Patient Protection and Affordable Care Act 
| SECTION 1. | SHORT TITLE; TABLE OF CONTENTS |
| TITLE I— | QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS |
| Subtitle A | Immediate Improvements in Health Care Coverage for All Americans |
| Subtitle B— | Immediate Actions to Preserve and Expand Coverage |
| Subtitle C— | Quality Health Insurance Coverage for All Americans |
| PART I— | HEALTH INSURANCE MARKET REFORMS |
| PART II— | OTHER PROVISIONS |
| Subtitle D— | Available Coverage Choices for All Americans |
| PART I— | ESTABLISHMENT OF QUALIFIED HEALTH PLANS |
| PART II— | CONSUMER CHOICES AND INSURANCE COMPETITION THROUGH HEALTH BENEFIT EXCHANGES |
| PART III— | STATE FLEXIBILITY RELATING TO EXCHANGES |
| PART IV— | STATE FLEXIBILITY TO ESTABLISH ALTERNATIVE PROGRAMS |
| PART V— | REINSURANCE AND RISK ADJUSTMENT |
| Subtitle E— | Affordable Coverage Choices for All Americans |
| PART I— | PREMIUM TAX CREDITS AND COST-SHARING REDUCTIONS |
| PART II— | SMALL BUSINESS TAX CREDIT |
| Subtitle F— | Shared Responsibility for Health Care |
| PART I— | INDIVIDUAL RESPONSIBILITY |
| PART II— | EMPLOYER RESPONSIBILITIES |
| Subtitle G— | Miscellaneous Provisions |
| TITLE II— | ROLE OF PUBLIC PROGRAMS |
| Subtitle A— | Improved Access to Medicaid |
| Subtitle B— | Enhanced Support for the Children’s Health Insurance Program |
| Subtitle C— | Medicaid and CHIP Enrollment Simplification |
| Subtitle D— | Improvements to Medicaid Services |
| Subtitle E— | New Options for States to Provide Long-Term Services and Supports |
| Subtitle F— | Medicaid Prescription Drug Coverage |
| Subtitle G— | Medicaid Disproportionate Share Hospital (DSH) Payments |
| Subtitle H— | Improved Coordination for Dual Eligible Beneficiaries |
| Subtitle I— | Improving the Quality of Medicaid for Patients and Providers |
| Subtitle J— | Improvements to the Medicaid and CHIP Payment and Access Commission (MACPAC) |
| Subtitle K— | Protections for American Indians and Alaska Natives |
| Subtitle L— | Maternal and Child Health Services |
| TITLE III— | IMPROVING THE QUALITY AND EFFICIENCY OF HEALTH CARE |
| Subtitle A— | Transforming the Health Care Delivery System |
| PART I— | LINKING PAYMENT TO QUALITY OUTCOMES UNDER THE MEDICARE PROGRAM |
| PART II— | NATIONAL STRATEGY TO IMPROVE HEALTH CARE QUALITY |
| PART III— | ENCOURAGING DEVELOPMENT OF NEW PATIENT CARE MODELS |
| Subtitle B— | Improving Medicare for Patients and Providers |
| PART I— | ENSURING BENEFICIARY ACCESS TO PHYSICIAN CARE AND OTHER SERVICES |
| PART II— | RURAL PROTECTIONS |
| PART III— | IMPROVING PAYMENT ACCURACY |
| Subtitle C— | Provisions Relating to Part C |
| Subtitle D— | Medicare Part D Improvements for Prescription Drug Plans and MA–PD Plans |
| Subtitle E— | Ensuring Medicare Sustainability |
| Subtitle F— | Health Care Quality Improvements |
| Subtitle G— | Protecting and Improving Guaranteed Medicare Benefits |
| TITLE IV— | PREVENTION OF CHRONIC DISEASE AND IMPROVING PUBLIC HEALTH |
| Subtitle A— | Modernizing Disease Prevention and Public Health Systems |
| Subtitle B— | Increasing Access to Clinical Preventive Services |
| Subtitle C— | Creating Healthier Communities |
| Subtitle D— | Support for Prevention and Public Health Innovation |
| Subtitle E— | Miscellaneous Provisions |
| TITLE V— | HEALTH CARE WORKFORCE |
| Subtitle A— | Purpose and Definitions |
| Subtitle B— | Innovations in the Health Care Workforce |
| Subtitle C— | Increasing the Supply of the Health Care Workforce |
| Subtitle D— | Enhancing Health Care Workforce Education and Training |
| Subtitle E— | Supporting the Existing Health Care Workforce |
| Subtitle F— | Strengthening Primary Care and Other Workforce Improvements |
| Subtitle G— | Improving Access to Health Care Services |
| Subtitle H— | General Provisions |
| TITLE VI— | TRANSPARENCY AND PROGRAM INTEGRITY |
| Subtitle A— | Physician Ownership and Other Transparency |
| Subtitle B— | Nursing Home Transparency and Improvement |
| PART I— | IMPROVING TRANSPARENCY OF INFORMATION |
| PART II— | TARGETING ENFORCEMENT |
| PART III— | IMPROVING STAFF TRAINING |
| Subtitle C— | Nationwide Program for National and State Background Checks on Direct Patient Access Employees of Long-term Care Facilities and Providers |
| Subtitle D— | Patient-Centered Outcomes Research |
| Subtitle E— | Medicare, Medicaid, and CHIP Program Integrity Provisions |
| Subtitle F— | Additional Medicaid Program Integrity Provisions |
| Subtitle G— | Additional Program Integrity Provisions |
| Subtitle H— | Elder Justice Act |
| Subtitle I— | Sense of the Senate Regarding Medical Malpractice |
| TITLE VII— | IMPROVING ACCESS TO INNOVATIVE MEDICAL THERAPIES |
| Subtitle A— | Biologics Price Competition and Innovation |
| Subtitle B— | More Affordable Medicines for Children and Underserved Communities |
| TITLE VIII— | CLASS ACT |
| TITLE IX— | REVENUE PROVISIONS |
| Subtitle A— | Revenue Offset Provisions |
| Subtitle B— | Other Provisions |
| TITLE X— | STRENGTHENING QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS |
| Subtitle A— | Provisions Relating to Title I |
| Subtitle B— | Provisions Relating to Title II |
| PART I— | MEDICAID AND CHIP |
| PART II— | SUPPORT FOR PREGNANT AND PARENTING TEENS AND WOMEN |
| PART III— | INDIAN HEALTH CARE IMPROVEMENT |
| Subtitle C— | Provisions Relating to Title III |
| Subtitle D— | Provisions Relating to Title IV |
| Subtitle E— | Provisions Relating to Title V |
| Subtitle F— | Provisions Relating to Title VI |
| Subtitle G— | Provisions Relating to Title VIII |
| Subtitle H— | Provisions Relating to Title IX |
