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42 U.S.C. § 300gg–62Preemption and application

submitted 82 years ago by Pub. L. 104-191 to r/title-42-THE-PUBLIC-HEALTH-AND-WELFARE · 203 words · no verdicts yet

in plain englishAI-generated · not legal advice

States can keep their own insurance standards unless those standards block a federal requirement in this part. Nothing here overrides ERISA, and states aren't forced to require specific benefits, except for the mothers-and-newborns rule. Part A's rules apply to individual-market insurers, and if this part conflicts with part A, part A wins.

(a) In general: Subject to subsection (b), nothing in this part (or in part C, to the extent part C applies to this part) stops a state from creating, keeping, or continuing its own insurance standards and requirements — unless those standards or requirements would block a requirement of this part from applying. (b) Rules of construction (1) Nothing in this part (or part C, to the extent it applies to this part) is to be read as changing or affecting section 1144 of title 29 — ERISA's preemption provision. (2) Except for section 300gg–51 (the mothers-and-newborns rule), nothing in this part requires individual-market health coverage to include specific benefits. (c) Application of part A provisions (1) In general: Part A's provisions apply to insurers offering individual-market health coverage in a state, in the way part A itself provides. (2) Clarification: If a provision of this part conflicts with a provision of part A regarding insurers offering individual-market coverage in a state, part A's provision controls.
the actual law source: uscode.house.gov ↗public domain
(a) In general

Subject to subsection (b), nothing in this part (or part C insofar as it applies to this part) shall be construed to prevent a State from establishing, implementing, or continuing in effect standards and requirements unless such standards and requirements prevent the application of a requirement of this part.

(b) Rules of construction
(1)

Nothing in this part (or part C insofar as it applies to this part) shall be construed to affect or modify the provisions of section 1144 of title 29.

(2)

Nothing in this part (other than section 300gg–51 of this title) shall be construed as requiring health insurance coverage offered in the individual market to provide specific benefits under the terms of such coverage.

(c) Application of part A provisions
(1) In general

The provisions of part A shall apply to health insurance issuers providing health insurance coverage in the individual market in a State as provided for in such part.

(2) Clarification

To the extent that any provision of this part conflicts with a provision of part A with respect to health insurance issuers providing health insurance coverage in the individual market in a State, the provisions of such part A shall apply.

Source credit: (July 1, 1944, ch. 373, title XXVII, § 2762, formerly § 2746, as added Pub. L. 104–191, title I, § 111(a), Aug. 21, 1996, 110 Stat. 1987; renumbered § 2762 and amended, Pub. L. 104–204, title VI, § 605(a)(2), (b)(3), Sept. 26, 1996, 110 Stat. 2941, 2942; Pub. L. 111–148, title I, § 1563(c)(15), formerly § 1562(c)(15), title X, § 10107(b)(1), Mar. 23, 2010, 124 Stat. 269, 911.)

history & why it existsrecord from the source credit
  • 1944Enacted · Pub. L. 104-191 · 110 Stat. 1987
  • 1996Amended · Pub. L. 104-204 · 110 Stat. 2941, 2942
  • 2010Amended · Pub. L. 111-148 · 124 Stat. 269, 911

A history note hasn’t been published yet. The record shows enactment by Pub. L. 104-191 on 1944-07-01.

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