United States Code

42 U.S.C. § 18011

Preservation of right to maintain existing coverage

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Bills that would change it 37

  • HR 7853 PrEP Access and Coverage Act of 2026 Amends 18011(a)(4) · introduced · 119th Congress
  • S 3990 PrEP Access and Coverage Act of 2026 Amends 18011(a)(4) · introduced · 119th Congress
  • HR 6182 Find It Early Act Amends 18011(a)(5) · introduced · 119th Congress
  • S 3400 Ally’s Act Amends 18011(a)(4)(A) · introduced · 119th Congress
  • HR 4606 Ally’s Act Amends 18011(a)(4)(A) · introduced · 119th Congress
  • S 2032 Choose Medicare Act Amends 18011(a)(5) · introduced · 119th Congress
  • HR 3911 Choose Medicare Act Amends 18011(a)(5) · introduced · 119th Congress
  • S 1500 Access to Breast Cancer Diagnosis Act of 2025 Amends 18011(a)(4)(A) · introduced · 119th Congress
  • HR 3037 Access to Breast Cancer Diagnosis Act of 2025 Amends 18011(a)(4)(A) · introduced · 119th Congress
  • S 1410 Find It Early Act Amends 18011(a)(4)(A) · introduced · 119th Congress
  • HR 4851 9–8–8 Implementation Act of 2023 Amends 18011(a)(4)(A) · introduced · 118th Congress
  • HR 3851 Access to Breast Cancer Diagnosis Act of 2023 Amends 18011(a)(4)(A) · introduced · 118th Congress
  • HR 8207 Choose Medicare Act Amends 18011(a)(5) · introduced · 118th Congress
  • S 2464 Access to Breast Cancer Diagnosis Act of 2023 Amends 18011(a)(4)(A) · introduced · 118th Congress
  • HR 2439 Ally’s Act Amends 18011(a)(4)(A) · introduced · 118th Congress
  • S 1135 Ally’s Act Amends 18011(a)(4)(A) · introduced · 118th Congress
  • HR 7116 9–8–8 Implementation Act of 2022 Amends 18011(a)(4)(A) · introduced · 117th Congress
  • HR 5769 Access to Breast Cancer Diagnosis Act of 2021 Amends 18011(a)(4)(A) · introduced · 117th Congress
  • HR 5011 Choose Medicare Act Amends 18011(a)(4)(A) · introduced · 117th Congress
  • S 1180 Choose Medicare Act Amends 18011(a)(4)(A) · introduced · 117th Congress
  • S 1067 Access to Breast Cancer Diagnosis Act of 2021 Amends 18011(a)(4)(A) · introduced · 117th Congress
  • S 754 Ensuring Lasting Smiles Act Amends 18011(a)(4)(A) · introduced · 117th Congress
  • HR 477 Ally’s Act Amends 18011(a)(4)(A) · introduced · 117th Congress
  • S 41 Ally's Act Amends 18011(a)(4)(A) · introduced · 117th Congress
  • HR 133 Consolidated Appropriations Act, 2021 Amends 18011(a) · enacted · 116th Congress
  • HR 5800 Ban Surprise Billing Act Amends 18011(a) · introduced · 116th Congress
  • HR 1379 Ensuring Lasting Smiles Act Amends 18011(a)(4)(A) · introduced · 116th Congress
  • S 3216 Access to Breast Cancer Diagnosis Act of 2020 Amends 18011(a)(4)(A) · introduced · 116th Congress
  • HR 5485 Ally’s Act Amends 18011(a)(4)(A) · introduced · 116th Congress
  • HR 2463 Choose Medicare Act Amends 18011(a)(4)(A) · introduced · 116th Congress
  • S 1895 Lower Health Care Costs Act Amends 18011(a) · introduced · 116th Congress
  • HR 2428 Access to Breast Cancer Diagnosis Act of 2019 Amends 18011(a)(4)(A) · introduced · 116th Congress
  • S 1261 Choose Medicare Act Amends 18011(a)(4)(A) · introduced · 116th Congress
  • HR 1730 Cancer Drug Parity Act of 2019 Amends 18011(a)(4)(A) · introduced · 116th Congress
  • S 741 Cancer Drug Parity Act of 2019 Amends 18011(a)(4)(A) · introduced · 116th Congress
  • S 560 Ensuring Lasting Smiles Act Amends 18011(a)(4)(A) · introduced · 116th Congress
  • HR 1409 Cancer Drug Parity Act of 2017 Amends 18011(a)(4)(A) · introduced · 115th Congress

The law today

From the official United States Code, current through Public Law 119-121.

(a) No changes to existing coverage (1) In general Nothing in this Act (or an amendment made by this Act) shall be construed to require that an individual terminate coverage under a group health plan or health insurance coverage in which such individual was enrolled on March 23, 2010. (2) Continuation of coverage Except as provided in paragraph (3), with respect to a group health plan or health insurance coverage in which an individual was enrolled on March 23, 2010, this subtitle and subtitle A (and the amendments made by such subtitles) shall not apply to such plan or coverage, regardless of whether the individual renews such coverage after March 23, 2010. (3) Application of certain provisions The provisions of sections 2715 [42 U.S.C. 300gg–15] and 2718 [42 U.S.C. 300gg–18] of the Public Health Service Act (as added by subtitle A) shall apply to grandfathered health plans for plan years beginning on or after March 23, 2010. (4) Application of certain provisions (A) In general The following provisions of the Public Health Service Act [42 U.S.C. 201 et seq.] (as added by this title) 1 shall apply to grandfathered health plans for plan years beginning with the first plan year to which such provisions would otherwise apply: (i) Section 2708 [42 U.S.C. 300gg–7] (relating to excessive waiting periods). (ii) Those provisions of section 2711 [42 U.S.C. 300gg–11] relating to lifetime limits. (iii) Section 2712 [42 U.S.C. 300gg–12] (relating to rescissions). (iv) Section 2714 [42 U.S.C. 300gg–14] (relating to extension of dependent coverage). (B) Provisions applicable only to group health plans (i) Provisions described Those provisions of section 2711 [42 U.S.C. 300gg–11] relating to annual limits and the provisions of section 2704 [42 U.S.C. 300gg–3] (relating to pre-existing condition exclusions) of the Public Health Service Act (as added by this subtitle) shall apply to grandfathered health plans that are group health plans for plan years beginning with the first plan year to which such provisions otherwise apply. (ii) Adult child coverage For plan years beginning before January 1, 2014, the provisions of section 2714 of the Public Health Service Act [42 U.S.C. 300gg–14] (as added by this subtitle) shall apply in the case of an adult child with respect to a grandfathered health plan that is a group health plan only if such adult child is not eligible to enroll in an eligible employer-sponsored health plan (as defined in section 5000A(f)(2) of title 26) other than such grandfathered health plan. (5) Application of additional provisions Sections 300gg–111, 300gg–112, and 300gg–117 of this title shall apply to grandfathered health plans for plan years beginning on or after January 1, 2022. (b) Allowance for family members to join current coverage With respect to a group health plan or health insurance coverage in which an individual was enrolled on March 23, 2010, and which is renewed after such date, family members of such individual shall be permitted to enroll in such plan or coverage if such enrollment is permitted under the terms of the plan in effect as of March 23, 2010. (c) Allowance for new employees to join current plan A group health plan that provides coverage on March 23, 2010, may provide for the enrolling of new employees (and their families) in such plan, and this subtitle and subtitle A (and the amendments made by such subtitles) shall not apply with respect to such plan and such new employees (and their families). (d) Effect on collective bargaining agreements In the case of health insurance coverage maintained pursuant to one or more collective bargaining agreements between employee representatives and one or more employers that was ratified before March 23, 2010, the provisions of this subtitle and subtitle A (and the amendments made by such subtitles) shall not apply until the date on which the last of the collective bargaining agreements relating to the coverage terminates. Any coverage amendment made pursuant to a collective bargaining agreement relating to the coverage which amends the coverage solely to conform to any requirement added by this subtitle or subtitle A (or amendments) shall not be treated as a termination of such collective bargaining agreement. (e) Definition In this title,1 the term “grandfathered health plan” means any group health plan or health insurance coverage to which this section applies.
Official text at uscode.house.gov ↗