Table of Contents

America’s Healthy Future Act of 2009, Chairman's Mark

• TITLE I HEALTH CARE COVERAGE 4
• • SUBTITLE A INSURANCE MARKET REFORMS 4
  • SUBTITLE B STATE EXCHANGES AND CONSUMER ASSISTANCE 17
  • SUBTITLE C MAKING COVERAGE AFFORDABLE 20
  • SUBTITLE D SHARED RESPONSIBILITY 30
  • SUBTITLE E CREATION OF HEALTH CARE COOPERATIVES 35
  • SUBTITLE F TRANSPARENCY AND ACCOUNTABILITY 41
  • SUBTITLE G ROLE OF PUBLIC PROGRAMS 44
  • • PART I MEDICAID COVERAGE FOR THE LOWEST INCOME POPULATIONS 44
    • PART II CHILDREN S HEALTH INSURANCE PROGRAM 48
    • PART III IMPROVEMENTS TO MEDICAID 50
    • PART IV MEDICAID SERVICES 52
    • PART V MEDICAID PRESCRIPTION DRUG COVERAGE 54
    • PART VI MEDICAID DISPROPORTIONATE SHARE PAYMENTS 58
    • PART VII DUAL ELIGIBLES 60
    • PART VIII MEDICAID QUALITY 61
    • PART IX MEDICAID AND CHIP PAYMENT AND ACCESS COMMISSION 64
    • PART X AMERICAN INDIANS AND ALASKA NATIVES 65
  • SUBTITLE H ADDRESSING HEALTH DISPARITIES 67
  • SUBTITLE I MATERNAL, INFANT, AND EARLY CHILDHOOD VISITATION 70
• TITLE II PROMOTING DISEASE PREVENTION AND WELLNESS 72
• • SUBTITLE A MEDICARE 72
  • SUBTITLE B MEDICAID 75
• TITLE III IMPROVING THE QUALITY AND EFFICIENCY OF HEALTH CARE 78
• • SUBTITLE A TRANSFORMING THE HEALTH CARE DELIVERY SYSTEM 78
  • • PART I LINKING PAYMENT TO QUALITY OUTCOMES IN THE MEDICARE PROGRAM 78
    • PART II STRENGTHENING THE QUALITY INFRASTRUCTURE 87
    • PART III ENCOURAGING DEVELOPMENT OF THE NEW PATIENT CARE MODELS 91
    • PART IV STRENGTHENING PRIMARY CARE AND OTHER WORKFORCE IMPROVEMENTS 104
  • SUBTITLE B IMPROVING MEDICARE FOR PATIENTS AND PROVIDERS 113
  • • PART I ENSURING BENEFICIARY ACCESS TO PHYSICIAN CARE AND OTHER SERVICES 113
    • PART II RURAL PROTECTIONS 120
    • PART III MEDICARE PART D IMPROVEMENTS 124
  • SUBTITLE C MEDICARE ADVANTAGE 135
  • SUBTITLE D IMPROVING PAYMENT ACCURACY 147
  • SUBTITLE E ENSURING MEDICARE SUSTAINABILITY 157
  • SUBTITLE F PATIENT-CENTERED OUTCOMES RESEARCH 161
  • SUBTITLE G ADMINISTRATIVE SIMPLIFICATION 171
  • SUBTITLE H SENSE OF THE SENATE REGARDING MEDICAL MALPRACTICE 177
• TITLE IV TRANSPARENCY AND PROGRAM INTEGRITY 177
• TITLE V FRAUD, WASTE, AND ABUSE 187
• TITLE VI REVENUE ITEMS 198