109 HR 1227 IH: Genetic Information Nondiscrimination Act of 2005 U.S. House of Representatives 2005-03-10 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
I 109th CONGRESS 1st Session H. R. 1227 IN THE HOUSE OF REPRESENTATIVES March 10, 2005 Mrs. Biggert (for herself, Ms. Slaughter, Mr. Ney, Ms. Eshoo, Mr. Norwood, Mr. Dingell, Mr. Hyde, Mr. George Miller of California, Mrs. Johnson of Connecticut, Mr. Rangel, Mr. Gillmor, Mr. Owens, Mrs. Myrick, Mr. Gordon, Mr. Ferguson, Mr. Gene Green of Texas, Mr. Regula, Mr. Strickland, Mr. Wolf, Mrs. Capps, Mr. Wamp, Mr. Allen, Mr. Ramstad, Mr. Davis of Florida, Ms. Granger, Mr. Thompson of California, Mr. Platts, Mr. Lewis of Georgia, Mrs. Jo Ann Davis of Virginia, Mr. Berry, Mrs. Capito, Mr. Van Hollen, Mr. Saxton, Mr. Michaud, Mr. Boehlert, Mrs. Maloney, Mr. Shays, and Mr. Kind) introduced the following bill; which was referred to the Committee on Education and the Workforce, and in addition to the Committees on Energy and Commerce and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL To prohibit discrimination on the basis of genetic information with respect to health insurance and employment.
1.
Short title; table of contents
(a)
Short title
This Act may be cited as the Genetic Information Nondiscrimination Act of 2005. (b)
Table of contents
The table of contents of this Act is as follows: Sec. 1. Short title; table of contents Sec. 2. Findings Title I—Genetic nondiscrimination in health insurance Sec. 101. Amendments to Employee Retirement Income Security Act of 1974 Sec. 102. Amendments to the Public Health Service Act Sec. 103. Amendments to title XVIII of the Social Security Act relating to medigap Sec. 104. Privacy and confidentiality Sec. 105. Assuring coordination Sec. 106. Regulations; effective date Title II—Prohibiting employment discrimination on the basis of genetic information Sec. 201. Definitions Sec. 202. Employer practices Sec. 203. Employment agency practices Sec. 204. Labor organization practices Sec. 205. Training programs Sec. 206. Confidentiality of genetic information Sec. 207. Remedies and enforcement Sec. 208. Disparate impact Sec. 209. Construction Sec. 210. Medical information that is not genetic information Sec. 211. Regulations Sec. 212. Authorization of appropriations Sec. 213. Effective date Title III—Miscellaneous provision Sec. 301. Severability
2.
Findings
Congress makes the following findings: (1)Deciphering the sequence of the human genome and other advances in genetics open major new opportunities for medical progress. New knowledge about the genetic basis of illness will allow for earlier detection of illnesses, often before symptoms have begun. Genetic testing can allow individuals to take steps to reduce the likelihood that they will contract a particular disorder. New knowledge about genetics may allow for the development of better therapies that are more effective against disease or have fewer side effects than current treatments. These advances give rise to the potential misuse of genetic information to discriminate in health insurance and employment. (2)The early science of genetics became the basis of State laws that provided for the sterilization of persons having presumed genetic defects such as mental retardation, mental disease, epilepsy, blindness, and hearing loss, among other conditions. The first sterilization law was enacted in the State of Indiana in 1907. By 1981, a majority of States adopted sterilization laws to correct apparent genetic traits or tendencies. Many of these State laws have since been repealed, and many have been modified to include essential constitutional requirements of due process and equal protection. However, the current explosion in the science of genetics, and the history of sterilization laws by the States based on early genetic science, compels Congressional action in this area. (3)Although genes are facially neutral markers, many genetic conditions and disorders are associated with particular racial and ethnic groups and gender. Because some genetic traits are most prevalent in particular groups, members of a particular group may be stigmatized or discriminated against as a result of that genetic information. This form of discrimination was evident in the 1970s, which saw the advent of programs to screen and identify carriers of sickle cell anemia, a disease which afflicts African-Americans. Once again, State legislatures began to enact discriminatory laws in the area, and in the early 1970s began mandating genetic screening of all African Americans for sickle cell anemia, leading to discrimination and unnecessary fear. To alleviate some of this stigma, Congress in 1972 passed the National Sickle Cell Anemia Control Act, which withholds Federal funding from States unless sickle cell testing is voluntary. (4)Congress has been informed of examples of genetic discrimination in the workplace. These include the use of pre-employment genetic screening at Lawrence Berkeley Laboratory, which led to a court decision in favor of the employees in that case Norman-Bloodsaw v. Lawrence Berkeley Laboratory (135 F.3d 1260, 1269 (9th Cir. 1998)). Congress clearly has a compelling public interest in relieving the fear of discrimination and in prohibiting its actual practice in employment and health insurance. (5)Federal law addressing genetic discrimination in health insurance and employment is incomplete in both the scope and depth of its protections. Moreover, while many States have enacted some type of genetic non-discrimination law, these laws vary widely with respect to their approach, application, and level of protection. Congress has collected substantial evidence that the American public and the medical community find the existing patchwork of State and Federal laws to be confusing and inadequate to protect them from discrimination. Therefore Federal legislation establishing a national and uniform basic standard is necessary to fully protect the public from discrimination and allay their concerns about the potential for discrimination, thereby allowing individuals to take advantage of genetic testing, technologies, research, and new therapies.
<enum>I</enum><header>Genetic nondiscrimination in health insurance</header> <section id="HF90BD2864F3641C000B385F32686C1A5"><enum>101.</enum><header>Amendments to <act-name parsable-cite="ERISA">Employee Retirement Income Security Act of 1974</act-name></header> <subsection id="HF476C2DF3C71426597C06DB15476362F"><enum>(a)</enum><header>Prohibition of health discrimination on the basis of genetic information or genetic services</header> <paragraph id="H50DA3443EC37448390806478BF5DA8CF"><enum>(1)</enum><header>No enrollment restriction for genetic services</header><text>Section 702(a)(1)(F) of the <act-name parsable-cite="ERISA">Employee Retirement Income Security Act of 1974</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/29/1182">29 U.S.C. 1182(a)(1)(F)</external-xref>) is amended by inserting before the period the following: <quote>(including information about a request for or receipt of genetic services by an individual or family member of such individual)</quote>.</text></paragraph> <paragraph id="HBC47E7FCF0744B279BB61F7B47C3DD11"><enum>(2)</enum><header>No discrimination in group premiums based on genetic information</header><text>Section 702(b) of the <act-name parsable-cite="ERISA">Employee Retirement Income Security Act of 1974</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/29/1182">29 U.S.C. 1182(b)</external-xref>) is amended—</text> <subparagraph id="H02BF4D30DBA74F9E864D8D60D901303B"><enum>(A)</enum><text>in paragraph (2)(A), by inserting before the semicolon the following: <quote>except as provided in paragraph (3)</quote>; and</text></subparagraph> <subparagraph id="H0A62E067DF9B45C6A2D3A6DDA2389136"><enum>(B)</enum><text>by adding at the end the following:</text> <quoted-block id="H9FCDCFABDC9B4705A7B5B6CB78EAE400"> <paragraph id="H874CD9DFF0D7446BACD52576293FCD0"><enum>(3)</enum><header>No discrimination in group premiums based on genetic information</header><text>For purposes of this section, a group health plan, or a health insurance issuer offering group health insurance coverage in connection with a group health plan, shall not adjust premium or contribution amounts for a group on the basis of genetic information concerning an individual in the group or a family member of the individual (including information about a request for or receipt of genetic services by an individual or family member of such individual).</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></subparagraph></paragraph></subsection> <subsection id="H545A6CBC5F6D4F2B99003785DD88CC7F"><enum>(b)</enum><header>Limitations on genetic testing</header><text>Section 702 of the <act-name parsable-cite="ERISA">Employee Retirement Income Security Act of 1974</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/29/1182">29 U.S.C. 1182</external-xref>) is amended by adding at the end the following:</text> <quoted-block act-name="Employee Retirement Income Security Act of 1974" id="H7A978FD92E2B4D9BA2D43021350252F"> <subsection id="HAC6DAD54404A491F9200659D5336B57B"><enum>(c)</enum><header>Genetic testing</header> <paragraph id="HA44692995ECB4A4594AE784922535ED"><enum>(1)</enum><header>Limitation on requesting or requiring genetic testing</header><text>A group health plan, or a health insurance issuer offering health insurance coverage in connection with a group health plan, shall not request or require an individual or a family member of such individual to undergo a genetic test.</text></paragraph> <paragraph id="HE2BA58BD5FAA4914A0AF7E33F385952B"><enum>(2)</enum><header>Rule of construction</header><text>Nothing in this part shall be construed to—</text> <subparagraph id="H2403C327F61D4FA393C7005FC25FEC4C"><enum>(A)</enum><text>limit the authority of a health care professional who is providing health care services with respect to an individual to request that such individual or a family member of such individual undergo a genetic test;</text></subparagraph> <subparagraph id="HEE86495AF8ED46EFA8F88DDDFB2BBDD"><enum>(B)</enum><text>limit the authority of a health care professional who is employed by or affiliated with a group health plan or a health insurance issuer and who is providing health care services to an individual as part of a bona fide wellness program to notify such individual of the availability of a genetic test or to provide information to such individual regarding such genetic test; or</text></subparagraph> <subparagraph id="H5FC1346135514E92A8BB2C22167DDFD9"><enum>(C)</enum><text>authorize or permit a health care professional to require that an individual undergo a genetic test.</text></subparagraph></paragraph></subsection> <subsection id="H2EE6EC6669E442979C909B0064ED43FB"><enum>(d)</enum><header>Application to all plans</header><text>The provisions of subsections (a)(1)(F), (b)(3), and (c) shall apply to group health plans and health insurance issuers without regard to section 732(a).</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block></subsection> <subsection id="HE420EB1486D84A8FBE1BE39458FDA8B"><enum>(c)</enum><header>Remedies and enforcement</header><text>Section 502 of the <act-name parsable-cite="ERISA">Employee Retirement Income Security Act of 1974</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/29/1132">29 U.S.C. 1132</external-xref>) is amended by adding at the end the following:</text> <quoted-block act-name="Employee Retirement Income Security Act of 1974" id="H320129AC097C4731851F3E619BA3D663"> <subsection id="H8B8DC2B655D1408F826F2ED5BD57BD7E"><enum>(n)</enum><header>Enforcement of genetic nondiscrimination requirements</header> <paragraph id="H5ABC7F2B9004474FA8F802847FA8EF7"><enum>(1)</enum><header>Injunctive relief for irreparable harm</header><text>With respect to any violation of subsection (a)(1)(F), (b)(3), or (c) of section 702, a participant or beneficiary may seek relief under subsection 502(a)(1)(B) prior to the exhaustion of available administrative remedies under section 503 if it is demonstrated to the court, by a preponderance of the evidence, that the exhaustion of such remedies would cause irreparable harm to the health of the participant or beneficiary. Any determinations that already have been made under section 503 in such case, or that are made in such case while an action under this paragraph is pending, shall be given due consideration by the court in any action under this subsection in such case.</text></paragraph> <paragraph id="H146AB66F4BC3449E9EA004875101AAAD"><enum>(2)</enum><header>Equitable relief for genetic nondiscrimination</header> <subparagraph id="HCCFD07C1AC9C41BBA01118A945D9571C"><enum>(A)</enum><header>Reinstatement of benefits where equitable relief has been awarded</header><text>The recovery of benefits by a participant or beneficiary under a civil action under this section may include an administrative penalty under subparagraph (B) and the retroactive reinstatement of coverage under the plan involved to the date on which the participant or beneficiary was denied eligibility for coverage if—</text> <clause id="HE51703AF1B9841E0A4C864F4C395FCE7"><enum>(i)</enum><text>the civil action was commenced under subsection (a)(1)(B); and</text></clause> <clause id="HB7385CD74BEE406FAFD570D6EA85C22C"><enum>(ii)</enum><text>the denial of coverage on which such civil action was based constitutes a violation of subsection (a)(1)(F), (b)(3), or (c) of section 702.</text></clause></subparagraph> <subparagraph id="H426EBCB2512C434B946BCCAC4B9037AF"><enum>(B)</enum><header>Administrative penalty</header> <clause id="HA34B8988F1CD483BB6A9F6A73C97ABF8"><enum>(i)</enum><header>In general</header><text>An administrator who fails to comply with the requirements of subsection (a)(1)(F), (b)(3), or (c) of section 702 with respect to a participant or beneficiary may, in an action commenced under subsection (a)(1)(B), be personally liable in the discretion of the court, for a penalty in the amount not more than $100 for each day in the noncompliance period.</text></clause> <clause id="H1DEF3A63843F45E7AE16DBBA779CB933"><enum>(ii)</enum><header>Noncompliance period</header><text>For purposes of clause (i), the term <term>noncompliance period</term> means the period—</text> <subclause id="HD187C2308EFA4ACABA7C5F44B4D78D53"><enum>(I)</enum><text>beginning on the date that a failure described in clause (i) occurs; and</text></subclause> <subclause id="H9B5AB2A9C39243D0AE00EF12FD9C2440"><enum>(II)</enum><text>ending on the date that such failure is corrected.</text></subclause></clause> <clause id="H22E57F7DE30D49B69B7B7024E6602F12"><enum>(iii)</enum><header>Payment to participant or beneficiary</header><text>A penalty collected under this subparagraph shall be paid to the participant or beneficiary involved.</text></clause></subparagraph></paragraph> <paragraph id="H1D81040159EE4ECA9BE1611CB73C41FC"><enum>(3)</enum><header>Secretarial enforcement authority</header> <subparagraph id="H614FF6D705DF4B6CB7966E3CC1E08D5E"><enum>(A)</enum><header>General rule</header><text>The Secretary has the authority to impose a penalty on any failure of a group health plan to meet the requirements of subsection (a)(1)(F), (b)(3), or (c) of section 702.</text></subparagraph> <subparagraph id="HA2C89087E9F849AEBD6227DD434C6753"><enum>(B)</enum><header>Amount</header> <clause id="H617D085793AE4EA393004F4F98E3A3D"><enum>(i)</enum><header>In general</header><text>The amount of the penalty imposed by subparagraph (A) shall be $100 for each day in the noncompliance period with respect to each individual to whom such failure relates.</text></clause> <clause id="H8EA0A66980584762B8BB9DC18339D02E"><enum>(ii)</enum><header>Noncompliance period</header><text>For purposes of this paragraph, the term <term>noncompliance period</term> means, with respect to any failure, the period—</text> <subclause id="HA4E759757860412CB78CF5E9A83949CB"><enum>(I)</enum><text>beginning on the date such failure first occurs; and</text></subclause> <subclause id="HC6E2E4799E99459AB9B31DFCBDDE1150"><enum>(II)</enum><text>ending on the date such failure is corrected.</text></subclause></clause></subparagraph> <subparagraph id="H6D1B350C1B584CF280A0D769DE76BE9"><enum>(C)</enum><header>Minimum penalties where failure discovered</header><text>Notwithstanding clauses (i) and (ii) of subparagraph (D):</text> <clause id="H5CA7C9EF81E0413D93F340398D1ED1C"><enum>(i)</enum><header>In general</header><text>In the case of 1 or more failures with respect to an individual—</text> <subclause id="H6EF1184B9B4348A2ADB8539F61E08DC0"><enum>(I)</enum><text>which are not corrected before the date on which the plan receives a notice from the Secretary of such violation; and</text></subclause> <subclause id="HE455891BF3D54554A78DB1DB0B276E"><enum>(II)</enum><text>which occurred or continued during the period involved;</text></subclause><continuation-text continuation-text-level="clause">the amount of penalty imposed by subparagraph (A) by reason of such failures with respect to such individual shall not be less than $2,500.</continuation-text></clause> <clause id="HA65F1A9896AE4D249B561F3C47A6E99D"><enum>(ii)</enum><header>Higher minimum penalty where violations are more than de minimis</header><text>To the extent violations for which any person is liable under this paragraph for any year are more than de minimis, clause (i) shall be applied by substituting <quote>$15,000</quote> for <quote>$2,500</quote> with respect to such person.</text></clause></subparagraph> <subparagraph id="HC5E2BE9D007B4DEEAC63BC805D1096C1"><enum>(D)</enum><header>Limitations</header> <clause id="HE61C3179457348D0ADDEDA94A218EC04"><enum>(i)</enum><header>Penalty not to apply where failure not discovered exercising reasonable diligence</header><text>No penalty shall be imposed by subparagraph (A) on any failure during any period for which it is established to the satisfaction of the Secretary that the person otherwise liable for such penalty did not know, and exercising reasonable diligence would not have known, that such failure existed.</text></clause> <clause id="H9BEDC7ECA023411900309DEDC1FDE3F8"><enum>(ii)</enum><header>Penalty not to apply to failures corrected within certain periods</header><text>No penalty shall be imposed by subparagraph (A) on any failure if—</text> <subclause id="H7B08CC62C8F84281B8F3598C8F039939"><enum>(I)</enum><text>such failure was due to reasonable cause and not to willful neglect; and</text></subclause> <subclause id="H607AB06BA17848598EDE77F91EA0B567"><enum>(II)</enum><text>such failure is corrected during the 30-day period beginning on the first date the person otherwise liable for such penalty knew, or exercising reasonable diligence would have known, that such failure existed.</text></subclause></clause> <clause id="H2F2D6A1A35F64E6F925840EA8103B980"><enum>(iii)</enum><header>Overall limitation for unintentional failures</header><text>In the case of failures which are due to reasonable cause and not to willful neglect, the penalty imposed by subparagraph (A) for failures shall not exceed the amount equal to the lesser of—</text> <subclause id="HA2E9B6580AFA44F3BC4500AED72DD08C"><enum>(I)</enum><text>10 percent of the aggregate amount paid or incurred by the employer (or predecessor employer) during the preceding taxable year for group health plans; or</text></subclause> <subclause id="HBF47BAB46F6F4DA89EF812C375C13335"><enum>(II)</enum><text>$500,000.</text></subclause></clause></subparagraph> <subparagraph id="H95623CF46A354F18AE5B1771ECC1F773"><enum>(E)</enum><header>Waiver by Secretary</header><text>In the case of a failure which is due to reasonable cause and not to willful neglect, the Secretary may waive part or all of the penalty imposed by subparagraph (A) to the extent that the payment of such penalty would be excessive relative to the failure involved.</text></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block></subsection> <subsection id="H20E9393573414E718DB74500E3FB2B00"><enum>(d)</enum><header>Definitions</header><text>Section 733(d) of the <act-name parsable-cite="ERISA">Employee Retirement Income Security Act of 1974</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/29/1191b">29 U.S.C. 1191b(d)</external-xref>) is amended by adding at the end the following:</text> <quoted-block act-name="Employee Retirement Income Security Act of 1974" id="HCB0411BF94F84DD8B2C2C1867C44DAFC"> <paragraph id="H6D8BBEE70AC64447B355C74C6FA4AA00"><enum>(5)</enum><header>Family member</header><text>The term <term>family member</term> means with respect to an individual—</text> <subparagraph id="HB4B9A9CEA47943D986D2DB2135F5E972"><enum>(A)</enum><text>the spouse of the individual;</text></subparagraph> <subparagraph id="HD36B0142B5FB442480454C83C36CB900"><enum>(B)</enum><text>a dependent child of the individual, including a child who is born to or placed for adoption with the individual; and</text></subparagraph> <subparagraph id="H93A83FC20019417FBD7BD70800EC4650"><enum>(C)</enum><text>all other individuals related by blood to the individual or the spouse or child described in subparagraph (A) or (B).</text></subparagraph></paragraph> <paragraph id="H8D203B4DF6C24972BAE2F99FD5DFC25"><enum>(6)</enum><header>Genetic information</header> <subparagraph id="H376B6CAA6E2A4E64B33B5B00A2CDC4B7"><enum>(A)</enum><header>In general</header><text>Except as provided in subparagraph (B), the term <term>genetic information</term> means information about—</text> <clause id="H33E02B0A7EC94AA69FC5004DCEE9278"><enum>(i)</enum><text>an individual’s genetic tests;</text></clause> <clause id="HE72104F03E5943B2BD4BA32D5F8437B6"><enum>(ii)</enum><text>the genetic tests of family members of the individual; or</text></clause> <clause id="HFF4183FD643447DA8453ACA49951A900"><enum>(iii)</enum><text>the occurrence of a disease or disorder in family members of the individual.</text></clause></subparagraph> <subparagraph id="HBCF2C6C00CA144F49C2861BDB617B984"><enum>(B)</enum><header>Exclusions</header><text>The term <term>genetic information</term> shall not include information about the sex or age of an individual.</text></subparagraph></paragraph> <paragraph id="H3ECC5F1ABD89485A9DBA2ECEB8A723A0"><enum>(7)</enum><header>Genetic test</header> <subparagraph id="H4FBF1DEEB5624D02954B002B6D14C5B6"><enum>(A)</enum><header>In general</header><text>The term <term>genetic test</term> means an analysis of human DNA, RNA, chromosomes, proteins, or metabolites, that detects genotypes, mutations, or chromosomal changes.</text></subparagraph> <subparagraph id="H96F20DD0824F4AF2AAACED4478110381"><enum>(B)</enum><header>Exceptions</header><text>The term <term>genetic test</term> does not mean—</text> <clause id="HC8ED6D33F2824F13008E83B753596B43"><enum>(i)</enum><text>an analysis of proteins or metabolites that does not detect genotypes, mutations, or chromosomal changes; or</text></clause> <clause id="HC89F164436D44363ADC6DC53A6BDEF11"><enum>(ii)</enum><text>an analysis of proteins or metabolites that is directly related to a manifested disease, disorder, or pathological condition that could reasonably be detected by a health care professional with appropriate training and expertise in the field of medicine involved.</text></clause></subparagraph></paragraph> <paragraph id="H5D61B4D528F24555A9126C632C1800FF"><enum>(8)</enum><header>Genetic services</header><text>The term <term>genetic services</term> means—</text> <subparagraph id="HE29ED8D2A994404B97178C0406377ED"><enum>(A)</enum><text>a genetic test;</text></subparagraph> <subparagraph id="H7E49B8698E5C4A96B6CAA17C8C862100"><enum>(B)</enum><text>genetic counseling (such as obtaining, interpreting, or assessing genetic information); or</text></subparagraph> <subparagraph id="H57CD4AF5A8AC47BDA6325D8EE3CBACD1"><enum>(C)</enum><text>genetic education.</text></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></subsection> <subsection id="HC42E326A80EA4DC1908C360075844466"><enum>(e)</enum><header>Regulations and effective date</header> <paragraph id="H022A51D6B0E945EC9329A38B077954CD"><enum>(1)</enum><header>Regulations</header><text>Not later than 1 year after the date of enactment of this title, the Secretary of Labor shall issue final regulations in an accessible format to carry out the amendments made by this section.</text></paragraph> <paragraph id="H9C866DBD6C814187AEE9A58C753C70C5"><enum>(2)</enum><header>Effective date</header><text>The amendments made by this section shall apply with respect to group health plans for plan years beginning after the date that is 18 months after the date of enactment of this title.</text></paragraph></subsection></section> <section id="H1EE400B9F99644E695FD3EAF897400BB"><enum>102.</enum><header>Amendments to the <act-name parsable-cite="PHSA">Public Health Service Act</act-name></header> <subsection id="H9F16ECAACA5E46D18FB7EBCD4FE334FD"><enum>(a)</enum><header>Amendments relating to the group market</header> <paragraph id="HCF24FF9640E043AE81AE008D476C2C3C"><enum>(1)</enum><header>Prohibition of health discrimination on the basis of genetic information or genetic services</header> <subparagraph id="H6EEF85C8B3A14FBEB42BC08215EB8BD"><enum>(A)</enum><header>No enrollment restriction for genetic services</header><text>Section 2702(a)(1)(F) of the <act-name parsable-cite="PHSA">Public Health Service Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-1">42 U.S.C. 300gg–1(a)(1)(F)</external-xref>) is amended by inserting before the period the following: <quote>(including information about a request for or receipt of genetic services by an individual or family member of such individual)</quote>.</text></subparagraph> <subparagraph id="H5C3E15DB88A64C8283B4CD0F278B2E0"><enum>(B)</enum><header>No discrimination in group premiums based on genetic information</header><text>Section 2702(b) of the <act-name parsable-cite="PHSA">Public Health Service Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-1">42 U.S.C. 300gg–1(b)</external-xref>) is amended—</text> <clause id="H05A25DB1ADDB4C5DBE2217B5B85265D"><enum>(i)</enum><text>in paragraph (2)(A), by inserting before the semicolon the following: <quote>, except as provided in paragraph (3)</quote>; and</text></clause> <clause id="H07F6840CDF4A40DF87725BAA2F77D6FC"><enum>(ii)</enum><text>by adding at the end the following:</text> <quoted-block id="H135763045FC84839B175C03FBCF8FDA2"> <paragraph id="H8A9D6BF6112A4ED9AB38ABCF4DADBB4"><enum>(3)</enum><header>No discrimination in group premiums based on genetic information</header><text>For purposes of this section, a group health plan, or a health insurance issuer offering group health insurance coverage in connection with a group health plan, shall not adjust premium or contribution amounts for a group on the basis of genetic information concerning an individual in the group or a family member of the individual (including information about a request for or receipt of genetic services by an individual or family member of such individual).</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></clause></subparagraph></paragraph> <paragraph id="HEB941BA2ED374B4385BDF92EEAD25600"><enum>(2)</enum><header>Limitations on genetic testing</header><text>Section 2702 of the <act-name parsable-cite="PHSA">Public Health Service Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-1">42 U.S.C. 300gg–1</external-xref>) is amended by adding at the end the following:</text> <quoted-block act-name="Public Health Service Act" id="H60996FE8BD174D2492E6BEA51909C2D0"> <subsection id="H874DC4622BC040ED8CCC2F612501D729"><enum>(c)</enum><header>Genetic testing</header> <paragraph id="H4F814D1C859E4E90B699F61E8F006209"><enum>(1)</enum><header>Limitation on requesting or requiring genetic testing</header><text>A group health plan, or a health insurance issuer offering health insurance coverage in connection with a group health plan, shall not request or require an individual or a family member of such individual to undergo a genetic test.</text></paragraph> <paragraph id="HAB0328671799417A92D4B87731AADC66"><enum>(2)</enum><header>Rule of construction</header><text>Nothing in this part shall be construed to—</text> <subparagraph id="HFC7F5BEFC1944F7AB5006C34F25F96B"><enum>(A)</enum><text>limit the authority of a health care professional who is providing health care services with respect to an individual to request that such individual or a family member of such individual undergo a genetic test;</text></subparagraph> <subparagraph id="HA7F1D38074314893BBF942FD6536B045"><enum>(B)</enum><text>limit the authority of a health care professional who is employed by or affiliated with a group health plan or a health insurance issuer and who is providing health care services to an individual as part of a bona fide wellness program to notify such individual of the availability of a genetic test or to provide information to such individual regarding such genetic test; or</text></subparagraph> <subparagraph id="H42563AFA450E4AE0B5A4F2F2345F9016"><enum>(C)</enum><text>authorize or permit a health care professional to require that an individual undergo a genetic test.</text></subparagraph></paragraph></subsection> <subsection id="HB431CC5B5763478CA78EDB1B1F50F818"><enum>(d)</enum><header>Application to all plans</header><text>The provisions of subsections (a)(1)(F), (b)(3), and (c) shall apply to group health plans and health insurance issuers without regard to section 2721(a).</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block></paragraph> <paragraph id="H78CB96FBA224414B992B78D0A8F4D405"><enum>(3)</enum><header>Remedies and enforcement</header><text>Section 2722(b) of the <act-name parsable-cite="PHSA">Public Health Service Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-22">42 U.S.C. 300gg–22</external-xref>)(b)) is amended by adding at the end the following:</text> <quoted-block act-name="Public Health Service Act" id="H3D853A4DCD7648E1B93564D651D79DDA"> <paragraph id="H28B504281AF74CA1A566DDCB2978BAB4"><enum>(3)</enum><header>Enforcement authority relating to genetic discrimination</header> <subparagraph id="HCF3342F7AF354073B15EAA2738001817"><enum>(A)</enum><header>General rule</header><text>In the cases described in paragraph (1), notwithstanding the provisions of paragraph (2)(C), the following provisions shall apply with respect to an action under this subsection by the Secretary with respect to any failure of a health insurance issuer in connection with a group health plan, to meet the requirements of subsection (a)(1)(F), (b)(3), or (c) of section 2702.</text></subparagraph> <subparagraph id="H76B0F33DCC2F405B8041AC30BB53B9D9"><enum>(B)</enum><header>Amount</header> <clause id="H167830815A3F4A70BFF05CC98EA230DE"><enum>(i)</enum><header>In general</header><text>The amount of the penalty imposed under this paragraph shall be $100 for each day in the noncompliance period with respect to each individual to whom such failure relates.</text></clause> <clause id="HB5BBBACF0DE244BCA2092BE15C2CBF2C"><enum>(ii)</enum><header>Noncompliance period</header><text>For purposes of this paragraph, the term <term>noncompliance period</term> means, with respect to any failure, the period—</text> <subclause id="HD444C7B2F29E4A5B92CA2C5DC7380009"><enum>(I)</enum><text>beginning on the date such failure first occurs; and</text></subclause> <subclause id="H8CFD0C910FDE47AFBA99AFD3DD78336C"><enum>(II)</enum><text>ending on the date such failure is corrected.</text></subclause></clause></subparagraph> <subparagraph id="HD0BDF1376A824BEC9FA59B422238BC48"><enum>(C)</enum><header>Minimum penalties where failure discovered</header><text>Notwithstanding clauses (i) and (ii) of subparagraph (D):</text> <clause id="HF91FDCBB490145C8B74D5E783EEB3108"><enum>(i)</enum><header>In general</header><text>In the case of 1 or more failures with respect to an individual—</text> <subclause id="H99E23839DCD4415B8954C491A47DA110"><enum>(I)</enum><text>which are not corrected before the date on which the plan receives a notice from the Secretary of such violation; and</text></subclause> <subclause id="HBA616BE68E514F2A97D21889E3383125"><enum>(II)</enum><text>which occurred or continued during the period involved;</text></subclause><continuation-text continuation-text-level="clause">the amount of penalty imposed by subparagraph (A) by reason of such failures with respect to such individual shall not be less than $2,500.</continuation-text></clause> <clause id="H7EECD8D0529E4905000811A527007C53"><enum>(ii)</enum><header>Higher minimum penalty where violations are more than de minimis</header><text>To the extent violations for which any person is liable under this paragraph for any year are more than de minimis, clause (i) shall be applied by substituting <quote>$15,000</quote> for <quote>$2,500</quote> with respect to such person.</text></clause></subparagraph> <subparagraph id="H39AEDD2AE2F649AAA5E00025912E9C93"><enum>(D)</enum><header>Limitations</header> <clause id="HB6C22175890F475E91C29B861D671CCA"><enum>(i)</enum><header>Penalty not to apply where failure not discovered exercising reasonable diligence</header><text>No penalty shall be imposed by subparagraph (A) on any failure during any period for which it is established to the satisfaction of the Secretary that the person otherwise liable for such penalty did not know, and exercising reasonable diligence would not have known, that such failure existed.</text></clause> <clause id="HD76A74F322C94E5493D5A002F324DABE"><enum>(ii)</enum><header>Penalty not to apply to failures corrected within certain periods</header><text>No penalty shall be imposed by subparagraph (A) on any failure if—</text> <subclause id="H52DBCBCBCE4B4D6B875594003F213E73"><enum>(I)</enum><text>such failure was due to reasonable cause and not to willful neglect; and</text></subclause> <subclause id="H4DEB6065BDB6417FB7B331246D27CCD0"><enum>(II)</enum><text>such failure is corrected during the 30-day period beginning on the first date the person otherwise liable for such penalty knew, or exercising reasonable diligence would have known, that such failure existed.</text></subclause></clause> <clause id="HDA5DBA4F12C742C08930A4D0FC0005A1"><enum>(iii)</enum><header>Overall limitation for unintentional failures</header><text>In the case of failures which are due to reasonable cause and not to willful neglect, the penalty imposed by subparagraph (A) for failures shall not exceed the amount equal to the lesser of—</text> <subclause id="HD62FF721B742476BBE2DFFB73C9B31ED"><enum>(I)</enum><text>10 percent of the aggregate amount paid or incurred by the employer (or predecessor employer) during the preceding taxable year for group health plans; or</text></subclause> <subclause id="H7E62CDA913D14F1EB208B8AAB5826FB5"><enum>(II)</enum><text>$500,000.</text></subclause></clause></subparagraph> <subparagraph id="HAB88BC0A2C7E4620B3DBFE6027EA7F8C"><enum>(E)</enum><header>Waiver by Secretary</header><text>In the case of a failure which is due to reasonable cause and not to willful neglect, the Secretary may waive part or all of the penalty imposed by subparagraph (A) to the extent that the payment of such penalty would be excessive relative to the failure involved.</text></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph> <paragraph id="HF5DD2194D95F413BA32505FAB3809BD3"><enum>(4)</enum><header>Definitions</header><text>Section 2791(d) of the <act-name parsable-cite="PHSA">Public Health Service Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-91">42 U.S.C. 300gg–91(d)</external-xref>) is amended by adding at the end the following:</text> <quoted-block act-name="Public Health Service Act" id="H2EFF37C7FCB943A7A2D6AACAE114B3DC"> <paragraph id="H0DE8C56904764508ACA833641B1529ED"><enum>(15)</enum><header>Family member</header><text>The term <term>family member</term> means with respect to an individual—</text> <subparagraph id="H8E442062264247B4BCBDB896D900E7EC"><enum>(A)</enum><text>the spouse of the individual;</text></subparagraph> <subparagraph id="H2120C329C5B04EBD955DF2AA8000E84F"><enum>(B)</enum><text>a dependent child of the individual, including a child who is born to or placed for adoption with the individual; and</text></subparagraph> <subparagraph id="HCE74B372EAE7421EB6BB1E3B127400B5"><enum>(C)</enum><text>all other individuals related by blood to the individual or the spouse or child described in subparagraph (A) or (B).</text></subparagraph></paragraph> <paragraph id="HAB0DB87DA2B0421BBE2BF52CAD4DF8B7"><enum>(16)</enum><header>Genetic information</header> <subparagraph id="HEFEE9A6D5D9C4181B0D23B1B72FCC6E"><enum>(A)</enum><header>In general</header><text>Except as provided in subparagraph (B), the term <term>genetic information</term> means information about—</text> <clause id="HA1C55FB9DB0E47A6821601D4AD95E4CB"><enum>(i)</enum><text>an individual’s genetic tests;</text></clause> <clause id="H0A5623DFC67D4D02A247F6001EE42FFC"><enum>(ii)</enum><text>the genetic tests of family members of the individual; or</text></clause> <clause id="HFF2A7D90DDFB484196CF55D3F0CA78C6"><enum>(iii)</enum><text>the occurrence of a disease or disorder in family members of the individual.</text></clause></subparagraph> <subparagraph id="H04801B7C7F334D0EBAEAE6F00F57E55"><enum>(B)</enum><header>Exclusions</header><text>The term <term>genetic information</term> shall not include information about the sex or age of an individual.</text></subparagraph></paragraph> <paragraph id="H8DD76C678C334061842342776E4ECBE3"><enum>(17)</enum><header>Genetic test</header> <subparagraph id="HFFB9687BF3664BCE8689EF75F10D708"><enum>(A)</enum><header>In general</header><text>The term <term>genetic test</term> means an analysis of human DNA, RNA, chromosomes, proteins, or metabolites, that detects genotypes, mutations, or chromosomal changes.</text></subparagraph> <subparagraph id="H3BEAE47EC30D4C5098CC682E475CB692"><enum>(B)</enum><header>Exceptions</header><text>The term <term>genetic test</term> does not mean—</text> <clause id="H9335D1C9B7D64579B39BD8745C089B55"><enum>(i)</enum><text>an analysis of proteins or metabolites that does not detect genotypes, mutations, or chromosomal changes; or</text></clause> <clause id="HEEB00FCCAD334A20A200B563856FFD0"><enum>(ii)</enum><text>an analysis of proteins or metabolites that is directly related to a manifested disease, disorder, or pathological condition that could reasonably be detected by a health care professional with appropriate training and expertise in the field of medicine involved.</text></clause></subparagraph></paragraph> <paragraph id="H66AF7AF9519D4154895E72B3172D11FF"><enum>(18)</enum><header>Genetic services</header><text>The term <term>genetic services</term> means—</text> <subparagraph id="H50E32B709F894840A7C874D2CB5C97C"><enum>(A)</enum><text>a genetic test;</text></subparagraph> <subparagraph id="H36EFF4C82D524693BEDE51BD7C1DD606"><enum>(B)</enum><text>genetic counseling (such as obtaining, interpreting, or assessing genetic information); or</text></subparagraph> <subparagraph id="HDF4A4E9BF25A4586B9CC726CC2ECD6A2"><enum>(C)</enum><text>genetic education.</text></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection> <subsection id="H8776389586B8413392DD318157A96131"><enum>(b)</enum><header>Amendment relating to the individual market</header> <paragraph id="HC5CA2BF715A94FB0A05640B6A5FF98BE"><enum>(1)</enum><header>In general</header><text>The first subpart 3 of part B of title XXVII of the <act-name parsable-cite="PHSA">Public Health Service Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-51">42 U.S.C. 300gg–51 et seq.</external-xref>) (relating to other requirements) is amended—</text> <subparagraph id="HD0B89C1643EB4ECE006C8D8D4669B5EE"><enum>(A)</enum><text>by redesignating such subpart as subpart 2; and</text></subparagraph> <subparagraph id="H38B67243E4B84D618C576B9500E000FA"><enum>(B)</enum><text>by adding at the end the following:</text> <quoted-block id="H994FDAE031874ADBB645EEDC2073EB2B"> <section id="HD891AA7161C84BBEBB411B5E4D275346"><enum>2753.</enum><header>Prohibition of health discrimination on the basis of genetic information</header> <subsection id="H09C116619D3642FD868C78FC2E007269"><enum>(a)</enum><header>Prohibition on genetic information as a condition of eligibility</header><text>A health insurance issuer offering health insurance coverage in the individual market may not establish rules for the eligibility (including continued eligibility) of any individual to enroll in individual health insurance coverage based on genetic information (including information about a request for or receipt of genetic services by an individual or family member of such individual).</text></subsection> <subsection id="H4FB7BD8502AF426C8069901120CE26D3"><enum>(b)</enum><header>Prohibition on genetic information in setting premium rates</header><text>A health insurance issuer offering health insurance coverage in the individual market shall not adjust premium or contribution amounts for an individual on the basis of genetic information concerning the individual or a family member of the individual (including information about a request for or receipt of genetic services by an individual or family member of such individual).</text></subsection> <subsection id="H635596C7258A4D6A9BBBD0FFDBEBDC6B"><enum>(c)</enum><header>Genetic testing</header> <paragraph id="H0DC8FF782F7C4EEA98A3905D299656E"><enum>(1)</enum><header>Limitation on requesting or requiring genetic testing</header><text>A health insurance issuer offering health insurance coverage in the individual market shall not request or require an individual or a family member of such individual to undergo a genetic test.</text></paragraph> <paragraph id="H91F78A8D58D2434291718605029E7583"><enum>(2)</enum><header>Rule of construction</header><text>Nothing in this part shall be construed to—</text> <subparagraph id="H20F88D79EC944FFDA0A5B28FEED8489E"><enum>(A)</enum><text>limit the authority of a health care professional who is providing health care services with respect to an individual to request that such individual or a family member of such individual undergo a genetic test;</text></subparagraph> <subparagraph id="H73DD236753314EBBBD1907224C00A865"><enum>(B)</enum><text>limit the authority of a health care professional who is employed by or affiliated with a health insurance issuer and who is providing health care services to an individual as part of a bona fide wellness program to notify such individual of the availability of a genetic test or to provide information to such individual regarding such genetic test; or</text></subparagraph> <subparagraph id="HD174880F9EDD405E821192C7787B5EB7"><enum>(C)</enum><text>authorize or permit a health care professional to require that an individual undergo a genetic test.</text></subparagraph></paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block></subparagraph></paragraph> <paragraph id="H80946D63699D40FAA12237B0087E1E1B"><enum>(2)</enum><header>Remedies and enforcement</header><text>Section 2761(b) of the <act-name parsable-cite="PHSA">Public Health Service Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-61">42 U.S.C. 300gg–61</external-xref>)(b)) is amended to read as follows:</text> <quoted-block act-name="Public Health Service Act" id="HCCFC207FDB334B63867723400088D815"> <subsection id="H72B38B75419C4879004E6BE9C7C5E4A5"><enum>(b)</enum><header>Secretarial enforcement authority</header><text>The Secretary shall have the same authority in relation to enforcement of the provisions of this part with respect to issuers of health insurance coverage in the individual market in a State as the Secretary has under section 2722(b)(2), and section 2722(b)(3) with respect to violations of genetic nondiscrimination provisions, in relation to the enforcement of the provisions of part A with respect to issuers of health insurance coverage in the small group market in the State.</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection> <subsection id="HA8453466C84248478743AF69C29182C8"><enum>(c)</enum><header>Elimination of option of non-federal governmental plans to be excepted from requirements concerning genetic information</header><text>Section 2721(b)(2) of the <act-name parsable-cite="PHSA">Public Health Service Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-21">42 U.S.C. 300gg–21(b)(2)</external-xref>) is amended—</text> <paragraph id="HD05A3D868B834012AD760029006F7200"><enum>(1)</enum><text>in subparagraph (A), by striking <quote>If the plan sponsor</quote> and inserting <quote>Except as provided in subparagraph (D), if the plan sponsor</quote>; and</text></paragraph> <paragraph id="H0F2978B1803243608B06007C8DCE7127"><enum>(2)</enum><text>by adding at the end the following:</text> <quoted-block id="HDBDEEC707A3B49D5002506E0F818DC06"> <subparagraph id="HC9E3E7C712864CCEAC40F545694CA2C9"><enum>(D)</enum><header>Election not applicable to requirements concerning genetic information</header><text>The election described in subparagraph (A) shall not be available with respect to the provisions of subsections (a)(1)(F) and (c) of section 2702 and the provisions of section 2702(b) to the extent that such provisions apply to genetic information (or information about a request for or the receipt of genetic services by an individual or a family member of such individual).</text></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection> <subsection id="H3702E669C2C14ACB8DBBA08C93D6D74"><enum>(d)</enum><header>Regulations and effective date</header> <paragraph id="HDE1EB64C6EDA4DF8AE38091E449328E0"><enum>(1)</enum><header>Regulations</header><text>Not later than 1 year after the date of enactment of this title, the Secretary of Labor and the Secretary of Health and Human Services (as the case may be) shall issue final regulations in an accessible format to carry out the amendments made by this section.</text></paragraph> <paragraph id="HFD27670A31554F12B43932F901520145"><enum>(2)</enum><header>Effective date</header><text>The amendments made by this section shall apply—</text> <subparagraph id="HCDA05AB4D79641EBA91C8DB3013F5704"><enum>(A)</enum><text>with respect to group health plans, and health insurance coverage offered in connection with group health plans, for plan years beginning after the date that is 18 months after the date of enactment of this title; and</text></subparagraph> <subparagraph id="HED8CA0D876184713A7CC03F16C2166E5"><enum>(B)</enum><text>with respect to health insurance coverage offered, sold, issued, renewed, in effect, or operated in the individual market after the date that is 18 months after the date of enactment of this title.</text></subparagraph></paragraph></subsection></section> <section id="H9108F8B36FA94CEEBBE223995870C889"><enum>103.</enum><header>Amendments to title XVIII of the <act-name parsable-cite="SSA">Social Security Act</act-name> relating to medigap</header> <subsection id="H82C537A3D4944349B2EC61EEBA7649A1"><enum>(a)</enum><header>Nondiscrimination</header> <paragraph id="HA69B9146BB8948359B7EBAC4496058E0"><enum>(1)</enum><header>In general</header><text>Section 1882(s)(2) of the <act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1395ss">42 U.S.C. 1395ss(s)(2)</external-xref>) is amended by adding at the end the following:</text> <quoted-block act-name="Social Security Act" id="HFE3800F85FAF468288735CCE4E9CFF06"> <subparagraph id="HDE54CBEBF5B843BAB132D96973E6C29D"><enum>(E)</enum> <clause display-inline="yes-display-inline" id="HD1BF05857B504ADFA1D1B316DC6831FD"><enum>(i)</enum><text>An issuer of a medicare supplemental policy shall not deny or condition the issuance or effectiveness of the policy, and shall not discriminate in the pricing of the policy (including the adjustment of premium rates) of an eligible individual on the basis of genetic information concerning the individual (or information about a request for, or the receipt of, genetic services by such individual or family member of such individual).</text></clause> <clause indent="up1" id="HF05178953793455498938F1DD3D4CD8B"><enum>(ii)</enum><text>For purposes of clause (i), the terms <term>family member</term>, <term>genetic services</term>, and <term>genetic information</term> shall have the meanings given such terms in subsection (x).</text></clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph> <paragraph id="H273D4CCE6CB540DD80F8014E669D0032"><enum>(2)</enum><header>Effective date</header><text>The amendment made by paragraph (1) shall apply with respect to a policy for policy years beginning after the date that is 18 months after the date of enactment of this Act.</text></paragraph></subsection> <subsection id="HB7F82CAAC2E64957A8CADB600F86F29"><enum>(b)</enum><header>Limitations on genetic testing</header> <paragraph id="HE4C79B213E864377801FA9FD636179F5"><enum>(1)</enum><header>In general</header><text>Section 1882 of the <act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1395ss">42 U.S.C. 1395ss</external-xref>) is amended by adding at the end the following:</text> <quoted-block act-name="Social Security Act" id="H51E485D0922449398ECF33DCDB24543"> <subsection id="H074B04EDD11C4BD0A987B380456EBC54"><enum>(x)</enum><header>Limitations on genetic testing</header> <paragraph id="HAD0DE62E24944E6BA0CBF3B5FA8BEA50"><enum>(1)</enum><header>Genetic testing</header> <subparagraph id="H11C2B3B2170E4553A8A910F1FC1C97D7"><enum>(A)</enum><header>Limitation on requesting or requiring genetic testing</header><text>An issuer of a medicare supplemental policy shall not request or require an individual or a family member of such individual to undergo a genetic test.</text></subparagraph> <subparagraph id="H24604C386A2443DEA1C366834ED6DD78"><enum>(B)</enum><header>Rule of construction</header><text>Nothing in this title shall be construed to—</text> <clause id="H1697339E9CF242CFA100F9F73475479D"><enum>(i)</enum><text>limit the authority of a health care professional who is providing health care services with respect to an individual to request that such individual or a family member of such individual undergo a genetic test;</text></clause> <clause id="H411A4241CFF14934B481AF00DD9FA0AA"><enum>(ii)</enum><text>limit the authority of a health care professional who is employed by or affiliated with an issuer of a medicare supplemental policy and who is providing health care services to an individual as part of a bona fide wellness program to notify such individual of the availability of a genetic test or to provide information to such individual regarding such genetic test; or</text></clause> <clause id="HCED8A080B2254E7C807417502691617D"><enum>(iii)</enum><text>authorize or permit a health care professional to require that an individual undergo a genetic test.</text></clause></subparagraph></paragraph> <paragraph id="HBF76B943FB9D40949C5539F6C9DE42C7"><enum>(2)</enum><header>Definitions</header><text>In this subsection:</text> <subparagraph id="HC65C80BFA8B346268FCC1D5B37A61B37"><enum>(A)</enum><header>Family member</header><text>The term <term>family member</term> means with respect to an individual—</text> <clause id="H1D66990E49FD42E4B9FEA8ABF72B1228"><enum>(i)</enum><text>the spouse of the individual;</text></clause> <clause id="H21453D1911CC43D1823484FC6365AA71"><enum>(ii)</enum><text>a dependent child of the individual, including a child who is born to or placed for adoption with the individual; or</text></clause> <clause id="HA938A5EE926C45DDA12F9CA2AFFF3C3"><enum>(iii)</enum><text>any other individuals related by blood to the individual or to the spouse or child described in clause (i) or (ii).</text></clause></subparagraph> <subparagraph id="HD96E3BFD8CEC45D59D25BBE22BD02DCE"><enum>(B)</enum><header>Genetic information</header> <clause id="H9D03A1A2700648758B84E745E4FCB5F"><enum>(i)</enum><header>In general</header><text>Except as provided in clause (ii), the term <term>genetic information</term> means information about—</text> <subclause id="H4F261BDBB4184C4CB9664C4B10D0058E"><enum>(I)</enum><text>an individual’s genetic tests;</text></subclause> <subclause id="H4B3709B1D816458AAE0050033FBFAC10"><enum>(II)</enum><text>the genetic tests of family members of the individual; or</text></subclause> <subclause id="HE0E60A40973D43148EDAA507BDB2D63"><enum>(III)</enum><text>the occurrence of a disease or disorder in family members of the individual.</text></subclause></clause> <clause id="HCF72123A08E8465D936D852B231C6122"><enum>(ii)</enum><header>Exclusions</header><text>The term <term>genetic information</term> shall not include information about the sex or age of an individual.</text></clause></subparagraph> <subparagraph id="H67C4958CA35B4CFE8F7FAB08DDDCEACC"><enum>(C)</enum><header>Genetic test</header> <clause id="H806F2E313FAF429894C5CB8E80CEE8A1"><enum>(i)</enum><header>In general</header><text>The term <term>genetic test</term> means an analysis of human DNA, RNA, chromosomes, proteins, or metabolites, that detects genotypes, mutations, or chromosomal changes.</text></clause> <clause id="H86F77BFA830E4BE6900934FB5B528206"><enum>(ii)</enum><header>Exceptions</header><text>The term <term>genetic test</term> does not mean—</text> <subclause id="H37E7AC3BAE19468FA535F3B84EB49957"><enum>(I)</enum><text>an analysis of proteins or metabolites that does not detect genotypes, mutations, or chromosomal changes; or</text></subclause> <subclause id="H4C9E1B1FAEA54B26AC64E6909CAB5661"><enum>(II)</enum><text>an analysis of proteins or metabolites that is directly related to a manifested disease, disorder, or pathological condition that could reasonably be detected by a health care professional with appropriate training and expertise in the field of medicine involved.</text></subclause></clause></subparagraph> <subparagraph id="H8E1DD0D5D129462D97BCA95C29B8A08B"><enum>(D)</enum><header>Genetic services</header><text>The term <term>genetic services</term> means—</text> <clause id="HB57850FEE06E4F198D34395F6EE2AFBB"><enum>(i)</enum><text>a genetic test;</text></clause> <clause id="H312D2D1978B74BA8B3ED88EF154D5336"><enum>(ii)</enum><text>genetic counseling (such as obtaining, interpreting, or assessing genetic information); or</text></clause> <clause id="H705DCA5701074A6BA04E12B03DE5B302"><enum>(iii)</enum><text>genetic education.</text></clause></subparagraph> <subparagraph id="HE2BB38ED65274D3DAA757B67A3ABD050"><enum>(E)</enum><header>Issuer of a medicare supplemental policy</header><text>The term <term>issuer of a medicare supplemental policy</term> includes a third-party administrator or other person acting for or on behalf of such issuer.</text></subparagraph></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block></paragraph> <paragraph id="H6D26B47318FF4E048D1FA938F36908C9"><enum>(2)</enum><header>Conforming amendment</header><text>Section 1882(o) of the <act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1395ss">42 U.S.C. 1395ss(o)</external-xref>) is amended by adding at the end the following:</text> <quoted-block act-name="Social Security Act" id="HB55DAD5B6DDF42BA8334C3DE24580C9"> <paragraph id="HC22F94E804164E888CD9B93E3EE9DCDA"><enum>(4)</enum><text>The issuer of the medicare supplemental policy complies with subsection (s)(2)(E) and subsection (x).</text></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph> <paragraph id="H14986A15F2254DE1ADE379FC248341D9"><enum>(3)</enum><header>Effective date</header><text>The amendments made by this subsection shall apply with respect to an issuer of a medicare supplemental policy for policy years beginning on or after the date that is 18 months after the date of enactment of this Act.</text></paragraph></subsection> <subsection id="HD01D0D15B9F44941B9079487F43908C4"><enum>(c)</enum><header>Transition provisions</header> <paragraph id="H6EF9E472B5B445D88E2CADB1D1A8C030"><enum>(1)</enum><header>In general</header><text>If the Secretary of Health and Human Services identifies a State as requiring a change to its statutes or regulations to conform its regulatory program to the changes made by this section, the State regulatory program shall not be considered to be out of compliance with the requirements of section 1882 of the <act-name parsable-cite="SSA">Social Security Act</act-name> due solely to failure to make such change until the date specified in paragraph (4).</text></paragraph> <paragraph id="HA27102AF13C14BB99EA71CB6BB21BFC6"><enum>(2)</enum><header>NAIC standards</header><text>If, not later than June 30, 2006, the National Association of Insurance Commissioners (in this subsection referred to as the <quote>NAIC</quote>) modifies its NAIC Model Regulation relating to section 1882 of the <act-name parsable-cite="SSA">Social Security Act</act-name> (referred to in such section as the 1991 NAIC Model Regulation, as subsequently modified) to conform to the amendments made by this section, such revised regulation incorporating the modifications shall be considered to be the applicable NAIC model regulation (including the revised NAIC model regulation and the 1991 NAIC Model Regulation) for the purposes of such section.</text></paragraph> <paragraph id="HDFB8AF6D5F254E50B09EA2E1EF5C00F6"><enum>(3)</enum><header>Secretary standards</header><text>If the NAIC does not make the modifications described in paragraph (2) within the period specified in such paragraph, the Secretary of Health and Human Services shall, not later than October 1, 2006, make the modifications described in such paragraph and such revised regulation incorporating the modifications shall be considered to be the appropriate regulation for the purposes of such section.</text></paragraph> <paragraph id="HE3B074122E8545738410A22D08606E00"><enum>(4)</enum><header>Date specified</header> <subparagraph id="H02BB44ADC23A42EDBC4774EFC12C6792"><enum>(A)</enum><header>In general</header><text>Subject to subparagraph (B), the date specified in this paragraph for a State is the earlier of—</text> <clause id="HA5B5E57F1ED64B67BB06C5D65BFBD5C"><enum>(i)</enum><text>the date the State changes its statutes or regulations to conform its regulatory program to the changes made by this section, or</text></clause> <clause id="H778901273E184EB1008FEF008C89EDE8"><enum>(ii)</enum><text>October 1, 2006.</text></clause></subparagraph> <subparagraph id="H84FE20A5CC7046B1AA57E7A819AB00EE"><enum>(B)</enum><header>Additional legislative action required</header><text>In the case of a State which the Secretary identifies as—</text> <clause id="H92631EAF16EB4F86BDAE7C00C4302EA1"><enum>(i)</enum><text>requiring State legislation (other than legislation appropriating funds) to conform its regulatory program to the changes made in this section, but</text></clause> <clause id="H748DB81DD2AB4AF2B6B71D2450500300"><enum>(ii)</enum><text>having a legislature which is not scheduled to meet in 2006 in a legislative session in which such legislation may be considered, the date specified in this paragraph is the first day of the first calendar quarter beginning after the close of the first legislative session of the State legislature that begins on or after July 1, 2006. For purposes of the previous sentence, in the case of a State that has a 2-year legislative session, each year of such session shall be deemed to be a separate regular session of the State legislature.</text></clause></subparagraph></paragraph></subsection></section> <section id="HF11B1C97E7BD4BAFA8B3232406C462D0"><enum>104.</enum><header>Privacy and confidentiality</header> <subsection id="H2AC9B61675704D6D89CAC0855FFE1200"><enum>(a)</enum><header>Applicability</header><text>Except as provided in subsection (d), the provisions of this section shall apply to group health plans, health insurance issuers (including issuers in connection with group health plans or individual health coverage), and issuers of medicare supplemental policies, without regard to—</text> <paragraph id="H519D5A3B620D4A4D861041E2E8EE90C9"><enum>(1)</enum><text>section 732(a) of the <act-name parsable-cite="ERISA">Employee Retirement Income Security Act of 1974</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/29/1191a">29 U.S.C. 1191a(a)</external-xref>);</text></paragraph> <paragraph id="HC3CC2D6FC902490D997E23D9FD22A976"><enum>(2)</enum><text>section 2721(a) of the <act-name parsable-cite="PHSA">Public Health Service Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-21">42 U.S.C. 300gg–21(a)</external-xref>); and</text></paragraph> <paragraph id="HC9BD81923B3F4C2385A7F3E34143B6C"><enum>(3)</enum><text><external-xref legal-doc="usc" parsable-cite="usc/26/9831">section 9831(a)(2)</external-xref> of the Internal Revenue Code of 1986.</text></paragraph></subsection> <subsection id="HD3703756D6064B32A91FB8EFB437E5E9"><enum>(b)</enum><header>Compliance with certain confidentiality standards with respect to genetic information</header> <paragraph id="H0BF997D40AA1496B99E62669F5CAF7B8"><enum>(1)</enum><header>In general</header><text>The regulations promulgated by the Secretary of Health and Human Services under part C of title XI of the <act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1320d">42 U.S.C. 1320d et seq.</external-xref>) and section 264 of the <act-name parsable-cite="HIPAA">Health Insurance Portability and Accountability Act of 1996</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1320d-2">42 U.S.C. 1320d–2</external-xref> note) shall apply to the use or disclosure of genetic information.</text></paragraph> <paragraph id="HF139DD2A14FF4D0E95D7BA836B4E00FF"><enum>(2)</enum><header>Prohibition on underwriting and premium rating</header><text>Notwithstanding paragraph (1), a group health plan, a health insurance issuer, or issuer of a medicare supplemental policy shall not use or disclose genetic information (including information about a request for or a receipt of genetic services by an individual or family member of such individual) for purposes of underwriting, determinations of eligibility to enroll, premium rating, or the creation, renewal or replacement of a plan, contract or coverage for health insurance or health benefits.</text></paragraph></subsection> <subsection id="HE34DBAF0863A4F91B6A971003E78C8EF"><enum>(c)</enum><header>Prohibition on collection of genetic information</header> <paragraph id="H47BD9883CCAB487D9E22B1117E64FE4E"><enum>(1)</enum><header>In general</header><text>A group health plan, health insurance issuer, or issuer of a medicare supplemental policy shall not request, require, or purchase genetic information (including information about a request for or a receipt of genetic services by an individual or family member of such individual) for purposes of underwriting, determinations of eligibility to enroll, premium rating, or the creation, renewal or replacement of a plan, contract or coverage for health insurance or health benefits.</text></paragraph> <paragraph id="HBB0DA5A6CA7C4D608E003239E16FBD63"><enum>(2)</enum><header>Limitation relating to the collection of genetic information prior to enrollment</header><text>A group health plan, health insurance issuer, or issuer of a medicare supplemental policy shall not request, require, or purchase genetic information (including information about a request for or a receipt of genetic services by an individual or family member of such individual) concerning a participant, beneficiary, or enrollee prior to the enrollment, and in connection with such enrollment, of such individual under the plan, coverage, or policy.</text></paragraph> <paragraph id="HF2602A22C10940FE992ED241D5BABC3E"><enum>(3)</enum><header>Incidental collection</header><text>Where a group health plan, health insurance issuer, or issuer of a medicare supplemental policy obtains genetic information incidental to the requesting, requiring, or purchasing of other information concerning a participant, beneficiary, or enrollee, such request, requirement, or purchase shall not be considered a violation of this subsection if—</text> <subparagraph id="HEE0D2D5572724B528390F260DC936DF1"><enum>(A)</enum><text>such request, requirement, or purchase is not in violation of paragraph (1); and</text></subparagraph> <subparagraph id="H2068A39B877647C58DF96583D3268C00"><enum>(B)</enum><text>any genetic information (including information about a request for or receipt of genetic services) requested, required, or purchased is not used or disclosed in violation of subsection (b).</text></subparagraph></paragraph></subsection> <subsection id="HC9E7B52CB87341E2B2BADBFEC6FBCDEE"><enum>(d)</enum><header>Application of confidentiality standards</header><text>The provisions of subsections (b) and (c) shall not apply—</text> <paragraph id="H1D106090CF31452397E1A37400D7F182"><enum>(1)</enum><text>to group health plans, health insurance issuers, or issuers of medicare supplemental policies that are not otherwise covered under the regulations promulgated by the Secretary of Health and Human Services under part C of title XI of the <act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1320d">42 U.S.C. 1320d et seq.</external-xref>) and section 264 of the <act-name parsable-cite="HIPAA">Health Insurance Portability and Accountability Act of 1996</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1320d-2">42 U.S.C. 1320d–2</external-xref> note); and</text></paragraph> <paragraph id="H4E021B5E33AD493E84753265E9B7E7E"><enum>(2)</enum><text>to genetic information that is not considered to be individually-identifiable health information under the regulations promulgated by the Secretary of Health and Human Services under part C of title XI of the <act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1320d">42 U.S.C. 1320d et seq.</external-xref>) and section 264 of the <act-name parsable-cite="HIPAA">Health Insurance Portability and Accountability Act of 1996</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1320d-2">42 U.S.C. 1320d–2</external-xref> note).</text></paragraph></subsection> <subsection id="HDF14BD4C49FC4D2A90BE1645B52B86AD"><enum>(e)</enum><header>Enforcement</header><text>A group health plan, health insurance issuer, or issuer of a medicare supplemental policy that violates a provision of this section shall be subject to the penalties described in sections 1176 and 1177 of the <act-name parsable-cite="SSA">Social Security Act</act-name> (42 U.S.C. 1320d–5 and 1320d–6) in the same manner and to the same extent that such penalties apply to violations of part C of title XI of such Act.</text></subsection> <subsection id="H6E4B572CFA324EBDB222EFF4BA44C824"><enum>(f)</enum><header>Preemption</header> <paragraph id="HDB321AF893514E0B0035FC80E50745F"><enum>(1)</enum><header>In general</header><text>A provision or requirement under this section or a regulation promulgated under this section shall supersede any contrary provision of State law unless such provision of State law imposes requirements, standards, or implementation specifications that are more stringent than the requirements, standards, or implementation specifications imposed under this section or such regulations. No penalty, remedy, or cause of action to enforce such a State law that is more stringent shall be preempted by this section.</text></paragraph> <paragraph id="HFD484B598CC640E9BA7FD8B9C0BD67C3"><enum>(2)</enum><header>Rule of construction</header><text>Nothing in paragraph (1) shall be construed to establish a penalty, remedy, or cause of action under State law if such penalty, remedy, or cause of action is not otherwise available under such State law.</text></paragraph></subsection> <subsection id="H4E3610C51B7D416FA2475B9C8167DFF1"><enum>(g)</enum><header>Coordination with privacy regulations</header><text>The Secretary shall implement and administer this section in a manner that is consistent with the implementation and administration by the Secretary of the regulations promulgated by the Secretary of Health and Human Services under part C of title XI of the <act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1320d">42 U.S.C. 1320d et seq.</external-xref>) and section 264 of the <act-name parsable-cite="HIPAA">Health Insurance Portability and Accountability Act of 1996</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1320d-2">42 U.S.C. 1320d–2</external-xref> note).</text></subsection> <subsection id="H9CF2CB91FB624DB08F6FB42B9F05FB65"><enum>(h)</enum><header>Definitions</header><text>In this section:</text> <paragraph id="HC2A7CA12615C4249B250A347AEC65DB8"><enum>(1)</enum><header>Genetic information; genetic services</header><text>The terms <term>family member</term>, <term>genetic information</term>, <term>genetic services</term>, and <term>genetic test</term> have the meanings given such terms in section 2791 of the <act-name parsable-cite="PHSA">Public Health Service Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-91">42 U.S.C. 300gg–91</external-xref>), as amended by this Act.</text></paragraph> <paragraph id="H3E29EEFF2B8145D193E9C5F6D1560033"><enum>(2)</enum><header>Group health plan; health insurance issuer</header><text>The terms <term>group health plan</term> and <term>health insurance issuer</term> include only those plans and issuers that are covered under the regulations described in subsection (d)(1).</text></paragraph> <paragraph id="H5560344B6B1F442EA69E84059FD1452D"><enum>(3)</enum><header>Issuer of a medicare supplemental policy</header><text>The term <term>issuer of a medicare supplemental policy</term> means an issuer described in section 1882 of the <act-name parsable-cite="SSA">Social Security Act</act-name> (42 insert 1395ss).</text></paragraph> <paragraph id="H661EB3C2BDB14D52B344D429C6B482AD"><enum>(4)</enum><header>Secretary</header><text>The term <term>Secretary</term> means the Secretary of Health and Human Services.</text></paragraph></subsection></section> <section id="H079BB421DA444797877924495224B814"><enum>105.</enum><header>Assuring coordination</header> <subsection id="H738DCEE53DBF4CF7BE4BF899026FD5FA"><enum>(a)</enum><header>In general</header><text>Except as provided in subsection (b), the Secretary of the Treasury, the Secretary of Health and Human Services, and the Secretary of Labor shall ensure, through the execution of an interagency memorandum of understanding among such Secretaries, that—</text> <paragraph id="HD63F5C8D2FBE40F18FACB7B5CD95E7C"><enum>(1)</enum><text>regulations, rulings, and interpretations issued by such Secretaries relating to the same matter over which two or more such Secretaries have responsibility under this title (and the amendments made by this title) are administered so as to have the same effect at all times; and</text></paragraph> <paragraph id="HCE73CCE9C01344B7AD7F2E847689E004"><enum>(2)</enum><text>coordination of policies relating to enforcing the same requirements through such Secretaries in order to have a coordinated enforcement strategy that avoids duplication of enforcement efforts and assigns priorities in enforcement.</text></paragraph></subsection> <subsection id="H72857E6CF3964ACA967ED268CAA09F6C"><enum>(b)</enum><header>Authority of the Secretary</header><text>The Secretary of Health and Human Services has the sole authority to promulgate regulations to implement section 104.</text></subsection></section> <section id="H032E4D63E03E49F8A9B03487F09DE5E6"><enum>106.</enum><header>Regulations; effective date</header> <subsection id="H6774603A51D3402A81BCECE02EFFFD2"><enum>(a)</enum><header>Regulations</header><text>Not later than 1 year after the date of enactment of this title, the Secretary of Labor, the Secretary of Health and Human Services, and the Secretary of the Treasury shall issue final regulations in an accessible format to carry out this title.</text></subsection> <subsection id="H79011EBBFF594C65BD51781976102200"><enum>(b)</enum><header>Effective date</header><text>Except as provided in section 103, the amendments made by this title shall take effect on the date that is 18 months after the date of enactment of this Act.</text></subsection></section> <enum>II</enum><header>Prohibiting employment discrimination on the basis of genetic information</header> <section id="HBAD1FC3A33FE48D98069DD4572BF2025"><enum>201.</enum><header>Definitions</header><text display-inline="no-display-inline">In this title:</text> <paragraph id="HC538B7E13EBB4DD780D8DFF6EC37D171"><enum>(1)</enum><header>Commission</header><text>The term <term>Commission</term> means the Equal Employment Opportunity Commission as created by section 705 of the <act-name parsable-cite="CRA64">Civil Rights Act of 1964</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/2000e-4">42 U.S.C. 2000e–4</external-xref>).</text></paragraph> <paragraph id="H99A91ABB7C904AEFBA935415A5F2F800"><enum>(2)</enum><header>Employee; employer; employment agency; labor organization; member</header> <subparagraph id="H04CA1CA7294743EEA7B0F32FC3A7528D"><enum>(A)</enum><header>In general</header><text>The term <term>employee</term> means—</text> <clause id="HB2114F429CCE4B749BE97F9FC04772C8"><enum>(i)</enum><text>an employee (including an applicant), as defined in section 701(f) of the <act-name parsable-cite="CRA64">Civil Rights Act of 1964</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/2000e">42 U.S.C. 2000e(f)</external-xref>);</text></clause> <clause id="H4056BB74825947D4B7DA9E6135B7D7B0"><enum>(ii)</enum><text>a State employee (including an applicant) described in section 304(a) of the Government Employee Rights Act of 1991 (42 U.S.C. 2000e–16c(a));</text></clause> <clause id="H396D44708EC4469DA800154E81C661D3"><enum>(iii)</enum><text>a covered employee (including an applicant), as defined in section 101 of the Congressional Accountability Act of 1995 (<external-xref legal-doc="usc" parsable-cite="usc/2/1301">2 U.S.C. 1301</external-xref>);</text></clause> <clause id="H420EB18981F34145903D5FB3BF8C0369"><enum>(iv)</enum><text>a covered employee (including an applicant), as defined in <external-xref legal-doc="usc" parsable-cite="usc/3/411">section 411(c)</external-xref> of title 3, United States Code; or</text></clause> <clause id="H4AE861DD49E2491FBF833735353284D2"><enum>(v)</enum><text>an employee or applicant to which section 717(a) of the <act-name parsable-cite="CRA64">Civil Rights Act of 1964</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/2000e-16">42 U.S.C. 2000e–16(a)</external-xref>) applies.</text></clause></subparagraph> <subparagraph id="H32CD7501C70442EBA8456F642B1F48E0"><enum>(B)</enum><header>Employer</header><text>The term <term>employer</term> means—</text> <clause id="H014E70EC77EC4D279462EDAFBA449693"><enum>(i)</enum><text>an employer (as defined in section 701(b) of the <act-name parsable-cite="CRA64">Civil Rights Act of 1964</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/2000e">42 U.S.C. 2000e(b)</external-xref>);</text></clause> <clause id="HFF5251D1910E4B85AA2E569F26B492A7"><enum>(ii)</enum><text>an entity employing a State employee described in section 304(a) of the Government Employee Rights Act of 1991;</text></clause> <clause id="H53DD52394B804AB5929D30C7D4435909"><enum>(iii)</enum><text>an employing office, as defined in section 101 of the Congressional Accountability Act of 1995;</text></clause> <clause id="HE6C9E38A0E64441ABCD5E0D512566D09"><enum>(iv)</enum><text>an employing office, as defined in <external-xref legal-doc="usc" parsable-cite="usc/3/411">section 411(c)</external-xref> of title 3, United States Code; or</text></clause> <clause id="H6ECD25E2050949E6B1D3596C97897F00"><enum>(v)</enum><text>an entity to which section 717(a) of the <act-name parsable-cite="CRA64">Civil Rights Act of 1964</act-name> applies.</text></clause></subparagraph> <subparagraph id="HD998FA9B828547C488CBBC043EC726B"><enum>(C)</enum><header>Employment agency; labor organization</header><text>The terms <term>employment agency</term> and <term>labor organization</term> have the meanings given the terms in section 701 of the <act-name parsable-cite="CRA64">Civil Rights Act of 1964</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/2000e">42 U.S.C. 2000e</external-xref>).</text></subparagraph> <subparagraph id="H1427641D53C54463B27FCAAD9D809519"><enum>(D)</enum><header>Member</header><text>The term <term>member</term>, with respect to a labor organization, includes an applicant for membership in a labor organization.</text></subparagraph></paragraph> <paragraph id="H83D7ECDFCFB84D2EBFA74F00F6009715"><enum>(3)</enum><header>Family member</header><text>The term <term>family member</term> means with respect to an individual—</text> <subparagraph id="HBDCF2B9C23604817B2B3A6E16F5D418F"><enum>(A)</enum><text>the spouse of the individual;</text></subparagraph> <subparagraph id="H51D124BBC202451D87F986537E2CD100"><enum>(B)</enum><text>a dependent child of the individual, including a child who is born to or placed for adoption with the individual; and</text></subparagraph> <subparagraph id="H2DBE43C04CC4462EAC6FE7CD9C76A785"><enum>(C)</enum><text>all other individuals related by blood to the individual or the spouse or child described in subparagraph (A) or (B).</text></subparagraph></paragraph> <paragraph id="H8E91E1C4725F464E9FC2C83766E301C0"><enum>(4)</enum><header>Genetic information</header> <subparagraph id="H567DC3D3012E4710A352B65229303E08"><enum>(A)</enum><header>In general</header><text>Except as provided in subparagraph (B), the term <term>genetic information</term> means information about—</text> <clause id="HEEF0C1E7EFB34F328600004C8E638EB5"><enum>(i)</enum><text>an individual’s genetic tests;</text></clause> <clause id="H3FA9B6A1803C4444AB3E70BAC0EA78A9"><enum>(ii)</enum><text>the genetic tests of family members of the individual; or</text></clause> <clause id="HAEC23BFB3DBD46CB8CE5BD9617EBB879"><enum>(iii)</enum><text>the occurrence of a disease or disorder in family members of the individual.</text></clause></subparagraph> <subparagraph id="H9D2936FCDD334E6DBBA5DBB8C53CA194"><enum>(B)</enum><header>Exceptions</header><text>The term <term>genetic information</term> shall not include information about the sex or age of an individual.</text></subparagraph></paragraph> <paragraph id="HFB609007098E48BC8987C5FBB496193"><enum>(5)</enum><header>Genetic monitoring</header><text>The term <term>genetic monitoring</term> means the periodic examination of employees to evaluate acquired modifications to their genetic material, such as chromosomal damage or evidence of increased occurrence of mutations, that may have developed in the course of employment due to exposure to toxic substances in the workplace, in order to identify, evaluate, and respond to the effects of or control adverse environmental exposures in the workplace.</text></paragraph> <paragraph id="HB50B8246442746628C3625D8F0AB3DA2"><enum>(6)</enum><header>Genetic services</header><text>The term <term>genetic services</term> means—</text> <subparagraph id="HBCA82EF041C24F53A2C1C1AEBEC97648"><enum>(A)</enum><text>a genetic test;</text></subparagraph> <subparagraph id="H44FFE0DEF375435584003876D2C940A6"><enum>(B)</enum><text>genetic counseling (such as obtaining, interpreting or assessing genetic information); or</text></subparagraph> <subparagraph id="H144508F430544FD2A718C1BB21AB841C"><enum>(C)</enum><text>genetic education.</text></subparagraph></paragraph> <paragraph id="H80E3A8B8767E43A690A900B925A3058B"><enum>(7)</enum><header>Genetic test</header> <subparagraph id="HC0E9E2D8B3EA4FC400A69208CA18BE2B"><enum>(A)</enum><header>In general</header><text>The term <term>genetic test</term> means the analysis of human DNA, RNA, chromosomes, proteins, or metabolites, that detects genotypes, mutations, or chromosomal changes.</text></subparagraph> <subparagraph id="H5311700E08AE401F86E0A6E965B47F00"><enum>(B)</enum><header>Exception</header><text>The term <term>genetic test</term> does not mean an analysis of proteins or metabolites that does not detect genotypes, mutations, or chromosomal changes.</text></subparagraph></paragraph></section> <section id="H005754C026DC43798DA400341B9DC160"><enum>202.</enum><header>Employer practices</header> <subsection id="H5AADF004F17741CE9DAF74E775026089"><enum>(a)</enum><header>Use of genetic information</header><text>It shall be an unlawful employment practice for an employer—</text> <paragraph id="H9D41D474F9964DFC9883B8073E7B51D"><enum>(1)</enum><text>to fail or refuse to hire or to discharge any employee, or otherwise to discriminate against any employee with respect to the compensation, terms, conditions, or privileges of employment of the employee, because of genetic information with respect to the employee (or information about a request for or the receipt of genetic services by such employee or family member of such employee); or</text></paragraph> <paragraph id="H5B830A46D5CD4AE7B71200DE6B33828"><enum>(2)</enum><text>to limit, segregate, or classify the employees of the employer in any way that would deprive or tend to deprive any employee of employment opportunities or otherwise adversely affect the status of the employee as an employee, because of genetic information with respect to the employee (or information about a request for or the receipt of genetic services by such employee or family member of such employee).</text></paragraph></subsection> <subsection id="H0C80D01304E84F7EA27667FEA91D960"><enum>(b)</enum><header>Acquisition of genetic information</header><text>It shall be an unlawful employment practice for an employer to request, require, or purchase genetic information with respect to an employee or a family member of the employee (or information about a request for the receipt of genetic services by such employee or a family member of such employee) except—</text> <paragraph id="H6A63BEE701F645808EBD426D7BE714A2"><enum>(1)</enum><text>where an employer inadvertently requests or requires family medical history of the employee or family member of the employee;</text></paragraph> <paragraph id="H13F45B8AF15D4766A61C1EC2BC3D5DA0"><enum>(2)</enum><text>where—</text> <subparagraph id="H1284CA711CD54A34A3CB205C1864EE48"><enum>(A)</enum><text>health or genetic services are offered by the employer, including such services offered as part of a bona fide wellness program;</text></subparagraph> <subparagraph id="H7310C4CB19DF4FF7B2811380D2CEF4E7"><enum>(B)</enum><text>the employee provides prior, knowing, voluntary, and written authorization;</text></subparagraph> <subparagraph id="H7DFDA0FC6F8D43438B39B943D71007F"><enum>(C)</enum><text>only the employee (or family member if the family member is receiving genetic services) and the licensed health care professional or board certified genetic counselor involved in providing such services receive individually identifiable information concerning the results of such services; and</text></subparagraph> <subparagraph id="H42F4470B9946497E8935009DAA190000"><enum>(D)</enum><text>any individually identifiable genetic information provided under subparagraph (C) in connection with the services provided under subparagraph (A) is only available for purposes of such services and shall not be disclosed to the employer except in aggregate terms that do not disclose the identity of specific employees;</text></subparagraph></paragraph> <paragraph id="H3288013188F94A1183266F876991F54E"><enum>(3)</enum><text>where an employer requests or requires family medical history from the employee to comply with the certification provisions of section 103 of the Family and Medical Leave Act of 1993 (<external-xref legal-doc="usc" parsable-cite="usc/29/2613">29 U.S.C. 2613</external-xref>) or such requirements under State family and medical leave laws;</text></paragraph> <paragraph id="H6BB25E0B920A4872839DCF1D02FEDFA"><enum>(4)</enum><text>where an employer purchases documents that are commercially and publicly available (including newspapers, magazines, periodicals, and books, but not including medical databases or court records) that include family medical history; or</text></paragraph> <paragraph id="H5461E7ACF4DE419387CAAAF78C4F5400"><enum>(5)</enum><text>where the information involved is to be used for genetic monitoring of the biological effects of toxic substances in the workplace, but only if—</text> <subparagraph id="H7019A56E6ABA47E789404FE485A15CB5"><enum>(A)</enum><text>the employer provides written notice of the genetic monitoring to the employee;</text></subparagraph> <subparagraph id="H99A2720630E74D578E43133CCCDEC016"><enum>(B)</enum> <clause display-inline="yes-display-inline" id="H7B1456B5C77E4859844FED95715541D3"><enum>(i)</enum><text>the employee provides prior, knowing, voluntary, and written authorization; or</text></clause> <clause indent="up1" id="HB391BD5345A8412B96481D8D5C6757D0"><enum>(ii)</enum><text>the genetic monitoring is required by Federal or State law;</text></clause></subparagraph> <subparagraph id="H1F08C51CE6014E07BC13C3227D26187C"><enum>(C)</enum><text>the employee is informed of individual monitoring results;</text></subparagraph> <subparagraph id="HFF4E2E3F422044C9A970D7F87E8C39E"><enum>(D)</enum><text>the monitoring is in compliance with—</text> <clause id="H155CFCEE39AD4F178463B6175116FCE9"><enum>(i)</enum><text>any Federal genetic monitoring regulations, including any such regulations that may be promulgated by the Secretary of Labor pursuant to the Occupational Safety and Health Act of 1970 (<external-xref legal-doc="usc" parsable-cite="usc/29/651">29 U.S.C. 651 et seq.</external-xref>), the Federal Mine Safety and Health Act of 1977 (<external-xref legal-doc="usc" parsable-cite="usc/30/801">30 U.S.C. 801 et seq.</external-xref>), or the <act-name parsable-cite="AEA54">Atomic Energy Act of 1954</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/2011">42 U.S.C. 2011 et seq.</external-xref>); or</text></clause> <clause id="H8E2E9743F6C0425DA101006543536693"><enum>(ii)</enum><text>State genetic monitoring regulations, in the case of a State that is implementing genetic monitoring regulations under the authority of the Occupational Safety and Health Act of 1970 (<external-xref legal-doc="usc" parsable-cite="usc/29/651">29 U.S.C. 651 et seq.</external-xref>); and</text></clause></subparagraph> <subparagraph id="HB6A5318A00B54FE1AC4262B671DFF800"><enum>(E)</enum><text>the employer, excluding any licensed health care professional or board certified genetic counselor that is involved in the genetic monitoring program, receives the results of the monitoring only in aggregate terms that do not disclose the identity of specific employees;</text></subparagraph></paragraph></subsection> <subsection id="H653D46D5CFB94653AFB38DD3C14856E3"><enum>(c)</enum><header>Preservation of protections</header><text>In the case of information to which any of paragraphs (1) through (5) of subsection (b) applies, such information may not be used in violation of paragraph (1) or (2) of subsection (a) or treated or disclosed in a manner that violates section 206.</text></subsection></section> <section id="H7293C27EA0E946EA824E4017E3C851AF"><enum>203.</enum><header>Employment agency practices</header> <subsection id="H2B99953AEEF74611AA70F465FB040598"><enum>(a)</enum><header>Use of genetic information</header><text>It shall be an unlawful employment practice for an employment agency—</text> <paragraph id="HA48D892D603C4068909190AEF20015B8"><enum>(1)</enum><text>to fail or refuse to refer for employment, or otherwise to discriminate against, any individual because of genetic information with respect to the individual (or information about a request for or the receipt of genetic services by such individual or family member of such individual);</text></paragraph> <paragraph id="HC9FFAD8B3C9F4E0BB619D4D8FFDDA2E"><enum>(2)</enum><text>to limit, segregate, or classify individuals or fail or refuse to refer for employment any individual in any way that would deprive or tend to deprive any individual of employment opportunities, or otherwise adversely affect the status of the individual as an employee, because of genetic information with respect to the individual (or information about a request for or the receipt of genetic services by such individual or family member of such individual); or</text></paragraph> <paragraph id="H0ABF14BB613A43CDA405D9D199574020"><enum>(3)</enum><text>to cause or attempt to cause an employer to discriminate against an individual in violation of this title.</text></paragraph></subsection> <subsection id="HB0A2ECD285EF4FE2A7F3B9B507A68400"><enum>(b)</enum><header>Acquisition of genetic information</header><text>It shall be an unlawful employment practice for an employment agency to request, require, or purchase genetic information with respect to an individual or a family member of the individual (or information about a request for the receipt of genetic services by such individual or a family member of such individual) except—</text> <paragraph id="H6B097621F85A4C8F8252FE6166069F2D"><enum>(1)</enum><text>where an employment agency inadvertently requests or requires family medical history of the individual or family member of the individual;</text></paragraph> <paragraph id="HDC136DE274E243939C61B654946BD666"><enum>(2)</enum><text>where—</text> <subparagraph id="HEBB7B1790E084FF797D557EBAC67B000"><enum>(A)</enum><text>health or genetic services are offered by the employment agency, including such services offered as part of a bona fide wellness program;</text></subparagraph> <subparagraph id="H2734D76C14AB4CA0A4BE6BA3155CB43C"><enum>(B)</enum><text>the individual provides prior, knowing, voluntary, and written authorization;</text></subparagraph> <subparagraph id="HF3435AAB586F4FD58C30D42BBFB1370"><enum>(C)</enum><text>only the individual (or family member if the family member is receiving genetic services) and the licensed health care professional or board certified genetic counselor involved in providing such services receive individually identifiable information concerning the results of such services; and</text></subparagraph> <subparagraph id="H0E10C430CCD849A0946FF1E26BC8B255"><enum>(D)</enum><text>any individually identifiable genetic information provided under subparagraph (C) in connection with the services provided under subparagraph (A) is only available for purposes of such services and shall not be disclosed to the employment agency except in aggregate terms that do not disclose the identity of specific individuals;</text></subparagraph></paragraph> <paragraph id="H010817BA8E374A62A6396C270100B257"><enum>(3)</enum><text>where an employment agency requests or requires family medical history from the individual to comply with the certification provisions of section 103 of the Family and Medical Leave Act of 1993 (<external-xref legal-doc="usc" parsable-cite="usc/29/2613">29 U.S.C. 2613</external-xref>) or such requirements under State family and medical leave laws;</text></paragraph> <paragraph id="H0B8840A8401643AD86C67D419C30E0F2"><enum>(4)</enum><text>where an employment agency purchases documents that are commercially and publicly available (including newspapers, magazines, periodicals, and books, but not including medical databases or court records) that include family medical history; or</text></paragraph> <paragraph id="H6998F3CD88B8428B9CF900D424AFD1B7"><enum>(5)</enum><text>where the information involved is to be used for genetic monitoring of the biological effects of toxic substances in the workplace, but only if—</text> <subparagraph id="HD276431EF2B041649BE52264037679BB"><enum>(A)</enum><text>the employment agency provides written notice of the genetic monitoring to the individual;</text></subparagraph> <subparagraph id="HF497D2AE7DD44151A37F38A900F123CD"><enum>(B)</enum> <clause display-inline="yes-display-inline" id="H516EA0D476D5470C9640BBC0E41F70F0"><enum>(i)</enum><text>the individual provides prior, knowing, voluntary, and written authorization; or</text></clause> <clause indent="up1" id="H8BA8D435305149A0A4AD22D22F646B89"><enum>(ii)</enum><text>the genetic monitoring is required by Federal or State law;</text></clause></subparagraph> <subparagraph id="H0A115A9418D54427802E1461A4C39847"><enum>(C)</enum><text>the individual is informed of individual monitoring results;</text></subparagraph> <subparagraph id="H8C1F0D51AAE940FBB878F05EF6B33B73"><enum>(D)</enum><text>the monitoring is in compliance with—</text> <clause id="HE1A2503424474A41A923002F0445DD21"><enum>(i)</enum><text>any Federal genetic monitoring regulations, including any such regulations that may be promulgated by the Secretary of Labor pursuant to the Occupational Safety and Health Act of 1970 (<external-xref legal-doc="usc" parsable-cite="usc/29/651">29 U.S.C. 651 et seq.</external-xref>), the Federal Mine Safety and Health Act of 1977 (<external-xref legal-doc="usc" parsable-cite="usc/30/801">30 U.S.C. 801 et seq.</external-xref>), or the <act-name parsable-cite="AEA54">Atomic Energy Act of 1954</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/2011">42 U.S.C. 2011 et seq.</external-xref>); or</text></clause> <clause id="H010C4977A6C14DC09FAF1E26FE86E350"><enum>(ii)</enum><text>State genetic monitoring regulations, in the case of a State that is implementing genetic monitoring regulations under the authority of the Occupational Safety and Health Act of 1970 (<external-xref legal-doc="usc" parsable-cite="usc/29/651">29 U.S.C. 651 et seq.</external-xref>); and</text></clause></subparagraph> <subparagraph id="H69FE80C6F74F46559EC1F6E8D2FEA2D7"><enum>(E)</enum><text>the employment agency, excluding any licensed health care professional or board certified genetic counselor that is involved in the genetic monitoring program, receives the results of the monitoring only in aggregate terms that do not disclose the identity of specific individuals;</text></subparagraph></paragraph></subsection> <subsection id="HE820AEF967F746CF9C80BA2076C500E2"><enum>(c)</enum><header>Preservation of protections</header><text>In the case of information to which any of paragraphs (1) through (5) of subsection (b) applies, such information may not be used in violation of paragraph (1) or (2) of subsection (a) or treated or disclosed in a manner that violates section 206.</text></subsection></section> <section id="H874083856B7E44D5A700851BD35B659E"><enum>204.</enum><header>Labor organization practices</header> <subsection id="HC34CD2BA23754B2BA200CE6E11E7EEE"><enum>(a)</enum><header>Use of genetic information</header><text>It shall be an unlawful employment practice for a labor organization—</text> <paragraph id="HC966EBA75BD04F67BD83F983C895D0D"><enum>(1)</enum><text>to exclude or to expel from the membership of the organization, or otherwise to discriminate against, any member because of genetic information with respect to the member (or information about a request for or the receipt of genetic services by such member or family member of such member);</text></paragraph> <paragraph id="HDCDCE58186D64B84A7ABA4F2006B7990"><enum>(2)</enum><text>to limit, segregate, or classify the members of the organization, or fail or refuse to refer for employment any member, in any way that would deprive or tend to deprive any member of employment opportunities, or otherwise adversely affect the status of the member as an employee, because of genetic information with respect to the member (or information about a request for or the receipt of genetic services by such member or family member of such member); or</text></paragraph> <paragraph id="H3C5AC1AD15584FA7A1C2663793E40066"><enum>(3)</enum><text>to cause or attempt to cause an employer to discriminate against a member in violation of this title.</text></paragraph></subsection> <subsection id="HFC8479F196654C739B4E944F57EFA476"><enum>(b)</enum><header>Acquisition of genetic information</header><text>It shall be an unlawful employment practice for a labor organization to request, require, or purchase genetic information with respect to a member or a family member of the member (or information about a request for the receipt of genetic services by such member or a family member of such member) except—</text> <paragraph id="H0E17DDC238914D7AA037F2C5FFCE69D"><enum>(1)</enum><text>where a labor organization inadvertently requests or requires family medical history of the member or family member of the member;</text></paragraph> <paragraph id="HE7FD1953AEE74969ABC48C5F0132A587"><enum>(2)</enum><text>where—</text> <subparagraph id="H6B479B7351874A6D005CE282145C3087"><enum>(A)</enum><text>health or genetic services are offered by the labor organization, including such services offered as part of a bona fide wellness program;</text></subparagraph> <subparagraph id="H669D171FB2A94D87B42F30EF1B1DE456"><enum>(B)</enum><text>the member provides prior, knowing, voluntary, and written authorization;</text></subparagraph> <subparagraph id="H349F066A18624C23858064D264E0D41"><enum>(C)</enum><text>only the member (or family member if the family member is receiving genetic services) and the licensed health care professional or board certified genetic counselor involved in providing such services receive individually identifiable information concerning the results of such services; and</text></subparagraph> <subparagraph id="H54DB2132CFE046E98FE231609100756F"><enum>(D)</enum><text>any individually identifiable genetic information provided under subparagraph (C) in connection with the services provided under subparagraph (A) is only available for purposes of such services and shall not be disclosed to the labor organization except in aggregate terms that do not disclose the identity of specific members;</text></subparagraph></paragraph> <paragraph id="HDFD3DDF7E2EA46B1838407C629EFAB32"><enum>(3)</enum><text>where a labor organization requests or requires family medical history from the members to comply with the certification provisions of section 103 of the Family and Medical Leave Act of 1993 (<external-xref legal-doc="usc" parsable-cite="usc/29/2613">29 U.S.C. 2613</external-xref>) or such requirements under State family and medical leave laws;</text></paragraph> <paragraph id="H9DB12F42E5784520B12D376B3B00CACD"><enum>(4)</enum><text>where a labor organization purchases documents that are commercially and publicly available (including newspapers, magazines, periodicals, and books, but not including medical databases or court records) that include family medical history; or</text></paragraph> <paragraph id="HB01C1C71C27941DA8E64ED35B3BB72E"><enum>(5)</enum><text>where the information involved is to be used for genetic monitoring of the biological effects of toxic substances in the workplace, but only if—</text> <subparagraph id="H2FBC876FE1CD464A81611D92259250BE"><enum>(A)</enum><text>the labor organization provides written notice of the genetic monitoring to the member;</text></subparagraph> <subparagraph id="H84B7EEC3BC40467CB296A5BFB38D5"><enum>(B)</enum> <clause display-inline="yes-display-inline" id="HD73DD9B64FB9475782F3AD88AB73D7D"><enum>(i)</enum><text>the member provides prior, knowing, voluntary, and written authorization; or</text></clause> <clause indent="up1" id="HFE6087616C4F4AC09D9E41447BBD046C"><enum>(ii)</enum><text>the genetic monitoring is required by Federal or State law;</text></clause></subparagraph> <subparagraph id="H157729576AB047308FC1A8DBD14782E7"><enum>(C)</enum><text>the member is informed of individual monitoring results;</text></subparagraph> <subparagraph id="HE13F89339D3F4D3A970000007B78F46B"><enum>(D)</enum><text>the monitoring is in compliance with—</text> <clause id="H92F367B15DB443348D2ED5D224AD2935"><enum>(i)</enum><text>any Federal genetic monitoring regulations, including any such regulations that may be promulgated by the Secretary of Labor pursuant to the Occupational Safety and Health Act of 1970 (<external-xref legal-doc="usc" parsable-cite="usc/29/651">29 U.S.C. 651 et seq.</external-xref>), the Federal Mine Safety and Health Act of 1977 (<external-xref legal-doc="usc" parsable-cite="usc/30/801">30 U.S.C. 801 et seq.</external-xref>), or the <act-name parsable-cite="AEA54">Atomic Energy Act of 1954</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/2011">42 U.S.C. 2011 et seq.</external-xref>); or</text></clause> <clause id="H6CE0BFF3621E4F1BA0B89004263995D2"><enum>(ii)</enum><text>State genetic monitoring regulations, in the case of a State that is implementing genetic monitoring regulations under the authority of the Occupational Safety and Health Act of 1970 (<external-xref legal-doc="usc" parsable-cite="usc/29/651">29 U.S.C. 651 et seq.</external-xref>); and</text></clause></subparagraph> <subparagraph id="HD0AC2F4CBC9C404E89B80324BF77F08C"><enum>(E)</enum><text>the labor organization, excluding any licensed health care professional or board certified genetic counselor that is involved in the genetic monitoring program, receives the results of the monitoring only in aggregate terms that do not disclose the identity of specific members;</text></subparagraph></paragraph></subsection> <subsection id="HD4B3E8701B4D40018D2541051F09D560"><enum>(c)</enum><header>Preservation of protections</header><text>In the case of information to which any of paragraphs (1) through (5) of subsection (b) applies, such information may not be used in violation of paragraph (1) or (2) of subsection (a) or treated or disclosed in a manner that violates section 206.</text></subsection></section> <section id="HCA0F18725FA14343BC0090E9FCE7D14F"><enum>205.</enum><header>Training programs</header> <subsection id="HACE663CC41A34C44B200BE7FC4CB95"><enum>(a)</enum><header>Use of genetic information</header><text>It shall be an unlawful employment practice for any employer, labor organization, or joint labor-management committee controlling apprenticeship or other training or retraining, including on-the-job training programs—</text> <paragraph id="H2ACACD1ACA8A415BBB4BC6A0BE4EC178"><enum>(1)</enum><text>to discriminate against any individual because of genetic information with respect to the individual (or information about a request for or the receipt of genetic services by such individual or a family member of such individual) in admission to, or employment in, any program established to provide apprenticeship or other training or retraining;</text></paragraph> <paragraph id="H23BEDC56D6FF4DA185AF003B98DAEFC"><enum>(2)</enum><text>to limit, segregate, or classify the applicants for or participants in such apprenticeship or other training or retraining, or fail or refuse to refer for employment any individual, in any way that would deprive or tend to deprive any individual of employment opportunities, or otherwise adversely affect the status of the individual as an employee, because of genetic information with respect to the individual (or information about a request for or receipt of genetic services by such individual or family member of such individual); or</text></paragraph> <paragraph id="HCBA52E9DFF2548E6B19F666252F91300"><enum>(3)</enum><text>to cause or attempt to cause an employer to discriminate against an applicant for or a participant in such apprenticeship or other training or retraining in violation of this title.</text></paragraph></subsection> <subsection id="H2E817665A04A4EB1979BE2A44FBD4410"><enum>(b)</enum><header>Acquisition of genetic information</header><text>It shall be an unlawful employment practice for an employer, labor organization, or joint labor-management committee described in subsection (a) to request, require, or purchase genetic information with respect to an individual or a family member of the individual (or information about a request for the receipt of genetic services by such individual or a family member of such individual) except—</text> <paragraph id="HF28EA177C5224A2B8B8D9DE9351BCC22"><enum>(1)</enum><text>where the employer, labor organization, or joint labor-management committee inadvertently requests or requires family medical history of the individual or family member of the individual;</text></paragraph> <paragraph id="HC375990B9B0D4B03AB51CA191CA37000"><enum>(2)</enum><text>where—</text> <subparagraph id="H9C3FE3BB83C344539D00DAEBC4DFE400"><enum>(A)</enum><text>health or genetic services are offered by the employer, labor organization, or joint labor-management committee, including such services offered as part of a bona fide wellness program;</text></subparagraph> <subparagraph id="HD83228863F8942FBB775CB4E9791F721"><enum>(B)</enum><text>the individual provides prior, knowing, voluntary, and written authorization;</text></subparagraph> <subparagraph id="HFB9F9DA0AB194F6C83C99341E6464E57"><enum>(C)</enum><text>only the individual (or family member if the family member is receiving genetic services) and the licensed health care professional or board certified genetic counselor involved in providing such services receive individually identifiable information concerning the results of such services;</text></subparagraph> <subparagraph id="HD6794E8D8DDE45F2A2B0136EB5DD751D"><enum>(D)</enum><text>any individually identifiable genetic information provided under subparagraph (C) in connection with the services provided under subparagraph (A) is only available for purposes of such services and shall not be disclosed to the employer, labor organization, or joint labor-management committee except in aggregate terms that do not disclose the identity of specific individuals;</text></subparagraph></paragraph> <paragraph id="H832641FC29D74126B0A8FED46D79B2D4"><enum>(3)</enum><text>where the employer, labor organization, or joint labor-management committee requests or requires family medical history from the individual to comply with the certification provisions of section 103 of the Family and Medical Leave Act of 1993 (<external-xref legal-doc="usc" parsable-cite="usc/29/2613">29 U.S.C. 2613</external-xref>) or such requirements under State family and medical leave laws;</text></paragraph> <paragraph id="H65A9BF41373B4B34BC1FDECDCA61276E"><enum>(4)</enum><text>where the employer, labor organization, or joint labor-management committee purchases documents that are commercially and publicly available (including newspapers, magazines, periodicals, and books, but not including medical databases or court records) that include family medical history; or</text></paragraph> <paragraph id="H02D8DADC239A434A8CBA50014AE3034"><enum>(5)</enum><text>where the information involved is to be used for genetic monitoring of the biological effects of toxic substances in the workplace, but only if—</text> <subparagraph id="H789A3B8856FF4F8597D6AFD6BC464CAD"><enum>(A)</enum><text>the employer, labor organization, or joint labor-management committee provides written notice of the genetic monitoring to the individual;</text></subparagraph> <subparagraph id="HDDFA1A66B4834CD70046D0334200233C"><enum>(B)</enum> <clause display-inline="yes-display-inline" id="H735669E8BD8E4A3BA8840554BF16F68C"><enum>(i)</enum><text>the individual provides prior, knowing, voluntary, and written authorization; or</text></clause> <clause indent="up1" id="H7DB14BF7B85D42969737B1F095874B65"><enum>(ii)</enum><text>the genetic monitoring is required by Federal or State law;</text></clause></subparagraph> <subparagraph id="HADE07912B7154AFFB4AAF395095C9D74"><enum>(C)</enum><text>the individual is informed of individual monitoring results;</text></subparagraph> <subparagraph id="H05D0F143314B424C82F95E4F9F40559C"><enum>(D)</enum><text>the monitoring is in compliance with—</text> <clause id="HEBF2B436D2C4476BBE0340D7119949B"><enum>(i)</enum><text>any Federal genetic monitoring regulations, including any such regulations that may be promulgated by the Secretary of Labor pursuant to the Occupational Safety and Health Act of 1970 (<external-xref legal-doc="usc" parsable-cite="usc/29/651">29 U.S.C. 651 et seq.</external-xref>), the Federal Mine Safety and Health Act of 1977 (<external-xref legal-doc="usc" parsable-cite="usc/30/801">30 U.S.C. 801 et seq.</external-xref>), or the <act-name parsable-cite="AEA54">Atomic Energy Act of 1954</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/2011">42 U.S.C. 2011 et seq.</external-xref>); or</text></clause> <clause id="HFF2FF22AA5F1432787B6124E055646A7"><enum>(ii)</enum><text>State genetic monitoring regulations, in the case of a State that is implementing genetic monitoring regulations under the authority of the Occupational Safety and Health Act of 1970 (<external-xref legal-doc="usc" parsable-cite="usc/29/651">29 U.S.C. 651 et seq.</external-xref>); and</text></clause></subparagraph> <subparagraph id="HAA279B32CC3044A1A14594FAD8BED0CB"><enum>(E)</enum><text>the employer, labor organization, or joint labor-management committee, excluding any licensed health care professional or board certified genetic counselor that is involved in the genetic monitoring program, receives the results of the monitoring only in aggregate terms that do not disclose the identity of specific individuals;</text></subparagraph></paragraph></subsection> <subsection id="H9BAECD1F81E24FAAA5225CF0D72BCB72"><enum>(c)</enum><header>Preservation of protections</header><text>In the case of information to which any of paragraphs (1) through (5) of subsection (b) applies, such information may not be used in violation of paragraph (1) or (2) of subsection (a) or treated or disclosed in a manner that violates section 206.</text></subsection></section> <section id="HBA23F8BCAC284CB4A109C2002ECAEC43"><enum>206.</enum><header>Confidentiality of genetic information</header> <subsection id="HE45F02B2746F416494A63F5B071552AE"><enum>(a)</enum><header>Treatment of information as part of confidential medical record</header><text>If an employer, employment agency, labor organization, or joint labor-management committee possesses genetic information about an employee or member (or information about a request for or receipt of genetic services by such employee or member or family member of such employee or member), such information shall be maintained on separate forms and in separate medical files and be treated as a confidential medical record of the employee or member.</text></subsection> <subsection id="HE9E7F4ED921B4B8683B54FEC7FAE59AE"><enum>(b)</enum><header>Limitation on disclosure</header><text>An employer, employment agency, labor organization, or joint labor-management committee shall not disclose genetic information concerning an employee or member (or information about a request for or receipt of genetic services by such employee or member or family member of such employee or member) except—</text> <paragraph id="HB2430292F1F14ECDACC779B395ADCD09"><enum>(1)</enum><text>to the employee (or family member if the family member is receiving the genetic services) or member of a labor organization at the request of the employee or member of such organization;</text></paragraph> <paragraph id="HA3624106E70849E5B8D926005E631CDC"><enum>(2)</enum><text>to an occupational or other health researcher if the research is conducted in compliance with the regulations and protections provided for under part 46 of title 45, Code of Federal Regulations;</text></paragraph> <paragraph id="H85E64E120C774DFD880033C670AE71E3"><enum>(3)</enum><text>in response to an order of a court, except that—</text> <subparagraph id="HB24DB19C4604461390497067951800A9"><enum>(A)</enum><text>the employer, employment agency, labor organization, or joint labor-management committee may disclose only the genetic information expressly authorized by such order; and</text></subparagraph> <subparagraph id="H19C30C83C71144308764FA4BA5A383E6"><enum>(B)</enum><text>if the court order was secured without the knowledge of the employee or member to whom the information refers, the employer, employment agency, labor organization, or joint labor-management committee shall provide the employee or member with adequate notice to challenge the court order;</text></subparagraph></paragraph> <paragraph id="H2C4D85E3EC53461A94A528C0584B5CF1"><enum>(4)</enum><text>to government officials who are investigating compliance with this title if the information is relevant to the investigation; or</text></paragraph> <paragraph id="H3073E65A6B934F9588A01160EDC9B078"><enum>(5)</enum><text>to the extent that such disclosure is made in connection with the employee’s compliance with the certification provisions of section 103 of the Family and Medical Leave Act of 1993 (<external-xref legal-doc="usc" parsable-cite="usc/29/2613">29 U.S.C. 2613</external-xref>) or such requirements under State family and medical leave laws.</text></paragraph></subsection></section> <section id="H9FE22CDED98043259D1CFD7C2F5ECF5C"><enum>207.</enum><header>Remedies and enforcement</header> <subsection id="HA807E7DBE96F4E7DAB128E8C09C02892"><enum>(a)</enum><header>Employees covered by title VII of the <act-name parsable-cite="CRA64">Civil Rights Act of 1964</act-name></header> <paragraph id="H0C6792F8A45A4E888E6D1E749B19003E"><enum>(1)</enum><header>In general</header><text>The powers, remedies, and procedures provided in sections 705, 706, 707, 709, 710, and 711 of the <act-name parsable-cite="CRA64">Civil Rights Act of 1964</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/2000e-4">42 U.S.C. 2000e–4 et seq.</external-xref>) to the Commission, the Attorney General, or any person, alleging a violation of title VII of that Act (<external-xref legal-doc="usc" parsable-cite="usc/42/2000e">42 U.S.C. 2000e et seq.</external-xref>) shall be the powers, remedies, and procedures this title provides to the Commission, the Attorney General, or any person, respectively, alleging an unlawful employment practice in violation of this title against an employee described in section 201(2)(A)(i), except as provided in paragraphs (2) and (3).</text></paragraph> <paragraph id="H4F8EBA8626D8424EAFAE335D0007E700"><enum>(2)</enum><header>Costs and fees</header><text>The powers, remedies, and procedures provided in subsections (b) and (c) of section 722 of the Revised Statutes (<external-xref legal-doc="usc" parsable-cite="usc/42/1988">42 U.S.C. 1988</external-xref>), shall be powers, remedies, and procedures this title provides to the Commission, the Attorney General, or any person, alleging such a practice.</text></paragraph> <paragraph id="H4224BC30B9364B199784C6DF103796D7"><enum>(3)</enum><header>Damages</header><text>The powers, remedies, and procedures provided in section 1977A of the Revised Statutes (<external-xref legal-doc="usc" parsable-cite="usc/42/1981a">42 U.S.C. 1981a</external-xref>), including the limitations contained in subsection (b)(3) of such section 1977A, shall be powers, remedies, and procedures this title provides to the Commission, the Attorney General, or any person, alleging such a practice (not an employment practice specifically excluded from coverage under section 1977A(a)(1) of the Revised Statutes).</text></paragraph></subsection> <subsection id="H479EAC3C407340DBB22ED64FF33560C8"><enum>(b)</enum><header>Employees covered by Government Employee Rights Act of 1991</header> <paragraph id="HBD501887EB1D4D999BD6CD87C44DED7E"><enum>(1)</enum><header>In general</header><text>The powers, remedies, and procedures provided in sections 302 and 304 of the Government Employee Rights Act of 1991 (42 U.S.C. 2000e–16b, 2000e–16c) to the Commission, or any person, alleging a violation of section 302(a)(1) of that Act (42 U.S.C. 2000e–16b(a)(1)) shall be the powers, remedies, and procedures this title provides to the Commission, or any person, respectively, alleging an unlawful employment practice in violation of this title against an employee described in section 201(2)(A)(ii), except as provided in paragraphs (2) and (3).</text></paragraph> <paragraph id="HA86B1BA610014A5297BB3E5776D0DB14"><enum>(2)</enum><header>Costs and fees</header><text>The powers, remedies, and procedures provided in subsections (b) and (c) of section 722 of the Revised Statutes (<external-xref legal-doc="usc" parsable-cite="usc/42/1988">42 U.S.C. 1988</external-xref>), shall be powers, remedies, and procedures this title provides to the Commission, or any person, alleging such a practice.</text></paragraph> <paragraph id="HBFFE8203DBDE4343A12D00BCFC224C96"><enum>(3)</enum><header>Damages</header><text>The powers, remedies, and procedures provided in section 1977A of the Revised Statutes (<external-xref legal-doc="usc" parsable-cite="usc/42/1981a">42 U.S.C. 1981a</external-xref>), including the limitations contained in subsection (b)(3) of such section 1977A, shall be powers, remedies, and procedures this title provides to the Commission, or any person, alleging such a practice (not an employment practice specifically excluded from coverage under section 1977A(a)(1) of the Revised Statutes).</text></paragraph></subsection> <subsection id="HA571F01F13C9475A86BF73B1D3768800"><enum>(c)</enum><header>Employees covered by Congressional Accountability Act of 1995</header> <paragraph id="HF567DC6AB6724785934F46DD5D002FF4"><enum>(1)</enum><header>In general</header><text>The powers, remedies, and procedures provided in the Congressional Accountability Act of 1995 (<external-xref legal-doc="usc" parsable-cite="usc/2/1301">2 U.S.C. 1301 et seq.</external-xref>) to the Board (as defined in section 101 of that Act (<external-xref legal-doc="usc" parsable-cite="usc/2/1301">2 U.S.C. 1301</external-xref>)), or any person, alleging a violation of section 201(a)(1) of that Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1311">42 U.S.C. 1311(a)(1)</external-xref>) shall be the powers, remedies, and procedures this title provides to that Board, or any person, alleging an unlawful employment practice in violation of this title against an employee described in section 201(2)(A)(iii), except as provided in paragraphs (2) and (3).</text></paragraph> <paragraph id="H90089A5F32124FCAA400CAFF5230DA6F"><enum>(2)</enum><header>Costs and fees</header><text>The powers, remedies, and procedures provided in subsections (b) and (c) of section 722 of the Revised Statutes (<external-xref legal-doc="usc" parsable-cite="usc/42/1988">42 U.S.C. 1988</external-xref>), shall be powers, remedies, and procedures this title provides to that Board, or any person, alleging such a practice.</text></paragraph> <paragraph id="HA496D27B9D4F48889ED02EACCE367E3B"><enum>(3)</enum><header>Damages</header><text>The powers, remedies, and procedures provided in section 1977A of the Revised Statutes (<external-xref legal-doc="usc" parsable-cite="usc/42/1981a">42 U.S.C. 1981a</external-xref>), including the limitations contained in subsection (b)(3) of such section 1977A, shall be powers, remedies, and procedures this title provides to that Board, or any person, alleging such a practice (not an employment practice specifically excluded from coverage under section 1977A(a)(1) of the Revised Statutes).</text></paragraph> <paragraph id="H85EFFA7D54E44959BFD7837030236FBB"><enum>(4)</enum><header>Other applicable provisions</header><text>With respect to a claim alleging a practice described in paragraph (1), title III of the Congressional Accountability Act of 1995 (<external-xref legal-doc="usc" parsable-cite="usc/2/1381">2 U.S.C. 1381 et seq.</external-xref>) shall apply in the same manner as such title applies with respect to a claim alleging a violation of section 201(a)(1) of such Act (<external-xref legal-doc="usc" parsable-cite="usc/2/1311">2 U.S.C. 1311(a)(1)</external-xref>).</text></paragraph></subsection> <subsection id="H5F354450AB8148678D32E58F2E260613"><enum>(d)</enum><header>Employees covered by <external-xref legal-doc="usc-chapter" parsable-cite="usc-chapter/3/5">chapter 5</external-xref> of title 3, United States Code</header> <paragraph id="H03F2D9E6AD334A41A643FAC6E1532EF"><enum>(1)</enum><header>In general</header><text>The powers, remedies, and procedures provided in <external-xref legal-doc="usc-chapter" parsable-cite="usc-chapter/3/5">chapter 5</external-xref> of title 3, United States Code, to the President, the Commission, the Merit Systems Protection Board, or any person, alleging a violation of section 411(a)(1) of that title, shall be the powers, remedies, and procedures this title provides to the President, the Commission, such Board, or any person, respectively, alleging an unlawful employment practice in violation of this title against an employee described in section 201(2)(A)(iv), except as provided in paragraphs (2) and (3).</text></paragraph> <paragraph id="HC53DABAE53B84FB19BA44D68A9E77C74"><enum>(2)</enum><header>Costs and fees</header><text>The powers, remedies, and procedures provided in subsections (b) and (c) of section 722 of the Revised Statutes (<external-xref legal-doc="usc" parsable-cite="usc/42/1988">42 U.S.C. 1988</external-xref>), shall be powers, remedies, and procedures this title provides to the President, the Commission, such Board, or any person, alleging such a practice.</text></paragraph> <paragraph id="H03C2582F220044EB8893ACE200088DA9"><enum>(3)</enum><header>Damages</header><text>The powers, remedies, and procedures provided in section 1977A of the Revised Statutes (<external-xref legal-doc="usc" parsable-cite="usc/42/1981a">42 U.S.C. 1981a</external-xref>), including the limitations contained in subsection (b)(3) of such section 1977A, shall be powers, remedies, and procedures this title provides to the President, the Commission, such Board, or any person, alleging such a practice (not an employment practice specifically excluded from coverage under section 1977A(a)(1) of the Revised Statutes).</text></paragraph></subsection> <subsection id="H3A3B00861B0D4C44820085DC2B6481C3"><enum>(e)</enum><header>Employees covered by Section 717 of the <act-name parsable-cite="CRA64">Civil Rights Act of 1964</act-name></header> <paragraph id="HEFD9E0CDECA34A2DAFC2EC19EF6BB0AD"><enum>(1)</enum><header>In general</header><text>The powers, remedies, and procedures provided in section 717 of the <act-name parsable-cite="CRA64">Civil Rights Act of 1964</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/2000e-16">42 U.S.C. 2000e–16</external-xref>) to the Commission, the Attorney General, the Librarian of Congress, or any person, alleging a violation of that section shall be the powers, remedies, and procedures this title provides to the Commission, the Attorney General, the Librarian of Congress, or any person, respectively, alleging an unlawful employment practice in violation of this title against an employee or applicant described in section 201(2)(A)(v), except as provided in paragraphs (2) and (3).</text></paragraph> <paragraph id="HAF2248B703944C1DB442226EAC90E2F1"><enum>(2)</enum><header>Costs and fees</header><text>The powers, remedies, and procedures provided in subsections (b) and (c) of section 722 of the Revised Statutes (<external-xref legal-doc="usc" parsable-cite="usc/42/1988">42 U.S.C. 1988</external-xref>), shall be powers, remedies, and procedures this title provides to the Commission, the Attorney General, the Librarian of Congress, or any person, alleging such a practice.</text></paragraph> <paragraph id="H4BD6B288A6144C3E81A3172291EC45D0"><enum>(3)</enum><header>Damages</header><text>The powers, remedies, and procedures provided in section 1977A of the Revised Statutes (<external-xref legal-doc="usc" parsable-cite="usc/42/1981a">42 U.S.C. 1981a</external-xref>), including the limitations contained in subsection (b)(3) of such section 1977A, shall be powers, remedies, and procedures this title provides to the Commission, the Attorney General, the Librarian of Congress, or any person, alleging such a practice (not an employment practice specifically excluded from coverage under section 1977A(a)(1) of the Revised Statutes).</text></paragraph></subsection> <subsection id="H3C0E92C405E14065B1581494342465BC"><enum>(f)</enum><header>Definition</header><text>In this section, the term <term>Commission</term> means the Equal Employment Opportunity Commission.</text></subsection></section> <section id="H92448A3862C84C0B8365287F8DBD9EFB"><enum>208.</enum><header>Disparate impact</header> <subsection id="H707628C984D742C89BB91F7BA6F8B809"><enum>(a)</enum><header>General rule</header><text>Notwithstanding any other provision of this Act, <quote>disparate impact</quote>, as that term is used in section 703(k) of the <act-name parsable-cite="CRA64">Civil Rights Act of 1964</act-name> (42 U.S.C. 2000e–d(k)), on the basis of genetic information does not establish a cause of action under this Act.</text></subsection> <subsection id="H70322D99AA5B40F6A812F5F034919355"><enum>(b)</enum><header>Commission</header><text>On the date that is 6 years after the date of enactment of this Act, there shall be established a commission, to be known as the Genetic Nondiscrimination Study Commission (referred to in this section as the <quote>Commission</quote>) to review the developing science of genetics and to make recommendations to Congress regarding whether to provide a disparate impact cause of action under this Act.</text></subsection> <subsection id="H0F13294EC4ED4DDA88419E8E78E2A024"><enum>(c)</enum><header>Membership</header> <paragraph id="HD7ABBA6F1EE4480BA0947F4CFCB5C213"><enum>(1)</enum><header>In general</header><text>The Commission shall be composed of 8 members, of which—</text> <subparagraph id="H104F20911E854DF2A2CD5EB73C1BB7BC"><enum>(A)</enum><text>1 member shall be appointed by the Majority Leader of the Senate;</text></subparagraph> <subparagraph id="HB1BE1853B43A4F74ACE286DFDE3DD5F"><enum>(B)</enum><text>1 member shall be appointed by the Minority Leader of the Senate;</text></subparagraph> <subparagraph id="H106222B509A74DB29FFAD205AD6C63BD"><enum>(C)</enum><text>1 member shall be appointed by the Chairman of the Committee on Health, Education, Labor, and Pensions of the Senate;</text></subparagraph> <subparagraph id="H473A175444AF4510954D00C08CA90742"><enum>(D)</enum><text>1 member shall be appointed by the ranking minority member of the Committee on Health, Education, Labor, and Pensions of the Senate;</text></subparagraph> <subparagraph id="H4B651D62BCE74F07B9A0D90041791264"><enum>(E)</enum><text>1 member shall be appointed by the Speaker of the House of Representatives;</text></subparagraph> <subparagraph id="H80ABFC6D11DE4027959F74DD444DDEB1"><enum>(F)</enum><text>1 member shall be appointed by the Minority Leader of the House of Representatives;</text></subparagraph> <subparagraph id="H2B9E1C6261B649F48674F9FA202F81CC"><enum>(G)</enum><text>1 member shall be appointed by the Chairman of the Committee on Education and the Workforce of the House of Representatives; and</text></subparagraph> <subparagraph id="HEDD98B1451764B339C24A1F000FA621E"><enum>(H)</enum><text>1 member shall be appointed by the ranking minority member of the Committee on Education and the Workforce of the House of Representatives.</text></subparagraph></paragraph> <paragraph id="H67B60E0835E14CC7BAEA530023271E93"><enum>(2)</enum><header>Compensation and expenses</header><text>The members of the Commission shall not receive compensation for the performance of services for the Commission, but shall be allowed travel expenses, including per diem in lieu of subsistence, at rates authorized for employees of agencies under subchapter I of <external-xref legal-doc="usc-chapter" parsable-cite="usc-chapter/5/57">chapter 57</external-xref> of title 5, United States Code, while away from their homes or regular places of business in the performance of services for the Commission.</text></paragraph></subsection> <subsection id="HC366E612743341148E3F6861009319A1"><enum>(d)</enum><header>Administrative provisions</header> <paragraph id="HD106DCD7BD2340249CC3002E21BD7174"><enum>(1)</enum><header>Location</header><text>The Commission shall be located in a facility maintained by the Equal Employment Opportunity Commission.</text></paragraph> <paragraph id="HCB0C565431F3406699C6A629E3A365E5"><enum>(2)</enum><header>Detail of government employees</header><text>Any Federal Government employee may be detailed to the Commission without reimbursement, and such detail shall be without interruption or loss of civil service status or privilege.</text></paragraph> <paragraph id="H0A3774946A77449788CC9F2F56C0D71E"><enum>(3)</enum><header>Information from Federal agencies</header><text>The Commission may secure directly from any Federal department or agency such information as the Commission considers necessary to carry out the provisions of this section. Upon request of the Commission, the head of such department or agency shall furnish such information to the Commission.</text></paragraph> <paragraph id="H4EB359FF72824951A7A04E538E2400A1"><enum>(4)</enum><header>Hearings</header><text>The Commission may hold such hearings, sit and act at such times and places, take such testimony, and receive such evidence as the Commission considers advisable to carry out the objectives of this section, except that, to the extent possible, the Commission shall use existing data and research.</text></paragraph> <paragraph id="HD6BC6120E2454C5AB33D82141B60DA90"><enum>(5)</enum><header>Postal services</header><text>The Commission may use the United States mails in the same manner and under the same conditions as other departments and agencies of the Federal Government.</text></paragraph></subsection> <subsection id="H0D98D93709F5417BB972382EA715FCF2"><enum>(e)</enum><header>Report</header><text>Not later than 1 year after all of the members are appointed to the Commission under subsection (c)(1), the Commission shall submit to Congress a report that summarizes the findings of the Commission and makes such recommendations for legislation as are consistent with this Act.</text></subsection> <subsection id="HA19BCA2AA23E4B059507A066BCA91DC3"><enum>(f)</enum><header>Authorization of appropriations</header><text>There are authorized to be appropriated to the Equal Employment Opportunity Commission such sums as may be necessary to carry out this section.</text></subsection></section> <section id="H35CB6E2038E24984B04FDF00ACAF1E"><enum>209.</enum><header>Construction</header><text display-inline="no-display-inline">Nothing in this title shall be construed to—</text> <paragraph id="H4833C3643C534274B9B700C6D881AFAE"><enum>(1)</enum><text>limit the rights or protections of an individual under the Americans with Disabilities Act of 1990 (<external-xref legal-doc="usc" parsable-cite="usc/42/12101">42 U.S.C. 12101 et seq.</external-xref>), including coverage afforded to individuals under section 102 of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/12112">42 U.S.C. 12112</external-xref>), or under the <act-name parsable-cite="REH">Rehabilitation Act of 1973</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/29/701">29 U.S.C. 701 et seq.</external-xref>);</text></paragraph> <paragraph id="H32A46D77A257477087D457C7D6D8F976"><enum>(2)</enum> <subparagraph display-inline="yes-display-inline" id="H42B45B6DA1784D88BDFE8E102B803E5F"><enum>(A)</enum><text>limit the rights or protections of an individual to bring an action under this title against an employer, employment agency, labor organization, or joint labor-management committee for a violation of this title; or</text></subparagraph> <subparagraph indent="up1" id="H37A492A3735842BAAB9153553117B2F8"><enum>(B)</enum><text>establish a violation under this title for an employer, employment agency, labor organization, or joint labor-management committee of a provision of the amendments made by title I;</text></subparagraph></paragraph> <paragraph id="H3F98E4A195074BA6AA1B993E00E9EE1F"><enum>(3)</enum><text>limit the rights or protections of an individual under any other Federal or State statute that provides equal or greater protection to an individual than the rights or protections provided for under this title;</text></paragraph> <paragraph id="H6DA49707A39E40E5AA5B157EF4E0CA00"><enum>(4)</enum><text>apply to the Armed Forces Repository of Specimen Samples for the Identification of Remains;</text></paragraph> <paragraph id="HFF3D6479231445DDA8223EBDCD8FEF7C"><enum>(5)</enum><text>limit or expand the protections, rights, or obligations of employees or employers under applicable workers’ compensation laws;</text></paragraph> <paragraph id="HBCDBFF63DFA640729DC176FE2D234287"><enum>(6)</enum><text>limit the authority of a Federal department or agency to conduct or sponsor occupational or other health research that is conducted in compliance with the regulations contained in part 46 of title 45, Code of Federal Regulations (or any corresponding or similar regulation or rule); and</text></paragraph> <paragraph id="H407A384A404243ED8224EB1504BBCC7"><enum>(7)</enum><text>limit the statutory or regulatory authority of the Occupational Safety and Health Administration or the Mine Safety and Health Administration to promulgate or enforce workplace safety and health laws and regulations.</text></paragraph></section> <section id="HEE60578295214C138DA430CBEE95040"><enum>210.</enum><header>Medical information that is not genetic information</header><text display-inline="no-display-inline">An employer, employment agency, labor organization, or joint labor-management committee shall not be considered to be in violation of this title based on the use, acquisition, or disclosure of medical information that is not genetic information about a manifested disease, disorder, or pathological condition of an employee or member, including a manifested disease, disorder, or pathological condition that has or may have a genetic basis.</text></section> <section id="H96503BC62ACE4C62A31261002BAB90C5"><enum>211.</enum><header>Regulations</header><text display-inline="no-display-inline">Not later than 1 year after the date of enactment of this title, the Commission shall issue final regulations in an accessible format to carry out this title.</text></section> <section id="HA01B55076CC24AF0BB6BA328F6999FC0"><enum>212.</enum><header>Authorization of appropriations</header><text display-inline="no-display-inline">There are authorized to be appropriated such sums as may be necessary to carry out this title (except for section 208).</text></section> <section id="H96350278E2B943FB878F2E8B7D7C00C8"><enum>213.</enum><header>Effective date</header><text display-inline="no-display-inline">This title takes effect on the date that is 18 months after the date of enactment of this Act.</text></section> <enum>III</enum><header>Miscellaneous provision</header> <section id="H6D65368BCE4D435897CC1D5F594639A7"><enum>301.</enum><header>Severability</header><text display-inline="no-display-inline">If any provision of this Act, an amendment made by this Act, or the application of such provision or amendment to any person or circumstance is held to be unconstitutional, the remainder of this Act, the amendments made by this Act, and the application of such provisions to any person or circumstance shall not be affected thereby.</text></section>