Title I, SEC. 1011. GENERAL RULE OF ENROLLMENT OF FAMILY IN SAME HEALTH PLAN. 
      (a) In General. Except as provided in this part or otherwise, all members 
    of the same family (as defined in subsection (b)) shall be enrolled in the 
    same applicable health plan. 

      (b) Family Defined. In this Act, unless otherwise provided, the term 
    ``family'' 

        (1) means, with respect to an eligible individual who is not a child 
      (as defined in subsection (c)), the individual; and 

        (2) includes the following persons (if any): 

          (A) The individual's spouse if the spouse is an eligible individual. 

          (B) The individual's children (and, if applicable, the children of 
        the individual's spouse) if they are eligible individuals. 

      (c) Classes of Family Enrollment; Terminology. 

        (1) In general. In this Act, each of the following is a separate class 
      of family enrollment under this Act: 

          (A) Coverage only of an individual (referred to in this Act as the 
        ``individual'' class of enrollment). 

          (B) Coverage of a married couple without children (referred to in 
        this Act as the ``couple-only'' class of enrollment). 

          (C) Coverage of an unmarried individual and one or more children 
        (referred to in this Act as the ``single parent'' class of enrollment). 

          (D) Coverage of a married couple and one or more children (referred 
        to in this Act as the ``dual parent'' class of enrollment). 

        (2) References to family and couple classes of enrollment. In this Act: 

          (A) Family. The term ``family'', with respect to a class of 
        enrollment, refers to enrollment in a class of enrollment described in 
        subparagraph (B), (C), or (D) of paragraph (1). 

          (B) Couple. The term ``couple'', with respect to a class of 
        enrollment, refers to enrollment in a class of enrollment described in 
        subparagraph (B) or (D) of paragraph (1). 

      (d) Spouse; Married; Couple. 

        (1) In general. In this Act, the terms ``spouse'' and ``married'' mean, 
      with respect to a person, another individual who is the spouse of the 
      person or married to the person, as determined under applicable State 
      law. 

        (2) Couple. The term ``couple'' means an individual and the 
      individual's spouse. 

      (e) Child Defined. 

        (1) In general. In this Act, except as otherwise provided, the term 
      ``child'' means an eligible individual who (consistent with paragraph 
      (3)) 

          (A) is under 18 years of age (or under 24 years of age in the case of 
        a full-time student), and 

          (B) is a dependent of an eligible individual. 

        (2) Application of State law. Subject to paragraph (3), determinations 
      of whether a person is the child of another person shall be made in 
      accordance with applicable State law. 

        (3) National rules. The National Health Board may establish such 
      national rules respecting individuals who will be treated as children as 
      the Board determines to be necessary. Such rules shall be consistent with 
      the following principles: 

          (A) Step and foster child. A child includes a step child or foster 
        child who is an eligible individual living with an adult in a regular 
        parent-child relationship. 

          (B) Disabled child. A child includes an unmarried dependent eligible 
        individual regardless of age who is incapable of self-support because 
        of mental or physical disability which existed before age 21. 

          (C) Certain 3-generation families. A child includes the grandchild of 
        an individual, if the parent of the grandchild is a child and the 
        parent and grandchild are living with the grandparent. 

          (D) Treatment of emancipated minors and married individuals. An 
        emancipated minor or married individual shall not be treated as a 
        child. 

      (f) Additional Rules. The Board shall provide for such additional 
    exceptions and special rules, including rules relating to 

        (1) families in which members are not residing in the same area, 

        (2) the treatment of individuals who are under 19 years of age and who 
      are not a dependent of an eligible individual, and 

        (3) changes in family composition occurring during a year, 

        as the Board finds appropriate.