A bill to provide health benefits for workers and their families.

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Health Care for Working Families 
Act''.

SEC. 2. FINDINGS.

    Congress finds that--
            (1) every industrialized country in the world except the 
        United States guarantees the fundamental right to health care 
        to all its citizens;
            (2) more than 40,000,000 Americans are without health 
        insurance coverage;
            (3) the number of uninsured Americans is growing;
            (4) the vast majority of uninsured Americans are workers or 
        dependents of workers;
            (5) lack of health insurance is a major cause of poor 
        access to health care, delayed or substandard treatment, and 
        unnecessary death;
            (6) for more than half a century, Congress has enacted laws 
        to ensure that work is appropriately rewarded, including laws 
        establishing a minimum wage and a 40 hour work week, laws 
        ensuring safe and healthy working conditions, and laws 
        requiring employers to contribute to the cost of retirement 
        security through Social Security and Medicare;
            (7) the vast majority of large employers provide health 
        insurance coverage to their employees and the dependents of 
        those employees; and
            (8) the minority of large employers that do not provide 
        such coverage should be expected to assume this social 
        responsibility.

SEC. 3. HEALTH BENEFITS FOR EMPLOYEES AND THEIR FAMILIES.

    (a) In General.--The Fair Labor Standards Act of 1938 (29 U.S.C. 
201 et seq.) is amended by adding at the end thereof the following new 
title:

      ``TITLE II--HEALTH BENEFITS FOR EMPLOYEES AND THEIR FAMILIES

``SEC. 201. HEALTH BENEFITS.

    ``(a) Offer to Enroll.--
            ``(1) In general.--Each large employer, in accordance with 
        this title, shall offer to each of its employees the 
        opportunity to enroll in a qualifying health benefit plan that 
        provides coverage for the employee and the family of the 
        employee.
            ``(2) Qualifying health benefit plan.--For purposes of this 
        title, the term `qualifying health benefit plan' means a plan 
        that provides benefits for health care items and services that 
        are actuarily equivalent or greater in value than the benefits 
        offered as of January 1, 2002 under the Blue Cross/Blue Shield 
        Standard Plan provided under the Federal Employees Health 
        Benefit Program under chapter 89 of title 5, United States 
        Code.
    ``(b) Contribution and Withholding.--
            ``(1) In general.--Each large employer, in accordance with 
        this title, shall--
                    ``(A) contribute to the cost of any qualifying 
                health benefit plan offered to and selected by its 
                employees under subsection (a); and
                    ``(B) withhold from the wages of an employee, the 
                employee share of the premium assessed for coverage 
                under the qualifying health benefit plan (if any) 
                selected by the employee.
            ``(2) Required contribution.--Except as provided in 
        paragraphs (3) and (4), the portion of the total premium to be 
        paid by a large employer under paragraph (1)(A) shall not be 
        less than 75 percent of such total premium.
            ``(3) Part-time employees.--With respect to an employee who 
        works less than 30 hours per week, the employer contribution 
        required under paragraph (2) shall be equal to the product of--
                    ``(A) the contribution required under paragraph 
                (2); and
                    ``(B) the ratio of number of hours worker by the 
                employee in a typical week to 30 hours.
            ``(4) Limitation.--No employer contribution shall be 
        required under this subsection with respect to an employer who 
        works less than 10 hours per week.
    ``(c) Large Employers.--
            ``(1) In general.--The provisions of this title shall only 
        apply to large employers.
            ``(2) Definition.--
                    ``(A) In general.--As used in paragraph (1), the 
                term `large employer' means, with respect to a calendar 
                year and plan year, an employer that employed an 
                average of at least 100 full-time employees on business 
                days during the preceding calendar year and who employs 
                not less than 100 employees on the first day of the 
                plan year.
                    ``(B) Exception.--The provisions of this title 
                shall apply with respect to an employer that is not a 
                large employer under subparagraph (A) if the majority 
                of the services performed by such employer consist of 
                services performed on behalf of a single large 
                employer.
            ``(3) Contract, temporary, and leased workers.--For 
        purposes of this title, a contract, temporary, or leased worker 
        of an employer shall be considered to be an employee of the 
        employer, except that a temporary worker provided by a 
        temporary employment firm shall not be required to be covered 
by a large employer if coverage meeting the standards of this title is 
provided to the worker by the temporary employment firm.

``SEC. 202. REQUIREMENTS RELATING TO TIMING OF COVERAGE AND 
              WITHHOLDING.

    ``(a) Date of Initial Coverage.--In the case of an employee 
enrolled under a qualifying health benefit plan provided by a large 
employer, the coverage under the plan must begin not later than 30 days 
after the day on which the employee first performs an hour of service 
as an employee of that employer.
    ``(b) Withholding Permitted.--No provision of State law shall 
prevent an employer of an employee enrolled under a qualifying health 
benefit plan established under this title from withholding the amount 
of any premium due by the employee from the payroll of the employee.

``SEC. 203. ENFORCEMENT.

    ``(a) Civil Money Penalty Against Private Employers.--The 
provisions of section 502 of the Employee Retirement Income Security 
Act of 1974--
            ``(1) relating to the commencement of civil actions by the 
        Secretary under subsection (a) of such section;
            ``(2) relating to civil money penalties under subsection 
        (c)(2) of such section; and
            ``(3) relating to the procedures for assessing, collecting 
        and the judicial review of such civil money penalties;
shall apply with respect to any large employer that does not comply 
with this title.
    ``(b) Injunctive Relief.--The provisions of section 17 shall apply 
with respect to violations of this title.

``SEC. 204. PREEMPTION.

    ``Nothing in this title shall be construed to prevent a State from 
establishing, implementing, or continuing in effect standards and 
requirements relating to employer provided health insurance coverage 
unless such standards and requirements prevent the application of a 
requirements of this title.

``SEC. 205. DEFINITION AND EFFECTIVE DATE.

    ``(a) Definition.--In this title the terms `family' and `family 
member' mean, with respect to an employee, the spouse and children 
(including adopted children) of the employee and any other individual 
covered by the employer under family plan coverage.
    ``(b) Effective Date.--This title shall apply with respect to 
employers on the first day of the first plan year beginning on or after 
January 1, 2003.''.
    (b) Conforming Amendments.--
            (1) The Fair Labor Standards Act of 1938 is amended by 
        striking out the first section and inserting in lieu thereof 
        the following:

``SECTION 1. SHORT TITLE.

    ``This Act may be cited as the `Fair Labor Standards Act of 1938'.

                     ``TITLE I--WAGES AND HOURS''.

            (2) The Fair Labor Standards Act of 1938 is amended by 
        striking out ``this Act'' each place it occurs and inserting in 
        lieu thereof ``this title''.
            (3) Section 17 of the Fair Labor Standards Act of 1938 (29 
        U.S.C. 217) is amended by inserting ``or violations of title 
        II'' before the period.

SEC. 4. AMENDMENT TO PUBLIC HEALTH SERVICE ACT.

    Title II of the Public Health Service Act (42 U.S.C. 202 et seq.) 
is amended by adding at the end the following:

``SEC. 249. REQUIREMENT FOR HEALTH INSURANCE COVERAGE.

    ``A health insurance issuer (as defined in section 2791(a)) that 
offers health insurance coverage (as defined in section 2791(a)) to an 
employer on behalf of the employees of such employer shall ensure that 
such coverage complies with the requirements of title II of the Fair 
Labor Standards Act of 1938.''.

Summary: Health Care for Working Families Act - Amends the Fair Labor Standards Act of 1938 (FLSA) to establish a new title II, Health Benefits for Employees and Their Families.Requires employers with 100 or more employees (large employers) to: (1) offer employees the opportunity to enroll in a qualifying health benefit plan that provides family coverage; (2) contribute at least 75 percent of the plan premium; and (3) withhold the employee's share from wages. Applies such requirements to smaller employers that perform a majority of their services for a single large employer. Considers contract, leased, and temporary workers as employees. Provides a formula for determining an alternative minimum employer contribution for plan coverage of part-time workers (who work less than 30 but no less than ten hours per week).Requires such qualifying health plans to provide benefits that are actuarially equivalent or greater in value than those under the Blue Cross-Blue Shield Standard Plan under the Federal Employees Health Benefit Program as of January 1, 2002.Amends the Public Health Service Act to require health insurance issuers to ensure that any employee health insurance coverage they offer to employers complies with requirements of title II of FLSA.