H.R.3200 - America's Affordable Health Choices Act of 2009

America’s Affordable Health Choices Act of 2009 view all titles (5)

All Bill Titles

  • Official: America’s Affordable Health Choices Act of 2009 as introduced.
  • Official: To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes. as introduced.
  • Popular: America's Affordable Health Choices Act of 2009 as introduced.
  • Short: America's Affordable Health Choices Act of 2009 as introduced.
  • Short: America's Affordable Health Choices Act of 2009 as reported to house.

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  • Today: 64
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Introduced
 
House
Passes
 
Senate
Passes
 
President
Signs
 

 
07/13/09
 
 
 
 
 
 
 

OpenCongress Summary

This is the original health care bill that was marked up by three House Committees in the summer of 2009. The final version that was passed by the House is H.R. 3962.

The Senate's health care bill can be read here: Patient Protection and Affordable Care Act

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 public option) 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 surtax 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 here (four-page .pdf).
OpenCongress bill summaries are written by OpenCongress editors and are entirely independent of Congress and the federal government. For the summary provided by Congress itself, via the Congressional Research Service, see the "Official Summary" below.

Official 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;

Official 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.

...Read the Rest

Organizations Supporting H.R.3200

  • Communication Workers of America
  • Service Employees International Union
  • American Association of Retired Persons
  • American Federation of State, County and Municipal Employees
  • American Medical Association
  • American Counseling Association
  • ...and 26 more. See all.

Organizations Opposing H.R.3200

  • National Stone, Sand, and Gravel Association
  • Printing Industries of America
  • Retail Industry Leaders Association
  • Society of American Florists
  • Independent Electrical Contractors
  • International Dairy Foods Association
  • ...and 42 more. See all.


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