Senate
File
2102
-
Introduced
SENATE
FILE
2102
BY
TAYLOR
A
BILL
FOR
An
Act
relating
to
acceptance
of
applications
for
health
care
1
coverage
through
the
American
health
benefits
exchange
2
created
for
this
state
pursuant
to
the
federal
Patient
3
Protection
and
Affordable
Care
Act.
4
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
5
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S.F.
2102
Section
1.
Section
249N.4,
Code
2014,
is
amended
by
adding
1
the
following
new
subsection:
2
NEW
SUBSECTION
.
7.
a.
If
an
applicant
is
eligible
3
under
subsection
1,
paragraphs
“a”
and
“b”
,
and
has
in
4
good
faith
and
in
a
timely
manner
completed
an
application
5
through
the
American
health
benefits
exchange
created
for
6
this
state
pursuant
to
the
Affordable
Care
Act,
the
coverage
7
for
benefits
shall
be
considered
bound
upon
submission
of
8
the
application
and
the
application
shall
be
provisionally
9
accepted
and
coverage
shall
begin
as
provided
in
subsection
10
5.
The
department
and
any
insurance
carrier
offering
a
11
qualified
health
plan
through
the
American
health
benefits
12
exchange
created
for
this
state
are
bound
by
this
provisional
13
acceptance.
14
b.
(1)
The
department
for
plans
administered
pursuant
15
to
section
249N.5,
subsection
2,
paragraph
“a”
,
and
16
representatives
of
qualified
health
plans
for
plans
17
administered
pursuant
to
section
249N.5,
subsection
2,
18
paragraph
“b”
,
may
require
such
an
applicant,
within
thirty
19
days
of
the
submission
of
the
application,
to
provide
any
20
missing
information
essential
to
the
original
application.
If
21
the
applicant
fails
to
provide
such
information
within
ninety
22
days
of
the
applicant’s
receipt
of
the
request
to
provide
the
23
missing
information,
the
applicant’s
coverage
may
be
terminated
24
thirty
days
after
written
notice
of
termination
is
received
by
25
the
applicant.
26
(2)
Continuation
of
coverage
during
the
time
periods
27
described
in
subparagraph
(1)
and
prior
to
full
acceptance
of
28
an
application
is
subject
to
payment
by
the
applicant
of
any
29
monthly
premiums
due
and
owing.
30
c.
If
an
applicant
submitting
an
application
under
paragraph
31
“a”
is
determined
to
be
eligible
for
medical
assistance
benefits
32
under
chapter
249A,
such
eligibility
shall
be
backdated
to
the
33
date
of
submission
of
the
application.
34
EXPLANATION
35
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2102
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
1
the
explanation’s
substance
by
the
members
of
the
general
assembly.
2
This
bill
treats
provisional
applications
for
health
care
3
coverage
through
the
American
health
benefits
exchange
created
4
for
this
state
pursuant
to
the
federal
Patient
Protection
5
and
Affordable
Care
Act,
once
submitted,
as
binding
on
the
6
department
of
human
services
and
on
private
insurance
carriers
7
offering
qualified
health
plans
through
the
American
health
8
benefits
exchange.
Information
missing
from
such
a
provisional
9
application
may
be
requested
during
a
30-day
period
after
10
the
application’s
submission,
and
if
such
information
is
11
not
provided
within
90
days,
the
applicant’s
coverage
may
12
be
terminated.
Continued
coverage
during
these
periods
of
13
provisional
acceptance
of
coverage
is
dependent
upon
payment
by
14
the
applicant
of
any
monthly
premiums
due
and
owing.
If
such
15
an
applicant
is
determined
to
be
eligible
for
regular
medical
16
assistance
(Medicaid)
benefits
under
Code
chapter
249A,
such
17
eligibility
shall
be
backdated
to
the
date
of
submission
of
the
18
application.
19
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