PUBLIC LAW 103-66 —AUG. 10, 1993 107 STAT. 377 (A) in the first sentence, by striking "or fiduciary" and inserting "fiduciary, or any person referred to in section lOKfXl)"; and (B) in the second sentence, by striking "subsection (a)(l)(B)" and inserting "paragraphs (I)(B) and (7) of subsection (a)". (4) EFFECT ON OTHER LAWS.—Section 514 of such Act (29 U.S.C. 1144) is amended— (A) in subsection (b)(7)(D), by inserting ", qualified medical child support orders (within the meaning of section 609(a)(2)(A)), and the provisions of law referred to in section 609(a)(2)(B)(ii) to the extent enforced by qualified medical child support orders" before the period; and (B) by striking subsection (b)(8) and inserting the following: "(8) Subsection (a) of this section shall not be construed to preclude any State cause of action— "(A) with respect to which the State exercises its acquired rights under section 609(b)(3) with respect to a group health plan (as defined in section 607(1)), or "(B) for recoupment of payment with respect to items or services pursuant to a State plan for medical assistance approved under title XIX of the Social Security Act which would not have been payable if such acquired rights had been executed before pa3anent with respect to such items or services by the group health plan."; (5) CLERICAL AMENDMENTS.— (A) The heading for part 6 of subtitle B of title I of such Act is amended to read as follows: "PART 6—GROUP HEALTH PLANS". (B) The table of contents in section 1 of such Act is amended— (i) by striking the item relating to the heading for part 6 of subtitle B of title I and inserting the following: "PART 6—GROUP HEALTH PLANS"; and (ii) by inserting after the item relating to section 608 the following new item: "Sec. 609. Additional standards for group health plans.". (d) EFFECTIVE DATE. — 29 USC 1021 (1) IN GENERAL. — The amendments made by this section "°*®- shall take effect on the date of the enactment of this Act. (2) PLAN AMENDMENTS NOT REQUIRED UNTIL JANUARY 1, 1994. —Any amendment to a plan required to be made by an amendment made by this section shall not be required to be made before the first plan year beginning on or after January 1, 1994, if— (A) during the period after the date before the date of the enactment of this Act and before such first plan year, the plan is operated in accordance with the requirements of the amendments made by this section, and
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