Healthy Businesses, Healthy Workers Reinsurance Act of 2009 - Amends the Social Security Act to add a new title XXII (Federal Reinsurance Program for Catastrophic Health Care Costs).
Establishes within the Department of Health and Human Services an Office of Federal Reinsurance, which shall in turn establish a Federal Reinsurance Program for Catastrophic Health Care Costs to make reinsurance payments to eligible health plans experiencing catastrophic health care costs during a year with respect to a covered individual.
Establishes in the Treasury the Federal Reinsurance for Catastrophic Health Care Costs Trust Fund.