. 405. Complementary conduct of related health programs. 
Subtitle B—Control Over Fraud and Abuse 
Sec. 411. Application of Federal sanctions to all fraud and abuse under Amer-
ican Health Security Program. 
Sec. 412. Requirements for operation of State health care fraud and abuse con-
trol units. 
TITLE V—QUALITY ASSESSMENT 
Sec. 501. American Health Security Quality Council. 
Sec. 502. Development of certain methodologies, guidelines, and standards. 
Sec. 503. State quality review programs. 
Sec. 504. Elimination of utilization review programs; transition. 
TITLE VI—HEALTH SECURITY BUDGET; PAYMENTS; COST 
CONTAINMENT MEASURES 
Subtitle A—Budgeting and Payments to States 
Sec. 601. National health security budget. 
VerDate Nov 24 2008 
22:51 Feb 26, 2009
Jkt 079200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6211
E:\BILLS\H1200.IH
H1200
mstockstill on PROD1PC66 with BILLS