States' Right To Innovate in Health Care Act of 2009 - Amends the Social Security Act to add a new title XXII (State Comprehensive Health Care and Cost Containment Demonstration Projects).
Directs the Secretary of Health and Human Services to establish a state-based Universal Health Care Coverage Commission to participate in the review of state applications for planning and demonstration grants for the development of a cost-effective delivery system of universal, comprehensive health care with simplified administration.
Authorizes such grants.
Requires a state plan to provide: (1) coverage of all eligible state residents, without regard to employment status, income, health status or preexisting condition, or location of residency within the state; and (2) health benefits that are at least actuarially equivalent to the standard Blue Cross/Blue Shield preferred provider option service benefit plan under the Federal Employees Health Benefit Program.
Allows one or more contiguous states in a geographic region to file a joint application for such grants.
Authorizes Interstate Compacts of states to conduct joint health care programs under a grant.