# H.R. 3200/Division A/Title III/Subtitle B/Part 2
## PART 2 — SATISFACTION OF HEALTH COVERAGE PARTICIPATION REQUIREMENTS
### Sec. 321. Satisfaction of Health Coverage Participation Requirements Under the Employee Retirement Income Security Act of 1974.

    (a) In General.—
       Subtitle B of title I of the Employee Retirement Income Security Act of 1974 is amended by adding at the end the following new part:

#### “PART 8—National Health Coverage Participation Requirements
##### “SEC. 801. Election of employer to be subject to national health coverage participation requirements.

       “(a) In general.—An employer may make an election with the Secretary to be subject to the health coverage participation requirements.
       “(b) Time and manner.—An election under subsection (a) may be made at such time and in such form and manner as the Secretary may prescribe.

##### “SEC. 802. Treatment of coverage resulting from election.

       “(a) In general.—If an employer makes an election to the Secretary under section 801—
          “(1) such election shall be treated as the establishment and maintenance of a group health plan (as defined in section 733(a)) for purposes of this title, subject to section 151 of the America’s Affordable Health Choices Act of 2009, and
          “(2) the health coverage participation requirements shall be deemed to be included as terms and conditions of such plan.
       “(b) Periodic investigations To discover noncompliance.—The Secretary shall regularly audit a representative sampling of employers and group health plans and conduct investigations and other activities under section 504 with respect to such sampling of plans so as to discover noncompliance with the health coverage participation requirements in connection with such plans. The Secretary shall communicate findings of noncompliance made by the Secretary under this subsection to the Secretary of the Treasury and the Health Choices Commissioner. The Secretary shall take such timely enforcement action as appropriate to achieve compliance.

##### “SEC. 803. Health coverage participation requirements.

       “For purposes of this part, the term ‘health coverage participation requirements’ means the requirements of part 1 of subtitle B of title III of division A of America’s Affordable Health Choices Act of 2009 (as in effect on the date of the enactment of such Act).

##### “SEC. 804. Rules for applying requirements.

       “(a) Affiliated groups.—In the case of any employer which is part of a group of employers who are treated as a single employer under subsection (b), (c), (m), or (o) of section 414 of the Internal Revenue Code of 1986, the election under section 801 shall be made by such employer as the Secretary may provide. Any such election, once made, shall apply to all members of such group.
       “(b) Separate elections.—Under regulations prescribed by the Secretary, separate elections may be made under section 801 with respect to—
          “(1) separate lines of business, and
          “(2) full-time employees and employees who are not full-time employees.

##### “SEC. 805. Termination of election in cases of substantial noncompliance.

       “The Secretary may terminate the election of any employer under section 801 if the Secretary (in coordination with the Health Choices Commissioner) determines that such employer is in substantial noncompliance with the health coverage participation requirements and shall refer any such determination to the Secretary of the Treasury as appropriate.

##### “SEC. 806. Regulations.

       “The Secretary may promulgate such regulations as may be necessary or appropriate to carry out the provisions of this part, in accordance with section 324(a) of the America’s Affordable Health Choices Act of 2009. The Secretary may promulgate any interim final rules as the Secretary determines are appropriate to carry out this part.”.
    (b) Enforcement of Health Coverage Participation Requirements.—
       Section 502 of such Act (29 U.S.C. 1132) is amended—
          (1) in subsection (a)(6), by striking “paragraph” and all that follows through “subsection (c)” and inserting “paragraph (2), (4), (5), (6), (7), (8), (9), (10), or (11) of subsection (c)”; and
          (2) in subsection (c), by redesignating the second paragraph (10) as paragraph (12) and by inserting after the first paragraph (10) the following new paragraph:
             “(11) Health coverage participation requirements.—
                “(A) Civil penalties.—In the case of any employer who fails (during any period with respect to which an election under section 801(a) is in effect) to satisfy the health coverage participation requirements with respect to any employee, the Secretary may assess a civil penalty against the employer of $100 for each day in the period beginning on the date such failure first occurs and ending on the date such failure is corrected.
                “(B) Health coverage participation requirements.—For purposes of this paragraph, the term ‘health coverage participation requirements’ has the meaning provided in section 803.
                “(C) Limitations on amount of penalty.—
                   “(i) Penalty not to apply where failure not discovered exercising reasonable diligence.—No penalty shall be assessed under subparagraph (A) with respect to any failure during any period for which it is established to the satisfaction of the Secretary that the employer did not know, or exercising reasonable diligence would not have known, that such failure existed.
                   “(ii) Penalty not to apply to failures corrected within 30 days.—No penalty shall be assessed under subparagraph (A) with respect to any failure if—
                      “(I) such failure was due to reasonable cause and not to willful neglect, and
                      “(II) such failure is corrected during the 30-day period beginning on the 1st date that the employer knew, or exercising reasonable diligence would have known, that such failure existed.
                   “(iii) Overall limitation for unintentional failures.—In the case of failures which are due to reasonable cause and not to willful neglect, the penalty assessed under subparagraph (A) for failures during any 1-year period shall not exceed the amount equal to the lesser of—
                      “(I) 10 percent of the aggregate amount paid or incurred by the employer (or predecessor employer) during the preceding 1-year period for group health plans, or
                      “(II) $500,000.
                “(D) Advance notification of failure prior to assessment.—Before a reasonable time prior to the assessment of any penalty under this paragraph with respect to any failure by an employer, the Secretary shall inform the employer in writing of such failure and shall provide the employer information regarding efforts and procedures which may be undertaken by the employer to correct such failure.
                “(E) Coordination with excise tax.—Under regulations prescribed in accordance with section 324 of the America’s Affordable Health Choices Act of 2009, the Secretary and the Secretary of the Treasury shall coordinate the assessment of penalties under this section in connection with failures to satisfy health coverage participation requirements with the imposition of excise taxes on such failures under section 4980H(b) of the Internal Revenue Code of 1986 so as to avoid duplication of penalties with respect to such failures.
                “(F) Deposit of penalty collected.—Any amount of penalty collected under this paragraph shall be deposited as miscellaneous receipts in the Treasury of the United States.”.
    (c) Clerical Amendments.—
       The table of contents in section 1 of such Act is amended by inserting after the item relating to section 734 the following new items:
             “PART 8—NATIONAL HEALTH COVERAGE PARTICIPATION REQUIREMENTS
                “Sec. 801. Election of employer to be subject to national health coverage participation requirements.
                “Sec. 802. Treatment of coverage resulting from election.
                “Sec. 803. Health coverage participation requirements.
                “Sec. 804. Rules for applying requirements.
                “Sec. 805. Termination of election in cases of substantial noncompliance.
                “Sec. 806. Regulations.”.
    (d) Effective Date.—
       The amendments made by this section shall apply to periods beginning after December 31, 2012.

### Sec. 322. Satisfaction of Health Coverage Participation Requirements Under the Internal Revenue Code of 1986.

    (a) Failure to Elect, or Substantially Comply with, Health Coverage Participation Requirements.—
       For employment tax on employers who fail to elect, or substantially comply with, the health coverage participation requirements described in part 1, see section 3111(c) of the Internal Revenue Code of 1986 (as added by section 412 of this Act).
    (b) Other Failures.—
       For excise tax on other failures of electing employers to comply with such requirements, see section 4980H of the Internal Revenue Code of 1986 (as added by section 411 of this Act).

### Sec. 323. Satisfaction of Health Coverage Participation Requirements Under the Public Health Service Act.

    (a) In General.—
       Part C of title XXVII of the Public Health Service Act is amended by adding at the end the following new section:

##### “SEC. 2793. National health coverage participation requirements.

       “(a) Election of employer To be subject to national health coverage participation requirements.—
          “(1) In general.—An employer may make an election with the Secretary to be subject to the health coverage participation requirements.
          “(2) Time and manner.—An election under paragraph (1) may be made at such time and in such form and manner as the Secretary may prescribe.
       “(b) Treatment of coverage resulting from election.—
          “(1) In general.—If an employer makes an election to the Secretary under subsection (a)—
             “(A) such election shall be treated as the establishment and maintenance of a group health plan for purposes of this title, subject to section 151 of the America’s Affordable Health Choices Act of 2009, and
             “(B) the health coverage participation requirements shall be deemed to be included as terms and conditions of such plan.
          “(2) Periodic investigations to determine compliance with health coverage participation requirements.—The Secretary shall regularly audit a representative sampling of employers and conduct investigations and other activities with respect to such sampling of employers so as to discover noncompliance with the health coverage participation requirements in connection with such employers (during any period with respect to which an election under subsection (a) is in effect). The Secretary shall communicate findings of noncompliance made by the Secretary under this subsection to the Secretary of the Treasury and the Health Choices Commissioner. The Secretary shall take such timely enforcement action as appropriate to achieve compliance.
       “(c) Health coverage participation requirements.—For purposes of this section, the term ‘health coverage participation requirements’ means the requirements of part 1 of subtitle B of title III of division A of the America’s Affordable Health Choices Act of 2009 (as in effect on the date of the enactment of this section).
       “(d) Separate elections.—Under regulations prescribed by the Secretary, separate elections may be made under subsection (a) with respect to full-time employees and employees who are not full-time employees.
       “(e) Termination of election in cases of substantial noncompliance.—The Secretary may terminate the election of any employer under subsection (a) if the Secretary (in coordination with the Health Choices Commissioner) determines that such employer is in substantial noncompliance with the health coverage participation requirements and shall refer any such determination to the Secretary of the Treasury as appropriate.
       “(f) Enforcement of health coverage participation requirements.—
          “(1) Civil penalties.—In the case of any employer who fails (during any period with respect to which the election under subsection (a) is in effect) to satisfy the health coverage participation requirements with respect to any employee, the Secretary may assess a civil penalty against the employer of $100 for each day in the period beginning on the date such failure first occurs and ending on the date such failure is corrected.
          “(2) Limitations on amount of penalty.—
             “(A) Penalty not to apply where failure not discovered exercising reasonable diligence.—No penalty shall be assessed under paragraph (1) with respect to any failure during any period for which it is established to the satisfaction of the Secretary that the employer did not know, or exercising reasonable diligence would not have known, that such failure existed.
             “(B) Penalty not to apply to failures corrected within 30 days.—No penalty shall be assessed under paragraph (1) with respect to any failure if—
                “(i) such failure was due to reasonable cause and not to willful neglect, and
                “(ii) such failure is corrected during the 30-day period beginning on the 1st date that the employer knew, or exercising reasonable diligence would have known, that such failure existed.
             “(C) Overall limitation for unintentional failures.—In the case of failures which are due to reasonable cause and not to willful neglect, the penalty assessed under paragraph (1) for failures during any 1-year period shall not exceed the amount equal to the lesser of—
                “(i) 10 percent of the aggregate amount paid or incurred by the employer (or predecessor employer) during the preceding taxable year for group health plans, or
                “(ii) $500,000.
          “(3) Advance notification of failure prior to assessment.—Before a reasonable time prior to the assessment of any penalty under paragraph (1) with respect to any failure by an employer, the Secretary shall inform the employer in writing of such failure and shall provide the employer information regarding efforts and procedures which may be undertaken by the employer to correct such failure.
          “(4) Actions to enforce assessments.—The Secretary may bring a civil action in any District Court of the United States to collect any civil penalty under this subsection.
          “(5) Coordination with excise tax.—Under regulations prescribed in accordance with section 324 of the America’s Affordable Health Choices Act of 2009, the Secretary and the Secretary of the Treasury shall coordinate the assessment of penalties under paragraph (1) in connection with failures to satisfy health coverage participation requirements with the imposition of excise taxes on such failures under section 4980H(b) of the Internal Revenue Code of 1986 so as to avoid duplication of penalties with respect to such failures.
          “(6) Deposit of penalty collected.—Any amount of penalty collected under this subsection shall be deposited as miscellaneous receipts in the Treasury of the United States.
       “(g) Regulations.—The Secretary may promulgate such regulations as may be necessary or appropriate to carry out the provisions of this section, in accordance with section 324(a) of the America’s Affordable Health Choices Act of 2009. The Secretary may promulgate any interim final rules as the Secretary determines are appropriate to carry out this section.”.
    (b) Effective Date.—
       The amendments made by subsection (a) shall apply to periods beginning after December 31, 2012.

### Sec. 324. Additional Rules Relating to Health Coverage Participation Requirements.

    (a) Assuring Coordination.—
       The officers consisting of the Secretary of Labor, the Secretary of the Treasury, the Secretary of Health and Human Services, and the Health Choices Commissioner shall ensure, through the execution of an interagency memorandum of understanding among such officers, that—
          (1) regulations, rulings, and interpretations issued by such officers relating to the same matter over which two or more of such officers have responsibility under subpart B of part 6 of subtitle B of title I of the Employee Retirement Income Security Act of 1974, section 4980H of the Internal Revenue Code of 1986, and section 2793 of the Public Health Service Act are administered so as to have the same effect at all times; and
          (2) coordination of policies relating to enforcing the same requirements through such officers in order to have a coordinated enforcement strategy that avoids duplication of enforcement efforts and assigns priorities in enforcement.
    (b) Multiemployer Plans.—
       In the case of a group health plan that is a multiemployer plan (as defined in section 3(37) of the Employee Retirement Income Security Act of 1974), the regulations prescribed in accordance with subsection (a) by the officers referred to in subsection (a) shall provide for the application of the health coverage participation requirements to the plan sponsor and contributing sponsors of such plan.