House File 269 - Introduced HOUSE FILE 269 BY FRY A BILL FOR An Act prohibiting certain health carriers from excluding 1 certain out-of-state health care professionals from 2 participating as providers, via telehealth, under the 3 carriers’ policies, plans, and contracts, and including 4 effective date and applicability provisions. 5 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 6 TLSB 2276YH (2) 89 ko/rn

H.F. 269 Section 1. Section 514C.34, subsection 1, Code 2021, is 1 amended by adding the following new paragraph: 2 NEW PARAGRAPH . 0c. “Health carrier” means the same as 3 defined in section 514J.102. 4 Sec. 2. Section 514C.34, subsection 3, Code 2021, is amended 5 to read as follows: 6 3. a. Health care services that are delivered by telehealth 7 must be appropriate and delivered in accordance with applicable 8 law and generally accepted health care practices and standards 9 prevailing at the time the health care services are provided, 10 including all rules adopted by the appropriate professional 11 licensing board, pursuant to chapter 147 , having oversight 12 of the health care professional providing the health care 13 services. 14 b. A health carrier shall not exclude a health care 15 professional who is physically located out-of-state from 16 participating as a provider, via telehealth, under a policy, 17 plan, or contract offered by the health carrier in the state if 18 all of the following requirements are met: 19 (1) The health care professional is licensed in this state 20 by the appropriate professional licensing board and is able to 21 deliver health care services via telehealth in compliance with 22 paragraph “a” . 23 (2) The health care professional is able to satisfy the same 24 criteria that the health carrier uses to qualify a health care 25 professional who is located in the state, and who holds the 26 same license as the out-of-state professional, to participate 27 as a provider, via telehealth, under a policy, plan, or 28 contract offered by the health carrier in the state. 29 Sec. 3. EFFECTIVE DATE. This Act, being deemed of immediate 30 importance, takes effect upon enactment. 31 Sec. 4. APPLICABILITY. This Act applies to health carriers 32 that deliver, issue for delivery, continue, or renew a policy, 33 contract, or plan in this state on or after the effective date 34 of this Act. 35 -1- LSB 2276YH (2) 89 ko/rn 1/ 2

H.F. 269 EXPLANATION 1 The inclusion of this explanation does not constitute agreement with 2 the explanation’s substance by the members of the general assembly. 3 This bill prohibits certain health carriers (carriers) 4 from excluding certain out-of-state health care professionals 5 (professionals) from participating as providers, via 6 telehealth, under a policy, plan, or contract offered by 7 the health carrier if the professional is licensed in Iowa, 8 is able to deliver health care services via telehealth in 9 compliance with Code chapter 514C.34, and is able to satisfy 10 the same criteria that the carrier uses to qualify in-state 11 professionals, who hold the same license as the out-of-state 12 professional, as providers. 13 The bill takes effect upon enactment and applies to carriers 14 that deliver, issue for delivery, continue, or renew a 15 policy, contract, or plan in this state on or after the bill’s 16 effective date. 17 -2- LSB 2276YH (2) 89 ko/rn 2/ 2