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House Journal: Page 1314: Tuesday, April 2, 1996

The House resumed consideration of House File 2298, a bill for
an act relating to patient access through managed care plans or
indemnity plans with limited provider networks to defined
physicians, previously deferred and placed on the unfinished
business calendar.
The House stood at ease at 2:12 p.m., until the fall of the
gavel.
The House resumed session at 3:16 p.m., Speaker Corbett in the
chair.
Jacobs of Polk asked and received unanimous consent to defer
action on amendment H-5729. 
Disney of Polk offered amendment H-5129 filed by him as follows:

H-5129

 1     Amend House File 2298 as follows:
 2     1.  By striking everything after the enacting
 3   clause and inserting the following:
 4     "Section 1.  NEW SECTION.  514C.11  PATIENT ACCESS
 5   TO TYPES OF PHYSICIANS UNDER MANAGED CARE HEALTH PLAN
 6   OR INDEMNITY PLAN WITH LIMITED PROVIDER NETWORK.
 7     Notwithstanding section 514C.6, a managed care
 8   health plan or indemnity plan with a limited provider
 9   network shall provide patients direct access to each
10   type of physician, as defined in section 135.1 and
11   licensed under chapter 148, 150A, or 151, and to each
12   audiologist as defined in section 147.151, each person
13   practicing osteopathy under chapter 150, each
14   acupuncturist registered under chapter 148E, each
15   occupational therapist licensed under chapter 148B,
16   each podiatrist licensed under chapter 149, each
17   registered or practical nurse licensed under chapter
18   152, each dietician licensed under chapter 152A, each
19   respiratory care practitioner licensed under chapter
20   152B, each massage therapist licensed under chapter
21   152C, each dentist licensed under chapter 153, each
22   person engaged in the practice of optometry pursuant
23   to chapter 154, each hearing aid dealer licensed under
24   chapter 154A, each person engaged in the practice of
25   psychology subject to regulation under chapter 154B,
26   each person engaged in the practice of licensed social
27   work subject to regulation under chapter 154C, each
28   marital and family therapist licensed under chapter
29   154D, and each pharmacist licensed under chapter 155A.
30   Such direct access to a physician licensed under
31   chapter 151 shall not be conditioned upon a referral
32   by a provider licensed under another chapter.  Access
33   to a specialist may be conditioned upon a referral by
34   a primary care provider licensed under chapter 148,
35   150A, or 151, or a primary care provider who is an

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