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House Journal: Page 619: Wednesday, March 11, 1998

35   "disenrolled." the following:  "An enrollee may change
36   plan enrollment once a year on the enrollee's
37   anniversary date."
38     14.  Page 13, by inserting after line 26 the
39   following:
40     "Sec. ___.  EFFECTIVE DATE.  This Act, being deemed
41   of immediate importance, takes effect upon enactment."
42     15.  Title page, line 2, by inserting after the
43   word "children" the following:  "and providing an
44   effective date".
Jochum of Dubuque asked and received unanimous consent to
withdraw amendment H-8323, to amendment H-8294, filed by her
from the floor.
Hansen of Pottawattamie offered the following amendment H-8310,
to amendment H-8294, filed by him from the floor and moved its
adoption:

H-8310

 1     Amend the amendment, H-8294, to House File 2517 as
 2   follows:
 3     1.  Page 1, by inserting after line 6 the
 4   following:
 5     "___.  Page 3, line 15, by striking the word
 6   "nine" and inserting the following:  "seven"."
 7     2.  By renumbering as necessary.
Amendment H-8310, to amendment H-8294, was adopted.
Foege of Linn offered amendment H-8330, to amendment H-8294,
filed by him from the floor as follows:

H-8330

 1     Amend the amendment, H-8294 to House File 2517 as
 2   follows:
 3     1.  Page 1, line 26, by inserting after the word
 4   "insurer" the following:  "and shall include a
 5   requirement, as specified by rules adopted by the
 6   HAWK-I board, that a participating insurer, or
 7   insurer's agent with a capitated payment system, shall
 8   exercise ordinary care when making health care
 9   treatment decisions and is liable for damages for harm
10   to an insured or enrollee proximately caused by the
11   participating insurer's failure to exercise such
12   ordinary care in a reasonable manner.  As used in this
13   paragraph, "insurer's agent" means an employee, agent
14   or representative of a third-party payor who is acting
15   on behalf of the insurer and over whom the insurer has
16   the right to exercise influence or control".

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