Text: SF00409 Text: SF00411 Text: SF00400 - SF00499 Text: SF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
1 1 Section 1. NEW SECTION. 514I.1 HEALTH EDUCATION AND
1 2 ADVOCACY PROGRAM ESTABLISHED.
1 3 1. A health education and advocacy program is established
1 4 in the insurance division in the department of commerce which
1 5 shall do all of the following:
1 6 a. Assist health care consumers to make more informed
1 7 choices in the health care marketplace, and to be able to
1 8 participate in decisions concerning the consumers' health
1 9 care.
1 10 b. Promote the interest of health care consumers in this
1 11 state in the health care marketplace.
1 12 2. a. The program shall provide assistance to health care
1 13 consumers for all of the following:
1 14 (1) Understanding their health care bills and third-party
1 15 coverage.
1 16 (2) Identifying improper billing or coverage
1 17 determinations.
1 18 (3) Reporting billing or coverage problems to appropriate
1 19 entities.
1 20 b. If a billing or coverage issue concerns the adequacy or
1 21 propriety of a service or treatment, the program shall refer
1 22 the matter to an appropriate professional, licensing, or
1 23 disciplinary body, as applicable. The program shall monitor
1 24 the progress of the concerns raised by health care consumers
1 25 through the referrals.
1 26 c. The program shall work with the appropriate state
1 27 agency to assist with the resolution of billing or coverage
1 28 questions as necessary.
1 29 3. a. The program shall recommend to the attorney
1 30 general, the governor, the general assembly, or any other
1 31 appropriate state agency, any measure that will promote the
1 32 interests of health care consumers in the health marketplace.
1 33 b. The program shall make an annual report to the general
1 34 assembly concerning the program's activities. The legislative
1 35 council shall appoint an advisory committee to monitor the
2 1 activities and progress of the program in satisfying the
2 2 objectives established in this section. The advisory
2 3 committee shall consist of seven members of which one member
2 4 shall represent a small employer providing health care
2 5 coverage to its employees; two members shall represent
2 6 employees, at least one of whom shall be a member of a
2 7 statewide labor organization; and four members shall represent
2 8 consumers, at least one of whom shall be a member of a
2 9 statewide consumer organization. The committee shall meet
2 10 with program staff on a regular basis to receive reports on
2 11 the activities of the program.
2 12 Sec. 2. This Act shall only be effective if the general
2 13 assembly appropriates $200,000 for 4 FTEs in the insurance
2 14 division of the department of commerce to be used to staff the
2 15 program established in this Act.
2 16 SF 410
2 17 mj/cc/26
Text: SF00409 Text: SF00411 Text: SF00400 - SF00499 Text: SF Index Bills and Amendments: General Index Bill History: General Index
Iowa General Assembly
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