Senate File 143 - Introduced



                                       SENATE FILE       
                                       BY  McCOY


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

                                      A BILL FOR

  1 An Act requiring insurers offering certain individual or group
  2    health insurance contracts, policies, or plans to provide
  3    coverage for audiological services and hearing aids for
  4    children.
  5 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
  6 TLSB 2221XS 82
  7 av/cf/24

PAG LIN



  1  1    Section 1.  NEW SECTION.  514C.23  AUDIOLOGICAL SERVICES
  1  2 AND HEARING AIDS FOR CHILDREN == COVERAGE.
  1  3    1.  Notwithstanding the uniformity of treatment
  1  4 requirements of section 514C.6, a contract, policy, or plan
  1  5 providing for third=party payment or prepayment of health or
  1  6 medical expenses shall provide minimum coverage benefits for
  1  7 audiological services and hearing aids for children, including
  1  8 but not limited to the following classes of third=party
  1  9 payment provider contracts, policies, or plans delivered,
  1 10 issued for delivery, continued, or renewed in this state on or
  1 11 after January 1, 2008:
  1 12    a.  Individual or group accident and sickness insurance
  1 13 providing coverage on an expense=incurred basis.
  1 14    b.  An individual or group hospital or medical service
  1 15 contract issued pursuant to chapter 509, 514, or 514A.
  1 16    c.  An individual or group health maintenance organization
  1 17 contract regulated under chapter 514B.
  1 18    d.  An individual or group Medicare supplemental policy,
  1 19 unless coverage pursuant to such policy is preempted by
  1 20 federal law.
  1 21    e.  A plan established pursuant to chapter 509A for public
  1 22 employees.
  1 23    2.  This section shall not apply to accident=only,
  1 24 specified disease, short=term hospital or medical, hospital
  1 25 confinement indemnity, credit, dental, vision, long=term care,
  1 26 basic hospital and medical=surgical expense coverage as
  1 27 defined by the commissioner, disability income insurance
  1 28 coverage, coverage issued as a supplement to liability
  1 29 insurance, workers' compensation or similar insurance, or
  1 30 automobile medical payment insurance.
  1 31    3.  As used in this section, "minimum coverage for
  1 32 audiological services and hearing aids for children" means
  1 33 coverage that includes at a minimum both of the following:
  1 34    a.  Coverage for hearing aids that are prescribed, filled
  1 35 and dispensed by a licensed audiologist for children up to
  2  1 eighteen years of age.
  2  2    b.  Coverage for an ear mold and a hearing aid for each
  2  3 hearing=impaired ear payable every twenty=four months for
  2  4 children up to eighteen years of age and coverage for up to
  2  5 four additional ear molds per year for children up to three
  2  6 years of age.
  2  7    4.  The commissioner of insurance shall adopt rules
  2  8 pursuant to chapter 17A as necessary to administer this
  2  9 section.
  2 10                           EXPLANATION
  2 11    This bill requires insurers offering certain individual or
  2 12 group health insurance contracts, policies, or plans in the
  2 13 state to provide coverage for audiological services and
  2 14 hearing aids for children.
  2 15    The provisions of the bill are applicable to third=party
  2 16 payment provider contracts, policies, or plans delivered,
  2 17 issued for delivery, continued, or renewed in this state on or
  2 18 after January 1, 2008.
  2 19    The commissioner of insurance is required to adopt rules
  2 20 under Code chapter 17A to administer the provisions of the
  2 21 bill.
  2 22    New Code section 514C.23 requires specified individual and
  2 23 group health insurance contracts, policies, or plans that
  2 24 provide coverage for third=party payment or prepayment of
  2 25 health or medical expenses to provide minimum coverage for
  2 26 audiological services and hearing aids for children.
  2 27    The bill provides that "minimum coverage for audiological
  2 28 services and hearing aids for children" must include, at a
  2 29 minimum, coverage for hearing aids that are prescribed,
  2 30 filled, and dispensed by a licensed audiologist for children
  2 31 up to 18 years of age, coverage for an ear mold and a hearing
  2 32 aid for each hearing=impaired ear payable every 24 months for
  2 33 children up to 18 years of age, and coverage for up to four
  2 34 additional ear molds per year for children up to three years
  2 35 of age.
  3  1 LSB 2221XS 82
  3  2 av:rj/cf/24