guidelines and recommendations relating to the coverage 
of women’s preventive services (such as mammograms and 
cervical cancer screenings). The plan administrator shall 
disclose such guidelines and recommendations to enrollees 
as part of a summary of benefits and coverage provided 
to enrollees.’’. 
(2) 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: 
‘‘SEC. 2747. DETERMINATIONS OF COVERAGE OF PREVEN-
TIVE ITEMS AND SERVICES. 
‘‘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.’’. 
(b) AMENDMENTS TO ERISA.— 
(1) IN GENERAL.—Subpart B of part 7 of title 
I of the Employee Retirement Income Security Act 
of 1974 (as amended by section 2) is amended by 
adding at the end the following: 
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‘‘SEC. 716. 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 
guidelines and recommendations relating to the coverage 
of women’s preventive services (such as mammograms and 
cervical cancer screenings). The plan administrator of the 
group health plan shall disclose such guidelines and rec-
ommendations to participants and beneficiaries as part of 
the summary plan description required to be provided 
under section 102, and any failure to so disclose such 
guidelines and recommendations shall be treated as a vio-
lation of section 102.’’. 
(2) CLERICAL AMENDMENT.—The table of con-
tents in section 1 of such Act (as amended by sec-
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tion 2) is amended by inserting after the item relat-
ing to section 715 the following new item: 
‘‘Sec. 716. Determinations of coverage of preventive items and services.’’. 
(c) AMENDMENTS TO INTERNAL REVENUE CODE.— 
(1) IN
GENERAL.—Subchapter B of chapter 
100 of the Internal Revenue Code of 1986 (as 
amended by section 2) is amended by adding at the 
end the following: 
‘‘SEC. 9814. DETERMINATIONS OF COVERAGE OF PREVEN-
TIVE ITEMS AND SERVICES. 
‘‘The plan sponsor of a group health plan shall, in 
determining which preventive items and services to provide 
coverage for under the plan, consult the medical guidelines 
and recommendations of relevant professional medical or-
ganizations of relevant medical practice areas (such as the 
American Society of Clinical Oncology, the American Col-
lege of Surgeons, the American College of Radiology, the 
Society of Breast Imaging, the American College of Radi-
ation Oncology, the American College of Obstetricians and 
Gynecologists, and other similar organizations), including 
guidelines and recommendations relating to the coverage 
of women’s preventive services (such as mammograms and 
cervical cancer screenings). The plan administrator shall 
disclose such guidelines and recommendations to partici-
pants and beneficiaries as part of a summary of benefits 
and coverage provided to participants and beneficiaries.’’. 
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(2) CLERICAL AMENDMENT.—The table of sec-
tions 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. Determinations of coverage of preventive items and services.’’. 
(d) EFFECTIVE DATE.—The amendments made by 
subsections (a)(1), (b), and (c) of this section shall apply 
with respect to plan years beginning on or after the date 
of the enactment of this Act. The amendment made by 
subsection (a)(2) of this section applies with respect to 
health insurance coverage offered, sold, issued, renewed, 
in effect, or operated in the individual market on or after 
such date. 
Æ 
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