House Journal: Page 1237: Tuesday, April 13, 1999

10     Sec.     .  Section 514.7, unnumbered paragraph 3,

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

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