Text: HF00753 Text: HF00755 Text: HF00700 - HF00799 Text: HF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
1 1 HOUSE FILE 754
1 2 AN ACT
1 3 RELATING TO INDIVIDUAL AND GROUP ACCIDENT AND SICKNESS
1 4 INSURANCE, NONPROFIT HEALTH SERVICE PLANS, AND HEALTH
1 5 MAINTENANCE ORGANIZATIONS, BY MANDATING COVERAGE FOR
1 6 ANESTHESIA AND CERTAIN HOSPITAL CHARGES ASSOCIATED WITH
1 7 THE PROVISION OF DENTAL CARE SERVICES.
1 8
1 9 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
1 10
1 11 Section 1. NEW SECTION. 514C.19 MANDATED COVERAGE FOR
1 12 DENTAL CARE – ANESTHESIA AND CERTAIN HOSPITAL CHARGES.
1 13 1. Notwithstanding section 514C.6, and subject to the
1 14 terms and conditions of the policy or contract, a policy or
1 15 contract providing for third-party payment or prepayment of
1 16 health or medical expenses shall provide coverage for the
1 17 administration of general anesthesia and hospital or
1 18 ambulatory surgical center charges related to the provision of
1 19 dental care services provided to any of the following covered
1 20 individuals:
1 21 a. A child under five years of age upon a determination by
1 22 a licensed dentist and the child's treating physician licensed
1 23 pursuant to chapter 148, 150, or 150A, that such child
1 24 requires necessary dental treatment in a hospital or
1 25 ambulatory surgical center due to a dental condition or a
1 26 developmental disability for which patient management in the
1 27 dental office has proved to be ineffective.
1 28 b. Any individual upon a determination by a licensed
1 29 dentist and the individual's treating physician licensed
1 30 pursuant to chapter 148, 150, or 150A, that such individual
1 31 has one or more medical conditions that would create
1 32 significant or undue medical risk for the individual in the
1 33 course of delivery of any necessary dental treatment or
1 34 surgery if not rendered in a hospital or ambulatory surgical
1 35 center.
2 1 2. Prior authorization of hospitalization or ambulatory
2 2 surgical center for dental care procedures may be required in
2 3 the same manner that prior authorization is required for
2 4 hospitalization for other coverages under the contract or
2 5 policy.
2 6 3. This section applies to the following classes of third-
2 7 party payment provider contracts or policies delivered, issued
2 8 for delivery, continued, or renewed in this state on or after
2 9 July 1, 2000:
2 10 a. Individual or group accident and sickness insurance
2 11 providing coverage on an expense-incurred basis.
2 12 b. An individual or group hospital or medical service
2 13 contract issued pursuant to chapter 509, 514, or 514A.
2 14 c. An individual or group health maintenance organization
2 15 contract regulated under chapter 514B.
2 16 d. Any other entity engaged in the business of insurance,
2 17 risk transfer, or risk retention, which is subject to the
2 18 jurisdiction of the commissioner.
2 19 e. A plan established pursuant to chapter 509A for public
2 20 employees.
2 21 f. An organized delivery system licensed by the director
2 22 of public health.
2 23 4. This section shall not apply to accident only,
2 24 specified disease, short-term hospital or medical, hospital
2 25 confinement indemnity, credit, dental, vision, Medicare
2 26 supplement, long-term care, basic hospital and medical-
2 27 surgical expense coverage as defined by the commissioner,
2 28 disability income insurance coverage, coverage issued as a
2 29 supplement to liability insurance, workers' compensation or
2 30 similar insurance, or automobile medical payment insurance.
2 31
2 32
2 33
2 34 BRENT SIEGRIST
2 35 Speaker of the House
3 1
3 2
3 3
3 4 MARY E. KRAMER
3 5 President of the Senate
3 6
3 7 I hereby certify that this bill originated in the House and
3 8 is known as House File 754, Seventy-eighth General Assembly.
3 9
3 10
3 11
3 12 ELIZABETH ISAACSON
3 13 Chief Clerk of the House
3 14 Approved , 2000
3 15
3 16
3 17
3 18 THOMAS J. VILSACK
3 19 Governor
Text: HF00753 Text: HF00755 Text: HF00700 - HF00799 Text: HF Index Bills and Amendments: General Index Bill History: General Index
© 2000 Cornell College and League of Women Voters of Iowa
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