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LegalText 42 U.S.C. § 300gg61 Enforcement us united_states_code code_section 42 THE PUBLIC HEALTH AND WELFARE 6A PUBLIC HEALTH SERVICE 300gg61 42 U.S.C. § 300gg61 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/s300gg61 data/legal/raw/us/code/title-42/usc42.xml 2c03e03d15439703e392d5861b6c60f4be7fffd4430cf57cdede1ef067dbfdbe 644321055a08eb1f260a6a3e31ac157fa024756abf612a9fd6857e7e400cf24e 8dc52aa0163b32f3b94026a3bc0791298c12e3607e7024cf1ae980e840fd16c9 2026-07-04 official
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42 U.S.C. § 300gg61 - Enforcement

Text

(a) State enforcement (1) State authority Subject to section 300gg62 of this title, each State may require that health insurance issuers that issue, sell, renew, or offer health insurance coverage in the State in the individual market meet the requirements established under this part with respect to such issuers.

(2) Failure to implement requirements In the case of a State that fails to substantially enforce the requirements set forth in this part with respect to health insurance issuers in the State, the Secretary shall enforce the requirements of this part under subsection (b) insofar as they relate to the issuance, sale, renewal, and offering of health insurance coverage in the individual market in such State.

(b) Secretarial enforcement authority 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 300gg22(b)(2) of this title, and section 300gg22(b)(3) of this title 11 See References in Text note below. 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.

(July 1, 1944, ch. 373, title XXVII, § 2761, formerly § 2745, as added Pub. L. 104191, title I, § 111(a), Aug. 21, 1996, 110 Stat. 1986; renumbered § 2761 and amended Pub. L. 104204, title VI, § 605(a)(2), (b)(2), Sept. 26, 1996, 110 Stat. 2941, 2942; Pub. L. 110233, title I, § 102(b)(2), May 21, 2008, 122 Stat. 895.)

Notes

Editorial Notes

References in TextSection 300gg22(b)(2) of this title, and section 300gg22(b)(3) of this title, referred to in subsec. (b), was in the original “section 2722(b)(2), and section 2722(b)(3)” and was translated as meaning section 2723(b)(2) and section 2723(b)(3) of act July 1, 1944, to reflect the probable intent of Congress and the renumbering of section 2722 as 2723 by Pub. L. 111148, title I, §§ 1001(4), 1563(c)(13)(C), formerly § 1562(c)(13)(C), title X, § 10107(b)(1), Mar. 23, 2010, 124 Stat. 130, 269, 911.

Amendments2008—Subsec. (b). Pub. L. 110233 amended subsec. (b) generally. Prior to amendment, text read as follows: “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 300gg22(b)(2) of this title in relation to the enforcement of the provisions of part A of this subchapter with respect to issuers of health insurance coverage in the small group market in the State.” 1996—Subsec. (a)(1). Pub. L. 104204 made technical amendment to reference in original act which appears in text as reference to section 300gg62 of this title.

Statutory Notes and Related Subsidiaries

Effective Date of 2008 AmendmentAmendment by Pub. L. 110233 applicable, 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 one year after May 21, 2008, and, with respect to health insurance coverage offered, sold, issued, renewed, in effect, or operated in the individual market, after the date that is one year after May 21, 2008, see section 102(d)(2) of Pub. L. 110233, set out as a note under section 300gg21 of this title.

Effective Date of 1996 AmendmentAmendment by Pub. L. 104204 applicable to health insurance coverage offered, sold, issued, renewed, in effect, or operated in the individual market on or after Jan. 1, 1998, see section 605(c) of Pub. L. 104204, set out as a note under section 300gg44 of this title.

Effective DateSection applicable with respect to health insurance coverage offered, sold, issued, renewed, in effect, or operated in the individual market after June 30, 1997, regardless of when a period of creditable coverage occurs, see section 111(b) of Pub. L. 104191, set out as a note under section 300gg41 of this title.