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Ingested titles 12–51 and 54 from OLRC USLM XML @119-100 (the whole Code now, uniform edition; Title 53 is reserved/empty). LegalText 11,221 -> 59,740; repo total 105,704 records. Deterministic (byte-identical rerun, verified on Title 42's 8,356 sections); make check green. make legal-us-code default now covers every title. Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
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| LegalText | 42 U.S.C. § 300bb–1 | State and local governmental group health plans must provide continuation coverage to certain individuals | us | united_states_code | code_section | 42 | THE PUBLIC HEALTH AND WELFARE | 6A | PUBLIC HEALTH SERVICE | 300bb–1 | 42 U.S.C. § 300bb–1 | current | 119-100 | 2026-06-26 | official | https://uscode.house.gov/download/releasepoints/us/pl/119/100/xml_usc42@119-100.zip | /us/usc/t42/s300bb–1 | data/legal/raw/us/code/title-42/usc42.xml | e23c251910154eb059355de2e0daaf09f91d8d6886562af7e19fae2646d2d3b8 | 644321055a08eb1f260a6a3e31ac157fa024756abf612a9fd6857e7e400cf24e | 21e9191ec697e6147754b34297552810841c602325d179dae3d283ea0868e1c4 | 2026-07-04 | official |
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42 U.S.C. § 300bb–1 - State and local governmental group health plans must provide continuation coverage to certain individuals
Text
(a) In general In accordance with regulations which the Secretary shall prescribe, each group health plan that is maintained by any State that receives funds under this chapter, by any political subdivision of such a State, or by any agency or instrumentality of such a State or political subdivision, shall provide, in accordance with this subchapter, that each qualified beneficiary who would lose coverage under the plan as a result of a qualifying event is entitled, under the plan, to elect, within the election period, continuation coverage under the plan.
(b) Exception for certain plans Subsection (a) shall not apply to—
(1) any group health plan for any calendar year if all employers maintaining such plan normally employed fewer than 20 employees on a typical business day during the preceding calendar year, or
(2) any group health plan maintained for employees by the government of the District of Columbia or any territory or possession of the United States or any agency or instrumentality.
(July 1, 1944, ch. 373, title XXII, § 2201, as added Pub. L. 99–272, title X, § 10003(a), Apr. 7, 1986, 100 Stat. 232; amended Pub. L. 101–239, title VI, § 6801(a)(1), Dec. 19, 1989, 103 Stat. 2296.)
Notes
Editorial Notes
Amendments1989—Subsec. (b). Pub. L. 101–239 struck out at end “Under regulations, rules similar to the rules of subsections (a) and (b) of section 52 of title 26 (relating to employers under common control) shall apply for purposes of paragraph (1).”
Statutory Notes and Related Subsidiaries
Effective Date of 1989 AmendmentPub. L. 101–239, title VI, § 6801(a)(2), Dec. 19, 1989, 103 Stat. 2297, provided that: “The amendment made by paragraph (1) [amending this section] shall apply to years beginning after December 31, 1986.”
Effective DatePub. L. 99–272, title X, § 10003(b), Apr. 7, 1986, 100 Stat. 236, provided that: “(1) General rule.—The amendments made by this section [enacting this subchapter] shall apply to plan years beginning on or after July 1, 1986. “(2) Special rule for collective bargaining agreements.—In the case of a group health plan maintained pursuant to one or more collective bargaining agreements between employee representatives and one or more employers ratified before the date of the enactment of this Act [Apr. 7, 1986], the amendments made by this section shall not apply to plan years beginning before the later of—“(A) the date on which the last of the collective bargaining agreements relating to the plan terminates (determined without regard to any extension thereof agreed to after the date of the enactment of this Act), or “(B) January 1, 1987. For purposes of subparagraph (A), any plan amendment made pursuant to a collective bargaining agreement relating to the plan which amends the plan solely to conform to any requirement added by this section shall not be treated as a termination of such collective bargaining agreement.”