Bill Text: IA SSB1116 | 2013-2014 | 85th General Assembly | Introduced


Bill Title: A study bill for an act relating to third=party payment of services provided by a physical therapist.

Spectrum: Unknown

Status: (N/A - Dead) 2013-02-25 - Voted - Human Resources. [SSB1116 Detail]

Download: Iowa-2013-SSB1116-Introduced.html
Senate Study Bill 1116 - Introduced SENATE FILE _____ BY (PROPOSED COMMITTEE ON HUMAN RESOURCES BILL BY CHAIRPERSON RAGAN) A BILL FOR An Act relating to third-party payment of services provided by 1 a physical therapist. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 1753XC (3) 85 av/nh
S.F. _____ Section 1. NEW SECTION . 514C.30 Services provided by a 1 physical therapist. 2 1. Notwithstanding the uniformity of treatment requirements 3 of section 514C.6, a policy, contract, or plan providing for 4 third-party payment or prepayment of health or medical expenses 5 shall not impose a copayment or coinsurance amount on an 6 insured for services provided by a physical therapist licensed 7 pursuant to chapter 148A that is greater than the copayment or 8 coinsurance amount imposed on the insured for services provided 9 by a person engaged in the practice of medicine and surgery 10 or osteopathic medicine and surgery under chapter 148 for the 11 same or a similar diagnosed condition even if a different 12 nomenclature is used to describe the condition for which the 13 services are provided. 14 2. This section applies to the following classes of 15 third-party payment provider policies, contracts, or plans 16 delivered, issued for delivery, continued, or renewed in this 17 state on or after July 1, 2013: 18 a. Individual or group accident and sickness insurance 19 providing coverage on an expense-incurred basis. 20 b. An individual or group hospital or medical service 21 contract issued pursuant to chapter 509, 514, or 514A. 22 c. An individual or group health maintenance organization 23 contract regulated under chapter 514B. 24 d. A plan established pursuant to chapter 509A for public 25 employees. 26 e. An organized delivery system licensed by the director of 27 public health. 28 3. This section shall not apply to accident-only, 29 specified disease, short-term hospital or medical, hospital 30 confinement indemnity, credit, dental, vision, Medicare 31 supplement, long-term care, basic hospital and medical-surgical 32 expense coverage as defined by the commissioner, disability 33 income insurance coverage, coverage issued as a supplement 34 to liability insurance, workers’ compensation or similar 35 -1- LSB 1753XC (3) 85 av/nh 1/ 2
S.F. _____ insurance, or automobile medical payment insurance. 1 EXPLANATION 2 This bill provides that a policy, contract, or plan 3 providing for third-party payment or prepayment of health or 4 medical expenses shall not impose a copayment or coinsurance 5 amount on an insured for services provided by a physical 6 therapist that is greater than the copayment or coinsurance 7 amount imposed on the insured for services rendered by a person 8 engaged in the practice of medicine and surgery or osteopathic 9 medicine and surgery for the same or a similar diagnosed 10 condition even if a different nomenclature is used to describe 11 the condition for which the services are provided. 12 The bill applies to specified individual and group policies, 13 contracts, and plans that are issued for delivery, continued, 14 or renewed in this state on or after July 1, 2013. 15 -2- LSB 1753XC (3) 85 av/nh 2/ 2
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