,,ii  #aah? ,,congress  #b;d ,session   
,s4 #eebd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #ab1 #bjbd,mr4
 ,murphy 7= himself1 ,ms4 ,smi?1 & ,mr4 
,lujn7 introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to provide = civil monet>y  
p5alties = violations ( m5tal heal?     
p>ity requirem5ts4  #a4 ,%ort title ,?is
 ,act may be cit$ z ! ,p>ity ,en=cem5t  
,act ( #bjbd4  #b4 ,liability =1        
en=cem5t (1 & civil monet>y p5alties =  
p>ity violations  7a7 ,,phsa  7#a7 ,9   
g5]al ,section #bgbf7;a7 ( ! ,public    
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;gg-#bf7;a77 is am5d$ by add+ at !  
end ! foll[+3  7#i7 ,s]vice provid]     
liability ,9 ! case ( a violation ( ?is 
section by a gr\p heal? plan or a heal? 
insurance issu] (f]+ gr\p or individual 
heal? insurance cov]age-- 7,a7 a plan   
sponsor or a s]vice provid]1 includ+ any
 ?ird-p>ty adm9i/rator1 manag$          
behavioral heal? organization1 or entity

 provid+ ph>macy b5efit managem5t       
s]vices1 ( su* plan or cov]age t causes 
or contributes to su* violation %all    
also be liable = su* violation2 &  7,b7 
! ,secret>y %all h ! discretion to      
det]m9e ! p]c5tage ( liability ( betwe5 
! plan1 issu]1 sponsor1 & s]vice        
provid]1 z applicable4  4  7#b7         
,en=cem5t ,section #bgbc ( ! ,public    
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#cjj;gg-#bb7 is am5d$-- 7,a7 9          
subsection 7a7-- 7i7 9 p>agraph 7#a71 by
 add+ at ! end ! foll[+3 ,9 ! case ( !  
requirem5ts ( subsection 7a7 ( section  
#bgbf ) respect to p>ity 9 m5tal heal? &
 sub/ance use disord] b5efits1 ea* ,/ate
 may require t plan sponsors or s]vice  
provid]s1 includ+ any ?ird-p>ty         
adm9i/rator1 manag$ behavioral heal?    
organization1 or entity provid+ ph>macy 
b5efit managem5t s]vices1 ( su* cov]age 
meet su* requirem5ts42 &  7ii7 9        
p>agraph 7#b71 by ins]t+ 1 plan         
sponsors1 or s]vice provid]s1 includ+   
any ?ird-p>ty adm9i/rator1 manag$       

behavioral heal? organization1 or entity
 provid+ ph>macy b5efit managem5t       
s]vices1 aft] heal? insurance issu]s2 & 
7,b7 9 subsection 7b77#c7-- 7i7 9 !     
head+1 by /rik+ g5etic in=mation &      
ins]t+ g5etic in=mation & p>ity 9 m5tal 
heal? & sub/ance use disord] b5efits2 & 
7ii7 9 subp>agraph 7,a71 by /rik+ any   
failure & all t foll[s ?r\gh 9          
connection ) ! plan4 & ins]t+ ! foll[+3 
8any failure ( a heal? insurance issu]  
or a plan sponsor or any p>ticipation 9 
su* failure by a s]vice provid]1 includ+
 any ?ird-p>ty adm9i/rator1 manag$      
behavioral heal? organization1 or entity
 provid+ ph>macy b5efit managem5t       
s]vices1 9 connection ) a gr\p heal?    
plan--  7i7 to meet ! requirem5ts (     
subsection 7a77#a77;,f71 7b77#c71 7c71  
or 7d7 ( section #bgjb or section #bgja 
or #bgjb7;b77#a7 ) respect to g5etic    
in=mation2 or  7ii7 to meet !           
requirem5ts ( subsection 7a7 ( section  
#bgbf ) respect to p>ity 9 m5tal heal? &
 sub/ance use disord] b5efits4  4  7b7  

,,erisa  7#a7 ,9 g5]al ,section #gab7;a7
 ( ! ,employee ,retirem5t ,income       
,security ,act ( #aigd 7#bi ,u4,s4,c4   
#aahe;a7a77 is am5d$ by add+ at ! end ! 
foll[+3  7#i7 ,s]vice provid] liability 
,9 ! case ( a violation ( ?is section by
 a gr\p heal? plan or a heal? insurance 
issu] (f]+ gr\p heal? insurance         
cov]age-- 7,a7 a plan sponsor or a      
s]vice provid]1 includ+ any ?ird-p>ty   
adm9i/rator1 manag$ behavioral heal?    
organization1 or entity provid+ ph>macy 
b5efit managem5t s]vices1 ( su* plan or 
cov]age t causes or contributes to su*  
violation %all also be liable = su*     
violation2 &  7,b7 ! ,secret>y %all h ! 
discretion to det]m9e ! p]c5tage (      
liability ( betwe5 ! plan1 issu]1       
sponsor1 & s]vice provid]1 z applicable4
  4  7#b7 ,en=cem5t ,section #ejb ( !   
,employee ,retirem5t ,income ,security  
,act ( #aigd 7#bi ,u4,s4,c4 #aacb7 is   
am5d$-- 7,a7 9 subsection 7a71 by /rik+ 
p>agraph 7#f7 & ins]t+ ! foll[+3  7#f7  
by ! ,secret>y to collect any civil     

p5alty "u ?is section  2  7,b7 9        
subsection 7b77#c7-- 7i7 by /rik+       
subsections 7c77#i7 & 7a77#f7 & ins]t+  
subsections 7c77#i71 7c77#aj71 &        
7a77#f72 &  7ii7 by /rik+ "u subsection 
7c77#i77 & ins]t+ "u subsections 7c77#i7
 & 7c77#aj771 & except ) respect to     
en=cem5t by ! ,secret>y ( section #gab2 
&  7,c7 9 subsection 7c77#aj7-- 7i7 9 ! 
head+1 by /rik+ use ( g5etic in=mation &
 ins]t+ use ( g5etic in=mation & p>ity 9
 m5tal heal? & sub/ance use disord]     
b5efits2 &  7ii7 9 subp>agraph 7,a7--   
7,i7 by /rik+ any plan sponsor ( a gr\p 
heal? plan & ins]t+ any plan sponsor or 
s]vice provid]1 includ+ any ?ird-p>ty   
adm9i/rator1 manag$ behavioral heal?    
organization1 or entity provid+ ph>macy 
b5efit managem5t s]vices1 ( a gr\p heal?
 plan2 &  7,,ii7 by /rik+ = any failure 
& all t foll[s ?r\gh 9 connection ) !   
plan4 & ins]t+ ! foll[+3 8= any failure 
by su* sponsor or issu]1 or by          
p>ticipation 9 su* failure by a s]vice  
provid]1 9 connection ) ! plan--  7i7 to

 meet ! requirem5ts ( subsection        
7a77#a77;,f71 7b77#c71 7c71 or 7d7 (    
section #gjb or section #gja or         
#gjb7;b77#a7 ) respect to g5etic        
in=mation2 or  7ii7 to meet !           
requirem5ts ( subsection 7a7 ( section  
#gab ) respect to p>ity 9 m5tal heal? & 
sub/ance use disord] b5efits4  4  7c7   
,,irc  7#a7 ,9 g5]al ,section #ihab7;a7 
( ! ,int]nal ,rev5ue ,code ( #aihf is   
am5d$ by add+ at ! end ! foll[+3  7#i7  
,s]vice provid] liability ,9 ! case ( a 
violation ( ?is section by a gr\p heal? 
plan-- 7,a7 a plan sponsor or a s]vice  
provid]1 includ+ any ?ird-p>ty          
adm9i/rator1 manag$ behavioral heal?    
organization1 or entity provid+ ph>macy 
b5efit managem5t s]vices1 ( su* plan t  
causes or contributes to su* violation  
%all also be liable = su* violation2 &  
7,b7 ! ,secret>y %all h ! discretion to 
det]m9e ! p]c5tage ( liability ( betwe5 
! plan1 sponsor1 & s]vice provid]1 z    
applicable4  4  7#b7 ,en=cem5t ,section 
#dihj;,d ( su* ,code is am5d$ by add+ at

 ! end ! foll[+ new subsection3  7g7    
,application to s]vice provid]s ,9 !    
case ( a failure ( a gr\p heal? plan to 
meet ! requirem5ts ( section #ihab1 any 
ref]5ce 9 ?is section to su* gr\p heal? 
plan 7& ! ref]5ce 9 subsection 7e77#a7  
to ! employ]7 %all be treat$ z includ+ a
 ref]5ce to any p]son made liable = su* 
failure by section #ihab7;a77#i74  4    
7d7 ,effective date ,! am5dm5ts made by 
?is section 7o!r ?an ! am5dm5ts made by 
subp>agraphs 7,a7 & 7,b7 ( subsection   
7b77#b77 %all apply ) respect to plan   
ye>s beg9n+ aft] ! date t is #a ye> aft]
 ! date ( enactm5t ( ?is ,act4