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SEC. 2723. PREEMPTION; STATE FLEXIBILITY; CONSTRUCTION.

                                                                                                                                                                                                                                                                                                                        

 Title[ Title I\Subtitle A\Sec. 102                                               Contents

                                                                                                                                                                                                                                                                                                                       


 <<NOTE: 42 USC 300gg-23.>>  


    ``(a) Continued Applicability of State Law With Respect to Health

Insurance Issuers.--

            ``(1) In General.--Subject to paragraph (2) and except as

        provided in subsection (b), this part and part C insofar as it

        relates to this part shall not be construed to supersede any

        provision of State law which establishes, implements, or

        continues in effect any standard or requirement solely relating

        to health insurance issuers in connection with group health

        insurance coverage except to the extent that such standard or

        requirement prevents the application of a requirement of this

        part.


            ``(2) Continued preemption with respect to group health

        plans.--Nothing in this part shall be construed to affect or

        modify the provisions of section 514 of the Employee Retirement

        Income Security Act of 1974 with respect to group health plans.


    ``(b) Special Rules in Case of Portability Requirements.--

            ``(1) In general.--Subject to paragraph (2), the provisions

        of this part relating to health insurance coverage offered by a

        health insurance issuer supersede any provision of State law

        which establishes, implements, or continues in effect a standard

        or requirement applicable to imposition of a preexisting

        condition exclusion specifically governed by section 701 which

        differs from the standards or requirements specified in such

        section.


            ``(2) Exceptions.--Only in relation to health insurance

        coverage offered by a health insurance issuer, the provisions of

        this part do not supersede any provision of State law to the

        extent that such provision--


                    ``(i) substitutes for the reference to `6-month

                period' in section 2701(a)(1) a reference to any shorter

                period of time;

                    ``(ii) substitutes for the reference to `12 months'

                and `18 months' in section 2701(a)(2) a reference to any

                shorter period of time;

                    ``(iii) substitutes for the references to `63' days

                in sections 2701(c)(2)(A) and 2701(d)(4)(A) a reference

                to any greater number of days;


                    ``(iv) substitutes for the reference to `30-day

                period' in sections 2701(b)(2) and 2701(d)(1) a

                reference to any greater period;

                    ``(v) prohibits the imposition of any preexisting

                condition exclusion in cases not described in section

                2701(d) or expands the exceptions described in such

                section;

                    ``(vi) requires special enrollment periods in

                addition to those required under section 2701(f); or

                    ``(vii) reduces the maximum period permitted in an

                affiliation period under section 2701(g)(1)(B).


    ``(c) Rules of Construction.--Nothing in this part shall be

construed as requiring a group health plan or health insurance coverage

to provide specific benefits under the terms of such plan or coverage.


    ``(d) Definitions.--For purposes of this section--

            ``(1) State law.--The term `State law' includes all laws,

        decisions, rules, regulations, or other State action having the

        effect of law, of any State. A law of the United States

        applicable only to the District of Columbia shall be treated as

        a State law rather than a law of the United States.


            ``(2) State.--The term `State' includes a State (including

        the Northern Mariana Islands), any political subdivisions of a

        State or such Islands, or any agency or instrumentality of

        either.


             ``Part C--Definitions; Miscellaneous Provisions


``

 

                                                                                                                                                                                                                                                                                                                                                                        

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