text: SECTION 1. SHORT TITLE.
  
      This Act may be cited as the ``Guaranteed Health Coverage for Pre-
  Existing Conditions Act of 2014''.
  
  SEC. 2. PROHIBITION OF PREEXISTING CONDITION EXCLUSIONS.
  
      (a) Group Market.--Subpart 1 of part A of title XXVII of the Public 
  Health Service Act (42 U.S.C. 300gg et seq.) is amended by striking 
  section 2701 and inserting the following:
  
  ``SEC. 2701. PROHIBITION OF PREEXISTING CONDITION EXCLUSIONS.
  
      ``(a) In General.--A group health plan or a health insurance issuer 
  offering group health insurance coverage may not impose any preexisting 
  condition exclusion with respect to such plan or coverage.
      ``(b) Definitions.--For purposes of this section:
              ``(1) Preexisting condition exclusion.--
                      ``(A) In general.--The term `preexisting condition 
                  exclusion' means, with respect to a group health plan 
                  or health insurance coverage, a limitation or exclusion 
                  of benefits relating to a condition based on the fact 
                  that the condition was present before the date of 
                  enrollment in such plan or for such coverage, whether 
                  or not any medical advice, diagnosis, care, or 
                  treatment was recommended or received before such date.
                      ``(B) Treatment of genetic information.--Genetic 
                  information shall not be treated as a preexisting 
                  condition in the absence of a diagnosis of the 
                  condition related to such information.
              ``(2) Date of enrollment.--The term `date of enrollment' 
          means, with respect to an individual covered under a group 
          health plan or health insurance coverage, the date of 
          enrollment of the individual in the plan or coverage or, if 
          earlier, the first day of the waiting period for such 
          enrollment.
              ``(3) Waiting period.--The term `waiting period' means, 
          with respect to a group health plan and an individual who is a 
          potential participant or beneficiary in the plan, the period 
          that must pass with respect to the individual before the 
          individual is eligible to be covered for benefits under the 
          terms of the plan.''.
      (b) Individual Market.--Subpart 1 of part B of title XXVII of the 
  Public Health Service Act (42 U.S.C. 300gg-41 et seq.) is amended by 
  adding at the end the following:
  
  ``SEC. 2746. PROHIBITION OF PREEXISTING CONDITION EXCLUSIONS OR OTHER 
                DISCRIMINATION BASED ON HEALTH STATUS.
  
      ``The provisions of section 2701 shall apply to health insurance 
  coverage offered to individuals by a health insurance issuer in the 
  individual market in the same manner as it applies to health insurance 
  coverage offered by a health insurance issuer in the group market.''.
  
  SEC. 3. GUARANTEED AVAILABILITY OF COVERAGE.
  
      (a) Group Market.--Subpart 3 of part A of title XXVII of the Public 
  Health Service Act is amended by striking section 2711 (42 U.S.C. 
  300gg-11) and inserting the following:
  
  ``SEC. 2711. GUARANTEED AVAILABILITY OF COVERAGE.
  
      ``(a) Guaranteed Issuance of Coverage in the Group Market.--Subject 
  to subsection (b), each health insurance issuer that offers health 
  insurance coverage in the group market in a State shall accept every 
  employer and every individual in a group in the State that applies for 
  such coverage.
      ``(b) Enrollment.--
              ``(1) Restriction.--A health insurance issuer described in 
          subsection (a) may restrict enrollment in coverage described in 
          such subsection to open or special enrollment periods.
              ``(2) Establishment.--A health insurance issuer described 
          in subsection (a) shall establish special enrollment periods 
          for qualifying events (as such term is defined in section 603 
          of the Employee Retirement Income Security Act of 1974).''.
      (b) Individual Market.--Subpart 1 of part B of title XXVII of the 
  Public Health Service Act is amended by striking section 2741 of such 
  Act (42 U.S.C. 300gg-41) and inserting the following:
  
  ``SEC. 2741. GUARANTEED AVAILABILITY OF COVERAGE.
  
      ``The provisions of section 2711 shall apply to health insurance 
  coverage offered to individuals by a health insurance issuer in the 
  individual market in the same manner as such provisions apply to health 
  insurance coverage offered to employers by a health insurance issuer in 
  connection with health insurance coverage in the group market. For 
  purposes of this section, the Secretary shall treat any reference of 
  the word `employer' in such section as a reference to the term 
  `individual'.''.
  
  SEC. 4. EFFECTIVE DATE CONTINGENT ON REPEAL OF PPACA.
  
      (a) In General.--Sections 2 and 3 and the amendments made by such 
  section shall take effect upon the enactment of PPACA repeal 
  legislation described in subsection (b) and such sections and 
  amendments shall have no force or effect if such PPACA repeal 
  legislation is not enacted.
      (b) PPACA Repeal Legislation Described.--For purposes of subsection 
  (a), PPACA repeal legislation described in this subsection is 
  legislation that--
              (1) repeals Public Law 111-148, and restores or revives the 
          provisions of law amended or repealed, respectively, by such 
          Act as if such Act had not been enacted and without further 
          amendment to such provisions of law; and
              (2) repeals title I and subtitle B of title II of the 
          Health Care and Education Reconciliation Act of 2010 (Public 
          Law 111-152), and restores or revives the provisions of law 
          amended or repealed, respectively, by such title or subtitle, 
          respectively, as if such title and subtitle had not been 
          enacted and without further amendment to such provisions of 
          law.
target: Guaranteed Health Coverage for Pre-Existing Conditions Act of 2014 - Amends the Public Health Service Act to maintain, upon repeal of the Patient Protection and Affordable Care Act and the health care provisions of the Health Care and Education Reconciliation Act of 2010, the requirements that: (1) health insurance includes coverage for preexisting conditions; and (2) health insurers accept every employer and every individual in a group that applies for coverage in the group market and every individual that applies for coverage in the individual market.
feat_title: Guaranteed Health Coverage for Pre-Existing Conditions Act of 2014