Bill Text: IA HF556 | 2019-2020 | 88th General Assembly | Introduced
Bill Title: A bill for an act relating to third-party payment of coverage benefits for mental health services delivered at a school.
Spectrum: Partisan Bill (Democrat 4-0)
Status: (Introduced - Dead) 2019-02-28 - Introduced, referred to Human Resources. H.J. 375. [HF556 Detail]
Download: Iowa-2019-HF556-Introduced.html
House
File
556
-
Introduced
HOUSE
FILE
556
BY
KRESSIG
,
BROWN-POWERS
,
R.
SMITH
,
and
WESSEL-KROESCHELL
A
BILL
FOR
An
Act
relating
to
third-party
payment
of
coverage
benefits
for
1
mental
health
services
delivered
at
a
school.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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556
Section
1.
NEW
SECTION
.
514C.35
Mental
health
services
1
provided
at
a
school
——
coverage.
2
1.
As
used
in
this
section,
unless
the
context
otherwise
3
requires:
4
a.
“Facility”
,
“health
care
professional”
,
and
“health
care
5
services”
mean
the
same
as
defined
in
section
514J.102.
6
b.
“Mental
health
services”
means
services
provided
by
a
7
health
care
professional
operating
within
the
scope
of
the
8
health
care
professional’s
practice
which
address
mental,
9
emotional,
medical,
or
behavioral
conditions,
illnesses,
10
diseases,
or
problems.
11
c.
“School”
means
a
public
or
private
school
that
provides
12
premises
for
teaching
any
grade
from
kindergarten
through
grade
13
twelve.
14
2.
Notwithstanding
the
uniformity
of
treatment
requirements
15
of
section
514C.6,
a
policy,
contract,
or
plan
providing
for
16
third-party
payment
or
prepayment
of
health
or
medical
expenses
17
shall
not
discriminate
between
coverage
benefits
for
mental
18
health
services
that
are
provided
in
a
facility
and
the
same
or
19
similar
mental
health
services
that
are
provided
at
a
school.
20
3.
This
section
applies
to
the
following
classes
of
21
third-party
payment
provider
policies,
contracts,
or
plans
22
delivered,
issued
for
delivery,
continued,
or
renewed
in
this
23
state
on
or
after
January
1,
2020:
24
a.
Individual
or
group
accident
and
sickness
insurance
25
providing
coverage
on
an
expense-incurred
basis.
26
b.
An
individual
or
group
hospital
or
medical
service
27
contract
issued
pursuant
to
chapter
509,
514,
or
514A.
28
c.
An
individual
or
group
health
maintenance
organization
29
contract
regulated
under
chapter
514B.
30
d.
A
plan
established
pursuant
to
chapter
509A
for
public
31
employees.
32
4.
This
section
shall
not
apply
to
accident-only,
33
specified
disease,
short-term
hospital
or
medical,
hospital
34
confinement
indemnity,
credit,
dental,
vision,
Medicare
35
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556
supplement,
long-term
care,
basic
hospital
and
medical-surgical
1
expense
coverage
as
defined
by
the
commissioner,
disability
2
income
insurance
coverage,
coverage
issued
as
a
supplement
3
to
liability
insurance,
workers’
compensation
or
similar
4
insurance,
or
automobile
medical
payment
insurance.
5
5.
The
commissioner
of
insurance,
in
collaboration
with
the
6
state
board
of
education,
may
adopt
rules
pursuant
to
chapter
7
17A
as
necessary
to
administer
this
section.
8
EXPLANATION
9
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
10
the
explanation’s
substance
by
the
members
of
the
general
assembly.
11
This
bill
relates
to
third-party
payment
of
coverage
12
benefits
for
mental
health
services
provided
at
a
school.
The
13
bill
defines
“mental
health
services”
as
services
provided
by
14
a
health
care
professional
operating
within
the
scope
of
the
15
health
professional’s
practice
which
address
mental,
emotional
16
medical,
or
behavioral
conditions,
illnesses,
diseases,
or
17
problems.
“School”
is
defined
in
the
bill
as
a
public
or
18
private
school
that
provides
premises
for
teaching
any
grade
19
from
kindergarten
through
grade
12.
20
The
bill
requires
a
policy,
contract,
or
plan
providing
for
21
third-party
payment
or
prepayment
of
health
or
medical
expenses
22
to
provide
the
same
coverage
for
covered
mental
health
services
23
whether
the
mental
health
services
are
provided
in
a
facility
24
or
provided
at
a
school.
“Facility”
is
defined
in
the
bill.
25
The
commissioner
of
insurance,
in
collaboration
with
the
state
26
board
of
education,
may
adopt
rules
to
administer
the
Code
27
section.
28
The
bill
is
applicable
to
third-party
payment
provider
29
policies,
contracts,
or
plans
delivered,
issued
for
delivery,
30
continued,
or
renewed
in
this
state
on
or
after
January
1,
31
2020,
including
individual
or
group
accident
and
sickness
32
insurance
providing
coverage
on
an
expense-incurred
basis,
33
individual
or
group
hospital
or
medical
service
contracts
34
issued
pursuant
to
Code
chapter
509,
514,
or
514A,
individual
35
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3
H.F.
556
or
group
health
maintenance
organization
contracts
regulated
1
under
Code
chapter
514B,
and
plans
established
pursuant
to
Code
2
chapter
509A
for
public
employees.
3
The
bill
does
not
apply
to
accident-only,
specified
disease,
4
short-term
hospital
or
medical,
hospital
confinement
indemnity,
5
credit,
dental,
vision,
Medicare
supplement,
long-term
care,
6
basic
hospital
and
medical-surgical
expense
coverage
as
defined
7
by
the
commissioner,
disability
income
insurance
coverage,
8
coverage
issued
as
a
supplement
to
liability
insurance,
9
workers’
compensation
or
similar
insurance,
or
automobile
10
medical
payment
insurance.
11
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