Page:United States Statutes at Large Volume 124.djvu/232

 124 STAT. 206 PUBLIC LAW 111–148—MAR. 23, 2010 days after the receipt of an application from a State under such subsection. (2) EFFECT OF DETERMINATION.— (A) GRANTING OF WAIVERS.—If the Secretary deter- mines to grant a waiver under subsection (a)(1), the Sec- retary shall notify the State involved of such determination and the terms and effectiveness of such waiver. (B) DENIAL OF WAIVER.—If the Secretary determines a waiver should not be granted under subsection (a)(1), the Secretary shall notify the State involved, and the appro- priate committees of Congress of such determination and the reasons therefore. (e) TERM OF WAIVER.—No waiver under this section may extend over a period of longer than 5 years unless the State requests continuation of such waiver, and such request shall be deemed granted unless the Secretary, within 90 days after the date of its submission to the Secretary, either denies such request in writing or informs the State in writing with respect to any addi- tional information which is needed in order to make a final deter- mination with respect to the request. SEC. 1333. PROVISIONS RELATING TO OFFERING OF PLANS IN MORE THAN ONE STATE. (a) HEALTH CARE CHOICE COMPACTS.— (1) IN GENERAL.—Not later than July 1, 2013, the Secretary shall, in consultation with the National Association of Insurance Commissioners, issue regulations for the creation of health care choice compacts under which 2 or more States may enter into an agreement under which— (A) 1 or more qualified health plans could be offered in the individual markets in all such States but, except as provided in subparagraph (B), only be subject to the laws and regulations of the State in which the plan was written or issued; (B) the issuer of any qualified health plan to which the compact applies— (i) would continue to be subject to market conduct, unfair trade practices, network adequacy, and con- sumer protection standards (including standards relating to rating), including addressing disputes as to the performance of the contract, of the State in which the purchaser resides; (ii) would be required to be licensed in each State in which it offers the plan under the compact or to submit to the jurisdiction of each such State with regard to the standards described in clause (i) (including allowing access to records as if the insurer were licensed in the State); and (iii) must clearly notify consumers that the policy may not be subject to all the laws and regulations of the State in which the purchaser resides. (2) STATE AUTHORITY.—A State may not enter into an agreement under this subsection unless the State enacts a law after the date of the enactment of this title that specifically authorizes the State to enter into such agreements. (3) APPROVAL OF COMPACTS.—The Secretary may approve interstate health care choice compacts under paragraph (1) Notification. Deadline. Regulations. 42 USC 18053. Deadline. Notification. Notification.