House Journal: Page 1377: Thursday, April 11, 2002
33 care services, and for services provided pursuant to
34 the comprehensive program for treatment for substance
35 abuse maintained by the department of public health
36 pursuant to section 125.12 in a hospital licensed
37 under chapter 135B or a facility licensed under
38 chapter 125.
39 3. This section applies to the following classes
40 of third-party payment provider policies, contracts,
41 or plans delivered, issued for delivery, continued, or
42 renewed in this state on or after January 1, 2003:
43 a. Individual or group accident and sickness
44 insurance providing coverage on an expense-incurred
45 basis.
46 b. An individual or group hospital or medical
47 service contract issued pursuant to chapter 509, 514,
48 or 514A.
49 c. A plan established pursuant to chapter 509A for
50 public employees.
Page 3
1 d. An individual or group health maintenance
2 organization contract regulated under chapter 514B.
3 e. An individual or group Medicare supplemental
4 policy, unless coverage pursuant to such policy is
5 preempted by federal law.
6 f. Any other entity engaged in the business of
7 insurance, risk transfer, or risk retention, which is
8 subject to the jurisdiction of the commissioner.
9 g. An organized delivery system licensed by the
10 director of public health.
11 4. The commissioner shall adopt rules pursuant to
12 chapter 17A to administer this section.
13 Sec. . INSURANCE DIVISION STUDY IN CONJUNCTION
14 WITH STATE AUDITOR.
15 1. The insurance division of the department of
16 commerce, in conjunction with the state auditor, shall
17 conduct a study of the cost of providing
18 neurobiological disorder coverage benefits in Iowa.
19 2. The study shall assess at least all of the
20 following:
21 a. Identification of the costs attributed to
22 treatment of neurobiological disorders, and to
23 underlying co-morbidity.
24 b. An estimate of the impact of mandated coverage
25 on health care coverage benefit costs and
26 availability.
27 c. Actions taken by the division to ensure that
28 third-party payors subject to this Act are in
29 compliance.
30 d. Identification of any segments of the
31 population of this state that may be excluded from, or
© 2002 Cornell College and
League of Women Voters of Iowa
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