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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