House Journal: Page 1243: Tuesday, April 13, 1999

	Foege of Linn offered amendment H?1561 filed by him, Raecker of 

Polk, and Huser of Polk from the floor as follows:
H-1561
 1     Amend Senate File 276, as amended, passed, and
 2   reprinted by the Senate, as follows:
 3     1.  Page 4, by inserting after line 7 the
 4   following:
 5     "Sec.     . NEW SECTION.  514C.19  MANDATED
 6   COVERAGE FOR DENTAL CARE - ANESTHESIA AND CERTAIN
 7   HOSPITAL CHARGES.
 8     1.  Notwithstanding section 514C.6, a policy or
 9   contract providing for third-party payment or
10   prepayment of health or medical expenses shall provide
11   coverage for anesthesia and hospital charges related
12   to the provision of dental care services provided to
13   any of the following covered individuals:
14     a.  A child under five years of age.
15     b.  An individual who is severely disabled.
16     c.  An individual who has a medical condition that
17   requires hospitalization or general anesthesia for
18   delivery of the dental care services.
19     2.  A policy or contract providing for third-party
20   payment or prepayment of health or medical expenses
21   shall provide coverage for general anesthesia and
22   treatment rendered by a dentist for conditions covered
23   under such policy or contract, whether the services
24   are provided in a hospital or a dental office.
25     3.  Prior authorization of hospitalization for
26   dental care procedures may be required in the same
27   manner that prior authorization is required for
28   hospitalization for other coverage under the contract
29   or policy.
30     4.  This section applies to the following contracts
31   or policies delivered, issued for delivery, continued,
32   or renewed in this state on or after July 1, 1999:
33     a.  Individual or group accident and sickness
34   insurance providing coverage on an expense-incurred
35   basis.
36     b.  An individual or group hospital or medical
37   service contract issued pursuant to chapter 509, 514,
38   or 514A.
39     c.  An individual or group health maintenance
40   organization contract regulated under chapter 514B.
41     d.  An individual or group Medicare supplemental
42   policy, unless coverage pursuant to such policy is
43   preempted by federal law.
44     e.  An organized delivery system licensed by the
45   director of public health."
46     2.  Title page, line 2, by inserting after the

© 1999 Cornell College and League of Women Voters of Iowa

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