House File 636 - Introduced



                                       HOUSE FILE       
                                       BY  THOMAS


    Passed House,  Date               Passed Senate, Date             
    Vote:  Ayes        Nays           Vote:  Ayes        Nays         
                 Approved                            

                                      A BILL FOR

  1 An Act requiring health care providers, hospitals, and designated
  2    employees to inform patients of inclusion on the patient's
  3    insurance provider list under specified circumstances.
  4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
  5 TLSB 2962HH 81
  6 rn/pj/5

PAG LIN



  1  1    Section 1.  NEW SECTION.  135.20  PATIENT INSURANCE
  1  2 COVERAGE == REQUIRED DISCLOSURE.
  1  3    1.  For the purposes of this section, unless the context
  1  4 otherwise requires:
  1  5    a.  "Health care provider" means a physician licensed
  1  6 pursuant to chapter 148, 150, 150A, or 151.
  1  7    b.  "Hospital" means a hospital as defined in section
  1  8 135B.1.
  1  9    2.  Prior to providing nonemergency medical care or
  1 10 treatment, a health care provider, a hospital, or an employee
  1 11 of a health care provider or hospital responsible for patient
  1 12 intake or admission, shall inform the patient regarding
  1 13 inclusion of the health care provider or hospital on the
  1 14 patient's insurance provider list.
  1 15    3.  A violation of this section by a health care provider,
  1 16 or an employee of a health care provider responsible for
  1 17 patient intake or admission, shall subject the health care
  1 18 provider to the penalty provisions of section 147.86 and the
  1 19 licensee disciplinary provisions of chapter 272C.
  1 20    4.  A violation of this section by a hospital, or an
  1 21 employee of a hospital responsible for patient intake or
  1 22 admission, shall subject the hospital to penalties to be
  1 23 determined by the department by rule, with the advice and
  1 24 approval of the hospital licensing board, pursuant to section
  1 25 135B.7.
  1 26                           EXPLANATION
  1 27    This bill provides that a health care provider, a hospital,
  1 28 or an employee of either responsible for patient intake and
  1 29 admission must inform patients of inclusion of the provider or
  1 30 hospital on the patient's insurance provider list prior to
  1 31 providing nonemergency medical or health treatment.
  1 32    The bill defines a "health care provider" as a physician
  1 33 licensed pursuant to Code chapter 148, 150, 150A, or 151, and
  1 34 a "hospital" as an entity as defined in Code section 135B.1,
  1 35 subsection 3.
  2  1    The bill provides that violations by a health care provider
  2  2 or an employee shall subject the health care provider to
  2  3 specified penalty provisions, and provides that similar
  2  4 violations by a hospital or its employee shall subject the
  2  5 hospital to penalties to be determined by the Iowa department
  2  6 of public health by rule, with the advice and approval of the
  2  7 hospital licensing board.
  2  8 LSB 2962HH 81
  2  9 rn:nh/pj/5