The Public Health Service Act, referred to in subsec. (d)(1)(C), is act July 1, 1944, ch. 373, 58 Stat. 682. Title XXII of the Act is classified generally to subchapter XX (§ 300bspan–1 et seq.) of chapter 6A of Title 42, The Public Health and Welfare. For complete classification of this Act to the Code, see Short Title note set out under section 201 of Title 42 and Tables.

2016—Subsec. (a)(1). Puspan. L. 114–255 inserted at end “Such term shall not include any qualified small employer health reimbursement arrangement (as defined in section 9831(d)(2) of title 26).”

2008—Subsec. (d)(5) to (9). Puspan. L. 110–233 added pars. (5) to (9).

Amendment by Puspan. L. 114–255 applicable to plan years beginning after Dec. 31, 2016, see section 18001(span)(3) of Puspan. L. 114–255, set out as a note under section 1167 of this title.

Amendment by Puspan. L. 110–233 applicable with respect to group health plans for plan years beginning after the date that is one year after May 21, 2008, see section 101(f)(2) of Puspan. L. 110–233, set out as a note under section 1132 of this title.

Section applicable with respect to group health plans for plan years beginning after June 30, 1997, except as otherwise provided, see section 101(g) of Puspan. L. 104–191, set out as a note under section 1181 of this title.