1.Short title; table of
contents
(a)This Act may be cited as the Genetic Information Nondiscrimination Act of
2005
.
(b)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 the Internal
Revenue Code of 1986.
Sec. 104. Amendments to title XVIII of the
Social Security Act relating to
medigap.
Sec. 105. Privacy and
confidentiality.
Sec. 106. Assuring
coordination.
Sec. 107. 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.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State laws have since been repealed, and many have been modified to include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 changed="deleted" id="ID7BA5D79E098B445FB05923C7C3434504" reported-display-style="strikethrough"><enum>101.</enum><header>Amendments to
<act-name parsable-cite="ERISA">Employee Retirement Income Security Act of
1974</act-name></header>
<subsection changed="deleted" id="ID4B941E0AEBDB46B099BCDF1FF3CF4BFE" reported-display-style="strikethrough"><enum>(a)</enum><header>Prohibition of
health discrimination on the basis of genetic information or genetic
services</header>
<paragraph changed="deleted" id="ID7FB759AC75F149069442EA5754F2D922" reported-display-style="strikethrough"><enum>(1)</enum><header>No enrollment
restriction for genetic services</header><text><external-xref legal-doc="act" parsable-cite="ERISA/702(a)(1)(F)">Section 702(a)(1)(F)</external-xref> 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(a)(1)(F)">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 changed="deleted" id="IDD040AD382F50444EB8C65B095519864C" reported-display-style="strikethrough"><enum>(2)</enum><header>No
discrimination in group premiums based on genetic
information</header><text><external-xref legal-doc="act" parsable-cite="ERISA/702(b)">Section 702(b)</external-xref> 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(b)">29 U.S.C. 1182(b)</external-xref>) is
amended—</text>
<subparagraph changed="deleted" id="ID459B28BD0DC44D348748BF3729BC0000" reported-display-style="strikethrough"><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 changed="deleted" id="ID7C0A3276CB294710B82501503D340000" reported-display-style="strikethrough"><enum>(B)</enum><text>by adding at the
end the following:</text>
<quoted-block changed="deleted" id="ID3FAE45FD373F4E85B896C9C2C26F3B00" reported-display-style="strikethrough">
<paragraph changed="deleted" id="ID84C979C310F54607BCC108AF10A738AE" reported-display-style="strikethrough"><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 changed="deleted" id="ID8CDB404AF15343A692F15CE4B8A4FC38" reported-display-style="strikethrough"><enum>(b)</enum><header>Limitations on
genetic testing</header><text><external-xref legal-doc="act" parsable-cite="ERISA/702">Section 702</external-xref> 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" changed="deleted" id="ID01F381CF30C746EE957847DCAC151041" reported-display-style="strikethrough">
<subsection changed="deleted" id="ID565E5C76560043DE007B15A5E703209B" reported-display-style="strikethrough"><enum>(c)</enum><header>Genetic
testing</header>
<paragraph changed="deleted" id="IDDE228AF4C28540C8BC1C401D2B67224F" reported-display-style="strikethrough"><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 changed="deleted" id="IDBDBACFE2634C412FBE00B6A36F445055" reported-display-style="strikethrough"><enum>(2)</enum><header>Rule of
construction</header><text>Nothing in this part shall be construed to—</text>
<subparagraph changed="deleted" id="ID2021C12D6359439FB077CBE3A3868E6E" reported-display-style="strikethrough"><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 changed="deleted" id="IDBEAA470C674B4730A5EC949251E63B00" reported-display-style="strikethrough"><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 changed="deleted" id="ID59FBAA577E9B46EE956300FA52709F41" reported-display-style="strikethrough"><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 changed="deleted" id="IDB0FFFD42331641739DDC7EC8139B8D3B" reported-display-style="strikethrough"><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 changed="deleted" id="IDCF1E61F8E3F44E809F6678BEE8343F74" reported-display-style="strikethrough"><enum>(c)</enum><header>Remedies and
enforcement</header><text><external-xref legal-doc="act" parsable-cite="ERISA/502">Section 502</external-xref> 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" changed="deleted" id="ID7B621D4550EE4EB80040E05F750494D6" reported-display-style="strikethrough">
<subsection changed="deleted" id="ID0372ED22C9114B8688C6427BB87C42D0" reported-display-style="strikethrough"><enum>(n)</enum><header>Enforcement of
genetic nondiscrimination requirements</header>
<paragraph changed="deleted" id="ID623F8195631D47EFB1B783291BC12568" reported-display-style="strikethrough"><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 changed="deleted" id="ID4FBB91FC17224880B37D72AD85ACF9EA" reported-display-style="strikethrough"><enum>(2)</enum><header>Equitable relief
for genetic nondiscrimination</header>
<subparagraph changed="deleted" id="IDAF45F9857E95432994D8E93F7D3502E1" reported-display-style="strikethrough"><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 changed="deleted" id="ID7AEF2794B17640909270F7690092B9FC" reported-display-style="strikethrough"><enum>(i)</enum><text>the civil action
was commenced under subsection (a)(1)(B); and</text>
</clause><clause changed="deleted" id="ID2C3C69EFDD57433F900404BB45179100" reported-display-style="strikethrough"><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 changed="deleted" id="ID1CF105D7EDC64A3FA3BF96441684E251" reported-display-style="strikethrough"><enum>(B)</enum><header>Administrative
penalty</header>
<clause changed="deleted" id="ID42D866AECC1A4731A4A1A35D16241CB8" reported-display-style="strikethrough"><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 changed="deleted" id="IDF85E78626E664CEE9D6295CD281182D9" reported-display-style="strikethrough"><enum>(ii)</enum><header>Noncompliance
period</header><text>For purposes of clause (i), the term <term>noncompliance
period</term> means the period—</text>
<subclause changed="deleted" id="ID273C829F86A141D2AE08A8C17CC3FD28" reported-display-style="strikethrough"><enum>(I)</enum><text>beginning on the
date that a failure described in clause (i) occurs; and</text>
</subclause><subclause changed="deleted" id="ID2657983C341E4CFC8CC170F13DEED624" reported-display-style="strikethrough"><enum>(II)</enum><text>ending on the
date that such failure is corrected.</text>
</subclause></clause><clause changed="deleted" id="IDDF06F38B4D2348358607DF591CEA2589" reported-display-style="strikethrough"><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 changed="deleted" id="ID499DFFDE7CAB424A967FD62E41DBD49F" reported-display-style="strikethrough"><enum>(3)</enum><header>Secretarial
enforcement authority</header>
<subparagraph changed="deleted" id="ID859FE7537E7F49BABA9715F634B7A1D1" reported-display-style="strikethrough"><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 changed="deleted" id="IDB8B29795C8BF4B30BEFF629926AEA396" reported-display-style="strikethrough"><enum>(B)</enum><header>Amount</header>
<clause changed="deleted" id="ID6CE67746B1D34ABC8900B0084500F1E1" reported-display-style="strikethrough"><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 changed="deleted" id="ID4E39C7F65EE34BCE8D514EF1FE10D875" reported-display-style="strikethrough"><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 changed="deleted" id="ID03DFEEB0B39747D500D141096D71E8B3" reported-display-style="strikethrough"><enum>(I)</enum><text>beginning on the
date such failure first occurs; and</text>
</subclause><subclause changed="deleted" id="ID7E1167C4F3A74672BB23E3D8792BD1CC" reported-display-style="strikethrough"><enum>(II)</enum><text>ending on the
date such failure is corrected.</text>
</subclause></clause></subparagraph><subparagraph changed="deleted" id="ID78A8AC2147D34A579331F2ABF43323C2" reported-display-style="strikethrough"><enum>(C)</enum><header>Minimum
penalties where failure discovered</header><text>Notwithstanding clauses (i)
and (ii) of subparagraph (D):</text>
<clause changed="deleted" id="IDA7967B09D5334D2E898B96C053686658" reported-display-style="strikethrough"><enum>(i)</enum><header>In
general</header><text>In the case of 1 or more failures with respect to an
individual—</text>
<subclause changed="deleted" id="ID9051BF8EDD0B4E0F888D65EE6F86D7BA" reported-display-style="strikethrough"><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 changed="deleted" id="IDFFA43A3FF4474A87B2E1F0C23B844238" reported-display-style="strikethrough"><enum>(II)</enum><text>which occurred or
continued during the period involved;</text>
</subclause><continuation-text changed="deleted" continuation-text-level="clause" reported-display-style="strikethrough">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 changed="deleted" id="IDB7856CCB3E4C428AB4FDA45F30C777AE" reported-display-style="strikethrough"><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 changed="deleted" id="ID0A3DCFAF3AD34653A5D9D61FEB205347" reported-display-style="strikethrough"><enum>(D)</enum><header>Limitations</header>
<clause changed="deleted" id="ID94E1F06901CC430791460017546940A8" reported-display-style="strikethrough"><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 changed="deleted" id="IDC603E16D7F504BDBA71C46D4B8C6406F" reported-display-style="strikethrough"><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 changed="deleted" id="ID68FB22750D2B432BB1D8A8C8F4FB0126" reported-display-style="strikethrough"><enum>(I)</enum><text>such failure was
due to reasonable cause and not to willful neglect; and</text>
</subclause><subclause changed="deleted" id="ID8669B2A8F3534252A470736E9309C5BD" reported-display-style="strikethrough"><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 changed="deleted" id="ID81D9DFB0400842F68020C4EF3F3C8722" reported-display-style="strikethrough"><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 changed="deleted" id="IDE1A2FD0E9AE04AAB815916C94EFC0064" reported-display-style="strikethrough"><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 changed="deleted" id="ID0AC87C8B0FFE4B38AAD363DD33EFDDA8" reported-display-style="strikethrough"><enum>(II)</enum><text>$500,000.</text>
</subclause></clause></subparagraph><subparagraph changed="deleted" id="IDCD3E8E11396342C2B0FA94D500852796" reported-display-style="strikethrough"><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 changed="deleted" id="IDCA64274F8DCB45CAB77CA98CB745605B" reported-display-style="strikethrough"><enum>(d)</enum><header>Definitions</header><text><external-xref legal-doc="act" parsable-cite="ERISA/733(d)">Section 733(d)</external-xref> 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(d)">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" changed="deleted" id="IDC8125DE4FAEA40B8A2E8009D4B32F4FD" reported-display-style="strikethrough">
<paragraph changed="deleted" id="ID849FC1B678504CBA8CBACB8E867DD9E7" reported-display-style="strikethrough"><enum>(5)</enum><header>Family
member</header><text>The term <term>family member</term> means with respect to
an individual—</text>
<subparagraph changed="deleted" id="ID3053FAE24FA848BF9BAEEC12E5004385" reported-display-style="strikethrough"><enum>(A)</enum><text>the spouse of the
individual;</text>
</subparagraph><subparagraph changed="deleted" id="ID8E9C10E0333E4A51938E191F8530ECBD" reported-display-style="strikethrough"><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 changed="deleted" id="IDB0552A708B3E4EC2B62C9F29E300B2C5" reported-display-style="strikethrough"><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 changed="deleted" id="IDA966A7D02A074A9DAB7F4FD7EB89CFD1" reported-display-style="strikethrough"><enum>(6)</enum><header>Genetic
information</header>
<subparagraph changed="deleted" id="ID49AE17B8A4794CA5A1BBCFFEF8278659" reported-display-style="strikethrough"><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 changed="deleted" id="ID386032FC400146D1B8C9033827007BFF" reported-display-style="strikethrough"><enum>(i)</enum><text>an individual’s
genetic tests;</text>
</clause><clause changed="deleted" id="ID5CC379D536C949C5AAC84400285668B4" reported-display-style="strikethrough"><enum>(ii)</enum><text>the genetic tests
of family members of the individual; or</text>
</clause><clause changed="deleted" id="ID405EA3C2F10047629FD62167F3042C72" reported-display-style="strikethrough"><enum>(iii)</enum><text>the occurrence
of a disease or disorder in family members of the individual.</text>
</clause></subparagraph><subparagraph changed="deleted" id="ID67F5D449BFBB43B9A0C4E1F525E71920" reported-display-style="strikethrough"><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 changed="deleted" id="ID5CFBE189831F4E3F9EAF7596D8789966" reported-display-style="strikethrough"><enum>(7)</enum><header>Genetic
test</header>
<subparagraph changed="deleted" id="ID6D157A02DAC440C88EDC82767967FC91" reported-display-style="strikethrough"><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 changed="deleted" id="ID1354C0FD9F654FDBAC599951D12828F3" reported-display-style="strikethrough"><enum>(B)</enum><header>Exceptions</header><text>The
term <term>genetic test</term> does not mean—</text>
<clause changed="deleted" id="IDE17C5B48BCE4467983CDA51C912C769C" reported-display-style="strikethrough"><enum>(i)</enum><text>an analysis of
proteins or metabolites that does not detect genotypes, mutations, or
chromosomal changes; or</text>
</clause><clause changed="deleted" id="ID3EF1B60AE1A54B5FA50003DD8EEE2183" reported-display-style="strikethrough"><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 changed="deleted" id="IDC66446556B5F4C7A99138E86A6FD0022" reported-display-style="strikethrough"><enum>(8)</enum><header>Genetic
services</header><text>The term <term>genetic services</term> means—</text>
<subparagraph changed="deleted" id="IDA14E8615CD07427092A300A9B93224D8" reported-display-style="strikethrough"><enum>(A)</enum><text>a genetic
test;</text>
</subparagraph><subparagraph changed="deleted" id="IDC046C02F329F4EA4B6D056C944675686" reported-display-style="strikethrough"><enum>(B)</enum><text>genetic counseling
(such as obtaining, interpreting, or assessing genetic information); or</text>
</subparagraph><subparagraph changed="deleted" id="IDF22D522A201C4455B6CA3B0042F2D100" reported-display-style="strikethrough"><enum>(C)</enum><text>genetic
education.</text>
</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection changed="deleted" id="ID98B5758C656A460CA360587051F3C7AE" reported-display-style="strikethrough"><enum>(e)</enum><header>Regulations and
effective date</header>
<paragraph changed="deleted" id="IDDE6E278CED2B4AEAA018EE7FCCE99413" reported-display-style="strikethrough"><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 changed="deleted" id="ID34ACC821866A4ED78ECCDB56EE259E32" reported-display-style="strikethrough"><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 changed="deleted" id="ID19B2839AFCF84A6A8CEBB375E74F3984" reported-display-style="strikethrough"><enum>102.</enum><header>Amendments to
the <act-name parsable-cite="PHSA">Public Health Service
Act</act-name></header>
<subsection changed="deleted" id="IDD28A265F87A04D6E0035175DE3E58051" reported-display-style="strikethrough"><enum>(a)</enum><header>Amendments
relating to the group market</header>
<paragraph changed="deleted" id="IDD958008454C848C39412B3FDE7B92C68" reported-display-style="strikethrough"><enum>(1)</enum><header>Prohibition of
health discrimination on the basis of genetic information or genetic
services</header>
<subparagraph changed="deleted" id="IDF619A52F1C43483E822FC481F65194DA" reported-display-style="strikethrough"><enum>(A)</enum><header>No enrollment
restriction for genetic services</header><text><external-xref legal-doc="act" parsable-cite="PHSA/2702(a)(1)(F)">Section 2702(a)(1)(F)</external-xref> of the
<act-name parsable-cite="PHSA">Public Health Service Act</act-name>
(<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-1(a)(1)(F)">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 changed="deleted" id="IDBD6B2592DBFA48AAB748A0744D65A6F7" reported-display-style="strikethrough"><enum>(B)</enum><header>No
discrimination in group premiums based on genetic
information</header><text><external-xref legal-doc="act" parsable-cite="PHSA/2702(b)">Section 2702(b)</external-xref> of the
<act-name parsable-cite="PHSA">Public Health Service Act</act-name>
(<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-1(b)">42 U.S.C.
300gg–1(b)</external-xref>) is amended—</text>
<clause changed="deleted" id="IDB962125EFEF3410BB9F3E673CD9F38DC" reported-display-style="strikethrough"><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 changed="deleted" id="ID69F1B90A2DEC4DA7AF10D85BAD3D1DFA" reported-display-style="strikethrough"><enum>(ii)</enum><text>by adding at the
end the following:</text>
<quoted-block changed="deleted" id="ID8B39F3DEE58B452C83790287A52C054F" reported-display-style="strikethrough">
<paragraph changed="deleted" id="IDA10380B673964DAE82706FCD4CC02755" reported-display-style="strikethrough"><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 changed="deleted" id="ID77A1A20C3FCC4115AE7C14A0397DEFC4" reported-display-style="strikethrough"><enum>(2)</enum><header>Limitations on
genetic testing</header><text><external-xref legal-doc="act" parsable-cite="PHSA/2702">Section 2702</external-xref> 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" changed="deleted" id="ID6A238610321843A199C8E9B2580046D8" reported-display-style="strikethrough">
<subsection changed="deleted" id="IDA5A34FF4C7184F5E8C892535AEBAE0B5" reported-display-style="strikethrough"><enum>(c)</enum><header>Genetic
testing</header>
<paragraph changed="deleted" id="IDEC48CB2E124D41B49CE236B59879595E" reported-display-style="strikethrough"><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 changed="deleted" id="ID2C7CBCC33D8844139BBE2DC3BBBBCCDD" reported-display-style="strikethrough"><enum>(2)</enum><header>Rule of
construction</header><text>Nothing in this part shall be construed to—</text>
<subparagraph changed="deleted" id="IDBD1C16D3FC43414E8754C99F6600FD53" reported-display-style="strikethrough"><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 changed="deleted" id="ID6CC35F7D805446BF80F66012895578D1" reported-display-style="strikethrough"><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 changed="deleted" id="ID052F1CABAA8F450E9781C87B27D42906" reported-display-style="strikethrough"><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 changed="deleted" id="ID4E9A0CE5F7F645AAABD49F9ECB8BFD54" reported-display-style="strikethrough"><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 changed="deleted" id="IDE3B312A04459452C8C5645D30774002E" reported-display-style="strikethrough"><enum>(3)</enum><header>Remedies and
enforcement</header><text><external-xref legal-doc="act" parsable-cite="PHSA/2722(b)">Section 2722(b)</external-xref> of the
<act-name parsable-cite="PHSA">Public Health Service Act</act-name>
(<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-22)(b">42 U.S.C.
300gg–22)(b</external-xref>)) is amended by adding at the end the
following:</text>
<quoted-block act-name="Public Health Service Act" changed="deleted" id="IDA02EE3520E884F7EA3D53DEFBA2FC709" reported-display-style="strikethrough">
<paragraph changed="deleted" id="ID006C758A9EC44424B6DC9F356FF9E2F3" reported-display-style="strikethrough"><enum>(3)</enum><header>Enforcement
authority relating to genetic discrimination</header>
<subparagraph changed="deleted" id="IDF6D6815FA76E42B9A172C9947E10CBA8" reported-display-style="strikethrough"><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 changed="deleted" id="ID98272FB70BA74A3BA9FCE8BA545CC2D9" reported-display-style="strikethrough"><enum>(B)</enum><header>Amount</header>
<clause changed="deleted" id="IDCA5DF17778054D46A8DF9184A7FB7165" reported-display-style="strikethrough"><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 changed="deleted" id="IDC5C94EB98FAB42F2BC09D09309DEDAD3" reported-display-style="strikethrough"><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 changed="deleted" id="IDA257369EFCDB4A5ABA007ED19F20BA00" reported-display-style="strikethrough"><enum>(I)</enum><text>beginning on the
date such failure first occurs; and</text>
</subclause><subclause changed="deleted" id="IDA840AAF6381849E4A1E1D7F9F452C9E0" reported-display-style="strikethrough"><enum>(II)</enum><text>ending on the
date such failure is corrected.</text>
</subclause></clause></subparagraph><subparagraph changed="deleted" id="IDBB5C9245A94F4E2491A112210806D908" reported-display-style="strikethrough"><enum>(C)</enum><header>Minimum
penalties where failure discovered</header><text>Notwithstanding clauses (i)
and (ii) of subparagraph (D):</text>
<clause changed="deleted" id="IDC8A120C98FB84D14AA4844EA81E15741" reported-display-style="strikethrough"><enum>(i)</enum><header>In
general</header><text>In the case of 1 or more failures with respect to an
individual—</text>
<subclause changed="deleted" id="ID7E2940A529534743A9C88C9EF03E4F16" reported-display-style="strikethrough"><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 changed="deleted" id="IDD27A03927F3C46FCA439869900D592AE" reported-display-style="strikethrough"><enum>(II)</enum><text>which occurred or
continued during the period involved;</text>
</subclause><continuation-text changed="deleted" continuation-text-level="clause" reported-display-style="strikethrough">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 changed="deleted" id="IDCD33F933840941C3B89CD900C862C007" reported-display-style="strikethrough"><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 changed="deleted" id="IDDE59412E597E416E8E259CC056663300" reported-display-style="strikethrough"><enum>(D)</enum><header>Limitations</header>
<clause changed="deleted" id="ID1478585499A94FAB90205710A3BDBA05" reported-display-style="strikethrough"><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 changed="deleted" id="IDB36BFB679A6E4D5DB793FDAF4CFB58F3" reported-display-style="strikethrough"><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 changed="deleted" id="IDF890EFB6E80F4AA6AB00B5E000EF7D16" reported-display-style="strikethrough"><enum>(I)</enum><text>such failure was
due to reasonable cause and not to willful neglect; and</text>
</subclause><subclause changed="deleted" id="IDB228E0877C3840279679C9E7FD12766C" reported-display-style="strikethrough"><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 changed="deleted" id="ID83FFB0B1F7E1472BA728A600247C717B" reported-display-style="strikethrough"><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 changed="deleted" id="ID6A5029AF8F974AA68C3D7275DA784F7E" reported-display-style="strikethrough"><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 changed="deleted" id="ID4E60C280D1C54220A959FB6E78B88967" reported-display-style="strikethrough"><enum>(II)</enum><text>$500,000.</text>
</subclause></clause></subparagraph><subparagraph changed="deleted" id="ID593C7BA62FCD49BD9BE3B222E2E2557C" reported-display-style="strikethrough"><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 changed="deleted" id="ID0AEC8E5D57A24D11BB9647AECC1CB881" reported-display-style="strikethrough"><enum>(4)</enum><header>Definitions</header><text><external-xref legal-doc="act" parsable-cite="PHSA/2791(d)">Section 2791(d)</external-xref> of
the <act-name parsable-cite="PHSA">Public Health Service Act</act-name>
(<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-91(d)">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" changed="deleted" id="ID9C60744361874944AF09627605A61408" reported-display-style="strikethrough">
<paragraph changed="deleted" id="IDEC8E4D237C724A129F6EB6DA9887FEDC" reported-display-style="strikethrough"><enum>(15)</enum><header>Family
member</header><text>The term <term>family member</term> means with respect to
an individual—</text>
<subparagraph changed="deleted" id="IDADD7805E2FB44B19B18361DC00221185" reported-display-style="strikethrough"><enum>(A)</enum><text>the spouse of the
individual;</text>
</subparagraph><subparagraph changed="deleted" id="ID4357D17A3BB94AA49BF5002E009EACB0" reported-display-style="strikethrough"><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 changed="deleted" id="IDCB2641813A8D4C1FA6F9D6974E397900" reported-display-style="strikethrough"><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 changed="deleted" id="IDD227588D5D464C0396258FC7035BB8A2" reported-display-style="strikethrough"><enum>(16)</enum><header>Genetic
information</header>
<subparagraph changed="deleted" id="ID46FFC24F7FA0460EB34CBFDFFF61737C" reported-display-style="strikethrough"><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 changed="deleted" id="IDC6E4948805AD47ACB4B911EA6950DFAB" reported-display-style="strikethrough"><enum>(i)</enum><text>an individual’s
genetic tests;</text>
</clause><clause changed="deleted" id="ID54CC7F11BEB642B2A0B4BA3E719B8BFC" reported-display-style="strikethrough"><enum>(ii)</enum><text>the genetic tests
of family members of the individual; or</text>
</clause><clause changed="deleted" id="IDFD56EE019C6E4C7E006800DEEC41B233" reported-display-style="strikethrough"><enum>(iii)</enum><text>the occurrence
of a disease or disorder in family members of the individual.</text>
</clause></subparagraph><subparagraph changed="deleted" id="IDFB456C12EDDA4CB2AAB7A07B6D004B7D" reported-display-style="strikethrough"><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 changed="deleted" id="ID3A3AAC244F954AC899306F8300228B7E" reported-display-style="strikethrough"><enum>(17)</enum><header>Genetic
test</header>
<subparagraph changed="deleted" id="IDB7771B26512E4C7D84AE21B261B1E7FB" reported-display-style="strikethrough"><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 changed="deleted" id="ID7624039B7DE94940B5C8AD0580B27F9D" reported-display-style="strikethrough"><enum>(B)</enum><header>Exceptions</header><text>The
term <term>genetic test</term> does not mean—</text>
<clause changed="deleted" id="ID40A4EBF3C8CF436E92205811A2176618" reported-display-style="strikethrough"><enum>(i)</enum><text>an analysis of
proteins or metabolites that does not detect genotypes, mutations, or
chromosomal changes; or</text>
</clause><clause changed="deleted" id="IDB804A3EDC5CD48E4BD68F586B0F9E5D2" reported-display-style="strikethrough"><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 changed="deleted" id="ID7D562B9ADC8D4EB9AD00C2C244009974" reported-display-style="strikethrough"><enum>(18)</enum><header>Genetic
services</header><text>The term <term>genetic services</term> means—</text>
<subparagraph changed="deleted" id="ID11CE5CE68D744A440094B2D9EC907058" reported-display-style="strikethrough"><enum>(A)</enum><text>a genetic
test;</text>
</subparagraph><subparagraph changed="deleted" id="ID46C319FA201747E3A1CF734C02009640" reported-display-style="strikethrough"><enum>(B)</enum><text>genetic counseling
(such as obtaining, interpreting, or assessing genetic information); or</text>
</subparagraph><subparagraph changed="deleted" id="ID975990262C6A407EADC8AB2DBA2F84A5" reported-display-style="strikethrough"><enum>(C)</enum><text>genetic
education.</text>
</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection changed="deleted" id="IDFCAC85086BE04424A17EE58302A618B4" reported-display-style="strikethrough"><enum>(b)</enum><header>Amendment
relating to the individual market</header>
<paragraph changed="deleted" id="ID4729D7B45D39407CB3289ED8E1DC027F" reported-display-style="strikethrough"><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</external-xref> et seq.) (relating to other requirements) is
amended—</text>
<subparagraph changed="deleted" id="ID7DBC999F34C34DB38F3FA7907FA77FDD" reported-display-style="strikethrough"><enum>(A)</enum><text>by redesignating
such subpart as subpart 2; and</text>
</subparagraph><subparagraph changed="deleted" id="ID2723921BDF464B5EA2AC28EC68087800" reported-display-style="strikethrough"><enum>(B)</enum><text>by adding at the
end the following:</text>
<quoted-block changed="deleted" id="ID1C2E2C97998C43989B5DE42D1BEEF87D" reported-display-style="strikethrough">
<section changed="deleted" id="ID447666AB86154D0F8ECE082B5400C9A1" reported-display-style="strikethrough"><enum>2753.</enum><header>Prohibition of
health discrimination on the basis of genetic information</header>
<subsection changed="deleted" id="ID596854A8BC8241A3BFC4B44E58A245CB" reported-display-style="strikethrough"><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 changed="deleted" id="ID8AE68B125BD34DD8915F8BCA691E6CC0" reported-display-style="strikethrough"><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 changed="deleted" id="ID9B72F7FF881C453BBB164023FF35BCF3" reported-display-style="strikethrough"><enum>(c)</enum><header>Genetic
testing</header>
<paragraph changed="deleted" id="IDE3511F0073C147CAB43D60A2B4BC8427" reported-display-style="strikethrough"><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 changed="deleted" id="ID51A5673F0EB0409FB6B45E0058E12E61" reported-display-style="strikethrough"><enum>(2)</enum><header>Rule of
construction</header><text>Nothing in this part shall be construed to—</text>
<subparagraph changed="deleted" id="IDBB9B5ECF995F4A57A1C72313E915A11E" reported-display-style="strikethrough"><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 changed="deleted" id="IDBB31E06B8A7F4A58A8654623452373B3" reported-display-style="strikethrough"><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 changed="deleted" id="ID6333343C0F4143008261E6002188C305" reported-display-style="strikethrough"><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 changed="deleted" id="ID0AE9F3CB836E45FA9773FE3F8DEB965D" reported-display-style="strikethrough"><enum>(2)</enum><header>Remedies and
enforcement</header><text><external-xref legal-doc="act" parsable-cite="PHSA/2761(b)">Section 2761(b)</external-xref> of the
<act-name parsable-cite="PHSA">Public Health Service Act</act-name>
(<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-61)(b">42 U.S.C.
300gg–61)(b</external-xref>)) is amended to read as follows:</text>
<quoted-block act-name="Public Health Service Act" changed="deleted" id="IDBC777248697E442EB1FA90CAFE53C8A4" reported-display-style="strikethrough">
<subsection changed="deleted" id="ID601A99D1F36A40A39BDFF6EFE3008251" reported-display-style="strikethrough"><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 changed="deleted" id="ID14D8F1D84B904D11B7346887BEBF587D" reported-display-style="strikethrough"><enum>(c)</enum><header>Elimination of
option of Non-Federal governmental plans to be excepted from requirements
concerning genetic information</header><text><external-xref legal-doc="act" parsable-cite="PHSA/2721(b)(2)">Section 2721(b)(2)</external-xref> of the
<act-name parsable-cite="PHSA">Public Health Service Act</act-name> (42 U.S. C.
300gg–21(b)(2)) is amended—</text>
<paragraph changed="deleted" id="ID7D9D57C13FAD4A81BC68AEDD1DDF58D7" reported-display-style="strikethrough"><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 changed="deleted" id="ID28777DC50A5F4E58A0D597C47900A100" reported-display-style="strikethrough"><enum>(2)</enum><text>by adding at the
end the following:</text>
<quoted-block changed="deleted" id="ID607E3696DF204336B2D4B38263E47E6C" reported-display-style="strikethrough">
<subparagraph changed="deleted" id="ID86A3416E65C94FC3A452E7C15D2D7791" reported-display-style="strikethrough"><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 changed="deleted" id="ID413E3945734E4B91AD13279038124201" reported-display-style="strikethrough"><enum>(d)</enum><header>Regulations and
effective date</header>
<paragraph changed="deleted" id="IDA6A1C70EBBF348C980C01C6821191900" reported-display-style="strikethrough"><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 changed="deleted" id="ID0BFE596C199F4A8F899C92D8BFB521A3" reported-display-style="strikethrough"><enum>(2)</enum><header>Effective
date</header><text>The amendments made by this section shall apply—</text>
<subparagraph changed="deleted" id="IDCC0BC9A4C3F542EE9E47EF4854872B07" reported-display-style="strikethrough"><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 changed="deleted" id="IDA870D72980F342DA8100D3BD28EAF436" reported-display-style="strikethrough"><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 changed="deleted" id="ID33B0CD05C22D42CDBC77978063AA1D85" reported-display-style="strikethrough"><enum>103.</enum><header>Amendments to
the Internal Revenue Code of 1986</header>
<subsection changed="deleted" id="IDC4219033B990450396D5715382C4D1FF" reported-display-style="strikethrough"><enum>(a)</enum><header>Prohibition of
health discrimination on the basis of genetic information or genetic
services</header>
<paragraph changed="deleted" id="IDFAC9F126C2994902816DADA6F9E017BC" reported-display-style="strikethrough"><enum>(1)</enum><header>No enrollment
restriction for genetic services</header><text>Section 9802(a)(1)(F) of the
Internal Revenue Code of 1986 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 changed="deleted" id="IDFF047FB240874360A2C62F334B1C5953" reported-display-style="strikethrough"><enum>(2)</enum><header>No
discrimination in group premiums based on genetic
information</header><text>Section 9802(b) of the Internal Revenue Code of 1986
is amended—</text>
<subparagraph changed="deleted" id="ID1ABE96F865BE48B2A96F639631635EA5" reported-display-style="strikethrough"><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 changed="deleted" id="ID25E1704C0A1E4403A0899FDFFB8543FE" reported-display-style="strikethrough"><enum>(B)</enum><text>by adding at the
end the following:</text>
<quoted-block changed="deleted" id="ID09FE1970BE034149BC5595561D2BFC12" reported-display-style="strikethrough">
<paragraph changed="deleted" id="ID01D4C73DAA704A568C654871CBDB313D" reported-display-style="strikethrough"><enum>(3)</enum><header>No
discrimination in group premiums based on genetic information</header><text>For
purposes of this section, 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 changed="deleted" id="ID308112D2B3224C3CB4AFD228CBECFEC8" reported-display-style="strikethrough"><enum>(b)</enum><header>Limitations on
genetic testing</header><text>Section 9802 of the Internal Revenue Code of 1986
is amended by adding at the end the following:</text>
<quoted-block changed="deleted" id="IDCCAEEB9A10004FA29B592C54A4F36341" reported-display-style="strikethrough">
<subsection changed="deleted" id="ID68876B3A59FF49AAB0EF057F99C2E5AA" reported-display-style="strikethrough"><enum>(d)</enum><header>Genetic testing
and genetic services</header>
<paragraph changed="deleted" id="ID918BE28D695A4A7B9224C5008179B610" reported-display-style="strikethrough"><enum>(1)</enum><header>Limitation on
requesting or requiring genetic testing</header><text>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 changed="deleted" id="ID65DFDE962165469EA4F3553D27E3B559" reported-display-style="strikethrough"><enum>(2)</enum><header>Rule of
construction</header><text>Nothing in this part shall be construed to—</text>
<subparagraph changed="deleted" id="ID7DB61E9B019647E6A9123B4F86A3F2C8" reported-display-style="strikethrough"><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 changed="deleted" id="ID44580BE7820243D19FED00BD69600931" reported-display-style="strikethrough"><enum>(B)</enum><text>limit the
authority of a health care professional who is employed by or affiliated with a
group health plan 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 changed="deleted" id="ID9CB87CD910EB4166BF2C151290CDDB4B" reported-display-style="strikethrough"><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 changed="deleted" id="ID30CFD9ABABB74316B84FA8DB311646FD" reported-display-style="strikethrough"><enum>(e)</enum><header>Application to
all plans</header><text>The provisions of subsections (a)(1)(F), (b)(3), and
(d) shall apply to group health plans and health insurance issuers without
regard to section 9831(a)(2).</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection changed="deleted" id="IDF16DE383D0F84BF5A5008FF8E600B065" reported-display-style="strikethrough"><enum>(c)</enum><header>Definitions</header><text>Section
9832(d) of the Internal Revenue Code of 1986 is amended by adding at the end
the following:</text>
<quoted-block changed="deleted" id="ID8B2A6B32A6BD4BC08D32D2F832193C61" reported-display-style="strikethrough">
<paragraph changed="deleted" id="IDA8687B162E85440EB4532DDF744B6406" reported-display-style="strikethrough"><enum>(6)</enum><header>Family
member</header><text>The term <term>family member</term> means with respect to
an individual—</text>
<subparagraph changed="deleted" id="IDC9C9F0AD64F349B8B1007E4B93F82020" reported-display-style="strikethrough"><enum>(A)</enum><text>the spouse of the
individual;</text>
</subparagraph><subparagraph changed="deleted" id="IDDCBD413616FF461A8B955D603842D534" reported-display-style="strikethrough"><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 changed="deleted" id="IDD42CE2B566A444CCB50898278E9612AE" reported-display-style="strikethrough"><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 changed="deleted" id="ID496DCD26FFAB438D920045B600F46F64" reported-display-style="strikethrough"><enum>(7)</enum><header>Genetic
services</header><text>The term <term>genetic services</term> means—</text>
<subparagraph changed="deleted" id="ID3688B041CDA24C3A92287182337CD900" reported-display-style="strikethrough"><enum>(A)</enum><text>a genetic
test;</text>
</subparagraph><subparagraph changed="deleted" id="ID0DE25BCC2D3E426CA1C93C5B2B83B7D9" reported-display-style="strikethrough"><enum>(B)</enum><text>genetic counseling
(such as obtaining, interpreting, or assessing genetic information); or</text>
</subparagraph><subparagraph changed="deleted" id="IDC4ABB739DFC64D79BCBD2C983871A0EF" reported-display-style="strikethrough"><enum>(C)</enum><text>genetic
education.</text>
</subparagraph></paragraph><paragraph changed="deleted" id="IDD67F7B7442CA4556B4336FC677C73B4C" reported-display-style="strikethrough"><enum>(8)</enum><header>Genetic
information</header>
<subparagraph changed="deleted" id="ID2595BA8273F341ACA8B066000046F732" reported-display-style="strikethrough"><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 changed="deleted" id="IDFF3CD8AB094A4F0A002154CBE499F3B9" reported-display-style="strikethrough"><enum>(i)</enum><text>an individual’s
genetic tests;</text>
</clause><clause changed="deleted" id="IDB8823D8B74974DE0A6A110F430808F8E" reported-display-style="strikethrough"><enum>(ii)</enum><text>the genetic tests
of family members of the individual; or</text>
</clause><clause changed="deleted" id="ID51382B2B546A4CBFA645A3DFE400884E" reported-display-style="strikethrough"><enum>(iii)</enum><text>the occurrence
of a disease or disorder in family members of the individual.</text>
</clause></subparagraph><subparagraph changed="deleted" id="ID1EA801BBDB9D4FE4A669C138ADE95E33" reported-display-style="strikethrough"><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 changed="deleted" id="IDC7B27A2905614B28B7389BBD009D5C64" reported-display-style="strikethrough"><enum>(9)</enum><header>Genetic
test</header>
<subparagraph changed="deleted" id="ID7690EADA6F4B479EA88F50EED57E44F0" reported-display-style="strikethrough"><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 changed="deleted" id="ID8E4735FC47BD498A9BAF444128D6138F" reported-display-style="strikethrough"><enum>(B)</enum><header>Exceptions</header><text>The
term <term>genetic test</term> does not mean—</text>
<clause changed="deleted" id="ID0BEF666913E245E6AFEC99E522C16200" reported-display-style="strikethrough"><enum>(i)</enum><text>an analysis of
proteins or metabolites that does not detect genotypes, mutations, or
chromosomal changes; or</text>
</clause><clause changed="deleted" id="IDFB98AF17CC6F4FBC9147DC30B97984C5" reported-display-style="strikethrough"><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><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection changed="deleted" id="ID8BD7DBB33B5142589307C2E3E2C70085" reported-display-style="strikethrough"><enum>(d)</enum><header>Regulations and
effective date</header>
<paragraph changed="deleted" id="IDD00C2365FA464987801F8553EB4B4000" reported-display-style="strikethrough"><enum>(1)</enum><header>Regulations</header><text>Not
later than 1 year after the date of enactment of this title, the Secretary of
the Treasury shall issue final regulations in an accessible format to carry out
the amendments made by this section.</text>
</paragraph><paragraph changed="deleted" id="IDDC4F5ACC4D5D41DFB444775B30BC907F" reported-display-style="strikethrough"><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 changed="deleted" id="ID0ED86CA8BE11408E98856BF776D8742D" reported-display-style="strikethrough"><enum>104.</enum><header>Amendments to
title XVIII of the <act-name parsable-cite="SSA">Social Security Act</act-name>
relating to medigap</header>
<subsection changed="deleted" id="IDAFE6040DF883460CB9283EDA5F7BC28C" reported-display-style="strikethrough"><enum>(a)</enum><header>Nondiscrimination</header>
<paragraph changed="deleted" id="IDA918F1A2CF7D42AAA3E5E23939B3F6BF" reported-display-style="strikethrough"><enum>(1)</enum><header>In
general</header><text><external-xref legal-doc="act" parsable-cite="SSA/1882(s)(2)">Section 1882(s)(2)</external-xref> of the
<act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1395ss(s)(2)">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" changed="deleted" id="ID867B15B75E98462EBDBC55C1BDD5F68B" reported-display-style="strikethrough">
<subparagraph changed="deleted" id="IDFC015E2325284DD4ABAAE183009B18BE" reported-display-style="strikethrough"><enum>(E)</enum><clause commented="no" display-inline="yes-display-inline" id="ID2582BF74304C41BAA17C3E1D4510A4F9"><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 changed="deleted" id="ID357AAB233B3042DFB3253B56CEC64946" indent="up1" reported-display-style="strikethrough"><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 (v).</text>
</clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph changed="deleted" id="ID0303A1A8F7BA44C3A0E23C7DFBCD2C37" reported-display-style="strikethrough"><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 changed="deleted" id="IDEFD089C9315F4A4E90BAF69C1F0538D9" reported-display-style="strikethrough"><enum>(b)</enum><header>Limitations on
genetic testing</header>
<paragraph changed="deleted" id="ID7129718677D74F318B1B6B82E7B378F0" reported-display-style="strikethrough"><enum>(1)</enum><header>In
general</header><text><external-xref legal-doc="act" parsable-cite="SSA/1882">Section 1882</external-xref> 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" changed="deleted" id="ID7CB39B373AAC4C4A8294BF3F79007492" reported-display-style="strikethrough">
<subsection changed="deleted" id="ID91CA8F404F194DA7A7F93276298C9887" reported-display-style="strikethrough"><enum>(v)</enum><header>Limitations on
genetic testing</header>
<paragraph changed="deleted" id="ID069A0CED3A694252A5FE73F6EA00F3BB" reported-display-style="strikethrough"><enum>(1)</enum><header>Genetic
testing</header>
<subparagraph changed="deleted" id="IDD87B6AC476AA4D4389B2DAFF41784BEB" reported-display-style="strikethrough"><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 changed="deleted" id="IDDEE1F0FC2B2940609552A1C492E65574" reported-display-style="strikethrough"><enum>(B)</enum><header>Rule of
construction</header><text>Nothing in this title shall be construed to—</text>
<clause changed="deleted" id="IDDF967C62B6E6426FB8ECBC553580AAAF" reported-display-style="strikethrough"><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 changed="deleted" id="ID402A947747A64D63973480BCF6709FA9" reported-display-style="strikethrough"><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 changed="deleted" id="ID86F4AE1CB9694277BC105D378D2FB81E" reported-display-style="strikethrough"><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 changed="deleted" id="ID673CFAA4F21E48D5AFE223FA9F49B6E5" reported-display-style="strikethrough"><enum>(2)</enum><header>Definitions</header><text>In
this subsection:</text>
<subparagraph changed="deleted" id="ID3F0F448BC54143199E7061825C18B23B" reported-display-style="strikethrough"><enum>(A)</enum><header>Family
member</header><text>The term <term>family member</term> means with respect to
an individual—</text>
<clause changed="deleted" id="ID94F3145D2F51439EB34488052999531E" reported-display-style="strikethrough"><enum>(i)</enum><text>the spouse of the
individual;</text>
</clause><clause changed="deleted" id="ID1A8D9AC187F944DD83C29179F83F0725" reported-display-style="strikethrough"><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 changed="deleted" id="ID90CF0920480E4E9BAA30A136EC5B6174" reported-display-style="strikethrough"><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 changed="deleted" id="IDB44B47E5D8F441199D4BB46C3BBC4089" reported-display-style="strikethrough"><enum>(B)</enum><header>Genetic
information</header>
<clause changed="deleted" id="IDF0B2D9A304F54C41971054AEE100FE93" reported-display-style="strikethrough"><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 changed="deleted" id="ID573AF0D69DF5402BB31EE131246E79A6" reported-display-style="strikethrough"><enum>(I)</enum><text>an individual’s
genetic tests;</text>
</subclause><subclause changed="deleted" id="IDEDA2210479374F24AB853E70A4D44BAC" reported-display-style="strikethrough"><enum>(II)</enum><text>the genetic tests
of family members of the individual; or</text>
</subclause><subclause changed="deleted" id="ID917FCEEE520D485297D73E785EA13EF3" reported-display-style="strikethrough"><enum>(III)</enum><text>the occurrence
of a disease or disorder in family members of the individual.</text>
</subclause></clause><clause changed="deleted" id="ID829207CC08034A05AE1FD99515B22449" reported-display-style="strikethrough"><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 changed="deleted" id="ID52DE6845E2A442DBB2631BED49E50495" reported-display-style="strikethrough"><enum>(C)</enum><header>Genetic
test</header>
<clause changed="deleted" id="ID9D6E634C1D48446F91CE55CAD3A1ED00" reported-display-style="strikethrough"><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 changed="deleted" id="ID603F853ADCA74BC39745297DDC8F92C5" reported-display-style="strikethrough"><enum>(ii)</enum><header>Exceptions</header><text>The
term <term>genetic test</term> does not mean—</text>
<subclause changed="deleted" id="ID7940B36FB13C40EEB5A9A2EE36DBE24D" reported-display-style="strikethrough"><enum>(I)</enum><text>an analysis of
proteins or metabolites that does not detect genotypes, mutations, or
chromosomal changes; or</text>
</subclause><subclause changed="deleted" id="ID44AB052BF06842448592589C0260F504" reported-display-style="strikethrough"><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 changed="deleted" id="ID28314EBE73FC4F16980018B868008CA2" reported-display-style="strikethrough"><enum>(D)</enum><header>Genetic
services</header><text>The term <term>genetic services</term> means—</text>
<clause changed="deleted" id="ID82A2473631D34C4B8CAF9ED467D6DB17" reported-display-style="strikethrough"><enum>(i)</enum><text>a genetic
test;</text>
</clause><clause changed="deleted" id="ID0A0B7C45487D4DB082FB31BDABD2CEA2" reported-display-style="strikethrough"><enum>(ii)</enum><text>genetic
counseling (such as obtaining, interpreting, or assessing genetic information);
or</text>
</clause><clause changed="deleted" id="ID2AD36EA003284100877697557145702D" reported-display-style="strikethrough"><enum>(iii)</enum><text>genetic
education.</text>
</clause></subparagraph><subparagraph changed="deleted" id="ID99988E4962464C0100FAD5BFBE67CDD6" reported-display-style="strikethrough"><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 changed="deleted" id="ID2F340AF219B0414AA9DF41D9528C6F7B" reported-display-style="strikethrough"><enum>(2)</enum><header>Conforming
amendment</header><text><external-xref legal-doc="act" parsable-cite="SSA/1882(o)">Section 1882(o)</external-xref> of the
<act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1395ss(o)">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" changed="deleted" id="ID97B292C763E54DBCA4C300005109F6DF" reported-display-style="strikethrough">
<paragraph changed="deleted" id="IDA09EF69A8AE74AB389393872B1837CF4" reported-display-style="strikethrough"><enum>(4)</enum><text>The issuer of the
medicare supplemental policy complies with subsection (s)(2)(E) and subsection
(v).</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph changed="deleted" id="ID4CE56DE1FE964A60B76C00DB187833F2" reported-display-style="strikethrough"><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 changed="deleted" id="IDDBFFA5A3BFDF412EA9B459A52D896628" reported-display-style="strikethrough"><enum>(c)</enum><header>Transition
provisions</header>
<paragraph changed="deleted" id="ID3BF9D85553C840969F2906C2BBD662E6" reported-display-style="strikethrough"><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 <external-xref legal-doc="act" parsable-cite="SSA/1882">section
1882</external-xref> 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 changed="deleted" id="IDAE84A70C5F8A468AA2DEA769F7898C88" reported-display-style="strikethrough"><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
<external-xref legal-doc="act" parsable-cite="SSA/1882">section
1882</external-xref> 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 changed="deleted" id="ID657C6C86935C4F108C06E8325D823CE2" reported-display-style="strikethrough"><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 changed="deleted" id="ID638D451C4ACE446C85C28264278CF295" reported-display-style="strikethrough"><enum>(4)</enum><header>Date
specified</header>
<subparagraph changed="deleted" id="ID4EDEA136E87B44B291F0759CC428E405" reported-display-style="strikethrough"><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 changed="deleted" id="ID72A8206C3C88467EA5B96D54B2108924" reported-display-style="strikethrough"><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 changed="deleted" id="IDF3D507550D424D7E8243E669FCFE742D" reported-display-style="strikethrough"><enum>(ii)</enum><text>October 1,
2006.</text>
</clause></subparagraph><subparagraph changed="deleted" id="ID3274FB6F020448428EE82222E048C1B4" reported-display-style="strikethrough"><enum>(B)</enum><header>Additional
legislative action required</header><text>In the case of a State which the
Secretary identifies as—</text>
<clause changed="deleted" id="ID37F9192981EF4B99AF4337180526AA2B" reported-display-style="strikethrough"><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 changed="deleted" id="IDDAB7F75BDF094A5A998E84C4B3AE5449" reported-display-style="strikethrough"><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 changed="deleted" id="ID8B6409EEE0D5409B89D7A046D33696CD" reported-display-style="strikethrough"><enum>105.</enum><header>Privacy and
confidentiality</header>
<subsection changed="deleted" id="IDE95FFE30DBA042FF83A510C30400BEB1" reported-display-style="strikethrough"><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 changed="deleted" id="IDEC34184D59304715A4CF6B7B6BFE7960" reported-display-style="strikethrough"><enum>(1)</enum><text><external-xref legal-doc="act" parsable-cite="ERISA/732(a)">section 732(a)</external-xref> 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(a)">29 U.S.C. 1191a(a)</external-xref>);</text>
</paragraph><paragraph changed="deleted" id="IDFD578DD196FC4395ADB1F61572BD7CC6" reported-display-style="strikethrough"><enum>(2)</enum><text><external-xref legal-doc="act" parsable-cite="PHSA/2721(a)">section 2721(a)</external-xref> of
the <act-name parsable-cite="PHSA">Public Health Service Act</act-name>
(<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-21(a)">42 U.S.C.
300gg–21(a)</external-xref>); and</text>
</paragraph><paragraph changed="deleted" id="ID11F7F852BF34438FA8AA0165F55BF4B6" reported-display-style="strikethrough"><enum>(3)</enum><text>section 9831(a)(2)
of the Internal Revenue Code of 1986.</text>
</paragraph></subsection><subsection changed="deleted" id="IDA2463EFFC9124AC2A3B24F0811E776AA" reported-display-style="strikethrough"><enum>(b)</enum><header>Compliance with
certain confidentiality standards with respect to genetic information</header>
<paragraph changed="deleted" id="ID5B528A8EF87041B5A5C5D82CAEB53E17" reported-display-style="strikethrough"><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</external-xref> et
seq.) and <external-xref legal-doc="act" parsable-cite="HIPAA/264">section
264</external-xref> 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 note">42 U.S.C. 1320d–2 note</external-xref>)
shall apply to the use or disclosure of genetic information.</text>
</paragraph><paragraph changed="deleted" id="ID5FDA7946A5644F9395BE4F1DCAD84CAE" reported-display-style="strikethrough"><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 changed="deleted" id="ID8AA21B8D67C341B095CB00A72EF550CE" reported-display-style="strikethrough"><enum>(c)</enum><header>Prohibition on
collection of genetic information</header>
<paragraph changed="deleted" id="ID11E6801AC2B54AC5951DC8957155B08D" reported-display-style="strikethrough"><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 changed="deleted" id="ID6CF4BA35DB2D4AC5A1CA965786B5A6B1" reported-display-style="strikethrough"><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 changed="deleted" id="ID0831FB6F890E46A4BAB8431F59AD1101" reported-display-style="strikethrough"><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 changed="deleted" id="IDECC6DCEFC1424C06832DA112B172BFE0" reported-display-style="strikethrough"><enum>(A)</enum><text>such request,
requirement, or purchase is not in violation of paragraph (1); and</text>
</subparagraph><subparagraph changed="deleted" id="ID15A50212AE9F44E5912E00C6FCA1FBFD" reported-display-style="strikethrough"><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 changed="deleted" id="ID02F1F0D5B19E4F8899A5C184B94494E9" reported-display-style="strikethrough"><enum>(d)</enum><header>Application of
confidentiality standards</header><text>The provisions of subsections (b) and
(c) shall not apply—</text>
<paragraph changed="deleted" id="ID9262A0EC26F04E889BB125D3F23CAF25" reported-display-style="strikethrough"><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</external-xref> et
seq.) and <external-xref legal-doc="act" parsable-cite="HIPAA/264">section
264</external-xref> 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 note">42 U.S.C. 1320d–2 note</external-xref>);
and</text>
</paragraph><paragraph changed="deleted" id="ID82D48EF7933C4D01BEEE01F32134AA04" reported-display-style="strikethrough"><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</external-xref> et
seq.) and <external-xref legal-doc="act" parsable-cite="HIPAA/264">section
264</external-xref> 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 note">42 U.S.C. 1320d–2
note</external-xref>).</text>
</paragraph></subsection><subsection changed="deleted" id="ID91722DDA525E4DE08BF2A6843005423F" reported-display-style="strikethrough"><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> (<external-xref legal-doc="usc" parsable-cite="usc/42/1320d-5">42 U.S.C.
1320d–5</external-xref> 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 changed="deleted" id="ID41F178F5A4E84F1A9F56906DFB003863" reported-display-style="strikethrough"><enum>(f)</enum><header>Preemption</header>
<paragraph changed="deleted" id="ID4D79390814114DE0A1586BAC01412E04" reported-display-style="strikethrough"><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 changed="deleted" id="ID7042569159C54425B88ED456AA1E7089" reported-display-style="strikethrough"><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 changed="deleted" id="ID13C6634A9E094EB5827F7E5D99C3A102" reported-display-style="strikethrough"><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</external-xref> et
seq.) and <external-xref legal-doc="act" parsable-cite="HIPAA/264">section
264</external-xref> 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 note">42 U.S.C. 1320d–2
note</external-xref>).</text>
</subsection><subsection changed="deleted" id="ID851FFD52DAB34B36B2E4376D1B138CFA" reported-display-style="strikethrough"><enum>(h)</enum><header>Definitions</header><text>In
this section:</text>
<paragraph changed="deleted" id="ID2C3F1A4D5A694643B10221FDB9B210E2" reported-display-style="strikethrough"><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
<external-xref legal-doc="act" parsable-cite="PHSA/2791">section
2791</external-xref> 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 changed="deleted" id="IDF1973569495A4B2600008505DF00CE4F" reported-display-style="strikethrough"><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 changed="deleted" id="ID67102B0198F04E6183AA95C382B38BAA" reported-display-style="strikethrough"><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
<external-xref legal-doc="act" parsable-cite="SSA/1882">section
1882</external-xref> of the <act-name parsable-cite="SSA">Social Security
Act</act-name> (42 insert 1395ss).</text>
</paragraph><paragraph changed="deleted" id="ID21EE209B2797474E9F85E37CCEC1B823" reported-display-style="strikethrough"><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 changed="deleted" id="ID7487FBA1297C45D3921330A5306CC8C5" reported-display-style="strikethrough"><enum>106.</enum><header>Assuring
coordination</header>
<subsection changed="deleted" id="IDA0432F1F5187413984A3C5AE7409E0C5" reported-display-style="strikethrough"><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 changed="deleted" id="IDB3FB36D9B5064F86813F63686B00ADBF" reported-display-style="strikethrough"><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 changed="deleted" id="ID2F76BAC335684AB3BCD69E13246EF7DB" reported-display-style="strikethrough"><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 changed="deleted" id="IDBD537556824045088EA0D7AD571125DA" reported-display-style="strikethrough"><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 105.</text>
</subsection></section><section changed="deleted" id="ID07B6EA49CACA4FB4A22925CFE5AE3F3F" reported-display-style="strikethrough"><enum>107.</enum><header>Regulations;
effective date</header>
<subsection changed="deleted" id="IDEB1F140BD1A54122B1FF73A1C3FFA7B1" reported-display-style="strikethrough"><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 changed="deleted" id="ID9C0D71559CB445DF901808418D9BDB18" reported-display-style="strikethrough"><enum>(b)</enum><header>Effective
date</header><text>Except as provided in section 104, 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 changed="deleted" id="IDF102D8CBE0DE4917A440C85E3E554DE9" reported-display-style="strikethrough"><enum>201.</enum><header>Definitions</header><text display-inline="no-display-inline">In this title:</text>
<paragraph changed="deleted" id="ID8BA20BD91E4E42BB808837D4BA232780" reported-display-style="strikethrough"><enum>(1)</enum><header>Commission</header><text>The
term <term>Commission</term> means the Equal Employment Opportunity Commission
as created by <external-xref legal-doc="act" parsable-cite="CRA64/705">section
705</external-xref> 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 changed="deleted" id="IDD13B84D180E340E1812D9165A97C1EE7" reported-display-style="strikethrough"><enum>(2)</enum><header>Employee;
employer; employment agency; labor organization; member</header>
<subparagraph changed="deleted" id="ID6C91BB89D1114C308C8B0011B8E72C49" reported-display-style="strikethrough"><enum>(A)</enum><header>In
general</header><text>The term <term>employee</term> means—</text>
<clause changed="deleted" id="ID0FD8765452634CB4002976D5B16FC000" reported-display-style="strikethrough"><enum>(i)</enum><text>an employee
(including an applicant), as defined in
<external-xref legal-doc="act" parsable-cite="CRA64/701(f)">section
701(f)</external-xref> of the <act-name parsable-cite="CRA64">Civil Rights Act
of 1964</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/2000e(f)">42 U.S.C. 2000e(f)</external-xref>);</text>
</clause><clause changed="deleted" id="ID1D00074E7493477CB0C3C3ED672D89E8" reported-display-style="strikethrough"><enum>(ii)</enum><text>a State employee
(including an applicant) described in section 304(a) of the Government Employee
Rights Act of 1991 (<external-xref legal-doc="usc" parsable-cite="usc/42/2000e-16c(a)">42 U.S.C.
2000e–16c(a)</external-xref>);</text>
</clause><clause changed="deleted" id="ID849D9C6911AD43C1AF13ABB4FCF1D100" reported-display-style="strikethrough"><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 changed="deleted" id="ID169EF0EACCA04283BDD4C0447F9DD719" reported-display-style="strikethrough"><enum>(iv)</enum><text>a covered
employee (including an applicant), as defined in section 411(c) of title 3,
United States Code; or</text>
</clause><clause changed="deleted" id="IDBFAA809EAD5D420587987DA677596619" reported-display-style="strikethrough"><enum>(v)</enum><text>an employee or
applicant to which <external-xref legal-doc="act" parsable-cite="CRA64/717(a)">section 717(a)</external-xref> 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(a)">42 U.S.C.
2000e–16(a)</external-xref>) applies.</text>
</clause></subparagraph><subparagraph changed="deleted" id="ID81F9A69D30C0408B9914B68B2967FC71" reported-display-style="strikethrough"><enum>(B)</enum><header>Employer</header><text>The
term <term>employer</term> means—</text>
<clause changed="deleted" id="IDD60CE6E941244F51A7CC86EBE7FA9EED" reported-display-style="strikethrough"><enum>(i)</enum><text>an employer (as
defined in <external-xref legal-doc="act" parsable-cite="CRA64/701(b)">section
701(b)</external-xref> of the <act-name parsable-cite="CRA64">Civil Rights Act
of 1964</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/2000e(b)">42 U.S.C. 2000e(b)</external-xref>);</text>
</clause><clause changed="deleted" id="ID6E9E9B7CD05C4120ACB97992C3CEFD6C" reported-display-style="strikethrough"><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 changed="deleted" id="ID86015726ABF24F29A44BA37E11D4F830" reported-display-style="strikethrough"><enum>(iii)</enum><text>an employing
office, as defined in section 101 of the Congressional Accountability Act of
1995;</text>
</clause><clause changed="deleted" id="IDCC43F59E23E14258A8CEA8B1FAAC006C" reported-display-style="strikethrough"><enum>(iv)</enum><text>an employing
office, as defined in section 411(c) of title 3, United States Code; or</text>
</clause><clause changed="deleted" id="ID9D9FD630B42B4AF397D29FD31F7F0000" reported-display-style="strikethrough"><enum>(v)</enum><text>an entity to which
<external-xref legal-doc="act" parsable-cite="CRA64/717(a)">section
717(a)</external-xref> of the <act-name parsable-cite="CRA64">Civil Rights Act
of 1964</act-name> applies.</text>
</clause></subparagraph><subparagraph changed="deleted" id="IDCF41516F6C024257B2DEFCE0166FBA97" reported-display-style="strikethrough"><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 <external-xref legal-doc="act" parsable-cite="CRA64/701">section
701</external-xref> 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 changed="deleted" id="ID6B36119849F94410BFCA10E962580202" reported-display-style="strikethrough"><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 changed="deleted" id="ID4DA885067ADB4277A3305623E6233349" reported-display-style="strikethrough"><enum>(3)</enum><header>Family
member</header><text>The term <term>family member</term> means with respect to
an individual—</text>
<subparagraph changed="deleted" id="ID042CF8EE373B458486963F0002D466FF" reported-display-style="strikethrough"><enum>(A)</enum><text>the spouse of the
individual;</text>
</subparagraph><subparagraph changed="deleted" id="ID870DFBCE88BE484296E5F62BF0D3FC00" reported-display-style="strikethrough"><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 changed="deleted" id="ID0CB4331E64444B25954DA6F06517492E" reported-display-style="strikethrough"><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 changed="deleted" id="IDDD5B416A52214CBDA3BB05B1B8D84F4F" reported-display-style="strikethrough"><enum>(4)</enum><header>Genetic
information</header>
<subparagraph changed="deleted" id="ID6D6079C3E5584A399CBBC900C2FBCBA2" reported-display-style="strikethrough"><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 changed="deleted" id="ID2164A29A99754236A754A0D196731787" reported-display-style="strikethrough"><enum>(i)</enum><text>an individual’s
genetic tests;</text>
</clause><clause changed="deleted" id="IDC15C74A449B44721A93B87814E9C31E9" reported-display-style="strikethrough"><enum>(ii)</enum><text>the genetic tests
of family members of the individual; or</text>
</clause><clause changed="deleted" id="IDFE01D696CDDF4F07987F38806CEA0097" reported-display-style="strikethrough"><enum>(iii)</enum><text>the occurrence
of a disease or disorder in family members of the individual.</text>
</clause></subparagraph><subparagraph changed="deleted" id="ID478091D60B7F4F3E90086053005E5DC6" reported-display-style="strikethrough"><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 changed="deleted" id="IDD040353D75B24B4E9DAB914FC1F3003F" reported-display-style="strikethrough"><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 changed="deleted" id="IDE48CCC401D2440CBA74C7325DC4D8694" reported-display-style="strikethrough"><enum>(6)</enum><header>Genetic
services</header><text>The term <term>genetic services</term> means—</text>
<subparagraph changed="deleted" id="IDF68EB72807F646E5948C0086FA5D4535" reported-display-style="strikethrough"><enum>(A)</enum><text>a genetic
test;</text>
</subparagraph><subparagraph changed="deleted" id="ID09C6A41A27194B8E9F7FB54214023DDC" reported-display-style="strikethrough"><enum>(B)</enum><text>genetic counseling
(such as obtaining, interpreting or assessing genetic information); or</text>
</subparagraph><subparagraph changed="deleted" id="IDF57614B2685E4E7B8618CF94F81BE475" reported-display-style="strikethrough"><enum>(C)</enum><text>genetic
education.</text>
</subparagraph></paragraph><paragraph changed="deleted" id="ID702EE36BFC4D46C3B621615C78A7BCB3" reported-display-style="strikethrough"><enum>(7)</enum><header>Genetic
test</header>
<subparagraph changed="deleted" id="ID4FFF8BAD2EAD41F08C3D3CE750303958" reported-display-style="strikethrough"><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 changed="deleted" id="IDB7231DC1C32246DD8D618CE4BB8C11FE" reported-display-style="strikethrough"><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 changed="deleted" id="ID5C20F6B459F84231A193836205B465BF" reported-display-style="strikethrough"><enum>202.</enum><header>Employer
practices</header>
<subsection changed="deleted" id="ID59C82DF2124B48AFBC8800FCDE1C221D" reported-display-style="strikethrough"><enum>(a)</enum><header>Use of genetic
information</header><text>It shall be an unlawful employment practice for an
employer—</text>
<paragraph changed="deleted" id="ID7DC84EF09F8E481CAAFFA5D5C99EBAC0" reported-display-style="strikethrough"><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 changed="deleted" id="ID853679550DDC4C1F9FC21F63A1507E85" reported-display-style="strikethrough"><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 changed="deleted" id="IDCB9B481C8A5D4673A4F800090072AC9C" reported-display-style="strikethrough"><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 changed="deleted" id="IDC8BC15552D5542FFAAF1A70054BF819C" reported-display-style="strikethrough"><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 changed="deleted" id="ID9832E1F2F42E42709489B1395877E92D" reported-display-style="strikethrough"><enum>(2)</enum><text>where—</text>
<subparagraph changed="deleted" id="ID1B51A95DB8434368A29F5C5C98AB564F" reported-display-style="strikethrough"><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 changed="deleted" id="ID1EBE16D8487046868F05A92707D17277" reported-display-style="strikethrough"><enum>(B)</enum><text>the employee
provides prior, knowing, voluntary, and written authorization;</text>
</subparagraph><subparagraph changed="deleted" id="ID3AE643F789934844A1CEB7729DF6FDB6" reported-display-style="strikethrough"><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 changed="deleted" id="ID20F8607CB29043EAA084AA00C400C1C0" reported-display-style="strikethrough"><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 changed="deleted" id="ID0B64A12806CD461691544101B7276CC9" reported-display-style="strikethrough"><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 changed="deleted" id="IDCC24E33D2EE4419AB933B78600955613" reported-display-style="strikethrough"><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 changed="deleted" id="ID59782D4E9664457494DEAFB5FCDABC49" reported-display-style="strikethrough"><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 changed="deleted" id="ID715118D95BE34B38BCD8003126F1D433" reported-display-style="strikethrough"><enum>(A)</enum><text>the employer
provides written notice of the genetic monitoring to the employee;</text>
</subparagraph><subparagraph changed="deleted" id="IDCCC93D3CCC104DB986765C1316502437" reported-display-style="strikethrough"><enum>(B)</enum><clause commented="no" display-inline="yes-display-inline" id="IDC8DE747F5EC84ED6879860DC77788E01"><enum>(i)</enum><text>the employee provides
prior, knowing, voluntary, and written authorization; or</text>
</clause><clause changed="deleted" id="IDAA5934ECD9B342F3BDA05E06168D4410" indent="up1" reported-display-style="strikethrough"><enum>(ii)</enum><text>the genetic
monitoring is required by Federal or State law;</text>
</clause></subparagraph><subparagraph changed="deleted" id="ID6933FBB376C645BEBF117EA57E573F8F" reported-display-style="strikethrough"><enum>(C)</enum><text>the employee is
informed of individual monitoring results;</text>
</subparagraph><subparagraph changed="deleted" id="IDED0BA0E3C4C54A3888B43B1C7635EE60" reported-display-style="strikethrough"><enum>(D)</enum><text>the monitoring is
in compliance with—</text>
<clause changed="deleted" id="IDF0EBAFB6D56D453394F3FAF1FEF671B8" reported-display-style="strikethrough"><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</external-xref> et seq.), the Federal
Mine Safety and Health Act of 1977 (<external-xref legal-doc="usc" parsable-cite="usc/30/801">30 U.S.C. 801</external-xref> et seq.), 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</external-xref> et seq.); or</text>
</clause><clause changed="deleted" id="ID9DD71AFB849D4F479E3C9422EAF1FCE3" reported-display-style="strikethrough"><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</external-xref> et seq.); and</text>
</clause></subparagraph><subparagraph changed="deleted" id="ID7EA1E611463940B888633BB18B00BE2E" reported-display-style="strikethrough"><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 changed="deleted" id="ID5F05DF3B317E4E5192199973ED5C7C00" reported-display-style="strikethrough"><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 changed="deleted" id="IDF87E4EB99D90440ABE4DC4771C0060CB" reported-display-style="strikethrough"><enum>203.</enum><header>Employment
agency practices</header>
<subsection changed="deleted" id="ID9EE664AC30EE45CB804D8616739FB2ED" reported-display-style="strikethrough"><enum>(a)</enum><header>Use of genetic
information</header><text>It shall be an unlawful employment practice for an
employment agency—</text>
<paragraph changed="deleted" id="ID4565E0797A364A230054225C5146E077" reported-display-style="strikethrough"><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 changed="deleted" id="ID83EAA89539274BD0BA2C649467140024" reported-display-style="strikethrough"><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 changed="deleted" id="IDDB4D094D8BB94112B6E2A7E4084557CA" reported-display-style="strikethrough"><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 changed="deleted" id="ID7B92019B49B24D42869548D04FF16272" reported-display-style="strikethrough"><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 changed="deleted" id="ID8E9540A3BCC04FE18C507D4DA270169C" reported-display-style="strikethrough"><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 changed="deleted" id="IDB4529BFB48934436970087FE53EC023E" reported-display-style="strikethrough"><enum>(2)</enum><text>where—</text>
<subparagraph changed="deleted" id="ID2DFC11D672174272A1246E01CA467560" reported-display-style="strikethrough"><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 changed="deleted" id="ID955AADF2C9A64E9382B5265D00DEB481" reported-display-style="strikethrough"><enum>(B)</enum><text>the individual
provides prior, knowing, voluntary, and written authorization;</text>
</subparagraph><subparagraph changed="deleted" id="ID3C6B955E0D564AAE9D85C0539BC23F00" reported-display-style="strikethrough"><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 changed="deleted" id="ID9A46C0A060F342A59FC8F2DCBA79FEFA" reported-display-style="strikethrough"><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 changed="deleted" id="ID8792D3D4C4EC435897BF8E06A6B81D39" reported-display-style="strikethrough"><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 changed="deleted" id="ID22D52600E080490D871144DC94DA23D5" reported-display-style="strikethrough"><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 changed="deleted" id="IDC7A8850F65F344B9891F3FE82123A797" reported-display-style="strikethrough"><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 changed="deleted" id="ID7B306666392F4AE59056008FD4E74CD8" reported-display-style="strikethrough"><enum>(A)</enum><text>the employment
agency provides written notice of the genetic monitoring to the
individual;</text>
</subparagraph><subparagraph changed="deleted" id="IDC8E5D21943144A39BFC33E89847EA600" reported-display-style="strikethrough"><enum>(B)</enum><clause commented="no" display-inline="yes-display-inline" id="ID84283903144F4007B5BB834CE5A9306C"><enum>(i)</enum><text>the individual provides
prior, knowing, voluntary, and written authorization; or</text>
</clause><clause changed="deleted" id="IDA95C513774954C01B79C67FB88B99100" indent="up1" reported-display-style="strikethrough"><enum>(ii)</enum><text>the genetic
monitoring is required by Federal or State law;</text>
</clause></subparagraph><subparagraph changed="deleted" id="ID22E813A1A5AD44BEBC889002BF8745A4" reported-display-style="strikethrough"><enum>(C)</enum><text>the individual is
informed of individual monitoring results;</text>
</subparagraph><subparagraph changed="deleted" id="IDA8E14AD2CEC7493EA00524BA90213D00" reported-display-style="strikethrough"><enum>(D)</enum><text>the monitoring is
in compliance with—</text>
<clause changed="deleted" id="ID0F9EA39395F4487CAE2B66F9E276DFC8" reported-display-style="strikethrough"><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</external-xref> et seq.), the Federal
Mine Safety and Health Act of 1977 (<external-xref legal-doc="usc" parsable-cite="usc/30/801">30 U.S.C. 801</external-xref> et seq.), 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</external-xref> et seq.); or</text>
</clause><clause changed="deleted" id="IDF1611606D818469694EC2EA5D22E5CFC" reported-display-style="strikethrough"><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</external-xref> et seq.); and</text>
</clause></subparagraph><subparagraph changed="deleted" id="ID7FE1DD38BA22466E98AC6BF799E8F4A8" reported-display-style="strikethrough"><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 changed="deleted" id="ID772CD66A55E24898BB56CE44B9E13820" reported-display-style="strikethrough"><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 changed="deleted" id="ID98BE26D600764B0788C9CD26D4C78DEB" reported-display-style="strikethrough"><enum>204.</enum><header>Labor
organization practices</header>
<subsection changed="deleted" id="ID4C778123E1414EFCA4A34BD686F4ABC5" reported-display-style="strikethrough"><enum>(a)</enum><header>Use of genetic
information</header><text>It shall be an unlawful employment practice for a
labor organization—</text>
<paragraph changed="deleted" id="ID39F09A540471481D9DC049957781CDDB" reported-display-style="strikethrough"><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 changed="deleted" id="IDA61FC742F0F7455B006C313937D1A088" reported-display-style="strikethrough"><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 changed="deleted" id="ID401C48D3EED94B849C75647089B4CEB8" reported-display-style="strikethrough"><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 changed="deleted" id="ID8DF2F25E952A4CC7AFC303E85451F0D3" reported-display-style="strikethrough"><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 changed="deleted" id="IDA55C471C4540478A9D2087D82E6C8F87" reported-display-style="strikethrough"><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 changed="deleted" id="IDF9F7E1CE56E94E6699EFB8DB8F8C6D4D" reported-display-style="strikethrough"><enum>(2)</enum><text>where—</text>
<subparagraph changed="deleted" id="ID3AA500959380404A8F22043063BB369B" reported-display-style="strikethrough"><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 changed="deleted" id="IDABA3427553A34CC792D45CF0D603CDF5" reported-display-style="strikethrough"><enum>(B)</enum><text>the member
provides prior, knowing, voluntary, and written authorization;</text>
</subparagraph><subparagraph changed="deleted" id="ID955304EECA6F4FADAE185E59D23886FF" reported-display-style="strikethrough"><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 changed="deleted" id="ID1ABB3ECD38C04C599308BF31FFD2BCBA" reported-display-style="strikethrough"><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 changed="deleted" id="IDE4180B4C858C40858BE2E213AEB3953E" reported-display-style="strikethrough"><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 changed="deleted" id="IDE67EB2B963BB43C48BB7112D9B442D88" reported-display-style="strikethrough"><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 changed="deleted" id="ID2B42A111FB874DE7A76C34A16C858B00" reported-display-style="strikethrough"><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 changed="deleted" id="ID04C85CBEEF264342894CD133998B4B6B" reported-display-style="strikethrough"><enum>(A)</enum><text>the labor
organization provides written notice of the genetic monitoring to the
member;</text>
</subparagraph><subparagraph changed="deleted" id="ID63370298BFB94CBBA023F7009F60246E" reported-display-style="strikethrough"><enum>(B)</enum><clause commented="no" display-inline="yes-display-inline" id="ID11FA2588FAE74D20ABCB6D7900400088"><enum>(i)</enum><text>the member provides
prior, knowing, voluntary, and written authorization; or</text>
</clause><clause changed="deleted" id="ID7DFA637A458248CD9C59D6040782B577" indent="up1" reported-display-style="strikethrough"><enum>(ii)</enum><text>the genetic
monitoring is required by Federal or State law;</text>
</clause></subparagraph><subparagraph changed="deleted" id="ID17C6126E878540C19874FCBE43DE9936" reported-display-style="strikethrough"><enum>(C)</enum><text>the member is
informed of individual monitoring results;</text>
</subparagraph><subparagraph changed="deleted" id="ID500E028C212B44DA9593A7AFEC894F1F" reported-display-style="strikethrough"><enum>(D)</enum><text>the monitoring is
in compliance with—</text>
<clause changed="deleted" id="IDF6014E278C0E4ECCB37DEDD508F8ABA3" reported-display-style="strikethrough"><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</external-xref> et seq.), the Federal
Mine Safety and Health Act of 1977 (<external-xref legal-doc="usc" parsable-cite="usc/30/801">30 U.S.C. 801</external-xref> et seq.), 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</external-xref> et seq.); or</text>
</clause><clause changed="deleted" id="ID819677A9A092471DB5D4A33C5DA0A594" reported-display-style="strikethrough"><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</external-xref> et seq.); and</text>
</clause></subparagraph><subparagraph changed="deleted" id="ID8EBD5B4678064872BF519D342F52B3AA" reported-display-style="strikethrough"><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 changed="deleted" id="ID6D8848BF1D024B40BD530112E522BE27" reported-display-style="strikethrough"><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 changed="deleted" id="ID34E6FDEBC704450AB4543E2D83CE3142" reported-display-style="strikethrough"><enum>205.</enum><header>Training
programs</header>
<subsection changed="deleted" id="ID684B2D1BA52549CBAFA1364F78B8B6C7" reported-display-style="strikethrough"><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 changed="deleted" id="IDCC2A2C5A285743499CD812D393D3CAB3" reported-display-style="strikethrough"><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 changed="deleted" id="ID2861BFCD2C904B68008FE14E4E2095C2" reported-display-style="strikethrough"><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 changed="deleted" id="ID887508EB58084BDCB0008E86D01C70EC" reported-display-style="strikethrough"><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 changed="deleted" id="ID98133B3DF56D48D39BDC49DF9C80C600" reported-display-style="strikethrough"><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 changed="deleted" id="ID9F294787A7CB4EE586878C3FFF64A7C4" reported-display-style="strikethrough"><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 changed="deleted" id="IDA8B331A48E034B77834E3DA8A424A7BA" reported-display-style="strikethrough"><enum>(2)</enum><text>where—</text>
<subparagraph changed="deleted" id="IDA6BA30B5CBED4A308C80E0847705B180" reported-display-style="strikethrough"><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 changed="deleted" id="ID376930673B764833A5C049008503F030" reported-display-style="strikethrough"><enum>(B)</enum><text>the individual
provides prior, knowing, voluntary, and written authorization;</text>
</subparagraph><subparagraph changed="deleted" id="ID74B0690EFB24429BA4BC006ED28C1CAA" reported-display-style="strikethrough"><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 changed="deleted" id="ID298D2F1C044A49A9B122BBDE6C64DB6E" reported-display-style="strikethrough"><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 changed="deleted" id="IDF3A1B69861F8448A93836D009EFC98AE" reported-display-style="strikethrough"><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 changed="deleted" id="IDD1D22C07E3B54CA59000B48302BA73B9" reported-display-style="strikethrough"><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 changed="deleted" id="ID2A53FBF43F994F5284885190CA179280" reported-display-style="strikethrough"><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 changed="deleted" id="ID40C9B4A065DE4D239525F2FF2BB924A5" reported-display-style="strikethrough"><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 changed="deleted" id="ID1C67CC1AE4EF4181AC1560AEDC36C644" reported-display-style="strikethrough"><enum>(B)</enum><clause commented="no" display-inline="yes-display-inline" id="IDE5A85AED82BB4B76812026B107147841"><enum>(i)</enum><text>the individual provides
prior, knowing, voluntary, and written authorization; or</text>
</clause><clause changed="deleted" id="IDF31027BECDB547EA849FC0B8E515EBAD" indent="up1" reported-display-style="strikethrough"><enum>(ii)</enum><text>the genetic
monitoring is required by Federal or State law;</text>
</clause></subparagraph><subparagraph changed="deleted" id="IDA05D9959BF90438C9C56481C9F6F279C" reported-display-style="strikethrough"><enum>(C)</enum><text>the individual is
informed of individual monitoring results;</text>
</subparagraph><subparagraph changed="deleted" id="ID9B4943C565B44530962460D76C019430" reported-display-style="strikethrough"><enum>(D)</enum><text>the monitoring is
in compliance with—</text>
<clause changed="deleted" id="ID44A43D938ACE4EC79CA1DF68D3E6AF75" reported-display-style="strikethrough"><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</external-xref> et seq.), the Federal
Mine Safety and Health Act of 1977 (<external-xref legal-doc="usc" parsable-cite="usc/30/801">30 U.S.C. 801</external-xref> et seq.), 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</external-xref> et seq.); or</text>
</clause><clause changed="deleted" id="ID49DDA70C808842D0B81C30C14524DABE" reported-display-style="strikethrough"><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</external-xref> et seq.); and</text>
</clause></subparagraph><subparagraph changed="deleted" id="IDB6D9A51BD94B4A1F94B8BEEAEB8C35E8" reported-display-style="strikethrough"><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 changed="deleted" id="IDE1453E1164B241069E4189B3E1F4C1C4" reported-display-style="strikethrough"><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 changed="deleted" id="ID4D5E5B2815B34149A687235C2354777E" reported-display-style="strikethrough"><enum>206.</enum><header>Confidentiality
of genetic information</header>
<subsection changed="deleted" id="ID66A83FB03D72404288F1A2784794E1D5" reported-display-style="strikethrough"><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 changed="deleted" id="ID8D5CEB74B8DF4932893024F39D07B615" reported-display-style="strikethrough"><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 changed="deleted" id="IDBE6A9F478C2A418DB14CB9559CFAAEFF" reported-display-style="strikethrough"><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 changed="deleted" id="IDA79F31949D8E447D82859EE991117272" reported-display-style="strikethrough"><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 changed="deleted" id="ID61AFF29AC90C43ECA180E6672F1DF4A1" reported-display-style="strikethrough"><enum>(3)</enum><text>in response to an
order of a court, except that—</text>
<subparagraph changed="deleted" id="ID5BB9FB44BDE74317A5AECCFE520054E7" reported-display-style="strikethrough"><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 changed="deleted" id="ID39DB51152F2D4B7BA6B356D88F5FA900" reported-display-style="strikethrough"><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 changed="deleted" id="ID813A41DF2A7B4A92AE21F3C5E8D061C2" reported-display-style="strikethrough"><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 changed="deleted" id="ID44FA9CC00CCC4EB1BA816DE244E20205" reported-display-style="strikethrough"><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 changed="deleted" id="ID65E71219DD4243DEBC04B9545B2242A4" reported-display-style="strikethrough"><enum>207.</enum><header>Remedies and
enforcement</header>
<subsection changed="deleted" id="IDACEDE225901E45969F6143D282D788F5" reported-display-style="strikethrough"><enum>(a)</enum><header>Employees
covered by title <enum-in-header>VII</enum-in-header> of the
<act-name parsable-cite="CRA64">Civil Rights Act of 1964</act-name></header>
<paragraph changed="deleted" id="ID08A1FC24A8BE477CBB298146C2E170A8" reported-display-style="strikethrough"><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</external-xref> et seq.) 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</external-xref> et seq.) 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 changed="deleted" id="IDE242096A349D4510A3A821994E6F28EE" reported-display-style="strikethrough"><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 changed="deleted" id="ID1A52A3AF364C4B8EA2FDB0047C1DA089" reported-display-style="strikethrough"><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 changed="deleted" id="ID66E4B7BD9B3045B0911CC9484D38D800" reported-display-style="strikethrough"><enum>(b)</enum><header>Employees
covered by Government Employee Rights Act of 1991</header>
<paragraph changed="deleted" id="ID09D847D8F58E4385BC59A7C94DB24C2C" reported-display-style="strikethrough"><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 (<external-xref legal-doc="usc" parsable-cite="usc/42/2000e-16b">42 U.S.C.
2000e–16b</external-xref>, 2000e–16c) to the Commission, or any person,
alleging a violation of section 302(a)(1) of that Act (<external-xref legal-doc="usc" parsable-cite="usc/42/2000e-16b(a)(1)">42 U.S.C.
2000e–16b(a)(1)</external-xref>) 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 changed="deleted" id="ID7DFA8A2A4E77414D952545881E8971DF" reported-display-style="strikethrough"><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 changed="deleted" id="IDFE357A393E8240C2B300D26247C4C51F" reported-display-style="strikethrough"><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 changed="deleted" id="IDC14512537FDF4FA2845117DCD918F0C4" reported-display-style="strikethrough"><enum>(c)</enum><header>Employees
covered by Congressional Accountability Act of 1995</header>
<paragraph changed="deleted" id="ID333E9B1F3FC0439B8671D055B912EA12" reported-display-style="strikethrough"><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</external-xref> et seq.) 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(a)(1)">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 changed="deleted" id="IDF222B94FAAE44B0B9F373504DF5960B1" reported-display-style="strikethrough"><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 changed="deleted" id="ID5DC34EBA2D6540E7BFF885589B007FC3" reported-display-style="strikethrough"><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 changed="deleted" id="IDE200A76FA784407B877209A8095069C2" reported-display-style="strikethrough"><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</external-xref> et seq.) 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(a)(1)">2
U.S.C. 1311(a)(1)</external-xref>).</text>
</paragraph></subsection><subsection changed="deleted" id="IDACA7312A1A77432C88A4E0D3A99C615B" reported-display-style="strikethrough"><enum>(d)</enum><header>Employees
covered by chapter <enum-in-header>5</enum-in-header> of title
<enum-in-header>3</enum-in-header>, United States Code</header>
<paragraph changed="deleted" id="ID05B67E93D2494E8C91CF7C90DFE0272F" reported-display-style="strikethrough"><enum>(1)</enum><header>In
general</header><text>The powers, remedies, and procedures provided in chapter
5 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 changed="deleted" id="IDF2C71CB1D2064A9C969C6DCE7CCAA260" reported-display-style="strikethrough"><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 changed="deleted" id="IDDDA234C20E5A44A2A7B27601E3154DDD" reported-display-style="strikethrough"><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 changed="deleted" id="ID7326B0ED6CF142A99B01B973B8BB17D6" reported-display-style="strikethrough"><enum>(e)</enum><header>Employees
covered by Section <enum-in-header>717</enum-in-header> of the
<act-name parsable-cite="CRA64">Civil Rights Act of 1964</act-name></header>
<paragraph changed="deleted" id="ID7F4C17DCAE6649D7BECF0002B0C9FB2B" reported-display-style="strikethrough"><enum>(1)</enum><header>In
general</header><text>The powers, remedies, and procedures provided in
<external-xref legal-doc="act" parsable-cite="CRA64/717">section
717</external-xref> 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 changed="deleted" id="ID27EC179C5309412E8D6943136C6B7FD0" reported-display-style="strikethrough"><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 changed="deleted" id="IDABEC751041C344D483721EF8EBCD0220" reported-display-style="strikethrough"><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 changed="deleted" id="IDE8CEBCDBE5894023B319D259AA934434" reported-display-style="strikethrough"><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 changed="deleted" id="ID52B0BC5D93C041CAA0CF41EBB67F001E" reported-display-style="strikethrough"><enum>208.</enum><header>Disparate
impact</header>
<subsection changed="deleted" id="ID9B4FB5DA30F54E879EAC802BCAAEC3B0" reported-display-style="strikethrough"><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
<external-xref legal-doc="act" parsable-cite="CRA64/703(k)">section
703(k)</external-xref> of the <act-name parsable-cite="CRA64">Civil Rights Act
of 1964</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/2000e-d(k)">42 U.S.C. 2000e–d(k)</external-xref>), on the
basis of genetic information does not establish a cause of action under this
Act.</text>
</subsection><subsection changed="deleted" id="ID98FC8DB31DEB4DE8B688578C31939BE7" reported-display-style="strikethrough"><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 changed="deleted" id="IDD69CA6D34FD44FD48E00F5218D2740F1" reported-display-style="strikethrough"><enum>(c)</enum><header>Membership</header>
<paragraph changed="deleted" id="IDE2BE4930BBE44483B76E949326167500" reported-display-style="strikethrough"><enum>(1)</enum><header>In
general</header><text>The Commission shall be composed of 8 members, of
which—</text>
<subparagraph changed="deleted" id="IDFE089FEF8BE74AA8B5D9017E4CE03312" reported-display-style="strikethrough"><enum>(A)</enum><text>1 member shall be
appointed by the Majority Leader of the Senate;</text>
</subparagraph><subparagraph changed="deleted" id="ID8EA5A441E57A4D158414999859AD118F" reported-display-style="strikethrough"><enum>(B)</enum><text>1 member shall be
appointed by the Minority Leader of the Senate;</text>
</subparagraph><subparagraph changed="deleted" id="IDFDF14F36A3894C7DB5611786BCB9BE17" reported-display-style="strikethrough"><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 changed="deleted" id="ID7E7C7F8880BA450997AA74F347316ED7" reported-display-style="strikethrough"><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 changed="deleted" id="IDB431E9110CE746E89D5F502EF8F03939" reported-display-style="strikethrough"><enum>(E)</enum><text>1 member shall be
appointed by the Speaker of the House of Representatives;</text>
</subparagraph><subparagraph changed="deleted" id="IDC9F80E6B42F24083B833A4E13757BD00" reported-display-style="strikethrough"><enum>(F)</enum><text>1 member shall be
appointed by the Minority Leader of the House of Representatives;</text>
</subparagraph><subparagraph changed="deleted" id="IDF4E172392BF843ED80D381F644D1EB4B" reported-display-style="strikethrough"><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 changed="deleted" id="IDC9FC3CB1DB0A465789EA38A4EA583000" reported-display-style="strikethrough"><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 changed="deleted" id="ID3F53AE759AB14126B61D846215FE82EF" reported-display-style="strikethrough"><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 chapter 57 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 changed="deleted" id="IDFFB15F5F78714357BC6E63EA001D1E79" reported-display-style="strikethrough"><enum>(d)</enum><header>Administrative
provisions</header>
<paragraph changed="deleted" id="IDD724B119D5474F07A6E6DBDCE3B12D58" reported-display-style="strikethrough"><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 changed="deleted" id="ID9EA7D65F6A6F4A758FEEDFE9C61E7500" reported-display-style="strikethrough"><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 changed="deleted" id="ID9FB4A454F46A40DAAC39FCE38739481C" reported-display-style="strikethrough"><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 changed="deleted" id="ID733FBA386C234B948449B53B892E0616" reported-display-style="strikethrough"><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 changed="deleted" id="ID10428C9B5D0E4217ACAB08FE2C04DEE2" reported-display-style="strikethrough"><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 changed="deleted" id="IDE626A6FB9947498E8756B3C36D46E569" reported-display-style="strikethrough"><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 changed="deleted" id="IDBED521BFCC274A268EED558D19B246CE" reported-display-style="strikethrough"><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 changed="deleted" id="ID31CDD6D181384D508CA54CC102278CA1" reported-display-style="strikethrough"><enum>209.</enum><header>Construction</header><text display-inline="no-display-inline">Nothing in this title shall be construed
to—</text>
<paragraph changed="deleted" id="IDB0C3B8A405A240ACA7221C2B610990A8" reported-display-style="strikethrough"><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</external-xref> et seq.), 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</external-xref> et seq.);</text>
</paragraph><paragraph changed="deleted" id="ID98E509B481CE48D5B5E248D419BFF019" reported-display-style="strikethrough"><enum>(2)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="ID6A67188AA95E4ECFA67C2D523219243C"><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 changed="deleted" id="ID81B1E954D9FB4A60B875672D05264064" indent="up1" reported-display-style="strikethrough"><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 changed="deleted" id="ID7FFA8201AD154A089ED45C96BB007F05" reported-display-style="strikethrough"><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 changed="deleted" id="ID3DB4D04D7AB44FC4B76F251BF5E8BEB8" reported-display-style="strikethrough"><enum>(4)</enum><text>apply to the Armed
Forces Repository of Specimen Samples for the Identification of Remains;</text>
</paragraph><paragraph changed="deleted" id="ID6762AD30D3FA4DDEB4655933E78ED856" reported-display-style="strikethrough"><enum>(5)</enum><text>limit or expand
the protections, rights, or obligations of employees or employers under
applicable workers’ compensation laws;</text>
</paragraph><paragraph changed="deleted" id="ID08846188DFA241E18F3FC5045058B8BC" reported-display-style="strikethrough"><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 changed="deleted" id="IDCCFEC465F0434B0BBC81ECED9D92DAAB" reported-display-style="strikethrough"><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 changed="deleted" id="ID31C28E337BE6409FB8D2F543824FC185" reported-display-style="strikethrough"><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 changed="deleted" id="ID5BDB496DD5A3458D9D6FC019F2D49FA1" reported-display-style="strikethrough"><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 changed="deleted" id="ID238F2A778C6B4C82B746879E5E1E661F" reported-display-style="strikethrough"><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 changed="deleted" id="ID9E9BD82096C0455A9000B400C4447C43" reported-display-style="strikethrough"><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 changed="deleted" id="IDD530AB2DCF83498CB894765BDD4B05BF" reported-display-style="strikethrough"><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>
1.Short title; table of
contents
(a)This Act may be cited as the Genetic Information Nondiscrimination Act of
2005
.
(b)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 the Internal
Revenue Code of 1986.
Sec. 104. Amendments to title XVIII of the
Social Security Act relating to
medigap.
Sec. 105. Privacy and
confidentiality.
Sec. 106. Assuring
coordination.
Sec. 107. 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.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 changed="added" id="id01d17e48-2f1e-4dc9-8c73-50899e5d1873" reported-display-style="italic"><enum>101.</enum><header>Amendments to
<act-name parsable-cite="ERISA">Employee Retirement Income Security Act of
1974</act-name></header>
<subsection changed="added" id="id41eb2487-8644-4f8f-a663-e8dc72bfd576" reported-display-style="italic"><enum>(a)</enum><header>Prohibition of health
discrimination on the basis of genetic information or genetic services</header>
<paragraph changed="added" id="ida5539507-a467-439b-a3c3-8b7b5f5cb9ad" reported-display-style="italic"><enum>(1)</enum><header>No enrollment
restriction for genetic services</header><text><external-xref legal-doc="act" parsable-cite="ERISA/702(a)(1)(F)">Section 702(a)(1)(F)</external-xref> 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(a)(1)(F)">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 changed="added" id="idcdb37db4-a668-49e2-b85e-36b6cd565cfc" reported-display-style="italic"><enum>(2)</enum><header>No discrimination in
group premiums based on genetic information</header><text><external-xref legal-doc="act" parsable-cite="ERISA/702(b)">Section 702(b)</external-xref> 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(b)">29 U.S.C. 1182(b)</external-xref>) is
amended—</text>
<subparagraph changed="added" id="id96f1be82-5823-49c5-9c10-185ed259ccc9" reported-display-style="italic"><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 changed="added" id="id05843fb2-ad3b-4e9c-83ad-e83d30fd385d" reported-display-style="italic"><enum>(B)</enum><text>by adding at the end the
following:</text>
<quoted-block changed="added" id="id60442df3-2b06-4f5d-95ae-00cfa9221ab2" reported-display-style="italic">
<paragraph changed="added" id="id58688d3c-f345-411f-a84b-f9cf0278de03" reported-display-style="italic"><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 changed="added" id="id4d9fbbed-5cd3-402c-a212-6149510f2f0e" reported-display-style="italic"><enum>(b)</enum><header>Limitations on genetic
testing</header><text><external-xref legal-doc="act" parsable-cite="ERISA/702">Section 702</external-xref> 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" changed="added" id="ida6d13d99-d2e6-4f48-9245-2f3a73f7b0b5" reported-display-style="italic">
<subsection changed="added" id="id682c1a81-72f5-4439-b985-344acbfc9aa0" reported-display-style="italic"><enum>(c)</enum><header>Genetic
testing</header>
<paragraph changed="added" id="ida19484dc-0ed7-4ace-be9d-a3e9868e4d1d" reported-display-style="italic"><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 changed="added" id="id35b983de-40ac-4de9-8f06-9dffdd8c193d" reported-display-style="italic"><enum>(2)</enum><header>Rule of
construction</header><text>Nothing in this part shall be construed to—</text>
<subparagraph changed="added" id="id0129fe5a-a75d-4eeb-a1d0-6698d1c56357" reported-display-style="italic"><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 changed="added" id="idb6a61cd6-4f63-430d-bf0d-923afc1f51e2" reported-display-style="italic"><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 changed="added" id="iddd5eb7f3-c32b-4209-9948-a3e227ae5b10" reported-display-style="italic"><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 changed="added" id="idcd27b999-285b-4278-8779-449d3fa0fc9e" reported-display-style="italic"><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 changed="added" id="id3f11e187-06c3-414c-bc3a-79067707b034" reported-display-style="italic"><enum>(c)</enum><header>Remedies and
enforcement</header><text><external-xref legal-doc="act" parsable-cite="ERISA/502">Section 502</external-xref> 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" changed="added" id="idce294103-b45d-4b30-8eb3-e5e522cd8927" reported-display-style="italic">
<subsection changed="added" id="idd1a09ff4-8901-4381-83ac-9a3d3b239d05" reported-display-style="italic"><enum>(n)</enum><header>Enforcement of genetic
nondiscrimination requirements</header>
<paragraph changed="added" id="idbc977ce6-eaf6-46d8-be40-2ff96c95fd1d" reported-display-style="italic"><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 changed="added" id="id2fca3de1-586e-4f71-a717-21f80710eca7" reported-display-style="italic"><enum>(2)</enum><header>Equitable relief for
genetic nondiscrimination</header>
<subparagraph changed="added" id="id8b2fc664-f77e-4ae8-82a1-910f8abe5eaf" reported-display-style="italic"><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 changed="added" id="id383174ae-bc2f-4410-9717-709b672b6627" reported-display-style="italic"><enum>(i)</enum><text>the civil action was
commenced under subsection (a)(1)(B); and</text>
</clause><clause changed="added" id="id0017f154-ea79-4152-b02e-f54d6d2b3826" reported-display-style="italic"><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 changed="added" id="id0a120856-e17a-4f2b-b27b-45e2271a01a9" reported-display-style="italic"><enum>(B)</enum><header>Administrative
penalty</header>
<clause changed="added" id="id8121da14-3a6e-4edb-b48e-4ce922a88c77" reported-display-style="italic"><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 changed="added" id="id01fe90ac-c145-4e18-b6c4-c7f7499b3a2a" reported-display-style="italic"><enum>(ii)</enum><header>Noncompliance
period</header><text>For purposes of clause (i), the term <term>noncompliance
period</term> means the period—</text>
<subclause changed="added" id="ide59bd573-2e6c-4446-b4a3-a8c633339944" reported-display-style="italic"><enum>(I)</enum><text>beginning on the date
that a failure described in clause (i) occurs; and</text>
</subclause><subclause changed="added" id="id2e08b2bf-0edc-41cd-acfa-a8b0aba6ec23" reported-display-style="italic"><enum>(II)</enum><text>ending on the date that
such failure is corrected.</text>
</subclause></clause><clause changed="added" id="id5d8f0ad4-d0bd-434f-9a40-079f76246bf7" reported-display-style="italic"><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 changed="added" id="id023d01a6-aec6-4e79-a99a-af16f0216c42" reported-display-style="italic"><enum>(3)</enum><header>Secretarial enforcement
authority</header>
<subparagraph changed="added" id="idfee03963-47da-4ebd-b3ad-bdbceb28ae76" reported-display-style="italic"><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 changed="added" id="id38d6f4ef-ae0e-468e-84ff-94b5c578b5e3" reported-display-style="italic"><enum>(B)</enum><header>Amount</header>
<clause changed="added" id="id66006a35-5535-4ed8-baa3-2686ab7a4634" reported-display-style="italic"><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 changed="added" id="ida4823032-9a2b-4615-9e1b-1eda194dc6bc" reported-display-style="italic"><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 changed="added" id="id96cb91a8-8276-43ff-9041-f5178c538f38" reported-display-style="italic"><enum>(I)</enum><text>beginning on the date
such failure first occurs; and</text>
</subclause><subclause changed="added" id="idee4749ed-9a8d-4237-93c5-150bb89466de" reported-display-style="italic"><enum>(II)</enum><text>ending on the date such
failure is corrected.</text>
</subclause></clause></subparagraph><subparagraph changed="added" id="ideeca6f13-f351-41f0-a8d2-5f683339df00" reported-display-style="italic"><enum>(C)</enum><header>Minimum penalties where
failure discovered</header><text>Notwithstanding clauses (i) and (ii) of
subparagraph (D):</text>
<clause changed="added" id="id18f81f9e-a34e-41d4-99e1-b257855097da" reported-display-style="italic"><enum>(i)</enum><header>In
general</header><text>In the case of 1 or more failures with respect to an
individual—</text>
<subclause changed="added" id="id4bcd8b09-332c-48ff-88f3-f2dc472563b1" reported-display-style="italic"><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 changed="added" id="id07d96410-7e7e-4a35-8f93-d41e4836055b" reported-display-style="italic"><enum>(II)</enum><text>which occurred or
continued during the period involved;</text>
</subclause><continuation-text changed="added" continuation-text-level="clause" reported-display-style="italic">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 changed="added" id="id81adb088-d9f0-4e53-a5cf-d15bd635acb7" reported-display-style="italic"><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 changed="added" id="id364e6d5f-de42-40d9-94bc-ae6851060eb8" reported-display-style="italic"><enum>(D)</enum><header>Limitations</header>
<clause changed="added" id="id6f79de60-6924-446c-9ed6-923c7727d860" reported-display-style="italic"><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 changed="added" id="idedea85e7-9df3-411a-855d-a7322e7244bc" reported-display-style="italic"><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 changed="added" id="id7eed0144-c82e-459c-9438-61e9ee79063a" reported-display-style="italic"><enum>(I)</enum><text>such failure was due to
reasonable cause and not to willful neglect; and</text>
</subclause><subclause changed="added" id="id4b395a85-c6a2-42f3-967f-f91396c25c44" reported-display-style="italic"><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 changed="added" id="id74989602-4792-4961-8133-2761e5ac9f8f" reported-display-style="italic"><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 changed="added" id="idd5b0d73d-a8ad-41d5-b76c-7047a71b9d75" reported-display-style="italic"><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 changed="added" id="ide8ea2591-a8a0-4a60-83dd-c42bcb61fbe8" reported-display-style="italic"><enum>(II)</enum><text>$500,000.</text>
</subclause></clause></subparagraph><subparagraph changed="added" id="idedf4c49f-a0c1-4abe-b69b-566ee8ee1510" reported-display-style="italic"><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 changed="added" id="idd99617e8-8db6-4644-a62b-9852914ffced" reported-display-style="italic"><enum>(d)</enum><header>Definitions</header><text><external-xref legal-doc="act" parsable-cite="ERISA/733(d)">Section 733(d)</external-xref> 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(d)">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" changed="added" id="id81c7b349-ef1c-4ffe-b12d-a17d46596eb1" reported-display-style="italic">
<paragraph changed="added" id="id853db224-0323-4527-8d17-e87431a98b01" reported-display-style="italic"><enum>(5)</enum><header>Family
member</header><text>The term <term>family member</term> means with respect to
an individual—</text>
<subparagraph changed="added" id="idaad80f36-09b8-4b57-ac2c-ce9b8b1cfb2b" reported-display-style="italic"><enum>(A)</enum><text>the spouse of the
individual;</text>
</subparagraph><subparagraph changed="added" id="idfb50c930-1f62-4724-9bd1-82734c1c3387" reported-display-style="italic"><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 changed="added" id="id992cc8d5-ab40-4371-a9be-8a7696ea8d57" reported-display-style="italic"><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 changed="added" id="id42b12c22-15c9-43d0-9d77-58d4d52445af" reported-display-style="italic"><enum>(6)</enum><header>Genetic
information</header>
<subparagraph changed="added" id="ida16eb4f8-e8bc-41c4-aa4f-07ae71f6a148" reported-display-style="italic"><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 changed="added" id="iddd7d6925-48ed-4b62-80dc-1fb053e5701d" reported-display-style="italic"><enum>(i)</enum><text>an individual’s genetic
tests;</text>
</clause><clause changed="added" id="idd5ed2078-8ab9-4f6f-af42-6aa0a413204d" reported-display-style="italic"><enum>(ii)</enum><text>the genetic tests of
family members of the individual; or</text>
</clause><clause changed="added" id="id56778d0f-8fba-4f9e-9963-bc78056dd0ca" reported-display-style="italic"><enum>(iii)</enum><text>the occurrence of a
disease or disorder in family members of the individual.</text>
</clause></subparagraph><subparagraph changed="added" id="id3a0d5227-38c1-499e-891c-ca78b569bbdd" reported-display-style="italic"><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 changed="added" id="ida6b484d0-b802-4d8b-a692-26bf83559415" reported-display-style="italic"><enum>(7)</enum><header>Genetic test</header>
<subparagraph changed="added" id="ide3301ee9-4ed2-4ee2-9332-8666b2a7eaeb" reported-display-style="italic"><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 changed="added" id="id1ddb5da7-0266-4b19-b7d8-4007eb3825eb" reported-display-style="italic"><enum>(B)</enum><header>Exceptions</header><text>The
term <term>genetic test</term> does not mean—</text>
<clause changed="added" id="id3c2bd300-b093-4ba6-be8a-247ce4873ac4" reported-display-style="italic"><enum>(i)</enum><text>an analysis of proteins
or metabolites that does not detect genotypes, mutations, or chromosomal
changes; or</text>
</clause><clause changed="added" id="id6f4ba884-6108-470d-b0de-6d462df65cab" reported-display-style="italic"><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 changed="added" id="id18f08012-2eb1-4245-b316-5d5754b54120" reported-display-style="italic"><enum>(8)</enum><header>Genetic
services</header><text>The term <term>genetic services</term> means—</text>
<subparagraph changed="added" id="ida9be8089-0aee-499d-9f21-ba69b8c8b392" reported-display-style="italic"><enum>(A)</enum><text>a genetic test;</text>
</subparagraph><subparagraph changed="added" id="idc7f4a0e1-3c35-4e09-aa1c-f37cae80913a" reported-display-style="italic"><enum>(B)</enum><text>genetic counseling (such
as obtaining, interpreting, or assessing genetic information); or</text>
</subparagraph><subparagraph changed="added" id="idd1fac4a0-dc3b-464b-9a3e-dad0066509ea" reported-display-style="italic"><enum>(C)</enum><text>genetic education.</text>
</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection changed="added" id="idfacd15e4-223d-4006-94ac-c88a461f98c5" reported-display-style="italic"><enum>(e)</enum><header>Regulations and
effective date</header>
<paragraph changed="added" id="idf04ba462-efef-4227-9994-368cbd2f5caa" reported-display-style="italic"><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 changed="added" id="id0812e00b-202d-432f-adc3-5edb8efb48b0" reported-display-style="italic"><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 changed="added" id="id1b65b873-18df-4549-a549-69478ff9456f" reported-display-style="italic"><enum>102.</enum><header>Amendments to the
<act-name parsable-cite="PHSA">Public Health Service Act</act-name></header>
<subsection changed="added" id="ide5b24a59-58ac-4486-90b7-dd8f581985b0" reported-display-style="italic"><enum>(a)</enum><header>Amendments relating to
the group market</header>
<paragraph changed="added" id="ida1cb1139-4f4f-47f4-b67e-fd528c363dcf" reported-display-style="italic"><enum>(1)</enum><header>Prohibition of health
discrimination on the basis of genetic information or genetic services</header>
<subparagraph changed="added" id="id33a2de0d-6a45-4798-9972-9b6a0629af34" reported-display-style="italic"><enum>(A)</enum><header>No enrollment
restriction for genetic services</header><text><external-xref legal-doc="act" parsable-cite="PHSA/2702(a)(1)(F)">Section 2702(a)(1)(F)</external-xref> of the
<act-name parsable-cite="PHSA">Public Health Service Act</act-name>
(<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-1(a)(1)(F)">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 changed="added" id="id628bd271-b63c-4472-9647-5514e1bdcfae" reported-display-style="italic"><enum>(B)</enum><header>No discrimination in
group premiums based on genetic information</header><text><external-xref legal-doc="act" parsable-cite="PHSA/2702(b)">Section 2702(b)</external-xref> of
the <act-name parsable-cite="PHSA">Public Health Service Act</act-name>
(<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-1(b)">42 U.S.C.
300gg–1(b)</external-xref>) is amended—</text>
<clause changed="added" id="idcdaff2ba-89e8-4b37-af9b-f6c89a03275b" reported-display-style="italic"><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 changed="added" id="ida87dc8ce-1977-4344-8475-deb7e8128712" reported-display-style="italic"><enum>(ii)</enum><text>by adding at the end the
following:</text>
<quoted-block changed="added" id="id6c2516bd-402e-4ed6-aeec-ac1f047c6f99" reported-display-style="italic">
<paragraph changed="added" id="idbeb8487c-711b-4d4e-a28a-ca61ee054110" reported-display-style="italic"><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 changed="added" id="id9ff6e990-b510-40df-bee2-d2d1c2dfdaec" reported-display-style="italic"><enum>(2)</enum><header>Limitations on genetic
testing</header><text><external-xref legal-doc="act" parsable-cite="PHSA/2702">Section 2702</external-xref> 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" changed="added" id="id93b600da-a6d0-45c7-b111-dcc853b7ff54" reported-display-style="italic">
<subsection changed="added" id="id2bb5eac9-1fc8-4c66-adab-b3b3325f21fa" reported-display-style="italic"><enum>(c)</enum><header>Genetic
testing</header>
<paragraph changed="added" id="ide23a1cb8-430b-4245-a395-edc73e78bae3" reported-display-style="italic"><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 changed="added" id="id7d211a2e-204d-4c24-9cb4-5c6dc462ade1" reported-display-style="italic"><enum>(2)</enum><header>Rule of
construction</header><text>Nothing in this part shall be construed to—</text>
<subparagraph changed="added" id="id32599c47-dbf6-4ac1-8bbb-b9dc98f0295c" reported-display-style="italic"><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 changed="added" id="ide3e24961-0e4a-4ee4-8b56-0269cffa93fc" reported-display-style="italic"><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 changed="added" id="iddf22205b-7de5-4a64-aa5b-9b9a600422b1" reported-display-style="italic"><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 changed="added" id="id9726e4d1-a6fd-4b72-9014-a02b48fd4583" reported-display-style="italic"><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 changed="added" id="id272952e7-8486-419b-a5e9-7227fe5539bc" reported-display-style="italic"><enum>(3)</enum><header>Remedies and
enforcement</header><text><external-xref legal-doc="act" parsable-cite="PHSA/2722(b)">Section 2722(b)</external-xref> of the
<act-name parsable-cite="PHSA">Public Health Service Act</act-name>
(<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-22)(b">42 U.S.C.
300gg–22)(b</external-xref>)) is amended by adding at the end the
following:</text>
<quoted-block act-name="Public Health Service Act" changed="added" id="id055f6a15-1571-4f5c-80b5-aa7597834ed4" reported-display-style="italic">
<paragraph changed="added" id="id6d625e01-af63-4be5-b1de-d2179c9da5a8" reported-display-style="italic"><enum>(3)</enum><header>Enforcement authority
relating to genetic discrimination</header>
<subparagraph changed="added" id="id33a81af8-3c2b-4ce2-a947-6196e9cdef08" reported-display-style="italic"><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 changed="added" id="id654da7f1-f8e3-439c-86cb-4a420911c13c" reported-display-style="italic"><enum>(B)</enum><header>Amount</header>
<clause changed="added" id="id87349076-4619-4b72-8bdf-c8d7c2eec25f" reported-display-style="italic"><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 changed="added" id="id24e39b43-cb9d-476d-8171-2c0641b57eb8" reported-display-style="italic"><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 changed="added" id="id7988ba2d-d80d-42ed-aac8-7da3bd129252" reported-display-style="italic"><enum>(I)</enum><text>beginning on the date
such failure first occurs; and</text>
</subclause><subclause changed="added" id="id143bbb62-a693-450c-a40a-7e689d5d36dd" reported-display-style="italic"><enum>(II)</enum><text>ending on the date such
failure is corrected.</text>
</subclause></clause></subparagraph><subparagraph changed="added" id="ide2259bef-666f-4d03-8c50-4bab39ee4ef6" reported-display-style="italic"><enum>(C)</enum><header>Minimum penalties where
failure discovered</header><text>Notwithstanding clauses (i) and (ii) of
subparagraph (D):</text>
<clause changed="added" id="idde503d44-9391-418f-9744-7188c7d85b61" reported-display-style="italic"><enum>(i)</enum><header>In
general</header><text>In the case of 1 or more failures with respect to an
individual—</text>
<subclause changed="added" id="id4a5087fc-4746-48a2-b69c-68ffd0e7c56f" reported-display-style="italic"><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 changed="added" id="idaeeb9ef2-4f67-4f75-95ef-9d8b86787c6e" reported-display-style="italic"><enum>(II)</enum><text>which occurred or
continued during the period involved;</text>
</subclause><continuation-text changed="added" continuation-text-level="clause" reported-display-style="italic">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 changed="added" id="id48c4b6ed-4e27-4515-ab1f-44d59d6d56da" reported-display-style="italic"><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 changed="added" id="idf26a13da-c9c4-4e38-9b0e-b2a87d366448" reported-display-style="italic"><enum>(D)</enum><header>Limitations</header>
<clause changed="added" id="ida2fbd13d-6010-40a4-8030-d329f63723bf" reported-display-style="italic"><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 changed="added" id="ide4b309c2-a52e-4b6d-834d-beec974371b1" reported-display-style="italic"><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 changed="added" id="ide3940a59-7244-492d-8110-e970aec13b88" reported-display-style="italic"><enum>(I)</enum><text>such failure was due to
reasonable cause and not to willful neglect; and</text>
</subclause><subclause changed="added" id="id54f06687-0ccf-4017-b9cb-3b90b45ce098" reported-display-style="italic"><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 changed="added" id="id010a66b3-86bf-4afc-ade9-8f557ef212b2" reported-display-style="italic"><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 changed="added" id="id6b9b1371-bd11-4e68-8205-5888ff44e22b" reported-display-style="italic"><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 changed="added" id="id4117f0d6-7664-485f-82ae-fc8e3c1d9e9d" reported-display-style="italic"><enum>(II)</enum><text>$500,000.</text>
</subclause></clause></subparagraph><subparagraph changed="added" id="id060deec6-276e-4d0a-a32f-dd60786d77c7" reported-display-style="italic"><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 changed="added" id="ida8dc7b0c-03ff-4147-a4a2-fb0385765c39" reported-display-style="italic"><enum>(4)</enum><header>Definitions</header><text><external-xref legal-doc="act" parsable-cite="PHSA/2791(d)">Section 2791(d)</external-xref> of
the <act-name parsable-cite="PHSA">Public Health Service Act</act-name>
(<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-91(d)">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" changed="added" id="idb726e993-b27f-449c-a129-d4c29d4455d5" reported-display-style="italic">
<paragraph changed="added" id="idbba3b4d3-7538-4c3c-a37b-6102dea9a4c3" reported-display-style="italic"><enum>(15)</enum><header>Family
member</header><text>The term <term>family member</term> means with respect to
an individual—</text>
<subparagraph changed="added" id="id19b372f4-efc0-44e2-9737-7b8da3b8ddf0" reported-display-style="italic"><enum>(A)</enum><text>the spouse of the
individual;</text>
</subparagraph><subparagraph changed="added" id="ideb5822a0-fc78-4e78-8ff3-623e412d538b" reported-display-style="italic"><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 changed="added" id="id72105cdd-2435-4960-b257-4fb542b7b193" reported-display-style="italic"><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 changed="added" id="id266164c8-e0c1-4c15-8fe6-7e28e25c97f6" reported-display-style="italic"><enum>(16)</enum><header>Genetic
information</header>
<subparagraph changed="added" id="id7ee5b24d-7963-4b6f-a2b1-185b96218f12" reported-display-style="italic"><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 changed="added" id="id8d4a3502-2b14-4e75-ba4a-51c0303df15c" reported-display-style="italic"><enum>(i)</enum><text>an individual’s genetic
tests;</text>
</clause><clause changed="added" id="id47b8f5f4-7f38-461e-a35a-97de89d379ce" reported-display-style="italic"><enum>(ii)</enum><text>the genetic tests of
family members of the individual; or</text>
</clause><clause changed="added" id="idbac32471-bd5f-4eb0-b48c-a892698c89c1" reported-display-style="italic"><enum>(iii)</enum><text>the occurrence of a
disease or disorder in family members of the individual.</text>
</clause></subparagraph><subparagraph changed="added" id="idb5e22eca-8b1c-4e59-a9f9-fb48d96074b9" reported-display-style="italic"><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 changed="added" id="ide2e27a4f-8136-45a1-b783-7612b0f1df23" reported-display-style="italic"><enum>(17)</enum><header>Genetic test</header>
<subparagraph changed="added" id="idd094fd08-6c77-4534-8ac1-eacb66618e73" reported-display-style="italic"><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 changed="added" id="id2586b35c-3795-4247-b290-077b31e2318e" reported-display-style="italic"><enum>(B)</enum><header>Exceptions</header><text>The
term <term>genetic test</term> does not mean—</text>
<clause changed="added" id="id8f3a25ee-26d0-4c11-9d8d-d507328c41b5" reported-display-style="italic"><enum>(i)</enum><text>an analysis of proteins
or metabolites that does not detect genotypes, mutations, or chromosomal
changes; or</text>
</clause><clause changed="added" id="idc0d30b29-6e4f-42f4-905b-c485bfdd2102" reported-display-style="italic"><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 changed="added" id="id0ac56699-50d2-4a95-9565-a996fb569be2" reported-display-style="italic"><enum>(18)</enum><header>Genetic
services</header><text>The term <term>genetic services</term> means—</text>
<subparagraph changed="added" id="id55126793-44c5-4bc3-956f-17a9c469017c" reported-display-style="italic"><enum>(A)</enum><text>a genetic test;</text>
</subparagraph><subparagraph changed="added" id="id6e9a6cfc-3d03-49e1-a042-5cbb4d0576a2" reported-display-style="italic"><enum>(B)</enum><text>genetic counseling (such
as obtaining, interpreting, or assessing genetic information); or</text>
</subparagraph><subparagraph changed="added" id="id93173af6-93f2-4abb-911c-15389cd1bd7e" reported-display-style="italic"><enum>(C)</enum><text>genetic education.</text>
</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection changed="added" id="id8b339920-8e8e-4287-b3cd-3844353e5769" reported-display-style="italic"><enum>(b)</enum><header>Amendment relating to
the individual market</header>
<paragraph changed="added" id="idf5f20e49-331c-4b4c-8523-f208c11c5378" reported-display-style="italic"><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</external-xref> et seq.) (relating to other requirements) is
amended—</text>
<subparagraph changed="added" id="id52f6cda2-f6b7-41a1-b921-a10204656007" reported-display-style="italic"><enum>(A)</enum><text>by redesignating such
subpart as subpart 2; and</text>
</subparagraph><subparagraph changed="added" id="id255374a8-8d36-42d7-9e0b-e598ea63cab2" reported-display-style="italic"><enum>(B)</enum><text>by adding at the end the
following:</text>
<quoted-block changed="added" id="id5a744671-a8ba-4241-a0fa-dad1f7dc4de7" reported-display-style="italic">
<section changed="added" id="iddf9a872b-8a70-4e38-b92e-f3bb8f53c112" reported-display-style="italic"><enum>2753.</enum><header>Prohibition of health
discrimination on the basis of genetic information</header>
<subsection changed="added" id="id7641d43e-20d8-497a-8f9d-70946ce1de8c" reported-display-style="italic"><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 changed="added" id="id1e45646a-4adc-4c8b-8eb1-9d9f2bfa5616" reported-display-style="italic"><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 changed="added" id="ida49690e3-3520-4d4b-bca9-64c4261d2fe6" reported-display-style="italic"><enum>(c)</enum><header>Genetic
testing</header>
<paragraph changed="added" id="id0d87cf07-8568-422c-a37f-59b7358b9977" reported-display-style="italic"><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 changed="added" id="idc70f598b-2fb1-45a4-9520-5f57b558fd49" reported-display-style="italic"><enum>(2)</enum><header>Rule of
construction</header><text>Nothing in this part shall be construed to—</text>
<subparagraph changed="added" id="id420d279d-e3fa-4cf3-abaf-74dab3dcf81b" reported-display-style="italic"><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 changed="added" id="id397f7327-9832-434f-a548-9d3d9028ccec" reported-display-style="italic"><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 changed="added" id="id0bbfe22f-76f8-4029-a087-fda20077acef" reported-display-style="italic"><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 changed="added" id="id395b1c78-dcd1-4dbd-8799-337cb48a6f75" reported-display-style="italic"><enum>(2)</enum><header>Remedies and
enforcement</header><text><external-xref legal-doc="act" parsable-cite="PHSA/2761(b)">Section 2761(b)</external-xref> of the
<act-name parsable-cite="PHSA">Public Health Service Act</act-name>
(<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-61)(b">42 U.S.C.
300gg–61)(b</external-xref>)) is amended to read as follows:</text>
<quoted-block act-name="Public Health Service Act" changed="added" id="id51e8868d-87b9-471e-9b24-76da069d9a89" reported-display-style="italic">
<subsection changed="added" id="id58fb2bf7-4b24-4bc0-8351-7312c08ee186" reported-display-style="italic"><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 changed="added" id="id810834af-bd21-4695-997d-fbfe89259ad9" reported-display-style="italic"><enum>(c)</enum><header>Elimination of option
of Non-Federal governmental plans to be excepted from requirements concerning
genetic information</header><text><external-xref legal-doc="act" parsable-cite="PHSA/2721(b)(2)">Section 2721(b)(2)</external-xref> of the
<act-name parsable-cite="PHSA">Public Health Service Act</act-name> (42 U.S. C.
300gg–21(b)(2)) is amended—</text>
<paragraph changed="added" id="id23aaf5eb-c6d5-4426-af7f-4b44d7f0d4d7" reported-display-style="italic"><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 changed="added" id="idd27b8f66-cd39-4675-a1c5-70f7f2769b42" reported-display-style="italic"><enum>(2)</enum><text>by adding at the end the
following:</text>
<quoted-block changed="added" id="id82990918-59b9-43a4-b08a-c52a266e1d9f" reported-display-style="italic">
<subparagraph changed="added" id="id48ae203b-f2bb-43fe-98fa-a455389f4bb9" reported-display-style="italic"><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 changed="added" id="idc550cac9-6d5b-4003-a1e7-a6b87e3bc90e" reported-display-style="italic"><enum>(d)</enum><header>Regulations and
effective date</header>
<paragraph changed="added" id="idea06d917-869e-4626-9849-7e8b1a9d7f2b" reported-display-style="italic"><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 changed="added" id="id3cc08f0f-9bff-4f03-98b2-b07e3db545b4" reported-display-style="italic"><enum>(2)</enum><header>Effective
date</header><text>The amendments made by this section shall apply—</text>
<subparagraph changed="added" id="ida5ed3f2d-0c4d-439a-88b5-75956bee714f" reported-display-style="italic"><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 changed="added" id="id74cb98e3-e6e2-45b6-a9b9-a826e19e0ec7" reported-display-style="italic"><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 changed="added" id="id31adeef1-7af4-4fbb-a7c6-a73a54d9725a" reported-display-style="italic"><enum>103.</enum><header>Amendments to the
Internal Revenue Code of 1986</header>
<subsection changed="added" id="ida3f6f40a-616b-43f8-8eb0-734532d871c7" reported-display-style="italic"><enum>(a)</enum><header>Prohibition of health
discrimination on the basis of genetic information or genetic services</header>
<paragraph changed="added" id="idbc4566cd-578e-446b-bea7-f7bd68a0894f" reported-display-style="italic"><enum>(1)</enum><header>No enrollment
restriction for genetic services</header><text>Section 9802(a)(1)(F) of the
Internal Revenue Code of 1986 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 changed="added" id="id163a9a04-fc36-4ec8-8f1b-7e4dcf6a30e6" reported-display-style="italic"><enum>(2)</enum><header>No discrimination in
group premiums based on genetic information</header><text>Section 9802(b) of
the Internal Revenue Code of 1986 is amended—</text>
<subparagraph changed="added" id="id6b9b0f83-7878-4ceb-995b-5cf8a0ef1dd1" reported-display-style="italic"><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 changed="added" id="id57d70d96-db23-4eac-8266-304f767932de" reported-display-style="italic"><enum>(B)</enum><text>by adding at the end the
following:</text>
<quoted-block changed="added" id="idfc19176e-cf83-4828-9a26-2c4eb290f375" reported-display-style="italic">
<paragraph changed="added" id="ide7a7edb4-97b2-4753-b968-1a3c7d601a61" reported-display-style="italic"><enum>(3)</enum><header>No discrimination in
group premiums based on genetic information</header><text>For purposes of this
section, 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 changed="added" id="id827a17a6-be84-4bf4-81aa-d478e87f4b00" reported-display-style="italic"><enum>(b)</enum><header>Limitations on genetic
testing</header><text>Section 9802 of the Internal Revenue Code of 1986 is
amended by adding at the end the following:</text>
<quoted-block changed="added" id="idb907cfeb-3ee6-40f1-a499-24de7d8b9f55" reported-display-style="italic">
<subsection changed="added" id="id3e70d131-108c-4c14-a87e-3b426de56bea" reported-display-style="italic"><enum>(d)</enum><header>Genetic testing and
genetic services</header>
<paragraph changed="added" id="idaeaa3766-fa03-4fae-a4a2-26c1821ff9c8" reported-display-style="italic"><enum>(1)</enum><header>Limitation on
requesting or requiring genetic testing</header><text>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 changed="added" id="idbcb33481-18a0-438c-8d7b-fcd95fcb1e67" reported-display-style="italic"><enum>(2)</enum><header>Rule of
construction</header><text>Nothing in this part shall be construed to—</text>
<subparagraph changed="added" id="id574aa833-8810-4fa2-8390-bddcb595dc32" reported-display-style="italic"><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 changed="added" id="idc2a235f8-0d55-4f46-a4f2-5baa81eae47e" reported-display-style="italic"><enum>(B)</enum><text>limit the authority of a
health care professional who is employed by or affiliated with a group health
plan 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 changed="added" id="id1d26e505-a6e4-4f79-9f29-be91993595f3" reported-display-style="italic"><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 changed="added" id="id908979d4-4798-47ef-a02c-4d2e4d68a1e3" reported-display-style="italic"><enum>(e)</enum><header>Application to all
plans</header><text>The provisions of subsections (a)(1)(F), (b)(3), and (d)
shall apply to group health plans and health insurance issuers without regard
to section 9831(a)(2).</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection changed="added" id="idbb06f2ad-5753-4268-ae4b-f513b731c561" reported-display-style="italic"><enum>(c)</enum><header>Definitions</header><text>Section
9832(d) of the Internal Revenue Code of 1986 is amended by adding at the end
the following:</text>
<quoted-block changed="added" id="id42c1ee0f-90b8-403e-a719-4aece22752ef" reported-display-style="italic">
<paragraph changed="added" id="idd28c88d1-359c-4d4e-9a41-ed19d1d19d76" reported-display-style="italic"><enum>(6)</enum><header>Family
member</header><text>The term <term>family member</term> means with respect to
an individual—</text>
<subparagraph changed="added" id="id1ba8b746-91c1-424c-9558-3c9feddd84a0" reported-display-style="italic"><enum>(A)</enum><text>the spouse of the
individual;</text>
</subparagraph><subparagraph changed="added" id="ida7f5b338-6b24-4e5c-9e3f-6a0ad364a197" reported-display-style="italic"><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 changed="added" id="ida6442365-0e72-40ed-a5d2-cd7546b73159" reported-display-style="italic"><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 changed="added" id="ide0c8213e-2ed5-430a-8183-bd2f67f60083" reported-display-style="italic"><enum>(7)</enum><header>Genetic
services</header><text>The term <term>genetic services</term> means—</text>
<subparagraph changed="added" id="id1d35733f-064b-4a59-bc12-afeb0b810d74" reported-display-style="italic"><enum>(A)</enum><text>a genetic test;</text>
</subparagraph><subparagraph changed="added" id="id25eb96c8-1536-4e30-b0bf-f7ab2282f2f6" reported-display-style="italic"><enum>(B)</enum><text>genetic counseling (such
as obtaining, interpreting, or assessing genetic information); or</text>
</subparagraph><subparagraph changed="added" id="id49908cd4-bc08-4344-abf5-0928756101bc" reported-display-style="italic"><enum>(C)</enum><text>genetic education.</text>
</subparagraph></paragraph><paragraph changed="added" id="id7e2f1695-63c9-4852-8b57-33f53bfc63f1" reported-display-style="italic"><enum>(8)</enum><header>Genetic
information</header>
<subparagraph changed="added" id="id199e4a84-0fed-4914-b189-e8a26959b956" reported-display-style="italic"><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 changed="added" id="ida1b42c23-010c-4698-9960-71c8ac4ab073" reported-display-style="italic"><enum>(i)</enum><text>an individual’s genetic
tests;</text>
</clause><clause changed="added" id="id4fe6f760-8580-4df0-a27a-029eb33cccf9" reported-display-style="italic"><enum>(ii)</enum><text>the genetic tests of
family members of the individual; or</text>
</clause><clause changed="added" id="idb860e500-ae97-451a-8fa5-1f6e30454124" reported-display-style="italic"><enum>(iii)</enum><text>the occurrence of a
disease or disorder in family members of the individual.</text>
</clause></subparagraph><subparagraph changed="added" id="id29484dfa-593c-47c8-bcea-e98e3381fd5e" reported-display-style="italic"><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 changed="added" id="id8ab48602-3c15-416b-a608-6c11b431514a" reported-display-style="italic"><enum>(9)</enum><header>Genetic test</header>
<subparagraph changed="added" id="id1c4a9c86-d1b0-4f20-891b-7c24157e0be1" reported-display-style="italic"><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 changed="added" id="idc4b4db10-a445-4195-bb37-325e45951357" reported-display-style="italic"><enum>(B)</enum><header>Exceptions</header><text>The
term <term>genetic test</term> does not mean—</text>
<clause changed="added" id="idb9a38429-2796-4488-87a9-80a38439ac01" reported-display-style="italic"><enum>(i)</enum><text>an analysis of proteins
or metabolites that does not detect genotypes, mutations, or chromosomal
changes; or</text>
</clause><clause changed="added" id="id6fcd0455-7fdc-44d2-828a-588a095a772b" reported-display-style="italic"><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><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection changed="added" id="id30446f69-df9e-4131-a43c-ec3220bd479f" reported-display-style="italic"><enum>(d)</enum><header>Regulations and
effective date</header>
<paragraph changed="added" id="id6c1ce6cc-dd31-4a0f-9da8-7eb451645220" reported-display-style="italic"><enum>(1)</enum><header>Regulations</header><text>Not
later than 1 year after the date of enactment of this title, the Secretary of
the Treasury shall issue final regulations in an accessible format to carry out
the amendments made by this section.</text>
</paragraph><paragraph changed="added" id="idc13e654d-6c11-4849-9581-f768af8c981b" reported-display-style="italic"><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 changed="added" id="id641f7da6-3698-4039-8242-7e29406a3e55" reported-display-style="italic"><enum>104.</enum><header>Amendments to title
XVIII of the <act-name parsable-cite="SSA">Social Security Act</act-name>
relating to medigap</header>
<subsection changed="added" id="idf7a20e69-5399-4cd6-ace8-5e962ab7f30c" reported-display-style="italic"><enum>(a)</enum><header>Nondiscrimination</header>
<paragraph changed="added" id="id2b5e04fe-c1b5-47ec-a062-0356ad4ea181" reported-display-style="italic"><enum>(1)</enum><header>In
general</header><text><external-xref legal-doc="act" parsable-cite="SSA/1882(s)(2)">Section 1882(s)(2)</external-xref> of the
<act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1395ss(s)(2)">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" changed="added" id="id218a4360-0c7f-41a0-85e6-7ddca623a1ab" reported-display-style="italic">
<subparagraph changed="added" id="idf2e94dbc-df92-452b-b48e-e13da0f51a81" reported-display-style="italic"><enum>(E)</enum><clause commented="no" display-inline="yes-display-inline" id="idfbcf9f2f-cd81-4702-92a4-88e41d2b422f"><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 changed="added" id="idde4419ff-c3e6-49c0-a060-a92c128937ec" indent="up1" reported-display-style="italic"><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 changed="added" id="ide4551d18-ba5c-45f4-b0f9-c328fa282a85" reported-display-style="italic"><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 changed="added" id="id235ee79c-4913-41bc-b0d5-05d82923d030" reported-display-style="italic"><enum>(b)</enum><header>Limitations on genetic
testing</header>
<paragraph changed="added" id="id7359b268-dafb-48dd-9aba-bdf8264b2b71" reported-display-style="italic"><enum>(1)</enum><header>In
general</header><text><external-xref legal-doc="act" parsable-cite="SSA/1882">Section 1882</external-xref> 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" changed="added" id="idc20d3912-ca10-4a05-a4b1-d98e94c1a133" reported-display-style="italic">
<subsection changed="added" id="id5d381af2-cd11-46be-8565-77b7b7d7d9be" reported-display-style="italic"><enum>(x)</enum><header>Limitations on genetic
testing</header>
<paragraph changed="added" id="ida23c835b-cdf4-48b9-b96b-b517af17c48a" reported-display-style="italic"><enum>(1)</enum><header>Genetic
testing</header>
<subparagraph changed="added" id="id646430ad-cd6e-4c97-b211-f0b984e4e797" reported-display-style="italic"><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 changed="added" id="id07915654-d88f-46cb-bf2a-12c76dfdb6fe" reported-display-style="italic"><enum>(B)</enum><header>Rule of
construction</header><text>Nothing in this title shall be construed to—</text>
<clause changed="added" id="idb88e8db3-66a0-4805-be3f-30025abc6cc8" reported-display-style="italic"><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 changed="added" id="id0542a672-7927-4410-9668-3783d302b251" reported-display-style="italic"><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 changed="added" id="id4a916ccb-404f-4bbd-a564-73d34afeee03" reported-display-style="italic"><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 changed="added" id="idb82d781c-2fed-4672-aa48-6b5b10349a47" reported-display-style="italic"><enum>(2)</enum><header>Definitions</header><text>In
this subsection:</text>
<subparagraph changed="added" id="idbed5c4b1-e153-438d-8baa-aaed8ce03713" reported-display-style="italic"><enum>(A)</enum><header>Family
member</header><text>The term <term>family member</term> means with respect to
an individual—</text>
<clause changed="added" id="id23e285fe-1ebb-4fce-8804-4d5e57e1d3cd" reported-display-style="italic"><enum>(i)</enum><text>the spouse of the
individual;</text>
</clause><clause changed="added" id="idb58fe081-23a1-4fa8-88bd-2698a028d2d7" reported-display-style="italic"><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 changed="added" id="idcb218ae9-d9d5-421d-b4d6-04a67aa2a189" reported-display-style="italic"><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 changed="added" id="id70b4adb1-3da5-41df-a163-86aa57998950" reported-display-style="italic"><enum>(B)</enum><header>Genetic
information</header>
<clause changed="added" id="idff47a917-7b56-46f1-99f0-b9a284bcc4b6" reported-display-style="italic"><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 changed="added" id="iddeb95416-5574-4cbb-a535-c8754de64988" reported-display-style="italic"><enum>(I)</enum><text>an individual’s genetic
tests;</text>
</subclause><subclause changed="added" id="id18ee1abc-ade6-4a92-8a32-9ef6430a8ceb" reported-display-style="italic"><enum>(II)</enum><text>the genetic tests of
family members of the individual; or</text>
</subclause><subclause changed="added" id="id161b63cf-d936-469e-82e8-590a900c9b1a" reported-display-style="italic"><enum>(III)</enum><text>the occurrence of a
disease or disorder in family members of the individual.</text>
</subclause></clause><clause changed="added" id="id9f1ecfda-345d-4c89-b75c-c32cdcc9772e" reported-display-style="italic"><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 changed="added" id="id573ad16c-32e6-481d-9f97-6025814987e6" reported-display-style="italic"><enum>(C)</enum><header>Genetic test</header>
<clause changed="added" id="idac7ca31f-c6d6-4a63-884c-fcdf4d085d53" reported-display-style="italic"><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 changed="added" id="idb6dca83e-7c79-49c5-a86b-05f5fbf3ee7e" reported-display-style="italic"><enum>(ii)</enum><header>Exceptions</header><text>The
term <term>genetic test</term> does not mean—</text>
<subclause changed="added" id="id4428fb46-82d4-4bab-9c7e-8dadbe8db923" reported-display-style="italic"><enum>(I)</enum><text>an analysis of proteins
or metabolites that does not detect genotypes, mutations, or chromosomal
changes; or</text>
</subclause><subclause changed="added" id="idd9fee356-0260-4a8c-adfe-a9e8b37afd99" reported-display-style="italic"><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 changed="added" id="id2b021d42-ac55-4a7a-83e9-51e0c0bd1f58" reported-display-style="italic"><enum>(D)</enum><header>Genetic
services</header><text>The term <term>genetic services</term> means—</text>
<clause changed="added" id="idf9775987-f343-47a4-a879-8b5159a526bd" reported-display-style="italic"><enum>(i)</enum><text>a genetic test;</text>
</clause><clause changed="added" id="id8f3d9bc1-69a3-4339-8f52-efafc0720ef5" reported-display-style="italic"><enum>(ii)</enum><text>genetic counseling (such
as obtaining, interpreting, or assessing genetic information); or</text>
</clause><clause changed="added" id="id3b5f4c4d-48e5-4547-b01d-ace720e073ad" reported-display-style="italic"><enum>(iii)</enum><text>genetic
education.</text>
</clause></subparagraph><subparagraph changed="added" id="idbe4bbc25-a56f-48d9-a404-45a36ea6daa9" reported-display-style="italic"><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 changed="added" id="id3b574191-9a1e-4de7-8a20-6d31ce18b266" reported-display-style="italic"><enum>(2)</enum><header>Conforming
amendment</header><text><external-xref legal-doc="act" parsable-cite="SSA/1882(o)">Section 1882(o)</external-xref> of the
<act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1395ss(o)">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" changed="added" id="id19a0d52f-ccb2-48fe-ab53-d7cff17aa290" reported-display-style="italic">
<paragraph changed="added" id="id904c3815-d778-4d2d-bcd0-a1355df22f3e" reported-display-style="italic"><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 changed="added" id="id84158aa5-a8bb-4ee9-bcc6-d4ba3dfec7c8" reported-display-style="italic"><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 changed="added" id="id06ac862b-4c1b-4704-b11d-40b56a5c3e38" reported-display-style="italic"><enum>(c)</enum><header>Transition
provisions</header>
<paragraph changed="added" id="id2a5fb160-1292-4efe-ba9c-9f53c80fb52a" reported-display-style="italic"><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 <external-xref legal-doc="act" parsable-cite="SSA/1882">section
1882</external-xref> 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 changed="added" id="id3cf6915b-0b00-4bd2-abd2-00abcb87001c" reported-display-style="italic"><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
<external-xref legal-doc="act" parsable-cite="SSA/1882">section
1882</external-xref> 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 changed="added" id="id42845d9a-b1c4-4aa7-88e4-c3847b9fc9cc" reported-display-style="italic"><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 changed="added" id="id7c7eba5c-9af7-4218-bac2-5939805e68bc" reported-display-style="italic"><enum>(4)</enum><header>Date specified</header>
<subparagraph changed="added" id="id1297fcc4-2ed3-4c03-930f-7e20e95bde92" reported-display-style="italic"><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 changed="added" id="id6641b8c9-b118-4832-99dc-84232dfccde9" reported-display-style="italic"><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 changed="added" id="id2891276d-a2cd-48e4-8b0e-fe71cb759472" reported-display-style="italic"><enum>(ii)</enum><text>October 1, 2006.</text>
</clause></subparagraph><subparagraph changed="added" id="id9702dfdd-6ba0-4ad7-b0d4-16ef7ef836e6" reported-display-style="italic"><enum>(B)</enum><header>Additional legislative
action required</header><text>In the case of a State which the Secretary
identifies as—</text>
<clause changed="added" id="id788b092d-5fea-4f14-8cb6-aad3f4bfeb8d" reported-display-style="italic"><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 changed="added" id="idd824fa3e-b40a-4708-98af-ed979c39c405" reported-display-style="italic"><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 changed="added" id="id466aafbe-79d7-4a35-9cba-497087e50335" reported-display-style="italic"><enum>105.</enum><header>Privacy and
confidentiality</header>
<subsection changed="added" id="id3d797631-3f29-4c4c-9979-b0e6632994b0" reported-display-style="italic"><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 changed="added" id="id0b644817-c3da-4c0b-bab9-8dbc3e81b20c" reported-display-style="italic"><enum>(1)</enum><text><external-xref legal-doc="act" parsable-cite="ERISA/732(a)">section 732(a)</external-xref> 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(a)">29 U.S.C. 1191a(a)</external-xref>);</text>
</paragraph><paragraph changed="added" id="idfc635e3f-4420-4312-98fe-a9f0d793994f" reported-display-style="italic"><enum>(2)</enum><text><external-xref legal-doc="act" parsable-cite="PHSA/2721(a)">section 2721(a)</external-xref> of
the <act-name parsable-cite="PHSA">Public Health Service Act</act-name>
(<external-xref legal-doc="usc" parsable-cite="usc/42/300gg-21(a)">42 U.S.C.
300gg–21(a)</external-xref>); and</text>
</paragraph><paragraph changed="added" id="id9e36bcd4-8178-4750-9e93-b751fc25d995" reported-display-style="italic"><enum>(3)</enum><text>section 9831(a)(2) of the
Internal Revenue Code of 1986.</text>
</paragraph></subsection><subsection changed="added" id="idff0aedbb-b6b1-49f4-8766-417b5bc214cb" reported-display-style="italic"><enum>(b)</enum><header>Compliance with certain
confidentiality standards with respect to genetic information</header>
<paragraph changed="added" id="id9aad2ace-7fe5-455c-8658-ff61dae748e6" reported-display-style="italic"><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</external-xref> et
seq.) and <external-xref legal-doc="act" parsable-cite="HIPAA/264">section
264</external-xref> 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 note">42 U.S.C. 1320d–2 note</external-xref>)
shall apply to the use or disclosure of genetic information.</text>
</paragraph><paragraph changed="added" id="id766d5ae4-1ea1-4e04-8af5-2b5082d70cf4" reported-display-style="italic"><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 changed="added" id="id2f854b3b-28a7-4a7e-a0b5-e84e03e2b9ab" reported-display-style="italic"><enum>(c)</enum><header>Prohibition on
collection of genetic information</header>
<paragraph changed="added" id="idaca6cb5c-4c33-487d-a8a1-24eb9a6383f6" reported-display-style="italic"><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 changed="added" id="id390db794-a8df-4367-926a-b329534ca560" reported-display-style="italic"><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 changed="added" id="id60e4d403-6ca2-4a6e-ae3c-509992f4d61b" reported-display-style="italic"><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 changed="added" id="idf0ddc1ed-7c52-4ba5-ab61-432c47f3c494" reported-display-style="italic"><enum>(A)</enum><text>such request,
requirement, or purchase is not in violation of paragraph (1); and</text>
</subparagraph><subparagraph changed="added" id="id1ed4992d-7cc8-4215-b188-f2418cad1823" reported-display-style="italic"><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 changed="added" id="id1e7ca660-8e5d-4276-bdf9-df64f105890d" reported-display-style="italic"><enum>(d)</enum><header>Application of
confidentiality standards</header><text>The provisions of subsections (b) and
(c) shall not apply—</text>
<paragraph changed="added" id="idb646307f-2f67-4d9d-8f05-f929b0d19da5" reported-display-style="italic"><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</external-xref> et
seq.) and <external-xref legal-doc="act" parsable-cite="HIPAA/264">section
264</external-xref> 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 note">42 U.S.C. 1320d–2 note</external-xref>);
and</text>
</paragraph><paragraph changed="added" id="idd19a018e-c765-43d8-a57d-c74510a8ecf6" reported-display-style="italic"><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</external-xref> et seq.) and
<external-xref legal-doc="act" parsable-cite="HIPAA/264">section
264</external-xref> 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 note">42 U.S.C. 1320d–2
note</external-xref>).</text>
</paragraph></subsection><subsection changed="added" id="idcd04205e-914f-4d50-88aa-486d424c9f13" reported-display-style="italic"><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> (<external-xref legal-doc="usc" parsable-cite="usc/42/1320d-5">42 U.S.C.
1320d–5</external-xref> 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 changed="added" id="id2a82161f-b2cc-4fc9-b4e2-57b541727080" reported-display-style="italic"><enum>(f)</enum><header>Preemption</header>
<paragraph changed="added" id="id7af7067c-fc43-4280-9299-d308d57db191" reported-display-style="italic"><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 changed="added" id="id625ac235-a280-4d88-9a44-5c3eac04909e" reported-display-style="italic"><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 changed="added" id="ida282dadc-f9ca-4bfe-b1e3-b23f0ef686cb" reported-display-style="italic"><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</external-xref> et
seq.) and <external-xref legal-doc="act" parsable-cite="HIPAA/264">section
264</external-xref> 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 note">42 U.S.C. 1320d–2
note</external-xref>).</text>
</subsection><subsection changed="added" id="id27f0acdd-befa-418a-84b4-2629d62bd608" reported-display-style="italic"><enum>(h)</enum><header>Definitions</header><text>In
this section:</text>
<paragraph changed="added" id="id831ecad1-0406-404b-947e-c76ee439d204" reported-display-style="italic"><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
<external-xref legal-doc="act" parsable-cite="PHSA/2791">section
2791</external-xref> 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 changed="added" id="ida7881fef-49a1-44a7-9a8a-c0944f843b07" reported-display-style="italic"><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 changed="added" id="id3645aeba-7f73-44e5-86f8-444c8ad5bb4b" reported-display-style="italic"><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
<external-xref legal-doc="act" parsable-cite="SSA/1882">section
1882</external-xref> of the <act-name parsable-cite="SSA">Social Security
Act</act-name> (42 insert 1395ss).</text>
</paragraph><paragraph changed="added" id="id48a3fe6e-1b4f-42e8-98f0-ed110c8dd5ab" reported-display-style="italic"><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 changed="added" id="id728e065c-3b27-4d40-819b-8ff87aa2cbd1" reported-display-style="italic"><enum>106.</enum><header>Assuring
coordination</header>
<subsection changed="added" id="id117f8f86-7b50-48e9-8869-ea6dbc0d572f" reported-display-style="italic"><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 changed="added" id="idbf585342-a195-4dc2-8916-cba36b899077" reported-display-style="italic"><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 changed="added" id="id85d28755-eec9-49f7-91a8-ba559dcb02dd" reported-display-style="italic"><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 changed="added" id="id70d09862-96bc-471b-9cbb-f2fc14a5fe94" reported-display-style="italic"><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 105.</text>
</subsection></section><section changed="added" id="idba7d1aca-51da-432c-970a-faa45d0fcf8d" reported-display-style="italic"><enum>107.</enum><header>Regulations; effective
date</header>
<subsection changed="added" id="ida91581c9-3226-4bb1-aa2b-e446bc29148c" reported-display-style="italic"><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 changed="added" id="ide15e4a5c-5a39-4737-8032-b319f5569c3c" reported-display-style="italic"><enum>(b)</enum><header>Effective
date</header><text>Except as provided in section 104, 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 changed="added" id="idaea9a4e7-142e-484c-a0e8-cf075eea139b" reported-display-style="italic"><enum>201.</enum><header>Definitions</header><text display-inline="no-display-inline">In this title:</text>
<paragraph changed="added" id="id97799834-7f1a-4eae-a805-ac7a822883f5" reported-display-style="italic"><enum>(1)</enum><header>Commission</header><text>The
term <term>Commission</term> means the Equal Employment Opportunity Commission
as created by <external-xref legal-doc="act" parsable-cite="CRA64/705">section
705</external-xref> 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 changed="added" id="id6aa109ab-8d81-4764-9baf-394da3c38ff2" reported-display-style="italic"><enum>(2)</enum><header>Employee; employer;
employment agency; labor organization; member</header>
<subparagraph changed="added" id="id6c15994e-bb79-4078-bd7a-b79984f45cfb" reported-display-style="italic"><enum>(A)</enum><header>In
general</header><text>The term <term>employee</term> means—</text>
<clause changed="added" id="id02674613-577c-4382-bc49-e31c9a455ea0" reported-display-style="italic"><enum>(i)</enum><text>an employee (including an
applicant), as defined in
<external-xref legal-doc="act" parsable-cite="CRA64/701(f)">section
701(f)</external-xref> of the <act-name parsable-cite="CRA64">Civil Rights Act
of 1964</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/2000e(f)">42 U.S.C. 2000e(f)</external-xref>);</text>
</clause><clause changed="added" id="id003f07bd-5ae9-4f48-96a6-48ca99bd6e76" reported-display-style="italic"><enum>(ii)</enum><text>a State employee
(including an applicant) described in section 304(a) of the Government Employee
Rights Act of 1991 (<external-xref legal-doc="usc" parsable-cite="usc/42/2000e-16c(a)">42 U.S.C.
2000e–16c(a)</external-xref>);</text>
</clause><clause changed="added" id="id4f3d2951-ca3f-47ce-a4fe-6a9c5715d470" reported-display-style="italic"><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 changed="added" id="idb6a922b9-7de8-49da-aa3a-1702fcf26095" reported-display-style="italic"><enum>(iv)</enum><text>a covered employee
(including an applicant), as defined in section 411(c) of title 3, United
States Code; or</text>
</clause><clause changed="added" id="id59c219d0-c3f5-4f2f-a24a-0948209ffed8" reported-display-style="italic"><enum>(v)</enum><text>an employee or applicant
to which <external-xref legal-doc="act" parsable-cite="CRA64/717(a)">section
717(a)</external-xref> 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(a)">42 U.S.C. 2000e–16(a)</external-xref>)
applies.</text>
</clause></subparagraph><subparagraph changed="added" id="id24fb5588-aa7d-4126-9822-50010a5c1db2" reported-display-style="italic"><enum>(B)</enum><header>Employer</header><text>The
term <term>employer</term> means—</text>
<clause changed="added" id="id502ed79c-eb98-408b-9b44-5f44ba46fb43" reported-display-style="italic"><enum>(i)</enum><text>an employer (as defined
in <external-xref legal-doc="act" parsable-cite="CRA64/701(b)">section
701(b)</external-xref> of the <act-name parsable-cite="CRA64">Civil Rights Act
of 1964</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/2000e(b)">42 U.S.C. 2000e(b)</external-xref>);</text>
</clause><clause changed="added" id="id3b0eba81-a954-4b37-bf1e-9e164870872c" reported-display-style="italic"><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 changed="added" id="id1e81d2d1-e81a-459c-ae6b-99ac5eb5e6f4" reported-display-style="italic"><enum>(iii)</enum><text>an employing office, as
defined in section 101 of the Congressional Accountability Act of 1995;</text>
</clause><clause changed="added" id="id9bf0cdd4-ec4f-40b5-a407-3770c5a20521" reported-display-style="italic"><enum>(iv)</enum><text>an employing office, as
defined in section 411(c) of title 3, United States Code; or</text>
</clause><clause changed="added" id="idd6fbb5fc-bc3c-470b-8d8f-06ce58588b27" reported-display-style="italic"><enum>(v)</enum><text>an entity to which
<external-xref legal-doc="act" parsable-cite="CRA64/717(a)">section
717(a)</external-xref> of the <act-name parsable-cite="CRA64">Civil Rights Act
of 1964</act-name> applies.</text>
</clause></subparagraph><subparagraph changed="added" id="id10bf5ec0-d050-4801-a320-3a1e84b3273f" reported-display-style="italic"><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
<external-xref legal-doc="act" parsable-cite="CRA64/701">section
701</external-xref> 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 changed="added" id="id16bd13ad-8f46-4ffc-949f-0df3661009a1" reported-display-style="italic"><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 changed="added" id="id29fcf0e7-f1b7-4b51-ae58-6c4c4640f284" reported-display-style="italic"><enum>(3)</enum><header>Family
member</header><text>The term <term>family member</term> means with respect to
an individual—</text>
<subparagraph changed="added" id="id51ca1c3c-0eb2-4078-b787-e5b4e0055806" reported-display-style="italic"><enum>(A)</enum><text>the spouse of the
individual;</text>
</subparagraph><subparagraph changed="added" id="id41748e6f-5642-4890-abad-f2944a3433ef" reported-display-style="italic"><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 changed="added" id="ide8b0f313-4646-43ed-9b97-094a3601fbf0" reported-display-style="italic"><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 changed="added" id="id1dd6ad11-acf3-442d-82b6-88d95c0e7a19" reported-display-style="italic"><enum>(4)</enum><header>Genetic
information</header>
<subparagraph changed="added" id="id5ea65893-fb7d-475a-962f-34a53ec61051" reported-display-style="italic"><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 changed="added" id="id7516c7f2-119e-4019-bf0c-9f5341e30fe7" reported-display-style="italic"><enum>(i)</enum><text>an individual’s genetic
tests;</text>
</clause><clause changed="added" id="id4aeeae50-5476-46d0-a17e-aa5e0005c8d3" reported-display-style="italic"><enum>(ii)</enum><text>the genetic tests of
family members of the individual; or</text>
</clause><clause changed="added" id="id597b230e-b6ad-426d-83d3-29a388e4a43d" reported-display-style="italic"><enum>(iii)</enum><text>the occurrence of a
disease or disorder in family members of the individual.</text>
</clause></subparagraph><subparagraph changed="added" id="id5f506d61-ec51-4ba3-b388-fa6d9aef07bd" reported-display-style="italic"><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 changed="added" id="idf5ed3160-c239-48ac-bf69-83f178e1d1b6" reported-display-style="italic"><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 changed="added" id="id575e2bc5-39bc-4039-9c53-8778ca144caf" reported-display-style="italic"><enum>(6)</enum><header>Genetic
services</header><text>The term <term>genetic services</term> means—</text>
<subparagraph changed="added" id="idfd4e74cf-ce86-45b0-93a9-d9429daf8730" reported-display-style="italic"><enum>(A)</enum><text>a genetic test;</text>
</subparagraph><subparagraph changed="added" id="idbc147602-b62a-4482-854e-fc3a30d49d85" reported-display-style="italic"><enum>(B)</enum><text>genetic counseling (such
as obtaining, interpreting or assessing genetic information); or</text>
</subparagraph><subparagraph changed="added" id="id5094efb0-c296-41ea-943a-d7edc6042d86" reported-display-style="italic"><enum>(C)</enum><text>genetic education.</text>
</subparagraph></paragraph><paragraph changed="added" id="id39e362af-e5b3-45e4-b743-3f4ad26f39f0" reported-display-style="italic"><enum>(7)</enum><header>Genetic test</header>
<subparagraph changed="added" id="id06fc38a3-79cc-406f-94fb-ced2ae09aca6" reported-display-style="italic"><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 changed="added" id="id55506399-3429-4ae1-8d90-19ad0f4ad929" reported-display-style="italic"><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 changed="added" id="idf5fda85c-68b6-441c-b0c1-d5c5c5429b79" reported-display-style="italic"><enum>202.</enum><header>Employer
practices</header>
<subsection changed="added" id="ida209112a-d117-4687-b4e5-5b13463a95fa" reported-display-style="italic"><enum>(a)</enum><header>Use of genetic
information</header><text>It shall be an unlawful employment practice for an
employer—</text>
<paragraph changed="added" id="id925b9687-1d7c-4f61-8909-89bd65fda544" reported-display-style="italic"><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 changed="added" id="id1166e89a-d6a4-473a-aa9e-edc97546a782" reported-display-style="italic"><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 changed="added" id="id5257d1a4-bd37-4d3e-bf02-94afd100ef07" reported-display-style="italic"><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 changed="added" id="id865e8d14-a75c-44be-90bb-fe8e42e9b373" reported-display-style="italic"><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 changed="added" id="idcac6e9ec-eb0c-4ef0-9ca4-71393c599047" reported-display-style="italic"><enum>(2)</enum><text>where—</text>
<subparagraph changed="added" id="idabe10740-91fe-4e15-80f9-bc10ecc26b88" reported-display-style="italic"><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 changed="added" id="id350fac1e-bac9-4dce-a042-017ea6027adf" reported-display-style="italic"><enum>(B)</enum><text>the employee provides
prior, knowing, voluntary, and written authorization;</text>
</subparagraph><subparagraph changed="added" id="id84b14303-ff9f-4e54-8e49-becf8b2d3b6a" reported-display-style="italic"><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 changed="added" id="id6e151010-61ac-420c-a7fb-b1b86b95186e" reported-display-style="italic"><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 changed="added" id="id1544fe4c-86fe-482c-a46c-6e35722925e7" reported-display-style="italic"><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 changed="added" id="id4827ad9d-d0fe-476f-8057-22620340df47" reported-display-style="italic"><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 changed="added" id="id29a0fa4d-7a23-4eb9-b3f0-345ded7d68cb" reported-display-style="italic"><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 changed="added" id="idef5466aa-8b60-4ae3-9f4d-8a696167a148" reported-display-style="italic"><enum>(A)</enum><text>the employer provides
written notice of the genetic monitoring to the employee;</text>
</subparagraph><subparagraph changed="added" id="id4e50ddfa-2723-4690-96ce-97f70418f2e6" reported-display-style="italic"><enum>(B)</enum><clause commented="no" display-inline="yes-display-inline" id="idec111f51-53f4-44f5-8c20-0303330c448b"><enum>(i)</enum><text>the employee
provides prior, knowing, voluntary, and written authorization; or</text>
</clause><clause changed="added" id="id7339528d-d706-434b-8ab3-3b406b5256ea" indent="up1" reported-display-style="italic"><enum>(ii)</enum><text>the genetic monitoring
is required by Federal or State law;</text>
</clause></subparagraph><subparagraph changed="added" id="idcc6ac65e-72e6-4625-aac7-c58f5cf229a5" reported-display-style="italic"><enum>(C)</enum><text>the employee is informed
of individual monitoring results;</text>
</subparagraph><subparagraph changed="added" id="idfdb358d7-fced-4450-bd02-901f23ef0976" reported-display-style="italic"><enum>(D)</enum><text>the monitoring is in
compliance with—</text>
<clause changed="added" id="id13b5ddce-ecbd-4b9c-9c67-30d5ea30fa15" reported-display-style="italic"><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</external-xref> et seq.), the Federal Mine Safety and Health Act of 1977
(<external-xref legal-doc="usc" parsable-cite="usc/30/801">30 U.S.C.
801</external-xref> et seq.), 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</external-xref> et seq.); or</text>
</clause><clause changed="added" id="idde974d21-a7e4-4daa-a30d-0ab79360553c" reported-display-style="italic"><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</external-xref> et seq.); and</text>
</clause></subparagraph><subparagraph changed="added" id="idfa1a3cf8-7109-48cf-98cd-7bd0dc6499db" reported-display-style="italic"><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 changed="added" id="id7faf9156-50ce-439a-85de-3fe06caaa5a2" reported-display-style="italic"><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 changed="added" id="id0f323b71-dcf1-494c-b23f-2cf3fe2f09f0" reported-display-style="italic"><enum>203.</enum><header>Employment agency
practices</header>
<subsection changed="added" id="id85cb3b1b-d1c4-45e2-abff-f78b526ab9d4" reported-display-style="italic"><enum>(a)</enum><header>Use of genetic
information</header><text>It shall be an unlawful employment practice for an
employment agency—</text>
<paragraph changed="added" id="id442cd39a-46bd-41ac-8706-86dfd085191b" reported-display-style="italic"><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 changed="added" id="id5b1fd1a7-f873-4516-9419-ea6402f8c2a8" reported-display-style="italic"><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 changed="added" id="id1fce40a3-8e74-46a4-a4d6-623049f7fe95" reported-display-style="italic"><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 changed="added" id="id5f8e59d3-d58b-4539-8334-810b764eae07" reported-display-style="italic"><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 changed="added" id="id93cc00ed-416f-4f90-a45c-8d0b360f59dc" reported-display-style="italic"><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 changed="added" id="id0af9bf96-1ca7-4951-bd5a-4d5d3fb5074c" reported-display-style="italic"><enum>(2)</enum><text>where—</text>
<subparagraph changed="added" id="id4d7f5f66-6f30-4e11-90fd-12f491be0096" reported-display-style="italic"><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 changed="added" id="id07b75079-9ac9-4c5c-8d51-e5bc1fffbc18" reported-display-style="italic"><enum>(B)</enum><text>the individual provides
prior, knowing, voluntary, and written authorization;</text>
</subparagraph><subparagraph changed="added" id="idd576e9c8-4d9e-49e6-ab21-07f4717a90ff" reported-display-style="italic"><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 changed="added" id="id31162b1b-3758-4a00-8919-8584df424c61" reported-display-style="italic"><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 changed="added" id="idf887b98f-4b08-46a9-9249-e9c1c73115b2" reported-display-style="italic"><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 changed="added" id="id3e0890c1-fba8-490c-94ad-e6af8497c690" reported-display-style="italic"><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 changed="added" id="idc1368c6c-8ad3-4c40-96e5-34360f8288e1" reported-display-style="italic"><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 changed="added" id="idebc3d691-3f39-4ff0-8bae-bc3f1920a309" reported-display-style="italic"><enum>(A)</enum><text>the employment agency
provides written notice of the genetic monitoring to the individual;</text>
</subparagraph><subparagraph changed="added" id="id4c4960b3-35c4-4f29-bd86-6eaf1fbfe610" reported-display-style="italic"><enum>(B)</enum><clause commented="no" display-inline="yes-display-inline" id="id3334e87f-9a46-431a-8322-870d0939966f"><enum>(i)</enum><text>the individual
provides prior, knowing, voluntary, and written authorization; or</text>
</clause><clause changed="added" id="id811a993c-c1e2-47c1-acc0-4f8454ba1f40" indent="up1" reported-display-style="italic"><enum>(ii)</enum><text>the genetic monitoring
is required by Federal or State law;</text>
</clause></subparagraph><subparagraph changed="added" id="id8f6bfc78-19dc-483c-aaaa-8bc9a691c199" reported-display-style="italic"><enum>(C)</enum><text>the individual is
informed of individual monitoring results;</text>
</subparagraph><subparagraph changed="added" id="id256c9fb4-53e3-4a3b-9bf4-c9c98a95d9b5" reported-display-style="italic"><enum>(D)</enum><text>the monitoring is in
compliance with—</text>
<clause changed="added" id="id495af6a4-9005-472a-b944-8dc46081d4a6" reported-display-style="italic"><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</external-xref> et seq.), the Federal Mine Safety and Health Act of 1977
(<external-xref legal-doc="usc" parsable-cite="usc/30/801">30 U.S.C.
801</external-xref> et seq.), 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</external-xref> et seq.); or</text>
</clause><clause changed="added" id="idda39ce17-6eb9-4c92-b76a-6f6af236682b" reported-display-style="italic"><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</external-xref> et seq.); and</text>
</clause></subparagraph><subparagraph changed="added" id="id77777a93-dd07-423b-9660-2806bcd66864" reported-display-style="italic"><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 changed="added" id="id8dcb5e77-4154-4a18-89f2-d818c8c5eaee" reported-display-style="italic"><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 changed="added" id="id62a4a0be-69f1-44fb-9233-b9d2e0503a73" reported-display-style="italic"><enum>204.</enum><header>Labor organization
practices</header>
<subsection changed="added" id="id5b080e93-ef42-44da-ada0-6954e6c926e5" reported-display-style="italic"><enum>(a)</enum><header>Use of genetic
information</header><text>It shall be an unlawful employment practice for a
labor organization—</text>
<paragraph changed="added" id="idc41a8712-9fb9-49cb-a623-a34106d9a986" reported-display-style="italic"><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 changed="added" id="id027f1fcc-cae3-49f8-9584-cd4f187a4028" reported-display-style="italic"><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 changed="added" id="id438fcc89-79ab-4c1c-b946-88c68f35a213" reported-display-style="italic"><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 changed="added" id="id87619bbd-a286-4656-900b-d2587dc7268a" reported-display-style="italic"><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 changed="added" id="id4f96dd84-79a4-4697-8250-d05bee6cc3e0" reported-display-style="italic"><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 changed="added" id="idd710f6d9-d50a-441e-9dd4-7e3febe76d65" reported-display-style="italic"><enum>(2)</enum><text>where—</text>
<subparagraph changed="added" id="id111b0bea-509f-42dc-b92e-0110985ded1c" reported-display-style="italic"><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 changed="added" id="id4bdba442-6d94-4ba7-9416-cde6f3a37dcf" reported-display-style="italic"><enum>(B)</enum><text>the member provides
prior, knowing, voluntary, and written authorization;</text>
</subparagraph><subparagraph changed="added" id="id9fe9588a-68d8-4d87-9db2-62b38751b097" reported-display-style="italic"><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 changed="added" id="id0097f01c-4864-490f-a911-26253fee7c54" reported-display-style="italic"><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 changed="added" id="id52af46ad-3a67-4ee0-b208-5da0b9e6b80a" reported-display-style="italic"><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 changed="added" id="idb1be99e9-2e73-4b13-bc72-a0e5b4c30f53" reported-display-style="italic"><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 changed="added" id="id34276e50-30bb-4cae-a80f-6616a6268200" reported-display-style="italic"><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 changed="added" id="id431334bc-2555-4040-b8e8-1571b46e93d8" reported-display-style="italic"><enum>(A)</enum><text>the labor organization
provides written notice of the genetic monitoring to the member;</text>
</subparagraph><subparagraph changed="added" id="id8ba88804-5a56-451f-b357-7f7b630495c6" reported-display-style="italic"><enum>(B)</enum><clause commented="no" display-inline="yes-display-inline" id="id8e1d236f-f7aa-4347-adf9-dfaef2f8ddca"><enum>(i)</enum><text>the member provides
prior, knowing, voluntary, and written authorization; or</text>
</clause><clause changed="added" id="id6de420a8-2cec-4950-9b80-86e2b7efe7d9" indent="up1" reported-display-style="italic"><enum>(ii)</enum><text>the genetic monitoring
is required by Federal or State law;</text>
</clause></subparagraph><subparagraph changed="added" id="idff6333de-c66c-4f65-96fb-5dcd71b7b2ac" reported-display-style="italic"><enum>(C)</enum><text>the member is informed of
individual monitoring results;</text>
</subparagraph><subparagraph changed="added" id="id81683936-ca25-4248-b590-44601596c0e5" reported-display-style="italic"><enum>(D)</enum><text>the monitoring is in
compliance with—</text>
<clause changed="added" id="idd909c942-966d-446c-a31d-c17a9b5ced9c" reported-display-style="italic"><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</external-xref> et seq.), the Federal Mine Safety and Health Act of 1977
(<external-xref legal-doc="usc" parsable-cite="usc/30/801">30 U.S.C.
801</external-xref> et seq.), 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</external-xref> et seq.); or</text>
</clause><clause changed="added" id="idf269c942-6bfe-4b36-8e6e-de677468186b" reported-display-style="italic"><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</external-xref> et seq.); and</text>
</clause></subparagraph><subparagraph changed="added" id="id32438977-7d3e-4d6b-a631-81a8771e832d" reported-display-style="italic"><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 changed="added" id="idb771991c-d325-4088-bc25-d2fcf9c1a303" reported-display-style="italic"><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 changed="added" id="idfa43c692-945f-4e1e-ade6-2d3e8103fa57" reported-display-style="italic"><enum>205.</enum><header>Training
programs</header>
<subsection changed="added" id="id30c4fa77-4281-48fd-b56b-343cc380ac2e" reported-display-style="italic"><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 changed="added" id="idf2e127c0-32e9-4ac0-a341-d11ac9b551d0" reported-display-style="italic"><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 changed="added" id="id57cf78b7-38da-4525-8e86-c50b897ea904" reported-display-style="italic"><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 changed="added" id="id4bdae452-7a9d-417b-8fac-f3a048020bf7" reported-display-style="italic"><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 changed="added" id="idf8c1f018-4f49-467f-b235-adff7d975f4e" reported-display-style="italic"><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 changed="added" id="id0908c141-1eef-4bce-bc98-766cacb2ed6c" reported-display-style="italic"><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 changed="added" id="id3c658734-7e90-4fdf-b0ec-181eaf9f238b" reported-display-style="italic"><enum>(2)</enum><text>where—</text>
<subparagraph changed="added" id="id25df655f-633f-4e98-999e-90e06b0f6502" reported-display-style="italic"><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 changed="added" id="iddb87c074-ec1e-4dee-9a9f-7261dec2de8d" reported-display-style="italic"><enum>(B)</enum><text>the individual provides
prior, knowing, voluntary, and written authorization;</text>
</subparagraph><subparagraph changed="added" id="idebb67af3-9f0b-4abb-b5bd-457dc6a24f18" reported-display-style="italic"><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 changed="added" id="idbf2b8afa-57bb-400f-a216-c937293626c3" reported-display-style="italic"><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 changed="added" id="id68dcda63-1c44-47d9-98a5-19e88bdde1be" reported-display-style="italic"><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 changed="added" id="id2184dedf-0c95-4684-bb67-98c1b7fa0a2f" reported-display-style="italic"><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 changed="added" id="id75682bcf-81eb-419a-b49b-35491b77603a" reported-display-style="italic"><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 changed="added" id="id397a2ac8-6f3a-4aee-adc7-957b27c146bb" reported-display-style="italic"><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 changed="added" id="id49296c8f-5b4c-4426-8a2c-fb7aba26acdf" reported-display-style="italic"><enum>(B)</enum><clause commented="no" display-inline="yes-display-inline" id="id79857218-4ad3-4d3f-a9a5-8bd7f897407b"><enum>(i)</enum><text>the individual
provides prior, knowing, voluntary, and written authorization; or</text>
</clause><clause changed="added" id="idee662f29-4be2-4615-a9f2-a58423c8837b" indent="up1" reported-display-style="italic"><enum>(ii)</enum><text>the genetic monitoring
is required by Federal or State law;</text>
</clause></subparagraph><subparagraph changed="added" id="ida5646abf-4f4d-44a9-9b5b-d0247101c132" reported-display-style="italic"><enum>(C)</enum><text>the individual is
informed of individual monitoring results;</text>
</subparagraph><subparagraph changed="added" id="id1533b336-12df-4a60-9c3e-5cdce77a8a79" reported-display-style="italic"><enum>(D)</enum><text>the monitoring is in
compliance with—</text>
<clause changed="added" id="id524c2a27-89a5-4540-b850-c6ae269c21e7" reported-display-style="italic"><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</external-xref> et seq.), the Federal Mine Safety and Health Act of 1977
(<external-xref legal-doc="usc" parsable-cite="usc/30/801">30 U.S.C.
801</external-xref> et seq.), 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</external-xref> et seq.); or</text>
</clause><clause changed="added" id="ida3ea2d81-cef2-470f-b631-99a9d48dd8f6" reported-display-style="italic"><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</external-xref> et seq.); and</text>
</clause></subparagraph><subparagraph changed="added" id="idc1761c42-f357-47d5-8d61-92b07bd5e401" reported-display-style="italic"><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 changed="added" id="ide2e15fd7-1703-4158-82f3-4c7a8a2df602" reported-display-style="italic"><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 changed="added" id="id225a9c99-5214-480f-af5b-2f93fe377c70" reported-display-style="italic"><enum>206.</enum><header>Confidentiality of
genetic information</header>
<subsection changed="added" id="id4f659251-eb51-474f-8cf8-5e9a21a1187a" reported-display-style="italic"><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 changed="added" id="id5745d23b-784f-47ac-bada-a8f31186d271" reported-display-style="italic"><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 changed="added" id="id587a0793-3eca-4b4c-9bbd-f62c2b178a9d" reported-display-style="italic"><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 changed="added" id="id3e216a14-948b-454f-94be-7160466060fe" reported-display-style="italic"><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 changed="added" id="id69920b07-93a2-4723-8cc1-54e41ec1af2e" reported-display-style="italic"><enum>(3)</enum><text>in response to an order
of a court, except that—</text>
<subparagraph changed="added" id="id5dcc6295-6a1e-4b2e-bbe8-163ed29c2ba0" reported-display-style="italic"><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 changed="added" id="id056b9d59-bbdf-4782-b0fb-9e0780395094" reported-display-style="italic"><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 changed="added" id="id85067602-f2e8-4c2c-a649-dba190914108" reported-display-style="italic"><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 changed="added" id="id4b0135bd-6f89-4c7b-b483-cd71a1563390" reported-display-style="italic"><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 changed="added" id="id69cae520-052e-4b95-b675-50fbc3528362" reported-display-style="italic"><enum>207.</enum><header>Remedies and
enforcement</header>
<subsection changed="added" id="id4a23f07c-6315-472d-ad4f-188ea385f216" reported-display-style="italic"><enum>(a)</enum><header>Employees covered by
title <enum-in-header>VII</enum-in-header> of the
<act-name parsable-cite="CRA64">Civil Rights Act of 1964</act-name></header>
<paragraph changed="added" id="idf48bdc40-671c-461f-8151-8fe628334f51" reported-display-style="italic"><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</external-xref> et seq.) 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</external-xref> et seq.) 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 changed="added" id="id396bdac1-c438-4f56-93b3-279ba7038bf6" reported-display-style="italic"><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 changed="added" id="id9ce87285-bb4e-4b82-ab54-c4fe4e844599" reported-display-style="italic"><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 changed="added" id="id44298539-c18f-4117-b4cc-8a75d8474e25" reported-display-style="italic"><enum>(b)</enum><header>Employees covered by
Government Employee Rights Act of 1991</header>
<paragraph changed="added" id="id0dee4e2e-b788-437e-90db-046cf01c6799" reported-display-style="italic"><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 (<external-xref legal-doc="usc" parsable-cite="usc/42/2000e-16b">42 U.S.C.
2000e–16b</external-xref>, 2000e–16c) to the Commission, or any person,
alleging a violation of section 302(a)(1) of that Act (<external-xref legal-doc="usc" parsable-cite="usc/42/2000e-16b(a)(1)">42 U.S.C.
2000e–16b(a)(1)</external-xref>) 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 changed="added" id="idbb34aba1-a814-4668-b016-bd2106037cfe" reported-display-style="italic"><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 changed="added" id="idda991fa6-358d-416a-a13f-87b57d1b69e7" reported-display-style="italic"><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 changed="added" id="id2dfe42e3-6fe3-47b8-9cfb-8addefee37b0" reported-display-style="italic"><enum>(c)</enum><header>Employees covered by
Congressional Accountability Act of 1995</header>
<paragraph changed="added" id="idf3b39073-ccbf-4217-aeb4-f67992320c3d" reported-display-style="italic"><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</external-xref> et seq.) 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(a)(1)">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 changed="added" id="id4f3d058f-4fa7-449f-9739-9192979dbed7" reported-display-style="italic"><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 changed="added" id="id32862e1d-45d6-4543-b2de-5ae0595db3eb" reported-display-style="italic"><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 changed="added" id="id4fcfe238-56bf-4dc8-a000-77b4f5725c12" reported-display-style="italic"><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</external-xref> et seq.) 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(a)(1)">2
U.S.C. 1311(a)(1)</external-xref>).</text>
</paragraph></subsection><subsection changed="added" id="id4bfb4320-03ed-421a-adc8-2112f3d84507" reported-display-style="italic"><enum>(d)</enum><header>Employees covered by
chapter <enum-in-header>5</enum-in-header> of title
<enum-in-header>3</enum-in-header>, United States Code</header>
<paragraph changed="added" id="id486bb759-7cef-403f-ab14-f116eb67a08b" reported-display-style="italic"><enum>(1)</enum><header>In
general</header><text>The powers, remedies, and procedures provided in chapter
5 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 changed="added" id="id1e4dcc0c-584e-4615-bdd3-a100b6be1498" reported-display-style="italic"><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 changed="added" id="id4fcb1295-02a5-4e1e-a296-d870e926f2f2" reported-display-style="italic"><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 changed="added" id="id7038e78c-577b-4e84-814f-bb435c2ee659" reported-display-style="italic"><enum>(e)</enum><header>Employees covered by
Section <enum-in-header>717</enum-in-header> of the
<act-name parsable-cite="CRA64">Civil Rights Act of 1964</act-name></header>
<paragraph changed="added" id="id08e36ad1-2442-456c-927b-067f99bcb833" reported-display-style="italic"><enum>(1)</enum><header>In
general</header><text>The powers, remedies, and procedures provided in
<external-xref legal-doc="act" parsable-cite="CRA64/717">section
717</external-xref> 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 changed="added" id="idf7754314-1c26-4a94-9171-d8c2c9b2a380" reported-display-style="italic"><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 changed="added" id="id235dfa73-68c4-4471-8040-e5018326ef45" reported-display-style="italic"><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 changed="added" id="idd5ae4b3e-1670-4158-a069-65b12170b57b" reported-display-style="italic"><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 changed="added" id="id79b4f454-5637-47eb-a96e-1d4e1f6efbf4" reported-display-style="italic"><enum>208.</enum><header>Disparate
impact</header>
<subsection changed="added" id="id4ab22f82-aa0a-4de9-847b-d959388f9616" reported-display-style="italic"><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
<external-xref legal-doc="act" parsable-cite="CRA64/703(k)">section
703(k)</external-xref> of the <act-name parsable-cite="CRA64">Civil Rights Act
of 1964</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/2000e-d(k)">42 U.S.C. 2000e–d(k)</external-xref>), on the
basis of genetic information does not establish a cause of action under this
Act.</text>
</subsection><subsection changed="added" id="id77819a44-89d7-4413-bacf-80c27a17c3ef" reported-display-style="italic"><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 changed="added" id="idda0e7d31-d4b8-4f42-bcbe-917f71b183b1" reported-display-style="italic"><enum>(c)</enum><header>Membership</header>
<paragraph changed="added" id="ideaf03d92-c9d3-4ac2-ba3f-335a7dd37be9" reported-display-style="italic"><enum>(1)</enum><header>In
general</header><text>The Commission shall be composed of 8 members, of
which—</text>
<subparagraph changed="added" id="idd65df4da-9398-4023-b94d-91552e569e0b" reported-display-style="italic"><enum>(A)</enum><text>1 member shall be
appointed by the Majority Leader of the Senate;</text>
</subparagraph><subparagraph changed="added" id="id2efd04ae-f5d0-43ff-879e-e8fac9c2bf08" reported-display-style="italic"><enum>(B)</enum><text>1 member shall be
appointed by the Minority Leader of the Senate;</text>
</subparagraph><subparagraph changed="added" id="ida489a246-49b0-462d-97a7-cb0e1be53bad" reported-display-style="italic"><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 changed="added" id="ide2933ac7-f352-403f-8f86-512f1edd622e" reported-display-style="italic"><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 changed="added" id="id78f0fa5f-5b3f-41c7-8ef7-049ba0fd99ae" reported-display-style="italic"><enum>(E)</enum><text>1 member shall be
appointed by the Speaker of the House of Representatives;</text>
</subparagraph><subparagraph changed="added" id="idd1342897-0240-42aa-b4e6-9086105de4fc" reported-display-style="italic"><enum>(F)</enum><text>1 member shall be
appointed by the Minority Leader of the House of Representatives;</text>
</subparagraph><subparagraph changed="added" id="idc2256989-3f4e-48f4-8631-8aa3250696c4" reported-display-style="italic"><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 changed="added" id="id31bd458a-5090-4a02-9e02-2935bab1db5f" reported-display-style="italic"><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 changed="added" id="id7432163a-b82a-4767-8d37-2bac79e9235b" reported-display-style="italic"><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 chapter 57 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 changed="added" id="id504bd9d0-b02b-46c1-84d7-eadf887af52b" reported-display-style="italic"><enum>(d)</enum><header>Administrative
provisions</header>
<paragraph changed="added" id="idd64d251b-6dc0-447d-80fc-c32ae1427c30" reported-display-style="italic"><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 changed="added" id="idaba79fb2-fd23-48b7-953c-29453cd5394f" reported-display-style="italic"><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 changed="added" id="idfc04485a-4877-4c4f-baf5-4034a21a9bdd" reported-display-style="italic"><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 changed="added" id="id490191ec-4687-4204-848c-5db77c49cbf9" reported-display-style="italic"><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 changed="added" id="id1edfc025-3f34-40af-b264-9b3fd93d11da" reported-display-style="italic"><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 changed="added" id="id0a1e9045-f48a-4fc9-adf0-e21fefe25ad8" reported-display-style="italic"><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 changed="added" id="idcdce61eb-ff09-4c26-9031-3917ce9c6a7b" reported-display-style="italic"><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 changed="added" id="iddfccf149-383f-49d2-a4e7-1cb93cbf929a" reported-display-style="italic"><enum>209.</enum><header>Construction</header><text display-inline="no-display-inline">Nothing in this title shall be construed
to—</text>
<paragraph changed="added" id="id9cda0071-1259-4848-b286-7d1d9e6d77cc" reported-display-style="italic"><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</external-xref> et seq.), 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</external-xref> et seq.);</text>
</paragraph><paragraph changed="added" id="idb2331caa-1642-4cef-a62c-899be94a34dd" reported-display-style="italic"><enum>(2)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="ida68727f1-0540-46c6-9731-b015ace1659b"><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 changed="added" id="id530ddd57-e259-47cf-b990-bfd06bf5e90d" indent="up1" reported-display-style="italic"><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 changed="added" id="id825eb71a-90a7-4efe-a172-582e059ff185" reported-display-style="italic"><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 changed="added" id="id3f909426-bc56-458f-8eee-f5e84bf2b625" reported-display-style="italic"><enum>(4)</enum><text>apply to the Armed Forces
Repository of Specimen Samples for the Identification of Remains;</text>
</paragraph><paragraph changed="added" id="iddd248052-8270-414e-815a-c5e4db8a50b0" reported-display-style="italic"><enum>(5)</enum><text>limit or expand the
protections, rights, or obligations of employees or employers under applicable
workers’ compensation laws;</text>
</paragraph><paragraph changed="added" id="id4ec2065b-33c0-4de2-9634-69683c0e0075" reported-display-style="italic"><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 changed="added" id="ide6592ec3-2aed-4484-b7dd-2db77cb0974f" reported-display-style="italic"><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 changed="added" id="id65f4a684-56f6-42e8-ad55-ff3e69e124bb" reported-display-style="italic"><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 changed="added" id="idb54b8b1f-e562-4222-b083-e55239bdbf87" reported-display-style="italic"><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 changed="added" id="id38893927-e628-4496-8a69-af35c89faaa8" reported-display-style="italic"><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 changed="added" commented="no" display-inline="no-display-inline" id="id26dcd562-ffe2-4586-9649-851659d92fec" reported-display-style="italic" section-type="subsequent-section"><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 changed="added" id="idA0AC7A6A5AD0499D819956F10B5A1607" reported-display-style="italic"><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>
February 10, 2005
Reported with an amendment