,,ii  #aacth ,,congress  #b;d ,session  
,s4 #bfbi  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,july #ag1     
#bjad ,mr4 ,durbin 7for himself1 ,mr4   
,begich1 and ,ms4 ,hirono7 introduced   
the following bill2 which was read twice
 and referred to the ,committee on      
,health1 ,education1 ,labor1 and        
,pensions  ,a ,,bill  ,to require       
employers to notify employees and       
prospective employees of exemptions from
 otherwise required coverage of health  
services under group health plans4  #a4 
,short title  ,this ,act may be cited as
 the ,preventive ,care ,coverage        
,notification ,act4  #b4 ,providing     
information to employees and prospective
 employees  7a7 ,development of         
,standards ,with respect to an employer 
7other than an organization that is     
organized and operates as a nonprofit   
entity and is referred to in section    
#fjcc7;a77#c77;,a7 7i7 or 7iii7 of the  
,internal ,revenue ,code of #aihf7 that 
establishes or maintains a group health 

plan 7other than a grandfathered health 
plan as defined in section #abea of the 
,patient ,protection and ,affordable    
,care ,act 7#db ,u4,s4,c4 #ahjaa77 for  
its employees1 the ,secretary of ,health
 and ,human ,services1 the ,secretary of
 ,labor1 and the ,secretary of the      
,treasury shall jointly develop         
standards that require the employer to  
provide notice to current and           
prospective employees if the employer is
 exempted or excepted from covering     
health services otherwise required to be
 covered pursuant to title ,,xxvii of   
the ,public ,health ,service ,act       
7including preventive health services   
required under section #bgac of such    
,act74 ,such notice shall include a     
description of the specific items and   
services that are not covered under such
 plan as a result of such exemption or  
exception4 ,such standards shall require
 that any notice provided under this    
subsection be provided by the employer  
to employees and prospective employees  

in a timely and easily understandable   
manner4  7b7 ,informing employees of    
limitations on coverage ,with respect to
 the notice required under subsection   
7a71 an employer shall be deemed to be  
in compliance with the requirements of  
such section if the employer is an      
eligible organization as defined in1 and
 provides for the notice in accordance  
with1 regulations issued pursuant to    
section #bgac of the ,public ,health    
,service ,act 7#db ,u4,s4,c4            
#cjj;gg-#ac74  7c7 ,enforcement ,the    
provisions of this section shall apply  
to employers acting as plan sponsors1   
group health plans1 and health insurance
 issuers as if enacted in the ,employee 
,retirement ,income ,security ,act of   
#aigd 7#bi ,u4,s4,c4 #ajja et seq471 the
 ,public ,health ,service ,act 7#db     
,u4,s4,c4 #bja et seq471 and the        
,internal ,revenue ,code of #aihf4 ,any 
failure by an employer acting as a plan 
sponsor1 a group health plan1 or a      
health insurance issuer to comply with  

the provisions of this ,act shall be    
subject to enforcement through part #e  
of subtitle ,b of title ,i of the       
,employee ,retirement ,income ,security 
,act of #aigd 7#bi ,u4,s4,c4 #aaca et   
seq471 section #bgbc of the ,public     
,health ,service ,act 7#db ,u4,s4,c4    
#cjj;gg-#bb71 and section #dihj;,d of   
the ,internal ,revenue ,code of #aihf4  
7d7 ,application ,this section shall    
apply to plan years beginning on or     
after ,july #a1 #bjad4