110TH CONGRESS 
2D SESSION 
H. R. 1424 
AN ACT 
To amend section 712 of the Employee Retirement Income 
Security Act of 1974, section 2705 of the Public Health 
Service Act, section 9812 of the Internal Revenue Code 
of 1986 to require equity in the provision of mental 
health and substance-related disorder benefits under 
group health plans, to prohibit discrimination on the 
basis of genetic information with respect to health insur-
ance and employment, and for other purposes.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. ORGANIZATION OF ACT INTO DIVISIONS; TABLE 
OF CONTENTS. 
(a) DIVISIONS.—This Act is organized into two divi-
sions as follows: 
(1) Division A—Paul Wellstone Mental Health 
and Addiction Equity Act of 2008. 
(2) Division B—Genetic Information Non-
discrimination Act of 2008. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows: 
Sec. 1. Organization of Act into divisions; table of contents. 
DIVISION A—PAUL WELLSTONE MENTAL HEALTH AND 
ADDICTION EQUITY ACT OF 2008 
Sec. 101. Short title. 
Sec. 102. Amendments to the Employee Retirement Income Security Act of 
1974. 
Sec. 103. Amendments to the Public Health Service Act relating to the group 
market. 
Sec. 104. Amendments to the Internal Revenue Code of 1986. 
Sec. 105. Medicaid drug rebate. 
Sec. 106. Limitation on Medicare exception to the prohibition on certain physi-
cian referrals for hospitals. 
Sec. 107. Studies and reports. 
DIVISION B—GENETIC INFORMATION NONDISCRIMINATION ACT 
OF 2008 
Sec. 100. Short title; findings. 
TITLE I—GENETIC NONDISCRIMINATION IN HEALTH INSURANCE 
Sec. 101. Amendments to Employee Retirement Income Security Act of 1974. 
Sec. 102. Amendments to the Public Health Service Act. 
Sec. 103. Amendments to the Internal Revenue Code of 1986. 
Sec. 104. Amendments to title XVIII of the Social Security Act relating to 
medigap. 
Sec. 105. Privacy and confidentiality. 
Sec. 106. Assuring coordination.
TITLE II—PROHIBITING EMPLOYMENT DISCRIMINATION ON THE 
BASIS OF GENETIC INFORMATION 
Sec. 201. Definitions. 
Sec. 202. Employer practices. 
Sec. 203. Employment agency practices. 
Sec. 204. Labor organization practices. 
Sec. 205. Training programs. 
Sec. 206. Confidentiality of genetic information. 
Sec. 207. Remedies and enforcement. 
Sec. 208. Disparate impact. 
Sec. 209. Construction. 
Sec. 210. Medical information that is not genetic information. 
Sec. 211. Regulations. 
Sec. 212. Authorization of appropriations. 
Sec. 213. Effective date. 
TITLE III—MISCELLANEOUS PROVISIONS 
Sec. 301. Guarantee agency collection retention. 
Sec. 302. Severability. 
DIVISION A—PAUL WELLSTONE 
MENTAL HEALTH AND ADDIC-
TION EQUITY ACT OF 2008 
SEC. 101. SHORT TITLE. 
This division may be cited as the ‘‘Paul Wellstone 
Mental Health and Addiction Equity Act of 2008’’. 
SEC. 102. AMENDMENTS TO THE EMPLOYEE RETIREMENT 
INCOME SECURITY ACT OF 1974. 
(a) EXTENSION OF PARITY TO TREATMENT LIMITS 
AND BENEFICIARY FINANCIAL REQUIREMENTS.—Section 
712 of the Employee Retirement Income Security Act of 
1974 (29 U.S.C. 1185a) is amended— 
(1) in subsection (a), by adding at the end the 
following new paragraphs: 
‘‘(3) TREATMENT
LIMITS.—In the case of a 
group health plan that provides both medical and