In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.
Q: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Rural Health Access and Improvement
Act of 2009''.

SEC. 2. GRANTS TO PROMOTE HOSPITAL HEALTH INFORMATION TECHNOLOGY.

Section 3013 of the Public Health Service Act (42 U.S.C. 300jj-33)
is amended by adding at the end the following:
''(j) Priority.--In awarding a grant under this section, the
Secretary shall give priority to qualified State-designated entities
that are critical access hospitals, as defined in section 1861(mm) of
the Social Security Act.''.

SEC. 3. EXPANDED PARTICIPATION IN SECTION 340B PROGRAM.

Section 340B(a)(4) of the Public Health Service Act (42 U.S.C.
256b(a)(4)) is amended by adding at the end the following:
''(M) A children's hospital excluded from the
Medicare prospective payment system pursuant to section
1886(d)(1)(B)(iii) of the Social Security Act, or a
free-standing cancer hospital excluded from the
Medicare prospective payment system pursuant to section
1886(d)(1)(B)(v) of the Social Security Act, that would
meet the requirements of subparagraph (L), including
the disproportionate share adjustment percentage
requirement under clause (ii) of such subparagraph, if
the hospital were a subsection (d) hospital as defined
by section 1886(d)(1)(B) of the Social Security Act.
''(N) An entity that is a critical access hospital
(as determined under section 1820(c)(2) of the Social
Security Act), and that meets the requirements of
subparagraph (L)(i).
''(O) An entity that is a rural referral center, as
defined in section 1886(d)(5)(C)(i) of the Social
Security Act, or a sole community hospital, as defined
by section 1886(d)(5)(C)(iii) of such Act, and that
both meets the requirements of subparagraph (L)(i) and
has a disproportionate share adjustment percentage
equal to or greater than 8 percent.
''(P) An entity that is a rural health clinic, as
defined in section 1861(aa)(2) of the Social Security
Act.''.

SEC. 4. GAO STUDY AND REPORT ON DISPENSING FEES.

(a) Study.--The Comptroller General of the United States shall
conduct a study of the cost in each State of dispensing prescription
drugs under the Medicaid program under title XIX of the Social Security
Act (42 U.S.C. 1396a et seq.), which shall consider--
(1) any reasonable costs associated with pharmacists--
(A) checking for information regarding Medicaid
coverage of individuals; and
(B) performing necessary clinical review and
quality assurance activities, such as--
(i) activities to identify and reduce the
frequency of patterns of fraud, abuse, gross
overuse, and inappropriate or medically
unnecessary care among physicians, pharmacists,
and patients;
(ii) activities associated with specific
drugs or groups of drugs, including potential
and actual severe adverse reactions to drugs,
including education on therapeutic
appropriateness, over-utilization and under-
utilization of drugs, appropriate use of
generic products, therapeutic duplication,
drug-disease contraindications, drug
interactions, incorrect drug dosage or duration
of drug treatment, drug-allergy interactions,
and clinical abuse or misuse; and
(iii) any other clinical review and quality
assurance activities required under Federal or
State law;
(2) the costs incurred by a pharmacy that are associated
with--
(A) the measurement or mixing of a drug covered by
Medicaid;
(B) filling the container for such a drug;
(C) physically transferring the prescription to the
patient, including any costs of delivering the
medication to the home of such patient;
(D) special packaging of drugs;
(E) overhead costs of the pharmacy, or the section
of the facility that is devoted to a pharmacy, and
maintenance of the pharmacy or section of the facility
(including the equipment necessary to operate such
pharmacy or such section and the salaries of
pharmacists and other pharmacy workers);
(F) geographic factors that impact operational
costs;
(G) compounding such prescription if necessary; and
(H) uncollectability of Medicaid prescription
copayments;
(3) the variation in costs described in paragraph (2) based
on--
(A) whether a product dispensed is a rural or urban
pharmacy;
(B) whether the product dispensed is a specialty
pharmacy product; and
(C) whether the pharmacy is located in, or
contracts with, a long-term care facility; and
(4) the increase in dispensing fees, including the costs
described in paragraphs (1), (2), and (3), that would be
sufficient to create an incentive for a pharmacist to promote
the substitution of covered general alternative therapies.
(b) Report.--Not later than December 1, 2010, the Comptroller
General of the United States shall submit to the Secretary of Health
and Human Services and to each State a report describing the study
conducted under subsection (a). The report shall include--
(1) the average cost in each State of dispensing a
prescription drug under Medicaid;
(2) the findings of the study conducted under subsection
(a) with respect to--
(A) the variation in costs studied under
subparagraphs (A) and (B) of paragraph (3) of such
subsection; and
(B) the increase in dispensing fees described in
paragraph (4) of such subsection.
(c) Use of Study.--Each State shall use the report described in
subsection (b) to assess the adequacy of Medicaid pharmacy dispensing
fees. The Secretary of Health and Human Services shall use such report
to approve State plan amendments for States that submit such amendments
for the purposes of increasing Medicaid pharmacy dispensing fees.

SEC. 5. STATE OFFICES OF RURAL HEALTH.

Section 338J of the Public Health Service Act (42 U.S.C. 254r) is
amended by striking subsection (k).
A:
Rural Health Access and Improvement Act of 2009 - Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS) to give priority to critical access hospitals in awarding grants to facilitate and expand the electronic movement and use of health information among organizations according to nationally recognized standards.

Expands the 340B drug discount program to allow participation as a covered entity by certain children's hospitals, critical access hospitals, rural referral centers, sole community hospitals, and rural health clinics.

Directs the Comptroller General to study and report on the cost in each state of dispensing prescription drugs under the Medicaid program. Requires states to use the report to assess the adequacy of Medicaid pharmacy dispensing fees.

Repeals provisions terminating the grant program for the operation of state offices of rural health.