Small Business Health Fairness Act of 2003

Bill: 108-hr-660
Sponsor: Rep. Fletcher, Ernie [R-KY-6]
Introduced: 2003-02-11 in the House
Policy area: Health
Subjects: Administrative fees
Administrative procedure
Bankruptcy
Civil Rights and Liberties, Minority Issues
Collective bargaining
Commerce
Congress
Congressional reporting requirements
Crime and Law Enforcement
Delegation of powers
Department of Labor
Discrimination in insurance
Discrimination in medical care
Economics and Public Finance
Employee health benefits
Federal advisory bodies
Federal preemption
Federal-state relations
Finance and Financial Sector
Fines (Penalties)
Flexible benefit plans
Franchises (Retail trade)
Government Operations and Politics
Government paperwork
Government trust funds
Health care fraud
Health insurance
Injunctions
Insurance
Insurance agents
Insurance premiums
Labor and Employment
Labor contracts
Labor unions
Law
Licenses
Medical economics
Medically uninsured
Professional associations
Small business
Standards
State laws
State taxation
Surety and fidelity
Tax rates
Taxation
Trade associations
Trusts and trustees
Valuation

Summary:
action_date: 2003-02-11
text: Small Business Health Fairness Act of 2003 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to revise provisions relating to access and choice for small business employers with respect to medical care for their employees.
Establishes rules governing association health plans (group health plans whose sponsors are trade, industry, professional, chamber of commerce, or similar business associations), including requirements relating to certification, sponsors and boards of trustees, participation, coverage, plan documents, contribution rates, benefit options, applications for certification, notice for voluntary termination, corrective actions, and mandatory termination.
Requires association health plans which provide health benefits in addition to health insurance coverage to maintain certain reserves and comply with other solvency provisions. Directs the Secretary of Labor to apply for appointment, and carry out specified duties, as trustee of any such insolvent association health plans which provide health benefits in addition to health insurance coverage.
Allows a State to impose a contribution tax on any association health plan commencing operations in such State after the enactment of this Act.
Requires association health plans to include in their summary plan descriptions, in connection with each benefit option, a description of the form of any solvency or guarantee fund protection secured under ERISA or applicable State law.
Revises provisions relating to treatment of: (1) single employer arrangements; and (2) certain collectively bargained arrangements.
Provides for association health plans with respect to: (1) enforcement; (2) cooperation between Federal and State authorities; and (3) treatment of certain existing health benefit programs.
action_date: 2003-06-16
text: Small Business Health Fairness Act of 2003 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide for establishment and governance of association health plans (AHPs), which are group health plans whose sponsors are trade, industry, professional, chamber of commerce, or similar business associations, and which meet certain ERISA certification requirements. (Thus, through ERISA preemption of State laws, certified AHPs are exempted from State regulation of health insurance providers, including State consumer protection laws and State requirements for health care benefits to be offered by such entities, with certain exceptions.)
(Sec. 2) Establishes rules governing AHPs, including requirements relating to certification, sponsors and boards of trustees, participation and coverage, nondiscrimination, plan documents, contribution rates, benefit options, applications for certification, notice of voluntary termination, corrective actions, and mandatory termination.
Requires AHPs which provide health benefits in addition to health insurance coverage to maintain certain reserves and comply with other solvency provisions.
Directs the Secretary of Labor to apply for appointment, and carry out specified duties, as trustee of any such insolvent AHPs which provide health benefits in addition to health insurance coverage.
Allows a State to impose a contribution tax on any AHP commencing operations in such State after the enactment of this Act. Sets forth limits on such tax, including reduction by the amount of any tax or assessment otherwise imposed by the State on specified other insurance related items maintained by the AHP.
Requires AHPs to include in their summary plan descriptions, in connection with each benefit option, a description of the form of any solvency or guarantee fund protection secured under ERISA or applicable State law.
Allows a certified AHP to exist in a State regardless of any State law that would preclude it.
Preempts State requirements for benefits to be offered by AHPs; but allows a State in which an AHP is domiciled to require the domiciled AHP to cover particular types of diseases and conditions. Allows health insurance issuers to offer coverage of the same policy type offered in connection with a particular AHP to eligible employers, regardless of whether such employers are members of the particular association and regardless of State law. Deems health insurance coverage policy forms filed and approved in a particular State in connection with an insurer's offering under an AHP as approved in any other State in which such coverage is offered when the insurer provides a complete filing in the same form and manner to the authority in the other State.
Makes inapplicable to certified AHPs certain current ERISA provisions which allow State regulation of multiple employer welfare arrangements (MEWAs). Revises ERISA preemption rules to permit State regulation of self-insured MEWAs providing medical care which do not elect to meet the certification requirements for AHPs.
Directs the Secretary to report to specified congressional committees by January 1, 2008, on the effect, if any, AHPs have had on the number of uninsured individuals.
(Sec. 3) Revises requirements for treatment of single employer arrangements. Allows two or more trades or businesses to be deemed a single employer if they are in the same control group offering medical care benefits, under specified conditions.
(Sec. 4) Provides for enforcement of AHP requirements, including criminal penalties for certain willful misrepresentations, issuance of cease and desist orders, and the responsibility of AHP boards of trustees for certain claims procedures.
(Sec. 5) Directs the Secretary, regarding the exercise of authority, to consult only with the recognized primary domicile State for an AHP.
(Sec. 6) Provides for transitional and other rules relating to treatment of certain existing health benefit programs.
action_date: 2003-06-19
text: 
(This measure has not been amended since it was reported to the House on June 16, 2003. The summary of that version is repeated here.)

Small Business Health Fairness Act of 2003 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide for establishment and governance of association health plans (AHPs), which are group health plans whose sponsors are trade, industry, professional, chamber of commerce, or similar business associations, and which meet certain ERISA certification requirements. (Thus, through ERISA preemption of State laws, certified AHPs are exempted from State regulation of health insurance providers, including State consumer protection laws and State requirements for health care benefits to be offered by such entities, with certain exceptions.)
(Sec. 2) Establishes rules governing AHPs, including requirements relating to certification, sponsors and boards of trustees, participation and coverage, nondiscrimination, plan documents, contribution rates, benefit options, applications for certification, notice of voluntary termination, corrective actions, and mandatory termination.
Requires AHPs which provide health benefits in addition to health insurance coverage to maintain certain reserves and comply with other solvency provisions.
Directs the Secretary of Labor to apply for appointment, and carry out specified duties, as trustee of any such insolvent AHPs which provide health benefits in addition to health insurance coverage.
Allows a State to impose a contribution tax on any AHP commencing operations in such State after the enactment of this Act. Sets forth limits on such tax, including reduction by the amount of any tax or assessment otherwise imposed by the State on specified other insurance related items maintained by the AHP.
Requires AHPs to include in their summary plan descriptions, in connection with each benefit option, a description of the form of any solvency or guarantee fund protection secured under ERISA or applicable State law.
Allows a certified AHP to exist in a State regardless of any State law that would preclude it.
Preempts State requirements for benefits to be offered by AHPs; but allows a State in which an AHP is domiciled to require the domiciled AHP to cover particular types of diseases and conditions. Allows health insurance issuers to offer coverage of the same policy type offered in connection with a particular AHP to eligible employers, regardless of whether such employers are members of the particular association and regardless of State law. Deems health insurance coverage policy forms filed and approved in a particular State in connection with an insurer's offering under an AHP as approved in any other State in which such coverage is offered when the insurer provides a complete filing in the same form and manner to the authority in the other State.
Makes inapplicable to certified AHPs certain current ERISA provisions which allow State regulation of multiple employer welfare arrangements (MEWAs). Revises ERISA preemption rules to permit State regulation of self-insured MEWAs providing medical care which do not elect to meet the certification requirements for AHPs.
Directs the Secretary to report to specified congressional committees by January 1, 2008, on the effect, if any, AHPs have had on the number of uninsured individuals.
(Sec. 3) Revises requirements for treatment of single employer arrangements. Allows two or more trades or businesses to be deemed a single employer if they are in the same control group offering medical care benefits, under specified conditions.
(Sec. 4) Provides for enforcement of AHP requirements, including criminal penalties for certain willful misrepresentations, issuance of cease and desist orders, and the responsibility of AHP boards of trustees for certain claims procedures.
(Sec. 5) Directs the Secretary, regarding the exercise of authority, to consult only with the recognized primary domicile State for an AHP.
(Sec. 6) Provides for transitional and other rules relating to treatment of certain existing health benefit programs.

Legislative actions:
action_date: 2003-06-20
text: Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
action_date: 2003-06-19
text: Motion to reconsider laid on the table Agreed to without objection.
action_date: 2003-06-19
text: On passage Passed by recorded vote: 262 - 162 (Roll no. 296). (text: CR H5598-5604)
action_date: 2003-06-19
text: Passed/agreed to in House: On passage Passed by recorded vote: 262 - 162 (Roll no. 296).(text: CR H5598-5604)
action_date: 2003-06-19
text: On motion to recommit with instructions Failed by recorded vote: 192 - 230 (Roll no. 295).
action_date: 2003-06-19
text: The previous question on the motion to recommit with instructions was ordered without objection.
action_date: 2003-06-19
text: Floor summary: DEBATE - The House proceeded with ten minutes of debate on the McCarthy (NY) motion to recommit with instructions.
action_date: 2003-06-19
text: Mrs. McCarthy (NY) moved to recommit with instructions to Education and Labor. (consideration: CR H5636-5637; text: CR H5636)
action_date: 2003-06-19
text: DEBATE - Pursuant to the provsions of H. Res. 283, the House proceeded with one hour of debate on the Kind amendment in the nature of a substitute.
action_date: 2003-06-19
text: DEBATE - The House proceeded with one hour of debate on H.R. 660.
action_date: 2003-06-19
text: Rule provides for consideration of H.R. 660 with 1 hour of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit with or without instructions. The amendment recommended by the Committee on Education and the Workforce now printed in the bill shall be considered as adopted. Measure will be considered read. A specified amendment is in order.
action_date: 2003-06-19
text: Considered under the provisions of rule H. Res. 283. (consideration: CR H5597-5638; text of measure as reported: CR H5598-5604)
action_date: 2003-06-19
text: Rule H. Res. 283 passed House.
action_date: 2003-06-18
text: Rules Committee Resolution H. Res. 283 Reported to House. Rule provides for consideration of H.R. 660 with 1 hour of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit with or without instructions. The amendment recommended by the Committee on Education and the Workforce now printed in the bill shall be considered as adopted. Measure will be considered read. A specified amendment is in order.
action_date: 2003-06-16
text: Placed on the Union Calendar, Calendar No. 78.
action_date: 2003-06-16
text: Reported (Amended) by the Committee on Education and the Workforce. H. Rept. 108-156.
action_date: 2003-06-16
text: Reported (Amended) by the Committee on Education and the Workforce. H. Rept. 108-156.
action_date: 2003-06-12
text: Ordered to be Reported (Amended) by the Yeas and Nays: 26 - 21.
action_date: 2003-06-12
text: Committee Consideration and Mark-up Session Held.
action_date: 2003-04-08
text: Forwarded by Subcommittee to Full Committee (Amended) by the Yeas and Nays: 13 - 8.
action_date: 2003-04-08
text: Subcommittee Consideration and Mark-up Session Held.
action_date: 2003-03-13
text: Subcommittee Hearings Held.
action_date: 2003-03-13
text: Referred to the Subcommittee on Employer-Employee Relations.
action_date: 2003-02-11
text: Referred to the House Committee on Education and the Workforce.
action_date: 2003-02-11
text: Introduced in House
action_date: 2003-02-11
text: Introduced in House