Text: HF00045 Text: HF00047 Text: HF00000 - HF00099 Text: HF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Section 1. Section 509.3, Code 2003, is amended by adding 1 2 the following new subsection: 1 3 NEW SUBSECTION. 8. A provision shall be made available to 1 4 policyholders, under group policies covering hospital, 1 5 medical, or surgical expenses for payment of necessary medical 1 6 or surgical care and treatment, as well as drug prescriptions, 1 7 provided by a person licensed to practice podiatry under 1 8 chapter 149, if the care and treatment are provided within the 1 9 scope of the person's license and if the policy would pay for 1 10 the care and treatment if the care and treatment were provided 1 11 by a person engaged in the practice of medicine and surgery as 1 12 licensed under chapter 148 or 150A. The policy shall provide 1 13 that the policyholder may reject the coverage or provision if 1 14 the coverage or provision for similar services which may be 1 15 provided by a podiatric physician is rejected for all 1 16 providers of services as licensed under chapter 148, 149, or 1 17 150A. This subsection applies to group policies delivered or 1 18 issued for delivery on or after July 1, 2003, and to existing 1 19 group policies on their next anniversary or renewal date, or 1 20 upon expiration of the applicable collective bargaining 1 21 contract, if any, whichever is later. This subsection does 1 22 not apply to blanket, short-term travel, accident-only, 1 23 limited or specified disease, or individual or group 1 24 conversion policies, or policies designed only for issuance to 1 25 persons for coverage under Title XVIII of the federal Social 1 26 Security Act, or any other similar coverage under a state or 1 27 federal government plan. 1 28 Sec. 2. Section 509.3, unnumbered paragraph 2, Code 2003, 1 29 is amended to read as follows: 1 30 In addition to the provisions required in subsections 1 1 31 through78, the commissioner shall require provisions through 1 32 the adoption of rules implementing the federal Health 1 33 Insurance Portability and Accountability Act, Pub. L. No. 104- 1 34 191. 1 35 Sec. 3. Section 514B.1, subsection 5, Code 2003, is 2 1 amended by adding the following new paragraph: 2 2 NEW PARAGRAPH. e. The health care services available to 2 3 enrollees under prepaid group plans covering hospital, 2 4 medical, or surgical expenses shall include a provision for 2 5 payment of necessary medical or surgical care and treatment as 2 6 well as drug prescriptions provided by a person licensed to 2 7 practice podiatry under chapter 149, if performed within the 2 8 scope of the person's license and the plan would pay for the 2 9 care and treatment when the care and treatment were provided 2 10 by a person engaged in the practice of medicine or surgery as 2 11 licensed under chapter 148 or 150A. The plan shall provide 2 12 that the plan enrollees may reject the coverage for services 2 13 which may be provided by a podiatric physician if the coverage 2 14 is rejected for all providers of similar services as licensed 2 15 under chapter 148, 149, or 150A. This paragraph applies to 2 16 services provided under plans made on or after July 1, 2003, 2 17 and to existing group plans on their next anniversary or 2 18 renewal date, or upon the expiration of the applicable 2 19 collective bargaining contract, if any, whichever is the 2 20 later. This paragraph does not apply to enrollees eligible 2 21 for coverage under Title XVIII of the federal Social Security 2 22 Act or any other similar coverage under a state or federal 2 23 government plan. 2 24 EXPLANATION 2 25 This bill establishes provisions under group insurance 2 26 policies and health maintenance organization contracts to 2 27 require that if the policy or available health care services 2 28 currently cover or include care and treatment, as well as drug 2 29 prescriptions, if provided by a person licensed to practice 2 30 medicine and surgery under Code chapter 148 or a person 2 31 licensed to practice osteopathic medicine and surgery under 2 32 Code chapter 150A, the plan or health care services available 2 33 shall also allow for provision of the care and treatment, as 2 34 well as drug prescriptions, by a podiatrist. The bill also 2 35 requires that the care or treatment be within the scope of 3 1 practice of the podiatrist. The requirement applies to 3 2 policies delivered and issued and services provided under 3 3 plans on or after July 1, 2003, and to existing plans on the 3 4 latter of the anniversary, renewal, or expiration of a 3 5 collective bargaining contract. 3 6 LSB 1797HH 80 3 7 pf/cl/14
Text: HF00045 Text: HF00047 Text: HF00000 - HF00099 Text: HF Index Bills and Amendments: General Index Bill History: General Index
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