Excerpt: The Domenici-Kennedy Bill's substitute amendment has some remaining problem areas from the employer prospective. These issues are: 1) lack of clear federal preemption; 2) lack of protection for medical management practices; 3) an ambiguous parity test; 4) no protections from loss of health coverage or increased costs; 5) lack of a sunset provision; 6) bill should not apply to federal or state mandated mental health coverage; and 7) the bill should not apply to out-of-network benefits.