ERISA Clarification Act of 2003 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to allow State causes of action to enforce determinations under group health plans regarding coverage of any item or service based on its medical necessity or appropriateness. (Provides that ERISA's general preemption of State causes of action is not to be construed as precluding these specific causes of action.)
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