Sec. 203. Effective date and transitional and other rules
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/bill/113/hr/3165/ih/section-203A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
The amendments made by this subtitle shall take effect 12 months after the date of the enactment of this Act. The Secretary of Labor shall first issue all regulations necessary to carry out the amendments made by this subtitle within 6 months after the date of the enactment of this Act. In any case in which, as of the date of the enactment of this Act, an arrangement is maintained in a State for the purpose of providing benefits consisting of medical care for the employees and beneficiaries of its participating employers, at least 200 participating employers make contributions to such arrangement, such arrangement has been in existence for at least 10 years, and such arrangement is licensed under the laws of one or more States to provide such benefits to its participating employers, upon the filing with the applicable authority (as defined in section 808(a)(2) of the Employee Retirement Income Security Act of 1974 (as amended by this subtitle)) by the arrangement of an application for certification of the arrangement under part 8 of subtitle B of title I of such Act— such arrangement shall be deemed to be a group health plan for purposes of title I of such Act; the requirements of sections 801(a) and 803(a) of the Employee Retirement Income Security Act of 1974 shall be deemed met with respect to such arrangement; the requirements of section 803(b) of such Act shall be deemed met, if the arrangement is operated by a board of trustees which has control over the arrangement; the requirements of section 804(a) of such Act shall be deemed met with respect to such arrangement; and the arrangement may be certified by any applicable authority with respect to its operations in any State only if it operates in such State on the date of certification.
The provisions of this subsection shall cease to apply with respect to any such arrangement at such time after the date of the enactment of this Act as the applicable requirements of this subsection are not met with respect to such arrangement or at such time that the arrangement provides coverage to participants and beneficiaries in any State other than the States in which coverage is provided on such date of enactment. For purposes of this subsection, the terms group health plan , medical care , and participating employer shall have the meanings provided in section 808 of the Employee Retirement Income Security Act of 1974 , except that the reference in paragraph
(7)of such section to an small business health plan shall be deemed a reference to an arrangement referred to in this subsection.