Skip to main content
HR 660 108th Congress House Health Administrative fees Administrative procedure Bankruptcy Civil Rights and Liberties, Minority Issues Collective bargaining Commerce Congress Congressional reporting requirements Crime and Law Enforcement Delegation of powers Department of Labor Discrimination in insurance Discrimination in medical care Economics and Public Finance Employee health benefits Federal advisory bodies Federal preemption Federal-state relations Finance and Financial Sector

Small Business Health Fairness Act of 2003

Introduced: February 11, 2003 See on congress.gov
This bill died when the 108th Congress ended
It never became law before the 108th Congress (2003–2004) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 23 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jun 20, 2003
Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Jun 19, 2003
On passage Passed by recorded vote: 262 - 162 (Roll no. 296). (text: CR H5598-5604)
Jun 19, 2003
Motion to reconsider laid on the table Agreed to without objection.
Jun 19, 2003
On motion to recommit with instructions Failed by recorded vote: 192 - 230 (Roll no. 295).
Jun 19, 2003
The previous question on the motion to recommit with instructions was ordered without objection.
Jun 19, 2003
Floor summary: DEBATE - The House proceeded with ten minutes of debate on the McCarthy (NY) motion to recommit with instructions.
Jun 19, 2003
Mrs. McCarthy (NY) moved to recommit with instructions to Education and Labor. (consideration: CR H5636-5637; text: CR H5636)
Jun 19, 2003
DEBATE - Pursuant to the provsions of H. Res. 283, the House proceeded with one hour of debate on the Kind amendment in the nature of a substitute.
Jun 19, 2003
DEBATE - The House proceeded with one hour of debate on H.R. 660.
Jun 19, 2003
Rule provides for consideration of H.R. 660 with 1 hour of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit with or without instructions. The amendment recommended by the Committee on Education and the Workforce now printed in the bill shall be considered as adopted. Measure will be considered read. A specified amendment is in order.
Jun 19, 2003
Considered under the provisions of rule H. Res. 283. (consideration: CR H5597-5638; text of measure as reported: CR H5598-5604)
Jun 19, 2003
Rule H. Res. 283 passed House.
Jun 18, 2003
Rules Committee Resolution H. Res. 283 Reported to House. Rule provides for consideration of H.R. 660 with 1 hour of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit with or without instructions. The amendment recommended by the Committee on Education and the Workforce now printed in the bill shall be considered as adopted. Measure will be considered read. A specified amendment is in order.
Jun 16, 2003
Placed on the Union Calendar, Calendar No. 78.
Jun 16, 2003
Reported (Amended) by the Committee on Education and the Workforce. H. Rept. 108-156.
Jun 12, 2003
Ordered to be Reported (Amended) by the Yeas and Nays: 26 - 21.
Jun 12, 2003
Committee Consideration and Mark-up Session Held.
Apr 8, 2003
Forwarded by Subcommittee to Full Committee (Amended) by the Yeas and Nays: 13 - 8.
Apr 8, 2003
Subcommittee Consideration and Mark-up Session Held.
Mar 13, 2003
Subcommittee Hearings Held.
Mar 13, 2003
Referred to the Subcommittee on Employer-Employee Relations.
Feb 11, 2003
Referred to the House Committee on Education and the Workforce.
Feb 11, 2003
Introduced in House
 Votes taken on this bill 2
DateChamberWhat was voted onResultYes–No
Jun 19, 2003 House · vote #296 On Passage Passed 262162 See who voted →
Jun 19, 2003 House · vote #295 On Motion to Recommit with Instructions Failed 192230 See who voted →
 Amendments to this bill 2

Amendments propose changes to this bill. Members vote on amendments separately before the final bill vote. An agreed amendment becomes part of the bill; a failed amendment does not.

1 failed 1 pending / other

AmendmentSponsorPurposeStatusLatest action
HAMDT 174 An amendment in the nature of a substitute printed in House Report 108-160 to Require the Department of Labor… Failed Jun 19, 2003
HAMDT 175 Pending
 Ask about this bill AI · grounded in the bill text

Have a question about what this bill does? Ask in plain English; the answer is drawn from the bill's actual text and official record, and it'll tell you when something isn't in the text rather than guess.

AI answers can be imperfect; always confirm against the full bill text.

 Plain-English summary Congressional Research Service
Small Business Health Fairness Act of 2003 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to revise provisions relating to access and choice for small business employers with respect to medical care for their employees.

Establishes rules governing association health plans (group health plans whose sponsors are trade, industry, professional, chamber of commerce, or similar business associations), including requirements relating to certification, sponsors and boards of trustees, participation, coverage, plan documents, contribution rates, benefit options, applications for certification, notice for voluntary termination, corrective actions, and mandatory termination.

Requires association health plans which provide health benefits in addition to health insurance coverage to maintain certain reserves and comply with other solvency provisions. Directs the Secretary of Labor to apply for appointment, and carry out specified duties, as trustee of any such insolvent association health plans which provide health benefits in addition to health insurance coverage.

Allows a State to impose a contribution tax on any association health plan commencing operations in such State after the enactment of this Act.

Requires association health plans to include in their summary plan descriptions, in connection with each benefit option, a description of the form of any solvency or guarantee fund protection secured under ERISA or applicable State law.

Revises provisions relating to treatment of: (1) single employer arrangements; and (2) certain collectively bargained arrangements.

Provides for association health plans with respect to: (1) enforcement; (2) cooperation between Federal and State authorities; and (3) treatment of certain existing health benefit programs.

What's happening now June 20, 2003

Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

 Related & companion bills 3
 Bill text 4 versions

Source documents hosted by congress.gov.

 Committees of jurisdiction 3
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 660: Small Business Health Fairness Act of 2003. 108th Congress. Open America. https://openamerica.io/bill/108-HR-660/
MLA
"H.R. 660: Small Business Health Fairness Act of 2003." 108th Congress, 2026, Open America, https://openamerica.io/bill/108-HR-660/.
Bluebook (legal)
H.R. 660, 108th Cong. (2026), https://openamerica.io/bill/108-HR-660/.
Markdown link
[H.R. 660: Small Business Health Fairness Act of 2003](https://openamerica.io/bill/108-HR-660/)
Report a problem