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  <plain-language-summary>This is the original health care bill that was marked up by three House Committees in the summer of '09. &lt;strong&gt;The final, merged version that is scheduled to be voted on during the week of Nov. 2, 2009 is &lt;a href=&quot;http://www.opencongress.org/bill/111-h3962/show&quot;&gt;H.R. 3962&lt;/a&gt;.&lt;/strong&gt;&lt;br&gt;&lt;br&gt;

This bill it seeks to expand health care coverage to the approximately 40 million Americans who are currently uninsured by lowering the cost of health care and making the system more efficient. To that end, it includes a new government-run insurance plan (a.k.a. a &lt;a href=&quot;http://www.opencongress.org/articles/view/1174--What-is-the-Public-Option-&quot;&gt;public option&lt;/a&gt;) to compete with the private companies, a requirement that all Americans have health insurance, a prohibition on denying coverage because of pre-existing conditions and, to pay for it all, a &lt;a href=&quot;http://www.opencongress.org/articles/view/1187-The-Health-Care-Bill-s-Tax-Increases&quot;&gt;surtax&lt;/a&gt; on households with an income above $350,000. A more detailed summary of the bill by the House Committee on Education and Labor can be read &lt;a href=&quot;http://edlabor.house.gov/documents/111/pdf/publications/AAHCA-BILLSUMMARY-071409.pdf&quot;&gt;here&lt;/a&gt; (four-page .pdf).</plain-language-summary>
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  <session type="integer">111</session>
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  <summary>	7/14/2009--Introduced.America's Affordable Health Choices Act of 2009 - Sets forth provisions governing health insurance plans and issuers, including: (1) exempting grandfathered health insurance coverage from requirements of this Act; (2) prohibiting preexisting condition exclusions; (3) providing for guaranteed coverage to all individuals and employers and automatic renewal of coverage; (4) prohibiting premium variances, except for reasons of age, area, or family enrollment; and (5) prohibiting rescission of health insurance coverage without clear and convincing evidence of fraud. Requires qualified health benefits plans to provide essential benefits. Prohibits an essential benefits package from imposing any annual or lifetime coverage limits. Lists required covered services, including hospitalization, prescription drugs, mental health services, preventive services, maternity care, and children's dental, vision, and hearing services and equipment. Limits annual out-of-pocket expenses to $5,000 for an individual and $10,000 for a family. Establishes the Health Choices Administration as an independent agency to be headed by a Health Choices Commissioner. Establishes the Health Insurance Exchange within the Health Choices Administration in order to provide individuals and employers access to health insurance coverage choices, including a public health insurance option. Requires the Commissioner to: (1) contract with entities to offer health benefit plans through the Exchange to eligible individuals; and (2) establish a risk-pooling mechanism for Exchange-participating health plans. Provides for an affordability premium credit and an affordability cost-sharing credit for low-income individuals and families participating in the Exchange. Requires employers to offer health benefits coverage to employees and make specified contributions towards such coverage or make contributions to the Exchange for employees obtaining coverage through the Exchange. Exempts businesses with payrolls below $250,000 from such requirement. Amends the Internal Revenue Code to impose a tax on: (1) an individual without coverage under a health benefits plan; and (2) an employer that fails to satisfy health coverage participation requirements for an employee. Imposes a surtax on individual modified adjusted gross income exceeding $350,000. Amends title XVIII (Medicare) of the Social Security Act to revise provisions relating to payment, coverage, and access, including to: (1) reduce payments to hospitals to account for excess readmissions; (2) limit cost-sharing for Medicare Advantage beneficiaries; (3) reduce the coverage gap under Medicare Part D (Voluntary Prescription Drug Benefit Program); (4) provide for increased payment for primary health care services; and (5) prohibit cost-sharing for covered preventive services. Requires the Secretary of Health and Human Services (HHS) to provide for the development of quality measures for the delivery of health care services in the United States. Establishes a Center for Comparative Effectiveness Research within the Agency for Healthcare Research and Quality, financed by a tax on accident and health insurance policies, to conduct and support health care services effectiveness research. Sets forth provisions to reduce health care fraud. Amends title XIX (Medicaid) of the Social Security Act to: (1) expand Medicaid eligibility for low-income individuals and families; (2) require coverage of additional preventive services; and (3) increase payments for primary care services. Sets forth provisions relating to the health workforce, including: (1) addressing health care workforce needs through loan repayment and training; (2) establishing the Public Health Workforce Corps; (3) addressing health care workforce diversity; and (4) establishing the Advisory Committee on Health Workforce Evaluation and Assessment. Sets forth provisions to: (1) provide for prevention and wellness activities; (2) establish the Center for Quality Improvement; (3) establish the position of the Assistant Secretary for Health Information; (4) revise the 340B drug discount program (a program limiting the cost of covered outpatient drugs to certain federal grantees); (5) establish a school-based health care program; and (6) establish a national medical device registry. </summary>
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  <topresident-datetime type="date">2009-10-14</topresident-datetime>
  <updated type="timestamp">Thu Oct 15 11:08:35 -0500 2009</updated>
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      <title>To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes.</title>
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    <text>Placed on the Union Calendar, Calendar No. 168.</text>
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  </co-sponsors>
  <actions type="array">
    <action type="BillAction">
      <action-type>calendar</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">59072</bill-id>
      <created-at type="timestamp">Thu Oct 15 18:51:06 -0500 2009</created-at>
      <date type="integer">1255547880</date>
      <datetime type="timestamp">Wed Oct 14 16:18:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">211315</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text>Placed on the Union Calendar, Calendar No. 168.</text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action type="BillAction">
      <action-type>action</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">59072</bill-id>
      <created-at type="timestamp">Thu Oct 15 18:51:06 -0500 2009</created-at>
      <date type="integer">1255547820</date>
      <datetime type="timestamp">Wed Oct 14 16:17:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">211314</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text>Committee on The Budget discharged.</text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action type="BillAction">
      <action-type>action</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">59072</bill-id>
      <created-at type="timestamp">Thu Oct 15 18:51:06 -0500 2009</created-at>
      <date type="integer">1255547820</date>
      <datetime type="timestamp">Wed Oct 14 16:17:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">211313</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text>Committee on Oversight and Government discharged.</text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action type="BillAction">
      <action-type>action</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">59072</bill-id>
      <created-at type="timestamp">Thu Oct 15 18:51:06 -0500 2009</created-at>
      <date type="integer">1255547820</date>
      <datetime type="timestamp">Wed Oct 14 16:17:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">211312</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text>Reported (Amended) by the Committee on Education and Labor. H. Rept. 111-299, Part III.</text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action type="BillAction">
      <action-type>action</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">59072</bill-id>
      <created-at type="timestamp">Thu Oct 15 18:51:06 -0500 2009</created-at>
      <date type="integer">1255547760</date>
      <datetime type="timestamp">Wed Oct 14 16:16:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">211310</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text>Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 111-299, Part I.</text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action type="BillAction">
      <action-type>action</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">59072</bill-id>
      <created-at type="timestamp">Thu Oct 15 18:51:06 -0500 2009</created-at>
      <date type="integer">1255547760</date>
      <datetime type="timestamp">Wed Oct 14 16:16:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">211311</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text>Reported (Amended) by the Committee on Ways and Means. H. Rept. 111-299, Part II.</text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action type="BillAction">
      <action-type>calendar</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">59072</bill-id>
      <created-at type="timestamp">Sat Aug 29 18:56:18 -0500 2009</created-at>
      <date type="integer">1249012800</date>
      <datetime type="timestamp">Fri Jul 31 00:00:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">207620</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text>Ordered to be Reported (Amended) by the Yeas and Nays: 31 - 28.</text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action type="BillAction">
      <action-type>calendar</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">59072</bill-id>
      <created-at type="timestamp">Tue Aug 04 18:59:25 -0500 2009</created-at>
      <date type="integer">1249012800</date>
      <datetime type="timestamp">Fri Jul 31 00:00:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">206308</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text>Ordered to be Reported (Amended) by Voice Vote.</text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action type="BillAction">
      <action-type>action</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">59072</bill-id>
      <created-at type="timestamp">Tue Aug 04 18:59:25 -0500 2009</created-at>
      <date type="integer">1249012800</date>
      <datetime type="timestamp">Fri Jul 31 00:00:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">206307</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text>Committee Consideration and Mark-up Session Held.</text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action type="BillAction">
      <action-type>action</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">59072</bill-id>
      <created-at type="timestamp" nil="true"></created-at>
      <date type="integer">1248148800</date>
      <datetime type="timestamp">Tue Jul 21 00:00:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">203911</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text>Committee Consideration and Mark-up Session Held.</text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action type="BillAction">
      <action-type>action</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">59072</bill-id>
      <created-at type="timestamp" nil="true"></created-at>
      <date type="integer">1248062400</date>
      <datetime type="timestamp">Mon Jul 20 00:00:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">203910</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text>Committee Consideration and Mark-up Session Held.</text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action type="BillAction">
      <action-type>action</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">59072</bill-id>
      <created-at type="timestamp" nil="true"></created-at>
      <date type="integer">1247803200</date>
      <datetime type="timestamp">Fri Jul 17 00:00:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">203908</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text>Committee Consideration and Mark-up Session Held.</text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action type="BillAction">
      <action-type>calendar</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">59072</bill-id>
      <created-at type="timestamp" nil="true"></created-at>
      <date type="integer">1247803200</date>
      <datetime type="timestamp">Fri Jul 17 00:00:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">203909</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text>Ordered to be Reported by the Yeas and Nays: 23 - 18.</text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action type="BillAction">
      <action-type>calendar</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">59072</bill-id>
      <created-at type="timestamp" nil="true"></created-at>
      <date type="integer">1247803200</date>
      <datetime type="timestamp">Fri Jul 17 00:00:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">203615</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text>Ordered to be Reported (Amended) by the Yeas and Nays: 26 - 22.</text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action type="BillAction">
      <action-type>action</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">59072</bill-id>
      <created-at type="timestamp" nil="true"></created-at>
      <date type="integer">1247716800</date>
      <datetime type="timestamp">Thu Jul 16 00:00:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">203907</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text>Committee Consideration and Mark-up Session Held.</text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action type="BillAction">
      <action-type>action</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">59072</bill-id>
      <created-at type="timestamp" nil="true"></created-at>
      <date type="integer">1247630400</date>
      <datetime type="timestamp">Wed Jul 15 00:00:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">203614</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text>Committee Consideration and Mark-up Session Held.</text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action>
      <action-type>introduced</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">59072</bill-id>
      <created-at type="timestamp" nil="true"></created-at>
      <date type="integer">1247603160</date>
      <datetime type="timestamp">Tue Jul 14 15:26:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">202827</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text nil="true"></text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action type="BillAction">
      <action-type>action</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">59072</bill-id>
      <created-at type="timestamp" nil="true"></created-at>
      <date type="integer">1247544000</date>
      <datetime type="timestamp">Tue Jul 14 00:00:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">203017</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text>Referred to House Oversight and Government Reform</text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action type="BillAction">
      <action-type>action</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">59072</bill-id>
      <created-at type="timestamp" nil="true"></created-at>
      <date type="integer">1247544000</date>
      <datetime type="timestamp">Tue Jul 14 00:00:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">203016</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text>Referred to House Education and Labor</text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action type="BillAction">
      <action-type>action</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">59072</bill-id>
      <created-at type="timestamp" nil="true"></created-at>
      <date type="integer">1247544000</date>
      <datetime type="timestamp">Tue Jul 14 00:00:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">203015</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text>Referred to House Ways and Means</text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action type="BillAction">
      <action-type>action</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">59072</bill-id>
      <created-at type="timestamp" nil="true"></created-at>
      <date type="integer">1247544000</date>
      <datetime type="timestamp">Tue Jul 14 00:00:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">203014</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text>Referred to House Energy and Commerce</text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action type="BillAction">
      <action-type>action</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">59072</bill-id>
      <created-at type="timestamp" nil="true"></created-at>
      <date type="integer">1247544000</date>
      <datetime type="timestamp">Tue Jul 14 00:00:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">203013</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text>Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Labor, Oversight and Government Reform, and the Budget, 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.</text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action type="BillAction">
      <action-type>introduced</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">59072</bill-id>
      <created-at type="timestamp" nil="true"></created-at>
      <date type="integer">1247544000</date>
      <datetime type="timestamp">Tue Jul 14 00:00:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">203012</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text nil="true"></text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
    <action type="BillAction">
      <action-type>action</action-type>
      <amendment-id type="integer" nil="true"></amendment-id>
      <bill-id type="integer">59072</bill-id>
      <created-at type="timestamp" nil="true"></created-at>
      <date type="integer">1247544000</date>
      <datetime type="timestamp">Tue Jul 14 00:00:00 -0500 2009</datetime>
      <how nil="true"></how>
      <id type="integer">203018</id>
      <result nil="true"></result>
      <roll-call-id type="integer" nil="true"></roll-call-id>
      <roll-call-number type="integer" nil="true"></roll-call-number>
      <text>Referred to House Budget</text>
      <vote-type nil="true"></vote-type>
      <where nil="true"></where>
    </action>
  </actions>
  <roll-calls type="array"/>
</bill>
