House File 2408 - Introduced HOUSE FILE 2408 BY COMMITTEE ON COMMERCE (SUCCESSOR TO HSB 533) A BILL FOR An Act relating to third-party payment of services provided by 1 a doctor of chiropractic. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 5475HV (1) 84 av/nh
H.F. 2408 Section 1. NEW SECTION . 514C.29 Services provided by a 1 doctor of chiropractic. 2 1. Notwithstanding the uniformity of treatment requirements 3 of section 514C.6, a policy, contract, or plan providing 4 for third-party payment or prepayment of health or medical 5 expenses shall not impose a copayment or coinsurance amount on 6 an insured for services provided by a doctor of chiropractic 7 licensed pursuant to chapter 151 that is greater than the 8 copayment or coinsurance amount imposed on the insured for 9 services provided by a person engaged in the practice of 10 medicine and surgery or osteopathic medicine and surgery under 11 chapter 148 for the same or a similar diagnosed condition even 12 if a different nomenclature is used to describe the condition 13 for which the services are provided. 14 2. This section applies to the following classes of 15 third-party payment provider policies, contracts, or plans 16 delivered, issued for delivery, continued, or renewed in this 17 state on or after July 1, 2012: 18 a. Individual or group accident and sickness insurance 19 providing coverage on an expense-incurred basis. 20 b. An individual or group hospital or medical service 21 contract issued pursuant to chapter 509, 514, or 514A. 22 c. An individual or group health maintenance organization 23 contract regulated under chapter 514B. 24 d. A plan established pursuant to chapter 509A for public 25 employees. 26 e. An organized delivery system licensed by the director of 27 public health. 28 3. This section shall not apply to accident-only, 29 specified disease, short-term hospital or medical, hospital 30 confinement indemnity, credit, dental, vision, Medicare 31 supplement, long-term care, basic hospital and medical-surgical 32 expense coverage as defined by the commissioner, disability 33 income insurance coverage, coverage issued as a supplement 34 to liability insurance, workers’ compensation or similar 35 -1- LSB 5475HV (1) 84 av/nh 1/ 2
H.F. 2408 insurance, or automobile medical payment insurance. 1 EXPLANATION 2 This bill provides that a policy, contract, or plan 3 providing for third-party payment or prepayment of health or 4 medical expenses shall not impose a copayment or coinsurance 5 amount on an insured for services provided by a doctor of 6 chiropractic that is greater than the copayment or coinsurance 7 amount imposed on the insured for services rendered by a person 8 engaged in the practice of medicine and surgery or osteopathic 9 medicine and surgery for the same or a similar diagnosed 10 condition even if a different nomenclature is used to describe 11 the condition for which the services are provided. 12 The bill applies to specified individual and group policies, 13 contracts, and plans that are issued for delivery, continued, 14 or renewed in this state on or after July 1, 2012. 15 -2- LSB 5475HV (1) 84 av/nh 2/ 2