Senate File 367 - Introduced



                                       SENATE FILE       
                                       BY  COMMITTEE ON COMMERCE

                                       (SUCCESSOR TO SSB 1207)


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

                                      A BILL FOR

  1 An Act creating an interim commission on affordable health care
  2    plans for small businesses and families and a health care data
  3    research advisory council, and making an appropriation.
  4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
  5 TLSB 2475SV 82
  6 av/gg/14

PAG LIN



  1  1    Section 1.  INTERIM COMMISSION ON AFFORDABLE HEALTH CARE
  1  2 PLANS FOR SMALL BUSINESSES AND FAMILIES.
  1  3    1.  An interim commission on affordable health care plans
  1  4 for small businesses and families is created consisting of 19
  1  5 members.  The legislative services agency shall provide
  1  6 staffing assistance to the commission.
  1  7    a.  The commission shall include 10 members of the general
  1  8 assembly, three appointed by the majority leader of the
  1  9 senate, two appointed by the minority leader of the senate,
  1 10 three appointed by the speaker of the house of
  1 11 representatives, and two appointed by the minority leader of
  1 12 the house of representatives.
  1 13    b.  The commission shall also include nine members of the
  1 14 public as follows:
  1 15    (1)  Two members who are small business owners, one
  1 16 designated by the Iowa association of business and industry,
  1 17 and one designated by the national federation of independent
  1 18 business.
  1 19    (2)  One hospital administrator designated by the Iowa
  1 20 hospital association.
  1 21    (3)  Two health care providers, one a physician designated
  1 22 by the Iowa medical society, and one a nurse designated by the
  1 23 Iowa nurses association.
  1 24    (4)  One individual insurance agent designated by the
  1 25 independent insurance agents of Iowa.
  1 26    (5)  One representative of an insurance carrier designated
  1 27 by the federation of Iowa insurers.
  1 28    (6)  Two consumers appointed by the governor.
  1 29    2.  The chairpersons of the commission shall be those
  1 30 members of the general assembly so appointed by the majority
  1 31 leader of the senate and the speaker of the house of
  1 32 representatives.  Legislative members of the commission are
  1 33 eligible for per diem and reimbursement of actual expenses as
  1 34 provided in section 2.10.
  1 35    3.  The commission shall review, analyze, and make
  2  1 recommendations on issues relating to the affordability of
  2  2 health care for Iowans including but not limited to:
  2  3    a.  The benefits and costs of requiring all residents of
  2  4 Iowa to have health insurance coverage, including but not
  2  5 limited to individual mandates and proposals from other
  2  6 states.
  2  7    b.  Uninsured and underinsured Iowans with a special focus
  2  8 on determining the characteristics of the uninsured and
  2  9 underinsured populations, why such persons are uninsured or
  2 10 underinsured, and the most effective and efficient means to
  2 11 provide insurance coverage to such persons, including through
  2 12 government programs.
  2 13    c.  Major factors and trends that are likely to impact the
  2 14 cost of premiums and affordability of health care during the
  2 15 next ten years, including but not limited to effects of
  2 16 mandates, levels of coverage, costs and pricing of treatments,
  2 17 cost=sharing and cost=cutting measures, cost=shifting
  2 18 measures, collaborative opportunities, subsidies, reinsurance
  2 19 plans, risk pooling, and wellness and disease prevention
  2 20 initiatives.
  2 21    4.  The commission shall utilize the expertise of the
  2 22 health care data research advisory council in carrying out the
  2 23 commission's duties.
  2 24    5.  The commission may hold public hearings to allow
  2 25 persons and organizations to be heard and to gather
  2 26 information.
  2 27    6.  The commission may request from any state agency or
  2 28 official information and assistance as needed to perform the
  2 29 review and analysis required in subsection 3.  A state agency
  2 30 or official shall furnish the information or assistance
  2 31 requested within the authority and resources of the state
  2 32 agency or official.  This subsection does not allow the
  2 33 examination or copying of any public record required by law to
  2 34 be kept confidential.
  2 35    7.  The commission may employ staff and consultants as
  3  1 necessary to assist the commission in carrying out its duties
  3  2 as set forth in this section.
  3  3    8.  The commission shall submit a final report to the
  3  4 general assembly no later than December 1, 2007, summarizing
  3  5 the commission's activities, analyzing issues studied, making
  3  6 recommendations for legislative reforms that will make health
  3  7 insurance coverage more affordable for small businesses and
  3  8 families in this state, and including any other information
  3  9 that the commission deems relevant and necessary.
  3 10    Sec. 2.  HEALTH CARE DATA RESEARCH ADVISORY COUNCIL.
  3 11    1.  A health care data research advisory council is created
  3 12 for the purpose of assisting the commission on affordable
  3 13 health care plans for small businesses and families in
  3 14 carrying out the commission's duties by conducting research,
  3 15 providing research data and analysis, and performing other
  3 16 functions within the expertise of the members of the council
  3 17 at the direction of the commission.
  3 18    2.  The commission shall include the following members:
  3 19    a.  A representative of the university of Iowa college of
  3 20 medicine.
  3 21    b.  A representative of the university of Iowa college of
  3 22 dentistry.
  3 23    c.  A representative of the university of Iowa college of
  3 24 pharmacy.
  3 25    d.  A representative of the university of Iowa college of
  3 26 nursing.
  3 27    e.  A representative of the university of Iowa college of
  3 28 public health.
  3 29    f.  A representative of Des Moines university ==
  3 30 osteopathic medical center.
  3 31    g.  A representative of the Drake university college of
  3 32 pharmacy.
  3 33    h.  A representative of the Mercy college of health
  3 34 sciences.
  3 35    Sec. 3.  INTERIM COMMISSION ON AFFORDABLE HEALTH CARE PLANS
  4  1 FOR SMALL BUSINESSES AND FAMILIES APPROPRIATION.  There is
  4  2 appropriated from the health care trust fund created in
  4  3 section 453A.35A or similar fund, if enacted by the
  4  4 Eighty=second General Assembly, 2007 Session, to the interim
  4  5 commission on affordable health care plans for small
  4  6 businesses and families for the fiscal year beginning July 1,
  4  7 2007, and ending June 30, 2008, the following amount, or so
  4  8 much thereof as is necessary, for the purpose designated:
  4  9    For carrying out the duties of the commission and the
  4 10 health care data research advisory council as set forth in
  4 11 this division:
  4 12 .................................................. $    500,000
  4 13                           EXPLANATION
  4 14    This bill creates an interim commission on affordable
  4 15 health care plans for small businesses and families to review
  4 16 and analyze possible health insurance reforms to make health
  4 17 care coverage more affordable for small businesses and
  4 18 families in this state.
  4 19    The commission consists of 19 members including 10 members
  4 20 of the general assembly with three appointed by the majority
  4 21 leader of the senate, two appointed by the minority leader of
  4 22 the senate, three appointed by the speaker of the house of
  4 23 representatives, and two appointed by the minority leader of
  4 24 the house of representatives.  The commission also includes
  4 25 two members who are small business owners, one hospital
  4 26 administrator, a physician, a nurse, an individual insurance
  4 27 agent, and a representative of an insurance carrier, who are
  4 28 designated by specified organizations, and two consumers
  4 29 appointed by the governor.
  4 30    Legislative members of the commission are eligible for per
  4 31 diem and reimbursement of actual expenses as provided in Code
  4 32 section 2.10.
  4 33    The commission is required to review, analyze, and make
  4 34 recommendations on issues relating to the affordability of
  4 35 health care for Iowans including but not limited to issues
  5  1 specified in the bill.
  5  2    The commission is authorized to hold public hearings and
  5  3 request information from state agencies and officers and to
  5  4 employ staff and consultants as necessary to assist it in
  5  5 performing its charge.
  5  6    The commission is required to submit a final report to the
  5  7 general assembly no later than December 1, 2007, summarizing
  5  8 the commission's activities, analyzing the issues studied,
  5  9 making recommendations for legislative reforms that will make
  5 10 health insurance more affordable for small businesses and
  5 11 families, and including any other information that the
  5 12 commission deems relevant and necessary.
  5 13    The bill creates a health care data research advisory
  5 14 council for the purpose of assisting the commission in
  5 15 carrying out the commission's duties by conducting research,
  5 16 providing research data and analysis, and performing other
  5 17 functions within the expertise of members of the council at
  5 18 the direction of the commission.
  5 19    The bill specifies that the health care data research
  5 20 advisory council shall include the following members:  a
  5 21 representative of the university of Iowa college of medicine,
  5 22 a representative of the university of Iowa college of
  5 23 dentistry, a representative of the university of Iowa college
  5 24 of pharmacy, a representative of the university of Iowa
  5 25 college of nursing, a representative of the university of Iowa
  5 26 college of public health, a representative of Des Moines
  5 27 university == osteopathic medical center, a representative of
  5 28 Drake university college of pharmacy, and a representative of
  5 29 Mercy college of health sciences.
  5 30    The bill appropriates $500,000 to the commission for the
  5 31 2007=2008 fiscal year to carry out its duties and the duties
  5 32 of the health care data research advisory council as set forth
  5 33 in the bill.
  5 34 LSB 2475SV 82
  5 35 av:rj/gg/14