Text: H01560                            Text: H01562
Text: H01500 - H01599                   Text: H Index
Bills and Amendments: General Index     Bill History: General Index



House Amendment 1561

Amendment Text

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.19  MANDATED
  1  6 COVERAGE FOR DENTAL CARE – ANESTHESIA AND CERTAIN
  1  7 HOSPITAL CHARGES.
  1  8    1.  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 provide
  1 11 coverage for anesthesia and hospital charges related
  1 12 to the provision of dental care services provided to
  1 13 any of the following covered individuals:
  1 14    a.  A child under five years of age.
  1 15    b.  An individual who is severely disabled.
  1 16    c.  An individual who has a medical condition that
  1 17 requires hospitalization or general anesthesia for
  1 18 delivery of the dental care services.
  1 19    2.  A policy or contract providing for third-party
  1 20 payment or prepayment of health or medical expenses
  1 21 shall provide coverage for general anesthesia and
  1 22 treatment rendered by a dentist for conditions covered
  1 23 under such policy or contract, whether the services
  1 24 are provided in a hospital or a dental office.
  1 25    3.  Prior authorization of hospitalization for
  1 26 dental care procedures may be required in the same
  1 27 manner that prior authorization is required for
  1 28 hospitalization for other coverage under the contract
  1 29 or policy.
  1 30    4.  This section applies to the following contracts
  1 31 or policies delivered, issued for delivery, continued,
  1 32 or renewed in this state on or after July 1, 1999:
  1 33    a.  Individual or group accident and sickness
  1 34 insurance providing coverage on an expense-incurred
  1 35 basis.
  1 36    b.  An individual or group hospital or medical
  1 37 service contract issued pursuant to chapter 509, 514,
  1 38 or 514A.
  1 39    c.  An individual or group health maintenance
  1 40 organization contract regulated under chapter 514B.
  1 41    d.  An individual or group Medicare supplemental
  1 42 policy, unless coverage pursuant to such policy is
  1 43 preempted by federal law.
  1 44    e.  An organized delivery system licensed by the
  1 45 director of public health."
  1 46    #2.  Title page, line 2, by inserting after the
  1 47 word "care," the following:  "anesthesia and certain
  1 48 hospital charges associated with dental care
  1 49 services,".
  1 50    #3.  By renumbering as necessary.  
  2  1 
  2  2 
  2  3                               
  2  4 FOEGE of Linn 
  2  5 
  2  6 
  2  7                               
  2  8 RAECKER of Polk 
  2  9 
  2 10 
  2 11                               
  2 12 HUSER of Polk 
  2 13 SF 276.710 78
  2 14 mj/sc
     

Text: H01560                            Text: H01562
Text: H01500 - H01599                   Text: H Index
Bills and Amendments: General Index     Bill History: General Index

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