Bill Text: IA SF92 | 2021-2022 | 89th General Assembly | Introduced
Bill Title: A bill for an act relating to reimbursement rates for health care services provided to covered persons by telehealth, and including effective date and retroactive applicability provisions.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2021-01-20 - Subcommittee: Johnson, Goodwin, and Petersen. S.J. 130. [SF92 Detail]
Download: Iowa-2021-SF92-Introduced.html
Senate
File
92
-
Introduced
SENATE
FILE
92
BY
ZAUN
A
BILL
FOR
An
Act
relating
to
reimbursement
rates
for
health
care
services
1
provided
to
covered
persons
by
telehealth,
and
including
2
effective
date
and
retroactive
applicability
provisions.
3
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
4
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Section
1.
Section
514C.34,
Code
2021,
is
amended
to
read
1
as
follows:
2
514C.34
Health
care
services
delivered
by
telehealth
——
3
coverage.
4
1.
As
used
in
this
section
,
unless
the
context
otherwise
5
requires:
6
0a.
“Covered
person”
means
the
same
as
defined
in
section
7
514J.102.
8
a.
“Health
care
professional”
means
the
same
as
defined
in
9
section
514J.102
.
10
b.
“Health
care
services”
means
the
same
as
defined
in
11
section
514J.102
and
includes
services
for
mental
health
12
conditions,
illnesses,
injuries,
or
diseases.
13
0c.
“Health
carrier”
means
the
same
as
defined
in
section
14
514J.102.
15
c.
“Telehealth”
means
the
delivery
of
health
care
services
16
through
the
use
of
interactive
audio
and
video.
“Telehealth”
17
does
not
include
the
delivery
of
health
care
services
through
18
an
audio-only
telephone,
electronic
mail
message
,
or
facsimile
19
transmission.
20
2.
Notwithstanding
the
uniformity
of
treatment
requirements
21
of
section
514C.6
,
a
policy,
contract,
or
plan
providing
for
22
third-party
payment
or
prepayment
of
health
or
medical
expenses
23
shall
not
discriminate
between
coverage
benefits
for
health
24
care
services
that
are
provided
in
person
and
the
same
health
25
care
services
that
are
delivered
through
telehealth.
26
3.
Health
care
services
that
are
delivered
by
telehealth
27
must
be
appropriate
and
delivered
in
accordance
with
applicable
28
law
and
generally
accepted
health
care
practices
and
standards
29
prevailing
at
the
time
the
health
care
services
are
provided,
30
including
all
rules
adopted
by
the
appropriate
professional
31
licensing
board,
pursuant
to
chapter
147
,
having
oversight
32
of
the
health
care
professional
providing
the
health
care
33
services.
34
3A.
A
health
carrier
shall
reimburse
a
health
care
35
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professional
for
health
care
services
provided
to
a
covered
1
person
by
telehealth
on
the
same
basis
and
at
the
same
rate
as
2
the
health
carrier
would
apply
to
the
same
health
care
services
3
provided
to
a
covered
person
by
the
health
care
professional
4
in
person.
5
4.
This
section
applies
to
the
following
classes
of
6
third-party
payment
provider
policies,
contracts,
or
plans
7
delivered,
issued
for
delivery,
continued,
or
renewed
in
this
8
state
on
or
after
January
1,
2019
:
9
a.
Individual
or
group
accident
and
sickness
insurance
10
providing
coverage
on
an
expense-incurred
basis.
11
b.
An
individual
or
group
hospital
or
medical
service
12
contract
issued
pursuant
to
chapter
509
,
514
,
or
514A
.
13
c.
An
individual
or
group
health
maintenance
organization
14
contract
regulated
under
chapter
514B
.
15
d.
A
plan
established
pursuant
to
chapter
509A
for
public
16
employees.
17
e.
The
medical
assistance
program
established
pursuant
to
18
chapter
249A,
including
a
managed
care
organization
acting
19
pursuant
to
a
contract
with
the
department
of
human
services
to
20
provide
coverage
to
medical
assistance
program
members.
21
5.
This
section
shall
not
apply
to
accident-only,
22
specified
disease,
short-term
hospital
or
medical,
hospital
23
confinement
indemnity,
credit,
dental,
vision,
Medicare
24
supplement,
long-term
care,
basic
hospital
and
medical-surgical
25
expense
coverage
as
defined
by
the
commissioner,
disability
26
income
insurance
coverage,
coverage
issued
as
a
supplement
27
to
liability
insurance,
workers’
compensation
or
similar
28
insurance,
or
automobile
medical
payment
insurance.
29
6.
The
commissioner
of
insurance
may
shall
adopt
rules
30
pursuant
to
chapter
17A
as
necessary
to
administer
this
31
section
.
32
Sec.
2.
EFFECTIVE
DATE.
This
Act,
being
deemed
of
immediate
33
importance,
takes
effect
upon
enactment.
34
Sec.
3.
RETROACTIVE
APPLICABILITY.
This
Act
applies
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retroactively
to
third-party
payment
provider
contracts,
1
policies,
or
plans
delivered,
issued
for
delivery,
continued,
2
or
renewed
in
this
state
on
or
after
January
1,
2021.
3
EXPLANATION
4
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
5
the
explanation’s
substance
by
the
members
of
the
general
assembly.
6
This
bill
requires
health
carriers
to
reimburse
health
care
7
professionals
for
health
care
services
provided
to
covered
8
persons
by
telehealth
on
the
same
basis
and
at
the
same
rate
as
9
the
health
carrier
would
apply
to
the
same
health
care
services
10
provided
to
a
covered
person
by
a
health
care
professional
in
11
person.
Current
law
excludes
health
care
services
delivered
12
through
an
audio-only
telephone
from
the
definition
of
13
“telehealth”.
The
bill
includes
audio-only
telephone
in
the
14
definition.
15
The
bill
applies
to
the
third-party
payment
providers
16
enumerated
in
the
bill.
The
bill
specifies
the
types
of
17
specialized
health-related
insurance
which
are
not
subject
to
18
the
bill.
19
The
commissioner
of
insurance
must
adopt
rules
to
administer
20
the
requirements
of
the
bill.
21
The
bill
becomes
effective
upon
enactment
and
applies
22
retroactively
to
third-party
payment
provider
contracts,
23
policies,
or
plans
delivered,
issued
for
delivery,
continued,
24
or
renewed
in
this
state
on
or
after
January
1,
2021.
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