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37 matching subscribers with the present ability to pay 38 with subscribers with a present financial or medical 39 need. 40 4. The organization, through its publication, 41 provides for the payment for subscriber financial or 42 medical needs through direct payments from one 43 subscriber to another. 44 5. The organization, through its publication, 45 suggests amounts to contribute that are voluntary 46 among the subscribers, with no assumption of risk or 47 promise to pay either among the subscribers or between 48 the subscribers and the publication." 49 3. Page 2, by inserting after line 2 the 50 following: Page 2 1 "Sec. ___. Section 507B.4, subsection 7, Code 2 1995, is amended by adding the following new 3 paragraph: 4 NEW PARAGRAPH. c. Making or permitting any 5 discrimination in the sale of insurance solely on the 6 basis of domestic abuse as defined in section 236.2." 7 4. Page 5, by inserting after line 9 the 8 following: 9 "Sec. ___. NEW SECTION. 514C.8 COORDINATION OF 10 HEALTH CARE BENEFITS WITH STATE MEDICAL ASSISTANCE. 11 1. An insurer, health maintenance organization, or 12 hospital and medical service plan providing health 13 care coverage to individuals in this state shall not 14 consider the availability of or eligibility for 15 medical assistance under Title XIX of the federal 16 Social Security Act and chapter 249A, when determining 17 eligibility of the individual for coverage or 18 calculating payments to the individual under the 19 health care coverage plan. 20 2. The state acquires the rights of an individual 21 to payment from an insurer, health maintenance 22 organization, or hospital or medical service plan to 23 the extent payment for covered expenses is made 24 pursuant to chapter 249A for health care items or 25 services provided to the individual. Upon 26 presentation of proof that payment was made pursuant 27 to chapter 249A for covered expenses, the insurer, 28 health maintenance organization, or hospital or 29 medical service plan shall make payment to the state 30 medical assistance program to the extent of the 31 coverage provided in the policy or contract. 32 3. An insurer shall not impose requirements on the 33 state with respect to the assignment of rights 34 pursuant to this section that are different from the 35 requirements applicable to an agent or assignee of a 36 covered individual. 37 4. For purposes of this section, "insurer" means
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