Text: H01182 Text: H01184 Text: H01100 - H01199 Text: H Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
1 1 Amend Senate File 276, as amended, passed, and
1 2 reprinted by the Senate, as follows:
1 3 #1. Page 4, by inserting after line 7 the
1 4 following:
1 5 "Sec. . NEW SECTION. 514C.18 MENTAL HEALTH
1 6 AND SUBSTANCE ABUSE TREATMENT COVERAGE.
1 7 1. a. Notwithstanding section 514C.6, a policy or
1 8 contract providing for third-party payment or
1 9 prepayment of health or medical expenses shall provide
1 10 coverage benefits for mental health and substance
1 11 abuse conditions based on rates, terms, and conditions
1 12 which are no more restrictive than the rates, terms,
1 13 and conditions for coverage benefits provided for
1 14 other health or medical conditions under the policy or
1 15 contract.
1 16 b. Coverage required under this section includes
1 17 the following:
1 18 (1) For the treatment of mental illness, services
1 19 provided by a licensed mental health professional, or
1 20 services provided in a licensed hospital or health
1 21 facility.
1 22 (2) For the treatment of substance abuse or other
1 23 addictive disorder, services provided by a qualified
1 24 professional as defined by rule of the Iowa department
1 25 of public health, a licensed health facility providing
1 26 a program for the treatment of substance abuse or
1 27 other addictive disorder approved by the Iowa
1 28 department of public health, or a licensed substance
1 29 abuse treatment and rehabilitation facility.
1 30 2. This section applies to the following classes
1 31 of third-party payment provider contracts or policies
1 32 delivered, issued for delivery, continued, or renewed
1 33 in this state on or after July 1, 2000:
1 34 a. Individual or group accident and sickness
1 35 insurance providing coverage on an expense-incurred
1 36 basis.
1 37 b. An individual or group hospital or medical
1 38 service contract issued pursuant to chapter 509, 514,
1 39 or 514A.
1 40 c. An individual or group health maintenance
1 41 organization contract regulated under chapter 514B.
1 42 d. An individual or group Medicare supplemental
1 43 policy, unless coverage pursuant to such policy is
1 44 preempted by federal law.
1 45 e. An organized delivery system licensed by the
1 46 director of public health.
1 47 f. Any other entity engaged in the business of
1 48 insurance, risk transfer, or risk retention, which is
1 49 subject to the jurisdiction of the commissioner.
1 50 3. For purposes of this section, unless the
2 1 context otherwise requires:
2 2 a. "Mental health or substance abuse condition"
2 3 means a condition or disorder involving mental illness
2 4 or substance abuse or other addictive disorder which
2 5 is included in the diagnostic categories listed in the
2 6 mental disorders section of the international
2 7 classification of disease, as periodically revised.
2 8 b. "Rates, terms, and conditions" means lifetime
2 9 payment limits, deductibles, copayments, coinsurance,
2 10 and any other cost-sharing requirements, out-of-pocket
2 11 limits, visit limitations, and any other financial
2 12 component of benefits coverage that affects the
2 13 covered individual."
2 14 #2. Title page, line 2, by inserting after the
2 15 word "care," the following: "mental health and
2 16 substance abuse treatment coverage,".
2 17 #3. By renumbering as necessary.
2 18
2 19
2 20
2 21 JOCHUM of Dubuque
2 22
2 23
2 24
2 25 BELL of Jasper
2 26
2 27
2 28
2 29 MYERS of Johnson
2 30
2 31
2 32
2 33 CHAPMAN of Linn
2 34
2 35
2 36
2 37 TAYLOR of Linn
2 38
2 39
2 40
2 41 O'BRIEN of Boone
2 42
2 43
2 44
2 45 MASCHER of Johnson
2 46
2 47
2 48
2 49 PARMENTER of Story
2 50
3 1
3 2
3 3 KUHN of Floyd
3 4
3 5
3 6
3 7 REYNOLDS of Van Buren
3 8
3 9
3 10
3 11 HOLVECK of Polk
3 12
3 13
3 14
3 15 WITT of Black Hawk
3 16
3 17
3 18
3 19 KREIMAN of Davis
3 20
3 21
3 22
3 23 MURPHY of Dubuque
3 24
3 25
3 26
3 27 WHITEAD of Woodbury
3 28
3 29
3 30
3 31 FOEGE of Linn
3 32
3 33
3 34
3 35 MUNDIE of Webster
3 36
3 37
3 38
3 39 FORD of Polk
3 40
3 41
3 42
3 43 STEVENS of Dickinson
3 44 SF 276.707 78
3 45 mj/sc
Text: H01182 Text: H01184 Text: H01100 - H01199 Text: H Index Bills and Amendments: General Index Bill History: General Index
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