Summary: Medicare Quality and Payment Reform Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to: (1) review annually high volume readmission rates and resource use; (2) establish benchmarks for measuring them; and (3) make payment adjustments for subsection (d) hospitals that fail to meet such benchmarks. (Generally, a subsection (d) hospital is an acute care hospital, particularly one that receives payments under Medicare's inpatient prospective payment system (IPPS) when providing covered inpatient services to eligible beneficiaries.) Directs the Secretary of Health and Human Services to establish a pilot program to provide episodic payments to hospitals and other organizing entities for items and services associated with hospitalization episodes of Medicare beneficiaries with respect to one or more conditions that have a high volume, high readmission rate, or high rate of post-acute care under the Medicare program.

payment reform act amends title xviii medicare social security act review annually high volume rates resource use establish benchmarks measuring payment adjustments subsection hospitals fail meet benchmarks generally subsection hospital acute care hospital particularly receives payments medicare inpatient prospective payment system ipps providing covered inpatient services eligible beneficiaries directs secretary health_and_human_services establish pilot program provide payments hospitals organizing entities items services associated hospitalization medicare beneficiaries respect conditions high volume high rate high rate post acute care medicare program


Summary: Allows the schedule of payments under Servicemembers' Group Life Insurance (SGLI) for a traumatic injury to distinguish between the severity of a loss of a dominant hand and a non-dominant hand.

allows schedule payments traumatic injury distinguish severity loss dominant hand non dominant hand


Summary: Health Insurance Coverage Protection Act - Amends the Employee Retirement Income Security Act (ERISA) and the Public Health Service Act to prohibit a group health plan from imposing an aggregate lifetime benefit limit of less than: (1) $5 million for the first two plan years; (2) $10 million for the third and fourth plan years; and (3) adjusted amounts based on the consumer price index for subsequent plan years. Excludes from such prohibition a group health plan offered to employees of a small employer, except upon request of the employer for a consistent limit.Requires the Secretary of Health and Human Services to contract with the Institute of Medicine for a study to determine the number of individuals who have reached the lifetime limitations set forth in this Act.

act amends employee retirement income security act erisa public_health_service_act prohibit group health plan imposing aggregate lifetime benefit limit million plan years million fourth plan years adjusted amounts based consumer price index subsequent plan years excludes prohibition group health plan offered employees small employer request employer consistent limit requires secretary health_and_human_services contract institute_of_medicine study determine number individuals reached lifetime limitations set forth act


Summary: Care Affordability for Military Families Act - Directs the Secretary of Veterans Affairs to reimburse a covered beneficiary under TRICARE (a Department of Defense [DOD] managed care program) for travel expenses when such beneficiary is referred by a primary care physician to a specialty care provider located more than 50 (under current law, more than 100) miles from the primary care location.

care affordability military families act directs secretary veterans_affairs reimburse covered beneficiary tricare department_of_defense dod managed care program travel expenses beneficiary referred primary care physician specialty care provider located current law miles primary care location


Summary: Home and Community Services Copayment Equity Act of 2009 - Amends part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act to eliminate part D cost-sharing for certain non-institutionalized full-benefit dual eligible individuals with income below 135% of the poverty line who: (1) reside in an assisted living facility, a resident care program facility, a board and care facility, or any other appropriate licenced facility, including a community mental health center, a psychiatric health facility, a mental health rehabilitation center, and a mental retardation developmental disability facility; or (2) receive home and community-based services in a home setting under a home and community-based waiver.

home amends voluntary prescription drug benefit program title xviii medicare social security act eliminate cost sharing certain non institutionalized benefit dual eligible individuals income poverty line reside assisted living facility resident care program facility board care facility appropriate facility including community mental health center psychiatric health facility mental health rehabilitation center mental retardation developmental disability facility receive home community based services home setting home community based waiver


Summary: Drug Rebate Equalization Act of 2009 - Amends title XIX (Medicaid) of the Social Security Act to reduce the costs of prescription drugs for enrollees of Medicaid managed care organizations by extending to such organizations the discounts offered under fee-for-service Medicaid plans. Requires the state contract with a Medicaid managed care organization to require that payment for covered outpatient drugs dispensed to Medicaid-eligible individuals enrolled with the organization be subject to the same rebate as the state is subject to. Requires also that capitation rates paid to the organization be: (1) based on actual cost experience related to rebates; and (2) subject to the federal regulations requiring actuarially sound rates.

drug rebate equalization act amends title xix medicaid social security act reduce costs prescription drugs enrollees medicaid managed care organizations extending organizations discounts offered fee service medicaid plans requires state contract medicaid managed care organization require payment covered outpatient drugs dispensed medicaid eligible individuals enrolled organization subject rebate state subject requires capitation rates paid organization based actual cost experience related rebates subject federal regulations requiring actuarially sound rates


Summary: Medicare Access to Community Health Centers (MATCH) Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to revise the definition of "federally qualified health center services" to include ambulatory services furnished by a federally qualified health center (FQHC) for which payment may otherwise be made under Medicare if such services were furnished by a non-FQHC health care provider or health care professional employed by or under contract with an FQHC. Permits payment for hospital-based services. Provides for a Medicare prospective payment system (PPS) for Medicare-covered services provided by FQHCs.

medicare access community health centers match act amends title xviii medicare social security act revise definition federally qualified health center services include ambulatory services furnished federally qualified health center fqhc payment medicare services furnished health care provider health care professional employed contract fqhc permits payment hospital based services provides medicare prospective payment system pps medicare covered services provided fqhcs


Summary: Breast Cancer Patient Protect Act of 2009 - Amends the Employee Retirement Income Security Act of 1974 (ERISA), the Public Health Service Act, and the Internal Revenue Code to require a group health plan that provides medical and surgical benefits to ensure that inpatient (and in the case of a lumpectomy, outpatient) coverage and radiation therapy are provided for breast cancer treatment. Prohibits such a plan from: (1) restricting benefits for any hospital length of stay to less than 48 hours in connection with a mastectomy or breast conserving surgery or 24 hours in connection with a lymph node dissection, insofar as the attending physician, in consultation with the patient, determines such stay to be medically necessary; or (2) requiring that a provider obtain authorization from the plan or issuer for prescribing any such length of stay. Requires such a plan or issuer to: (1) provide notice to each participant and beneficiary regarding the coverage required under this Act; and (2) ensure that coverage is provided for secondary consultations. Prohibits a group health plan from taking specified actions to avoid the requirements of this Act. Applies such requirements to health insurance issuers offering coverage in the individual market. Allows a health insurance issuer that provides individual health insurance coverage to nonrenew or discontinue an individual's coverage based on the intentional concealment of material facts regarding a health condition related to the condition for which coverage is being claimed.

breast cancer patient protect act amends employee retirement income security act erisa public_health_service_act internal revenue code require group health plan provides medical surgical benefits ensure inpatient case lumpectomy outpatient coverage radiation therapy provided breast cancer treatment prohibits plan restricting benefits hospital length stay hours connection mastectomy breast conserving surgery hours connection lymph node dissection insofar attending physician consultation patient determines stay medically necessary requiring provider obtain authorization plan issuer prescribing length stay requires plan issuer provide notice participant beneficiary coverage required act ensure coverage provided secondary consultations prohibits group health plan taking specified actions avoid requirements act applies requirements health insurance issuers offering coverage individual market allows health insurance issuer provides individual health insurance coverage discontinue individual coverage based intentional concealment material facts health condition related condition coverage claimed


Summary: State-Based Health Care Reform Act - Requires the Secretary of Health and Human Services to establish a Health Care Coverage Task Force to: (1) approve state, local, or tribal applications for a health care coverage grant; (2) submit a legislative proposal concerning such approvals and recommendations on the level of funding required; and (3) establish minimum performance measures with respect to coverage, quality, and cost of state health care programs.Prohibits the Task Force from approving an application that: (1) proposes to adopt more restrictive criteria for eligibility determinations for any federal, state, or local health care program; or (2) would result in making individuals enrolled in federal health programs ineligible.Requires states seeking a matching grant to submit to the Task Force a state health care plan that: (1) designates the lead state entity that will be responsible for administering the program; (2) describes the benefits that will be provided to all covered individuals; (3) describes the number and percentage of currently uninsured individuals who will achieve coverage; (4) describes how the state will ensure that an increased number of individuals residing within the state will have expanded access to health care coverage; (5) includes provisions to improve the effectiveness and efficiency of health care in the state; and (6) complies with premium and cost sharing limitations.Sets forth procedures for congressional consideration of legislative proposals and recommendations.Authorizes appropriations for the grant program and specifies offsetting savings and fee provisions. Amends title XVIII (Medicare) of the Social Security Act to revise requirements for the reduction in the Medicare part B premium subsidy based on income.

secretary health_and_human_services establish approve state local tribal applications health care coverage grant submit legislative proposal concerning approvals recommendations level funding required establish minimum performance measures respect coverage quality cost state health care programs prohibits task force approving application proposes adopt restrictive criteria eligibility determinations federal state local health care program result making individuals enrolled federal health programs ineligible requires states seeking matching grant submit task_force state health care plan designates lead state entity responsible administering program describes benefits provided covered individuals describes number percentage currently uninsured individuals achieve coverage describes state ensure increased number individuals residing state expanded access health care coverage includes provisions improve effectiveness efficiency health care state complies premium cost sharing limitations sets forth procedures congressional consideration legislative proposals recommendations authorizes appropriations grant program specifies offsetting savings fee provisions amends title xviii medicare social security act revise requirements reduction medicare premium subsidy based income


Summary: Ending the Medicare Disability Waiting Period Act of 2009 - Amends title II (Old Age, Survivors and Disability Insurance) (OASDI) of the Social Security Act (SSA) to: (1) phase out the waiting period for disabled individuals to become eligible for benefits under SSA title XVIII (Medicare); and (2) eliminate the waiting period for individuals with life-threatening conditions to become eligible for such benefits. Directs the Secretary of Health and Human Services to request the Institute of Medicine of the National Academy of Sciences to study the range of disability conditions that can be delayed or prevented if individuals receive access to health care services and coverage before a condition reaches disability levels.

ending amends title old age survivors disability insurance oasdi social security act ssa phase waiting period disabled individuals eligible benefits ssa title xviii medicare eliminate waiting period individuals life threatening conditions eligible benefits directs secretary health_and_human_services request institute_of_medicine_of_the_national_academy_of_sciences study range disability conditions delayed prevented individuals receive access health care services coverage condition reaches disability levels


Summary: Medicare Patient IVIG Access Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to direct the Secretary of Health and Human Services to collect data on the differences, if any, between: (1) payments to physicians for immune globulins using average sales price payment methodology; and (2) costs incurred by physicians for furnishing these products. Requires the Secretary also to review data on the access of eligible individuals to immune globulins. Requires the Secretary, after completion of the review, to provide, if appropriate, an additional payment to such physicians for all items related to the furnishing of immune globulins as part of hospital outpatient services. Provides for Medicare coverage of and payment for intravenous immune globulin (IVIG) administered in the home. Allows the Secretary to contract for the collection of data on the practice of IVIG infusion. Directs the Secretary to review data collected under such a contract as well as data submitted by members of the medical community related to the current infusion payment codes under part B (Supplementary Medical Insurance) of SSA title XVIII. Requires the Secretary, upon completion of any data collection and review, to: (1) notify the appropriate Medicare administrative contractors regarding which existing infusion codes shall be used for purposes of part B IVIG reimbursement; or (2) report to Congress and the RBRUS Committee (RUC) on why an additional infusion payment code is necessary. Extends the meaning of durable medical equipment to include disposable drug delivery systems, including elastomeric infusion pumps, for the treatment of colorectal cancer.

medicare patient ivig access act amends title xviii medicare social security act ssa direct secretary health_and_human_services collect data differences payments physicians immune average sales price payment methodology costs incurred physicians furnishing products requires secretary review data access eligible individuals immune requires secretary completion review provide appropriate additional payment physicians items related furnishing immune hospital outpatient services provides medicare coverage payment intravenous immune ivig administered home allows secretary contract collection data practice ivig infusion directs secretary review data collected contract data submitted members medical community related current infusion payment codes ssa title xviii requires secretary completion data collection review notify appropriate medicare administrative contractors existing infusion codes shall purposes ivig reimbursement report congress ruc additional infusion payment code necessary extends meaning durable medical equipment include disposable drug delivery systems including infusion pumps treatment colorectal cancer


Summary: Amends title XVIII (Medicare) of the Social Security Act (SSA) with respect to a hospital which provides acute care services to ventilator-dependent patients who are: (1) entitled to benefits under Medicare part A (Hospital Insurance); and (2) eligible for medical assistance under a state plan approved under SSA title XIX (Medicaid). Revises ventilator-dependent patient days requirements for the disproportionate patient percentage in the formula for calculation of an additional Medicare payment for each subsection (d) hospital. (Generally, a subsection (d) hospital is an acute care hospital, particularly one that receives payments under Medicare's inpatient prospective payment system (IPPS) when providing covered inpatient services to eligible beneficiaries.)

amends title xviii medicare social security act ssa respect hospital provides acute care services dependent patients entitled benefits medicare eligible medical assistance state plan approved ssa title xix medicaid revises dependent patient days requirements disproportionate patient percentage formula calculation additional medicare payment subsection hospital generally subsection hospital acute care hospital particularly receives payments medicare inpatient prospective payment system ipps providing covered inpatient services eligible beneficiaries


Summary: Early Treatment for HIV Act of 2009 - Amends title XIX (Medicaid) of the Social Security Act to give states the option of providing Medicaid coverage for certain low-income HIV-infected individuals. Provides states taking advantage of this option with an enhanced federal Medicaid match.

early treatment hiv act amends title xix medicaid social security act states option providing medicaid coverage certain low income hiv infected individuals provides states taking advantage option enhanced federal medicaid match


Summary: Medicare Long-Term Care Hospital Improvement Act of 2009 - Amends the Medicare, Medicaid, and SCHIP Extension Act of 2007, as amended by the American Recovery and Reinvestment Act of 2009, to extend from three years to five years the delay in application of: (1) the 25% patient threshold payment adjustment to freestanding and grandfathered long-term care hospitals (LTCHs); (2) any payment adjustment, in certain circumstances, to any applicable LTCH or satellite facility located in a rural area or co-located with an urban single or metropolitan statistical area (MSA) dominant hospital; (3) the very short-stay outlier policy; and (4) a specified one-time prospective adjustment to LTCH prospective payment rates. Extends from three years to five years the moratorium on: (1) the establishment and classification of a LTCH or satellite facility, other than an existing one; and (2) an increase of LTCH beds in existing LTCHs or satellite facilities. Establishes a formula for annual adjustment of the base prospective payment rate for LTCHs for rate years 2011 through 2015 in order to implement a budget neutrality offset of the costs of implementing this Act.

amends medicare medicaid schip extension act amended american_recovery_and_reinvestment_act extend years years delay application patient threshold payment adjustment freestanding grandfathered long term care hospitals ltchs payment adjustment certain circumstances applicable ltch satellite facility located rural area located urban single metropolitan statistical area msa dominant hospital short stay outlier policy specified time prospective adjustment ltch prospective payment rates extends years years moratorium establishment classification ltch satellite facility existing increase ltch beds existing ltchs satellite facilities establishes formula annual adjustment base prospective payment rate ltchs rate years order implement budget neutrality offset costs implementing act


Summary: Medicare Patient Access to Physical Therapists Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to authorize qualified physical therapists to provide services for Medicare beneficiaries without the requirement of a physician referral. Provides for treatment of outpatient speech-language pathology services separately from outpatient physical therapy services.

medicare_patient_access physical therapists act amends title xviii medicare social security act ssa authorize qualified physical therapists provide services medicare beneficiaries requirement physician referral provides treatment outpatient speech language pathology services separately outpatient physical therapy services


Summary: Arthur Woolweaver, Jr., Social Security Act Improvements for the Terminally Ill Act - Amends title II (Old Age, Survivors and Disability Insurance) (OASDI) of the Social Security Act to eliminate the waiting period for disability insurance benefits for terminally ill individuals.

social security act improvements terminally ill act amends title old age survivors disability insurance oasdi social security act eliminate waiting period disability insurance benefits terminally ill individuals


Summary: Reaching Elders with Assessment and Chronic Care Management and Coordination Act or RE-Aligning Care Act - Amends title XVIII (Medicare) of the Social Security Act to provide for Medicare part B (Supplementary Medical Insurance) coverage of geriatric assessments and chronic care management and coordination services. Directs the Secretary of Health and Human Services to conduct outreach activities to inform likely eligible individuals of such assessments and services. Authorizes Medicare coverage for telehealth services to furnish such assessments and services. Directs the Secretary to contract for a study and report to Congress and the Secretary on: (1) the effectiveness of such coverage in improving the quality of care provided to Medicare beneficiaries with chronic conditions; and (2) the impact of such assessments and services on reducing Medicare expenditures.

reaching elders assessment chronic care management coordination act aligning care act amends title xviii medicare social security act provide medicare supplementary_medical_insurance coverage geriatric assessments chronic care management coordination services directs secretary health_and_human_services conduct outreach activities inform likely eligible individuals assessments services authorizes medicare coverage telehealth services furnish assessments services directs secretary contract study report congress secretary effectiveness coverage improving quality care provided medicare beneficiaries chronic conditions impact assessments services reducing medicare expenditures


Summary: Medicare Care Transitions Program Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services to establish a Care Transitions Program under which outcomes-based payments are made to community-based transitional care (CTC) suppliers for: (1) furnishing care transition services to an individual after discharge from inpatient care; (2) improving quality of care; and (3) reducing rehospitalization rates.

amends title xviii medicare social security act direct secretary health_and_human_services establish outcomes based payments community based transitional care ctc suppliers furnishing care transition services individual discharge inpatient care improving quality care reducing rates


Summary: Seniors' Medication Copayment Reduction Act of 2009 - Directs the Secretary of Health and Human Services to establish a demonstration program to test Value-Based Insurance Design methodologies for Medicare beneficiaries with chronic conditions. Defines "Value-Based Insurance Design" as a methodology for identifying specific medications or classes of medications for which, because of their high value and effectiveness when prescribed for particular clinical conditions, copayments or coinsurance should be reduced or eliminated.

seniors medication copayment reduction act directs secretary health_and_human_services establish demonstration program test methodologies medicare beneficiaries chronic conditions defines methodology identifying specific medications classes medications high value effectiveness prescribed particular clinical conditions copayments coinsurance reduced eliminated


Summary: Medicare Ambulance Access Preservation Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to increase to 6% permanently the rate of increase in the fee schedule for ground ambulance services furnished on or after January 1, 2010, in rural and urban areas. Makes permanent the increase in the base rate of the fee schedule the Secretary of Health and Human Services is required to make for a trip in the case of ground ambulance services furnished on or after July 1, 2004, (and beyond January 1, 2010) for which the transportation originates in a qualified low population density rural area.

medicare ambulance access preservation act amends title xviii medicare social security act increase permanently rate increase fee schedule ground ambulance services furnished january rural urban areas makes permanent increase base rate fee schedule secretary health_and_human_services required trip case ground ambulance services furnished july january transportation originates qualified low population density rural area


Summary: Independence at Home Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to authorize voluntary Independence at Home chronic care coordination pilot programs for high-cost Medicare beneficiaries with multiple chronic conditions under the traditional Medicare fee-for-service program.

independence home act amends title xviii medicare social security act authorize voluntary independence home chronic care coordination pilot programs high cost medicare beneficiaries multiple chronic conditions traditional medicare fee service program


Summary: Annual and Lifetime Health Care Limit Elimination Act of 2009 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) and the Public Health Service Act to prohibit a group health plan from imposing an aggregate dollar annual or lifetime limit with respect to benefits payable under the plan. Applies such prohibition to individual health insurance coverage.

annual elimination act amends employee retirement income security act erisa public_health_service_act prohibit group health plan imposing aggregate dollar annual lifetime limit respect benefits payable plan applies prohibition individual health insurance coverage


Summary: Medicare Financial Stability for Beneficiaries Act of 2009 - Amends part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act (SSA), as amended by the Medicare Improvements for Patients and Providers Act of 2008, to disregard part D premium or cost-sharing subsidies for low-income individuals (LIS program) for purposes of determining eligibility for, or the amount of assistance or benefits provided under, any federal and state public benefit programs. Amends SSA title XIX (Medicaid) with respect to Medicare Savings Programs (MSP programs) to disregard any medical assistance for some or all Medicare cost-sharing for qualified Medicare beneficiaries (QMBs) in determining eligibility for, or the amount of assistance or benefits provided under, any federal, state, or local public benefit program. Limits cost-sharing under the part D LIS program for a year to a maximum 2.5% of income. Exempts pension and retirement benefits from resources under the LIS and MSP programs and modifies the resource standards for determination of eligibility for the LIS program. Increases the income eligibility to: (1) 150% of the federal poverty level (FPL) for full benefits and 200% of the FPL for partial benefits (sliding scale premium subsidy) under the LIS program, and (2) 150% of the FPL for QMB benefits under the MSP program. Expands the special enrollment process to individuals eligible for an income-related subsidy under the LIS program. Eliminates part D cost-sharing for certain non-institutionalized full-benefit dual eligible individuals. Repeals authority for states to pay Medicare cost-sharing at Medicaid rates and authorizes medical assistance to dual eligibles in MedicareAdvantage (MA) plans. Authorizes cross deeming between LIS and MSP so that qualifying for one program would automatically qualify an individual for the other programs. Amends the Food and Nutrition Act of 2008 with respect to temporary supplemental nutrition assistance program (SNAP) benefits under the LIS program. Requires targeted outreach for low-income subsidies under the Medicare prescription drug program. Amends the Internal Revenue Code to require the Secretary of the Treasury to disclose tax return information to the Social Security Administration to facilitate identification of individuals likely to be eligible for low-income subsidies under the Medicare prescription drug program. Prescribes requirements for enhanced oversight and enforcement relating to reimbursements for retroactive LIS enrollment. Requires the award of grants to: (1) states for outreach regarding Medicare enrollment assistance and benefit availability; and (2) Aging and Disability Resource Centers. Makes the date of the electronic transmission of low income subsidy (LIS) program data from the Commissioner of Social Security to the state Medicaid agency the date of filing of the application for MSP benefits Requires a state Medicaid plan to provide that the state enters into a modification of a Medicaid agreement with the Secretary to provide for enrollment in (buy-in to) the Medicare part A (Hospital Insurance) program by QMBs who are uninsured elderly individuals not otherwise eligible for hospital insurance benefits. Requires states to: (1) make MSP applications available on the Internet; and (2) allow individuals to specify a preferred language other than English for subsequent communication.

amends voluntary prescription drug benefit program title xviii medicare social security act ssa amended medicare_improvements_for_patients_and_providers_act disregard premium cost sharing subsidies low income individuals lis program purposes determining eligibility assistance benefits provided federal state public benefit programs amends ssa title xix medicaid respect programs disregard medical assistance medicare cost sharing qualified medicare beneficiaries qmbs determining eligibility assistance benefits provided federal state local public benefit program limits cost sharing lis program year maximum income exempts pension retirement benefits resources lis programs modifies resource standards determination eligibility lis program increases income eligibility federal poverty level fpl benefits fpl partial benefits sliding scale premium subsidy lis program fpl benefits program expands special enrollment process individuals eligible income related subsidy lis program eliminates cost sharing certain non institutionalized benefit dual eligible individuals repeals authority states pay medicare cost sharing medicaid rates authorizes medical assistance dual eligibles medicareadvantage plans authorizes cross deeming lis qualifying program automatically qualify individual programs amends food_and_nutrition_act respect temporary supplemental nutrition assistance program snap benefits lis program requires targeted outreach low income subsidies medicare prescription drug program amends internal revenue code require secretary treasury disclose tax return information social_security_administration facilitate identification individuals likely eligible low income subsidies medicare prescription drug program prescribes requirements enhanced oversight enforcement relating reimbursements retroactive lis enrollment requires award grants states outreach medicare enrollment assistance benefit availability aging makes date electronic transmission low income subsidy lis program data commissioner_of_social_security state medicaid agency date filing application benefits requires state medicaid plan provide state enters modification medicaid agreement secretary provide enrollment buy medicare program qmbs uninsured elderly individuals eligible hospital insurance benefits requires states applications available internet allow individuals specify preferred language english subsequent communication


Summary: Chiropractic Care Available to All Veterans Act of 2009 - Amends the Department of Veterans Affairs Health Care Programs Enhancement Act of 2001 to require a program under which the Secretary of Veterans Affairs provides chiropractic care and services to veterans through Department of Veterans Affairs medical centers and clinics to be carried out at: (1) no fewer than 75 medical centers by December 31, 2009; and (2) all medical centers by December 31, 2011.

chiropractic_care_available veterans act amends department_of_veterans_affairs_health_care_programs_enhancement_act require program secretary veterans_affairs provides chiropractic care services veterans department_of_veterans_affairs medical centers clinics carried fewer medical centers december medical centers december


Summary: Children's Access to Reconstructive Evaluation & Surgery (CARES) Act of 2009 - Amends the Public Health Service Act, the Employee Retirement Income Security Act of 1974 (ERISA), and the Internal Revenue Code to require a group health plan that covers surgical benefits to also cover outpatient and inpatient diagnosis and treatment of a congenital or developmental deformity, disease, or injury of a minor child (defined as child under the age of 22). Requires that such coverage: (1) be subject to pre-authorization or pre-certification requirements of the plan or issuer; and (2) include any surgical treatment deemed by the treating physician to be medically necessary to approximate a normal appearance. Defines "treatment" to include reconstructive surgical procedures that are performed on abnormal structures of the body caused by congenital defects, abnormalities, trauma, infection, tumors, or disease, including: (1) procedures that do not materially affect the function of the body part being treated; and (2) procedures for secondary conditions and follow-up treatment. Excludes cosmetic surgery performed to reshape normal structures of the body to improve appearance or self-esteem.

cares act amends public_health_service_act employee retirement income security act erisa internal revenue code require group health plan covers surgical benefits cover outpatient inpatient diagnosis treatment congenital developmental disease injury minor child defined child age requires coverage subject pre authorization pre certification requirements plan issuer include surgical treatment deemed treating physician medically necessary approximate normal appearance defines treatment include reconstructive surgical procedures performed abnormal structures body caused congenital defects abnormalities trauma infection tumors disease including procedures materially affect function body treated procedures secondary conditions follow treatment excludes cosmetic surgery performed normal structures body improve appearance self


Summary: Family Building Act of 2009 - Amends the Public Health Service Act and the Employee Retirement Income Security Act (ERISA) to require a group health plan that provides coverage for obstetrical services to include coverage for non-experimental treatment of infertility that is deemed appropriate by a participant or beneficiary and the treating physician. Requires coverage for assisted reproductive technology only if certain conditions are met. Prohibits a group health plan from taking specified actions to avoid the requirements of this Act. Applies such requirements to health insurance coverage offered in the individual market and coverage offered through Federal Employees Health Benefit (FEHB) plans.

family building act amends public_health_service_act employee retirement income security act erisa require group health plan provides coverage obstetrical services include coverage non experimental treatment infertility deemed appropriate participant beneficiary treating physician requires coverage assisted reproductive technology certain conditions met prohibits group health plan taking specified actions avoid requirements act applies requirements health insurance coverage offered individual market coverage offered fehb plans


Summary: Consumers Health Care Act of 2009 - Establishes within the Department of Health and Human Services (HHS) an Office of Health Plan Management to establish and administer the Consumer Choice Health Plan to provide for health insurance coverage that is made available to all eligible individuals in the United States and its territories. Requires the Plan to comply with all regulations and requirements that are applicable with respect to other health insurance plans offered through the National Health Insurance Exchange. (The National Health Insurance Exchange has not been established.) Makes an individual or employer who is eligible to purchase coverage from a health insurance plan through the Exchange eligible to enroll in the Plan or purchase coverage for their employees from the Plan. Treats an individual's enrollment with the Plan as satisfying any requirement under federal law for such individual to demonstrate enrollment in health insurance or benefits coverage. Requires Medicare, Medicaid, and Children's Health Insurance Program (CHIP, formerly known as SCHIP) providers to provide services to any individual enrolled in the Plan for three years following establishment of the Plan, after which the provider may opt-out. Sets forth provisions governing payment rates. Requires repayment of funds necessary for the establishment of the Plan. Requires the Plan to be financially self-sustaining. Authorizes the establishment of the America's Health Insurance Trust as a nonprofit corporation, to provide information on, and oversight of, health insurance plans provided through the Exchange. Establishes in the Treasury the America's Health Insurance Trust Fund. Amends the Internal Revenue Code to impose a fee on accident and health insurance policies and self-insured health plans.

consumers health care act establishes department_of_health_and_human_services hhs establish administer provide health insurance coverage available eligible individuals united_states territories requires plan comply regulations requirements applicable respect health insurance plans offered established makes individual employer eligible purchase coverage health insurance plan exchange eligible enroll plan purchase coverage employees plan treats individual enrollment plan satisfying requirement federal law individual demonstrate enrollment health insurance benefits coverage medicaid known schip providers provide services individual enrolled plan years following establishment plan provider opt sets forth provisions governing payment rates requires repayment funds necessary establishment plan requires plan financially self sustaining authorizes establishment nonprofit corporation provide information oversight health insurance plans provided exchange establishes treasury america amends internal revenue code impose fee accident health insurance policies self insured health plans


Summary: Medicare Transitional Care Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to provide for coverage under Medicare part B (Supplementary Medical Insurance) of benefits for transitional care services for qualified individuals following discharge from a hospital or critical access hospital.

medicare transitional care act amends title xviii medicare social security act provide coverage medicare supplementary_medical_insurance benefits transitional care services qualified individuals following discharge hospital critical access hospital


Summary: Community and Rural Medical Residency Preservation Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act with respect to the counting of time spent in outpatient settings by full-time-equivalent residents in approved medical residency training programs, for purposes of indirect medical education (IME) and direct graduate medical education (D-GME) payments. Defines all, or substantially all, of the costs for the training program in that nonhospital setting as the residents' stipends and benefits and other costs, if any, as determined by the training hospital and the entity (wholly owned or operated by the hospital) operating the nonhospital setting. Declares that the hospital is not required to pay the entity any amounts other than those determined by the hospital and the entity in order for the hospital to be considered to have incurred all, or substantially all, of the costs for the training program in that setting.

community rural medical residency preservation act amends title xviii medicare social security act respect counting time spent outpatient settings time equivalent residents approved medical residency training programs purposes indirect medical education ime direct graduate medical education payments defines substantially costs training program nonhospital setting residents stipends benefits costs determined training hospital entity wholly owned operated hospital operating nonhospital setting declares hospital required pay entity amounts determined hospital entity order hospital considered incurred substantially costs training program setting


Summary: Medicare Specialty Care Improvement and Protection Act of 2009 - Amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act (SSA) to extend through December 31, 2013, the authority to restrict enrollment for specialized Medicare Advantage (MA) plans for special needs individuals (SNPs). Extends such authority through December 31, 2015, in the case of a SNP designated as a Fully Integrated Dual Eligible Special Needs Plan.. Directs the Secretary of Health and Human Services (HHS) to evaluate the MA and the health status risk adjustment payment mechanisms in order to resolve plan payment inequities relative to Medicare fee-for-service payments for high-risk, high cost beneficiaries. Directs the Secretary, using the results of the evaluation, to refine the risk adjustment payment mechanism for such beneficiaries. Requires the Secretary to provide bonus payments to account for added SNP costs associated with additional benefit, care management, reporting, and other requirements established by Congress and the Secretary in excess of other MA plans. Requires the Secretary to take into account specified factors, including dual eligibility (for both Medicare and SSA title XIX [Medicaid] benefits) and geographic cost differences, with respect to the bid structure for SNPs. Requires the Secretary to have in place a process under which the Secretary designates dual eligible SNPs as Fully Integrated Dual Eligible Special Needs Plans for the purpose of advancing fully integrated Medicare and Medicaid benefits and services for dual eligible beneficiaries, including state-designated Dual subsets. Directs the Secretary to establish or designate an Office on Medicare/Medicaid Integration. Authorizes a plan, at state option, to provide for a period of presumptive eligibility for an individual who has attained age 65, who has 12 or more consecutive months of Medicaid eligibility, and who the state has reason to believe will be determined to be a full-benefit dual eligible individual. Conditions such presumptive eligibility, however, on the state's: (1) agreement to randomly conducted eligibility audits by the Secretary; and (2) ensuring that any individual enrolled under the state plan who is determined ineligible for medical assistance as a result of such an audit is notified at least 30 days before disenrollment. Extends prescription drug discounts to enrollees of Medicaid managed care organizations.

amends title xviii medicare social security act ssa extend december authority restrict enrollment specialized medicare_advantage plans special needs individuals extends authority december case designated directs secretary health_and_human_services hhs evaluate health status risk adjustment payment mechanisms order resolve plan payment inequities relative medicare fee service payments high risk high cost beneficiaries directs secretary results evaluation refine risk adjustment payment mechanism beneficiaries requires secretary provide bonus payments account added costs associated additional benefit care management reporting requirements established congress secretary excess plans requires secretary account specified factors including dual eligibility medicare ssa title xix medicaid benefits geographic cost differences respect bid structure requires secretary place process secretary designates dual eligible fully integrated dual eligible special needs plans purpose advancing fully integrated medicare medicaid benefits services dual eligible beneficiaries including state designated dual directs secretary establish designate office authorizes plan state option provide period presumptive eligibility individual attained age consecutive months medicaid eligibility state reason believe determined benefit dual eligible individual conditions presumptive eligibility state agreement randomly conducted eligibility audits secretary ensuring individual enrolled state plan determined ineligible medical assistance result audit notified days disenrollment extends prescription drug discounts enrollees medicaid managed care organizations


Summary: Commission on Catastrophic Disaster Risk and Insurance Act of 2009 - Establishes the bipartisan Commission on Catastrophic Disaster Risk and Insurance to assess: (1) the condition of the property and casualty insurance and reinsurance markets in the aftermath of Hurricanes Katrina, Rita, and Wilma in 2005, and the four major hurricanes that struck the United States in 2004; (2) the ongoing exposure of the United States to earthquakes, volcanic eruptions, tsunamis, and floods; and (3) recommend and report legislative and regulatory changes that will improve the domestic and international financial health and competitiveness of such markets.

commission catastrophic disaster risk insurance act establishes bipartisan commission catastrophic disaster risk insurance assess condition property casualty insurance reinsurance markets hurricanes katrina rita wilma major hurricanes united_states ongoing exposure united_states earthquakes volcanic floods recommend report legislative regulatory changes improve domestic international financial health competitiveness markets


Summary: COBRA Coverage Extension Act of 2009 - Extends COBRA coverage (health insurance continuation benefits) that would currently end before the 12-month period following enactment of this Act because of the 18-month coverage limitation to the earlier of: (1) the end of the 12 calendar months following the date of enactment of this Act; or (2) 24 months after the date of the qualifying event.

cobra coverage extension act extends cobra coverage health insurance continuation benefits currently end month period following enactment act month coverage limitation earlier end calendar months following date enactment act months date qualifying event


Summary: Supporting Military Families Act of 2009 - Amends the Family and Medical Leave Act of 1993 to revise its requirements for exigency leave with respect to employees belonging to the family of members of the Armed Forces, particularly the requirement that an employee's spouse, son, daughter, or parent be on active duty in the Armed Forces in support of a contingency operation. Repeals the condition "in support of a contingency operation," and requires only that the Armed Forces member be on duty during deployment to a foreign country. Entitles to coverage by the Act an eligible employee who is a family member caring for a veteran undergoing medical treatment, recuperation, or therapy for a serious injury or illness who was a member of the Armed Forces (or of the National Guard or Reserves) at any time during the five-year period preceding the date on which the veteran undergoes that treatment, recuperation, or therapy. Defines a veteran's serious injury or illness of a veteran to be one: (1) incurred by the veteran as an Armed Forces member in the line of duty while on active duty in the Armed Forces, or which existed before the beginning of the member's active duty but was aggravated by service in line of duty on active duty in the Armed Forces; and (2) that manifested itself before or after the Armed Forces member became a veteran. Amends federal civil service law to entitle civilian federal employees to the same leave allowance with respect to family members who are: (1) members of the Armed Forces in deployment to a foreign country; or (2) ill or injured veterans for whom they are caring.

amends family medical leave act revise requirements leave respect employees belonging family members armed_forces particularly requirement employee spouse son daughter parent active duty armed_forces support contingency operation repeals condition support contingency operation requires armed_forces member duty deployment foreign country entitles coverage act eligible employee family member caring veteran undergoing medical treatment recuperation therapy injury illness member armed_forces national_guard_or_reserves time year period preceding date veteran undergoes treatment recuperation therapy defines veteran injury illness veteran incurred veteran armed_forces member line duty active duty armed_forces existed beginning member active duty aggravated service line duty active duty armed_forces manifested armed_forces member veteran amends federal civil service law entitle civilian federal employees leave allowance respect family members members armed_forces deployment foreign country ill injured veterans caring


Summary: Medical Bankruptcy Fairness Act of 2009 - Amends federal bankruptcy law to cite circumstances under which a medically distressed debtor may elect to exempt from the property of the estate in bankruptcy up to $250,000 of the debtor's aggregate interest in specified real or personal property that the debtor (or debtor's dependent) uses as a residence, in a cooperative, or in a burial plot for the debtor or a dependent. Revises requirements for dismissal or conversion of a Chapter 7 case to prohibit the court or specified parties in interest from filing a motion to dismiss or convert to Chapter 11 or 13 if the debtor is a medically distressed debtor. Waives the credit counseling prerequisite for filing for relief from debt in the case of a medically distressed debtor. Denies a discharge in bankruptcy from any debt incurred that relates to attorneys' fees generated as a result of the debtor's filing of a Chapter 7 petition. Requires a debtor who seeks relief as a medically distressed debtor to attest in writing, and under penalty of perjury, that the medical expenses of the debtor are genuine, and not specifically incurred to bring the debtor within the coverage of the medical bankruptcy provisions of this Act.

medical bankruptcy fairness act amends federal bankruptcy law cite circumstances medically distressed debtor elect exempt property estate bankruptcy debtor aggregate interest specified real personal property debtor debtor dependent uses residence cooperative burial plot debtor dependent revises requirements dismissal conversion chapter case prohibit court specified parties interest filing motion dismiss convert chapter debtor medically distressed debtor waives credit counseling prerequisite filing relief debt case medically distressed debtor denies discharge bankruptcy debt incurred relates attorneys fees generated result debtor filing chapter petition requires debtor seeks relief medically distressed debtor attest writing penalty perjury medical expenses debtor genuine specifically incurred bring debtor coverage medical bankruptcy provisions act


Summary: Affordable Access to Prescription Medications Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act, the Public Health Service Act, the Employee Retirement Income Security Act of 1974 (ERISA), and the Internal Revenue Code, with respect to prescription drug plans, to limit the required co-payment or coinsurance for any one prescription to $200, and for all prescriptions in any month to $500. Requires the Secretary of Health and Human Services (HHS), for plan years beginning on or after January 1, 2011, to expand the formulary tier exception request process to allow Medicare beneficiaries enrolled in a prescription drug plan to request an exception for a specialty prescription drug as a non-preferred prescription drug. Requires the Medicare Payment Advisory Commission to study and report to Congress on: (1) the prescription drug program under Medicare part D and the interaction of such program with Medicare beneficiary access to covered drugs under part B; and (2) cost-sharing for prescription drugs under Medicare parts B and D, including an analysis of the impact of eliminating cost-sharing for covered part D drugs for Medicare beneficiaries who incur annual out-of-pocket cost-sharing, after the initial coverage limit, that exceeds 5% of their income and who do not otherwise qualify for an income-related subsidy or other extra help or cost-sharing relief.

amends title xviii medicare social security act public_health_service_act employee retirement income security act erisa internal revenue code respect prescription drug plans limit required payment coinsurance prescription prescriptions month requires secretary health_and_human_services hhs plan years beginning january expand formulary tier exception request process allow medicare beneficiaries enrolled prescription drug plan request exception specialty prescription drug non preferred prescription drug requires medicare_payment_advisory_commission study report congress prescription drug program medicare interaction program medicare beneficiary access covered drugs cost sharing prescription drugs medicare parts including analysis impact eliminating cost sharing covered drugs medicare beneficiaries incur annual pocket cost sharing initial coverage limit exceeds income qualify income related subsidy extra help cost sharing relief


Summary: Medicare Prescription Drug Coverage Improvement Act - Directs the Secretary of Health and Human Services (HHS) to establish a Federal Coordinated Health Care Office within the Centers for Medicare & Medicaid Services to bring together Medicare and Medicaid officials in order to: (1) integrate benefits more effectively under title XVIII (Medicare) of the Social Security Act (SSA) and SSA title XIX (Medicaid); and (2) improve coordination between the federal government and states for individuals dually eligible for benefits under both programs Amends Part D (Voluntary Prescription Drug Benefit Program) of SSA title XVIII to direct the HHS Secretary to: (1) offer one or more Medicare operated prescription drug plans with a service area consisting of the entire United States; and (2) enter into negotiations with pharmaceutical manufacturers to reduce the purchase cost of covered part D drugs for eligible part D individuals who enroll in such a plan. Provides a premium subsidy and cost-sharing for subsidy eligible individuals. Directs the Secretary to establish a formulary that meets certain requirements. Outlines accreditation requirements for all specialized Medicare Advantage plans. Revises requirements relating to specialized Medicare Advantage plans for special needs individuals. Requires continuous updating of eligibility and enrollment data for dual eligible individuals, continuity of prescription drug coverage for such individuals, and collection and sharing of drug utilization data and formulary information for them. Requires each contractor under the HHS Point of Sale Facilitated Enrollment process to enroll full-benefit dual eligible individuals into a Medicare operated prescription drug plan. Requires the Secretary to lower covered part D drug prices on behalf of Medicare beneficiaries by: (1) negotiating directly with pharmaceutical manufacturers for additional discounts, rebates, and other price concessions; (2) entering into rebate agreements with manufacturers; (3) educating physicians and pharmacists on the comparative clinical effectiveness of covered part D drugs; and (4) instituting prescription drug prices negotiated under the Federal Supply Schedule of the General Services Administration (GSA) for the reimbursement of covered part D drugs. Revises requirements for the financial assistance available to low-income Medicare beneficiaries, including those related to enrollment, a Medicare plan complaint system, and use of a single, uniform exceptions and appeals process.

secretary health_and_human_services hhs establish bring medicare medicaid officials order integrate benefits effectively title xviii medicare social security act ssa ssa title xix medicaid improve coordination federal government states individuals dually eligible benefits programs amends voluntary prescription drug benefit program ssa title xviii direct hhs secretary offer medicare operated prescription drug plans service area consisting entire united_states enter negotiations pharmaceutical manufacturers reduce purchase cost covered drugs eligible individuals enroll plan provides premium subsidy cost sharing subsidy eligible individuals directs secretary establish formulary meets certain requirements outlines accreditation requirements specialized medicare_advantage plans revises requirements relating specialized medicare_advantage plans special needs individuals requires continuous updating eligibility enrollment data dual eligible individuals continuity prescription drug coverage individuals collection sharing drug utilization data formulary information requires contractor process enroll benefit dual eligible individuals medicare operated prescription drug plan requires secretary lower covered drug prices behalf medicare beneficiaries negotiating directly pharmaceutical manufacturers additional discounts rebates price concessions entering rebate agreements manufacturers educating physicians pharmacists comparative clinical effectiveness covered drugs instituting prescription drug prices negotiated federal supply schedule general_services_administration gsa reimbursement covered drugs revises requirements financial assistance available low income medicare beneficiaries including related enrollment medicare plan complaint system use single uniform exceptions appeals process


Summary: Expanding Access to Medical Records Act - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to require the Secretary of Health and Human Services (HHS) grant the authorized representative of a deceased beneficiary full access to information with respect to the deceased beneficiary's benefits under the Medicare and Medicaid programs.

expanding access medical records act amends titles xviii medicare xix medicaid social security act require secretary health_and_human_services hhs grant authorized representative deceased beneficiary access information respect deceased beneficiary benefits medicare medicaid programs


Summary: Fairness in Health Insurance Act - Prohibits a health insurance issuer from offering health insurance coverage unless the issuer demonstrates that such coverage has a medical loss ratio of at least 90%. Directs the Secretary: (1) to establish a uniform definition of "medical loss ratio" and methodology for calculating it, which shall take into account the circumstances of different plans and activities related to health services, such as chronic disease management and quality assurance; and (2) by December 31, 2010, to develop, publish, and implement the standardized data elements and definitions to be used by health insurance issuers in the reporting of data necessary to calculate such ratio. Requires each issuer: (1) beginning in plan year 2011, to provide the Secretary with data to enable the Secretary to determine whether the issuer is in compliance with this Act; and (2) to provide payment rebates to enrollees for any plan year in which the coverage has a medical loss ratio below 90%.

fairness health insurance act prohibits health insurance issuer offering health insurance coverage issuer demonstrates coverage medical loss ratio directs secretary establish uniform definition medical loss ratio methodology calculating shall account circumstances different plans activities related health services chronic disease management quality assurance december develop publish implement standardized data elements definitions health insurance issuers reporting data necessary calculate ratio requires issuer beginning plan year provide secretary data enable secretary determine issuer compliance act provide payment rebates enrollees plan year coverage medical loss ratio


Summary: Amends title XVIII (Medicare) of the Social Security Act to exempt small pharmacies from certain Medicare accreditation requirements for the purpose of providing diabetic testing strips under Medicare part B (Supplementary Medical Insurance).

amends title xviii medicare social security act exempt small pharmacies certain medicare accreditation requirements purpose providing diabetic testing strips medicare supplementary_medical_insurance


Summary: Comprehensive Cancer Care Improvement Act of 2009 - Amends title XVIII (Medicare) of the Social Security Act to provide for coverage of comprehensive cancer care planning services. Directs the Secretary of Health and Human Services (HHS) to conduct a two-year demonstration project for Medicare payment for comprehensive cancer care symptom management services furnished by an eligible entity in accordance with a described plan. Directs the Secretary to make grants to eligible entities for establishing a new, or expanding an existing, palliative care and symptom management program for cancer patients. Directs the Secretary to make grants to eligible entities to improve the quality of graduate and postgraduate training of physicians, nurses, and other health care providers, as well as continuing professional education, in palliative care and symptom management for such patients. Requires the Director of the National Institutes of Health (NIH) to establish a program of grants for research on palliative care, symptom management, communication skills, and other end-of-life topics for such patients.

comprehensive cancer care improvement act amends title xviii medicare social security act provide coverage comprehensive cancer care planning services directs secretary health_and_human_services hhs conduct year demonstration project medicare payment comprehensive cancer care symptom management services furnished eligible entity accordance described plan directs secretary grants eligible entities establishing new expanding existing palliative care symptom management program cancer patients directs secretary grants eligible entities improve quality graduate postgraduate training physicians nurses health care providers continuing professional education palliative care symptom management patients requires director national_institutes_of_health nih establish program grants research palliative care symptom management communication skills end life topics patients


Summary: Ryan White HIV/AIDS Treatment Extension Act of 2009 - (Sec. 2) Amends provisions of title XXVI of the Public Health Service Act (popularly known as the Ryan White Care Act [RWCA]) to extend the RWCA (repeals the termination date) and revive any expired programs retroactively to September 30, 2009. Reauthorizes appropriations for RWCA provisions, including provisions concerning: (1) emergency relief grants for metropolitan areas to assist in delivering and enhancing HIV-related services; (2) grants to enable states to improve health care and support services for individuals and families with HIV/AIDS (Care grants); (3) early intervention grants to public and nonprofit private entities to provide early intervention services; (4) programs to provide coordinated services for women, infants, children, and youth with HIV/AIDS; (5) grants for HIV/AIDS education and training for health care personnel; (6) grants to dental schools and programs for oral health care to patients with HIV/AIDS; and (7) the Minority AIDS Initiative. Requires the Secretary of Health and Human Services (HHS) to: (1) develop a formula for awarding emergency relief grants and Care grants that ensures that funding is provided based on the distribution of populations disproportionately impacted by HIV/AIDS; and (2) synchronize the schedule of application submissions and funding availability of the Minority AIDS Initiative with other provisions of the RWCA. Directs the Comptroller General to report to the appropriate congressional committees on Minority AIDS Initiative activities across HHS. (Sec. 3) Extends from FY2009 to FY2012 the transition period for reporting living names-based non-AIDS cases of HIV for purposes of distribution of emergency relief grants for metropolitan areas and Care grants. (Sec. 4) Considers as a transitional area an eligible metropolitan area (EMA) that received an emergency relief grant for FY2010, but does not qualify for FY2011 as an EMA or as a transitional area. Allows continuation as a transitional area for an area with at least 1,400 (and fewer than 1,500) living cases of AIDS if not more than 5% of the total grants awarded to the area are unobligated at the end of the most recent fiscal year. Sets forth provisions regarding transfer to the state of funds for a metropolitan area that ceases to be a transitional area. (Sec. 5) Limits through FY2013 the maximum amount that a grant to an EMA or a state may decrease from the prior fiscal year. (Sec. 6) Requires the HIV health services planning council to: (1) determine the size and demographics of the estimated population of individuals with HIV/AIDS who are unaware of their HIV status; and (2) develop a strategy for identifying individuals with HIV/AIDS who do not know their HIV status, making such individuals aware of their status, and enabling such individuals to use HIV-related health and support services. Requires weighting as one-third of the criteria for distributing supplemental emergency relief grants the demonstrated success of an area in identifying individuals with HIV/AIDS who do not know their HIV status and making them aware of such status. (Sec. 7) Requires the Secretary, in determining the amount of emergency relief grants, Care grants, and supplemental grants, to deem the applicable number of living cases of HIV/AIDS in an area that were reported to and confirmed by the Centers for Disease Control and Prevention (CDC) to be 3% higher than the actual number if: (1) such area was a transitional area for FY2007; (2) FY2007 was the first year in which the count of living non-AIDS cases of HIV in such area was based on a names-based reporting system; and (3) the amount of funding that such area received for FY2007 was less than 70% of the amount of funding that such area received in FY2006. (Sec. 8) Increases from 2% to 5% the percentage of unobligated balances permitted from the prior fiscal year for purposes of eligibility for supplemental grants and avoidance of a reduction in emergency relief and Care grants. Authorizes the Secretary to permit the use of unobligated balances for purposes of future grants under certain circumstances. Excludes the amount of unobligated balance waived by the Secretary from consideration in determining the amount of any reduction of future grant amounts. (Sec. 9) Requires state applications for Care grants to include a comprehensive plan related to: (1) identifying and making services available to individuals with HIV/AIDS who are not aware of their status; and (2) describing efforts to remove legal barriers to routine testing. (Sec. 10) Sets forth provisions regarding the rebates under the AIDS Drug Assistance Program (ADAP), including provisions to: (1) allow the Secretary to exclude certain rebate amounts in determining the amount of unobligated balances at the end of the fiscal year; and (2) require ADAP rebates to be reallocated to the ADAP program or supplemental Care grants. (Sec. 11) States that nothing in the provisions for grants for coordinated services for women, infants, children, and youth with HIV/AIDS shall be construed as requiring grant funds to be used for primary care services when payments are available for such services from other sources (including Medicaid). (Sec. 12) Requires the Secretary to establish a national HIV/AIDS testing goal of 5 million tests for HIV/AIDS annually through federally supported HIV/AIDS prevention, treatment, and care programs. Sets forth provisions regarding reporting requirements and review of such program. (Sec. 13) Requires the Secretary to complete the development of: (1) a list of potentially life-threatening infectious diseases to which emergency response employees may be exposed in responding to emergencies; (2) guidelines describing the circumstances in which such employees may be exposed to such diseases; and (3) guidelines describing the manner in which medical facilities should make determinations that an emergency employee has been exposed to an infectious disease by transporting a victim of an emergency. Directs the Secretary to include a specification of those infectious diseases that are routinely transmitted through airborne or aerosolized means. Sets forth required notifications in the event a victim of an emergency who is transported by emergency response employees has an airborne infectious disease. Establishes a process for an emergency employee who believes that he or she may have been exposed to an infectious disease by a victim of an emergency to receive notice of such an infectious disease. Gives the Secretary authority to commence a civil action for the purpose of obtaining an injunction for violations of these provisions.

ryan_white hiv aids treatment extension act sec amends provisions title xxvi public_health_service_act popularly known white care act extend repeals termination date revive expired programs retroactively september reauthorizes appropriations provisions including provisions concerning emergency relief grants metropolitan areas assist delivering enhancing hiv related services grants enable states improve health care support services individuals families hiv aids care grants early intervention grants public nonprofit private entities provide early intervention services programs provide coordinated services women infants children youth hiv aids grants hiv aids education training health care personnel grants dental schools programs oral health care patients hiv aids minority aids initiative requires secretary health_and_human_services hhs develop formula awarding emergency relief grants care grants ensures funding provided based distribution populations disproportionately impacted hiv aids schedule application submissions funding availability minority aids initiative provisions directs comptroller general report appropriate congressional committees minority aids initiative activities hhs sec extends fy2009 fy2012 transition period reporting living names based non aids cases hiv purposes distribution emergency relief grants metropolitan areas care grants sec considers transitional area eligible metropolitan area received emergency relief grant fy2010 qualify fy2011 transitional area allows continuation transitional area area fewer living cases aids total grants awarded area unobligated end recent fiscal year sets forth provisions transfer state funds metropolitan area ceases transitional area sec limits fy2013 maximum grant state decrease prior fiscal year sec requires hiv health services planning council determine size demographics estimated population individuals hiv aids hiv status develop strategy identifying individuals hiv aids know hiv status making individuals aware status enabling individuals use hiv related health support services requires criteria distributing supplemental emergency relief grants demonstrated success area identifying individuals hiv aids know hiv status making aware status sec requires secretary determining emergency relief grants care grants supplemental grants deem applicable number living cases hiv aids area reported confirmed centers_for_disease_control_and_prevention cdc higher actual number area transitional area fy2007 fy2007 year count living non aids cases hiv area based names based reporting system funding area received fy2007 funding area received fy2006 sec increases percentage unobligated balances permitted prior fiscal year purposes eligibility supplemental grants avoidance reduction emergency relief care grants authorizes secretary permit use unobligated balances purposes future grants certain circumstances excludes unobligated balance waived secretary consideration determining reduction future grant amounts sec requires state applications care grants include comprehensive plan related identifying making services available individuals hiv aids aware status describing efforts remove legal barriers routine testing sec sets forth provisions rebates including provisions allow secretary exclude certain rebate amounts determining unobligated balances end fiscal year require rebates reallocated program supplemental care grants sec states provisions grants coordinated services women infants children youth hiv aids shall construed requiring grant funds primary care services payments available services sources including medicaid sec requires secretary establish national hiv aids testing goal million tests hiv aids annually federally supported hiv aids prevention treatment care programs sets forth provisions reporting requirements review program sec requires secretary complete development list potentially life threatening infectious diseases emergency response employees exposed responding emergencies guidelines describing circumstances employees exposed diseases guidelines describing manner medical facilities determinations emergency employee exposed infectious disease transporting victim emergency directs secretary include specification infectious diseases routinely transmitted airborne means sets forth required notifications event victim emergency transported emergency response employees airborne infectious disease establishes process emergency employee believes exposed infectious disease victim emergency receive notice infectious disease gives secretary authority commence civil action purpose obtaining injunction violations provisions