Text: H01576 Text: H01578 Text: H01500 - H01599 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 1, by inserting before line 1 the
1 4 following:
1 5 "Section 1. Section 509.3, subsection 6, Code
1 6 1999, is amended by striking the subsection.
1 7 Sec. . Section 514.7, unnumbered paragraph 3,
1 8 Code 1999, is amended by striking the unnumbered
1 9 paragraph.
1 10 Sec. . Section 514B.1, subsection 5, paragraph
1 11 c, Code 1999, is amended by striking the paragraph."
1 12 #2. Page 4, by inserting after line 7 the
1 13 following:
1 14 "Sec. . NEW SECTION. 514C.20 DIABETES
1 15 COVERAGE.
1 16 1. Notwithstanding the uniformity of treatment
1 17 requirements of section 514C.6, a policy or contract
1 18 providing for third-party payment or prepayment of
1 19 health or medical expenses shall provide coverage
1 20 benefits for the cost associated with equipment,
1 21 supplies, and self-management training and education
1 22 for the treatment of all types of diabetes mellitus
1 23 when prescribed by a physician licensed under chapter
1 24 148, 150, or 150A. Coverage benefits shall include
1 25 coverage for the cost associated with all of the
1 26 following:
1 27 a. Blood glucose meter and glucose strips for home
1 28 monitoring.
1 29 b. Payment for diabetes self-management training
1 30 and education only under all of the following
1 31 conditions:
1 32 (1) The physician managing the individual's
1 33 diabetic condition certifies that such services are
1 34 needed under a comprehensive plan of care related to
1 35 the individual's diabetic condition to ensure therapy
1 36 compliance or to provide the individual with necessary
1 37 skills and knowledge to participate in the management
1 38 of the individual's condition.
1 39 (2) The diabetic self-management training and
1 40 education program is certified by the Iowa department
1 41 of public health. The department shall consult with
1 42 the American diabetes association, Iowa affiliate, in
1 43 developing the standards for certification of diabetes
1 44 education programs as follows:
1 45 (a) Initial training shall cover up to ten hours
1 46 of initial outpatient diabetes self-management
1 47 training within a continuous twelve-month period for
1 48 each individual that meets any of the following
1 49 conditions:
1 50 (i) A new onset of diabetes.
2 1 (ii) Poor glycemic control as evidenced by a
2 2 glycosylated hemoglobin of nine and five-tenths or
2 3 more in the ninety days before attending the training.
2 4 (iii) A change in treatment regimen from no
2 5 diabetes medications to any diabetes medication, or
2 6 from oral diabetes medication to insulin.
2 7 (iv) High risk for complications based on poor
2 8 glycemic control; documented acute episodes of severe
2 9 hypoglycemia or acute severe hyperglycemia occurring
2 10 in the past year during which the individual needed
2 11 third-party assistance for either emergency room
2 12 visits or hospitalization.
2 13 (v) High risk based on documented complications of
2 14 a lack of feeling in the foot or other foot
2 15 complications such as foot ulcer or amputation, pre-
2 16 proliferative or proliferative retinopathy or prior
2 17 laser treatment of the eye, or kidney complications
2 18 related to diabetes, such as macroalbuminuria or
2 19 elevated creatinine.
2 20 (b) An individual who receives the initial
2 21 training shall be eligible for a single follow-up
2 22 training session of up to one hour each year.
2 23 2. a. This section applies to the following
2 24 classes of third-party payment provider contracts or
2 25 policies delivered, issued for delivery, continued, or
2 26 renewed in this state on or after July 1, 1999:
2 27 (1) Individual or group accident and sickness
2 28 insurance providing coverage on an expense-incurred
2 29 basis.
2 30 (2) An individual or group hospital or medical
2 31 service contract issued pursuant to chapter 509, 514,
2 32 or 514A.
2 33 (3) An individual or group health maintenance
2 34 organization contract regulated under chapter 514B.
2 35 (4) Any other entity engaged in the business of
2 36 insurance, risk transfer, or risk retention, which is
2 37 subject to the jurisdiction of the commissioner.
2 38 (5) A plan established pursuant to chapter 509A
2 39 for public employees.
2 40 (6) An organized delivery system licensed by the
2 41 director of public health.
2 42 b. This chapter shall not apply to accident only,
2 43 specified disease, short-term hospital or medical,
2 44 hospital confinement indemnity, credit, dental,
2 45 vision, Medicare supplement, long-term care, basic
2 46 hospital coverage, medical and surgical coverage,
2 47 disability income insurance coverage, coverage issued
2 48 as a supplement to liability insurance, workers'
2 49 compensation or similar insurance, or automobile
2 50 medical payment insurance."
3 1 #3. Title page, line 2, by inserting after the
3 2 word "care," the following: "diabetes coverage,".
3 3 #4. By renumbering as necessary.
3 4
3 5
3 6
3 7 MASCHER of Johnson
3 8
3 9
3 10
3 11 BELL of Jasper
3 12
3 13
3 14
3 15 FOEGE of Linn
3 16 SF 276.515 78
3 17 mj/jw
Text: H01576 Text: H01578 Text: H01500 - H01599 Text: H Index Bills and Amendments: General Index Bill History: General Index
© 2000 Cornell College and League of Women Voters of Iowa
Comments about this site or page?
webmaster@legis.iowa.gov.
Please remember that the person listed above does not vote on bills. Direct all comments concerning legislation to State Legislators.
Last update: Fri Mar 3 13:35:02 CST 2000
URL: /DOCS/GA/78GA/Legislation/H/01500/H01577/000303.html
jhf