Senate File 514 - Reprinted



                                       SENATE FILE       
                                       BY  COMMITTEE ON COMMERCE

                                       (SUCCESSOR TO SSB 1231)


    Passed Senate,  Date               Passed House, Date             
    Vote:  Ayes        Nays           Vote:  Ayes        Nays         
                 Approved                            

                                      A BILL FOR

  1 An Act requiring insurers offering certain individual or group
  2    health insurance contracts, policies, or plans to provide
  3    coverage for vaccinations for human papilloma virus and
  4    requesting an interim study committee on health benefit
  5    mandates.
  6 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
  7 SF 514
  8 av/cc/26

PAG LIN



  1  1    Section 1.  NEW SECTION.  514C.23  HUMAN PAPILLOMA VIRUS
  1  2 VACCINATIONS == COVERAGE.
  1  3    1.  Notwithstanding the uniformity of treatment
  1  4 requirements of section 514C.6, a contract, policy, or plan
  1  5 providing for third=party payment or prepayment of health or
  1  6 medical expenses that provides coverage benefits for any
  1  7 vaccination or immunization shall provide coverage benefits
  1  8 for a vaccination for human papilloma virus, including but not
  1  9 limited to the following classes of third=party payment
  1 10 provider contracts, policies, or plans delivered, issued for
  1 11 delivery, continued, or renewed in this state on or after
  1 12 January 1, 2008:
  1 13    a.  Individual or group accident and sickness insurance
  1 14 providing coverage on an expense=incurred basis.
  1 15    b.  An individual or group hospital or medical service
  1 16 contract issued pursuant to chapter 509, 514, or 514A.
  1 17    c.  An individual or group health maintenance organization
  1 18 contract regulated under chapter 514B.
  1 19    d.  An individual or group Medicare supplemental policy,
  1 20 unless coverage pursuant to such policy is preempted by
  1 21 federal law.
  1 22    e.  A plan established pursuant to chapter 509A for public
  1 23 employees.
  1 24    2.  This section shall not apply to accident only,
  1 25 specified disease, short=term hospital or medical, hospital
  1 26 confinement indemnity, credit, dental, vision, long=term care,
  1 27 basic hospital and medical=surgical expense coverage as
  1 28 defined by the commissioner, disability income insurance
  1 29 coverage, coverage issued as a supplement to liability
  1 30 insurance, workers' compensation or similar insurance, or
  1 31 automobile medical payment insurance.
  1 32    3.  As used in this section, "human papilloma virus" means
  1 33 the human papilloma virus as defined by the centers for
  1 34 disease control and prevention of the United States department
  1 35 of health and human services.
  2  1    4.  The commissioner of insurance shall adopt rules
  2  2 pursuant to chapter 17A as necessary to administer this
  2  3 section.
  2  4    Sec. 2.  INTERIM STUDY COMMITTEE ON HEALTH BENEFIT
  2  5 MANDATES.  The legislative council is requested to establish
  2  6 an interim study committee on health benefit mandates to study
  2  7 the costs and benefits of enacting additional health benefit
  2  8 mandates.  The interim study committee shall submit a report
  2  9 with findings and recommendations to the general assembly on
  2 10 or before January 1, 2008.
  2 11    The committee shall be composed of the following members:
  2 12    1.  Two senators, one appointed by the majority leader of
  2 13 the senate and one appointed by the minority leader of the
  2 14 senate.
  2 15    2.  Two representatives, one appointed by the speaker of
  2 16 the house of representatives and one appointed by the minority
  2 17 leader of the house of representatives.
  2 18    3.  One representative of the service employees
  2 19 international union.
  2 20    4.  Three representatives of large employers selected by
  2 21 the Iowa association of business and industry.
  2 22    5.  Three representatives of small employers selected by
  2 23 the national federation of independent business.
  2 24    6.  Four representatives of the health insurance industry
  2 25 selected by the federation of Iowa insurers.
  2 26    The commissioner of insurance or a designee shall serve as
  2 27 an ex officio member of the committee.
  2 28 SF 514
  2 29 av:rj/cc/26