Text: S05276 Text: S05278 Text: S05200 - S05299 Text: S Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Amend the amendment, S-5275, to Senate File 2322, 1 2 as follows: 1 3 #1. By striking page 1, line 4 through page 4, 1 4 line 13, and inserting the following: 1 5 ""Section 1. NEW SECTION. 514C.21 MENTAL HEALTH 1 6 AND SUBSTANCE ABUSE TREATMENT COVERAGE. 1 7 1. a. Notwithstanding section 514C.6, a policy or 1 8 contract providing for third-party payment or 1 9 prepayment of health or medical expenses shall provide 1 10 coverage benefits for mental health and substance 1 11 abuse conditions based on rates, terms, and conditions 1 12 which are no more restrictive than the rates, terms, 1 13 and conditions for coverage benefits provided for 1 14 other health or medical conditions under the policy or 1 15 contract. 1 16 b. Coverage required under this section includes 1 17 the following: 1 18 (1) For the treatment of mental illness, services 1 19 provided by a licensed mental health professional, or 1 20 services provided in a licensed hospital or health 1 21 facility. 1 22 (2) For the treatment of substance abuse or other 1 23 addictive disorder, services provided by a qualified 1 24 professional as defined by rule of the Iowa department 1 25 of public health, a licensed health facility providing 1 26 a program for the treatment of substance abuse or 1 27 other addictive disorder approved by the Iowa 1 28 department of public health, or a licensed substance 1 29 abuse treatment and rehabilitation facility. 1 30 2. This section applies to the following classes 1 31 of third-party payment provider contracts or policies 1 32 delivered, issued for delivery, continued, or renewed 1 33 in this state on or after January 1, 2003: 1 34 a. Individual or group accident and sickness 1 35 insurance providing coverage on an expense-incurred 1 36 basis. 1 37 b. An individual or group hospital or medical 1 38 service contract issued pursuant to chapter 509, 514, 1 39 or 514A. 1 40 c. An individual or group health maintenance 1 41 organization contract regulated under chapter 514B. 1 42 d. An individual or group Medicare supplemental 1 43 policy, unless coverage pursuant to such policy is 1 44 preempted by federal law. 1 45 e. An organized delivery system licensed by the 1 46 director of public health. 1 47 f. Any other entity engaged in the business of 1 48 insurance, risk transfer, or risk retention, which is 1 49 subject to the jurisdiction of the commissioner. 1 50 3. For purposes of this section, unless the 2 1 context otherwise requires: 2 2 a. "Mental health or substance abuse condition" 2 3 means a condition or disorder involving mental illness 2 4 or substance abuse or other addictive disorder which 2 5 is included in the diagnostic categories listed in the 2 6 mental disorders section of the international 2 7 classification of disease, as periodically revised. 2 8 b. "Rates, terms, and conditions" means lifetime 2 9 payment limits, deductibles, copayments, coinsurance, 2 10 and any other cost-sharing requirements, out-of-pocket 2 11 limits, visit limitations, and any other financial 2 12 component of benefits coverage that affects the 2 13 covered individual."" 2 14 #2. Page 4, striking lines 16 and 17, and 2 15 inserting the following: 2 16 "# . Title page, line 2, by striking the words 2 17 "neurobiological disorders," and inserting the 2 18 following: "mental health and substance abuse 2 19 conditions, and"." 2 20 #3. By renumbering, redesignating, and correcting 2 21 internal references as necessary. 2 22 2 23 2 24 2 25 MARK SHEARER 2 26 STEVEN D. HANSEN 2 27 JACK HOLVECK 2 28 MIKE CONNOLLY 2 29 THOMAS FIEGEN 2 30 AMANDA RAGAN 2 31 TOM FLYNN 2 32 PATRICK J. DELUHERY 2 33 JOE BOLKCOM 2 34 BILL FINK 2 35 PATRICIA HARPER 2 36 ROBERT E. DVORSKY 2 37 JOHNIE HAMMOND 2 38 MICHAEL E. GRONSTAL 2 39 JOHN P. KIBBIE 2 40 WALLY E. HORN 2 41 DICK L. DEARDEN 2 42 EUGENE S. FRAISE 2 43 SF 2322.502 79 2 44 jj/pj
Text: S05276 Text: S05278 Text: S05200 - S05299 Text: S Index Bills and Amendments: General Index Bill History: General Index
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