Bill Text: IA HF2651 | 2023-2024 | 90th General Assembly | Introduced
Bill Title: A bill for an act relating to certain health care plan's cost-sharing for essential health benefits.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2024-03-07 - Introduced, referred to Commerce. H.J. 541. [HF2651 Detail]
Download: Iowa-2023-HF2651-Introduced.html
House
File
2651
-
Introduced
HOUSE
FILE
2651
BY
BEST
A
BILL
FOR
An
Act
relating
to
certain
health
care
plan’s
cost-sharing
for
1
essential
health
benefits.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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H.F.
2651
Section
1.
NEW
SECTION
.
514K.3
Health
care
plans
——
1
cost-sharing
for
essential
health
benefits.
2
For
purposes
of
calculating
an
enrollee’s
contribution
to
3
the
annual
limitation
on
cost-sharing
under
42
U.S.C.
§18022(c)
4
and
42
U.S.C.
§300gg-6(b),
a
health
care
plan,
or
the
health
5
care
plan’s
subcontractors,
that
provides
small
group
health
6
coverage
pursuant
to
chapter
513B,
individual
health
coverage
7
pursuant
to
chapter
513C,
or
group
health
insurance
coverage
8
pursuant
to
chapter
509,
shall
include
expenditures
for
any
9
item
or
service
covered
under
the
health
care
plan
if
the
10
item
or
service
is
included
within
a
category
of
essential
11
health
benefits,
as
described
in
42
U.S.C.
§18022(b)(1),
and
12
regardless
of
whether
the
health
care
plan,
or
the
health
13
care
plan’s
subcontractors,
classifies
the
item
or
service
as
14
an
essential
health
benefit.
For
purposes
of
this
section,
15
“cost-sharing”
means
any
coverage
limit,
copayment,
coinsurance,
16
deductible,
or
other
out-of-pocket
cost
obligation
imposed
by
a
17
health
care
plan,
or
the
health
care
plan’s
subcontractors,
on
18
an
enrollee.
19
EXPLANATION
20
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
21
the
explanation’s
substance
by
the
members
of
the
general
assembly.
22
This
bill
relates
to
certain
health
care
plan’s
cost-sharing
23
for
essential
health
benefits.
Under
the
bill,
when
24
calculating
an
enrollee’s
contribution
to
the
annual
limitation
25
on
cost-sharing
under
federal
law,
a
health
care
plan,
or
its
26
subcontractors,
that
provides
small
group
health
coverage,
27
individual
health
coverage,
or
group
health
insurance
coverage
28
shall
include
expenditures
for
any
item
or
service
covered
29
under
the
health
care
plan
if
the
item
or
service
is
included
30
within
a
category
of
essential
health
benefits
regardless
31
of
whether
the
health
care
plan,
or
its
subcontractors,
32
classifies
the
item
or
service
as
an
essential
health
benefit.
33
“Cost-sharing”
is
defined
in
the
bill
as
any
coverage
limit,
34
copayment,
coinsurance,
deductible,
or
other
out-of-pocket
cost
35
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