Title XI, SEC. 11001. IMPOSITION OF REQUIREMENTS 
      (a) In General. The Secretary and the Secretary of Labor shall apply the 
    provisions of this title to assure, to the extent possible, the maintenance 
    of current health care coverage and benefits during the period between the 
    enactment of the Health Security Act and the dates its provisions are 
    implemented in the various States. 

      (b) Enforcement. 

        (1) Health insurance plans. The Secretary shall enforce the 
      requirements of this title with respect to health insurance plans. The 
      Secretary shall promulgate regulations to carry out the requirements 
      under this title health insurance plans. The Secretary shall promulgate 
      regulations with respect to section 11004 within 90 days after the date 
      of the enactment of this Act. 

        (2) Self-insured plans. The Secretary of Labor shall enforce the 
      requirements of this title with respect to self-insured plans. Such 
      Secretary shall promulgate regulations to carry out the requirements 
      under this title as they relate to self-funded plans. 

        (3) Arrangements with states. The Secretary and the Secretary of Labor 
      may enter into arrangements with a State to enforce the requirements of 
      this title with respect to health insurance plans and self-insured plans 
      issued or sold, or established and maintained, in the State. 

      (c) Preemption. The requirements of this title do not preempt any State 
    law unless State law directly conflicts with such requirements. The 
    provision of additional protections under State law shall not be considered 
    to directly conflict with such requirements. The Secretary (or, in the case 
    of a self-insured plan, the Secretary of Labor) may issue letter 
    determinations with respect to whether this Act preempts a provision of 
    State law. 

      (d) Interim Final Regulations. Section 1911 shall apply to regulations 
    issued to carry out this title. The Secretary may consult with States and 
    the National Association of Insurance Commissioners in issuing regulations 
    and guidelines under this title. 

      (e) Construction. The provisions of this title shall be construed in a 
    manner that assures, to the greatest extent practicable, continuity of 
    health benefits under health benefit plans in effect on the effective date 
    of this Act. 

      (f) Special Rules for Acquisitions and Transfers. The Secretary may issue 
    regulations regarding the application of this title in the case of health 
    insurance plans (or groups of such plans) which are transferred from one 
    insurer to another insurer through assumption, acquisition, or otherwise.