House File 2018 - Introduced HOUSE FILE 2018 BY PETERSEN A BILL FOR An Act requiring coverage for immunizations for influenza 1 that are administered at any location and providing an 2 applicability date. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 4 TLSB 5284YH (2) 83 av/sc

H.F. 2018 Section 1. Section 514C.21, Code 2009, is amended to read 1 as follows: 2 514C.21 Coverage for immunizations —— mercury . 3 1. Third-party payment provider contracts or policies 4 delivered, issued for delivery, continued, or renewed in this 5 state on or after January 1, 2006, that provide reimbursement 6 for immunizations shall provide reimbursement for immunizations 7 containing no more than trace amounts of mercury at the 8 acquisition cost rate for immunizations containing no more than 9 trace amounts of mercury. For the purposes of this section, 10 “trace amounts” means trace amounts as defined by the United 11 States food and drug administration. 12 2. Third-party payment provider contracts or policies 13 delivered, issued for delivery, continued, or renewed in this 14 state on or after July 1, 2010, that provide reimbursement for 15 immunizations shall provide reimbursement for immunizations for 16 influenza that are administered at any location so long as the 17 immunization is administered by a health care provider who is 18 licensed to administer immunizations for influenza. 19 2. 3. For the purposes of this section, “third-party 20 payment provider contracts or policies” includes: 21 a. Individual or group accident and sickness insurance 22 providing coverage on an expense-incurred basis. 23 b. An individual or group hospital or medical service 24 contract issued pursuant to chapter 509, 514, or 514A. 25 c. An individual or group health maintenance organization 26 contract regulated under chapter 514B. 27 d. An organized delivery system licensed by the director of 28 public health. 29 EXPLANATION 30 This bill provides that third-party payment provider 31 contracts or policies that provide reimbursement for 32 immunizations, must provide reimbursement for immunizations for 33 influenza that are administered at any location by a health 34 care provider who is licensed to administer such immunizations. 35 -1- LSB 5284YH (2) 83 av/sc 1/ 2

H.F. 2018 The bill is applicable to contracts or policies that are 1 delivered, issued for delivery, continued, or renewed in this 2 state on or after July 1, 2010. 3 -2- LSB 5284YH (2) 83 av/sc 2/ 2