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DETAILED SUMMARY OF AFFORDABLE HEALTH CARE FOR AMERICA ACT <br />School-Based health clinics. Establishes a new grants program to support school-based health clinics <br />that provide health services to children and adolescents. <br />Public health infrastructure. Provides new investments in state, local, and tribal health departments <br />to build their capacity to address public health epidemics such as tobacco use and obesity, and to be <br />prepared for public health emergencies such as the H1N1 flu epidemic or breakouts of foodborne <br />diseases. <br />National medical device registry. Establishes a national directory for class III medical devices and class <br />II devices that are permanently implantable, life-supporting, orlife-sustaining. Device information in <br />the registry would be linked with patient safety and outcomes data from various public and private <br />databases to facilitate analyses of post-market device safety and effectiveness. <br />Expanded Participation in 3406 Program. Extends the section 3406 outpatient drug discounts to <br />certain rural and other hospitals, including Critical Access Hospitals. <br />IHS reauthorization. Anew division is added to provide for the reauthorization of the Indian Health <br />Care Improvement Act (IHCIA). IHCIA provides the main legal authority for the provision of health care <br />to American Indians and Alaskan Natives. The main provisions of this new division address: <br />improvements in workforce development and recruitment; facilities construction, maintenance and <br />improvements, access to and financing of health services; provision of health services for urban <br />Indians; organization improvements within the Indian Health Service (IHS); and the provision of <br />behavioral health services. <br />Prepared by the Committees on Ways & Means, Energy & Commerce, and Education & Labor 11 <br />October 29, 2009 <br />34 <br />