House Study Bill 701 HOUSE FILE BY (PROPOSED COMMITTEE ON COMMERCE, REGULATION AND LABOR BILL BY CHAIRPERSON JENKINS) Passed House, Date Passed Senate, Date Vote: Ayes Nays Vote: Ayes Nays Approved A BILL FOR 1 An Act providing for a health insurance study by the commissioner 2 of insurance and by providing an effective date. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 4 TLSB 6582HC 80 5 kk/gg/14 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. 1 23 4. The study shall identify economic growth opportunities 1 24 and competitive advantages that may be gained over neighboring 1 25 states for Iowa businesses due to a decrease in health 1 26 insurance premiums in Iowa. 1 27 5. The commissioner shall provide at least two 1 28 recommendations for reducing health insurance premiums by at 1 29 least ten percent. The commissioner shall ensure that the 1 30 recommendations are supportive of the insurance industry, 1 31 which is a vital component of the economy of this state, and 1 32 that Iowa remains competitive with other states for continued 1 33 economic development in the insurance industry. 1 34 6. The commissioner of insurance shall select persons to 1 35 participate in the study, which persons shall include 2 1 representatives from the health insurance industry, 2 2 independent health insurance agents, health care providers, 2 3 and other health insurance=related parties or experts as 2 4 deemed appropriate by the commissioner. 2 5 7. The commissioner shall provide an action plan outlining 2 6 the proposed agenda for the study to the general assembly by 2 7 April 1, 2004. The commissioner shall provide at least two 2 8 interim reports to the legislative government oversight 2 9 committee and a final report to the house standing committee 2 10 on commerce, regulation and labor, the senate standing 2 11 committee on commerce, and the legislative oversight committee 2 12 by January 3, 2005. 2 13 Sec. 2. EFFECTIVE DATE. This Act, being deemed of 2 14 immediate importance, takes effect upon enactment. 2 15 EXPLANATION 2 16 This bill requires the commissioner of insurance to conduct 2 17 a study regarding the costs of health insurance premiums. The 2 18 bill requires the study to include a review and cost 2 19 comparison of the various types of health insurance policies 2 20 issued in this state. The study shall also consider various 2 21 suggested methods to reduce the cost of health care services 2 22 that affect the cost of health insurance premiums. The study 2 23 shall identify economic opportunities and competitive 2 24 advantages that would be gained by Iowa businesses due to 2 25 reduced health insurance premiums in Iowa. The insurance 2 26 commissioner is required to provide at least two 2 27 recommendations for reducing health insurance premiums by at 2 28 least 10 percent, but must also ensure that the importance of 2 29 the insurance industry to this state is not compromised. The 2 30 commissioner shall select persons to participate in the study 2 31 from the health insurance industry, independent health 2 32 insurance agents, health care providers, and other interested 2 33 persons. 2 34 The bill requires the commissioner to provide an action 2 35 plan to the general assembly by April 1, 2004. The bill 3 1 requires the commissioner to provide at least two interim 3 2 reports to the legislative government oversight committee and 3 3 a final report to the house standing committee on commerce, 3 4 regulation and labor, the senate standing committee on 3 5 commerce, and the legislative government oversight committee 3 6 by January 3, 2005. 3 7 The bill has an immediate effective date. 3 8 LSB 6582HC 80 3 9 kk/gg/14