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House File 2521

Partial Bill History

Bill Text

PAG LIN
  1  1    Section 1.  IOWA HEALTH INSURANCE VALUE INITIATIVE.
  1  2    1.  The commissioner of insurance shall conduct a study
  1  3 regarding the costs of health insurance premiums for
  1  4 businesses and individual customers in this state.  The
  1  5 purpose of the study shall be to provide the general assembly
  1  6 with recommendations to reduce the cost of health insurance
  1  7 premiums for businesses and individuals who purchase health
  1  8 insurance policies by at least ten percent.
  1  9    2.  The study shall include a broad review and cost
  1 10 comparison of health insurance policies offered in this state
  1 11 including, but not limited to, those purchased as a group or
  1 12 individually, by employers or employees, by self-employed or
  1 13 self-insured persons, and through benevolent organizations,
  1 14 nonprofit health service corporations, or health maintenance
  1 15 organizations.
  1 16    3.  The study shall also consider methods to reduce the
  1 17 cost of health care services that affect health insurance
  1 18 premiums such as wellness programs, managed care, priority in
  1 19 costs of service, equitable discounts to insurers, and the
  1 20 costs of pharmaceuticals.  The study shall consider possible
  1 21 advantages of reinsurance programs, medical savings accounts,
  1 22 and premium tax credits and assessments.  The study shall
  1 23 consider advantages of state government processes used by
  1 24 other states such as mandate commissions and other
  1 25 opportunities that would attract other business entities to
  1 26 Iowa and increase competition.
  1 27    4.  In consultation with the department of economic
  1 28 development, the study shall identify economic growth
  1 29 opportunities and competitive advantages that may be gained
  1 30 over neighboring states for Iowa businesses due to a decrease
  1 31 in health insurance premiums in Iowa.
  1 32    5.  The commissioner shall provide at least two
  1 33 recommendations for reducing health insurance premiums by at
  1 34 least ten percent.  The commissioner shall ensure that the
  1 35 recommendations are supportive of the insurance industry,
  2  1 which is a vital component of the economy of this state, and
  2  2 that Iowa remains competitive with other states for continued
  2  3 economic development in the insurance industry.
  2  4    6.  The commissioner of insurance, in consultation with the
  2  5 department of economic development, shall select persons to
  2  6 participate in the study, which persons shall include
  2  7 representatives from the health insurance industry,
  2  8 independent health insurance agents, health care providers,
  2  9 large and small businesses offering health insurance benefits,
  2 10 self-funded bodies, labor unions and collective bargaining
  2 11 organizations, state and local governments and school boards
  2 12 offering health insurance benefits, the department of human
  2 13 services, and other health insurance-related parties or
  2 14 experts as deemed appropriate by the commissioner.
  2 15    7.  The commissioner shall provide an action plan outlining
  2 16 the proposed agenda for the study to the general assembly, or
  2 17 if the general assembly is no longer in session to the
  2 18 legislative oversight committee, by April 30, 2004.  The
  2 19 commissioner shall provide at least two interim reports to the
  2 20 legislative government oversight committee and a final report
  2 21 to the house standing committee on commerce, regulation and
  2 22 labor, the senate standing committee on commerce, and the
  2 23 legislative oversight committee by January 3, 2005.
  2 24    Sec. 2.  MEDICAL MALPRACTICE INSURANCE SOLUTION TASK FORCE
  2 25 – STUDY.  The insurance division of the department of
  2 26 commerce shall establish a medical malpractice insurance
  2 27 solution task force.  The medical malpractice insurance
  2 28 solution task force shall conduct a study regarding the
  2 29 availability and affordability of medical malpractice
  2 30 insurance in Iowa.  The purpose of the study shall be to
  2 31 provide regulatory agencies and the general assembly with
  2 32 possible solutions to alleviate problems regarding the
  2 33 availability and affordability of medical malpractice
  2 34 insurance in Iowa.  The study shall include a broad review of
  2 35 factors affecting the availability and affordability of
  3  1 medical malpractice insurance in Iowa, including all of the
  3  2 following:
  3  3    1.  Premium amounts charged by medical malpractice insurers
  3  4 compared to expenses of medical malpractice insurers related
  3  5 to actual medical malpractice costs incurred including but not
  3  6 limited to administrative and overhead costs and costs of
  3  7 litigation including settlements and judgments during at least
  3  8 the previous ten-year period.
  3  9    2.  The type of damages awarded in settlements and
  3 10 judgments in medical malpractice actions including but not
  3 11 limited to general economic and noneconomic damages, actual
  3 12 medical expenses, future medical expenses, lost wages,
  3 13 punitive damages, pain and suffering, and loss of
  3 14 companionship.
  3 15    3.  Any other factors contributing to the increase,
  3 16 decrease, and volatility of medical malpractice insurance
  3 17 premiums.
  3 18    4.  Existing insurance regulatory requirements and
  3 19 procedures.
  3 20    5.  Existing tort law in Iowa and the United States,
  3 21 whether statutory or case law.
  3 22    6.  Any other relevant matters as agreed upon by the task
  3 23 force.
  3 24    The commissioner of insurance shall select the members of
  3 25 the task force which shall include representatives of medical
  3 26 malpractice insurers, health care professionals and health
  3 27 care facilities that purchase medical malpractice insurance,
  3 28 attorneys that represent plaintiffs in medical malpractice
  3 29 actions, attorneys that represent defendants in medical
  3 30 malpractice actions, and any other parties or experts as
  3 31 deemed appropriate by the commissioner.
  3 32    The commissioner shall submit a report from the task force
  3 33 to the general assembly on or before January 15, 2005,
  3 34 regarding the task force's findings and recommended possible
  3 35 solutions, including proposed legislation, to make medical
  4  1 malpractice insurance more available and more affordable in
  4  2 Iowa.
  4  3    Sec. 3.  EFFECTIVE DATE.  This Act, being deemed of
  4  4 immediate importance, takes effect upon enactment.  
  4  5 HF 2521
  4  6 kk/es/25
     

Text: HF02520                           Text: HF02522
Text: HF02500 - HF02599                 Text: HF Index
Bills and Amendments: General Index     Bill History: General Index

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