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(B) ENFORCEMENT OF PEER REVIEW PRO-
TOCOLS AND INTERNAL PROCEDURES.—Noth-
ing in this subsection shall be construed to pro-
hibit a plan, issuer, or provider from estab-
lishing and enforcing reasonable peer review or 
utilization review protocols or determining 
whether a protected health care professional has 
complied with those protocols or from estab-
lishing and enforcing internal procedures for 
the purpose of addressing quality concerns. 
(C) RELATION TO OTHER RIGHTS.—Noth-
ing in this subsection shall be construed to 
abridge rights of participants, beneficiaries, en-
rollees, and protected health care professionals 
under other applicable Federal or State laws. 
(7) PROTECTED HEALTH CARE PROFESSIONAL 
DEFINED.—For purposes of this subsection, the 
term ‘‘protected health care professional’’ means an 
individual who is a licensed or certified health care 
professional and who— 
(A) with respect to a group health plan or 
health insurance issuer, is an employee of the 
plan or issuer or has a contract with the plan 
or issuer for provision of services for which ben-
efits are available under the plan or issuer; or
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(B) with respect to an institutional health 
care provider, is an employee of the provider or 
has a contract or other arrangement with the 
provider respecting the provision of health care 
services. 
Subtitle E—Definitions 
SEC. 151. DEFINITIONS. 
(a) INCORPORATION OF GENERAL DEFINITIONS.— 
Except as otherwise provided, the provisions of section 
2791 of the Public Health Service Act shall apply for pur-
poses of this title in the same manner as they apply for 
purposes of title XXVII of such Act. 
(b) SECRETARY.—Except as otherwise provided, the 
term ‘‘Secretary’’ means the Secretary of Health and 
Human Services, in consultation with the Secretary of 
Labor and the term ‘‘appropriate Secretary’’ means the 
Secretary of Health and Human Services in relation to 
carrying out this title under sections 2706 and 2751 of 
the Public Health Service Act and the Secretary of Labor 
in relation to carrying out this title under section 714 of 
the Employee Retirement Income Security Act of 1974. 
(c) ADDITIONAL DEFINITIONS.—For purposes of this 
title: 
(1) APPLICABLE AUTHORITY.—The term ‘‘ap-
plicable authority’’ means—
133 
(A) in the case of a group health plan, the 
Secretary of Health and Human Services and 
the Secretary of Labor; and 
(B) in the case of a health insurance issuer 
with respect to a specific provision of this title, 
the applicable State authority (as defined in 
section 2791(d) of the Public Health Service 
Act), or the Secretary of Health and Human 
Services, if such Secretary is enforcing such 
provision 
under 
section 
2722(a)(2) 
or 
2761(a)(2) of the Public Health Service Act. 
(2) ENROLLEE.—The term ‘‘enrollee’’ means, 
with respect to health insurance coverage offered by 
a health insurance issuer, an individual enrolled with 
the issuer to receive such coverage. 
(3) GROUP HEALTH PLAN.—The term ‘‘group 
health plan’’ has the meaning given such term in 
section 733(a) of the Employee Retirement Income 
Security Act of 1974, except that such term includes 
a employee welfare benefit plan treated as a group 
health plan under section 732(d) of such Act or de-
fined as such a plan under section 607(1) of such 
Act. 
(4) HEALTH CARE PROFESSIONAL.—The term 
‘‘health care professional’’ means an individual who