SSB 3055 (LSB 5146XC (3) 83)

SENATE FILE _____

BY  (PROPOSED COMMITTEE ON HUMAN RESOURCES BILL BY CHAIRPERSON RAGAN)

A BILL FOR

An Act relating to participation of chiropractors in certain limited provider network plans.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  Section 514C.13, Code 2009, is amended by adding the following new subsection:
   NEW SUBSECTION.  5.  A carrier or organized delivery system or a large employer which offers a limited provider network plan shall permit any chiropractor licensed under chapter 151 who is located in the geographic area served by the plan and who agrees to abide by the plan’s terms, conditions, reimbursement rates, and quality standards, to serve as a participating provider in the limited provider network plan.
EXPLANATION
   This bill provides that a carrier or organized delivery system or a large employer that offers a limited provider network plan is required to allow any chiropractor licensed under Code chapter 151 who is located in the geographic area served by the plan and who agrees to abide by the terms, conditions, reimbursement rates, and quality standards of the plan, to serve as a participating provider in the limited provider network plan.
   A “limited provider network plan” means a managed care health plan which limits access to or coverage for services to selected health care providers who are under contract with the managed care health plan.