or appropriate to carry out this title, other than section
151. Such regulations shall be issued consistent with sec-
tion 104 of Health Insurance Portability and Accountabil-
ity Act of 1996. Such Secretaries may promulgate any in-
terim final rules as the Secretaries determine are appro-
priate to carry out this title.
TITLE II—APPLICATION OF PA-
TIENT PROTECTION STAND-
ARDS 
TO 
GROUP 
HEALTH
PLANS AND HEALTH INSUR-
ANCE 
COVERAGE 
UNDER
PUBLIC 
HEALTH 
SERVICE
ACT
SEC. 201. APPLICATION TO GROUP HEALTH PLANS AND
GROUP HEALTH INSURANCE COVERAGE.
(a) IN GENERAL.—Subpart 2 of part A of title
XXVII of the Public Health Service Act is amended by
adding at the end the following new section:
‘‘SEC. 2706. PATIENT PROTECTION STANDARDS.
‘‘(a) IN GENERAL.—Each group health plan shall
comply with patient protection requirements under title I
of the Managed Care Reform Act of 1999, and each health
insurance issuer shall comply with patient protection re-
quirements under such title with respect to group health
insurance coverage it offers, and such requirements shall
be deemed to be incorporated into this subsection.
‘‘(b) NOTICE.—A group health plan shall comply with
the notice requirement under section 711(d) of the Em-
ployee Retirement Income Security Act of 1974 with re-
spect to the requirements referred to in subsection (a) and
a health insurance issuer shall comply with such notice
requirement as if such section applied to such issuer and
such issuer were a group health plan.’’.
(b) 
CONFORMING
AMENDMENT.—Section
2721(b)(2)(A) of such Act (42 U.S.C. 300gg–21(b)(2)(A))
is amended by inserting ‘‘(other than section 2706)’’ after
‘‘requirements of such subparts’’.
SEC. 202. APPLICATION TO INDIVIDUAL HEALTH INSUR-
ANCE COVERAGE.
Part B of title XXVII of the Public Health Service
Act is amended by inserting after section 2751 the follow-
ing new section:
‘‘SEC. 2752. PATIENT PROTECTION STANDARDS.
‘‘(a) IN GENERAL.—Each health insurance issuer
shall comply with patient protection requirements under
title I of the Managed Care Reform Act of 1999 with re-
spect to individual health insurance coverage it offers, and
such requirements shall be deemed to be incorporated into
this subsection.
‘‘(b) NOTICE.—A health insurance issuer under this
part shall comply with the notice requirement under sec-
tion 711(d) of the Employee Retirement Income Security
Act of 1974 with respect to the requirements of such title
as if such section applied to such issuer and such issuer
were a group health plan.’’.
TITLE 
III—AMENDMENTS 
TO
THE EMPLOYEE RETIREMENT
INCOME SECURITY ACT OF
1974
SEC. 301. APPLICATION OF PATIENT PROTECTION STAND-
ARDS TO GROUP HEALTH PLANS AND GROUP
HEALTH INSURANCE COVERAGE UNDER THE
EMPLOYEE RETIREMENT INCOME SECURITY
ACT OF 1974.
(a) IN GENERAL.—Subpart B of part 7 of subtitle
B of title I of the Employee Retirement Income Security
Act of 1974 is amended by adding at the end the following
new section:
‘‘SEC. 714. PATIENT PROTECTION STANDARDS.
‘‘(a) IN GENERAL.—Subject to subsection (b), a
group health plan (and a health insurance issuer offering
group health insurance coverage in connection with such
a plan) shall comply with the requirements of title I of
the Managed Care Reform Act of 1999 (as in effect as
of the date of the enactment of such Act), and such re-
quirements shall be deemed to be incorporated into this
subsection.
‘‘(b) PLAN SATISFACTION OF CERTAIN REQUIRE-
MENTS.—
‘‘(1) SATISFACTION
OF
CERTAIN
REQUIRE-
MENTS
THROUGH
INSURANCE.—For purposes of
subsection (a), insofar as a group health plan pro-
vides benefits in the form of health insurance cov-
erage through a health insurance issuer, the plan
shall be treated as meeting the following require-
ments of title I of the Managed Care Reform Act of
1999 with respect to such benefits and not be con-
sidered as failing to meet such requirements because
of a failure of the issuer to meet such requirements
so long as the plan sponsor or its representatives did
not cause such failure by the issuer:
‘‘(A) Section 101 (relating to access to
emergency care).
‘‘(B) Section 102(a)(1) (relating to offer-
ing option to purchase point-of-service cov-
erage), but only insofar as the plan is meeting
such requirement through an agreement with
the issuer to offer the option to purchase point-
of-service coverage under such section.
‘‘(C) Section 103 (relating to choice of pro-
viders).
‘‘(D) Section 104 (relating to access to
specialty care).
‘‘(E) Section 105(a)(1) (relating to con-
tinuity in case of termination of provider con-
tract) and section 105(a)(2) (relating to con-
tinuity in case of termination of issuer con-
tract), but only insofar as a replacement issuer
assumes the obligation for continuity of care.
‘‘(F) Section 106 (relating to coverage for
individuals participating in approved clinical
trials.)
‘‘(G) Section 107 (relating to access to
needed prescription drugs).
‘‘(H) Section 108 (relating to adequacy of
provider network).
‘‘(I) Subtitle B (relating to quality assur-
ance).
‘‘(J) Section 143 (relating to additional
rules regarding participation of health care pro-
fessionals).
‘‘(K) Section 152 (relating to standards re-
lating to benefits for certain breast cancer
treatment).