Text: H05621 Text: H05623 Text: H05600 - H05699 Text: H Index Bills and Amendments: General Index Bill History: General Index
Get Version To Print
This file contains UNDERSCORE. If you cannot see the UNDERSCORE attribute or would like to change how this attribute is displayed, please use the following form to make the desired change.
-->
PAG LIN
1 1 Amend the amendment, H-5102, to House File 2298 as
1 2 follows:
1 3 #1. Page 1, line 3, by striking the word "clause."
1 4 and inserting the following: "clause and inserting
1 5 the following:
1 6 "Section 1. PATIENT ACCESS TO TYPES OF PHYSICIANS
1 7 AND PROVIDERS UNDER MANAGED CARE HEALTH PLAN OR
1 8 INDEMNITY PLAN WITH LIMITED PROVIDER NETWORK –
1 9 LEGISLATIVE STUDY.
1 10 1. The legislative council is requested to
1 11 establish an interim committee to conduct a study
1 12 relating to patient access to providers under managed
1 13 care plans or indemnity plans with limited provider
1 14 networks. The study shall address the following
1 15 issues:
1 16 a. The financial and organizational impact upon
1 17 managed care plans resulting from direct access to
1 18 each type of physician licensed under chapters 148,
1 19 150A, and 151, and to each type of medical provider
1 20 licensed pursuant to Title IV, subtitle 3.
1 21 b. The financial impact upon business
1 22 organizations who sponsor or participate in managed
1 23 care plans.
1 24 c. The financial impact upon subscribers or
1 25 members of managed care plans.
1 26 d. The impact upon administrators, organizers, and
1 27 third-party payers who participate in such plans.
1 28 e. Alternative reactions anticipated by business
1 29 organizations if health care costs increase as a
1 30 result of providing direct access to medical
1 31 providers, such as reduction of insurance coverages,
1 32 dropping retirees from coverage or limiting such
1 33 coverage, or encouraging more Medicare or medicaid
1 34 beneficiaries to join health maintenance
1 35 organizations.
1 36 f. The impact and effect of the federal Employee
1 37 Retirement Income Security Act upon insurance plans
1 38 and programs and the likelihood of businesses becoming
1 39 self-insured under the provisions of that Act and
1 40 thereby avoiding state legislative or regulatory
1 41 oversight.
1 42 g. The impact upon Medicare and medicaid
1 43 beneficiaries as well as persons who are subscribers
1 44 or members of public health coverage plans.
1 45 h. The feasibility of the commissioner of
1 46 insurance regulating organized delivery systems and
1 47 preferred provider organizations.
1 48 i. Such additional information and issues as
1 49 deemed appropriate by the legislative council.
1 50 2. Membership on the committee is requested to be
2 1 composed of legislators representing both houses of
2 2 the general assembly and both political parties. The
2 3 legislative council shall contract with an independent
2 4 actuary or consulting firm to assist in completing the
2 5 study and shall provide funds to conduct the study
2 6 from moneys available to the legislative council
2 7 pursuant to section 2.12. In conducting the study,
2 8 the legislative council may appoint advisory members
2 9 from the business community, health care providers,
2 10 and the insurance industry to assist the committee or
2 11 may call upon representatives of these interests to
2 12 provide information to the committee.
2 13 3. The committee shall provide periodic reports as
2 14 deemed necessary by the council and submit a final
2 15 report and recommendations to the general assembly not
2 16 later than March 1, 1997."
2 17 # . Title page, line 1, by inserting after the
2 18 word "Act" the following: "establishing a study".
2 19 # . Title page, line 3, by striking the word
2 20 "physicians" and inserting the following:
2 21 "providers"."
2 22
2 23
2 24
2 25 JACOBS of Polk
2 26
2 27
2 28
2 29 METCALF of Polk
2 30
2 31
2 32
2 33 CARROLL of Poweshiek
2 34
2 35
2 36
2 37 CHURCHILL of Polk
2 38
2 39
2 40
2 41 HALVORSON of Clayton
2 42
2 43
2 44
2 45 GRUNDBERG of Polk
2 46 HF 2298.236 76
2 47 mj/jj
Text: H05621 Text: H05623 Text: H05600 - H05699 Text: H Index Bills and Amendments: General Index Bill History: General Index
Iowa General Assembly
Search: House Bills and Amendments (76th General Assembly)
© 1996 Cornell College and League of Women Voters of Iowa
Comments? webmaster@legis.iowa.gov.
Last update: Wed Mar 27 03:25:29 CST 1996
URL: /DOCS/GA/76GA/Legislation/H/05600/H05622/960326.html
jhf