Page:United States Statutes at Large Volume 108 Part 5.djvu/959

 PUBLIC LAW 103-432—OCT. 31, 1994 108 STAT. 4449 (F) in the first sentence of paragraph (2)(A), by striking "by policy number" and inserting "by standard package"; (G) by striking the second sentence of paragraph (2)(A) and inserting the following: "Paragraph (1)(B) shall not apply to a policy until 12 months following issue."; (H) in the last sentence of paragraph (2)(A), by striking "in order" and all that follows through "are effective"; (I) by adding at the end of paragraph (2)(A), the following new sentence: "In the case of a policy issued before the date specified in subsection (p)(l)(C), paragraph (1)(B) shall not apply until 1 year after the date specified in section 171(m)(4) of the Social Security Act Amendments of 1994."; (J) in paragraph (2), by striking "policy year" each place it appears and inserting "calendar year"; (K) in paragraph (4), by striking "February", "disllowance", "loss-ratios" each place it appears, and "lossratio" and inserting "October", "disallowance", "loss ratios", and "loss ratio", respectively; (L) in paragraph (6)(A), by striking "issues a policy in violation of the loss ratio requirements of this subsection" and "such violation" and inserting "fails to provide refunds or credits as required in paragraph (1)(B)" and "policy issued for which such failure occurred", respectively; and (M) in paragraph (6)(B), by striking "to policyholders" and inserting "to the policyholder or, in the case of a group policy, to the certificate holder". (2) Section 1882(b)(1) (42 U.S.C. 1395ss(b)(l)) is amended, in the matter after subparagraph (H), by striking "subsection (F)" and inserting "subparagraph (F)". (3) Section 4355(d) of OBRA-1990 is amended by striking 42 USC I395ss "sold or issued" and all that follows and inserting "issued "°^- or renewed (or otherwise providing coverage after the date described in section 1882(p)(l)(C) of the Social Security Act) on or after the date specified in section 1882(p)(l)(C) of the Social Security Act.". (f) TREATMENT OF HMO'S. — (1) Section 1882(g)(1) (42 U.S.C. 1395ss(g)(l)) is amended by striking "a health maintenance organization or other direct service organization" and all that follows through "1833" and inserting "an eligible organization (as defined in section 1876(b)) if the policy or plan provides benefits pursuant to a contract under section 1876 or an approved demonstration project described in section 603(c) of the Social Security Amendments of 1983, section 2355 of the Deficit Reduction Act of 1984, or section 9412(b) of the Omnibus Budget Reconciliation Act of 1986, or, during the period beginning on the date specified in subsection (p)(l)(C) and ending on December 31, 1995, a policy or plan of an organization if the policy or plan provides benefits pursuant to an agreement under section 1833(a)(1)(A)". (2) Section 4356(b) of OBRA-1990 is amended by striking 42 USC I395ss "on the date of the enactment of this Act" and inserting "on "°*^- the date specified in section 1882(p)(l)(C) of the Social Security Act". (g) PRE-EXISTING CONDITION LIMITATIONS.— Section 1882(s) (42 U.S.C. 1395ss(s)) is amended—

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