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DETAILED SUMMARY OF AFFORDABLE HEALTH CARE FOR AMERICA ACT <br />Territories. Raises federal payment ceilings and matching rates for Puerto Rico, Virgin Islands, Guam, <br />Northern Mariana Islands, and American Samoa by a total of $10.35 billion from FY 2011 through 2019. <br />Supplemental payments to certain nursing facilities. Directs the Secretary to make supplemental <br />payments to nursing facilities with high percentages of Medicare and Medicaid residents that are <br />efficiently and transparently operated and that provide quality care. Provides a total of $6 billion over <br />the period 2010 through 2013 ($1.5 billion each year) for this purpose. Directs the Medicaid and CHIP <br />Payment and Access Commission ("MACPAC") to study the adequacy of Medicaid payments to nursing <br />facilities and to provide recommendations to the Congress by December 31, 2011. <br />Prohibitions on Medicaid and CHIP payment for undocumented Immigrants. Provides that the <br />Medicaid title does not change current prohibitions against Federal Medicaid or CHIP payments for <br />persons not lawfully present in the U.S. <br />PUBLIC HEALTH AND WORKFORCE DEVELOPMENT <br />Funding for public health and workforce development.. Provides funds for years FY 2015 through FY <br />2019. <br />Community health centers. Provides significant increases in funding for community health centers. <br />Primary care residencies in community health centers. Establishes a new grant program to support <br />the development and operation of primary care residency programs in community-based settings such <br />as community health centers. <br />Health workforce. Provides new and increased investments in training programs designed to <br />increase the number of primary care physicians, nurses, and public health professionals. <br />Treatment of teaching as obligated service. Provides discretionary authority to the Secretary to allow <br />up to 20 percent of teaching time to count toward meeting obligated service requirements under the <br />National Health Service Corps program. Provides increases in support for Corps scholarship and loan <br />repayment programs. <br />Data collection and analysis on health disparities. Directs a new Assistant Secretary for Health <br />Information to set standards for the collection of data on a broad set of population and subpopulation <br />categories and to facilitate and coordinate analyses of health disparities within HHS and in <br />collaboration with other departments. <br />Community preventive services grants. Establishes new grants program for states to provide <br />prevention and wellness services to communities, with a special emphasis on health disparities. <br />Research and requirements for healthy behaviors and community wellness. Provides for the <br />research and inclusion of proven healthy behaviors in the essential benefits package and in community <br />wellness programs. <br />Prepared by the Committees on Ways & Means, Energy & Commerce, and Education & Labor 10 <br />October 29, 2009 <br />33 <br />