House File 2236 H-8061 Amend House File 2236 as follows: 1 1. Page 8, after line 4 by inserting: 2 < Sec. ___. Section 514C.4, Code 2018, is amended to read as 3 follows: 4 514C.4 Mandated coverage for mammography. 5 1. As used in this section: 6 a. “Health care professional” means the same as defined in 7 section 514J.102. 8 b. “Mammogram” means a radiographic image obtained using a 9 procedure, including two-dimensional mammography or three- 10 dimensional mammography, as recommended by a woman’s health 11 care professional. 12 1. 2. a. A policy or contract providing for third-party 13 payment or prepayment of health or medical expenses shall 14 provide minimum mammography examination coverage, including, 15 but not limited to, the following classes of third-party 16 payment provider contracts or policies delivered, issued for 17 delivery, continued, or renewed in this state. 18 (1) Individual or group accident and sickness insurance 19 providing coverage on an expense-incurred basis. 20 (2) An individual or group hospital or medical service 21 contract issued pursuant to chapter 509 , 514 , or 514A . 22 (3) An individual or group health maintenance organization 23 contract regulated under chapter 514B . 24 (4) An individual or group Medicare supplemental policy, 25 unless coverage pursuant to such policy is preempted by federal 26 law. 27 b. A long-term care policy or contract is specifically 28 excluded from regulation under this section . 29 2. 3. As used in this section , “minimum mammography 30 examination coverage” means benefits which are better than or 31 equal to the following minimum requirements: 32 a. One baseline mammogram for any woman who is thirty-five 33 through thirty-nine years of age, or more frequent mammograms 34 if recommended by the woman’s physician health care 35 -1- HF2236.3544 (1) 87 ko/rj 1/ 2 #1.

professional . 1 b. A mammogram every two years for any woman who is 2 forty through forty-nine years of age, or more frequently if 3 recommended by the woman’s physician health care professional . 4 c. A mammogram every year for any woman who is fifty years 5 of age or older, or more frequently if recommended by the 6 woman’s physician health care professional . 7 3. 4. Mammogram benefits may be subject to any policy or 8 contract provisions which apply generally to other services 9 covered by the policy or contract. 10 4. 5. The commissioner of insurance shall adopt rules under 11 chapter 17A necessary to implement this section . 12 Sec. ___. EFFECTIVE DATE. The section of this Act amending 13 section 514C.4 takes effect upon enactment. 14 Sec. ___. APPLICABILITY. The section of this Act amending 15 section 514C.4 applies to the classes of third-party payment 16 provider contracts or policies specified in section 514C.4, as 17 amended by this Act, that are delivered, issued for delivery, 18 continued, or renewed in this state on or after July 1, 2018. > 19 2. Title page, by striking lines 1 through 4 and 20 inserting < An Act relating to the commissioner of insurance 21 as the agent or attorney for service of process and as the 22 regulator of insurance coverage for mammograms, and resolving 23 inconsistencies and including effective date and applicability 24 provisions. > 25 3. By renumbering, redesignating, and correcting internal 26 references as necessary. 27 ______________________________ RUNNING-MARQUARDT of Linn -2- HF2236.3544 (1) 87 ko/rj 2/ 2 #2. #3.