Text: HF00400 Text: HF00402 Text: HF00400 - HF00499 Text: HF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Section 1. NEW SECTION. 514C.14 COMPARABLE COVERAGE FOR 1 2 MENTAL HEALTH TREATMENT. 1 3 1. Notwithstanding section 514C.6, a policy or contract 1 4 providing for third-party payment or prepayment of health or 1 5 medical expenses shall provide coverage benefits for services 1 6 for clinical disorders related to mental health which shall be 1 7 on terms and conditions which are comparable to the terms and 1 8 conditions for coverage benefits provided for other health or 1 9 medical disorders under the policy or contract. 1 10 2. For purposes of this section, clinical disorders 1 11 related to mental health for which coverage benefits are to be 1 12 provided under this section are biological brain diseases 1 13 including schizophrenia, schizoaffective disorder, major 1 14 depressive disorder, bipolar disorder, paranoia and other 1 15 psychotic disorders, obsessive-compulsive disorder, panic 1 16 disorder, and pervasive developmental disorder or autism. 1 17 3. This section applies to the following classes of third- 1 18 party payment provider contracts or policies delivered, issued 1 19 for delivery, continued, or renewed in this state on or after 1 20 July 1, 1999: 1 21 a. Individual or group accident and sickness insurance 1 22 providing coverage on an expense-incurred basis. 1 23 b. An individual or group hospital or medical service 1 24 contract issued pursuant to chapter 509, 514, or 514A. 1 25 c. An individual or group health maintenance organization 1 26 contract regulated under chapter 514B. 1 27 d. An individual or group Medicare supplemental policy, 1 28 unless coverage pursuant to such policy is preempted by 1 29 federal law. 1 30 e. Any other entity engaged in the business of insurance, 1 31 risk transfer, or risk retention, which is subject to the 1 32 jurisdiction of the commissioner. 1 33 f. An organized delivery system licensed by the director 1 34 of public health. 1 35 EXPLANATION 2 1 This bill creates new Code section 514C.14 and provides 2 2 that a policy or contract providing for third-party payment or 2 3 prepayment of health or medical expenses must provide coverage 2 4 benefits for services for clinical disorders related to mental 2 5 health which are to be on terms and conditions which are 2 6 comparable to the terms and conditions associated with 2 7 coverage benefits provided for other health or medical 2 8 disorders under the policy or contract. 2 9 LSB 1163HV 78 2 10 mj/cf/24
Text: HF00400 Text: HF00402 Text: HF00400 - HF00499 Text: HF Index Bills and Amendments: General Index Bill History: General Index
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