[Congressional Bills 110th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6908 Reported in House (RH)]
Union Calendar No. 566
110th CONGRESS
2d Session
H. R. 6908
[Report No. 110-870, Part I]
To require that limitations and restrictions on coverage under group
health plans be timely disclosed to group health plan sponsors and
timely communicated to participants and beneficiaries under such plans
in a form that is easily understandable.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
September 16, 2008
Mr. Burgess (for himself and Mr. Stupak) introduced the following bill;
which was referred to the Committee on Energy and Commerce, and in
addition to the Committees on Education and Labor and Ways and Means,
for a period to be subsequently determined by the Speaker, in each case
for consideration of such provisions as fall within the jurisdiction of
the committee concerned
September 23, 2008
Reported from the Committee on Energy and Commerce
September 23, 2008
Committees on Ways and Means and Education and Labor discharged;
committed to the Committee of the Whole House on the State of the Union
and ordered to be printed
_______________________________________________________________________
A BILL
To require that limitations and restrictions on coverage under group
health plans be timely disclosed to group health plan sponsors and
timely communicated to participants and beneficiaries under such plans
in a form that is easily understandable.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Health Insurance Source of Injury
Clarification Act of 2008''.
SEC. 2. DISCLOSURE REQUIREMENTS.
(a) ERISA.--Section 702(a)(2)(B) of the Employee Retirement Income
Security Act of 1974 (29 U.S.C. 1182(a)(2)(B)) is amended by inserting
before the period at the end the following: ``so long as--
``(i) such limitations and restrictions are
explicit and clear;
``(ii) in the case of such limitations and
restrictions in health insurance coverage
offered in connection with the group health
plan, such limitations and restrictions have
been disclosed to the plan sponsor in advance
of the point of sale to the plan;
``(iii) the plan sponsor and the issuer of
the health insurance coverage make available,
to participants and beneficiaries in the plan
in advance of the point of their enrollment
under the plan, a description of such
limitations and restrictions in a form that is
easily understandable by such participants and
beneficiaries; and
``(iv) the plan sponsor and the issuer of
the coverage provide such description to
participants and beneficiaries upon their
enrollment under the plan''.
(b) PHSA.--Section 2702(a)(2)(B) of the Public Health Service Act
(42 U.S.C. 300gg-1(a)(2)(B)) is amended by inserting before the period
at the end the following: ``so long as--
``(i) such limitations and restrictions are
explicit and clear;
``(ii) in the case of such limitations and
restrictions in health insurance coverage
offered in connection with the group health
plan, such limitations and restrictions have
been disclosed to the plan sponsor in advance
of the point of sale to the plan;
``(iii) the plan sponsor and the issuer of
the group health insurance coverage make
available, to participants and beneficiaries in
the plan in advance of the point of their
enrollment under the plan, a description of
such limitations and restrictions in a form
that is easily understandable by such
participants and beneficiaries; and
``(iv) the plan sponsor and the issuer of
the coverage provides such description to
participants and beneficiaries upon their
enrollment under the plan''.
(c) Internal Revenue Code.--Section 9802(a)(2)(B) of the Internal
Revenue Code of 1986 is amended by inserting before the period at the
end the following: ``so long as--
``(i) such limitations and restrictions are
explicit and clear;
``(ii) the group health plan makes
available, to participants and beneficiaries in
the plan in advance of the point of their
enrollment under the plan, a description of
such limitations and restrictions in a form
that is easily understandable by such
participants and beneficiaries; and
``(iii) the plan provides such description
to participants and beneficiaries upon their
enrollment under the plan''.
(d) Effective Date.--The amendments made by this Act shall apply
with respect to plan years beginning after 1 year after the date of the
enactment of this Act.
Union Calendar No. 566
110th CONGRESS
2d Session
H. R. 6908
[Report No. 110-870, Part I]
_______________________________________________________________________
A BILL
To require that limitations and restrictions on coverage under group
health plans be timely disclosed to group health plan sponsors and
timely communicated to participants and beneficiaries under such plans
in a form that is easily understandable.
_______________________________________________________________________
September 23, 2008
Reported from the Committee on Energy and Commerce
September 23, 2008
Committees on Ways and Means and Education and Labor discharged;
committed to the Committee of the Whole House on the State of the Union
and ordered to be printed