42 USC § 18012 - Rating reforms must apply uniformly to all health insurance issuers and group health plans

---
identifier: "/us/usc/t42/s18012"
source: "usc"
legal_status: "official_prima_facie"
title: "42 USC § 18012 - Rating reforms must apply uniformly to all health insurance issuers and group health plans"
title_number: 42
title_name: "THE PUBLIC HEALTH AND WELFARE"
section_number: "18012"
section_name: "Rating reforms must apply uniformly to all health insurance issuers and group health plans"
chapter_number: 157
chapter_name: "QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS"
subchapter_number: "II"
subchapter_name: "OTHER PROVISIONS"
positive_law: false
currency: "119-84"
last_updated: "2026-04-17"
format_version: "1.1.0"
generator: "[email protected]"
source_credit: "(Pub. L. 111–148, title I, § 1252, Mar. 23, 2010, 124 Stat. 162.)"
---


# 1 Rating reforms must apply uniformly to all health insurance issuers and group health plans

See References in Text note below.

[^1][^1][^1]section 18041(d) of this title

Any standard or requirement adopted by a State pursuant to this title, or any amendment made by this title, shall be applied uniformly to all health plans in each insurance market to which the standard and requirements apply. The preceding sentence shall also apply to a State standard or requirement relating to the standard or requirement required by this title  (or any such amendment) that is not the same as the standard or requirement but that is not preempted under .

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**Source Credit**: (Pub. L. 111–148, title I, § 1252, Mar. 23, 2010, 124 Stat. 162.)

## Editorial Notes

### References in Text

This title, referred to in text, is title I of , , , which enacted this chapter and enacted, amended, and transferred numerous other sections and notes in the Code. For complete classification of title I to the Code, see Tables.

## Statutory Notes and Related Subsidiaries

### Effective Date

Section effective for plan years beginning on or after , see , set out as a note under .