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
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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
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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
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