Senate File 2103 - Introduced SENATE FILE 2103 BY CHELGREN A BILL FOR An Act relating to assignment of benefits for insurance 1 coverage for emergency medical services. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 5968XS (2) 87 ko/rj
S.F. 2103 Section 1. NEW SECTION . 514C.32 Emergency medical services 1 —— assignment of benefits. 2 1. A person who is the owner of any rights or benefits under 3 a policy or contract of insurance which provides for coverage 4 of emergency medical services shall be permitted to assign all 5 or any part of that person’s rights and privileges under the 6 policy or contract, including but not limited to the right to 7 designate a beneficiary and to have an individual policy or 8 contract issued in accordance with the terms of the policy or 9 contract. Such assignment shall be without prejudice to the 10 insurer for any payment the insurer makes or individual policy 11 or contract the insurer issues before receiving notice of the 12 assignment, provided that the insurer was acting in good faith. 13 If written proof of an assignment of benefits is presented 14 to an insurer, health maintenance organization, managed care 15 plan, health care plan, preferred provider organization, or 16 other third-party payor, payment shall be made directly to 17 the provider of the emergency medical services. This section 18 shall not be construed to prevent any persons from reconciling 19 duplicate payments. 20 2. For the purposes of this section, “emergency medical 21 services” means an integrated medical care delivery system to 22 provide emergency and nonemergency medical care at a scene or 23 during out-of-hospital patient transportation in an ambulance. 24 EXPLANATION 25 The inclusion of this explanation does not constitute agreement with 26 the explanation’s substance by the members of the general assembly. 27 This bill relates to insurance coverage for emergency 28 medical services. 29 The bill provides that a person who owns rights or benefits 30 under a policy or contract of insurance which provides for 31 coverage of emergency medical services must be allowed to 32 assign any or part of that person’s rights and privileges 33 under the policy or contract, including the right to designate 34 a beneficiary and to have an individual policy or contract 35 -1- LSB 5968XS (2) 87 ko/rj 1/ 2
S.F. 2103 issued. The assignment is without prejudice to an insurer that 1 makes a payment in good faith under the policy or contract 2 before receiving notice of the assignment. If written proof of 3 the assignment of benefits is presented to an insurer, health 4 maintenance organization, managed care plan, health care plan, 5 preferred provider organization, or other third-party payor, 6 the payment for coverage of emergency medical services shall 7 be made directly to the provider of the services. The bill 8 shall not be construed to prevent reconciliation of duplicate 9 payments. 10 For purposes of the bill, “emergency medical services” 11 means an integrated medical care delivery system to provide 12 emergency and nonemergency medical care at a scene or during 13 out-of-hospital patient transportation in an ambulance. 14 -2- LSB 5968XS (2) 87 ko/rj 2/ 2