,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #gfda  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #ab1 #bjbd,ms4   
,port] 7= h]self1 ,mr4 ,doggett1 ,ms4   
,s*ak[sky1 & ,ms4 ,de,lauro7 introduc$ !
 foll[+ bill2 :i* 0 ref]r$ to !         
,committee on ,en]gy & ,comm]ce1 & 9    
addition to ! ,committees on ,ways &    
,means1 & ,education & ! ,work=ce1 = a  
p]iod to be subsequ5tly det]m9$ by !    
,speak]1 9 ea* case = consid]ation ( su*
 provisions z fall )9 ! jurisdiction ( !
 committee conc]n$  ,a ,,bill  ,to      
prohibit ! inclusion ( m&atory pr$ispute
 arbitration clauses & clauses limit+   
class action lawsuits 9 heal? insurance 
contracts4  #a4 ,%ort title ,?is ,act   
may be cit$ z ! ,ju/ice = ,pati5ts ,act4
  #b4 ,prohibition on m&atory pr$ispute 
arbitration & limitations on class      
action lawsuits  7a7 ,,phsa ,"p ,d (    
title ,,xxvii ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #cjj;gg-#aaa et    
seq47 is am5d$ by add+ at ! end ! foll[+
 new section3  #bgii;,a-#aa4            

,prohibition on inclusion ( c]ta9       
requirem5ts 9 heal? insurance contracts 
7a7 ,prohibition on m&atory pr$ispute   
arbitration ,a gr\p heal? plan or a     
heal? insurance issu] (f]+ gr\p or      
individual heal? insurance cov]age may n
 include 9 any plan provision1 agreem5t1
 or arrangem5t1 any pr$ispute           
arbitration clause t requires !         
arbitration ( any claim relat+ to su*   
plan or cov]age t o!rwise may be br\ght 
by a p>ticipant or b5efici>y "u ,/ate or
 ,f$]al law4 ,any su* provisions requir+
 pr$ispute arbitration %all h no =ce or 
effect4  7b7 ,prohibition on limitation 
( class actions ,a gr\p heal? plan or   
issu] (f]+ gr\p or individual heal?     
insurance cov]age may n include 9 any   
plan provision1 agreem5t1 or arrangem5t1
 any limitation on ! ability ( a        
p>ticipant or b5efici>y ( su* plan or   
cov]age to engage 9 a class action      
lawsuit relat+ to ! adm9i/ration ( su*  
plan or cov]age t o!rwise may be br\ght 
by a p>ticipant or b5efici>y "u ,/ate or

 ,f$]al law44  7c7 ,applicability ,an   
issue z to :e!r ?is section applies )   
respect to a dispute %all be det]m9$ "u 
,f$]al law4 ,! applicability ( ?is      
section to an agreem5t to arbitrate & ! 
validity & en=ceability ( an agreem5t to
 :i* ?is section applies %all be det]m9$
 by a c\rt1 r ?an an arbitrator1        
irrespective ( :e!r ! p>ty resi/+       
arbitration *all5ges ! arbitration      
agreem5t specifically or 9 conjunction )
 o!r t]ms ( ! contract conta9+ su*      
agreem5t1 & irrespective ( :e!r !       
agreem5t purports to delegate su*       
det]m9ations to an arbitrator4  4  7b7  
,,erisa  7#a7 ,9 g5]al ,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  #gbf4 ,prohibition on    
inclusion ( c]ta9 requirem5ts 9 heal?   
insurance contracts  7a7 ,prohibition on
 m&atory pr$ispute arbitration ,a gr\p  
heal? plan or a heal? insurance issu]   

(f]+ gr\p or individual heal? insurance 
cov]age may n include 9 any plan        
provision1 agreem5t1 or arrangem5t1 any 
pr$ispute arbitration clause t requires 
! arbitration ( any claim relat+ to su* 
plan or cov]age t o!rwise may be br\ght 
by a p>ticipant or b5efici>y "u ,/ate or
 ,f$]al law4 ,any su* provisions requir+
 pr$ispute arbitration %all h no =ce or 
effect4  7b7 ,prohibition on limitation 
( class actions ,a gr\p or individual   
heal? plan or a heal? insurance issu]   
(f]+ gr\p heal? insurance cov]age may n 
include any limitation on ! ability ( a 
p>ticipant or b5efici>y ( su* plan or   
cov]age to engage 9 a class action      
lawsuit relat+ to ! adm9i/ration ( su*  
plan or cov]age t o!rwise may be br\ght 
by a p>ticipant or b5efici>y "u ,/ate or
 ,f$]al law4  7c7 ,applicability ,an    
issue z to :e!r ?is section applies )   
respect to a dispute %all be det]m9$ "u 
,f$]al law4 ,! applicability ( ?is      
section to an agreem5t to arbitrate & ! 
validity & en=ceability ( an agreem5t to

 :i* ?is section applies %all be det]m9$
 by a c\rt1 r ?an an arbitrator1        
irrespective ( :e!r ! p>ty resi/+       
arbitration *all5ges ! arbitration      
agreem5t specifically or 9 conjunction )
 o!r t]ms ( ! contract conta9+ su*      
agreem5t1 & irrespective ( :e!r !       
agreem5t purports to delegate su*       
det]m9ations to an arbitrator4  4  7#b7 
,cl]ical am5dm5t ,! table ( cont5ts 9   
section #a ( su* ,act is am5d$ by add+  
at ! end ! foll[+ new item3  ,sec4 #gbf4
 ,prohibition on inclusion ( c]ta9      
requirem5ts 9 heal? insurance contracts4
  4  7c7 ,,irc  7#a7 ,9 g5]al ,sub*apt] 
,b ( *apt] #ajj ( ! ,int]nal ,rev5ue    
,code ( #aihf is am5d$ by add+ at ! end 
! foll[+ new section3  #ihbf4           
,prohibition on inclusion ( c]ta9       
requirem5ts 9 heal? insurance contracts 
7a7 ,prohibition on m&atory pr$ispute   
arbitration ,a gr\p heal? plan or heal? 
insurance issu] (f]+ gr\p or individual 
heal? insurance cov]age may n include 9 
any plan provision1 agreem5t1 or        

arrangem5t1 any pr$ispute arbitration   
clause t requires ! arbitration ( any   
claim relat+ to su* plan or cov]age t   
o!rwise may be br\ght by a p>ticipant or
 b5efici>y "u ,/ate or ,f$]al law4 ,any 
su* provisions requir+ pr$ispute        
arbitration %all h no =ce or effect4    
7b7 ,prohibition on limitation ( class  
actions ,a gr\p heal? plan or a heal?   
insurance issu] (f]+ gr\p or individual 
heal? insurance cov]age may n include   
any limitation on ! ability ( a         
p>ticipant or b5efici>y ( su* plan or   
cov]age to engage 9 a class action      
lawsuit relat+ to ! adm9i/ration ( su*  
plan or cov]age t o!rwise may be br\ght 
by a p>ticipant or b5efici>y "u ,/ate or
 ,f$]al law4  7c7 ,applicability ,an    
issue z to :e!r ?is section applies )   
respect to a dispute %all be det]m9$ "u 
,f$]al law4 ,! applicability ( ?is      
section to an agreem5t to arbitrate & ! 
validity & en=ceability ( an agreem5t to
 :i* ?is section applies %all be det]m9$
 by a c\rt1 r ?an an arbitrator1        

irrespective ( :e!r ! p>ty resi/+       
arbitration *all5ges ! arbitration      
agreem5t specifically or 9 conjunction )
 o!r t]ms ( ! contract conta9+ su*      
agreem5t1 & irrespective ( :e!r !       
agreem5t purports to delegate su*       
det]m9ations to an arbitrator4  4  7#b7 
,cl]ical am5dm5t ,! table ( sections =  
su* sub*apt] is am5d$ by add+ at ! end !
 foll[+ new item3  ,sec4 #ihbf4         
,prohibition on inclusion ( c]ta9       
requirem5ts 9 heal? insurance contracts4
  4