House File 471 - Introduced



                                   HOUSE FILE       
                                   BY  UPMEYER, L. MILLER, HEATON,
                                       FORRISTALL, SODERBERG, BAUDLER,
                                       SCHULTE, ALONS, RAYHONS,
                                       TYMESON, PETTENGILL, DRAKE,
                                       DEYOE, RAECKER, GRASSLEY,
                                       COWNIE, HAGENOW, WAGNER,
                                       HUSEMAN, ARNOLD, VAN ENGELENHOVEN,
                                       WORTHAN, SWEENEY, TJEPKES,
                                       KOESTER, and PAULSEN


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

                                      A BILL FOR

  1 An Act relating to the development and implementation of uniform
  2    billing codes for third=party payors and health care
  3    providers.
  4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
  5 TLSB 2255YH 83
  6 pf/nh/5

PAG LIN



  1  1    Section 1.  NEW SECTION.  513A.8  UNIFORM BILLING BY
  1  2 THIRD=PARTY PAYORS AND HEALTH CARE PROVIDERS.
  1  3    1.  By July 1, 2010, the commissioner shall develop and
  1  4 implement, by rule, standards and requirements for a uniform
  1  5 billing system to be used by third=party payors and health
  1  6 care providers in the state.  To the greatest extent possible,
  1  7 the uniform billing system shall be implemented in an
  1  8 electronic format.  In developing the standards and
  1  9 requirements, the commissioner shall consult with third=party
  1 10 payors, health care providers, and the electronic health
  1 11 information advisory council established pursuant to section
  1 12 135.156.  Third=party payors and health care providers shall
  1 13 comply with the uniform billing system not less than six
  1 14 months after the rules become effective under chapter 17A.
  1 15    2.  As used in this section, "health care provider" means
  1 16 health care provider as defined in section 144B.1.
  1 17                           EXPLANATION
  1 18    This bill directs the commissioner of insurance to develop
  1 19 and implement, by rule, standards and requirements for a
  1 20 uniform billing system to be used by third=party payors and
  1 21 health care providers.  To the greatest extent possible, the
  1 22 uniform billing system is to be implemented in an electronic
  1 23 format.  The bill directs the commissioner to develop the
  1 24 standards and requirements in consultation with third=party
  1 25 payors, health care providers, and the electronic health
  1 26 information advisory council.  Third=party payors and health
  1 27 care providers are required to comply with the uniform billing
  1 28 system not less than six months after the rules become
  1 29 effective under Code chapter 17A.
  1 30 LSB 2255YH 83
  1 31 pf/nh/5