167 
TITLE IX—CONFORMING AMEND-
MENTS TO THE EMPLOYEE 
RETIREMENT INCOME SECU-
RITY ACT OF 1974 
SEC. 901. ERISA INAPPLICABLE TO HEALTH COVERAGE AR-
RANGEMENTS UNDER STATE HEALTH SECU-
RITY PROGRAMS. 
Section 4 of the Employee Retirement Income Secu-
rity Act of 1974 (29 U.S.C. 1003) is amended— 
(1) in subsection (a), by striking ‘‘(b) or (c)’’ 
and inserting ‘‘(b), (c), or (d)’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘(d) The provisions of this title shall not apply to 
any arrangement forming a part of a State health security 
program established pursuant to section 101(b) of the 
American Health Security Act of 2009.’’. 
SEC. 902. EXEMPTION OF STATE HEALTH SECURITY PRO-
GRAMS FROM ERISA PREEMPTION. 
Section 514(b) of the Employee Retirement Income 
Security Act of 1974 (29 U.S.C. 1144(b)) (as amended 
by sections 904(b)(3)(B) and 1002(b) of this Act) is 
amended by adding at the end the following new para-
graph: 
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168 
‘‘(8) Subsection (a) of this section shall not apply to 
State health security programs established pursuant to 
section 101(b) of the American Health Security Act of 
2009.’’. 
SEC. 903. PROHIBITION OF EMPLOYEE BENEFITS DUPLICA-
TIVE OF BENEFITS UNDER STATE HEALTH 
SECURITY 
PROGRAMS; 
COORDINATION 
IN 
CASE OF WORKERS’ COMPENSATION. 
(a) IN GENERAL.—Part 5 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: 
‘‘PROHIBITION OF EMPLOYEE BENEFITS DUPLICATIVE OF 
STATE HEALTH SECURITY PROGRAM BENEFITS; CO-
ORDINATION IN CASE OF WORKERS’ COMPENSATION 
‘‘SEC. 519. (a) Subject to subsection (b), no employee 
benefit plan may provide benefits which duplicate payment 
for any items or services for which payment may be made 
under a State health security program established pursu-
ant to section 101(b) of the American Health Security Act 
of 2009. 
‘‘(b)(1) Each workers compensation carrier that is 
liable for payment for workers compensation services fur-
nished in a State shall reimburse the State health security 
plan for the State in which the services are furnished for 
the cost of such services. 
‘‘(2) In this subsection: 
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169 
‘‘(A) The term ‘workers compensation carrier’ 
means an insurance company that underwrites work-
ers compensation medical benefits with respect to 1 
or more employers and includes an employer or fund 
that is financially at risk for the provision of work-
ers compensation medical benefits. 
‘‘(B) The term ‘workers compensation medical 
benefits’ means, with respect to an enrollee who is 
an employee subject to the workers compensation 
laws of a State, the comprehensive medical benefits 
for work-related injuries and illnesses provided for 
under such laws with respect to such an employee. 
‘‘(C) The term ‘workers compensation services’ 
means items and services included in workers com-
pensation medical benefits and includes items and 
services (including rehabilitation services and long- 
term-care services) commonly used for treatment of 
work-related injuries and illnesses.’’. 
(b) CONFORMING AMENDMENT.—Section 4(b) of 
such Act (29 U.S.C. 1003(b)) is amended by adding at 
the end the following: ‘‘Paragraph (3) shall apply subject 
to section 519(b) (relating to reimbursement of State 
health security plans by workers compensation carriers).’’. 
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170 
(c) CLERICAL AMENDMENT.—The table of contents 
in section 1 of such Act is amended by inserting after the 
item relating to section 518 the following new items: 
‘‘Sec. 519. Prohibition of employee benefits duplicative of state health security 
program benefits; coordination in case of workers’ compensa-
tion.’’. 
SEC. 904. REPEAL OF CONTINUATION COVERAGE REQUIRE-
MENTS UNDER ERISA AND CERTAIN OTHER 
REQUIREMENTS 
RELATING 
TO 
GROUP 
HEALTH PLANS. 
(a) IN GENERAL.—Part 6 of subtitle B of title I of 
the Employee Retirement Income Security Act of 1974 
(29 U.S.C. 1161 et seq.) is repealed. 
(b) CONFORMING AMENDMENTS.— 
(1) Section 502(a) of such Act (29 U.S.C. 
1132(a)) is amended— 
(A) by striking paragraph (7); and 
(B) by redesignating paragraphs (8), (9), 
and (10) as paragraphs (7), (8), and (9), re-
spectively. 
(2) Section 502(c)(1) of such Act (29 U.S.C. 
1132(c)(1)) is amended by striking ‘‘paragraph (1) 
or (4) of section 606,’’. 
(3) Section 514(b) of such Act (29 U.S.C. 
1144(b)) is amended— 
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