PUBLIC LAW 101-239—DEC. 19, 1989 103 STAT. 2297 (1) SUBSECTION (B).—Section 2201(b) of the Public Health Service Act (42 U.S.C. 300bb -l(b)) is amended by striking the matter after and below paragraph (2). (2) EFFECTIVE DATE.—The amendment made by paragraph (1) shall apply to years beginning after December 31, 1986. (b) SECTION 2202.— (1) PARAGRAPH (2)(A).— (A) IN GENERAL. —Section 2202(2)(A) of the Public Health Service Act (42 U.S.C. 300bb-2(2)(A)) is amended by adding at the end the following new clause: "(iv) QUALIFYING EVENT INVOLVING MEDICARE ^^ ENTITLEMENT.—In the Case of an event described in section 2203(4) (without regard to whether such event is a qualifying event), the period of coverage for qualified beneficiaries other than the covered employee for such event or any subsequent qualifying event shall not terminate before the close of the 36-month period beginning on the date the covered employee becomes entitled to benefits under title XVIII of the Social Security Act. " (B) EFFECTIVE DATE.— The amendments made 1^ this paragraph shall apply to plan years beginning after Decem- ber 31, 1989. (2) PARAGRAPH (2)(D).— (A) IN GENERAL. —Section 2202(2)(D) of the Public Health Service Act (42 U.S.C. 300bb-2(2)(D)) is amended— (i) in the heading for such paragraph, by striking "ELIGIBIIJTY" and inserting "ENTITLEMENT"; and (ii) in clause (i), by inserting before the comma the following: "which does not contain any exclusion or limitation with respect to any preexisting condition of such beneficiary". (B) EFFECTIVE DATE.— The amendments made by subpara- graph (A) shall apply to^ (i) qualifying events occurring after December 31, 1989, and (ii) in the case of qualified beneficiaries who elected continuation coverage after December 31, 1988, the period for which the required premium was paid (or was attempted to be paid but was rejected as such). (3) PARAGRAPH (3). — (A) IN GENERAL.— Section 2202(3) of the Public Health Service Act (42 U.S.C. 300bb-2(3)) is amended by amending the matter after and below subparagraph (B) to read as follows: "In no event may the plan require the payment of any premium before the day which is 45 days after the day on which the qualified beneficiary made the initial election for continuation coverage.". (B) EFFECTIVE DATE. —The amendment made by subpara- raph (A) shall apply to plan years beginning after Decem- ir 31, 1989. (c) SECTION 2208. — (1) PARAGRAPH (2).— Section 2208(2) of the Public Health Serv- ice Act (42 U.S.C. 300bb-8(2)) is amended by striking "the individual's employment or previous employment with an em- ployer" and inserting "the performance of services by the grs bei 42 USC 300bb-l note. 42 USC 300bb-2 note. 42 USC 300bb-2 note. 42 USC 300bb-2 note.
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