House
File
95
-
Introduced
HOUSE
FILE
95
BY
KRESSIG
A
BILL
FOR
An
Act
relating
to
requirements
for
guaranteed
issue
of
1
Medicare
supplement
coverage
to
certain
eligible
persons.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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Section
1.
DIRECTIVE
TO
COMMISSIONER
OF
INSURANCE
——
RULES
1
GOVERNING
MEDICARE
SUPPLEMENT
INSURANCE
COVERAGE.
2
1.
The
commissioner
of
insurance
shall
amend
the
3
administrative
rules
with
respect
to
policies
of
Medicare
4
supplement
coverage
to
provide
that,
for
the
purposes
of
5
guaranteed
issue
of
such
coverage
to
eligible
persons
pursuant
6
to
191
IAC
37.25(2),
an
eligible
person
includes
an
individual
7
who
loses
eligibility
for
health
benefits
under
Tit.
XIX
of
the
8
federal
Social
Security
Act,
authorized
as
the
Medicaid
program
9
pursuant
to
chapter
249A.
10
2.
With
respect
to
policies
of
Medicare
supplement
11
coverage,
the
commissioner
shall
also
amend
the
administrative
12
rules
to
provide
that
in
the
case
of
an
eligible
person
13
described
in
subsection
1,
whose
enrollment
in
the
Medicaid
14
program
is
terminated
involuntarily,
the
guaranteed
issue
time
15
period
begins
on
the
date
that
the
individual
receives
a
notice
16
of
termination
of
Medicaid
coverage
and
ends
sixty-three
days
17
after
the
date
the
Medicaid
coverage
is
terminated.
18
EXPLANATION
19
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
20
the
explanation’s
substance
by
the
members
of
the
general
assembly.
21
This
bill
relates
to
requirements
for
guaranteed
issue
of
22
Medicare
supplement
coverage
to
certain
eligible
persons.
23
The
bill
directs
the
commissioner
of
insurance
to
amend
the
24
administrative
rules
relating
to
such
coverage
to
expand
the
25
definition
of
an
“eligible
person”
for
guaranteed
issue
of
the
26
coverage
to
include
an
individual
who
loses
eligibility
for
27
health
benefits
under
the
Iowa
Medicaid
program.
28
The
bill
further
requires
the
commissioner
to
amend
the
29
administrative
rules
to
provide
that
such
an
individual
is
30
guaranteed
issuance
of
Medicare
supplement
coverage
beginning
31
on
the
date
the
individual
receives
a
notice
of
termination
32
and
ending
63
days
after
the
date
the
Medicaid
coverage
is
33
terminated.
34
“Guaranteed
issue”
in
the
context
of
the
bill
means
that,
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with
respect
to
eligible
persons,
an
insurer
cannot
deny
1
or
condition
the
issuance
or
effectiveness
of
a
Medicare
2
supplement
policy
that
is
offered
to
new
enrollees;
cannot
3
discriminate
in
the
pricing
of
such
a
policy
because
of
health
4
status,
claims
experience,
receipt
of
health
care,
or
medical
5
condition;
and
cannot
impose
an
exclusion
of
benefits
based
on
6
a
preexisting
condition.
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