House Amendment 8274


PAG LIN




     1  1    Amend House File 2650 as follows:
     1  2 #1.  Page 7, by striking line 18 and inserting the
     1  3 following:
     1  4    <7.  FUTURE REPEAL.  This section is repealed>.
     1  5 #2.  Page 7, by inserting after line 19 the
     1  6 following:
     1  7    <Sec.    .  NEW SECTION.  514C.24  COVERAGE FOR
     1  8 PROSTHETIC DEVICES.
     1  9    1.  Notwithstanding the uniformity of treatment
     1 10 requirements of section 514C.6, a policy or contract
     1 11 providing for third=party payment or prepayment of
     1 12 health or medical expenses shall provide coverage
     1 13 benefits for prosthetic devices when prescribed by a
     1 14 physician licensed under chapter 148, 150, or 150A.
     1 15 Such coverage benefits for prosthetic devices shall
     1 16 provide coverage for prosthetic devices that, at a
     1 17 minimum, equals the coverage and payment for
     1 18 prosthetic devices provided under federal laws for
     1 19 health insurance for the aged and disabled pursuant to
     1 20 42 U.S.C. } 1395k, 13951, and 1395m, and 42 C.F.R. }
     1 21 414.202, 414.210, 414.228, and 410.100, as applicable.
     1 22    2.  a.  This section applies to the following
     1 23 classes of third=party payment provider contracts or
     1 24 policies delivered, issued for delivery, continued, or
     1 25 renewed in this state on or after July 1, 2008:
     1 26    (1)  Individual or group accident and sickness
     1 27 insurance providing coverage on an expense=incurred
     1 28 basis.
     1 29    (2)  An individual or group hospital or medical
     1 30 service contract issued pursuant to chapter 509, 514,
     1 31 or 514A.
     1 32    (3)  An individual or group health maintenance
     1 33 organization contract regulated under chapter 514B.
     1 34    (4)  A plan established pursuant to chapter 509A
     1 35 for public employees.
     1 36    (5)  An organized delivery system licensed by the
     1 37 director of public health.
     1 38    b.  This section shall not apply to accident only,
     1 39 specified disease, short=term hospital or medical,
     1 40 hospital confinement indemnity, credit, dental,
     1 41 vision, Medicare supplement, long=term care, basic
     1 42 hospital and medical=surgical expense coverage as
     1 43 defined by the commissioner, disability income
     1 44 insurance coverage, coverage issued as a supplement to
     1 45 liability insurance, workers' compensation or similar
     1 46 insurance, or automobile medical payment insurance.>
     1 47 #3.  Title page, line 1, by inserting after the
     1 48 word <Act> the following:  <relating to health
     1 49 insurance mandates by>.
     1 50 #4.  Title page, by striking line 2 and inserting
     2  1 the following:  <, requiring health insurance coverage
     2  2 for certain prosthetic devices, and providing an
     2  3 effective date.>
     2  4 #5.  By renumbering as necessary.
     2  5
     2  6
     2  7                               
     2  8 VAN FOSSEN of Scott
     2  9 HF 2650.201 82
     2 10 av:nh/rj/11362

                              -1-