Bill Text: IA SF202 | 2015-2016 | 86th General Assembly | Introduced
Bill Title: A bill for an act relating to third-party payment of services provided by physical therapists, occupational therapists, and speech pathologists. (Formerly SSB 1094.)
Sponsorship: Committee Bill
Status: (Engrossed - Dead) 2015-03-25 - Passed subcommittee. [SF202 Detail]
Download: Iowa-2015-SF202-Introduced.html
Senate File 202 - Introduced SENATE FILE BY COMMITTEE ON HUMAN RESOURCES (SUCCESSOR TO SSB 1094) A BILL FOR 1 An Act relating to third=party payment of services provided by 2 physical therapists, occupational therapists, and speech 3 pathologists. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: TLSB 1674SV (1) 86 av/nh PAG LIN 1 1 Section 1. NEW SECTION. 514C.30 Services provided 1 2 by a physical therapist, occupational therapist, or speech 1 3 pathologist. 1 4 1. Notwithstanding the uniformity of treatment requirements 1 5 of section 514C.6, a policy, contract, or plan providing 1 6 for third=party payment or prepayment of health or medical 1 7 expenses shall not impose a copayment or coinsurance amount 1 8 on an insured for services provided by a physical therapist 1 9 licensed pursuant to chapter 148A, by an occupational therapist 1 10 licensed pursuant to chapter 148B, or by a speech pathologist 1 11 licensed pursuant to 154F that is greater than the copayment or 1 12 coinsurance amount imposed on the insured for services provided 1 13 by a person engaged in the practice of medicine and surgery 1 14 or osteopathic medicine and surgery under chapter 148 for the 1 15 same or a similar diagnosed condition even if a different 1 16 nomenclature is used to describe the condition for which the 1 17 services are provided. 1 18 2. This section applies to the following classes of 1 19 third=party payment provider policies, contracts, or plans 1 20 delivered, issued for delivery, continued, or renewed in this 1 21 state on or after July 1, 2015: 1 22 a. Individual or group accident and sickness insurance 1 23 providing coverage on an expense=incurred basis. 1 24 b. An individual or group hospital or medical service 1 25 contract issued pursuant to chapter 509, 514, or 514A. 1 26 c. An individual or group health maintenance organization 1 27 contract regulated under chapter 514B. 1 28 d. A plan established pursuant to chapter 509A for public 1 29 employees. 1 30 e. An organized delivery system licensed by the director of 1 31 public health. 1 32 3. This section shall not apply to accident=only, 1 33 specified disease, short=term hospital or medical, hospital 1 34 confinement indemnity, credit, dental, vision, Medicare 1 35 supplement, long=term care, basic hospital and medical=surgical 2 1 expense coverage as defined by the commissioner, disability 2 2 income insurance coverage, coverage issued as a supplement 2 3 to liability insurance, workers' compensation or similar 2 4 insurance, or automobile medical payment insurance. 2 5 EXPLANATION 2 6 The inclusion of this explanation does not constitute agreement with 2 7 the explanation's substance by the members of the general assembly. 2 8 This bill provides that a policy, contract, or plan 2 9 providing for third=party payment or prepayment of health or 2 10 medical expenses shall not impose a copayment or coinsurance 2 11 amount on an insured for services provided by a physical 2 12 therapist, occupational therapist, or speech pathologist that 2 13 is greater than the copayment or coinsurance amount imposed on 2 14 the insured for services rendered by a person engaged in the 2 15 practice of medicine and surgery or osteopathic medicine and 2 16 surgery for the same or a similar diagnosed condition even if a 2 17 different nomenclature is used to describe the condition for 2 18 which the services are provided. 2 19 The bill applies to specified individual and group policies, 2 20 contracts, and plans that are issued for delivery, continued, 2 21 or renewed in this state on or after July 1, 2015. LSB 1674SV (1) 86 av/nh
