Senate File 328

                                       SENATE FILE       
                                       BY  BOLKCOM, DVORSKY, HORN, KIBBIE,
                                           FRAISE, STEWART, LUNDBY,
                                           SEYMOUR, ZIEMAN, HOUSER,
                                           HATCH, and DOTZLER


    Passed Senate,  Date               Passed House, Date             
    Vote:  Ayes        Nays           Vote:  Ayes        Nays         
                 Approved                            

                                      A BILL FOR

  1 An Act relating to liability of free health clinics participating
  2    in the volunteer health care provider program.
  3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
  4 TLSB 2274SS 80
  5 pf/pj/5

PAG LIN

  1  1    Section 1.  Section 135.24, Code 2003, is amended to read
  1  2 as follows:
  1  3    135.24  VOLUNTEER HEALTH CARE PROVIDER PROGRAM ESTABLISHED
  1  4 == IMMUNITY FROM CIVIL LIABILITY.
  1  5    1.  The director shall establish within the department a
  1  6 program to provide to eligible hospitals, clinics, free
  1  7 clinics, or other health care facilities, health care referral
  1  8 programs, or charitable organizations, free medical, dental,
  1  9 and chiropractic services given on a voluntary basis by health
  1 10 care providers.  A participating health care provider shall
  1 11 register with the department and obtain from the department a
  1 12 list of eligible, participating hospitals, clinics, free
  1 13 clinics, or other health care facilities, health care referral
  1 14 programs, or charitable organizations.
  1 15    2.  The department, in consultation with the department of
  1 16 human services, shall adopt rules to implement the volunteer
  1 17 health care provider program which shall include the
  1 18 following:
  1 19    a.  Procedures for registration of health care providers
  1 20 deemed qualified by the board of medical examiners, the board
  1 21 of physician assistant examiners, the board of dental
  1 22 examiners, the board of nursing, and the board of chiropractic
  1 23 examiners.
  1 24    b.  Procedures for registration of free clinics.
  1 25    b. c.  Criteria for and identification of hospitals,
  1 26 clinics, free clinics, or other health care facilities, health
  1 27 care referral programs, or charitable organizations, eligible
  1 28 to participate in the provision of free medical, dental, or
  1 29 chiropractic services through the volunteer health care
  1 30 provider program.  A free clinic, health care facility, a
  1 31 health care referral program, a charitable organization, or a
  1 32 health care provider participating in the program shall not
  1 33 bill or charge a patient for any health care provider service
  1 34 provided under the volunteer health care provider program.
  1 35    c. d.  Identification of the services to be provided under
  2  1 the program.  The services provided may include, but shall not
  2  2 be limited to, obstetrical and gynecological medical services,
  2  3 psychiatric services provided by a physician licensed under
  2  4 chapter 148, 150, or 150A, or services provided under chapter
  2  5 151.
  2  6    3.  A health care provider providing free care under this
  2  7 section shall be considered an employee of the state under
  2  8 chapter 669 and shall be afforded protection as an employee of
  2  9 the state under section 669.21, provided that the health care
  2 10 provider has done all of the following:
  2 11    a.  Registered with the department pursuant to subsection
  2 12 1.
  2 13    b.  Provided medical, dental, or chiropractic services
  2 14 through a hospital, clinic, free clinic, or other health care
  2 15 facility, health care referral program, or charitable
  2 16 organization listed as eligible and participating by the
  2 17 department pursuant to subsection 1.
  2 18    4.  A free clinic providing free care under this section
  2 19 shall be considered a state agency solely for the purposes of
  2 20 this section and chapter 669 and shall be afforded protection
  2 21 under chapter 669 as a state agency for all claims arising
  2 22 from the provision of free care by a health care provider
  2 23 registered under subsection 3 who is providing services at the
  2 24 free clinic in accordance with this section, if the free
  2 25 clinic has registered with the department pursuant to
  2 26 subsection 1.
  2 27    4. 5.  For the purposes of this section, "charitable
  2 28 organization" means a charitable organization within the
  2 29 meaning of section 501(c)(3) of the Internal Revenue Code
  2 30 which has as its primary purpose the sponsorship or support of
  2 31 programs designed to improve the quality, awareness, and
  2 32 availability of chiropractic, dental, or medical services to
  2 33 children and to serve as a funding mechanism for provision of
  2 34 chiropractic, dental, or medical services, including but not
  2 35 limited to immunizations, to children in this state.
  3  1    5. 6.  For the purposes of this section, "health:
  3  2    a. "Free clinic" means a facility, other than a hospital or
  3  3 health care provider's office which is exempt from taxation
  3  4 under section 501(c)(3) of the Internal Revenue Code and which
  3  5 has as its primary purpose the provision of health care
  3  6 services without charge to individuals who are otherwise
  3  7 unable to pay for the services.
  3  8    b.  "Health care provider" means a physician licensed under
  3  9 chapter 148, 150, 150A, or 151, a physician assistant licensed
  3 10 and practicing under a supervising physician pursuant to
  3 11 chapter 148C, a licensed practical nurse, a registered nurse,
  3 12 or a dentist, dental hygienist, or dental assistant registered
  3 13 or licensed to practice under chapter 153.
  3 14                           EXPLANATION
  3 15    This bill provides that free clinics that provide free care
  3 16 under the volunteer health care provider program established
  3 17 within the Iowa department of public health are considered a
  3 18 state agency solely for the purpose of the state tort claims
  3 19 Act and are to be afforded protection under the state tort
  3 20 claims Act as a state agency for all claims arising from the
  3 21 provision of free care by a health care provider registered in
  3 22 accordance with program requirements who is providing services
  3 23 at the free clinic, if the free clinic has registered with the
  3 24 Iowa department of public health in accordance with the
  3 25 requirements of the program.
  3 26 LSB 2274SS 80
  3 27 pf/pj/5.1