373 
HR 3590 EAS/PP 
(i) in subparagraph (A), by striking 
‘‘subparagraph (D)’’ and inserting ‘‘sub-
paragraph (D) or (E)’’; 
(ii) by striking ‘‘1 through 3’’ and in-
serting ‘‘1 and 2’’; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(E) ELECTION
NOT
APPLICABLE.—The 
election described in subparagraph (A) shall not 
be available with respect to the provisions of sub-
part 1.’’; 
(3) in subsection (c), by striking ‘‘1 through 3 
shall not apply to any group’’ and inserting ‘‘1 and 
2 shall not apply to any individual coverage or any 
group’’; and 
(4) in subsection (d)— 
(A) in paragraph (1), by striking ‘‘1 
through 3 shall not apply to any group’’ and in-
serting ‘‘1 and 2 shall not apply to any indi-
vidual coverage or any group’’; 
(B) in paragraph (2)— 
(i) in the matter preceding subpara-
graph (A), by striking ‘‘1 through 3 shall 
not apply to any group’’ and inserting ‘‘1 
VerDate Nov 24 2008 
09:39 Dec 29, 2009
Jkt 089200
PO 00000
Frm 00373
Fmt 6652
Sfmt 6203
E:\SENENR\H3590.EAS
H3590
wwoods2 on DSK1DXX6B1PROD with BILLS
374 
HR 3590 EAS/PP 
and 2 shall not apply to any individual 
coverage or any group’’; and 
(ii) in subparagraph (C), by inserting 
‘‘or, with respect to individual coverage, 
under any health insurance coverage main-
tained by the same health insurance issuer’’; 
and 
(C) in paragraph (3), by striking ‘‘any 
group’’ and inserting ‘‘any individual coverage 
or any group’’. 
(b) DEFINITIONS.—Section 2791(d) of the Public 
Health Service Act (42 U.S.C. 300gg–91(d)) is amended by 
adding at the end the following: 
‘‘(20) QUALIFIED
HEALTH
PLAN.—The term 
‘qualified health plan’ has the meaning given such 
term in section 1301(a) of the Patient Protection and 
Affordable Care Act. 
‘‘(21) EXCHANGE.—The term ‘Exchange’ means 
an American Health Benefit Exchange established 
under section 1311 of the Patient Protection and Af-
fordable Care Act.’’. 
(c) TECHNICAL
AND CONFORMING AMENDMENTS.— 
Title XXVII of the Public Health Service Act (42 U.S.C. 
300gg et seq.) is amended— 
VerDate Nov 24 2008 
09:39 Dec 29, 2009
Jkt 089200
PO 00000
Frm 00374
Fmt 6652
Sfmt 6203
E:\SENENR\H3590.EAS
H3590
wwoods2 on DSK1DXX6B1PROD with BILLS
375 
HR 3590 EAS/PP 
(1) in section 2704 (42 U.S.C. 300gg), as so re-
designated by section 1201(2)— 
(A) in subsection (c)— 
(i) in paragraph (2), by striking 
‘‘group health plan’’ each place that such 
term appears and inserting ‘‘group or indi-
vidual health plan’’; and 
(ii) in paragraph (3)— 
(I) by striking ‘‘group health in-
surance’’ each place that such term ap-
pears and inserting ‘‘group or indi-
vidual health insurance’’; and 
(II) in subparagraph (D), by 
striking ‘‘small or large’’ and inserting 
‘‘individual or group’’; 
(B) in subsection (d), by striking ‘‘group 
health insurance’’ each place that such term ap-
pears and inserting ‘‘group or individual health 
insurance’’; and 
(C) in subsection (e)(1)(A), by striking 
‘‘group health insurance’’ and inserting ‘‘group 
or individual health insurance’’; 
(2) by striking the second heading for subpart 2 
of part A (relating to other requirements); 
VerDate Nov 24 2008 
09:39 Dec 29, 2009
Jkt 089200
PO 00000
Frm 00375
Fmt 6652
Sfmt 6203
E:\SENENR\H3590.EAS
H3590
wwoods2 on DSK1DXX6B1PROD with BILLS
376 
HR 3590 EAS/PP 
(3) in section 2725 (42 U.S.C. 300gg–4), as so 
redesignated by section 1001(2)— 
(A) in subsection (a), by striking ‘‘health 
insurance issuer offering group health insurance 
coverage’’ and inserting ‘‘health insurance issuer 
offering group or individual health insurance 
coverage’’; 
(B) in subsection (b)— 
(i) by striking ‘‘health insurance issuer 
offering group health insurance coverage in 
connection with a group health plan’’ in the 
matter preceding paragraph (1) and insert-
ing ‘‘health insurance issuer offering group 
or individual health insurance coverage’’; 
and 
(ii) in paragraph (1), by striking 
‘‘plan’’ and inserting ‘‘plan or coverage’’; 
(C) in subsection (c)— 
(i) in paragraph (2), by striking 
‘‘group health insurance coverage offered by 
a health insurance issuer’’ and inserting 
‘‘health insurance issuer offering group or 
individual health insurance coverage’’; and 
VerDate Nov 24 2008 
09:39 Dec 29, 2009
Jkt 089200
PO 00000
Frm 00376
Fmt 6652
Sfmt 6203
E:\SENENR\H3590.EAS
H3590
wwoods2 on DSK1DXX6B1PROD with BILLS