(3) by redesignating paragraph (3) as para-
graph (2). 
(c) AMENDMENTS
TO
THE INTERNAL REVENUE 
CODE OF 1986.—Subsection (d) of section 9801 of the 
Internal Revenue Code of 1986 (relating to exceptions) is 
amended— 
(1) by striking paragraph (1) and inserting the 
following: 
‘‘(1) EXCLUSION
NOT
APPLICABLE
TO
CHIL-
DREN.—A group health plan may not impose any 
pre-existing condition exclusion in the case of an in-
dividual who has not attained 25 years of age.’’; 
(2) by striking paragraphs (2) and (4); and 
(3) by redesignating paragraph (3) as para-
graph (2). 
(d) EFFECTIVE DATE.— 
(1) IN GENERAL.—Except as provided in para-
graph (2), the amendments made by this section 
shall apply with respect to group health plans for 
plan years beginning after the end of the 12th cal-
endar month following the date of the enactment of 
this Act. 
(2) SPECIAL
RULE
FOR
COLLECTIVE
BAR-
GAINING
AGREEMENTS.—In the case of a group 
health plan maintained pursuant to one or more col-
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lective bargaining agreements between employee rep-
resentatives and one or more employers ratified be-
fore the date of the enactment of this Act, the 
amendments made by this section shall not apply to 
plan years beginning before the later of— 
(A) the date on which the last of the col-
lective bargaining agreements relating to the 
plan terminates (determined without regard to 
any extension thereof agreed to after the date 
of the enactment of this Act); or 
(B) the date that is after the end of the 
12th calendar month following the date of en-
actment of this Act. 
For purposes of subparagraph (A), any plan amend-
ment made pursuant to a collective bargaining 
agreement relating to the plan which amends the 
plan solely to conform to any requirement added by 
the amendments made by this section shall not be 
treated as a termination of such collective bar-
gaining agreement. 
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SEC. 4. PROHIBITION OF PRE-EXISTING CONDITION EXCLU-
SIONS FOR CHILDREN IN HEALTH INSUR-
ANCE COVERAGE IN THE INDIVIDUAL MAR-
KET. 
(a) IN GENERAL.—Section 2741 of the Public Health 
Service Act (42 U.S.C. 300gg–41) is amended— 
(1) by redesignating the second subsection (e) 
(relating to market requirements) and subsection (f) 
as subsections (f) and (g), respectively; and 
(2) by adding at the end the following new sub-
section: 
‘‘(h) PROHIBITION
OF PRE-EXISTING CONDITION 
EXCLUSIONS
FOR CHILDREN.—Each health insurance 
issuer that offers health insurance coverage in the indi-
vidual market may not impose any pre-existing condition 
exclusion (as defined in section 2701(b)(1)(A)) in the case 
of an individual who has not attained 25 years of age.’’. 
(b) CONFORMING AMENDMENT.—Section 2744(a)(1) 
of such Act (42 U.S.C. 300gg–44(a)(1)) is amended by 
inserting ‘‘(other than subsection (h))’’ after ‘‘section 
2741’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply with respect to health insurance 
coverage offered, sold, issued, renewed, in effect, or oper-
ated in the individual market after the end of the 12th 
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calendar month following the date of the enactment of this 
Act. 
Æ 
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