Healthcare Freedom and Fairness Act

a health insurance issuer contracting with such health marketplace pool, on a policy or product specific basis; and ``(II) subject to sections 701 and 702, may vary for individuals covered through the health marketplace pool. ``(ii) Permissible coverage for dependents.--Such group health plan or group health insurance coverage may be made available under clause (i) to any dependents of members of the health marketplace pool or dependents of employees of employers that are such members. ``(B) Nondiscrimination in coverage offered.-- ``(i) In general.--Subject to clause (ii), the health marketplace pool may not offer coverage under a group health plan or group health insurance coverage to a member of the health marketplace pool unless the same coverage is offered to all such members of the health marketplace pool. ``(ii) Construction.--Nothing in this subsection shall be construed as requiring a health insurance issuer or group health plan to provide coverage outside the service area of the issuer or plan, or preventing a health insurance issuer or group health plan from underwriting or from excluding or limiting the coverage on any individual, subject to the requirements under sections 701 and 702. ``(C) Assumption of risk.--The health marketplace pool may provide-- ``(i) group health insurance coverage through a contract with a health insurance issuer; or ``(ii) a group health plan through self- insurance. ``(3) Geographic areas.--Nothing in this subsection shall be construed as preventing the establishment and operation of more than 1 health marketplace pool in a geographic area or as limiting the number of health marketplace pools that may operate in any area. ``(4) Provision of administrative services to purchasers.-- The health marketplace pool may provide administrative services for members. Such services may include accounting, billing, and enrollment information. ``(5) Drug coverage.--The group health plan or group health insurance coverage offered by the health marketplace pool may offer-- ``(A) drug coverage, including coverage of over- the-counter drugs, in combination with other benefits covered by the group health plan or group health insurance coverage; or ``(B) notwithstanding any other provision of law, drug coverage, including coverage of over-the-counter drugs, as the only benefit covered by the group health plan or group health insurance coverage. ``(6) Members.-- ``(A) In general.--With respect to an individual who is a member of the health marketplace pool-- ``(i) the individual may enroll for coverage under the group health plan or group health insurance coverage offered by the health marketplace pool (including, if applicable, enrollment for coverage for a dependent of such individual); or ``(ii) the employer of the individual may enroll the individual for coverage under the group health plan or group health insurance coverage offered by the health marketplace pool (including, if applicable, enrollment for coverage for a dependent of such individual). ``(B) Eligibility.--An individual shall be eligible to be a member of the health marketplace pool if such individual is-- ``(i) a member of an entity that establishes or joins the health marketplace pool (or a dependent of such a member, as applicable); ``(ii) an employee of a member of an entity described in clause (i) (or a dependent of such an employee, as applicable); or ``(iii) an employee of an entity (or a dependant of such an employee, as applicable) controlled by a member of an entity described in clause (i). ``(C) Rules for enrollment.--Nothing in this paragraph shall preclude the health marketplace pool from establishing rules of enrollment and reenrollment of members. Such rules shall be applied consistently to all members within the health marketplace pool and shall not be based in any manner on health status- related factors in accordance with sections 701 and 702. ``(c) Determination of Employer and Joint Employer Status.-- Participating in or facilitating a group health plan or group health insurance coverage under this section shall not be construed as establishing under any Federal or State law-- ``(1) an employer relationship for any purpose other than offering the group health plan or group health insurance coverage; or ``(2) a joint employer relationship for any purpose. ``(d) Definition.--In this section, the term `dependent', as applied to a group health plan or group health insurance coverage offered in a State, shall have the meaning applied to such term with respect to such plan or coverage under the State law applying to such plan or coverage. Such term may include the spouse and children of the individual involved in accordance with such State law.''. SEC. 3. CONFORMING AMENDMENTS. Section 3 of the Employee Retirement Income Security Act of 1974 (29 U.S.C. 1002) is amended-- (1) in paragraph (6), by inserting before the period ``, except (with respect to an entity meeting the requirements under section 736(b)) such term includes any member of such entity''; (2) in paragraph (21)-- (A) in subparagraph (A), by striking ``subparagraph (B)'' and inserting ``subparagraphs (B) and (C)''; and (B) by adding at the end the following: ``(C) With respect to a person that is a member of an entity (referred to in section 736 and this subparagraph as a `health marketplace pool') that meets the requirements of section 736(b) and offers a group health plan (as defined in section 733(a)(1)) or group health insurance coverage (as defined in section 733(b)(4)) (which, notwithstanding any other provision of law, may include such a plan or coverage covering prescription or nonprescription drugs as the only benefit offered by the plan or coverage), membership in the health marketplace pool shall not by itself cause the person to be a fiduciary with respect to the group health plan or group health insurance coverage.''; and (3) in paragraph (40)(A)-- (A) in clause (ii), by striking ``, or'' and inserting ``,''; (B) in clause (iii), by striking the period and inserting ``, or''; and (C) by adding at the end the following: ``(iv) as a group health plan (as defined in section 733(a)(1)), or group health insurance coverage (as defined in section 733(b)(4)), offered by an entity meeting the requirements under section 736(b) (which, notwithstanding any other provision of law, may include such an entity offering such a plan or coverage covering prescription or nonprescription drugs as the only benefit offered by the plan or coverage).''. <all>