Text: H01284 Text: H01286 Text: H01200 - H01299 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 SERVICES
1 6 PROVIDED BY LICENSED MENTAL HEALTH COUNSELORS AND
1 7 MARITAL AND FAMILY THERAPISTS.
1 8 Notwithstanding section 514C.6, a policy or
1 9 contract providing for third-party payment or
1 10 prepayment of health or medical expenses shall include
1 11 a provision for the payment of necessary mental health
1 12 services provided by a mental health counselor or a
1 13 marital and family therapist licensed pursuant to
1 14 chapters 147 and 154D and performed within the scope
1 15 of the license of the licensed mental health counselor
1 16 or marital and family therapist if the policy or
1 17 contract would pay for the care and treatment if the
1 18 services were provided by a person engaged in the
1 19 practice of medicine and surgery or osteopathic
1 20 medicine and surgery under chapter 148 or 150A. The
1 21 policy or contract shall provide that policyholders
1 22 and subscribers under the policy or contract may
1 23 reject the coverage for services which may be provided
1 24 by a licensed mental health counselor or a marital and
1 25 family therapist if the coverage is rejected for all
1 26 providers of similar services. A policy or contract
1 27 subject to this section shall not impose a practice or
1 28 supervision restriction which is inconsistent with or
1 29 more restrictive than the restriction already imposed
1 30 by law. This section applies to services provided
1 31 under a policy or contract delivered, issued for
1 32 delivery, continued, or renewed in this state on or
1 33 after July 1, 1998, and to an existing policy or
1 34 contract, on the policy's or contract's anniversary or
1 35 renewal date, or upon the expiration of the applicable
1 36 collective bargaining contract, if any, whichever is
1 37 later. This section does not apply to policyholders
1 38 or subscribers eligible for coverage under Title XVIII
1 39 of the federal Social Security Act or any similar
1 40 coverage under a state or federal government plan.
1 41 For the purposes of this section, third-party payment
1 42 or prepayment includes an individual or group policy
1 43 of accident or health insurance or individual or group
1 44 hospital or health care service contract issued
1 45 pursuant to chapter 509, 514, or 514A, an individual
1 46 or group health maintenance organization contract
1 47 issued and regulated under chapter 514B, an organized
1 48 delivery system contract regulated under rules adopted
1 49 by the director of public health, or a preferred
1 50 provider organization contract regulated pursuant to
2 1 chapter 514F. Nothing in this section shall be
2 2 interpreted to require an individual or group health
2 3 maintenance organization, an organized delivery
2 4 system, or a preferred provider organization or
2 5 arrangement to provide payment or prepayment for
2 6 services provided by a licensed mental health
2 7 counselor or licensed marital and family therapist
2 8 unless the licensed mental health counselor or
2 9 licensed marital and family therapist has entered into
2 10 a contract or other agreement to provide services with
2 11 the individual or group health maintenance
2 12 organization, the organized delivery system, or the
2 13 preferred provider organization or arrangement."
2 14 #2. By renumbering as necessary.
2 15
2 16
2 17
2 18 FREVERT of Palo Alto
2 19 SF 276.510 78
2 20 mj/jw
Text: H01284 Text: H01286 Text: H01200 - H01299 Text: H Index Bills and Amendments: General Index Bill History: General Index
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