Page:United States Statutes at Large Volume 112 Part 4.djvu/467

 PUBLIC LAW 105-277—OCT. 21, 1998 112 STAT. 2681-438 (c) EFFECTIVE DATES.— 29 USC iissb (1) IN GENERAL.—The amendments made by this section ^°^- shall apply with respect to plan years beginning on or after the date of enactment of this Act. (2) SPECIAL RULE FOR COLLECTIVE BARGAINING AGREE- MENTS. —In the case of a group health plan maintained pursuant to 1 or more collective bargaining agreements between employee representatives and 1 or more employers, any plan amendment made pursuant to a collective bargaining agreement relating to the plan which amends the plan solely to conform to any requirement added by this section shall not be treated as a termination of such collective bargaining agreement. SEC. 903. AMENDMENTS TO THE PUBLIC HEALTH SERVICE ACT. (a) GROUP MARKET. —Subpart 2 of part A of title XXVII of the Public Health Service Act (42 U.S.C. 300gg-4 et seq.) is amended by adding at the end the following new section: " SEC. 2706. REQUIRED COVERAGE FOR RECONSTRUCTIVE SURGERY 42 USC 300GG-6. FOLLOWING MASTECTOMIES. "The provisions of section 713 of the Employee Retirement Income Security Act of 1974 shall apply to group health plans, and health insurance issuers providing health insurance coverage in connection with group hegilth plems, as if included in this subpart.". (b) INDIVIDUAL MARKET.— Subpart 3 of part B of title XXVII of the Public Health Service Act (42 U.S.C. 300gg-51 et seq.) is amended by adding at the end the following new section: " SEC. 2752. REQUIRED COVERAGE FOR RECONSTRUCTIVE SURGERY 42 USC 300gg- FOLLOWING MASTECTOMIES. 52. "The provisions of section 2706 shall apply to health insurance coverage offered by a health insurance issuer in the individual market in the seime manner as they apply to health insurance coverage offered by a health insurance issuer in connection with a group health plan in the small or large group market.". (c) EFFECTIVE DATES.— 42 USC 3oogg-6 (1) GROUP PLANS.— note. (A) IN GENERAL.— The amendment made by subsection (a) shall apply to group health plans for plan years beginning on or after the date of enactment of this Act. (B) SPECIAL RULE FOR COLLECTIVE BARGAINING AGREE- MENTS.— In the case of a group health plan maintained pursuant to 1 or more collective bargaining agreements between employee representatives and 1 or more employ- ers, any plan Eimendment made pursuant to a collective bargaining agreement relating to the plan which amends the plan solely to conform to any requirement added by the amendment made by subsection (a) shall not be treated as a termination of such collective bargaining agreement. (2) INDIVIDUAL PLANS.— The amendment made by sub- 42 USC 300ggsection (b) shall apply with respect to health insurance coverage 52 note. offered, sold, issued, renewed, in effect, or operated in the individual market on or after the date of enactment of this Act.

�