Bill Text: IA HF492 | 2017-2018 | 87th General Assembly | Introduced
Bill Title: A bill for an act requiring health care benefit coverage for certain preventive services, and including effective date and applicability provisions.
Spectrum: Partisan Bill (Democrat 10-0)
Status: (Introduced - Dead) 2017-03-02 - Introduced, referred to Human Resources. H.J. 497. [HF492 Detail]
Download: Iowa-2017-HF492-Introduced.html
House File 492 - Introduced HOUSE FILE BY BENNETT, BROWN=POWERS, HUNTER, ABDUL=SAMAD, KEARNS, T. TAYLOR, MEYER, RUNNING=MARQUARDT, FINKENAUER, and M. SMITH A BILL FOR 1 An Act requiring health care benefit coverage for certain 2 preventive services, and including effective date and 3 applicability provisions. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: TLSB 2248YH (5) 87 pf/nh PAG LIN 1 1 Section 1. NEW SECTION. 514C.31 Preventive services == 1 2 coverage. 1 3 1. Notwithstanding the uniformity of treatment requirements 1 4 of section 514C.6, an individual or group policy, contract, 1 5 or plan providing for third=party payment or prepayment 1 6 of health or medical expenses shall provide coverage for 1 7 preventive services as specified in section 2713 of the 1 8 federal Patient Protection and Affordable Care Act, Pub. L. No. 1 9 111=148, without the imposition of copayments, deductibles, or 1 10 co=insurance on patients receiving these services. 1 11 2. The provisions of this section shall apply to all of the 1 12 following classes of third=party payment provider policies, 1 13 contracts, or plans delivered, issued for delivery, continued, 1 14 or renewed in this state: 1 15 a. Individual or group accident and sickness insurance 1 16 providing coverage on an expense=incurred basis. 1 17 b. An individual or group hospital or medical service 1 18 contract issued pursuant to chapter 509, 514, or 514A. 1 19 c. An individual or group health maintenance organization 1 20 contract regulated under chapter 514B. 1 21 d. An individual or group Medicare supplemental policy, 1 22 unless coverage pursuant to such policy is preempted by federal 1 23 law. 1 24 e. A plan established pursuant to chapter 509A for public 1 25 employees. 1 26 3. This section shall not apply to accident=only, specified 1 27 disease, short=term hospital or medical, hospital confinement 1 28 indemnity, credit, dental, vision, long=term care, basic 1 29 hospital, and medical=surgical expense coverage as defined 1 30 by the commissioner, disability income insurance coverage, 1 31 coverage issued as a supplement to liability insurance, 1 32 workers' compensation or similar insurance, or automobile 1 33 medical payment insurance. 1 34 4. The commissioner of insurance shall adopt rules pursuant 1 35 to chapter 17A as necessary to administer this section. 2 1 Sec. 2. CONTINGENT IMPLEMENTATION. The implementation of 2 2 this Act is contingent upon the repeal of the federal Patient 2 3 Protection and Affordable Care Act, Pub. L. No. 111=148, in 2 4 a manner that does not replace the coverage for preventive 2 5 services as specified in section 2713 of the of the federal 2 6 Patient Protection and Affordable Care Act, Pub. L. No. 2 7 111=148, without the imposition of copayments, deductibles, 2 8 or co=insurance on patients receiving these services. The 2 9 commissioner of insurance shall notify the Iowa Code editor of 2 10 the effective date of such repeal. 2 11 Sec. 3. EFFECTIVE UPON ENACTMENT. This Act, being deemed of 2 12 immediate importance, takes effect upon enactment. 2 13 Sec. 4. APPLICABILITY. This Act applies to third=party 2 14 payment provider policies, contracts, and plans, as specified 2 15 in section 514C.31, as enacted in this Act, that are delivered, 2 16 issued for delivery, continued, or renewed in this state on 2 17 or after the effective date of the repeal of the federal 2 18 Patient Protection and Affordable Care Act, Pub. L. No. 2 19 111=148, in a manner that does not replace the coverage 2 20 for preventive services as specified in section 2713 of the 2 21 federal Patient Protection and Affordable Care Act, Pub. L. No. 2 22 111=148, without the imposition of copayments, deductibles, or 2 23 co=insurance on patients receiving these services as specified 2 24 by the commissioner of insurance in the notification of the 2 25 Iowa Code editor of such repeal. 2 26 EXPLANATION 2 27 The inclusion of this explanation does not constitute agreement with 2 28 the explanation's substance by the members of the general assembly. 2 29 This bill provides that an individual or group policy, 2 30 contract, or plan providing for third=party payment or 2 31 prepayment of health or medical expenses shall provide coverage 2 32 for preventive services as specified in section 2713 of the 2 33 federal Patient Protection and Affordable Care Act, without 2 34 the imposition of copayments, deductibles, or co=insurance on 2 35 patients receiving these services. The bill specifies the 3 1 classes of third=party payment provider policies, contracts, or 3 2 plans delivered, issued for delivery, continued, or renewed in 3 3 this state to which the requirement is and is not applicable 3 4 and requires the commissioner of insurance to adopt rules to 3 5 administer the bill. 3 6 The bill takes effect upon enactment but implementation 3 7 of the bill is contingent upon the repeal of the federal 3 8 Patient Protection and Affordable Care Act in a manner that 3 9 does not replace the coverage for preventive services without 3 10 the imposition of copayments, deductibles, or co=insurance 3 11 on patients receiving these services. The commissioner of 3 12 insurance shall notify the Iowa Code editor of the effective 3 13 date of such repeal. 3 14 The bill is applicable to third=party payment provider 3 15 policies, contracts, and plans that are delivered, issued for 3 16 delivery, continued, or renewed in this state on or after the 3 17 effective date of the repeal of the federal Patient Protection 3 18 and Affordable Care Act in a manner that does not replace the 3 19 coverage for preventive services without the imposition of 3 20 copayments, deductibles, or co=insurance on patients receiving 3 21 these services, as specified by the commissioner of insurance 3 22 in the notification of the Iowa Code editor of such repeal. LSB 2248YH (5) 87 pf/nh
