,i #aacth ,,congress #ast ,session ,h4 ,r4 #bdbe ,,in ,,the ,,house ,,of ,,representatives ,june #ah1 #bjac ,mr4 ,tierney 7for himself1 ,mr4 ,george ,miller of ,california1 ,mr4 ,andrews1 and ,mr4 ,jones7 introduced the following bill2 which was referred to the ,committee on ,education and the ,workforce ,a ,,bill ,to amend title ,i of the ,employee ,retirement ,income ,security ,act of #aigd to provide protection for company-provided retiree health benefits4 #a4 ,short title ,this ,act may be cited as the ,earned ,retiree ,healthcare ,benefits ,protection ,act of #bjac4 #b4 ,findings and purposes 7a7 ,findings ,the ,congress finds the following3 7#a7 ,retired participants of group health plans regulated by the ,employee ,retirement ,income ,security ,act of #aigd 7,,erisa7 have been severely harmed by the virtually unchecked practices of sponsors of such plans involving the post-retirement cancellation or reduction of earned health benefits contrary to assurances retirees received prior to retirement that such benefits would be with them for life4 7#b7 ,such widespread post-retirement reductions in retiree health benefits has led to a crisis in retiree health care in which retirees-- 7,a7 have been unable to substitute individual coverage for the group coverage they lost1 or1 in order to obtain individual coverage1 have jeopardized their economic security in retirement2 7,b7 because of preexisting medical conditions cannot obtain substitute coverage that they can afford without depleting their life savings or have been unable to obtain adequate medical care or medical care they had relied on to deal with serious illness2 7,c7 have sustained catastrophic illnesses or injuries or otherwise experienced a marked deterioration in their medical conditions or health as a result of post-retirement changes to their medical benefits2 7,d7 have been transferred indiscriminately into improperly or inadequately managed health maintenance organizations or other managed care entities1 resulting in the worsening rather than improvement of prior medical conditions2 and 7,e7 in many instances1 have failed to obtain adequate relief in the courts due to highly restrictive judicial interpretations which are inconsistent with ,,erisa's underlying protective purposes4 7#c7 ,the crisis in retiree healthcare generated by the plan sponsor practice of post-retirement cancellations or reductions of previously promised earned retiree health benefits has led to a widespread loss of confidence in the integrity of ,,erisa-regulated group health plans and the ability of ,,erisa itself to adequately protect retiree health benefits4 7#d7 ,a strong and dependable private sector retiree health system is a necessary component to the essential health of our ,nation's senior citizens4 7b7 ,purposes 7#a7 ,in general ,the purposes of this ,act are to ensure that the reasonable health benefit expectations of retirees from ,,erisa-regulated group health plans are fulfilled1 to minimize the incidence of prolonged legal disputes arising out of the post-retirement cancellation or reduction of earned retiree health benefits from such plans1 and to prevent further adverse effects on retiree health arising from such post-retirement changes4 7#b7 ,future safeguards and enforceable obligations ,to carry out the purposes described in paragraph 7#a73 7,a7 ,the provisions of this ,act safeguard retired participants of group health plans subject to ,,erisa from loss or reduction of their health benefits from such plans by barring plan sponsors from canceling or reducing such benefits after the dates such participants retire and when they no longer are able to absorb such losses or reductions without experiencing adverse effects on their health or finances4 7,b7 ,the provisions of this ,act also establish an enforceable obligation on the part of sponsors of such group health plans to restore health benefits previously taken away from retired participants of such plans to the extent such benefits were cancelled or altered after the dates such participants retired4 ,the obligation is limited to restoring healthcare benefits only back to specified levels1 and the obligation does not apply if the plan sponsor would sustain substantial business hardship by restoring such benefits4 #c4 ,retiree health benefit protections in group health plans 7a7 ,in general ,subtitle ,b of title ,i of the ,employee ,retirement ,income ,security ,act of #aigd is amended by adding at the end the following new part3 #h ,emergency retiree health benefit protections #hja4 ,prohibition against post-retirement reductions of retiree health benefits by group health plans 7a7 ,in general ,notwithstanding that a group health plan described in subsection 7b7 may contain a provision reserving the general power to amend or terminate the plan or a provision specifically authorizing the plan to make post-retirement reductions in retiree health benefits1 the benefits provided to a retired participant or his or her beneficiary under the terms of the plan may not be reduced1 whether through amendment or otherwise1 if such reduction of benefits occurs after the date the participant has retired for purposes of the plan and reduces benefits that were provided to the participant1 or his or her beneficiary1 as of the date the participant retired4 ,any group health plan provision which is purported to authorize the reduction of benefits in a manner inconsistent with the preceding sentence shall be void as against public policy4 7b7 ,group health plan ,for purposes of this part1 the term group health plan has the same meaning as in section #fjg7a74 7c7 ,prohibited reduction of benefits ,for purposes of this part1 any reference to a reduction of benefits shall be construed to be a reference to any amendment to a group health plan1 or to any other action1 which has the effect of-- 7#a7 canceling1 decreasing1 or limiting the amount1 type1 or form of any benefit or option provided prior to the amendment or action2 7#b7 imposing or increasing out-of-pocket costs that a retired participant1 or his or her beneficiary1 must pay in order for benefits that were provided under the plan to the participant or beneficiary prior to the amendment or action to be provided to the participant or beneficiary after the amendment or action2 or 7#c7 modifying the manner by which medical services are delivered under the plan so that after the amendment or action a retired participant1 or his or her beneficiary1 has less ready access to the delivery of any such medical services than the participant or beneficiary had prior to the amendment or action4 7d7 ,treatment of plan termination 7#a7 ,in general ,subject to paragraph 7#b71 a termination of a group health plan shall be treated as a reduction in benefits prohibited under subsection 7a7 if1 after the termination1 the plan sponsor of the terminated plan fails to continue to provide to the participants who retired prior to the termination and to their beneficiaries the same retiree health benefits that were provided prior to the termination4 7#b7 ,waiver ,paragraph 7#a7 shall not apply in the case of the termination of a group health plan if the ,secretary issues a waiver under this paragraph in connection with such termination4 ,the ,secretary shall issue such a waiver if and only if the plan sponsor demonstrates to the satisfaction of the ,secretary1 in accordance with regulations prescribed by the ,secretary1 that such plan sponsor will be unable to continue in business unless such a waiver is issued4 #hjb4 ,adoption by group health plans of provision barring post-retirement reductions in retiree health benefits ,each group health plan which provides1 as of the date of a participant's retirement under the plan1 benefits after such date with respect to such participant or his or her beneficiaries shall contain a provision which expressly bars any reduction in such benefits after such date1 either under the terms of the plan or by any fiduciary of the plan4 #hjc4 ,restoration by group health plans of benefits reduced after retirement 7a7 ,in general ,the plan sponsor of each group health plan shall provide1 in accordance with this section1 benefit restoration under this section to each retired participant that meets the following requirements3 7#a7 ,the retired participant is entitled to benefit coverage under the plan as of the date of the enactment of the ,earned ,retiree ,healthcare ,benefits ,protection ,act of #bjac4 7#b7 ,the participant retired under the plan before the date of the enactment of such ,act1 and a reduction in benefits1 with respect to any benefit or option provided to the retired participant under the plan as of the date the participant retired1 took effect after the participant's date of retirement and before the date of the enactment of such ,act4 7#c7 ,the retired participant has elected to restore benefits under the plan within the restoration period prescribed pursuant to subsection 7b7 and in accordance with such procedures as may be established under the plan pursuant to regulations of the ,secretary4 7b7 ,restoration period ,for purposes of this section1 the term restoration period means a period which shall be prescribed by the ,secretary and which-- 7#a7 begins not later than #a year after the date of the enactment of the ,earned ,retiree ,healthcare ,benefits ,protection ,act of #bjac2 7#b7 ends before the end of the #b-year period beginning with such date1 or such longer period as may result from a suspension of such #b-year period by the ,secretary pursuant to section #hjd7;g72 and 7#c7 is of no less than #fj days duration4 7c7 ,applicable standards for restoration of benefits 7#a7 ,in general ,for purposes of this section1 reduced benefits shall be deemed restored under this section-- 7,a7 in the case of a participant who retired under the plan before the plan year beginning with or during #aiia1 if the benefits which were subjected to reduction are restored to the level of such benefits which was in effect for the plan year beginning with or during #aiia2 and 7,b7 in the case of a participant who retired under the plan after the plan year beginning with or during #aiij and before the date of the enactment of the ,earned ,retiree ,healthcare ,benefits ,protection ,act of #bjac1 if the benefits which were subjected to reduction are restored to the level of such benefits which was in effect immediately prior to the reduction4 7#b7 ,level of benefits ,for purposes of paragraph 7#a71 restoration of benefits to a level required under paragraph 7#a7 occurs if-- 7,a7 any cancellation1 decrease1 or limitation with respect to the amount1 type1 or form of any benefit or option which resulted in the reduction in benefits is rescinded or lessened so as to result in the amount1 type1 and form of benefits in effect for the plan year beginning with or during #aiia 7in the case of a participant described in paragraph 7#a77;,a77 or as of immediately prior to the reduction 7in the case of a participant described in paragraph 7#a77;,b772 7,b7 any imposition or increase in out-of-pocket costs that the participant1 or his or her beneficiary1 must pay which resulted in the reduction in benefits is rescinded or lessened so as to result in the level of out-of-pocket costs in effect for the plan year beginning with or during #aiia 7in the case of a participant described in paragraph 7#a77;,a77 or as of immediately prior to the reduction 7in the case of a participant described in paragraph 7#a77;,b772 and 7,c7 any modification in the manner by which medical services are delivered under the plan which resulted in the reduction in benefits is rescinded or amended so as to result in a manner by which medical services are delivered under the plan which is substantially equivalent to the manner by which medical services are delivered in effect for the plan year beginning with or during #aiia 7in the case of a participant described in paragraph 7#a77;,a77 or as of immediately prior to the reduction 7in the case of a participant described in paragraph 7#a77;,b774 7d7 ,exception for certain plans ,in accordance with regulations prescribed by the ,secretary1 in the case of any group health plan which has less than #ajj participants as of the date of the enactment of the ,earned ,retiree ,healthcare ,benefits ,protection ,act of #bjac1 subsection 7a7 shall apply to such plan only if1 at any time during the period described in subsection 7b77#b7 7including any extension thereof71 such plan has more than #ajj participants4 7e7 ,notice requirements concerning restoration of benefits ,in accordance with such regulations as may be prescribed by the ,secretary1 the plan administrator of each group health plan subject to the requirements of subsection 7a7 shall1 within #cj days prior to the commencement of the plan's restoration period1 provide written notice to each retired participant of the plan who meets the requirements of subsection 7a7 of the following3 7#a7 ,a description of all benefits the retired participant is entitled to have restored4 7#b7 ,the administrative procedure established under the plan which may be used to submit a claim for the restoration of any benefits4 7#c7 ,an itemization of the value of each benefit the retired participant is entitled to have restored1 as determined in accordance with the regulations of the ,secretary1 and the total value of all such benefits4 7#d7 ,a description of any post-retirement increases in retiree health benefits the retired participant received which the plan sponsor could rescind if the retired participant asserts a claim for the restoration of benefits4 7#e7 ,an itemization of the value of each retiree health benefit that the plan sponsor could rescind1 as determined in accordance with the regulations of the ,secretary1 and the total value of all such benefits4 7#f7 ,if the plan sponsor has filed an application for a substantial business hardship exemption under section #hjd1 the date on which such application was filed1 the date on which notice of such application was given to retired participants entitled to submit a claim for the restoration of benefits1 and the status of such application as of the date of the notice sent pursuant to this subsection4 7#g7 ,such other information in such form and detail as may be prescribed by the ,secretary to carry out the purposes of this part4 7f7 ,deadline for restoration of benefits ,all benefits required to be restored under this section shall be restored before the end of the #b-year period beginning with the date of the enactment of the ,earned ,retiree ,healthcare ,benefits ,protection ,act of #bjac1 subject to any suspension of such period under section #hjd7;g74 #hjd4 ,exemption from restoration of benefits requirements 7a7 ,application for exemption ,any plan sponsor of a group health plan that would sustain substantial business hardship if required to fulfill1 in whole or in part1 the restoration of benefits requirements contained in section #hjc1 may file an application for an exemption with the ,secretary from any or all of such requirements4 7b7 ,authority for waiver or variance ,in response to an application filed by a plan sponsor pursuant to subsection 7a71 the ,secretary may waive or vary the requirements of section #hjc with respect to any or all of such requirements1 including postponing for reasonable periods of time the obligation of the plan sponsor to restore reduced benefits1 if the ,secretary finds that compliance by the plan sponsor with the requirements of section #hjc would-- 7#a7 be adverse to the interests of plan participants in the aggregate2 7#b7 not be administratively feasible2 and 7#c7 cause substantial business hardship to the plan sponsor4 7c7 ,factors taken into account ,for purposes of this section1 the factors to be taken into account in determining substantial business hardship shall include 7but shall not be limited to7 whether-- 7#a7 the plan sponsor is operating at an economic loss2 7#b7 compliance with the restoration of benefits requirements would necessitate substantial future reductions in health benefits provided to participants under the plan or cause a substantial decline in employment with the plan sponsor2 and 7#c7 it is reasonable to expect that the plan will be continued only if a waiver or appropriate variance is granted4 7d7 ,requirement of satisfactory evidence 7#a7 ,in general ,the ,secretary shall1 before granting a waiver or variance under this section1 require each applicant to provide evidence satisfactory to the ,secretary that the applicant has provided timely written notice of the filing of an application for such waiver or variance to each retired participant entitled to submit a claim for the restoration of benefits under the applicant's plan4 7#b7 ,timeliness ,for purposes of paragraph 7#a71 a written notice shall be considered timely if it is provided not later than #fj days prior to the date the plan sponsor files an application for a waiver or variance under this section4 7#c7 ,information required ,the notice referred to in paragraph 7#a7 shall include information with respect to the specific relief that will be sought by the plan sponsor's application1 the period of time for which relief is sought1 and such other relevant information as the ,secretary may prescribe4 7e7 ,participation in proceedings by retired plan participants ,each retired participant entitled to submit a claim for the restoration of benefits within the meaning of this section shall be provided a reasonable opportunity to submit comments or otherwise participate in any proceeding established by the ,secretary to determine whether to grant or deny an application for a waiver or variance filed by the retired participant's plan sponsor4 7f7 ,exceptions for certain applications ,in any case in which the plan sponsor of the group health plan also maintains a pension plan which provides pension benefits with respect to any retired participant entitled to submit a claim for the restoration of benefits within the meaning of this section1 the ,secretary may not grant any application for a waiver or variance purporting to satisfy the requirements of subsection 7b7 if the requirements of paragraph 7#a7 or 7#b7 of this subsection are met4 7#a7 ,failure to transfer excess pension assets ,the requirements of this paragraph are met if-- 7,a7 within the #e-year period preceding the date of the plan sponsor's application for the waiver or variance1 the plan sponsor could have transferred excess assets of such pension plan to a health benefits account in accordance with section #dbj of the ,internal ,revenue ,code of #aihf 7as in effect on the date of the enactment of the ,tax ,relief ,extension ,act of #aiii7 but did not do so2 and 7,b7 such health benefits account forms a part of the group health plan with respect to which the plan sponsor is submitting the application4 7#b7 ,no ad hoc ,c,o,l,as provided under well-funded pension plan providing for such ,c,o,l,as 7,a7 ,in general ,the requirements of this paragraph are met if-- 7i7 7,i7 no employer contributions were made to such pension plan during any of the #e plan years preceding the date of the application for the waiver or variance2 and 7,,ii7 despite such lack of employer contributions1 the minimum funding standard under section #cjb of this ,act and section #dab of the ,internal ,revenue ,code of #aihf was satisfied with respect to such pension plan for each of such #e plan years and the average funded ratio of the plan for such #e plan years was greater than #abj percent2 and 7ii7 7,i7 the pension plan provided for ad hoc cost-of-living adjustments in benefits throughout such #e plan years2 and 7,,ii7 no such ad hoc cost-of-living adjustment in benefits was provided under such pension plan during such #e plan years4 7,b7 ,funded ratio ,for purposes of subparagraph 7,a77i77,,ii71 the funded ratio of a pension plan for a plan year is the ratio1 expressed as a percentage1 of-- 7i7 the assets of the plan as of the end of such plan year2 to 7ii7 the liabilities of the plan as of the end of such plan year4 7g7 ,running of #b-,year deadline period suspended ,the submission of an application for a waiver or variance pursuant to this section during the #b-year period referred to in section #hjc7;f7 shall suspend the running of such period4 ,if determined appropriate by the ,secretary1 the ,secretary may direct that the running of such period be resumed upon the final conclusion of proceedings to determine whether an application should be granted or denied4 #hje4 ,establishment of emergency retiree health loan guarantee program 7a7 ,definitions ,for purposes of this section-- 7#a7 ,board ,the term ,board means the ,emergency ,retiree ,health ,loan ,guarantee ,board established under subsection 7c74 7#b7 ,program ,the term ,program means the ,emergency ,retiree ,health ,loan ,guarantee ,program established under subsection 7b74 7#c7 ,eligible plan sponsor ,the term eligible plan sponsor means any plan sponsor as defined in section #c7af77;,b7 that maintains a group health plan subject to the retiree health benefits restoration requirements of section #hjc4 7b7 ,establishment of emergency retiree health loan guarantee program ,there is established the ,retiree ,health ,loan ,guarantee ,program1 to be administered by the ,board1 the purpose of which is to provide loan guarantees to eligible plan sponsors in accordance with this section4 7c7 ,retiree health loan guarantee board membership ,there is established a ,retiree ,health ,loan ,guarantee ,board1 which shall be composed of-- 7#a7 the ,secretary of ,labor1 who shall serve as ,chairman of the ,board2 7#b7 the ,secretary of ,commerce2 7#c7 the ,secretary of the ,treasury2 7#d7 the ,secretary of ,health and ,human ,services2 and 7#e7 the ,chairman of the ,council of ,economic ,advisers4 7d7 ,retiree health loan guarantee program 7#a7 ,authority ,the ,program may guarantee loans provided by private banking and investment institutions to eligible plan sponsors for purposes of assisting such plan sponsors to meet their obligations under section #hjc4 ,such loan guarantees shall be provided to the extent provided in advance in appropriation ,acts pursuant to paragraph 7#d7 and only in accordance with the procedures1 rules1 and regulations established by the ,board4 7#b7 ,total guarantee limit ,the aggregate amount of loans guaranteed and outstanding at any time under this section may not exceed #e1jjj1jjj1jjj4 7#c7 ,individual guarantee limit ,the aggregate amount of loans guaranteed under this section with respect to a single eligible plan sponsor may not exceed #e1jjj1jjj4 7#d7 ,additional costs ,for the additional cost of loans guaranteed under this subsection1 including the costs of modifying the loans1 as defined in section #ejb of the ,congressional ,budget ,act of #aigd 7#b ,u4,s4,c4 #ffa;a71 there is authorized to be appropriated #bjj1jjj1jjj1 to remain available until expended4 7e7 ,requirements for loan guarantees ,a loan guarantee may be issued under this section upon application to the ,board by an eligible plan sponsor pursuant to an agreement to provide a loan to that eligible plan sponsor by a private bank or investment company1 if the ,board determines that-- 7#a7 credit is not otherwise available to that eligible plan sponsor under reasonable terms and conditions sufficient to meet its financing needs with respect to the restoration of retiree health benefits1 as reflected in the financial and business plans of that eligible plan sponsor2 7#b7 the prospective earning power of that eligible plan sponsor1 together with the character and value of the security pledged1 furnish reasonable assurance of repayment of the loan to be guaranteed in accordance with its terms2 7#c7 the loan to be guaranteed bears interest at a rate determined by the ,board to be reasonable1 taking into account the current average yield on outstanding obligations of the ,united ,states with remaining periods of maturity comparable to the maturity of such loan2 7#d7 the loan to be guaranteed will materially assist that eligible plan sponsor to discharge its obligation to comply with the restoration of benefits requirements contained in section #hjc2 and 7#e7 the eligible plan sponsor has agreed to an audit by the ,government ,accountability ,office prior to the issuance of the loan guarantee and annually while any such guaranteed loan is outstanding4 7f7 ,terms and conditions of loan guarantee 7#a7 ,loan duration ,all loans guaranteed under this section shall be payable in full not later than ,december #ca1 #bjba1 and the terms and conditions of each such loan shall provide that the loan may not be amended or any provision thereof waived without the consent of the ,board4 7#b7 ,loan security ,any commitment to issue a loan guarantee under this section shall contain such affirmative and negative covenants and other protective provisions that the ,board determines are appropriate4 7#c7 ,fees ,an eligible plan sponsor receiving a guarantee under this section shall pay a fee in an amount equal to #j4e percent of the outstanding principal balance of the guaranteed loan to the ,department of the ,treasury4 7g7 ,reports to congress ,the ,secretary of ,labor shall submit annually to each ,house of the ,congress a full report of the activities of the ,board under this section during #bjad and #bjae1 and annually thereafter during such period as any loan guaranteed under this section is outstanding4 ,such report shall be submitted not later than ,january #ca of each year 7beginning in #bjad74 7h7 ,salaries and administrative expenses ,for necessary expenses to administer the ,program1 there is authorized to be appropriated to the ,department of ,labor 7and to be transferred to the ,office of the ,assistant ,secretary for ,pension and ,welfare ,benefits ,administration7 #aj1jjj1jjj1 to remain available until expended4 7i7 ,termination of guarantee authority ,the authority of the ,board to make commitments to guarantee any loan under this section shall terminate on ,december #ca1 #bjai4 7j7 ,regulatory action ,the ,board shall issue such final procedures1 rules1 and regulations as may be necessary to carry out this section not later than #ij days after the date of enactment of the ,earned ,retiree ,healthcare ,benefits ,protection ,act of #bjac4 ,in no event shall the ,board issue a procedure1 rule1 or regulation which authorizes it to approve or deny any application for a loan guarantee in more than #bgj days after receipt of such application4 #hjf4 ,effect on other claims 7a7 ,other claims unaffected ,nothing in this part shall be construed to alter1 impair1 or eliminate any claim for retiree health benefits based on conduct alleged to violate the terms of a group health plan1 any provision of this ,act 7other than this part71 or both1 regardless of whether such conduct occurred prior to1 on1 or after the date of the enactment of the ,earned ,retiree ,healthcare ,benefits ,protection ,act of #bjac4 7b7 ,other causes of action not authorized ,nothing contained in this part shall be construed to authorize any action for recovery of retiree health benefits unless the conduct giving rise to the claim for recovery is alleged to violate the provisions of this part4 #hjg4 ,regulations ,the ,secretary may promulgate such regulations as may be necessary to carry out the provisions of this part4 ,the ,secretary may promulgate any interim final rules as the ,secretary deems are appropriate to carry out this part4 4 7b7 ,civil penalty ,section #ejb7;c7 of the ,employee ,retirement ,income ,security ,act of #aigd 7#bi ,u4,s4,c4 #aacb7;c77 is amended-- 7#a7 by redesignating the second paragraph 7#aj7 7relating to consultation between the ,secretary of ,labor and the ,secretary of ,health and ,human ,services7 as paragraph 7#ab72 and 7#b7 by inserting after the first paragraph 7#aj7 the following new paragraph3 7#aa7 ,the ,secretary may assess any person a civil penalty of not more than #bj1jjj with respect to each failure by such person to meet the requirements of section #hja1 #hjb1 or #hjc with respect to each participant or beneficiary aggrieved by such failure4 4 7c7 ,conforming amendment ,the table of contents in section #a of such ,act is amended by inserting after the item relating to section #gcd the following new items3 ,part #h--;,emergency retiree health benefit protections ,sec4 #hja4 ,prohibition against post-retirement reductions of retiree health benefits by group health plans4 ,sec4 #hjb4 ,adoption by group health plans of provision barring post-retirement reductions in retiree health benefits4 ,sec4 #hjc4 ,restoration by group health plans of benefits reduced after retirement4 ,sec4 #hjd4 ,exemption from restoration of benefits requirements4 ,sec4 #hje4 ,establishment of emergency retiree health loan guarantee program4 ,sec4 #hjf4 ,effect on other claims4 ,sec4 #hjg4 ,regulations4 4 #d4 ,effective date ,the amendments made by this ,act shall take effect on the date of the enactment of this ,act1 except that section #hjb of the ,employee ,retirement ,income ,security ,act of #aigd 7as added by section #c of this ,act7 shall apply with respect to plan years beginning after #ahj days after the date of the enactment of this ,act4 ,compliance with the requirements of part #h of subtitle ,b of title ,i of the ,employee ,retirement ,income ,security ,act of #aigd with respect to a group health plan shall not be treated as a failure to comply with the terms of such plan4