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H.R. 3590 Title I - Quality, Affordable Health Care for All Americans

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Title I          Title II          Title III          Title IV          Title V          Title VI          Title VII          Title VIII          Title IX
IN THE SENATE OF THE UNITED STATES
111th Congress
1st Session
H.R.  3590
Introduction

Sec. 1  Short Title; Table of Divisions, Titles and Subtitles
Recorded By:  Sergei Burbank

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 Title I 
QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS

Subtitle A - Immediate Improvements in Health Care Coverage for all Americans
Sec. 1001.  Amendments to the Public Health Service Act
"PART A - Individual and Group Market Reforms
"SubPart II - Improving Coverage
"Sec. 2711.  No lifetime or annual limits
"Sec. 2712.  Prohibition on rescissions
"Sec. 2713.  Coverage of preventive health services
"Sec. 2714.  Extension of dependent coverage
"Sec. 2715.  Development and utilization of uniform explanation of coverage documents and standardized definitions
"Sec. 2716.  Prohibition of discrimination based on salary
"Sec. 2717.  Ensuring the quality of care
"Sec. 2718.  Bringing down the cost of health care coverage
"Sec. 2719.  Appeals process
Recorded By:  Chris Mezzolesta

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Sec. 1002.  Health insurance consumer information

Sec. 1003.  Ensuring that consumers get value for their dollars

Sec. 1004.  Effective dates
Recorded By:  George Washington III

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Subtitle B - Immediate Actions to Preserve and Expand Coverage
Sec. 1101.  Immediate access to insurance for uninsured individuals with a preexisting condition

Sec. 1102.  Reinsurance for early retirees

Recorded By:  Curt Palmer

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Sec. 1103.  Immediate information that allows consumers to identify affordable coverage options

Sec. 1104.  Administrative simplification

Sec. 1105.  Effective date

Recorded By:  George Washington III

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Subtitle C - Quality Health Insurance Coverage for All Americans
PART I - HEALTH INSURANCE MARKET REFORMS
Sec. 1201.  Amendment to the Public Health Service Act
"SubPart I  -  General Reform
"Sec. 2701.  Fair health insurance premiums
"Sec. 2702.  Guaranteed availability of coverage
"Sec. 2703.  Guaranteed renewability of coverage
"Sec. 2704.  Prohibition of preexisting condition exclusions or other discrimination based on health status
"Sec. 2705.  Prohibiting discrimination against individual participants and beneficiaries based on health status
"Sec. 2706.  Non-discrimination in health care
"Sec. 2707.  Comprehensive health insurance coverage
"Sec. 2708.  Prohibition on excessive waiting periods
Recorded By:  Al Remington

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PART II - OTHER PROVISIONS
Sec. 1251.  Preservation of right to maintain existing coverage

Sec. 1252.  Rating reforms must apply uniformly to all health insurance issuers and group health plans

Sec. 1253.  Effective dates
Recorded By:  Al Remington

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Subtitle D - Available Coverage Choices of All Americans
PART I - ESTABLISHMENT OF QUALIFIED HEALTH PLANS
Sec. 1301.  Qualified health plan defined

Sec. 1302.  Essential health benefits requirements

Sec. 1303.  Special rules

Sec. 1304.  Related definitions

Recorded By:  Lee Plaud

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PART II - CONSUMER CHOICES AND INSURANCE COMPETITION THROUGH HEALTH BENEFIT EXCHANGES
Sec. 1311.  Affordable choices of health benefit plans

Sec. 1312.  Consumer choice

Sec. 1313.  Financial integrity

Recorded By:  Dottie Janson

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PART III - STATE FLEXIBILITY RELATING TO EXCHANGES
Sec. 1321.  State flexibility in operation and enforcement of Exchanges and related requirements

Sec. 1322.  Federal program to assist establishment and operation of nonprofit, member-run health insurance issues

Sec. 1323.  Community health insurance option

Sec. 1324.  Level playing field
Recorded By:  Peter Katt

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PART IV - STATE FLEXIBILITY TO ESTABLISH ALTERNATIVE PROGRAMS
Sec. 1331.  State flexibility to establish basic health programs for low-income individuals not eligible for Medicaid

Sec. 1332.  Waiver for State innovation

Sec. 1333.  Provisions relating to offering of plans in more than one State
Recorded By:  Nicole Sandler

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PART V - REINSURANCE AND RISK ADJUSTMENT
Sec. 1341.  Transitional reinsurance program for individual and small group markets in each State.

Sec. 1342.  Establishment of risk corridors for plans in individual and small group markets

Sec. 1343.  Risk adjustment
Recorded By:  Laura Wiese

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Subtitle E  -  Affordable Coverage Choices for All Americans

PART I - PREMIUM TAX CREDITS AND COST-SHARING REDUCTIONS

SUBPART A - PREMIUM TAX CREDITS AND COST-SHARING REDUCTIONS
Sec. 1401.  Refundable tax credit providing premium assistance for coverage under a qualified plan

Sec. 1402.  Reduced cost-sharing for individuals enrolling in qualified health plans
Recorded By:  David Brower

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SUBPART B - ELIGIBILITY DETERMINATIONS
Sec. 1411.  Procedures for determining eligibility for Exchange participation, premium tax credits and reduced cost-sharing, and individual responsibility exemptions
Recorded By:  Channe Nolen

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Sec. 1412.  Advance determination and payment of premium tax credits and cost-sharing reductions

Sec. 1413.  Streamlining of procedures

Sec. 1414.  Disclosures to carry out eligibility requirements for certain programs

Sec. 1415.  Premium tax credit and cost-sharing reduction payments disregarded for Federal and Federally-assisted programs
Recorded By:  Scott Purvis

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 PART II - SMALL BUSINESS TAX CREDIT
Sec. 1421.  Credit for employee health insurance expenses of small businesses
Recorded By:  Kathleen "Kat" Keesling

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 Subtitle F - Shared Responsibility for Health Care

PART I - INDIVIDUAL RESPONSIBILITY
Sec. 1501.  Requirement to maintain minimum essential coverage

Sec. 1502.  Reporting of health insurance coverage
Recorded By:  John Zadikian

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PART II - EMPLOYER RESPONSIBILITIES
Sec. 1511.  Automatic enrollment for employees of large employers

Sec. 1512.  Employer requirement to inform employees of coverage options

Sec. 1513.  Shared responsibility for employers

Sec. 1514.  Reporting of employer health insurance coverage

Sec. 1515.  Offering of Exchange-participating qualified health plans through cafeteria plans
Recorded By:  Jake Lamb

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Subtitle G - Miscellaneous Provisions
Sec. 1551.  Definitions

Sec. 1552.  Transparency in government

Sec. 1553.  Prohibition against discrimination on assisted suicide

Sec. 1554.  Access to therapies

Sec. 1555.  Freedom not to participate in Federal health insurance programs

Sec. 1556.  Equity for certain eligible survivors

Sec. 1557.  Nondiscrimination

Sec. 1558.  Protections for employees

Sec. 1559.  Oversight

Sec. 1560.  Rules of construction

Recorded By:  Steve Clarke

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Sec. 1561.  Health information technology enrollment standards and protocols

Sec. 1562.  Conforming amendments

Recorded By:  Roy Buñales

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