HRES 638 RH 
on the health care delivery system; and for consideration 
of the bill (H.R. 4281) to amend title I of the Employee 
Retirement Income Security Act of 1974 to improve ac-
cess and choice for entrepreneurs with small businesses 
with respect to medical care for their employees. 
Resolved, That upon the adoption of this resolution 
it shall be in order to consider in the House the bill (H.R. 
4279) to amend the Internal Revenue Code of 1986 to 
provide for the disposition of unused health benefits in caf-
eteria plans and flexible spending arrangements. The bill 
shall be considered as read for amendment. The previous 
question shall be considered as ordered on the bill and on 
any amendment thereto to final passage without inter-
vening motion except: (1) one hour of debate on the bill 
equally divided and controlled by the chairman and rank-
ing minority member of the Committee on Ways and 
Means; (2) the amendment in the nature of a substitute 
printed in part A of the report of the Committee on Rules 
accompanying this resolution, if offered by Representative 
Rangel of New York or his designee, which shall be in 
order without intervention of any point of order, shall be 
considered as read, and shall be separately debatable for 
one hour equally divided and controlled by the proponent 
and an opponent; and (3) one motion to recommit with 
or without instructions.
HRES 638 RH 
SEC. 2. Upon the adoption of this resolution it shall 
be in order to consider in the House the bill (H.R. 4280) 
to improve patient access to health care services and pro-
vide improved medical care by reducing the excessive bur-
den the liability system places on the health care delivery 
system. The bill shall be considered as read for amend-
ment. The previous question shall be considered as ordered 
on the bill to final passage without intervening motion ex-
cept: (1) one hour of debate on the bill, with 40 minutes 
equally divided and controlled by the chairman and rank-
ing minority member of the Committee on the Judiciary 
and 20 minutes equally divided and controlled by the 
chairman and ranking minority member of the Committee 
on Energy and Commerce; and (2) one motion to recom-
mit. 
SEC. 3. Upon the adoption of this resolution it shall 
be in order to consider in the House the bill (H.R. 4281) 
to amend title I of the Employee Retirement Income Secu-
rity Act of 1974 to improve access and choice for entre-
preneurs with small businesses with respect to medical 
care for their employees. The bill shall be considered as 
read for amendment. The previous question shall be con-
sidered as ordered on the bill and on any amendment 
thereto to final passage without intervening motion except: 
(1) one hour of debate on the bill equally divided and con-
HRES 638 RH 
trolled by the chairman and ranking minority member of 
the Committee on Education and the Workforce; (2) the 
amendment in the nature of a substitute printed in part 
B of the report of the Committee on Rules, if offered by 
Representative Kind of Wisconsin or his designee, which 
shall be in order without intervention of any point of 
order, shall be considered as read, and shall be separately 
debatable for one hour equally divided and controlled by 
the proponent and an opponent; and (3) one motion to 
recommit with or without instructions. 
SEC. 4. (a) In the engrossment of H.R. 4279, the 
Clerk shall— 
(1) await the disposition of H.R. 4280 and 
H.R. 4281; 
(2) add the respective texts of H.R. 4280 and 
H.R. 4281, as passed by the House, as new matter 
at the end of H.R. 4279; 
(3) conform the title of H.R. 4279 to reflect the 
addition of the text of H.R. 4280 or H.R. 4281 to 
the engrossment; 
(4) assign appropriate designations to provi-
sions within the engrossment; and 
(5) conform provisions for short titles within 
the engrossment.
HRES 638 RH 
(b) Upon the addition of the text of H.R. 4280 or 
H.R. 4281 to the engrossment of H.R. 4279, H.R. 4280 
or H.R. 4281 (as the case may be) shall be laid on the 
table. 
(c) If H.R. 4279 is disposed of without reaching the 
state of engrossment as contemplated in subsection (a), 
H.R. 4280 shall be treated in the manner specified for 
H.R. 4279 in subsections (a) and (b), and only H.R. 4281 
shall be laid on the table.
House Calendar No. 175 
108TH CONGRESS 
2D SESSION 
H. RES. 638 
[Report No. 108–484] 
RESOLUTION 
Providing for consideration of the bill (H.R. 4279) 
to amend the Internal Revenue Code of 1986 to 
provide for the disposition of unused health bene-
fits in cafeteria plans and flexible spending ar-
rangements; for consideration of the bill (H.R. 
4280) to improve patient access to health care 
services and provide improved medical care by re-
ducing the excessive burden the liability system 
places on the health care delivery system; and for 
consideration of the bill (H.R. 4281) to amend 
title I of the Employee Retirement Income Secu-
rity Act of 1974 to improve access and choice for 
entrepreneurs with small businesses with respect 
to medical care for their employees. 
MAY 11, 2004 
Referred to the House Calendar and ordered to be 
printed