added by section 271(a) of the Health Insurance
Portability and Accountability Act of 1996 (Public
Law 104–191) to conform to the amendments made
by this section, such revised regulation incorporating
the modifications shall be considered to be the appli-
cable NAIC model regulation (including the revised
NAIC model regulation and the 1991 NAIC Model
Regulation) for the purposes of such section.
(3) SECRETARY
STANDARDS.—If the NAIC
does not make the modifications described in para-
graph (2) within the period specified in such para-
graph, the Secretary of Health and Human Services
shall make the modifications described in such para-
graph and such revised regulation incorporating the
modifications shall be considered to be the appro-
priate Regulation for the purposes of such section.
(4) DATE SPECIFIED.—
(A) IN
GENERAL.—Subject to subpara-
graph (B), the date specified in this paragraph
for a State is the earlier of—
(i) the date the State changes its stat-
utes or regulations to conform its regu-
latory program to the changes made by
this section, or
(ii) 1 year after the date the NAIC or
the Secretary first makes the modifications
under paragraph (2) or (3), respectively.
(B) ADDITIONAL LEGISLATIVE ACTION RE-
QUIRED.—In the case of a State which the Sec-
retary identifies as—
(i) requiring State legislation (other
than legislation appropriating funds) to
conform its regulatory program to the
changes made in this section, but
(ii) having a legislature which is not
scheduled to meet in 2000 in a legislative
session in which such legislation may be
considered,
the date specified in this paragraph is the first
day of the first calendar quarter beginning after
the close of the first legislative session of the
State legislature that begins on or after July 1,
2000. For purposes of the previous sentence, in
the case of a State that has a 2-year legislative
session, each year of such session shall be
deemed to be a separate regular session of the
State legislature.
SEC. 4. APPLICATION TO OTHER HEALTH CARE COVERAGE.
(a) FEHBP.—Chapter 89 of title 5, United States
Code, is amended by adding at the end the following:
‘‘§ 8915. Standards relating to coverage of hospital
lengths of stay
‘‘(a) The provisions of section 2707 of the Public
Health Service Act shall apply to the provision of items
and services under this chapter.
‘‘(b) Nothing in this section or section 2707(c) of the
Public Health Service Act shall be construed as authoriz-
ing a health insurance issuer or entity to impose cost shar-
ing with respect to the coverage or benefits required to
be provided under section 2707 of the Public Health Serv-
ice Act that is inconsistent with the cost sharing that is
otherwise permitted under this chapter.’’.
(b) MEDICAL CARE FOR MEMBERS AND CERTAIN
FORMER MEMBERS OF THE UNIFORMED SERVICES AND
THEIR DEPENDENTS.—Chapter 55 of title 10, United
States Code, is amended by adding at the end the follow-
ing:
‘‘§ 1110. Standards relating to coverage of hospital
lengths of stay
‘‘(a) APPLICATION OF STANDARDS.—The provisions
of section 2707 of the Public Health Service Act shall
apply to the provision of items and services under this
chapter.
‘‘(b) COST-SHARING.—Nothing in this section or sec-
tion 2707(c) of the Public Health Service Act shall be con-
strued as authorizing the imposition of cost sharing with
respect to the coverage or benefits required to be provided
under section 2707 of the Public Health Service Act that
is inconsistent with the cost sharing that is otherwise per-
mitted under this chapter.’’.
(c) VETERANS.—Subchapter II of chapter 17 of title
38, United States Code, is amended by adding at the end
the following:
‘‘§ 1720E. Standards relating to coverage of hospital
lengths of stay
‘‘(a) The provisions of section 2707 of the Public
Health Service Act shall apply to the provision of items
and services under this chapter.
‘‘(b) Nothing in this section or section 2707(c) of the
Public Health Service Act shall be construed as authoriz-
ing the imposition of cost sharing with respect to the cov-
erage or benefits required to be provided under section
2706 of the Public Health Service Act that is inconsistent
with the cost sharing that is otherwise permitted under
this chapter.’’.
(d) STATE CHILDREN’S HEALTH INSURANCE PRO-
GRAM.—Section 2109 of the Social Security Act (42
U.S.C. 1397ii) is amended by adding at the end the follow-
ing:
‘‘(b) APPLICATION
OF STANDARDS RELATING
TO
COVERAGE OF HOSPITAL LENGTHS OF STAY.—
‘‘(1) IN GENERAL.—The provisions of section
2707 of the Public Health Service Act shall apply to
the provision of items and services under this title.
‘‘(2) COST-SHARING.—Nothing in this section
or section 2707(c) of the Public Health Service Act
shall be construed as authorizing a health insurance
issuer or entity to impose cost sharing with respect
to the coverage or benefits required to be provided
under section 2707 of the Public Health Service Act
that is inconsistent with the cost sharing that is oth-
erwise permitted under this title.’’.
(e) INDIAN HEALTH SERVICE AND HEALTH CARE
PROVIDED BY TRIBAL ORGANIZATIONS.—Title VIII of the
Indian Health Care Improvement Act (25 U.S.C. 1671 et
seq.) is amended by adding at the end the following:
‘‘STANDARDS RELATING TO COVERAGE OF HOSPITAL
LENGTHS OF STAY
‘‘SEC. 826. (a) The provisions of section 2707 of the
Public Health Service Act shall apply to the provision of
items and services under this Act by the Service or a tribal
organization.
‘‘(b) Nothing in this section or section 2707(c) of the
Public Health Service Act shall be construed as authoriz-
ing the imposition of cost sharing with respect to the cov-
erage or benefits required to be provided under section
2707 of the Public Health Service Act that is inconsistent
with the cost sharing that is otherwise permitted under
this Act.’’.
(f) HEALTH CARE PROVIDED TO PEACE CORPS VOL-
UNTEERS.—Section 5(e) of the Peace Corps Act (22
U.S.C. 2504(e)) is amended by adding at the end the fol-
lowing: ‘‘The provisions of section 2707 of the Public
Health Service Act shall apply to the provision of items
and services under this section. Nothing in this section
or section 2707(c) of the Public Health Service Act shall
be construed as authorizing the imposition of cost sharing
with respect to the coverage or benefits required to be pro-
vided under section 2707 of the Public Health Service Act
that is inconsistent with the cost sharing that is otherwise
permitted under this section.’’.
Æ