Summary: Affordable Health Choices Act - Title I: Quality, Affordable Health Care for All Americans - Subtitle A: Effective Coverage for All Americans - Part I: Provisions Applicable to the Individual and Group Markets - (Sec. 101) Amends the Public Health Service Act to set forth provisions governing health insurance plans and issuers, including to: (1) prohibit preexisting condition exclusions; (2) limit premium variances; (3) provide for guaranteed coverage of every employer and individual and automatic renewal of coverage; (4) require reports on premium revenues expended; (5) prohibit eligibility rules based on specified health-status related factors; (6) require a reimbursement structure that provides quality incentives; (7) limit cost-sharing for preventive care; (8) require coverage of a dependent child until 26 years of age; and (9) prohibit lifetime or annual limits on benefits. Part II: Provision Applicable to the Group Market - (Sec. 121) Prohibits a group health plan from establishing eligibility rules based on a full-time employee's salary. Part III: Other Provisions - (Sec. 131) Provides that nothing in this Act shall be construed to require that an individual terminate coverage under a group health plan or health insurance coverage in which such individual was enrolled prior to the date of enactment of this Act. Allows family members of individuals currently enrolled in a plan to enroll in such plan or coverage if such enrollment was permitted under the terms of the plan. Allows new employees and their families to enroll in a group health plan that provides coverage on the date of enactment of this Act. States that nothing in this Act shall apply to: (1) a group health plan or health insurance coverage in which an individual was enrolled on the date of enactment of this Act, regardless of whether the individual renews such coverage after such date of enactment; (2) an existing group health plan that enrolls new employees under this section; and (3) health insurance coverage maintained pursuant to one or more collective bargaining agreements between employee representatives and one or more employers that was ratified before the date of enactment of this Act, until the date on which the last of the collective bargaining agreements relating to the coverage terminates. (Sec. 134) Declares that savings to the federal government generated as a result of the enactment of this subtitle shall be used for deficit reduction. (Sec. 135) Makes this subtitle effective for plan years beginning on or after one year after enactment of this Act. Sets forth provisions which shall only become effective when a state or the Secretary of Health and Human Services (HHS) establishes an American Health Benefit Gateway. Subtitle B: Available Coverage for All Americans - (Sec. 141) Expresses the sense of the Senate that Congress should establish a means for all Americans to enjoy affordable choices in health benefit plans in the same manner that Members of Congress have such choices through the federal employees health benefits program. (Sec. 142) Requires the Secretary to award grants to states for the establishment of an American Health Benefit Gateway to: (1) facilitate the purchase of health insurance coverage and related insurance products at an affordable price by qualified individuals and employers; and (2) reduce the cost of health care. Requires a Gateway to make qualified health plans available. Requires the Secretary to establish essential health care benefits eligible for premium credits, which must include hospitalization, prescription drugs, and preventive and wellness services. Establishes a temporary advisory commission to be known as the National Independent Commission on Essential Health Care Benefits. Authorizes states to establish a Gateway or request the Secretary operate a Gateway in the state. Requires the Secretary to establish a community health insurance option to offer, through each Gateway, health care coverage that includes essential health benefits and provides value, choice, competition, and stability of affordable, high quality coverage throughout the United States. Directs the Secretary to award grants to enable participating states to establish, expand, or provide support for offices of health insurance consumer assistance. (Sec. 143) Requires all Members of Congress and congressional staff to enroll in a federal health insurance program: (1) created under this Act; or (2) offered through a Gateway. Subtitle C: Affordable Coverage for All Americans - (Sec. 151) Requires the Secretary to: (1) establish at least two tiers of cost-sharing for eligible low-income individuals; (2) pay a premium credit to the Gateway for enrolled eligible individuals; and (3) make a payment to qualified small employers for health insurance costs of their employees. (Sec. 152) Amends the Internal Revenue Code to require the Secretary of the Treasury to provide a mechanism for each taxpayer to indicate whether such taxpayer authorizes the disclosure of return information to determine eligibility for premium credits. Subtitle D: Shared Responsibility for Health Care - (Sec. 161) Imposes a surtax on each individual who does not have health insurance coverage. (Sec. 162) Amends the Fair Labor Standards Act of 1938 to require an employer to provide to each employee at the time of hiring written notice of the existence of an American Health Benefit Gateway. (Sec. 163) Requires employers to make payments to the HHS Secretary for each employee who is not offered qualifying coverage or for whom the employer is not contributing at least 60% of the monthly premiums for such coverage. Exempts small employers. Subtitle E: Improving Access to Health Care Services - (Sec. 171) Reauthorizes appropriations for health centers to serve medically underserved populations. (Sec. 172) Revises provisions related to community health centers, including to allow such centers to offer services at other locations. (Sec. 173) Requires the Secretary to establish through a negotiated rulemaking process a methodology and criteria for designation of medically underserved populations and health professions shortage areas. (Sec. 174) Amends the Black Lung Benefits Act, with respect to claims filed on or after the effective date of the Black Lung Benefits Amendments of 1981, to eliminate exceptions to: (1) the applicability of certain provisions regarding rebuttable presumptions; and (2) the prohibition against requiring eligible survivors of a miner determined to be eligible for black lung benefits to file a new claim or to refile or otherwise revalidate the miner's claim. (Sec. 175) Reauthorizes appropriations for FY2010-FY2014 for the expansion and improvement of emergency medical services for children who need treatment for trauma or critical care. (Sec. 176) Requires the Secretary, acting through the Administrator of the Substance Abuse and Mental Health Services Administration, to award grants to establish demonstration projects for the provision of coordinated and integrated services to individuals with mental illnesses who have co-occurring primary care conditions and chronic diseases through the co-location of primary and specialty care services in community-based mental and behavioral health settings. Subtitle F: Making Health Care More Affordable for Retirees - (Sec. 181) Requires the Secretary to establish a temporary reinsurance program to provide reimbursement to participating employment-based plans for a portion of the cost of providing health benefits to retirees whose primary residences are located in any state that is not a participating state or an establishing state until such state becomes such a state. (Defines an "establishing state" as one that has taken actions to establish a Gateway and a "participating state" as one in which a requested Gateway is established by the Secretary.) Subtitle G: Improving the Use of Health Information Technology for Enrollment; Miscellaneous Provisions - (Sec. 185) Requires the Secretary to: (1) develop interoperable and secure standards and protocols that facilitate enrollment of individuals in federal and state health and human services programs; and (2) award grants to develop and adapt technology systems to implement such standards and protocols. (Sec. 186) Declares that nothing in this title shall be construed to modify or limit the application of the exemption from preemption of state laws for the Hawaii's Prepaid Health Care Act. (Sec. 187) Establishes a Commission on Key National Indicators to: (1) conduct comprehensive oversight of a newly established key national indicators system; and (2) make recommendations on how to improve such system. Directs the National Academy of Sciences to enable the establishment of such system by creating its own institutional capability or by partnering with an independent private nonprofit organization. (Sec. 188) Requires the Comptroller General to conduct a study on preventable diseases in Medicare beneficiaries. (Sec. 189) Requires the Secretary to publish on the HHS website a list of authorities provided to the Secretary under this Act. (Sec. 189A) Declares that nothing in this Act shall be carried out in a manner that threatens the solvency of Medicare or Social Security programs. (Sec. 189B) Prohibits the federal government, any state or local government or health care provider that receives federal financial assistance under this Act, or any health plan created under this Act from discriminating against an individual or institutional health care entity on the basis that such individual or entity does not provide a health care item or service furnished for the purpose of causing, or assisting in causing, the death of any individual, such as by assisted suicide, euthanasia, or mercy killing. (Sec. 189C) Prohibits the Secretary from promulgating any regulation that: (1) creates an unreasonable barrier to the ability of individuals to obtain appropriate medical care; (2) impedes timely access to health care services; (3) interferes with communications regarding a full range of treatment options between the patient and the health care provider; (4) restricts the ability of health care providers to provide full disclosure of all relevant information to patients making health care decisions; (5) violates the principle of informed consent and the ethical standards of health care professionals; or (6) limits the availability of health care treatment for the full duration of a patient's medical needs. (Sec. 189D) Declares that no individual, company, business, nonprofit entity, or health insurer offering group or individual health insurance coverage shall be required to participate in any federal health insurance program created by or expanded under this Act. Prohibits any penalty from being imposed upon any such insurer for choosing not to participate in any such program. Subtitle H: CLASS Act - Community Living Assistance Services and Supports Act or the CLASS Act - (Sec. 191) Establishes a national, voluntary disability insurance program to purchase community living assistance services and supports (CLASS program) under which: (1) all employees are automatically enrolled, but are allowed to waive enrollment; (2) payroll deductions pay monthly premiums; and (3) benefits are provided to purchase non-medical services and supports that the beneficiary needs to maintain independence. Requires the Secretary to establish a Personal Care Attendants Workforce Advisory Panel. Title II: Improving the Quality and Efficiency of Health Care - Subtitle A: National Strategy to Improve Health Care Quality - (Sec. 201) Requires the Secretary to establish a national strategy to improve the delivery of health care services, patient health outcomes, and population health. (Sec. 202) Directs the President to convene the Interagency Working Group on Health Care Quality. (Sec. 203) Requires the Director of the Agency for Healthcare Research and Quality (AHRQ) to award grants for the development, improvement, or expansion of health care quality measures. (Sec. 204) Requires the Secretary to implement a system for reporting on quality measures. (Sec. 205) Directs the Secretary to support the collection and aggregation of quality and resource use measures from information systems used to support health care delivery. Subtitle B: Health Care Quality Improvements - (Sec. 211) Establishes the Patient Safety Research Center within AHRQ. (Sec. 212) Requires the Secretary to award grants for community-based interdisciplinary, interprofessional health teams to support primary care practices. (Sec. 213) Directs the Secretary to award grants for the implementation of medication management services provided by licensed pharmacists to improve the quality of care and reduce overall cost in the treatment of chronic diseases. (Sec. 214) Requires the Secretary to award contracts or grants for pilot projects to design, implement, and evaluate innovative models of regionalized, comprehensive, and accountable emergency medical and trauma systems. Directs the Secretary to support emergency medicine research. (Sec. 215) Requires the Secretary to establish programs to: (1) award grants for trauma centers; (2) reduce hospital readmissions; and (3) award grants or contracts to develop patient decision aids. (Sec. 218) Requires the Secretary, acting through the Commissioner of Food and Drugs (FDA), to determine whether the addition of quantitative summaries of the benefits and risks of prescription drugs in a standardized format to the promotional labeling or print advertising of such drugs would improve health care decisionmaking by clinicians, patients, and consumers. (Sec. 219) Requires the Secretary to establish the Center for Health Outcomes Research and Evaluation. (Sec. 220) Authorizes the Secretary to award grants to develop and implement academic curricula that integrate quality improvement and patient safety in the clinical education of health professionals. (Sec. 221) Establishes Offices of Women's Health within the Department of Health and Human Services (HHS) and its agencies. (Sec. 222) Requires the Secretary to adopt standards, implementation specifications, and operating rules for the electronic exchange and use of health information for purposes of financial and administrative transactions. (Sec. 223) Requires patient navigators to have minimum core proficiencies. (Sec. 224) Authorizes appropriations for this subtitle. Subtitle C: Civil and Criminal Penalties for Acts Involving Federal Health Care Programs; Exception to Limitation on Certain Physician Referrals - (Sec. 231) Amends titles XI (General Provisions, Peer Review, and Administrative Simplification) and XVIII (Medicare) of the Social Security Act (SSA) to create safe harbors from civil and criminal penalties in current anti-kickback laws for providing certain health information technology and training services. Title III: Improving the Health of the American People - Subtitle A: Modernizing Disease Prevention and Public Health Systems - (Sec. 301) Establishes the National Prevention, Health Promotion and Public Health Council. (Sec. 302) Establishes a Prevention and Public Health Fund to provide for expanded and sustained national investment in prevention and public health programs. Authorizes and appropriates money to such Fund. (Sec. 303) Amends the Public Health Service Act to require (currently, allows) the Director of AHRQ to convene the Preventive Services Task Force to review scientific evidence related to the effectiveness, appropriateness, and cost-effectiveness of clinical preventive services for the purpose of developing recommendations for the health care community. Requires the Director of the Centers for Disease Control and Prevention (CDC) to convene an independent Community Preventive Services Task Force to review scientific evidence related to the effectiveness, appropriateness, and cost-effectiveness of community preventive interventions for the purpose of developing recommendations for individuals and organizations delivering population-based services and other policy makers. (Sec. 304) Requires the Secretary to provide for the planning and implementation of a national public-private partnership for an outreach and education campaign to raise public awareness of health improvement across the life span. Subtitle B: Increasing Access to Clinical Preventive Services - (Sec. 311) Requires the Secretary to: (1) award an annual grant to each state for the establishment of a Right Choices Program to provide health risk appraisals and care plans to uninsured individuals; and (2) award demonstration grants to demonstrate the effectiveness of research-based dental caries disease management activities. (Sec. 312) Requires the Secretary to award grants for the cost of operation of school-based health clinics. (Sec. 313) Requires the Secretary, acting through the Director of CDC, to carry out oral health activities, including: (1) establishing a public education campaign focused on oral health care prevention and education; and (2) awarding grants for the development of school-based dental sealant programs. Subtitle C: Creating Healthier Communities - (Sec. 321) Requires the Secretary, acting through the Director of CDC, to award grants for community preventive health activities. (Sec. 322) Requires the Secretary, acting through the Director of CDC, to award grants for public health community interventions, screenings, and clinical referrals for individuals between the ages of 55 and 64. (Sec. 323) Amends the Rehabilitation Act of 1973 to require the Architectural and Transportation Barriers Compliance Board to promulgate standards setting forth the minimum technical criteria for medical diagnostic equipment used in medical settings to ensure that such equipment is accessible to, and usable by, individuals with accessibility needs. (Sec. 324) Requires Secretary, acting through the Director of CDC, to establish a demonstration program to award grants to states for immunizations for children, adolescents, and adults. (Sec. 325) Amends the Federal Food, Drug, and Cosmetic Act to require the labeling of a food item offered for sale in a retail food establishment that is part of a chain with 20 or more locations under the same name to disclose on the menu and menu board: (1) the number of calories contained in the standard menu item; (2) the suggested daily caloric intake; and (3) the availability on the premises and upon request of specified additional nutrient information. Requires self-service facilities to place adjacent to each food offered a sign that lists calories per displayed food item or per serving. Requires vending machine operators who operate 20 or more vending machines to provide a sign disclosing the number of calories contained in each article of food. (Sec. 326) Permits a group health plan to offer incentives to an individual who voluntarily participates in a wellness program that is reasonably-designed to promote health or prevent disease. (Sec. 327) Requires the Secretary to establish a pilot program to test the impact of providing an individualized wellness plan to at-risk populations who utilize community health centers. (Sec. 328) Requires employers to provide a reasonable break time and a suitable place, other than a bathroom, for an employee to express breast milk for her nursing child. Excludes an employer with fewer than 50 employees if such requirements would impose an undue hardship. Subtitle D: Support for Prevention and Public Health Innovation - (Sec. 331) Requires the Secretary, acting through the Director of CDC, to provide funding for research in the area of public health services and systems. (Sec. 332) Requires the Secretary to ensure that any federally conducted or supported health care or public health program, activity, or survey collects and reports specified demographic data regarding health disparities. (Sec. 333) Requires the Secretary, acting through the Director of CDC, to establish a program at the National Center of Environmental Health to foster advances and provide technical support in the field of health impact assessments. (Sec. 334) Requires the Director of CDC to conduct educational campaigns on employer-based wellness programs. (Sec. 335) Requires the Secretary, acting through the Director of CDC, to establish an Epidemiology and Laboratory Capacity Grant Program. (Sec. 336) Requires the Secretary, acting through the Director of CDC, to establish and implement a media campaign on health promotion and disease prevention. Subtitle E: Advancing Research and Treatment for Pain Care Management - (Sec. 341) Requires the Secretary to seek to enter into an agreement with the Institute of Medicine to convene a Conference on Pain. (Sec. 342) Requires the Secretary to establish the Interagency Pain Research Coordinating Committee to coordinate all efforts within federal agencies that relate to pain research. (Sec. 343) Authorizes the Secretary to provide training to health care professionals in pain care. (Sec. 344) Requires the Secretary to establish a national pain care education outreach and awareness campaign. Subtitle F: Coordinated Environmental Public Health Network - (Sec. 351) Requires the Secretary to establish and operate a Coordinated Environmental Public Health Network. Subtitle G: Miscellaneous Provisions - (Sec. 362) Requires the Secretary to evaluate programs to determine whether existing federal health and wellness initiatives are effective. Title IV: Health Care Workforce - Subtitle A: Purpose and Definitions - (Sec. 401) Declares that the purpose of this title is to improve access to, and the delivery of, health care services for all individuals, particularly low income, underserved, uninsured, minority, health disparity, and rural populations. Subtitle B: Innovations in the Health Care Workforce - (Sec. 411) Establishes a National Health Care Workforce Commission to: (1) review current and projected health care workforce supply and demand; and (2) make recommendations to Congress and the Administration concerning national health care workforce priorities, goals, and policies. (Sec. 412) Establishes a health care workforce development grant program. (Sec 413) Requires the Secretary to establish the National Center for Health Workforce Analysis. Subtitle C: Increasing the Supply of the Health Care Workforce - (Sec. 421) Revises student loan provisions related to the length of service requirement for the primary health care loan repayment program. (Sec. 422) Increases the maximum amount of loans made by schools of nursing to students. (Sec. 423) Requires the Secretary to establish a pediatric specialty loan repayment program. (Sec. 424) Directs the Secretary to establish the Public Health Workforce Loan Repayment Program to assure an adequate supply of public health professionals to eliminate critical public health workforce shortages in federal, state, local, and tribal public health agencies. (Sec. 425) Amends the Higher Education Act of 1965 to expand student loan forgiveness to include allied health professionals employed in public health agencies. (Sec. 426) Includes public health workforce loan repayment programs as permitted activities under a grant program to increase the number of individuals in the public health workforce. Authorizes the Secretary to provide for scholarships for mid-career professionals in the public health and allied health workforce to receive additional training. (Sec. 427) Authorizes appropriations for the National Health Service Corps Scholarship Program and the National Health Service Corps Loan Repayment Program. (Sec. 428) Requires the Secretary to awards grants for operation of nurse-managed health clinics. (Sec. 429) Eliminates the cap on the number of commissioned officers in the Public Health Service Regular Corps. (Sec. 430) Revises the Regular Corps and the Reserve Corps (renamed the Ready Reserve Corps) in the Public Health Service. Sets forth the uses of the Ready Reserve Corps. Subtitle D: Enhancing Health Care Workforce Education and Training - (Sec. 431) Sets forth provisions providing for health care professional training programs. (Sec 432) Requires the Secretary to award grants for new training opportunities for direct care workers who are employed in long-term care settings. (Sec. 433) Sets forth provisions providing for dentistry professional training programs. (Sec. 434) Authorizes the Secretary to award grants for demonstration programs to establish training programs for alternative dental health care providers in order to increase access to dental health services in rural and other underserved communities. (Sec. 435) Requires the Secretary to award grants or contracts to entities that operate a geriatric education center to offer short-term, intensive courses that focus on geriatrics, chronic care management, and long-term care. Expands geriatric faculty fellowship programs to make dentists eligible. Reauthorizes and revises the geriatric education programs to allow grant funds to be used for the establishment of traineeships for individuals who are preparing for advanced education nursing degrees in areas that specialize in the care of elderly populations. (Sec. 436) Authorizes the Secretary to award grants to institutions of higher education to support the recruitment of students for, and education and clinical experience of the students in, social work programs, psychology programs, child and adolescent mental health, and training of paraprofessional child and adolescent mental health workers. (Sec. 437) Requires the Secretary to support model curricula for cultural competency, prevention, and public health proficiency and aptitude for working with individuals with disabilities training for use in health professions schools and continuing education programs. (Sec. 438) Revises requirements for nurse-midwifery programs to be eligible for advanced education nursing grants, including requiring accreditation of such programs. (Sec. 439) Authorizes the Secretary to award grants to, and enter into contracts with, entities to enhance the nursing workforce by initiating and maintaining nurse retention programs. (Sec. 440) Makes nurse faculty at an accredited school of nursing eligible for the nursing education loan repayment program. (Sec. 441) Revises the nurse faculty loan repayment program, including to increase the amount of such loans. Authorizes the Secretary, acting through the Administrator of Health Resources and Services Administration, to enter into an agreement for the repayment of education loans in exchange for service as a member of a faculty at an accredited school of nursing. (Sec. 442) Authorizes appropriations for carrying out nursing workforce programs. (Sec. 443) Requires the Director of CDC to award grants to eligible entities to promote positive health behaviors and outcomes for populations in medically underserved communities through the use of community health workers. (Sec. 444) Authorizes area health education centers to use grant funds to establish a youth public health program to expose and recruit high school students into health careers, with a focus on careers in public health. (Sec. 445) Authorizes the Secretary to carry out activities to address documented workforce shortages in state and local health departments in the critical areas of applied public health epidemiology and public health laboratory science and informatics. (Sec. 446) Authorizes the establishment of the United States Public Health Sciences Track, which is authorized to award advanced degrees in public health, epidemiology, and emergency preparedness and response. Directs the Surgeon General to develop: (1) an integrated longitudinal plan for health professions continuing education; and (2) faculty development programs and curricula in decentralized venues of health care to balance urban, tertiary, and inpatient venues. Subtitle E: Supporting the Existing Health Care Workforce - (Sec. 451) Revises the allocation of funds to assist schools in supporting programs of excellence in health professions education for underrepresented minority individuals and schools designated as centers of excellence. (Sec. 452) Authorizes appropriations for: (1) scholarships for disadvantaged students attending health professions or nursing schools; (2) loan repayment for health professions faculty; and (3) grants to health professions schools to assist individuals from disadvantaged backgrounds. (Sec. 453) Requires the Secretary to: (1) award grants to eligible entities to initiate health care workforce education programs or to continue such programs; and (2) make grants to, and enter into contracts with, eligible entities to improve health care, increase retention, increase representation of minority faculty members, enhance the practice environment, and provide information dissemination and educational support to reduce professional isolation through the timely dissemination of research findings using relevant resources. (Sec. 454) Makes revisions to the grant program to increase nursing education opportunities for individuals from disadvantaged backgrounds, including to provide: (1) stipends for diploma or associate degree nurses to enter a bridge or degree completion program; (2) student scholarships or stipends for accelerated nursing degree programs; and (3) advanced education preparation. (Sec. 455) Requires the Secretary, acting through the Director AHRQ, to establish a Primary Care Extension Program to provide support and assistance to educate primary care providers about preventive medicine, health promotion, chronic disease management, mental and behavioral health services, and evidence-based and evidence-informed therapies and techniques. (Sec. 456) Amends the Higher Education Act of 1965 with respect to the meaning of economic hardship under the Federal Family Education Loan or Perkins Loan and related loan insurance programs. Considers borrowers under such programs to be suffering economic hardship if they are working full time, have a federal educational debt burden equal to at least 20% of their adjusted gross income, and the difference between their adjusted gross income minus such debt burden is less than 220% of the greater of: (1) the annual earnings of an minimum wage earner; or (2) 150% of the poverty line applicable to their family size. Subtitle F: General Provisions - (Sec. 461) Requires the Secretary to report to the appropriate congressional committees on activities carried out under this title. Title V: Preventing Fraud and Abuse - Subtitle A: Establishment of New Health and Human Services and Department of Justice Health Care Fraud Positions - (Sec. 501 ) Requires: (1) the Secretary to appoint a Senior Advisor for Health Care Fraud; and (2) the Attorney General to appoint a Senior Counsel for Health Care Fraud Enforcement. Requires the Senior Advisor and the Senior Counsel to annually report to the appropriate congressional committees regarding the detection and prevention of health care fraud, waste, and abuse involving public health insurance and private health insurance coverage. (Sec. 504) Requires the President to establish a commission to review federal health care programs and private health insurance to eliminate fraud, waste, and abuse and to more effectively align public and private sector efforts to combat fraud, waste, and abuse. Subtitle B: Health Care Program Integrity Coordinating Council - (Sec. 511) Establishes the Health Care Program Integrity Coordinating Council. Subtitle C: False Statements and Representations - (Sec. 521) Prohibits a person from making a false statement or false representation of fact in connection with a multiple employer welfare arrangement (MEWA) concerning the financial condition or solvency of, benefits provided by, or regulatory status of such plan or arrangement. Subtitle D: Federal Health Care Offense - (Sec. 531) Expands the definition of "federal health care offense" to include specified provisions of the Employee Retirement Income Security Act of 1974 (ERISA). Subtitle E: Uniformity in Fraud and Abuse Reporting - (Sec. 541) Requires the Secretary to request the National Association of Insurance Commissioners to develop a model uniform report form for private health insurance issuers seeking to refer suspected fraud and abuse to state insurance departments or other responsible state agencies for investigation. Subtitle F: Applicability of State Law to Combat Fraud and Abuse - (Sec. 551) Amends ERISA to direct the Secretary of Labor to adopt regulatory standards and/or issue orders to subject MEWAs to state law relating to fraud and abuse. Subtitle G: Enabling the Department of Labor to Issue Administrative Summary Cease and Desist Orders and Summary Seizures Orders Against Plans That Are in Financially Hazardous Condition - (Sec. 561) Authorizes the Secretary of Labor to: (1) issue cease-and-desist orders to shut down temporarily the operations of MEWAs conducting fraudulent activities or posing a serious threat to the public until hearings can be completed; and (2) seize a plan's assets if it appears that the plan is in a financially hazardous condition. Subtitle H: Requiring Multiple Employer Welfare Arrangement (MEWA) Plans to File a Registration Form With the Department of Labor Prior to Enrolling Anyone in the Plan - (Sec. 571) Amends ERISA to require (currently, permits) MEWA Plans that are not group health plans to register with the Department of Labor before operating in a state. Subtitle I: Permitting Evidentiary Privilege and Confidential Communications - (Sec. 581) Authorizes the Secretary of Labor to promulgate a regulation providing an evidentiary privilege that allows confidential communication among specified federal and state officials relating to investigation of fraud and abuse. Title VI: Improving Access to Innovative Medical Therapies - Subtitle A: Biologics Price Competition and Innovation - Biologics Price Competition and Innovation Act of 2009 - (Sec. 602) Amends the Public Health Service Act to allow a person to submit an application for licensure of a biological product based on its similarity to a licensed biological product (the reference product). Prohibits the HHS Secretary from determining that a second or subsequent biological product is interchangeable with a reference product for any condition of use for specified periods based on the marketing of, and the presence or status of litigation involving, the first biosimilar biological product deemed interchangeable with the same reference product. Prohibits the Secretary from making approval of an application under this Act effective until 12 years after the date on which the reference product was first licensed. (Sec. 603) Requires the Secretary of the Treasury to determine the amount of savings to the federal government as a result of the enactment of this subtitle and requires such savings to be used for deficit reduction. Subtitle B: More Affordable Medicines for Children and Underserved Communities - (Sec. 611) Expands the 340B drug discount program (a program limiting the cost of covered outpatient drugs to certain federal grantees) to: (1) allow participation as a covered entity by certain children's hospitals, freestanding cancer hospitals, critical access hospitals, rural referral centers, and sole community hospitals; and (2) include drugs used in connection with an inpatient or outpatient service by enrolled hospitals (currently, only outpatient drugs are covered under the program). Requires the HHS Secretary to establish reasonable exceptions to the prohibition on enrolled hospitals obtaining covered outpatient drugs through a group purchasing organization or other group purchasing arrangement, including: (1) for drugs unavailable through the program; and (2) to facilitate generic substitution when a generic covered drug is available at a lower price. Allows such hospitals to purchase covered drugs for inpatients through any such arrangement. Requires a hospital enrolled in the 340B drug discount program to issue a credit to a state Medicaid program for inpatient covered drugs provided to Medicaid recipients. (Sec. 612) Requires the Secretary to: (1) provide for improvements in compliance by manufacturers and covered entities with the requirements of the 340B drug discount program; and (2) establish and implement an administrative process for resolving claims by covered entities and manufacturers of violations of such requirements. Requires manufacturers to offer each covered entity covered drugs for purchase at or below the applicable ceiling price if such a drug is made available to any other purchaser at any price. (Sec. 613) Requires the Comptroller General to report to Congress on whether those individuals served by the covered entities under the 340B drug discount program are receiving optimal health care services.

affordable health choices act title quality affordable health_care americans subtitle effective coverage americans provisions applicable individual group markets sec amends public_health_service_act set forth provisions governing health insurance plans issuers including prohibit preexisting condition exclusions limit premium variances provide guaranteed coverage employer individual automatic renewal coverage require reports premium revenues expended prohibit eligibility rules based specified health status related factors require reimbursement structure provides quality incentives limit cost sharing preventive care require coverage dependent child years age prohibit lifetime annual limits benefits provision applicable group market sec prohibits group health plan establishing eligibility rules based time employee salary iii provisions sec provides act shall construed require individual terminate coverage group health plan health insurance coverage individual enrolled prior date enactment act allows family members individuals currently enrolled plan enroll plan coverage enrollment permitted terms plan allows new employees families enroll group health plan provides coverage date enactment act states act shall apply group health plan health insurance coverage individual enrolled date enactment act regardless individual renews coverage date enactment existing group health plan enrolls new employees section health insurance coverage maintained pursuant collective bargaining agreements employee representatives employers ratified date enactment act date collective bargaining agreements relating coverage terminates sec declares savings federal_government generated result enactment subtitle shall deficit reduction sec makes subtitle effective plan years beginning year enactment act sets forth provisions shall effective state secretary health_and_human_services hhs establishes american health benefit gateway subtitle available coverage americans sec expresses sense senate congress establish means americans affordable choices health benefit plans manner members congress choices federal_employees_health_benefits_program sec requires secretary award grants states establishment american health benefit gateway facilitate purchase health insurance coverage related insurance products affordable price qualified individuals employers reduce cost health_care requires gateway qualified health plans available requires secretary establish essential health_care benefits eligible premium credits include hospitalization prescription drugs preventive wellness services establishes temporary advisory commission known national independent commission essential health_care benefits authorizes states establish gateway request secretary operate gateway state requires secretary establish community health insurance option offer gateway health_care coverage includes essential health benefits provides value choice competition stability affordable high quality coverage united_states directs secretary award grants enable participating states establish expand provide support offices health insurance consumer assistance sec requires members congress congressional staff enroll federal health insurance program created act offered gateway subtitle affordable coverage americans sec requires secretary establish tiers cost sharing eligible low income individuals pay premium credit gateway enrolled eligible individuals payment qualified small employers health insurance costs employees sec amends_the_internal_revenue_code require secretary treasury provide mechanism taxpayer indicate taxpayer authorizes disclosure return information determine eligibility premium credits subtitle shared responsibility health_care sec imposes surtax individual health insurance coverage sec amends fair labor standards act require employer provide employee time hiring written notice existence american health benefit gateway sec requires employers payments hhs secretary employee offered qualifying coverage employer contributing monthly premiums coverage exempts small employers subtitle improving access health_care services sec reauthorizes appropriations health centers serve medically underserved populations sec revises provisions related community health centers including allow centers offer services locations sec requires secretary establish negotiated rulemaking process methodology criteria designation medically underserved populations health professions shortage areas sec amends black lung benefits act respect claims filed effective date black lung benefits amendments eliminate exceptions applicability certain provisions rebuttable presumptions prohibition requiring eligible survivors miner determined eligible black lung benefits file new claim miner claim sec reauthorizes appropriations fy2010 fy2014 expansion improvement emergency medical services children need treatment trauma critical care sec requires secretary acting administrator substance_abuse_and_mental_health_services_administration award grants establish demonstration projects provision coordinated integrated services individuals mental illnesses occurring primary care conditions chronic diseases location primary specialty care services community based mental behavioral health settings subtitle making health_care affordable retirees sec requires secretary establish temporary reinsurance program provide reimbursement participating employment based plans portion cost providing health benefits retirees primary residences located state participating state establishing state state state defines establishing state taken actions establish gateway participating state requested gateway established secretary subtitle improving use health information technology enrollment miscellaneous provisions sec requires secretary develop interoperable secure standards protocols facilitate enrollment individuals federal state health_and_human_services programs award grants develop adapt technology systems implement standards protocols sec declares title shall construed modify limit application exemption preemption state laws hawaii prepaid health_care act sec establishes commission key national indicators conduct comprehensive oversight newly established key national indicators system recommendations improve system directs national_academy_of_sciences enable establishment system creating institutional capability partnering independent private nonprofit organization sec requires comptroller_general conduct study preventable diseases medicare beneficiaries sec requires secretary publish hhs website list authorities provided secretary act sec declares act shall carried manner threatens solvency medicare social_security programs sec prohibits federal_government state local government health_care provider receives federal financial assistance act health plan created act discriminating individual institutional health_care entity basis individual entity provide health_care item service furnished purpose causing assisting causing death individual assisted suicide killing sec prohibits secretary promulgating regulation creates unreasonable barrier ability individuals obtain appropriate medical care impedes timely access health_care services interferes communications range treatment options patient health_care provider restricts ability health_care providers provide disclosure relevant information patients making health_care decisions violates principle informed consent ethical standards health_care professionals limits availability health_care treatment duration patient medical needs sec declares individual company business nonprofit entity health insurer offering group individual health insurance coverage shall required participate federal health insurance program created expanded act prohibits penalty imposed insurer choosing participate program subtitle class act community_living_assistance_services supports_act class act sec establishes national voluntary disability_insurance program purchase community_living_assistance_services supports class program employees automatically enrolled allowed waive enrollment payroll deductions pay monthly premiums benefits provided purchase non medical services supports beneficiary needs maintain independence requires secretary establish personal care attendants workforce advisory_panel title improving quality efficiency health_care subtitle national strategy improve health_care quality sec requires secretary establish national strategy improve delivery health_care services patient health outcomes population health sec directs president convene interagency_working_group health_care quality sec requires director agency healthcare_research_and_quality ahrq award grants development improvement expansion health_care quality measures sec requires secretary implement system reporting quality measures sec directs secretary support collection aggregation quality resource use measures information systems support health_care delivery subtitle health_care quality improvements sec establishes patient safety research_center ahrq sec requires secretary award grants community based interdisciplinary health teams support primary care practices sec directs secretary award grants implementation medication management services provided licensed pharmacists improve quality care reduce overall cost treatment chronic diseases sec requires secretary award contracts grants pilot projects design implement evaluate innovative models comprehensive accountable emergency medical trauma systems directs secretary support emergency medicine research sec requires secretary establish programs award grants trauma centers reduce hospital award grants contracts develop patient decision aids sec requires secretary acting commissioner food_and_drugs fda determine addition quantitative summaries benefits risks prescription drugs standardized format promotional labeling print advertising drugs improve health_care decisionmaking clinicians patients consumers sec requires secretary establish center health outcomes research evaluation sec authorizes secretary award grants develop implement academic curricula integrate quality improvement patient safety clinical education health professionals sec establishes offices women health department_of_health_and_human_services hhs agencies sec requires secretary adopt standards implementation specifications operating rules electronic exchange use health information purposes financial administrative transactions sec requires patient navigators minimum core sec authorizes appropriations subtitle subtitle civil criminal penalties acts involving federal health_care programs exception limitation certain physician referrals sec amends titles general_provisions peer_review administrative simplification xviii medicare social_security_act ssa create safe harbors civil criminal penalties current anti laws providing certain health information technology training services title iii improving health american people subtitle modernizing disease prevention public health systems sec establishes national prevention health promotion public health council sec establishes prevention_and_public_health_fund provide expanded sustained national investment prevention public health programs authorizes appropriates money fund sec amends public_health_service_act require currently allows director ahrq convene preventive services task_force review scientific evidence related effectiveness appropriateness cost effectiveness clinical preventive services purpose developing recommendations health_care community requires director centers_for_disease_control_and_prevention cdc convene independent community preventive services task_force review scientific evidence related effectiveness appropriateness cost effectiveness community preventive interventions purpose developing recommendations individuals organizations delivering population based services policy makers sec requires secretary provide planning implementation national public private partnership outreach education campaign raise public awareness health improvement life span subtitle increasing access clinical preventive services sec requires secretary award annual grant state establishment right choices program provide health risk appraisals care plans uninsured individuals award demonstration grants demonstrate effectiveness research based dental caries disease management activities sec requires secretary award grants cost operation school based health clinics sec requires secretary acting director cdc carry oral health activities including establishing public education campaign focused oral health_care prevention education awarding grants development school based dental programs subtitle creating healthier communities sec requires secretary acting director cdc award grants community preventive health activities sec requires secretary acting director cdc award grants public health community interventions screenings clinical referrals individuals ages sec amends rehabilitation act require architectural_and_transportation_barriers_compliance_board promulgate standards setting forth minimum technical criteria medical diagnostic equipment medical settings ensure equipment accessible usable individuals accessibility needs sec requires secretary acting director cdc establish demonstration program award grants states immunizations children adolescents adults sec amends federal food drug cosmetic act require labeling food item offered sale retail food establishment chain locations disclose menu menu board number calories contained standard menu item suggested daily caloric intake availability premises request specified additional nutrient information requires self service facilities place adjacent food offered sign lists calories displayed food item serving requires vending machine operators operate vending machines provide sign disclosing number calories contained article food sec permits group health plan offer incentives individual voluntarily participates wellness program reasonably designed promote health prevent disease sec requires secretary establish pilot program test impact providing individualized wellness plan risk populations utilize community health centers sec requires employers provide reasonable break time suitable place bathroom employee express breast milk nursing child excludes employer fewer employees requirements impose undue hardship subtitle support prevention public health innovation sec requires secretary acting director cdc provide funding research area public health services systems sec requires secretary ensure federally conducted supported health_care public health program activity survey collects reports specified demographic data health disparities sec requires secretary acting director cdc establish program national center environmental health foster advances provide technical support field health impact assessments sec requires director cdc conduct educational campaigns employer based wellness programs sec requires secretary acting director cdc establish epidemiology laboratory capacity grant program sec requires secretary acting director cdc establish implement media campaign health promotion disease prevention subtitle advancing research treatment pain care management sec requires secretary seek enter agreement institute_of_medicine convene conference pain sec requires secretary establish interagency pain research coordinating committee coordinate efforts federal agencies relate pain research sec authorizes secretary provide training health_care professionals pain care sec requires secretary establish national pain care education outreach awareness campaign subtitle coordinated environmental public health network sec requires secretary establish operate coordinated environmental public health network subtitle miscellaneous provisions sec requires secretary evaluate programs determine existing federal health wellness initiatives effective title health_care workforce subtitle purpose definitions sec declares purpose title improve access delivery health_care services individuals particularly low income underserved uninsured minority health disparity rural populations subtitle innovations health_care workforce sec establishes national_health_care_workforce_commission review current projected health_care workforce supply demand recommendations congress administration concerning national health_care workforce priorities goals policies sec establishes health_care workforce development grant program sec requires secretary establish national center health workforce analysis subtitle increasing supply health_care workforce sec revises student loan provisions related length service requirement primary health_care loan repayment program sec increases maximum loans schools nursing students sec requires secretary establish pediatric specialty loan repayment program sec directs secretary establish public health workforce loan repayment program assure adequate supply public health professionals eliminate critical public health workforce shortages federal state local tribal public health agencies sec amends higher education act expand student loan forgiveness include allied health professionals employed public health agencies sec includes public health workforce loan repayment programs permitted activities grant program increase number individuals public health workforce authorizes secretary provide scholarships mid career professionals public health allied health workforce receive additional training sec authorizes appropriations national_health_service_corps_scholarship_program national_health_service_corps_loan_repayment_program sec requires secretary awards grants operation nurse managed health clinics sec eliminates cap number commissioned officers public_health_service regular_corps sec revises regular_corps reserve corps renamed ready_reserve corps public_health_service sets forth uses ready_reserve corps subtitle enhancing health_care workforce education training sec sets forth provisions providing health_care professional training programs sec requires secretary award grants new training opportunities direct care workers employed long-term_care settings sec sets forth provisions providing dentistry professional training programs sec authorizes secretary award grants demonstration programs establish training programs alternative dental health_care providers order increase access dental health services rural underserved communities sec requires secretary award grants contracts entities operate geriatric education center offer short term intensive courses focus geriatrics chronic care management long-term_care expands geriatric faculty fellowship programs dentists eligible reauthorizes revises geriatric education programs allow grant funds establishment traineeships individuals preparing advanced education nursing degrees areas specialize care elderly populations sec authorizes secretary award grants institutions higher education support recruitment students education clinical experience students social work programs psychology programs child adolescent mental health training paraprofessional child adolescent mental health workers sec requires secretary support model curricula cultural competency prevention public health proficiency working individuals disabilities training use health professions schools continuing education programs sec revises requirements nurse programs eligible advanced education nursing grants including requiring accreditation programs sec authorizes secretary award grants enter contracts entities enhance nursing workforce initiating maintaining nurse retention programs sec makes nurse faculty accredited school nursing eligible nursing education loan repayment program sec revises nurse faculty loan repayment program including increase loans authorizes secretary acting administrator health_resources_and_services_administration enter agreement repayment education loans exchange service member faculty accredited school nursing sec authorizes appropriations carrying nursing workforce programs sec requires director cdc award grants eligible entities promote positive health behaviors outcomes populations medically underserved communities use community health workers sec authorizes area health education centers use grant funds establish youth public health program expose recruit high school students health careers focus careers public health sec authorizes secretary carry activities address documented workforce shortages state local health departments critical areas applied public health epidemiology public health laboratory science informatics sec authorizes establishment united_states public health sciences track authorized award advanced degrees public health epidemiology emergency preparedness response directs surgeon general develop integrated longitudinal plan health professions continuing education faculty development programs curricula decentralized venues health_care balance urban tertiary inpatient venues subtitle supporting existing health_care workforce sec revises allocation funds assist schools supporting programs excellence health professions education underrepresented minority individuals schools designated centers_of_excellence sec authorizes appropriations scholarships disadvantaged students attending health professions nursing schools loan repayment health professions faculty grants health professions schools assist individuals disadvantaged backgrounds sec requires secretary award grants eligible entities initiate health_care workforce education programs continue programs grants enter contracts eligible entities improve health_care increase retention increase representation minority faculty members enhance practice environment provide information dissemination educational support reduce professional isolation timely dissemination research findings relevant resources sec makes revisions grant program increase nursing education opportunities individuals disadvantaged backgrounds including provide stipends diploma associate degree nurses enter bridge degree completion program student scholarships stipends accelerated nursing degree programs advanced education preparation sec requires secretary acting director ahrq establish primary care extension program provide support assistance educate primary care providers preventive medicine health promotion chronic disease management mental behavioral health services evidence based evidence informed therapies techniques sec amends higher education act respect meaning economic hardship federal_family_education_loan perkins_loan related loan insurance programs considers borrowers programs suffering economic hardship working time federal educational debt burden equal adjusted gross income difference adjusted gross income minus debt burden greater annual earnings minimum wage poverty line applicable family size subtitle general_provisions sec requires secretary report appropriate congressional committees activities carried title title preventing fraud abuse subtitle establishment new health_and_human_services department_of_justice health_care fraud positions sec requires secretary appoint senior advisor health_care fraud attorney general appoint senior counsel health_care fraud enforcement requires senior advisor senior counsel annually report appropriate congressional committees detection prevention health_care fraud waste abuse involving public health insurance private health insurance coverage sec requires president establish commission review federal health_care programs private health insurance eliminate fraud waste abuse effectively align public private sector efforts combat fraud waste abuse subtitle health_care program integrity coordinating council sec establishes health_care program integrity coordinating council subtitle false statements representations sec prohibits person making false statement false representation fact connection multiple employer welfare arrangement concerning financial condition solvency benefits provided regulatory status plan arrangement subtitle federal health_care offense sec expands definition federal health_care offense include specified provisions employee retirement income security act erisa subtitle uniformity fraud abuse reporting sec requires secretary request national_association_of_insurance_commissioners develop model uniform report form private health insurance issuers seeking refer suspected fraud abuse state insurance departments responsible state agencies investigation subtitle applicability state law combat fraud abuse sec amends erisa direct secretary labor adopt regulatory standards issue orders subject state law relating fraud abuse subtitle enabling department_of_labor issue administrative summary cease desist orders summary seizures orders plans financially hazardous condition sec authorizes secretary labor issue cease desist orders shut temporarily operations conducting fraudulent activities posing threat public hearings completed seize plan assets appears plan financially hazardous condition subtitle requiring multiple employer welfare arrangement plans file registration form department_of_labor prior enrolling plan sec amends erisa require currently permits plans group health plans register department_of_labor operating state subtitle permitting evidentiary privilege confidential communications sec authorizes secretary labor promulgate regulation providing evidentiary privilege allows confidential communication specified federal state officials relating investigation fraud abuse title improving access innovative medical therapies subtitle biologics price competition innovation biologics price competition innovation_act sec amends public_health_service_act allow person submit application licensure biological product based similarity licensed biological product reference product prohibits hhs secretary determining second subsequent biological product interchangeable reference product condition use specified periods based marketing presence status litigation involving biosimilar biological product deemed interchangeable reference product prohibits secretary making approval application act effective years date reference product licensed sec requires secretary treasury determine savings federal_government result enactment subtitle requires savings deficit reduction subtitle affordable medicines children underserved communities sec expands 340b drug discount program program limiting cost covered outpatient drugs certain federal grantees allow participation covered entity certain children hospitals freestanding cancer hospitals critical access hospitals rural referral centers sole community hospitals include drugs connection inpatient outpatient service enrolled hospitals currently outpatient drugs covered program requires hhs secretary establish reasonable exceptions prohibition enrolled hospitals obtaining covered outpatient drugs group purchasing organization group purchasing arrangement including drugs unavailable program facilitate generic substitution generic covered drug available lower price allows hospitals purchase covered drugs arrangement requires hospital enrolled 340b drug discount program issue credit state medicaid program inpatient covered drugs provided medicaid recipients sec requires secretary provide improvements compliance manufacturers covered entities requirements 340b drug discount program establish implement administrative process resolving claims covered entities manufacturers violations requirements requires manufacturers offer covered entity covered drugs purchase applicable ceiling price drug available purchaser price sec requires comptroller_general report congress individuals served covered entities 340b drug discount program receiving optimal health_care services


Summary: America's Healthy Future Act of 2009 - Amends the Social Security Act (SSA) to add a new title XXII (Health Insurance Coverage) to ensure that all Americans have access to affordable and essential health benefits coverage. Requires all health benefits plans offered to individuals and employers in the individual and small group market to be qualified health benefits plans (QHBPs). Prohibits QHBPs from excluding coverage for preexisting conditions, or otherwise limiting or conditioning coverage based on any health status-related factors. Requires QHBPs to offer coverage in the individual and small group markets on a guaranteed issue and guaranteed renewal basis. Requires states to: (1) establish rating areas; (2) adopt a specified risk adjustment model; and (3) establish transitional reinsurance programs for individual markets. Requires QHBP offerors in the individual and small group markets to consider all enrollees in a plan to be members of a single risk pool. Requires the Secretary of Health and Human Services (HHS) to establish: (1) risk corridors for certain plan years; (2) high risk pools for individuals with preexisting conditions; (3) a temporary reinsurance program for retirees covered by employer-based plans; and (4) a program under which a state establishes one or more QHBPs to provide at least an essential benefits package to eligible individuals in lieu of offering coverage through an exchange. Entitles a qualified individual to the choice to enroll or not to enroll in a QHBP offered through an exchange covering the individual's state as well as QHBPs in the individual market. Requires such individuals to be U.S. citizens or lawful residents. Requires each state to establish: (1) an exchange designed to facilitate enrollment in QHBPs in the individual market; and (2) a Small Business Health Options Program (SHOP) exchange designed to assist qualified small employers in facilitating the enrollment of their employees in QHBPs in either the individual or the small group market. Directs the Secretary to: (1) establish a system allowing state residents to participate in state health subsidy programs; and (2) study methods exchange QHBPs can employ to encourage health care providers to make increased meaningful use of electronic health records. Prescribes the contents of an essential benefits package, including little or no cost-sharing, no annual or lifetime limits on coverage, and preventive services. Declares that nothing in this Act requires health care benefits plans to provide coverage for abortions. Requires the plan offeror to determine whether or not the plan provides coverage of abortion services for which federal funding: (1) is prohibited; or (2) is allowed. Requires the Secretary to assure that: (1) at least one QHBP covers abortion services for which federal funding is prohibited or allowed; and (2) at least one QHBP that does not cover abortion services for which federal funding is allowed. Prohibits the use of premium credits and cost-sharing subsidies for QHBPs covering abortion services for which federal funding is prohibited. Prohibits QHBPs from discriminating against any individual health care provider or health care facility because of its willingness or unwillingness to provide, pay for, provide coverage of, or refer for abortions. Continues application of state and federal laws regarding abortion. Amends the Internal Revenue Code to: (1) allow tax credits related to the purchase of health insurance through the state exchanges; and (2) impose an excise tax on individuals without essential health benefits coverage and on employers who fail to meet health insurance coverage requirements with respect to their full-time employees. Requires the President to: (1) certify annually in the President's Budget whether or not the provisions in this Act will increase the budget deficit in the coming fiscal year; and (2) instruct the HHS Secretary and the Secretary of the Treasury to make required reductions in exchange credits and subsidies. Establishes a new mandatory eligibility category under SSA title XIX (Medicaid) for all non-elderly, nonpregnant individuals who are otherwise ineligible for Medicaid. Revises Medicaid benefits. Rescinds funds available in the Medicaid Improvement Fund for FY2014-2018. Makes appropriations for Aging and Disability Resource Center initiatives. Increases the federal medical assistance percentage (FMAP) for states to offer home and community-based services as a long-term care (LTC) alternative to nursing homes. Creates a Community First Choice Option. Adds a new optional categorically needy eligibility group to Medicaid for individuals: (1) with income that exceeds 133% of the poverty line; and (2) certain other individuals, but only for benefits limited to family planning services and supplies. Directs the Secretary to establish a grants program to support school-based health centers. Removes smoking cessation drugs, barbiturates, and benzodiazepines from Medicaid's excluded drug list. Revises requirements for Medicaid disproportionate share hospital (DSH) payments. Directs the Secretary to establish a Federal Coordinated Health Care Office within the Centers for Medicare & Medicaid Services (CMMS). Directs the Secretary to establish a Medicaid Quality Measurement Program. Revises requirements for the Medicaid and CHIP Payment and Access Commission (MACPAC). (CHIP refers to SSA title XXI [Children's Health Insurance Program].) Sets forth special rules relating to American Indians and Alaska Indians. Requires the Secretary to establish procedures for sharing data collected under a federal health care program on race, ethnicity, sex, primary language, type of disability, and related measures and data analyses. Amends SSA title V with respect to the Maternal and Child Health (MCH) block grant program. Provides funding for abstinence education. Amends the Internal Revenue Code to codify and revise the Health Insurance Portability and Accountability Act of 1996 (HIPAA) wellness program regulations. Elder Justice Act of 2009 - Amends SSA title XX (Block Grants to States for Social Services) with respect to elder abuse, neglect, and exploitation and their prevention. Establishes within the Office of the Secretary an Elder Justice Coordinating Council. Directs the Secretary to establish a hospital value-based purchasing program under Medicare. Extends Physician Quality Reporting Initiative program (PQRI) incentive payments beyond 2010. Modifies the Physician Feedback Program. Requires the Secretary to develop a plan to implement a Medicare value-based purchasing program for home health agencies and skilled nursing facilities (SNFs). Amends SSA title XVIII (Medicare) to direct the Secretary to establish a national strategy to improve the delivery of health care services, patient health outcomes, and population health. Directs the President to convene an Interagency Working Group on Health Care Quality. Amends SSA title XI (General Provisions) to provide for the establishment of a Center for Medicare and Medicaid Innovation within CMMS. Amends SSA title XVIII to direct the Secretary to establish a shared savings program that promotes accountability for a patient population and coordinates items and services under Medicare parts A (Hospital Insurance) and B (Supplementary Medical Insurance). Creates a Hospital Readmissions Reduction Program. Directs the Secretary to establish a Community-Based Care Transitions Program Revises requirements with respect to residents in teaching hospitals. Increases the Medicare physician payment update. Directs the Secretary to establish a Working Group on Access to Emergency Medical Care. Extends the Medicare-Dependent Hospital Program. Amends the Tax Relief and Health Care Act of 2006 with respect to the hospital wage index. Establishes a Medicare prescription drug discount program for brand-name drugs for beneficiaries who enroll in Medicare part D (Voluntary Prescription Drug Benefit Program) and have drug spending that falls into the coverage gap. Establishes an independent Medicare Commission to reduce the per capita rate of growth in Medicare spending. Amends SSA title XI to add a new part D (Comparative Effectiveness Research) under which is established a Patient-Centered Outcomes Research Institute. Establishes in the Treasury the Patient-Centered Outcomes Research Trust Fund. Establishes a nationwide program for national and state background checks on direct patient access employees of LTC facilities and providers. Directs the Secretary to establish new procedures for screening providers of medical or other items or services and suppliers under the Medicare, Medicaid, and CHIP programs. Directs the Secretary to establish a self-referral disclosure protocol to enable health care service providers and suppliers to disclose violations. Requires the Secretary to expand the number of areas included in Round Two of the durable medical equipment (DME) competitive bidding program. Extends the period for collection of overpayments due to fraud. Amends the Internal Revenue Code with respect to: (1) an excise tax on the excess benefit of high cost employer-sponsored health coverage; (2) distributions from health savings accounts for drugs and insulin that are prescribed drugs and insulin only; (3) a limitation on salary reduction contributions by employers to a health flexible spending arrangement; (4) expanded information reporting requirements; (5) additional qualifying requirements for charitable hospital organizations; and (6) a qualifying therapeutic discovery project tax credit. Imposes annual fees on: (1) manufacturers and importers of branded prescription pharmaceuticals or of medical devices; and (2) health insurance providers. Increases the threshold for the itemized income tax deduction for medical expenses. Prescribes a special rule to limit excessive remuneration by certain health insurance providers. Excludes from an individual's gross income the value of any qualified Indian health care benefit. Prescribes treatment of small business employers maintaining a simple cafeteria plan.

america healthy future act amends social_security_act ssa add new title xxii health insurance coverage ensure americans access affordable essential health benefits coverage requires health benefits plans offered individuals employers individual small group market qualified health benefits plans prohibits excluding coverage preexisting conditions limiting conditioning coverage based health status related factors requires offer coverage individual small group markets guaranteed issue guaranteed renewal basis requires states establish rating areas adopt specified risk adjustment model establish transitional reinsurance programs individual markets requires offerors individual small group markets consider enrollees plan members single risk pool requires secretary health_and_human_services hhs establish risk corridors certain plan years high risk pools individuals preexisting conditions temporary reinsurance program retirees covered employer based plans program state establishes provide essential benefits package eligible individuals lieu offering coverage exchange entitles qualified individual choice enroll enroll offered exchange covering individual state individual market requires individuals citizens lawful residents requires state establish exchange designed facilitate enrollment individual market small business health options program shop exchange designed assist qualified small employers facilitating enrollment employees individual small group market directs secretary establish system allowing state residents participate state health subsidy programs study methods exchange employ encourage health_care providers increased meaningful use electronic health records prescribes contents essential benefits package including little cost sharing annual lifetime limits coverage preventive services declares act requires health_care benefits plans provide coverage abortions requires plan offeror determine plan provides coverage abortion services federal funding prohibited allowed requires secretary assure covers abortion services federal funding prohibited allowed cover abortion services federal funding allowed prohibits use premium credits cost sharing subsidies covering abortion services federal funding prohibited prohibits discriminating individual health_care provider health_care facility willingness unwillingness provide pay provide coverage refer abortions continues application state federal laws abortion amends_the_internal_revenue_code allow tax credits related purchase health insurance state exchanges impose excise tax individuals essential health benefits coverage employers fail meet health insurance coverage requirements respect time employees requires president certify annually president budget provisions act increase budget deficit coming fiscal year instruct hhs secretary secretary treasury required reductions exchange credits subsidies establishes new mandatory eligibility category ssa title xix medicaid non elderly individuals ineligible medicaid revises medicaid benefits rescinds funds available medicaid_improvement_fund fy2014 makes appropriations aging disability resource center initiatives increases federal medical assistance percentage fmap states offer home community based services long-term_care ltc alternative nursing homes creates community choice option adds new optional categorically needy eligibility group medicaid individuals income exceeds poverty line certain individuals benefits limited family planning services supplies directs secretary establish grants program support school based health centers removes smoking cessation drugs benzodiazepines medicaid excluded drug list revises requirements medicaid disproportionate share hospital dsh payments directs secretary establish federal coordinated health_care office centers medicare medicaid_services directs secretary establish medicaid quality measurement program revises requirements medicaid chip payment access commission chip refers ssa title xxi children health insurance program sets forth special rules relating american indians alaska indians requires secretary establish procedures sharing data collected federal health_care program race ethnicity sex primary language type disability related measures data analyses amends ssa title respect maternal child health block grant program provides funding abstinence education amends_the_internal_revenue_code codify revise health_insurance_portability_and_accountability_act hipaa wellness program regulations elder justice act amends ssa title block grants states social_services respect elder abuse neglect exploitation prevention establishes office_of_the_secretary elder_justice_coordinating_council directs secretary establish hospital value based purchasing program medicare extends physician quality reporting initiative program incentive payments modifies physician feedback program requires secretary develop plan implement medicare value based purchasing program home health agencies skilled nursing facilities snfs amends ssa title xviii medicare direct secretary establish national strategy improve delivery health_care services patient health outcomes population health directs president convene interagency_working_group health_care quality amends ssa title general_provisions provide establishment center medicare medicaid_innovation amends ssa title xviii direct secretary establish shared savings program promotes accountability patient population coordinates items services medicare parts hospital insurance supplementary_medical_insurance creates hospital reduction program directs secretary establish community based care transitions program revises requirements respect residents teaching hospitals increases medicare physician payment update directs secretary establish working_group access emergency medical care extends medicare dependent hospital program amends tax relief health_care act respect hospital wage index establishes medicare_prescription_drug discount program brand drugs beneficiaries enroll medicare voluntary prescription drug benefit program drug spending falls coverage gap establishes independent medicare commission reduce capita rate growth medicare spending amends ssa title add new comparative effectiveness research established patient centered outcomes research institute establishes treasury patient centered outcomes research trust_fund establishes nationwide program national state background checks direct patient access employees ltc facilities providers directs secretary establish new procedures screening providers medical items services suppliers medicare medicaid chip programs directs secretary establish self referral disclosure protocol enable health_care service providers suppliers disclose violations requires secretary expand number areas included round durable medical equipment dme competitive bidding program extends period collection overpayments fraud amends_the_internal_revenue_code respect excise tax excess benefit high cost employer sponsored health coverage distributions health savings_accounts drugs insulin prescribed drugs insulin limitation salary reduction contributions employers health flexible spending arrangement expanded information reporting requirements additional qualifying requirements charitable hospital organizations qualifying therapeutic discovery project tax credit imposes annual fees manufacturers importers branded prescription pharmaceuticals medical devices health insurance providers increases threshold itemized income tax deduction medical expenses prescribes special rule limit excessive remuneration certain health insurance providers excludes individual gross income value qualified indian health_care benefit prescribes treatment small business employers maintaining simple cafeteria plan


Summary: Transitional Federal Medical Assistance Percentage Act - Amends the American Recovery and Reinvestment Act of 2009 to extend the increase in the federal medical assistance percentage (FMAP) under title XIX (Medicaid) of the Social Security Act. Extends the entire recession adjustment period from December 31, 2010, through June 30, 2011. Provides for adjusted FMAP percentage rates during a transitional assistance period from July 1, 2011, through December 31, 2013. Prescribes formulae for determining the adjusted FMAP through FY2012 and subsequent fiscal year quarters.

transitional federal medical assistance percentage act_-_amends american_recovery_and_reinvestment_act extend increase federal medical assistance percentage fmap title xix medicaid social_security_act extends entire recession adjustment period december june provides adjusted fmap percentage rates transitional assistance period july december prescribes formulae determining adjusted fmap fy2012 subsequent fiscal year quarters


Summary: Stop Congressional Health Benefits Act - Prohibits a Member of Congress from participating in or being enrolled in any Federal Employees Health Benefits (FEHB) plan between July 1, 2010, through the date on which the Comptroller General reports to the Office of Personnel Management (OPM), the Secretary of the Senate, and the Chief Administrative Officer of the House of Representatives that health care reform legislation has been enacted. Makes this prohibition inapplicable if the Comptroller General determines by June 30, 2010, that such legislation has been enacted. Requires OPM to provide for a period of open enrollment for Members of Congress beginning on the earliest administratively feasible pay period following the date on which the Comptroller General reports such determination.

stop congressional health benefits act prohibits member congress participating enrolled federal_employees_health benefits fehb plan july date comptroller_general reports office_of_personnel_management opm secretary senate chief administrative officer house_of_representatives health_care reform legislation enacted makes prohibition inapplicable comptroller_general determines june legislation enacted requires opm provide period open enrollment members congress beginning earliest administratively feasible pay period following date comptroller_general reports determination


Summary: Patient Choice Restoration Act - Repeals the Patient Protection and Affordable Care Act and the amendments made by that Act.

patient choice restoration act repeals patient_protection affordable care act amendments act


Summary: Amends the Patient Protection and Affordable Care Act (PPACA) to repeal a specified exception for certain hospitals to the special rule for FY2010 regarding use of a particular hospital wage index (promulgated in the Federal Register on August 27, 2009) in "Section 508" hospital reclassifications. ("Section 508" refers to Section 508 of the Medicare Modernization Act of 2003, which allows the temporary reclassification of a hospital with a low Medicare area wage index, for reimbursement purposes, to a nearby location with a higher Medicare area wage index, so that the "Section 508 hospital" will receive the higher Medicare reimbursement rate.) Repeals as well PPACA provisions that: (1) grant Medicare coverage to individuals exposed to certain environmental health hazards; (2) increase the Medicare reimbursement for frontier states; and (3) authorize appropriations to the Department of Health and Human Services (HHS) for debt service on, or direct construction or renovation of, a health care facility that provides research, inpatient tertiary care, or outpatient clinical services and is critical for the provision of greater access to health care within a state. Amends title XIX (Medicaid) of the Social Security Act to reduce the special adjustment to the federal medical assistance percentage (FMAP) for states recovering from a major disaster.

amends patient_protection affordable care act ppaca repeal specified exception certain hospitals special rule fy2010 use particular hospital wage index promulgated federal_register august section hospital reclassifications section refers section medicare modernization act allows temporary reclassification hospital low medicare area wage index reimbursement purposes nearby location higher medicare area wage index section hospital receive higher medicare reimbursement rate repeals ppaca provisions grant medicare coverage individuals exposed certain environmental health hazards increase medicare reimbursement frontier states authorize appropriations department_of_health_and_human_services hhs debt service direct construction renovation health_care facility provides research inpatient tertiary care outpatient clinical services critical provision greater access health_care state amends title xix medicaid social_security_act reduce special adjustment federal medical assistance percentage fmap states recovering major disaster


Summary: Patients' Freedom to Choose Act - Repeals provisions of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 that: (1) restrict payments from health savings accounts, medical savings accounts, and health flexible spending arrangements for medications to prescription drugs and insulin only; and (2) impose a $2,500 limitation on salary reduction contributions to a health flexible spending arrangement under a cafeteria plan.

patients freedom choose act repeals provisions patient_protection affordable care act health_care_and_education reconciliation act restrict payments health savings_accounts medical savings_accounts health flexible spending arrangements medications prescription drugs insulin impose limitation salary reduction contributions health flexible spending arrangement cafeteria plan


Summary: Public Accountability in Health Care Implementation Act - Sets forth procedures for rules implementing the Patient Protection and Affordable Care Act (PPACA). Requires a federal official responsible for issuance of a rule under PPACA to promulgate the final rule not later than: (1) 60 days after the termination of any specified comment period for the interim final rule, taking into account any comments received during such period; or (2) 90 days after such an interim final rule is issued if the federal official responsible fails to provide for such comment period, taking into account comments received during a subsequent comment period. Applies this Act to any interim final rule issued under PPACA prior to, on, or after the date of enactment of this Act. Requires the 60-day and the 90-day periods for any interim final rules issued prior to enactment of this Act to commence upon enactment of this Act.

public accountability health_care implementation act sets forth procedures rules implementing patient_protection affordable care act ppaca requires federal official responsible issuance rule ppaca promulgate final rule later days termination specified comment period interim final rule taking account comments received period days interim final rule issued federal official responsible fails provide comment period taking account comments received subsequent comment period applies act interim final rule issued ppaca prior date enactment act requires day day periods interim final rules issued prior enactment act commence enactment act


Summary: Repealing the Job-Killing Health Care Law Act - Repeals the Patient Protection and Affordable Care Act, effective as of its enactment. Restores provisions of law amended by such Act. Repeals the health care provisions of the Health Care and Education and Reconciliation Act of 2010, effective as of the Act's enactment. Restores provisions of law amended by the Act's health care provisions.

repealing job killing health_care law act repeals patient_protection affordable care act effective enactment restores provisions law amended act repeals health_care provisions health_care_and_education reconciliation act effective act enactment restores provisions law amended act health_care provisions


Summary: Rescinds any unobligated balance of funds made available for the Health Insurance Reform Implementation Fund under the Health Care and Education Reconciliation Act of 2010.

rescinds unobligated balance funds available health insurance reform implementation fund health_care_and_education reconciliation act


Summary: Empowering Patients First Act - Repeals the Patient Protection and Affordable Care Act and the health care provisions of the Health Care and Education and Reconciliation Act of 2010, effective as of their enactment. Restores or revives provisions amended or repealed by such Act or such health care provisions. Amends the Internal Revenue Code to allow a tax credit for qualified health insurance costs to residents of a state that implements a high-risk pool, a reinsurance pool, or other risk-adjustment mechanism. Amends the Public Health Service Act to provide for the establishment and governance of individual membership associations (IMAs) to make available health benefits coverage to IMA members and their dependents. Small Business Health Fairness Act of 2011 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide for establishment and governance of association health plans, which are group health plans whose sponsors are trade, industry, professional, chamber of commerce, or similar business associations and which meet certain ERISA certification requirements. Directs that the laws of the state designated by a health insurance issuer (primary state) shall apply to individual health insurance coverage offered by that issuer in the primary state and in any other state (secondary state), but only if the coverage and issuer comply with conditions of this Act. Amends title XXI (Children's Health Insurance) (CHIP, formerly known as SCHIP) of the Social Security Act (SSA) to: (1) require a state CHIP plan to specify how it will achieve coverage for 90% of targeted low-income children; and (2) prohibit CHIP payments for children with family income above 300% of the applicable poverty line. Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011 - Sets conditions for lawsuits arising from health care liability claims regarding health care goods or services or any medical product affecting interstate commerce. Establishes a statute of limitations and limits noneconomic and punitive damages. Permits a group health plan to vary premiums and cost-sharing by up to 50% of the benefits based on participation (or lack of participation) in a wellness program. Requires a health insurance issuer to provide claims information, on request, to a plan, plan sponsor, or plan administrator. Prohibits the Secretary of Health and Human Services (HHS) from using comparative effectiveness research to deny coverage of an item or service under a federal health care program. Authorizes a state to establish a Health Plan and Provider Portal website to standardize information on health insurance plans available in the state. Revises the formula for determining rates in the fee schedule for Medicare physician payments. Sets forth provisions regarding students loans and loan repayment for health care professionals. Establishes discretionary spending limits for FY2011-FY2020 for new budget authority in the nondefense category.  Amends the Balanced Budget and Emergency Deficit Control Act of 1985 to reinstate budget provisions related to deficit reductions during a recession. Rescinds unobligated balances of certain discretionary appropriations made available under the American Recovery and Reinvestment Act of 2009. Repeals other provisions of such Act, including provisions providing fiscal assistance to states and setting limits on executive compensation.

empowering patients act repeals patient_protection affordable care act health_care provisions health_care_and_education reconciliation act effective enactment restores revives provisions amended repealed act health_care provisions amends_the_internal_revenue_code allow tax credit qualified health insurance costs residents state implements high risk pool reinsurance pool risk adjustment mechanism amends public_health_service_act provide establishment governance individual membership associations imas available health benefits coverage ima members dependents small_business_health_fairness_act amends employee retirement income security act erisa provide establishment governance association health plans group health plans sponsors trade industry professional chamber commerce similar business associations meet certain erisa certification requirements directs laws state designated health insurance issuer primary state shall apply individual health insurance coverage offered issuer primary state state secondary state coverage issuer comply conditions act amends title xxi children health insurance chip known schip social_security_act ssa require state chip plan specify achieve coverage targeted low income children prohibit chip payments children family income applicable poverty line help efficient accessible low cost timely healthcare health act sets conditions lawsuits arising health_care liability claims health_care goods services medical product affecting interstate commerce establishes statute limitations limits noneconomic punitive damages permits group health plan vary premiums cost sharing benefits based participation lack participation wellness program requires health insurance issuer provide claims information request plan plan sponsor plan administrator prohibits secretary health_and_human_services hhs comparative effectiveness research deny coverage item service federal health_care program authorizes state establish health plan provider portal website standardize information health insurance plans available state revises formula determining rates fee schedule medicare physician payments sets forth provisions students loans loan repayment health_care professionals establishes discretionary spending limits fy2011-fy2020 new budget authority nondefense category amends balanced_budget emergency deficit control act reinstate budget provisions related deficit reductions recession rescinds unobligated balances certain discretionary appropriations available american_recovery_and_reinvestment_act repeals provisions act including provisions providing fiscal assistance states setting limits executive compensation


Summary: Stop the Federal Exchanges from Destroying States Act or the STOP the FEDS Act - Amends the Patient Protection and Affordable Care Act to authorize a state to elect not to establish any required Exchanges for the state (or to cease the operation of all required Exchanges for the state) if the state enacts a law that provides for such election. Authorizes a state to repeal such a law and provide for the establishment of an Exchange for the state.

stop federal exchanges destroying states act stop act_-_amends patient_protection affordable care act authorize state elect establish required exchanges state cease operation required exchanges state state enacts law provides election authorizes state repeal law provide establishment exchange state


Summary: Declares that no funds are authorized to be appropriated to carry out the Patient Protection and Affordable Care Act, the Health Care and Education Reconciliation Act of 2010, and any amendments made by either such Act.

declares funds authorized appropriated carry patient_protection affordable care act health_care_and_education reconciliation act amendments act


Summary: Repeals the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010, effective as of their enactment. Restores provisions of law amended by such Acts.

repeals patient_protection affordable care act health_care_and_education reconciliation act effective enactment restores provisions law amended acts


Summary: Revoke Excessive Policies that Encroach on American Liberties (REPEAL) Act - Repeals the Patient Protection and Affordable Care Act and the health care provisions of the Health Care and Education Reconciliation Act of 2010, effective as of their enactment.  Restores or revives provisions amended or repealed by such Act or such health care provisions.

revoke excessive policies american liberties repeal act repeals patient_protection affordable care act health_care provisions health_care_and_education reconciliation act effective enactment restores revives provisions amended repealed act health_care provisions