Senate
File
374
-
Introduced
SENATE
FILE
374
BY
QUIRMBACH
A
BILL
FOR
An
Act
relating
to
dialysis
services
provided
under
an
Iowa
1
comprehensive
health
insurance
association
policy.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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S.F.
374
Section
1.
Section
514E.1,
Code
2023,
is
amended
by
adding
1
the
following
new
subsection:
2
NEW
SUBSECTION
.
5A.
“Cost-sharing”
means
any
coverage
3
limit,
copayment,
coinsurance,
deductible,
or
other
4
out-of-pocket
expense
obligation.
5
Sec.
2.
NEW
SECTION
.
514E.12
Health
care
services
——
6
payments.
7
On
or
after
January
1,
2024,
a
provider
of
dialysis
services
8
shall
accept
as
payment
in
full
from
the
association,
for
the
9
provision
of
health
care
services
to
an
insured,
an
amount
10
equal
to
the
amount
that
Medicare
pays
a
provider
of
dialysis
11
services
for
provision
of
the
same
health
care
services.
An
12
insured
shall
be
responsible
only
for
any
cost-sharing
imposed
13
on
the
insured
by
the
insured’s
association
policy
for
the
14
health
care
services.
15
EXPLANATION
16
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
17
the
explanation’s
substance
by
the
members
of
the
general
assembly.
18
This
bill
relates
to
health
insurance
provided
under
an
19
Iowa
comprehensive
health
insurance
association
policy.
The
20
bill
requires
a
provider
of
dialysis
services
(provider)
21
to
accept
as
payment
in
full
from
the
association,
for
the
22
provision
of
health
care
services
(services)
to
an
insured,
an
23
amount
equal
to
the
amount
that
Medicare
pays
a
provider
for
24
provision
of
the
same
services.
An
insured
is
only
responsible
25
for
any
cost-sharing
imposed
on
the
insured
by
the
insured’s
26
association
policy.
This
applies
to
services
provided
by
a
27
provider
to
an
insured
on
or
after
January
1,
2024.
28
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