,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #dgfa  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #cj          
7legislative day1 ,septemb] #bi71       
#bjbj,mr4 ,k+ introduc$ ! foll[+ bill2  
:i* 0 read twice & ref]r$ to !          
,committee on ,f9ance  ,a ,,bill  ,to   
am5d ! ,employee ,retirem5t ,income     
,security ,act ( #aigd1 title ,,xxvii ( 
! ,public ,heal? ,s]vice ,act1 & !      
,int]nal ,rev5ue ,code ( #aihf to       
require gr\p heal? plans & heal?        
insurance issu]s (f]+ gr\p or individual
 heal? insurance cov]age to provide = #c
 prim>y c>e visits & #c behavioral heal?
 c>e visits )\t application ( any       
co/-%>+ requirem5t4  #a4 ,%ort title    
,?is ,act may be cit$ z ! ,prim>y &     
,behavioral ,heal? ,c>e ,access ,act (  
#bjbj4  #b4 ,prohibition on application 
( co/ %>+ = c]ta9 prim>y c>e &          
behavioral heal? c>e visits  7a7 ,,erisa
 ,subp>t ,b ( "p #g ( subtitle ,b (     
title ,i ( ! ,employee ,retirem5t       
,income ,security ,act ( #aigd 7#bi     

,u4,s4,c4 #aahe et seq47 is am5d$ by    
add+ at ! end ! foll[+ new section3     
#gaf4 ,cov]age ( c]ta9 prim>y c>e &     
behavioral heal? c>e visits  7a7 ,9     
g5]al ,9 addition to any item or s]vice 
describ$ 9 section #bgac7;a7 ( ! ,public
 ,heal? ,s]vice ,act1 a gr\p heal? plan1
 & a heal? insurance issu] (f]+ gr\p    
heal? insurance cov]age1 %all at a      
m9imum provide cov]age = & %all n impose
 any co/-%>+ requirem5ts =1 ) respect to
 a plan ye>-- 7#a7 #c prim>y c>e visits2
 &  7#b7 #c behavioral heal? c>e visits4
  7b7 ,limitations ,a gr\p heal? plan1 &
 a heal? insurance issu] (f]+ gr\p heal?
 insurance cov]age1 %all ensure t-- 7#a7
 ! treatm5t limitations applicable to ! 
#c prim>y c>e visits describ$ 9 p>agraph
 7#a7 ( subsection 7a7 & ! #c behavioral
 heal? c>e visits describ$ 9 p>agraph   
7#b7 ( su* subsection are no m          
re/rictive ?an ! treatm5t limitations   
appli$ to any o!r prim>y c>e visit or   
behavioral heal? c>e visit cov]$ by !   
plan or cov]age & t !re are no sep>ate  

treatm5t limitations t are applicable   
only ) respect to su* #c prim>y or su*  
#c behavioral heal? c>e visits2 &  7#b7 
! reimbursem5t rates "u su* plan or su* 
cov]age = su* #c prim>y & su* #c        
behavioral heal? c>e visits are ! same z
 su* rates = any o!r prim>y c>e visit or
 behavioral heal? c>e visit cov]$ by !  
plan or cov]age4  7c7 ,def9itions ,=    
purposes ( ?is section3 7#a7 ,behavioral
 heal? c>e visit ,! t]m behavioral heal?
 c>e visit means a visit by an          
individual to a qualifi$ provid] dur+   
:i* s]vices are provid$ ) respect to !  
diagnosis1 treatm5t1 scre5+1 or         
prev5tion ( a behavioral heal?          
condition4  7#b7 ,prim>y c>e s]vice ,!  
t]m prim>y c>e s]vice means a s]vice    
id5tifi$1 z ( ,janu>y #a1 #bjbj1 by "o (
 ,heal?c>e ,common ,proc$ure ,cod+      
,sy/em codes #iibja ?r\gh #iibae 7& z   
subsequ5tly modifi$ by ! ,secret>y (    
,heal? & ,human ,s]vices74  7#c7 ,prim>y
 c>e visit ,! t]m prim>y c>e visit means
 an 9-p]son visit by an individual to a 

qualifi$ provid] :o is designat$ by su* 
individual z ! prim>y c>e provid] = su* 
individual1 dur+ :i* su* individual     
receives prim>y c>e s]vices4  7#d7      
,qualifi$ provid] ,! t]m qualifi$       
provid] means-- 7,a7 ) respect to a     
prim>y c>e visit1 a g5]al practition]1  
family physician1 g5]al int]ni/1        
ob/etrician-gynecologi/1 p$iatrician1   
g]iatric physician1 or advanc$ practice 
regi/]$ nurse act+ 9 accordance ) ,/ate 
law 7includ+ a nurse practition]1       
cl9ical nurse speciali/1 & c]tifi$ nurse
 midwife72 &  7,b7 ) respect to a       
behavioral heal? c>e visit1 an          
individual employ$ 9 a full-"t position 
7includ+ a fell[%ip7 :]e ! prim>y int5t 
& function ( su* position is ! direct   
treatm5t or recov]y support (           
individuals )1 or 9 recov]y f1 a        
behavioral heal? disord]1 su* z a       
physician1 advanc$ practice regi/]$     
nurse act+ 9 accordance ) ,/ate law     
7includ+ a nurse practition]1 cl9ical   
nurse speciali/1 & c]tifi$ nurse        

midwife71 psy*iatric nurse1 social      
work]1 m>riage & family !rapi/1 m5tal   
heal? c\nselor1 occupational !rapi/1    
psy*ologi/1 psy*iatri/1 *ild & adolesc5t
 psy*iatri/1 or neurologi/4  4  7b7     
,,phsa ,subp>t ,,ii ( "p ,a ( title     
,,xxvii ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #cjj;gg-#aa et seq47 is  
am5d$ by add+ at ! end ! foll[+ new     
section3  #bgcj4 ,cov]age ( c]ta9 prim>y
 c>e & behavioral heal? c>e visits  7a7 
,9 g5]al ,9 addition to any item or     
s]vice describ$ 9 section #bgac7;a71 a  
gr\p heal? plan1 & a heal? insurance    
issu] (f]+ gr\p or individual heal?     
insurance cov]age1 %all at a m9imum     
provide cov]age = & %all n impose any   
co/-%>+ requirem5ts =1 ) respect to a   
plan ye>-- 7#a7 #c prim>y c>e visits2 & 
7#b7 #c behavioral heal? c>e visits4    
7b7 ,limitations ,a gr\p heal? plan1 & a
 heal? insurance issu] (f]+ gr\p or     
individual heal? insurance cov]age1 %all
 ensure t-- 7#a7 ! treatm5t limitations 
applicable to ! #c prim>y c>e visits    

describ$ 9 p>agraph 7#a7 ( subsection   
7a7 & ! #c behavioral heal? c>e visits  
describ$ 9 p>agraph 7#b7 ( su*          
subsection are no m re/rictive ?an !    
treatm5t limitations appli$ to any o!r  
prim>y c>e visit or behavioral heal? c>e
 visit cov]$ by ! plan or cov]age & t   
!re are no sep>ate treatm5t limitations 
t are applicable only ) respect to su*  
#c prim>y or su* #c behavioral heal? c>e
 visits2 &  7#b7 ! reimbursem5t rates "u
 su* plan or su* cov]age = su* #c prim>y
 & su* #c behavioral heal? c>e visits   
are ! same z su* rates = any o!r prim>y 
c>e visit or behavioral heal? c>e visit 
cov]$ by ! plan or cov]age4  7c7        
,def9itions ,= purposes ( ?is section3  
7#a7 ,behavioral heal? c>e visit ,! t]m 
behavioral heal? c>e visit means a visit
 by an individual to a qualifi$ provid] 
dur+ :i* s]vices are provid$ ) respect  
to ! diagnosis1 treatm5t1 scre5+1 or    
prev5tion ( a behavioral heal?          
condition4  7#b7 ,prim>y c>e s]vice ,!  
t]m prim>y c>e s]vice means a s]vice    

id5tifi$1 z ( ,janu>y #a1 #bjbj1 by "o (
 ,heal?c>e ,common ,proc$ure ,cod+      
,sy/em codes #iibja ?r\gh #iibae 7& z   
subsequ5tly modifi$ by ! ,secret>y74    
7#c7 ,prim>y c>e visit ,! t]m prim>y c>e
 visit means an 9-p]son visit by an     
individual to a qualifi$ provid] :o is  
designat$ by su* individual z ! prim>y  
c>e provid] = su* individual1 dur+ :i*  
su* individual receives prim>y c>e      
s]vices4  7#d7 ,qualifi$ provid] ,! t]m 
qualifi$ provid] means-- 7,a7 ) respect 
to a prim>y c>e visit1 a g5]al          
practition]1 family physician1 g5]al    
int]ni/1 ob/etrician-gynecologi/1       
p$iatrician1 g]iatric physician1 or     
advanc$ practice regi/]$ nurse act+ 9   
accordance ) ,/ate law 7includ+ a nurse 
practition]1 cl9ical nurse speciali/1 & 
c]tifi$ nurse midwife72 &  7,b7 )       
respect to a behavioral heal? c>e visit1
 an individual employ$ 9 a full-"t      
position 7includ+ a fell[%ip7 :]e !     
prim>y int5t & function ( su* position  
is ! direct treatm5t or recov]y support 

( individuals )1 or 9 recov]y f1 a      
behavioral heal? disord]1 su* z a       
physician1 advanc$ practice regi/]$     
nurse act+ 9 accordance ) ,/ate law     
7includ+ a nurse practition]1 cl9ical   
nurse speciali/1 & c]tifi$ nurse        
midwife71 psy*iatric nurse1 social      
work]1 m>riage & family !rapi/1 m5tal   
heal? c\nselor1 occupational !rapi/1    
psy*ologi/1 psy*iatri/1 *ild & adolesc5t
 psy*iatri/1 or neurologi/4  4  7c7     
,,irc  7#a7 ,9 g5]al ,sub*apt] ,b (     
*apt] #ajj ( subtitle ,k ( ! ,int]nal   
,rev5ue ,code ( #aihf is am5d$ by add+  
at ! end ! foll[+ new section3  #ihaf4  
,cov]age ( c]ta9 prim>y c>e & behavioral
 heal? c>e visits  7a7 ,9 g5]al ,9      
addition to any item or s]vice describ$ 
9 section #bgac7;a7 ( ! ,public ,heal?  
,s]vice ,act1 a gr\p heal? plan %all at 
a m9imum provide cov]age = & %all n     
impose any co/-%>+ requirem5ts =1 )     
respect to a plan ye>-- 7#a7 #c prim>y  
c>e visits2 &  7#b7 #c behavioral heal? 
c>e visits4  7b7 ,limitations ,a gr\p   

heal? plan %all ensure t-- 7#a7 !       
treatm5t limitations applicable to ! #c 
prim>y c>e visits describ$ 9 p>agraph   
7#a7 ( subsection 7a7 & ! #c behavioral 
heal? c>e visits describ$ 9 p>agraph    
7#b7 ( su* subsection are no m          
re/rictive ?an ! treatm5t limitations   
appli$ to any o!r prim>y c>e visit or   
behavioral heal? c>e visit cov]$ by !   
plan & t !re are no sep>ate treatm5t    
limitations t are applicable only )     
respect to su* #c prim>y or su* #c      
behavioral heal? c>e visits2 &  7#b7 !  
reimbursem5t rates "u su* plan = su* #c 
prim>y & su* #c behavioral heal? c>e    
visits are ! same z su* rates = any o!r 
prim>y c>e visit or behavioral heal? c>e
 visit cov]$ by ! plan4  7c7 ,def9itions
 ,= purposes ( ?is section3 7#a7        
,behavioral heal? c>e visit ,! t]m      
behavioral heal? c>e visit means a visit
 by an individual to a qualifi$ provid] 
dur+ :i* s]vices are provid$ ) respect  
to ! diagnosis1 treatm5t1 scre5+1 or    
prev5tion ( a behavioral heal?          

condition4  7#b7 ,prim>y c>e s]vice ,!  
t]m prim>y c>e s]vice means a s]vice    
id5tifi$1 z ( ,janu>y #a1 #bjbj1 by "o (
 ,heal?c>e ,common ,proc$ure ,cod+      
,sy/em codes #iibja ?r\gh #iibae 7& z   
subsequ5tly modifi$ by ! ,secret>y (    
,heal? & ,human ,s]vices74  7#c7 ,prim>y
 c>e visit ,! t]m prim>y c>e visit means
 an 9-p]son visit by an individual to a 
qualifi$ provid] :o is designat$ by su* 
individual z ! prim>y c>e provid] = su* 
individual1 dur+ :i* su* individual     
receives prim>y c>e s]vices4  7#d7      
,qualifi$ provid] ,! t]m qualifi$       
provid] means-- 7,a7 ) respect to a     
prim>y c>e visit1 a g5]al practition]1  
family physician1 g5]al int]ni/1        
ob/etrician-gynecologi/1 p$iatrician1   
g]iatric physician1 or advanc$ practice 
regi/]$ nurse act+ 9 accordance ) ,/ate 
law 7includ+ a nurse practition]1       
cl9ical nurse speciali/1 & c]tifi$ nurse
 midwife72 &  7,b7 ) respect to a       
behavioral heal? c>e visit1 an          
individual employ$ 9 a full-"t position 

7includ+ a fell[%ip7 :]e ! prim>y int5t 
& function ( su* position is ! direct   
treatm5t or recov]y support (           
individuals )1 or 9 recov]y f1 a        
behavioral heal? disord]1 su* z a       
physician1 advanc$ practice regi/]$     
nurse act+ 9 accordance ) ,/ate law     
7includ+ a nurse practition]1 cl9ical   
nurse speciali/1 & c]tifi$ nurse        
midwife71 psy*iatric nurse1 social      
work]1 m>riage & family !rapi/1 m5tal   
heal? c\nselor1 occupational !rapi/1    
psy*ologi/1 psy*iatri/1 *ild & adolesc5t
 psy*iatri/1 or neurologi/4  4  7#b7    
,high d$uctible heal? plans ,section    
#bbc7;c77#b77;,c7 ( ! ,int]nal ,rev5ue  
,code ( #aihf is am5d$ by ins]t+ or = ! 
visits describ$ 9 section #ihaf7;a7 be=e
 ! p]iod4  7d7 ,effective date ,!       
am5dm5ts made by ?is section %all apply 
) respect to plan ye>s beg9n+ on or aft]
 ! date t is #b ye>s aft] ! date ( !    
enactm5t ( ?is ,act4