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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