House Journal: Page 1525: Wednesday, April 25, 2001
Amendment H(1700 lost.
Jochum of Dubuque offered amendment H(1672 filed by her and
Osterhaus of Jackson as follows:
H-1672
1 Amend House File 732 as follows:
2 1. Page 56, by inserting after line 19, the
3 following:
4 "Sec. . NEW SECTION. 514C.21 MANDATED
5 COVERAGE FOR MENTAL HEALTH CONDITIONS.
6 1. a. Notwithstanding section 514C.6, a policy or
7 contract providing for third-party payment or
8 prepayment of health or medical expenses shall provide
9 coverage benefits for mental health conditions based
10 on rates, terms, and conditions which are no more
11 restrictive than the rates, terms, and conditions for
12 coverage benefits provided for other health or medical
13 conditions under the policy or contract.
14 Additionally, any rates, terms, and conditions
15 involving deductibles, copayments, coinsurance, and
16 any other cost-sharing requirements shall be
17 cumulative for coverage of both mental health
18 conditions and other health or medical conditions
19 under the policy or contract.
20 b. Coverage required under this subsection shall
21 be as follows:
22 (1) For the treatment of mental illness, coverage
23 shall be for services provided by a licensed mental
24 health professional, or services provided in a
25 licensed hospital or health facility.
26 (2) For the treatment of alcohol or substance
27 abuse, coverage shall be for services provided by a
28 substance abuse counselor, as approved by the
29 department of human services, a licensed health
30 facility providing a program for the treatment of
31 alcohol or substance abuse approved by the department
32 of human services, or a licensed substance abuse
33 treatment and rehabilitation facility.
34 2. This section applies to the following classes
35 of third-party payment provider contracts or policies
36 delivered, issued for delivery, continued, or renewed
37 in this state on or after January 1, 2002:
38 a. Individual or group accident and sickness
39 insurance providing coverage on an expense-incurred
40 basis.
41 b. An individual or group hospital or medical
42 service contract issued pursuant to chapter 509, 514,
43 or 514A.
44 c. An individual or group health maintenance
© 2001 Cornell College and
League of Women Voters of Iowa
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