I 
111TH CONGRESS 
2D SESSION 
H. R. 4626 
To restore the application of the Federal antitrust laws to the business 
of health insurance to protect competition and consumers. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 22, 2010 
Mr. PERRIELLO (for himself, Ms. MARKEY of Colorado, Ms. SLAUGHTER, Mr. 
DEFAZIO, Mr. ANDREWS, Mr. BOSWELL, Mr. BOUCHER, Mrs. CAPPS, 
Mr. CAPUANO, Mr. CARNAHAN, Ms. CHU, Mr. CONNOLLY of Virginia, 
Mrs. DAVIS of California, Ms. DEGETTE, Ms. DELAURO, Mr. ELLISON, 
Mr. GARAMENDI, Mr. GENE GREEN of Texas, Mr. GRIJALVA, Mr. 
GUTIERREZ, Mr. HALL of New York, Mr. HARE, Ms. NORTON, Mr. 
HOLT, Mr. JOHNSON of Georgia, Mr. KILDEE, Ms. KILROY, Mr. 
KISSELL, Mr. KLEIN of Florida, Mr. LANGEVIN, Mr. LUJA´N, Mrs. 
MALONEY, Mr. MARKEY of Massachusetts, Mr. MASSA, Ms. MCCOLLUM, 
Mr. MCDERMOTT, Mr. MICHAUD, Mr. MORAN of Virginia, Mr. NADLER 
of New York, Mr. OLVER, Mr. OWENS, Mr. PASCRELL, Mr. 
PERLMUTTER, Mr. PETERS, Ms. PINGREE of Maine, Mr. POLIS of Colo-
rado, Mr. QUIGLEY, Mr. RYAN of Ohio, Ms. LINDA T. SA´NCHEZ of Cali-
fornia, Mr. SCOTT of Georgia, Ms. SHEA-PORTER, Mr. SHERMAN, Mr. 
STUPAK, Ms. SUTTON, Mr. TAYLOR, Mr. TEAGUE, Mr. TIERNEY, Ms. 
TITUS, Mr. TONKO, Mr. VAN HOLLEN, Ms. WASSERMAN SCHULTZ, Mr. 
WELCH, Ms. WOOLSEY, Mr. WU, Mr. BARROW, and Ms. HIRONO) intro-
duced the following bill; which was referred to the Committee on the Ju-
diciary 
A BILL 
To restore the application of the Federal antitrust laws to 
the business of health insurance to protect competition 
and consumers. 
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Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Health Insurance In-
dustry Fair Competition Act’’. 
SEC. 2. RESTORING THE APPLICATION OF ANTITRUST 
LAWS TO HEALTH SECTOR INSURERS. 
(a) AMENDMENT TO MCCARRAN-FERGUSON ACT.— 
Section 3 of the Act of March 9, 1945 (15 U.S.C. 1013), 
commonly known as the McCarran-Ferguson Act, is 
amended by adding at the end the following: 
‘‘(c) Nothing contained in this Act shall modify, im-
pair, or supersede the operation of any of the antitrust 
laws with respect to the business of health insurance. For 
purposes of the preceding sentence, the term ‘antitrust 
laws’ has the meaning given it in subsection (a) of the 
first section of the Clayton Act, except that such term in-
cludes section 5 of the Federal Trade Commission Act to 
the extent that such section 5 applies to unfair methods 
of competition.’’. 
(b) RELATED PROVISION.—For purposes of section 
5 of the Federal Trade Commission Act (15 U.S.C. 45) 
to the extent such section applies to unfair methods of 
competition, section 3(c) of the McCarran-Ferguson Act 
shall apply with respect to the business of health insurance 
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without regard to whether such business is carried on for 
profit, notwithstanding the definition of ‘‘Corporation’’ 
contained in section 4 of the Federal Trade Commission 
Act. 
Æ 
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