Summary: Health Security for All Americans Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act regarding: (1) the physician payment update; (2) geographic cost-of-practice indices (GPCI) floors; (3) annual physical examinations; (4) the Medicare-dependent hospital (MDH) program; (5) the inpatient hospital payment adjustment for low-volume hospitals; and (6) proportional representation of rural area interests on the Medicare Payment Advisory Commission (MEDPAC). Directs the Secretary of Health and Human Services to conduct a national public information campaign on initial preventive physical examinations for Medicare beneficiaries. Amends the Employee Retirement Income Security Act of 1974 (ERISA) with respect to rules governing enhanced marketplace pools for small business health plans. Amends the Public Health Service Act (PHSA) to add a new title XXXI (Health Care Insurance Marketplace Modernization) under which the Secretary shall promulgate regulations establishing minimum standards for health insurance premium variations and model small group rating rules. Provides for affordable plans and the harmonization of health insurance standards. Amends the Internal Revenue Code to allow a tax deduction for the qualified health insurance costs of individuals. Amends veterans benefits law to allow an enrolled veteran to elect to receive covered health services through a non-Department of Veterans Affairs (VA) facility. Authorizes VA pharmacies to dispense medications to veterans on private practitioner prescriptions. Authorizes the Secretary to carry out a program of child care assistance for individuals pursuing advanced nursing degrees. Amends the Higher Education Act of 1965 to authorize the Secretary to award grants to partnerships of accredited nursing schools and hospitals or health facilities to establish projects to enable a hospital or health facility to retain its staff of experienced nurses while having these individuals become, through an accelerated nursing education program, faculty members of an accredited nursing school. Amends PHSA to authorize the Secretary, acting through the Administrator of the Health Resources and Services Administration, to enter into an agreement for the repayment of education loans with any U.S. citizen, national, or lawful permanent resident who: (1) holds an unencumbered license as a registered nurse; and (2) has either already completed a master's or doctorate nursing program at an accredited school of nursing or is currently enrolled on a full-time or part-time basis in such a program. Requires each such agreement to require the eligible individual to serve as a full-time member of the faculty of an accredited school of nursing for a minimum four-year period. Authorizes the Secretary of Defense to carry out programs to increase the number of nurses within the armed forces. Prescribes requirements for determination of the effective date of active duty for members of a reserve component of the armed forces.

health security americans act amends title xviii medicare social_security_act physician payment update geographic cost practice indices annual physical examinations medicare dependent hospital program inpatient hospital payment adjustment low volume hospitals proportional representation rural area interests medicare_payment_advisory_commission medpac directs secretary health_and_human_services conduct national public information campaign initial preventive physical examinations medicare beneficiaries amends employee retirement income security act erisa respect rules governing enhanced marketplace pools small business health plans amends public_health_service_act phsa add new title health_care insurance marketplace modernization secretary shall promulgate regulations establishing minimum standards health insurance premium variations model small group rating rules provides affordable plans harmonization health insurance standards amends_the_internal_revenue_code allow tax deduction qualified health insurance costs individuals amends veterans benefits law allow enrolled veteran elect receive covered health services non-department_of_veterans_affairs facility authorizes pharmacies dispense medications veterans private practitioner prescriptions authorizes secretary carry program child care assistance individuals pursuing advanced nursing degrees amends higher education act authorize secretary award grants partnerships accredited nursing schools hospitals health facilities establish projects enable hospital health facility retain staff experienced nurses having individuals accelerated nursing education program faculty members accredited nursing school amends phsa authorize secretary acting administrator health_resources_and_services_administration enter agreement repayment education loans citizen national lawful permanent resident holds license registered nurse completed master doctorate nursing program accredited school nursing currently enrolled time time basis program requires agreement require eligible individual serve time member faculty accredited school nursing minimum year period authorizes secretary defense carry programs increase number nurses armed_forces prescribes requirements determination effective date active duty members reserve component armed_forces


Summary: Medicare Payment Fairness Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to require the Secretary of Health and Human Services (HHS) to create a value index for the physician work component for each Medicare physician fee schedule area. Requires the Secretary to create a value index for each hospital service area under the inpatient hospital prospective payment system (PPS).

medicare payment fairness act amends title xviii medicare social_security_act require secretary health_and_human_services hhs create value index physician work component medicare physician fee schedule area requires secretary create value index hospital service area inpatient hospital prospective payment system pps


Summary: Health Equity and Accountability Act of 2009 - Amends the Public Health Service Act to require the Secretary of Health and Human Services, acting through the Director of the Agency for Healthcare Research and Quality, to establish the Robert T. Matsui Center for Cultural and Linguistic Competence in Health Care. Provides for health care workforce diversity activities, including the establishment of: (1) a national working group on workforce diversity; (2) an aggregated database on health professional students; and (3) the Advisory Committee on Health Professions Training for Diversity. Requires health-related programs of the Department of Health and Human Services (HHS) to collect data on race, ethnicity, primary language, and sexual orientation. Directs each federal health agency to implement a strategic plan to eliminate disparities on the basis of race, ethnicity, and primary language and improve the health and health care of minority populations. Prohibits discrimination under any health care service or research program or activity receiving federal financial assistance on the basis of sex, race, color, national origin, sexual orientation, gender identity, or disability status. Requires the establishment of: (1) an Office of Health Disparities within the Office of Civil Rights; (2) civil rights compliance offices in HHS agencies that administer health programs; and (3) an Office of Minority Health within specified agencies. Reestablishes the Indian Health Service within the Public Health Service of HHS to be administered by the Assistant Secretary of Indian Health. Directs the President to execute, administer, and enforce provisions to address environmental justice in minority and low-income populations. Health Empowerment Zone Act of 2009 - Provides for the establishment of health empowerment zones in communities that experience disproportionate disparities in health status and health care. Sets forth programs to reduce health disparities, including by: (1) expanding the Minority HIV/AIDS initiative; (2) establishing the Rural Health Quality Advisory Commission; and (3) revising eligibility requirements for federal assistance programs with respect to individuals lawfully present in the United States. Lung Cancer Mortality Reduction Act of 2009 - Requires the Secretary to implement the Lung Cancer Mortality Reduction Program to achieve a reduction of at least 25% in the mortality rate of lung cancer by 2015. Provides for research and other activities with respect to diabetes in minority populations.

health equity accountability_act amends public_health_service_act require secretary health_and_human_services acting director agency healthcare_research_and_quality establish robert center cultural linguistic competence health_care provides health_care workforce diversity activities including establishment national working_group workforce diversity aggregated database health professional students advisory_committee health professions training diversity requires health related programs department_of_health_and_human_services hhs collect data race ethnicity primary language sexual orientation directs federal health agency implement strategic plan eliminate disparities basis race ethnicity primary language improve health health_care minority populations prohibits discrimination health_care service research program activity receiving federal financial assistance basis sex race color national origin sexual orientation gender identity disability status requires establishment office health disparities office civil rights civil rights compliance offices hhs agencies administer health programs office_of_minority_health specified agencies reestablishes indian_health_service public_health_service hhs administered assistant secretary indian health directs president execute administer enforce provisions address environmental justice minority low income populations health empowerment zone act provides establishment health empowerment zones communities experience disproportionate disparities health status health_care sets forth programs reduce health disparities including expanding minority hiv aids initiative establishing rural health quality advisory commission revising eligibility requirements federal assistance programs respect individuals lawfully present united_states lung cancer mortality reduction act requires secretary implement lung cancer mortality reduction program achieve reduction mortality rate lung cancer provides research activities respect diabetes minority populations


Summary: Amends the Veterans' Mental Health and Other Care Improvements Act of 2008 to revise the location requirements for participation of a verteran in a highly rural area in the pilot program under which the Secretary of Veterans Affairs (VA) provides health services to a covered veteran through qualifying non-Department of Veterans Affairs health care providers.

amends veterans mental health care improvements act revise location requirements participation highly rural area pilot program secretary veterans_affairs provides health services covered veteran qualifying non-department_of_veterans_affairs health_care providers


Summary: 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.

america affordable health choices act sets forth provisions governing health insurance plans issuers including exempting grandfathered health insurance coverage requirements act prohibiting preexisting condition exclusions providing guaranteed coverage individuals employers automatic renewal coverage prohibiting premium variances reasons age area family enrollment prohibiting rescission health insurance coverage clear convincing evidence fraud requires qualified health benefits plans provide essential benefits prohibits essential benefits package imposing annual lifetime coverage limits lists required covered services including hospitalization prescription drugs mental health services preventive services maternity care children dental vision hearing services equipment limits annual pocket expenses individual family establishes health choices administration independent agency headed health choices commissioner establishes health insurance exchange health choices administration order provide individuals employers access health insurance coverage choices including public health insurance option requires commissioner contract entities offer health benefit plans exchange eligible individuals establish risk pooling mechanism exchange participating health plans provides affordability premium credit affordability cost sharing credit low income individuals families participating exchange requires employers offer health benefits coverage employees specified contributions coverage contributions exchange employees obtaining coverage exchange exempts businesses requirement amends_the_internal_revenue_code impose tax individual coverage health benefits plan employer fails satisfy health coverage participation requirements employee imposes surtax individual modified adjusted gross income exceeding amends title xviii medicare social_security_act revise provisions relating payment coverage access including reduce payments hospitals account excess limit cost sharing medicare_advantage beneficiaries reduce coverage gap medicare voluntary prescription drug benefit program provide increased payment primary health_care services prohibit cost sharing covered preventive services requires secretary health_and_human_services hhs provide development quality measures delivery health_care services united_states establishes center comparative effectiveness research agency healthcare_research_and_quality financed tax accident health insurance policies conduct support health_care services effectiveness research sets forth provisions reduce health_care fraud amends title xix medicaid social_security_act expand medicaid eligibility low income individuals families require coverage additional preventive services increase payments primary care services sets forth provisions relating health workforce including addressing health_care workforce needs loan repayment training establishing public health workforce corps addressing health_care workforce diversity establishing advisory_committee health workforce evaluation assessment sets forth provisions provide prevention wellness activities establish center quality improvement establish position assistant secretary health information revise 340b drug discount program program limiting cost covered outpatient drugs certain federal grantees establish school based health_care program establish national medical device registry


Summary: Women's Health Office Act of 2009 - Amends the Public Health Service Act to establish an Office on Women's Health within the Office of the Secretary of Health and Human Services. Requires the Secretary, acting through the Director of the Office, to establish: (1) a Department of Health and Human Services Coordinating Committee on Women's Health; and (2) a National Women's Health Information Center. Transfers the functions of the Office on Women's Health of the Public of Health Service to the Office on Women's Health within the Department of Health and Human Services (HHS). Amends the Public Health Service Act, the Social Security Act, and the Federal Food, Drug, and Cosmetic Act to establish separate Offices of Women's Health within the Office of the Director of the Centers for Disease Control and Prevention (CDC), the Office of the Administrator of the Health Resources and Services Administration (HRSA), and the Office of the Commissioner of the Food and Drug Administration (FDA), and an Office of Women's Health and Gender-Based Research within the Office of the Director of the Agency for Healthcare Research and Quality (AHRQ). Directs the lead officers of each Office of Women's Health to establish goals, provide information on women's health activities, and establish a Coordinating Committee on Women's Health within their respective agencies. Prohibits termination, reorganization, or transfers of powers and duties of any federal office of women's health or appointive position with primary responsibility over women's health issues without adoption of a joint resolution of approval.

women health office act amends public_health_service_act establish office women health office_of_the_secretary health_and_human_services requires secretary acting director office establish department_of_health_and_human_services coordinating committee women health national women health information center transfers functions office women health public health service office women health department_of_health_and_human_services hhs amends public_health_service_act social_security_act federal food drug cosmetic act establish separate offices women health office_of_the_director centers_for_disease_control_and_prevention cdc office administrator health_resources_and_services_administration hrsa office_of_the_commissioner food_and_drug_administration fda office women health gender based research office_of_the_director agency healthcare_research_and_quality ahrq directs lead officers office women health establish goals provide information women health activities establish coordinating committee women health respective agencies prohibits termination reorganization transfers powers duties federal office women health position primary responsibility women health issues adoption joint resolution approval


Summary: Advance Directive Promotion Act of 2009 - Amends title XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to require a service provider, Medicare+Choice organization, or prepaid or eligible organization to include the content of an advanced directive in a prominent part of an individual's current medical record. Requires a service provider to give effect to a valid advance directive executed outside the state in which such directive is presented to the same extent as such provider would give effect to a valid advance directive executed under the law of the state in which it is presented. Requires an initial preventative physical examination to include an end-of-life planning consultation. Directs the Secretary of Health and Human Services, acting through the Administrator of the Centers for Medicare & Medicaid Services, to operate a clearinghouse and a 24-hour toll free telephone hotline in order to provide consumer information about advance directives, end-of-life decisionmaking, and available end-of-life and hospice care services. Amends the Public Health Service Act to direct the Secretary, directly or through grants to public or nonprofit private entities, to conduct a national public education campaign to increase awareness of advance directive planning.

advance directive promotion act amends title xviii medicare xix medicaid social_security_act require service provider organization prepaid eligible organization include content advanced directive prominent individual current medical record requires service provider effect valid advance directive executed outside state directive presented extent provider effect valid advance directive executed law state presented requires initial preventative physical examination include end life planning consultation directs secretary health_and_human_services acting administrator centers medicare medicaid_services operate clearinghouse hour toll free telephone hotline order provide consumer information advance directives end life decisionmaking available end life hospice care services amends public_health_service_act direct secretary directly grants public nonprofit private entities conduct national public education campaign increase awareness advance directive planning


Summary: Directs the Secretary of Veterans Affairs (VA) to establish and operate at least one, and up to five, centers of excellence for rural health research, education, and clinical activities. Requires the submission of annual reports on those centers.

directs secretary veterans_affairs establish operate centers_of_excellence rural health research education clinical activities requires submission annual reports centers


Summary: Amends the Internal Revenue Code to repeal the requirement that medical expenses exceed 7.5% of taxpayer adjusted gross income before any amount of such expenses may be deducted from such income.

amends_the_internal_revenue_code repeal requirement medical expenses exceed taxpayer adjusted gross income expenses deducted income


Summary: Medicare Beneficiary Freedom to Choose Act of 2009 - Amends title XVIII (Medicare) to revise requirements for the use of private contracts by Medicare beneficiaries under which no Medicare claims shall be made. Requires any such contract to be in writing and signed by the Medicare beneficiary. Allows individuals to choose to opt out of the Medicare part A (Hospital Insurance), and makes them eligible for health savings accounts.

medicare beneficiary freedom choose act amends title xviii medicare revise requirements use private contracts medicare beneficiaries medicare claims shall requires contract writing signed medicare beneficiary allows individuals choose opt medicare hospital insurance makes eligible health savings_accounts


Summary: DSH Collaborative Care Network Pilot Program Act of 2009 - Directs the Secretary of Health and Human Services (HHS) to carry out a Medicare disproportionate share hospital (DSH) pilot program under which participating DSHs shall receive additional Medicare funds to establish model projects to: (1) reduce the unnecessary use of items and services furnished in hospital emergency departments; (2) manage chronic conditions to reduce their severity, negative health outcomes, and expense; (3) provide more comprehensive and coordinated care to low-income vulnerable individuals and individuals without health insurance coverage or with inadequate coverage; (4) increase preventive services, including screening and counseling, to those who would otherwise not receive them; (5) ensure the availability of community-wide safety net services; and (6) accomplish other specified goals. Makes funds available under the Pilot Program for a participating DSH to create and support collaborative care networks that would: (1) assist low-income individuals without adequate health care coverage access and use health services, as well as enroll in applicable public or private health insurance programs; and (2) improve health care by providing case management, application assistance, and appropriate referrals. Directs the Secretary to create within HHS a Collaborative Care Network Center.

dsh collaborative care network pilot program act directs secretary health_and_human_services hhs carry medicare disproportionate share hospital dsh pilot program participating shall receive additional medicare funds establish model projects reduce unnecessary use items services furnished hospital emergency departments manage chronic conditions reduce severity negative health outcomes expense provide comprehensive coordinated care low income vulnerable individuals individuals health insurance coverage inadequate coverage increase preventive services including screening counseling receive ensure availability community wide safety net services accomplish specified goals makes funds available pilot program participating dsh create support collaborative care networks assist low income individuals adequate health_care coverage access use health services enroll applicable public private health insurance programs improve health_care providing case management application assistance appropriate referrals directs secretary create hhs collaborative care network center


Summary: Mitochondrial Medicine Research and Treatment Enhancement Act - Amends the Public Health Service Act to establish within the Office of the Director of the National Institutes of Health (NIH) an Office of Mitochondrial Medicine (OMM). Requires the OMM Director to develop, make publicly available, implement, and biennially update a written plan to facilitate research into mitochondrial medicine. Sets forth as plan objectives: (1) improving coordination of research related to mitochondrial medicine among the national research institutes and between NIH and outside researchers; (2) providing training to research scientists and health professionals engaged in research related to mitochondrial medicine; (3) providing training to health care providers regarding the diagnosis of mitochondrial disease and dysfunction; and (4) establishing scientific review groups with expertise in mitochondrial medicine to oversee relevant research projects in NIH. Requires the OMM Director to award at least five grants, annually, for each of the following: (1) integrated, multi-project research programs related to mitochondrial medicine; and (2) planning activities associated with such programs. Authorizes the Director to award grants to institutions or consortiums of institutions to establish Mitochondrial Medicine Centers of Excellence to promote interdisciplinary research and training related to mitochondrial medicine. Requires the Director to establish: (1) a national registry for the maintenance and sharing for research purposes of medical information collected from patients with mitochondrial disease or dysfunction; and (2) a national biorepository for the maintenance and sharing for research purposes of tissues and DNA collected from such patients.

medicine research treatment enhancement act_-_amends public_health_service_act establish office_of_the_director national_institutes_of_health nih office medicine requires director develop publicly available implement biennially update written plan facilitate research medicine sets forth plan objectives improving coordination research related medicine national research institutes nih outside researchers providing training research scientists health professionals engaged research related medicine providing training health_care providers diagnosis disease dysfunction establishing scientific review groups expertise medicine oversee relevant research projects nih requires director award grants annually following integrated multi project research programs related medicine planning activities associated programs authorizes director award grants institutions consortiums institutions establish medicine centers_of_excellence promote interdisciplinary research training related medicine requires director establish national_registry maintenance sharing research purposes medical information collected patients disease dysfunction national maintenance sharing research purposes tissues dna collected patients