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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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