Small Business Health Fairness Act of 2003
| Date | Chamber | What was voted on | Result | Yes–No | |
|---|---|---|---|---|---|
| Jun 19, 2003 | House · vote #296 | On Passage | Passed | 262–162 | See who voted → |
| Jun 19, 2003 | House · vote #295 | On Motion to Recommit with Instructions | Failed | 192–230 | See who voted → |
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
| Amendment | Sponsor | Status |
|---|---|---|
| HAMDT 174 | — | Failed |
| HAMDT 175 | — | Pending |
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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.
Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
- Engrossed in House Formatted Text PDF
- Introduced in House Formatted Text PDF
- Referred in Senate Formatted Text PDF
- Reported in House Formatted Text PDF
Cite this page
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/
"H.R. 660: Small Business Health Fairness Act of 2003." 108th Congress, 2026, Open America, https://openamerica.io/bill/108-HR-660/.
H.R. 660, 108th Cong. (2026), https://openamerica.io/bill/108-HR-660/.
[H.R. 660: Small Business Health Fairness Act of 2003](https://openamerica.io/bill/108-HR-660/)