text: SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
  
      (a) Short Title.--This Act may be cited as the ``Blueprint for 
  Health Act of 2009''.
      (b) Table of Contents.--The table of contents of this Act is as 
  follows:
  
  Sec. 1. Short title; table of contents.
  Sec. 2. Purpose.
  Sec. 3. Establishment of a Blueprint for Health for disease prevention, 
                              health promotion, and education about and 
                              better management of chronic conditions.
  Sec. 4. Strategic plan.
  Sec. 5. Chronic care management programs.
  Sec. 6. Incentives for prevention of chronic disease.
  Sec. 7. Health information technology.
  Sec. 8. Recommendations to Congress; annual report.
  
  SEC. 2. PURPOSE.
  
      It is the purpose of this Act to establish a Blueprint for Health 
  which is designed--
              (1) to create a national integrated medical home model of 
          care that enhances primary care, encourages multidisciplinary 
          coordination, and promotes disease prevention, health 
          promotion, and education about and better management of chronic 
          conditions;
              (2) to increase Americans' access to affordable, 
          appropriate, high quality care through the use of the 
          integrated medical home model; and
              (3) to reduce costs to the United States health care system 
          through the application of such model.
  
  SEC. 3. ESTABLISHMENT OF A BLUEPRINT FOR HEALTH FOR DISEASE PREVENTION, 
                HEALTH PROMOTION, AND EDUCATION ABOUT AND BETTER 
                MANAGEMENT OF CHRONIC CONDITIONS.
  
      (a) In General.--The Secretary of Health and Human Services (in 
  this Act referred to as the ``Secretary'') shall create consistent with 
  this Act a program (in this Act referred to as the ``Blueprint for 
  Health'') that provides a national infrastructure for disease 
  prevention, health promotion, and education about and better management 
  of chronic conditions through the use of a nationwide integrated 
  medical home model of care (in this Act referred to as the ``integrated 
  medical home model of care'') in a manner that is designed to initiate, 
  coordinate, and evaluate measures for promoting health and preventing 
  disease in the United States.
      (b) Elements of Blueprint.--The Blueprint for Health shall include 
  the following elements:
              (1) Strategic plan.--A strategic plan described in section 
          4 for designing the integrated medical home model of care.
              (2) Chronic care management programs.--Chronic care 
          management programs described in section 5.
              (3) Prevention incentives.--Incentives for the prevention 
          of chronic disease described in section 6.
              (4) Assessment of hit initiatives.--A plan described in 
          section 7 for the assessment of current health information 
          technology initiatives.
      (c) Executive Committee.--
              (1) In general.--The Secretary shall convene an executive 
          committee to advise the Secretary on the creation and 
          implementation of the Blueprint for Health.
              (2) Composition.--The executive committee shall include 
          representation from national and State medical, hospital, and 
          pharmaceutical associations, consumer and patient advocacy 
          groups, labor groups, employer and other purchasing groups, and 
          the health insurance industry.
  
  SEC. 4. STRATEGIC PLAN.
  
      The Blueprint for Health shall include a strategic plan for 
  designing the integrated medical home model of care that includes the 
  following:
              (1) Recommended elements of an integrated coordinated 
          chronic care management model that incorporates the following:
                      (A) Medical practices acting as medical homes in 
                  being primary caregivers in close coordination with 
                  other elements. The elements for such homes may be 
                  based on guidelines developed for such homes by the 
                  National Committee for Quality Assurance.
                      (B) Early disease detection and risk 
                  stratification.
                      (C) Community care teams that provide care support 
                  for medical homes and assist in coordinating care among 
                  medical homes, hospitals, prevention programs, 
                  multidisciplinary specialists, and others.
              (2) A plan for the formation of such community care teams 
          that may include panel managers, public health prevention 
          specialists, nurse coordinators, social workers, dieticians, 
          community health workers, care coordinators, behavioral health 
          specialists, and other patient support personnel.
              (3) Incentives for patient self management, community-based 
          initiatives, and system and information technology reforms, 
          intended for use by all providers and health plans, including 
          Medicare, Medicaid, the Federal employees health benefits 
          program, and other Federal programs.
              (4) A description of recommended prevention programs and a 
          strategy for integrating them into the integrated medical home 
          model of care.
              (5) A plan to ensure that chronically ill patients have a 
          low level of cost sharing under the integrated medical home 
          model of care.
              (6) Alignment of health care information technology 
          initiatives with information technology needs.
              (7) Development and use of outcome and reporting measures 
          designed to track the progress of patients meeting clinically 
          recommended treatment goals.
              (8) A strategy for ensuring the broad support of the 
          integrated medical home model of care by health insurers, 
          hospitals, and health care professionals, including specialists 
          and other physicians.
              (9) Recommendations for better integrating specialty care 
          services into primary care practices to ensure care 
          coordination and the use of best practices.
              (10) Recommendations for the consultation of providers 
          experienced with the development and implementation of an 
          integrated medical home model of care as this Act's care 
          coordination model is developed.
              (11) A strategy for standardizing outcome and financial 
          measures to ensure consistency among all health plans, 
          including Medicare, Medicaid, the Federal employees health 
          benefits program, and other Federal programs.
  
  SEC. 5. CHRONIC CARE MANAGEMENT PROGRAMS.
  
      The Secretary shall include in the Blueprint for Health chronic 
  care management programs which provide for at least the following:
              (1) Methods for identifying and enrolling chronically ill 
          patients and for encouraging primary care physicians, 
          specialists, hospitals, and others to participate in such 
          programs.
              (2) Development of health risk appraisal or assessment for 
          individuals enrolled under Medicare, Medicaid, or the Federal 
          employees health benefits program.
              (3) A process for coordinating care among health 
          professionals including multidisciplinary care teams and 
          specialty care providers.
              (4) Methods for increasing communication among health care 
          professionals and patients, including patient education, self-
          management, and follow up plans.
              (5) Process and outcome measures to provide performance 
          feedback for health care professionals and information on the 
          quality of care.
              (6) Payment methodologies to create financial incentives 
          for patient participation and to allow primary care physicians 
          to meet specific standards of a medical home program. Such 
          financial incentives shall include--
                      (A) enhanced payment to medical practices, such as 
                  a per member per month fee, based on standards for a 
                  medical home, such as the National Committee for 
                  Quality Assurance standards for a patient centered 
                  medical home;
                      (B) payment for care support services, such as 
                  community care teams or other applicable approaches, 
                  across all insurers, including multi-payer private 
                  plans and Medicare, Medicaid, and other public plans; 
                  and
                      (C) the support of a community based savings 
                  sharing and reinvestment model, such as an accountable 
                  care organization, which incorporates a balanced set of 
                  financial and quality incentives, such as the Institute 
                  for Healthcare Improvement's Triple Aims.
  
  SEC. 6. INCENTIVES FOR PREVENTION OF CHRONIC DISEASE.
  
      (a) In General.--The Secretary shall include in the Blueprint for 
  Health a plan to provide incentives to prevent chronic diseases, 
  including investments in healthy and sustainable local and regional 
  food systems as well as the broader use of lifestyle changes, such as 
  through diet, exercise, and smoking cessation in the schools, 
  communities, and workplace.
      (b) Compilation of Effective Practices.--Based on recommendations 
  set forth by the United States Preventive Services Task Force, the 
  Secretary shall compile a list of effective practices that would serve 
  as a basis for establishing programs to prevent chronic disease and 
  that could be included in the Blueprint for Health.
      (c) Recommendations.--The plan under subsection (a) may include the 
  following:
              (1) Grant opportunities and Federal tax credits for 
          localities to conduct community assessment, intervention, and 
          activation plans in which public health data are collected and 
          analyzed to identify areas in greatest need of prevention and 
          wellness programs.
              (2) Federal tax credits and incentive grants to local 
          education agencies, businesses, local departments of public 
          health, communities, hospitals, health care providers, and 
          other entities so that they may adopt effective models of 
          wellness shown to lower costs and improve health.
              (3) Incentives for individuals to take proactive 
          preventative measures, including weight management and smoking 
          cessation.
              (4) Federal tax credits and incentive grants to local 
          education agencies, businesses, local departments of public 
          health, communities, hospitals, health care providers and other 
          entities to promote the development of healthy and sustainable 
          local and regional food systems.
  
  SEC. 7. HEALTH INFORMATION TECHNOLOGY.
  
      (a) In General.--The Blueprint for Health shall promote the 
  effective, efficient, national use of health care information 
  technology initiatives.
      (b) Assessment.--As part of the Blueprint for Health, the Secretary 
  shall commission an assessment to be presented to Congress not later 
  than two years after the date of the enactment of this Act that 
  examines the implementation of the health information technology 
  provisions enacted as part of the American Recovery and Reinvestment 
  Act of 2009 (Public Law 111-5). This assessment shall evaluate the 
  implementation of such provisions as they apply to chronic care 
  management, and determine if further action is needed to ensure that 
  the funding provided in such Act under such provisions is used 
  effectively and efficiently to help ensure the effective management of 
  chronic disease.
  
  SEC. 8. RECOMMENDATIONS TO CONGRESS; ANNUAL REPORT.
  
      (a) In General.--Not later than 1 year after the date of the 
  enactment of this Act, the Secretary shall present to Congress 
  recommendations for legislation to implement the Blueprint for Health, 
  including the establishment of programs designed to enhance primary 
  care, promote multidisciplinary care coordination, prevent disease, 
  improve quality, contain costs, more effectively manage chronic 
  illness, and promote good health and prevention initiatives.
      (b) Annual Report.--The Secretary shall submit an annual report to 
  Congress on the status of the implementation of the Blueprint for 
  Health.
target: Blueprint for Health Act of 2009 - Requires the Secretary of Health and Human Services (HHS) to create the Blueprint for Health program to provide a national infrastructure for disease prevention, health promotion, and education about, and better management of, chronic conditions. Sets forth elements to be included in the Blueprint, including: (1) a strategic plan for designing an integrated medical home model of care; (2) chronic management programs; (3) incentives for the prevention of chronic diseases, including investments in health and sustainable local and regional food systems; and (4) a plan for the assessment of current health information technology initiatives. Requires the Secretary to convene an executive committee to advise the Secretary on the creation and implementation of the Blueprint for Health.
  
  Requires the Blueprint for Health to promote the effective, efficient, national use of health care information technology initiatives. Directs the Secretary to commission an assessment that examines the implementation of the health information technology provisions of the American Recovery and Reinvestment Act of 2009.
  
  Requires the Secretary to recommend to Congress legislation to implement the Blueprint for Health, including the establishment of programs designed to enhance primary care, promote multidisciplinary care coordination, prevent disease, improve quality, contain costs, more effectively manage chronic illness, and promote good health and prevention initiatives.
feat_title: To establish a Blueprint for Health in order to create a comprehensive system of care incorporating medical homes to improve the delivery and affordability of health care through disease prevention, health promotion, and education about and better management of chronic conditions.