SEC. 2. NO DENIAL OR RESTRICTION OF COVERAGE BASED 
ON TASK FORCE RECOMMENDATIONS. 
(a) FEDERAL HEALTH CARE PROGRAM.— 
(1) IN GENERAL.—Notwithstanding any other 
provision of law, the Secretary of Health and 
Human Services shall not, directly or as a condition 
on the receipt of Federal funds, use any rec-
ommendation of the Preventive Services Task Force 
convened under section 915(a) of the Public Health 
Service Act (42 U.S.C. 299b–4) (or any successor 
task force) to deny or restrict coverage of an item 
or service under a Federal health care program (in-
cluding the Medicare program under title XVIII of 
the Social Security Act (42 U.S.C. 1395 et seq.), the 
Medicaid program under title XIX of the Social Se-
curity Act (42 U.S.C. 1396–1 et seq.), and the Na-
tional Breast and Cervical Cancer Early Detection 
Program under title XV of the Public Health Service 
Act (42 U.S.C. 300k et seq.). 
(2) DEFINITIONS.—In this subsection: 
(A) The terms ‘‘group health plan’’, 
‘‘health insurance coverage’’, and ‘‘health insur-
ance issuer’’ have the meanings given to those 
terms in section 2791 of the Public Health 
Service Act (42 U.S.C. 300gg–91). 
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(B) The term ‘‘Federal health care pro-
gram’’ has the meaning given to such term in 
section 1128B(f) of the Social Security Act (42 
U.S.C. 1320a–7b(f)). 
(b) GROUP HEALTH PLANS AND HEALTH INSUR-
ANCE.— 
(1) AMENDMENTS TO PUBLIC HEALTH SERVICE 
ACT.— 
(A) GROUP MARKET.—Subpart 2 of part A 
of title XXVII of the Public Health Service Act 
(42 U.S.C. 300gg et seq.) is amended by add-
ing at the end the following: 
‘‘SEC. 2708. NO DENIAL OR RESTRICTION OF COVERAGE 
BASED ON TASK FORCE RECOMMENDATIONS. 
‘‘A group health plan, and a health insurance issuer 
offering group health insurance coverage, shall not use any 
recommendation of the Preventive Services Task Force 
convened under section 915(a) (or any successor task 
force) to deny or restrict coverage of an item or service.’’. 
(B) INDIVIDUAL MARKET.—Subpart 1 of 
part B of title XXVII of the Public Health 
Service Act (42 U.S.C. 300gg–41 et seq.) is 
amended by adding at the end the following: 
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‘‘SEC. 2746. NO DENIAL OR RESTRICTION OF COVERAGE 
BASED ON TASK FORCE RECOMMENDATIONS. 
‘‘The provisions of section 2708 shall apply to health 
insurance coverage offered by a health insurance issuer 
in the individual market in the same manner as such pro-
visions apply to health insurance coverage offered by a 
health insurance issuer in connection with a group health 
plan in the small or large group market.’’. 
(2) AMENDMENTS TO ERISA.— 
(A) IN GENERAL.—Subpart B of part 7 of 
title I of the Employee Retirement Income Se-
curity Act of 1974 (29 U.S.C. 1185 et seq.) is 
amended by adding at the end the following: 
‘‘SEC. 715. NO DENIAL OR RESTRICTION OF COVERAGE 
BASED ON TASK FORCE RECOMMENDATIONS. 
‘‘A group health plan, and a health insurance issuer 
offering group health insurance coverage, shall not use any 
recommendation of the Preventive Services Task Force 
convened under section 915(a) (or any successor task 
force) to deny or restrict coverage of an item or service.’’. 
(B) CLERICAL AMENDMENT.—The table of 
contents in section 1 of such Act is amended by 
inserting after the item relating to section 714 
the following new item: 
‘‘Sec. 715. No denial or restriction of coverage based on Task Force rec-
ommendations.’’. 
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(3) AMENDMENTS
TO
INTERNAL
REVENUE 
CODE.— 
(A) IN GENERAL.—Subchapter B of chap-
ter 100 of the Internal Revenue Code of 1986 
(relating to group health plan requirements) is 
amended by adding at the end the following: 
‘‘SEC. 9814. NO DENIAL OR RESTRICTION OF COVERAGE 
BASED ON TASK FORCE RECOMMENDATIONS. 
‘‘A group health plan shall not use any recommenda-
tion of the Preventive Services Task Force convened under 
section 915(a) (or any successor task force) to deny or 
restrict coverage of an item or service.’’. 
(B) CLERICAL AMENDMENT.—The table of 
sections for subchapter B of chapter 100 of 
such Code is amended by inserting after the 
item relating to section 9813 the following new 
item: 
‘‘Sec. 9814. No denial or restriction of coverage based on Task Force rec-
ommendations.’’. 
(4) EFFECTIVE DATE.—The amendments made 
by paragraphs (1)(A), (2), and (3) of this subsection 
shall apply with respect to plan years beginning on 
or after the date of the enactment of this Act. The 
amendment made by paragraph (1)(B) of this sub-
section applies with respect to health insurance cov-
erage offered, sold, issued, renewed, in effect, or op-
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erated in the individual market on or after such 
date. 
SEC. 3. DETERMINATIONS OF COVERAGE OF PREVENTIVE 
ITEMS AND SERVICES. 
(a) AMENDMENTS
TO PUBLIC HEALTH SERVICE 
ACT.— 
(1) GROUP MARKET.—Subpart 2 of part A of 
title XXVII of the Public Health Service Act (42 
U.S.C. 300gg et seq.), as amended by section 2 of 
this Act, is amended by adding at the end the fol-
lowing: 
‘‘SEC. 2709. DETERMINATIONS OF COVERAGE OF PREVEN-
TIVE ITEMS AND SERVICES. 
‘‘The plan sponsor of a group health plan and a 
health insurance issuer offering group health insurance 
coverage shall, in determining which preventive items and 
services to provide coverage for under the plan or cov-
erage, consult the medical guidelines and recommenda-
tions of relevant professional medical organizations of rel-
evant medical practice areas (such as the American Soci-
ety of Clinical Oncology, the American College of Sur-
geons, the American College of Radiology, the Society of 
Breast Imaging, the American College of Radiation Oncol-
ogy, the American College of Obstetricians and Gyne-
cologists, and other similar organizations), including 
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