Senate File 148 S-3019 Amend the amendment, S-3015, to Senate File 148, as follows: 1 1. Page 1, line 5, by striking < DAMAGE AWARDS AGAINST > 2 2. Page 2, line 2, by striking < subsection > and inserting 3 < subsections > 4 3. Page 2, after line 11 by inserting: 5 < NEW SUBSECTION . 5. Until January 1, 2028, an insurance 6 carrier that writes medical malpractice insurance in this state 7 shall not increase the premium paid by, charged to, or offered 8 to any health care provider for medical malpractice insurance 9 as of July 1, 2023. On January 1, 2028, an insurance carrier 10 that writes medical malpractice insurance in this state may 11 increase the premium paid by, charged to, or offered to any 12 health care provider for medical malpractice insurance as of 13 July 1, 2023, by no more than two and one-tenth percent, and 14 may increase such premium by no more than two and one-tenth 15 percent each January 1 thereafter. The commissioner of 16 insurance shall approve any premium increase proposed by an 17 insurance carrier under this subsection prior to the premium 18 increase being imposed on a health care provider. For the 19 purpose of this subsection, “medical malpractice insurance” 20 means the same as defined in section 519A.2. > 21 4. Page 4, after line 20 by inserting: 22 < ___. Title page, line 1, after < against > by inserting < and 23 medical malpractice insurance of >> 24 5. By renumbering as necessary. 25 ______________________________ NATE BOULTON ______________________________ WILLIAM A. DOTZLER, JR. -1- S 3015.288 (3) 90 cm/ns 1/ 3 #1. #2. #3. #4. #5.

______________________________ MOLLY DONAHUE ______________________________ TODD TAYLOR ______________________________ CLAIRE CELSI ______________________________ ERIC GIDDENS ______________________________ PAM JOCHUM ______________________________ HERMAN C. QUIRMBACH ______________________________ JANICE WEINER ______________________________ JANET PETERSEN ______________________________ LIZ BENNETT -2- S 3015.288 (3) 90 cm/ns 2/ 3