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House Journal: Page 1372: Thursday, April 11, 2002

Jochum of Dubuque offered amendment H-8683, previously
deferred, filed by her from the floor as follows:

H-8683

1 Amend House File 2623 as follows:
2 1. Page 9, by inserting after line 28 the
3 following:
4 "Sec. . NEW SECTION. 514C.21 NEUROBIOLOGICAL
5 DISORDER.
6 1. Notwithstanding the uniformity of treatment
7 requirements of section 514C.6, a group policy or
8 contract providing for third-party payment or
9 prepayment of health or medical expenses issued by a
10 carrier, as defined in section 513B.2, or by an
11 organized delivery system authorized under 1993 Iowa
12 Acts, chapter 158, shall provide coverage benefits for
13 treatment of a neurobiological disorder if either of
14 the following is satisfied:
15 a. The policy or contract is issued to an employer
16 who on at least fifty percent of the employer's
17 working days during the preceding calendar year
18 employed more than fifty full-time equivalent
19 employees. In determining the number of full-time
20 equivalent employees of an employer, employers who are
21 affiliated or who are able to file a consolidated tax
22 return for purposes of state taxation shall be
23 considered one employer.
24 b. The policy or contract is issued to a small
25 employer as defined in section 513B.2, and such policy
26 or contract provides coverage benefits for the
27 treatment of neurobiological disorder.
28 2. Notwithstanding the uniformity of treatment
29 requirements of section 514C.6, a plan established
30 pursuant to chapter 509A for public employees shall
31 provide coverage benefits for treatment of a
32 neurobiological disorder.
33 3. For purposes of this section:
34 a. "Neurobiological disorder" means the following:
35 (1) Schizophrenia and other psychotic disorders.
36 (2) Mood disorders.
37 (3) Anxiety disorders.
38 (4) Pervasive developmental disorders and
39 attention deficit.
40 b. "Substance abuse" means a pattern of
41 pathological use of alcohol or a drug that causes
42 impairment in social or occupational functioning, or
43 that produces physiological dependency evidenced by
44 physical tolerance or by physical symptoms when the
45 alcohol or drug is withdrawn.
46 4. The commissioner, by rule, shall define the


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