Medicare Equity and Accessibility Act of 2009 - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act with respect to certain factors and indices in geographic adjustments to the fee schedule for determination of payments for physicians' services.
Directs the Secretary of Health and Human Services to increase the practice expense geographic index to 1.0 for any location for which the practice expense geographic index is less than 1.0.
Repeals the current termination date in order to extend permanently the 1.0 floor for the work expense geographic index.