TITLE II--MEDICARE ADVANTAGE

Subtitle D--Additional Reforms

SEC. 232. AVOIDING DUPLICATIVE STATE REGULATION.

(a) IN GENERAL- Section 1856(b)(3) (42 U.S.C. 1395w-26(b)(3)) is amended to read as follows:

`(3) RELATION TO STATE LAWS- The standards established under this part shall supersede any State law or regulation (other than State licensing laws or State laws relating to plan solvency) with respect to MA plans which are offered by MA organizations under this part.'.

(b) CONFORMING AMENDMENT- Section 1854(g) (42 U.S.C. 1395w-24(g)) is amended by inserting `or premiums paid to such organizations under this part' after `section 1853'.

(c) EFFECTIVE DATE- The amendments made by this subsection shall take effect on the date of the enactment of this Act.