PlainBillCongress, translated.Legislation. Context. Public interest.

Patients' Choice Act

Read twice and referred to the Committee on Finance.

Official summary

Version 00 · Introduced in Senate · May 20, 2009

Patients' Choice Act - Requires the Secretary of Health and Human Services (HHS) to convene an interagency coordinating committee to develop a national strategic plan for prevention. Provides for health promotion and disease prevention activities consistent with such plan.

Sets forth provisions governing the establishment and operation of state-based health care exchanges to facilitate the individual purchase of private health insurance and the creation of a market where private health plans compete for enrolles based on price and quality.

Amends the Internal Revenue Code to allow a refundable tax credit for qualified health care insurance coverage.

Showing the opening paragraphs of the official summary.

Read full official summaryShow less

Replaces title XIX (Medicaid) of the Social Security Act with a program to provide grants to states for: (1) acute medical care assistance to otherwise qualified blind or disabled individuals, foster care children, low-income women with breast or cervical cancer, certain tuberculosis-infected individuals, and certain individuals currently covered; and (2) long-term care services and supports for qualified disabled and elderly populations.

Repeals title XXI (State Children's Health Insurance Program) (CHIP, formerly known as SCHIP) of the Social Security Act.

Amends the Public Health Service Act to require the Secretary to supplement the costs of private health insurance for eligible low-income families through the distribution of supplemental debit cards, which may be used for costs associated with health care and provide direct support in accessing health care.

Requires the Secretary to establish and implement a competitive bidding mechanism to promote competition among Medicare Advantage plans and to increase the quality of care furnished under the plans. Requires benchmarks for such plans to be established solely through competitive bids.

Sets forth programs to prevent Medicare fraud and abuse, including ending the use of social security numbers to identify Medicare beneficiaries.

Allows the Secretary to award grants for the development, implementation, and evaluation of alternatives to current tort litigation for the resolution of disputes concerning injuries allegedly caused by health care providers or health care organizations.

Requires the Secretary to promulgate regulations to provide for the certification and auditing of the banking of electronic medical records.

Establishes: (1) a Health Care Services Commission to enhance the quality, appropriateness, and effectiveness of health care services and access to such services; and (2) the Office of the Forum for Quality and Effectiveness in Health Care.

Terminates the Agency for Healthcare Research and Quality.

Independent Health Record Trust Act of 2009 - Directs the Federal Trade Commission (FTC) to prescribe standards for the establishment, certification, operation, and interoperability of independent health record trusts.

Requires the Secretary to: (1) permit Indians to receive health care through providers outside of the Indian Health Service; and (2) make payments for such care.

Terminates the Federal Coordinating Council for Comparative Effectiveness Research.

Read the summary on Congress.gov
PlainBill analysis is coming later. This page presents official source data. We have not yet published a PlainBill explanation for this bill.

Who introduced it

Sen. Coburn, Tom [R-OK] · R–OK

Committees

  • Finance Committee
7 cosponsorship records, including any withdrawals

Actions

A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.

  1. Read twice and referred to the Committee on Finance.

  2. Introduced in Senate

Bill text & related measures

Text links open the official source. We currently store references to these documents.

Related bills identified by Congress.gov

Source last updated: Jan 21, 2026. Consult Congress.gov for the current record.

Explore the bill from different angles

Choose a perspective, copy a prompt, and paste it into your preferred AI. Each prompt includes the bill version and available official source links, and asks for counterarguments as well as supporting evidence.

Neutral evidence review

Objective

Analyze S.1099 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.

View full prompt & sources
Fairness and public impact

Progressive lens

Examine S.1099 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.

View full prompt & sources
Institutions and government scope

Conservative lens

Examine S.1099 through a conservative lens, focusing on fiscal responsibility, institutional stability, federalism, and the scope of government. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and any provisions that challenge this perspective.

View full prompt & sources
Individual rights and government power

Liberty lens

Examine S.1099 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.

View full prompt & sources