Text: HF00400                           Text: HF00402
Text: HF00400 - HF00499                 Text: HF Index
Bills and Amendments: General Index     Bill History: General Index



House File 401

Partial Bill History

Bill Text

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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