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    <updateDate>2023-01-11T13:17:56Z</updateDate>
    <updateDateIncludingText>2023-01-11T13:17:56Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <originChamberCode>H</originChamberCode>
    <type>HR</type>
    <introducedDate>2009-07-14</introducedDate>
    <congress>111</congress>
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        <chamber>House</chamber>
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            <name>Discharged from</name>
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            <name>Referred to</name>
            <date>2009-07-14T14:31:49Z</date>
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      <item>
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        <chamber>House</chamber>
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        <chamber>House</chamber>
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            <name>Referred to</name>
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        <chamber>House</chamber>
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            <name>Reported by</name>
            <date>2009-10-14T20:16:55Z</date>
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          <item>
            <name>Markup by</name>
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            <name>Referred to</name>
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      <item>
        <systemCode>hsif00</systemCode>
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            <name>Reported by</name>
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            <name>Markup by</name>
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            <name>Referred to</name>
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      <committeeReport>
        <citation>H. Rept. 111-299,Part 1</citation>
      </committeeReport>
      <committeeReport>
        <citation>H. Rept. 111-299,Part 2</citation>
      </committeeReport>
      <committeeReport>
        <citation>H. Rept. 111-299,Part 3</citation>
      </committeeReport>
      <committeeReport>
        <citation>H. Rept. 111-443,Part 3</citation>
      </committeeReport>
    </committeeReports>
    <relatedBills>
      <item>
        <title>Community Mental Health and Addiction Safety Net Equity Act of 2010</title>
        <congress>111</congress>
        <number>5636</number>
        <type>HR</type>
        <latestAction>
          <actionDate>2010-06-29</actionDate>
          <text>Referred to the House Committee on Energy and Commerce.</text>
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        <relationshipDetails>
          <item>
            <type>Related bill</type>
            <identifiedBy>CRS</identifiedBy>
          </item>
        </relationshipDetails>
      </item>
      <item>
        <title>America's Healthy Future Act of 2009</title>
        <congress>111</congress>
        <number>1796</number>
        <type>S</type>
        <latestAction>
          <actionDate>2009-10-19</actionDate>
          <text>Placed on Senate Legislative Calendar under General Orders. Calendar No. 184.</text>
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          <item>
            <type>Related bill</type>
            <identifiedBy>CRS</identifiedBy>
          </item>
        </relationshipDetails>
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    </relatedBills>
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      <item>
        <actionDate>2009-10-14</actionDate>
        <text>Placed on the Union Calendar, Calendar No. 168.</text>
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        <actionCode>H12410</actionCode>
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          <code>2</code>
          <name>House floor actions</name>
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        <calendarNumber>
          <calendar>U00168</calendar>
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      <item>
        <actionDate>2009-10-14</actionDate>
        <text>Committee on The Budget discharged.</text>
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          <code>2</code>
          <name>House floor actions</name>
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            <name>Budget Committee</name>
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      <item>
        <actionDate>2009-10-14</actionDate>
        <text>Committee on The Budget discharged.</text>
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          <code>9</code>
          <name>Library of Congress</name>
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          <item>
            <systemCode>hsbu00</systemCode>
            <name>Budget Committee</name>
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      <item>
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          <code>2</code>
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          <code>9</code>
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        <text>Reported (Amended) by the Committee on Education and Labor. H. Rept. 111-299, Part III.</text>
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      <item>
        <actionDate>2009-10-14</actionDate>
        <text>Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 111-299, Part I.</text>
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        <text>Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 111-299, Part I.</text>
        <type>Committee</type>
        <actionCode>5000</actionCode>
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          <code>9</code>
          <name>Library of Congress</name>
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          <item>
            <systemCode>hsif00</systemCode>
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        <text>Ordered to be Reported (Amended) by the Yeas and Nays: 31 - 28.</text>
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        <actionDate>2009-07-31</actionDate>
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            <systemCode>hsif00</systemCode>
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          </item>
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          <name>House committee actions</name>
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        <text>Committee Consideration and Mark-up Session Held.</text>
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      <item>
        <actionDate>2009-07-21</actionDate>
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          <item>
            <systemCode>hsif00</systemCode>
            <name>Energy and Commerce Committee</name>
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          <code>1</code>
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        <text>Committee Consideration and Mark-up Session Held.</text>
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      <item>
        <actionDate>2009-07-20</actionDate>
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          <item>
            <systemCode>hsif00</systemCode>
            <name>Energy and Commerce Committee</name>
          </item>
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        <text>Committee Consideration and Mark-up Session Held.</text>
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      <item>
        <actionDate>2009-07-17</actionDate>
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          <item>
            <systemCode>hswm00</systemCode>
            <name>Ways and Means Committee</name>
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        <text>Ordered to be Reported by the Yeas and Nays: 23 - 18.</text>
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        <actionDate>2009-07-17</actionDate>
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          <item>
            <systemCode>hswm00</systemCode>
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        <text>Committee Consideration and Mark-up Session Held.</text>
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        <actionDate>2009-07-17</actionDate>
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          <item>
            <systemCode>hsed00</systemCode>
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          <code>1</code>
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        <text>Ordered to be Reported (Amended) by the Yeas and Nays: 26 - 22.</text>
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      <item>
        <actionDate>2009-07-17</actionDate>
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        <text>Committee Consideration and Mark-up Session Held.</text>
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        <actionDate>2009-07-17</actionDate>
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        <text>Committee Consideration and Mark-up Session Held.</text>
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      <item>
        <actionDate>2009-07-16</actionDate>
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          <item>
            <systemCode>hswm00</systemCode>
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        <text>Committee Consideration and Mark-up Session Held.</text>
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      <item>
        <actionDate>2009-07-16</actionDate>
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        <text>Committee Consideration and Mark-up Session Held.</text>
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      <item>
        <actionDate>2009-07-15</actionDate>
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          <item>
            <systemCode>hsed00</systemCode>
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        <text>Committee Consideration and Mark-up Session Held.</text>
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      <item>
        <actionDate>2009-07-14</actionDate>
        <text>Referred to House Budget</text>
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          <code>2</code>
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            <systemCode>hsbu00</systemCode>
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          <code>2</code>
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            <systemCode>hsgo00</systemCode>
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      <item>
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          <code>2</code>
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      <item>
        <actionDate>2009-07-14</actionDate>
        <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>
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        <bioguideId>D000355</bioguideId>
        <fullName>Rep. Dingell, John D. [D-MI-15]</fullName>
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        <lastName>DINGELL</lastName>
        <party>D</party>
        <state>MI</state>
        <middleName>D.</middleName>
        <district>15</district>
        <isByRequest>N</isByRequest>
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        <bioguideId>R000053</bioguideId>
        <fullName>Rep. Rangel, Charles B. [D-NY-15]</fullName>
        <firstName>CHARLES</firstName>
        <lastName>RANGEL</lastName>
        <party>D</party>
        <state>NY</state>
        <middleName>B.</middleName>
        <district>15</district>
        <sponsorshipDate>2009-07-14</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>W000215</bioguideId>
        <fullName>Rep. Waxman, Henry A. [D-CA-30]</fullName>
        <firstName>HENRY</firstName>
        <lastName>WAXMAN</lastName>
        <party>D</party>
        <state>CA</state>
        <middleName>A.</middleName>
        <district>30</district>
        <sponsorshipDate>2009-07-14</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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      <item>
        <bioguideId>M000725</bioguideId>
        <fullName>Rep. Miller, George [D-CA-7]</fullName>
        <firstName>GEORGE</firstName>
        <lastName>MILLER</lastName>
        <party>D</party>
        <state>CA</state>
        <district>7</district>
        <sponsorshipDate>2009-07-14</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>S000810</bioguideId>
        <fullName>Rep. Stark, Fortney Pete [D-CA-13]</fullName>
        <firstName>PETE</firstName>
        <lastName>STARK</lastName>
        <party>D</party>
        <state>CA</state>
        <district>13</district>
        <sponsorshipDate>2009-07-14</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>P000034</bioguideId>
        <fullName>Rep. Pallone, Frank, Jr. [D-NJ-6]</fullName>
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        <lastName>PALLONE</lastName>
        <party>D</party>
        <state>NJ</state>
        <district>6</district>
        <sponsorshipDate>2009-07-14</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>A000210</bioguideId>
        <fullName>Rep. Andrews, Robert E. [D-NJ-1]</fullName>
        <firstName>ROBERT</firstName>
        <lastName>ANDREWS</lastName>
        <party>D</party>
        <state>NJ</state>
        <middleName>E.</middleName>
        <district>1</district>
        <sponsorshipDate>2009-07-14</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>K000172</bioguideId>
        <fullName>Rep. Kildee, Dale E. [D-MI-5]</fullName>
        <firstName>DALE</firstName>
        <lastName>KILDEE</lastName>
        <party>D</party>
        <state>MI</state>
        <middleName>E.</middleName>
        <district>5</district>
        <sponsorshipDate>2009-07-16</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M000087</bioguideId>
        <fullName>Rep. Maloney, Carolyn B. [D-NY-14]</fullName>
        <firstName>CAROLYN</firstName>
        <lastName>MALONEY</lastName>
        <party>D</party>
        <state>NY</state>
        <middleName>B.</middleName>
        <district>14</district>
        <sponsorshipDate>2009-07-17</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001234</bioguideId>
        <fullName>Rep. Baca, Joe [D-CA-43]</fullName>
        <firstName>JOE</firstName>
        <lastName>BACA</lastName>
        <party>D</party>
        <state>CA</state>
        <district>43</district>
        <sponsorshipDate>2009-10-13</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <notes>
      <item>
        <text><![CDATA[For further action, see H.R.3590, which became Public Law 111-148 on 3/23/2010. H.R.3590, often referred to as the Affordable Care Act, is the bill that became the health care reform law.]]></text>
        <links>
          <link>
            <name>H.R.3590</name>
            <url>https://www.congress.gov/bill/111th-congress/house-bill/3590</url>
          </link>
        </links>
      </item>
    </notes>
    <policyArea>
      <name>Health</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Administrative law and regulatory procedures</name>
        </item>
        <item>
          <name>Administrative remedies</name>
        </item>
        <item>
          <name>Advisory bodies</name>
        </item>
        <item>
          <name>Border security and unlawful immigration</name>
        </item>
        <item>
          <name>Child health</name>
        </item>
        <item>
          <name>Comprehensive health care</name>
        </item>
        <item>
          <name>Consumer affairs</name>
        </item>
        <item>
          <name>Dental care</name>
        </item>
        <item>
          <name>Department of Health and Human Services</name>
        </item>
        <item>
          <name>Disability and health-based discrimination</name>
        </item>
        <item>
          <name>Drug, alcohol, tobacco use</name>
        </item>
        <item>
          <name>Education of the disadvantaged</name>
        </item>
        <item>
          <name>Education programs funding</name>
        </item>
        <item>
          <name>Employee benefits and pensions</name>
        </item>
        <item>
          <name>Employment discrimination and employee rights</name>
        </item>
        <item>
          <name>Evidence and witnesses</name>
        </item>
        <item>
          <name>Executive agency funding and structure</name>
        </item>
        <item>
          <name>Fraud offenses and financial crimes</name>
        </item>
        <item>
          <name>General health and health care finance matters</name>
        </item>
        <item>
          <name>Government information and archives</name>
        </item>
        <item>
          <name>Government studies and investigations</name>
        </item>
        <item>
          <name>Government trust funds</name>
        </item>
        <item>
          <name>Health care costs and insurance</name>
        </item>
        <item>
          <name>Health care coverage and access</name>
        </item>
        <item>
          <name>Health care quality</name>
        </item>
        <item>
          <name>Health facilities and institutions</name>
        </item>
        <item>
          <name>Health information and medical records</name>
        </item>
        <item>
          <name>Health personnel</name>
        </item>
        <item>
          <name>Health programs administration and funding</name>
        </item>
        <item>
          <name>Health technology, devices, supplies</name>
        </item>
        <item>
          <name>Home and outpatient care</name>
        </item>
        <item>
          <name>Income tax credits</name>
        </item>
        <item>
          <name>Income tax rates</name>
        </item>
        <item>
          <name>Infectious and parasitic diseases</name>
        </item>
        <item>
          <name>Interest, dividends, interest rates</name>
        </item>
        <item>
          <name>Long-term, rehabilitative, and terminal care</name>
        </item>
        <item>
          <name>Marketing and advertising</name>
        </item>
        <item>
          <name>Medicaid</name>
        </item>
        <item>
          <name>Medical education</name>
        </item>
        <item>
          <name>Medical research</name>
        </item>
        <item>
          <name>Medicare</name>
        </item>
        <item>
          <name>Mental health</name>
        </item>
        <item>
          <name>Nursing</name>
        </item>
        <item>
          <name>Poverty and welfare assistance</name>
        </item>
        <item>
          <name>Prescription drugs</name>
        </item>
        <item>
          <name>Rural conditions and development</name>
        </item>
        <item>
          <name>Small business</name>
        </item>
        <item>
          <name>Student aid and college costs</name>
        </item>
        <item>
          <name>Tax administration and collection, taxpayers</name>
        </item>
        <item>
          <name>Taxation of foreign income</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Health</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2009-07-14</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2009-07-30T21:51:13Z</updateDate>
        <text><![CDATA[ <p>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. </p> <p>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.</p> <p>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.</p> <p></p> <p>Provides for an affordability premium credit and an affordability cost-sharing credit for low-income individuals and families participating in the Exchange.</p> <p>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. </p> <p>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.</p> <p>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. </p> <p>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. </p> <p>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.</p> <p>Sets forth provisions to reduce health care fraud.</p> <p>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.</p> <p>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.</p> <p>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. </p>]]></text>
      </summary>
    </summaries>
    <title>America's Affordable Health Choices Act of 2009</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>America's Affordable Health Choices Act of 2009</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>To provide affordable, quality health care for all Americans and reduce the growth in health care spending, and for other purposes.</title>
        <billTextVersionName>Introduced in House</billTextVersionName>
        <billTextVersionCode>IH</billTextVersionCode>
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      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>America's Affordable Health Choices Act of 2009</title>
      </item>
      <item>
        <titleType>Short Titles as Reported to House</titleType>
        <title>America's Affordable Health Choices Act of 2009</title>
        <chamberCode>H</chamberCode>
        <chamberName>House</chamberName>
      </item>
    </titles>
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        <type>Reported in House</type>
        <date>2009-10-14T04:00:00Z</date>
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        <type>Introduced in House</type>
        <date>2009-07-14T04:00:00Z</date>
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            <url>https://www.govinfo.gov/content/pkg/BILLS-111hr3200ih/xml/BILLS-111hr3200ih.xml</url>
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      </item>
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    <latestAction>
      <actionDate>2009-10-14</actionDate>
      <text>Placed on the Union Calendar, Calendar No. 168.</text>
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    <dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
    <dc:contributor>Congressional Research Service, Library of Congress</dc:contributor>
    <dc:description>This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.</dc:description>
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