Page:United States Statutes at Large Volume 124.djvu/911

 124 STAT. 885 PUBLIC LAW 111–148—MAR. 23, 2010 ‘‘(B) the lawful use, possession, or storage of a firearm or ammunition by an individual. ‘‘(2) LIMITATION ON DATA COLLECTION.—None of the authorities provided to the Secretary under the Patient Protec- tion and Affordable Care Act or an amendment made by that Act shall be construed to authorize or may be used for the collection of any information relating to— ‘‘(A) the lawful ownership or possession of a firearm or ammunition; ‘‘(B) the lawful use of a firearm or ammunition; or ‘‘(C) the lawful storage of a firearm or ammunition. ‘‘(3) LIMITATION ON DATABASES OR DATA BANKS.—None of the authorities provided to the Secretary under the Patient Protection and Affordable Care Act or an amendment made by that Act shall be construed to authorize or may be used to maintain records of individual ownership or possession of a firearm or ammunition. ‘‘(4) LIMITATION ON DETERMINATION OF PREMIUM RATES OR ELIGIBILITY FOR HEALTH INSURANCE.—A premium rate may not be increased, health insurance coverage may not be denied, and a discount, rebate, or reward offered for participation in a wellness program may not be reduced or withheld under any health benefit plan issued pursuant to or in accordance with the Patient Protection and Affordable Care Act or an amendment made by that Act on the basis of, or on reliance upon— ‘‘(A) the lawful ownership or possession of a firearm or ammunition; or ‘‘(B) the lawful use or storage of a firearm or ammuni- tion. ‘‘(5) LIMITATION ON DATA COLLECTION REQUIREMENTS FOR INDIVIDUALS.—No individual shall be required to disclose any information under any data collection activity authorized under the Patient Protection and Affordable Care Act or an amend- ment made by that Act relating to— ‘‘(A) the lawful ownership or possession of a firearm or ammunition; or ‘‘(B) the lawful use, possession, or storage of a firearm or ammunition.’’. (f) Section 2718 of the Public Health Service Act, as added by section 1001(5), is amended to read as follows: ‘‘SEC. 2718. BRINGING DOWN THE COST OF HEALTH CARE COVERAGE. ‘‘(a) CLEAR ACCOUNTING FOR COSTS.—A health insurance issuer offering group or individual health insurance coverage (including a grandfathered health plan) shall, with respect to each plan year, submit to the Secretary a report concerning the ratio of the incurred loss (or incurred claims) plus the loss adjustment expense (or change in contract reserves) to earned premiums. Such report shall include the percentage of total premium revenue, after accounting for collec- tions or receipts for risk adjustment and risk corridors and pay- ments of reinsurance, that such coverage expends— ‘‘(1) on reimbursement for clinical services provided to enrollees under such coverage; ‘‘(2) for activities that improve health care quality; and 42 USC 300gg–18. Reports.