Text: HF00539 Text: HF00541 Text: HF00500 - HF00599 Text: HF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Section 1. GROUP HEALTH INSURANCE PILOT PROJECT SMALL 1 2 EMPLOYERS AND NONPROFIT ENTITIES. 1 3 1. DEFINITIONS. For purposes of this section, unless the 1 4 context otherwise requires: 1 5 a. "Nonprofit entity" means an entity organized under the 1 6 provisions of chapter 504 or 504A, or an entity that qualifies 1 7 under 26 U.S.C. } 501(c)(3). 1 8 b. "Small employer" means as defined in section 513B.2. 1 9 2. PILOT PROJECTS. 1 10 a. The insurance division of the department of commerce 1 11 shall implement one or more pilot projects designed to examine 1 12 methods of improving the availability and affordability of 1 13 health insurance for individuals and group health insurance 1 14 for small employers and nonprofit entities, including child 1 15 day care centers. The division shall determine whether the 1 16 unique needs and characteristics of each group warrant 1 17 separate pilot projects. 1 18 b. The pilot projects shall be designed to gather 1 19 information regarding the feasibility of alternative types of 1 20 coverages, including but not limited to the following: 1 21 (1) Policies that provide only catastrophic coverage. 1 22 (2) Policies that offer very basic benefits that are not 1 23 subject to some or all of the existing coverage mandates under 1 24 the Code. 1 25 (3) Policies that offer a basic level of benefits plus an 1 26 option to choose additional benefits from a list of additional 1 27 coverages. 1 28 (4) Policies offering alternative types of coverage that 1 29 are restricted to individuals or groups that have been without 1 30 health insurance for a period of time. 1 31 3. PROGRESS REPORTS. The division shall determine the 1 32 design and scope of each pilot project, including the length 1 33 of time necessary to evaluate adequately the performance of 1 34 each pilot project, and shall provide periodic progress 1 35 reports to the general assembly, including when each pilot 2 1 project is launched and the expected duration. The first 2 2 progress report is due in January 2004, and at least annually 2 3 thereafter until each pilot project has been completed. Once 2 4 all pilot projects have been completed, the division shall 2 5 issue a final report to the general assembly regarding its 2 6 findings. 2 7 EXPLANATION 2 8 This bill provides for the development of pilot projects 2 9 for health insurance for individuals and group health 2 10 insurance for small employers and nonprofit entities by the 2 11 division of insurance, department of commerce, to examine 2 12 methods of improving availability and affordability. Specific 2 13 groups for pilot project focus are individuals, small 2 14 businesses, nonprofit entities, and child day care centers. 2 15 The division may determine whether separate pilot projects are 2 16 warranted for each group, or whether the groups may be 2 17 encompassed within one project. The division is also directed 2 18 to determine the design, scope, and time for the projects. 2 19 The division is directed to gather certain information, 2 20 including but not limited to that regarding the feasibility of 2 21 implementation of certain specific alternative coverages. 2 22 Periodic reporting to the general assembly, beginning in 2 23 January 2004, evaluating the performance of each pilot project 2 24 is required by the division, as well as a final report at the 2 25 conclusion of all pilot projects. 2 26 LSB 2082HH 80 2 27 jj/sh/8
Text: HF00539 Text: HF00541 Text: HF00500 - HF00599 Text: HF Index Bills and Amendments: General Index Bill History: General Index
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