Iowa SSB 3033: A bill for an act relating to preexisting condition exclusions in certain coverage for health care services, and including effective and applicability date provisions.

Status: Subcommittee recommends passage. (as of 2020-01-22)

State: Iowa · Session: 2019-2020 · Bill: SSB 3033

Subjects: health, health insurance, insurance, medical care

Sponsors: COMMITTEE ON JUDICIARY

Bill Text

SenateStudyBill3033-Introduced
SENATEFILE_____
BY(PROPOSEDCOMMITTEE
ONJUDICIARYBILLBY
CHAIRPERSONZAUN)
ABILLFOR
AnActrelatingtopreexistingconditionexclusionsincertain1
coverageforhealthcareservices,andincludingeffective2
andapplicabilitydateprovisions.3
BEITENACTEDBYTHEGENERALASSEMBLYOFTHESTATEOFIOWA:4
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S.F._____
Section1.PREEXISTINGCONDITIONEXCLUSIONSPROHIBITED.1
1.Notwithstandingtheuniformityoftreatmentrequirements2
ofsection514C.6,apolicy,contract,orplanprovidingfor3
third-partypaymentorprepaymentofhealthormedicalexpenses4
shallnotimposeapreexistingconditionexclusionwithrespect5
tocoverageforservicesprovidedunderthepolicy,contract,6
orplan.7
2.Thissectionappliestothefollowingclassesof8
third-partypaymentproviderpolicies,contracts,orplans9
delivered,issuedfordelivery,continued,orrenewedinthis10
state:11
a.Individualorgroupaccidentandsicknessinsurance12
providingcoverageonanexpense-incurredbasis.13
b.Anindividualorgrouphospitalormedicalservice14
contractissuedpursuanttochapter509,514,or514A.15
c.Anindividualorgrouphealthmaintenanceorganization16
contractregulatedunderchapter514B.17
d.Aplanestablishedpursuanttochapter509Aforpublic18
employees.19
Sec.2.EFFECTIVEDATE.ThisActtakeseffectupona20
courtofcompetentjurisdictionissuingadecisionthatthe21
federalPatientProtectionandAffordableCareAct,Pub.L.22
No.111-148isunconstitutional,andthatcourt’sdecision23
becomingfinalandbinding.Theattorneygeneralshallprovide24
writtennotificationofthefinalandbindingcourtdecisionto25
thecommissionerofinsurance,thegovernor,andthegeneral26
assembly.27
Sec.3.APPLICABILITY.ThisActappliestothird-party28
paymentproviderpolicies,contracts,orplansthatarein29
effect,delivered,issuedfordelivery,continued,orrenewed30
inthisstateonoraftertheeffectivedateofthisAct.31
EXPLANATION32
Theinclusionofthisexplanationdoesnotconstituteagreementwith33
theexplanation’ssubstancebythemembersofthegeneralassembly.34
Thisbillrelatestopreexistingconditionexclusionsin35
-1-
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S.F._____
certaincoverageforhealthcareservices.1
Thebillprohibitsspecifiedindividualorgrouppolicies,2
contracts,orplansprovidingforthird-partypaymentor3
prepaymentofhealthormedicalexpensesfromimposinga4
preexistingconditionexclusionwithrespecttocoveragefor5
servicesprovidedunderthepolicies,contracts,orplans.6
Thebilltakeseffectuponacourtofcompetentjurisdiction7
issuingadecisionthatthefederalPatientProtectionand8
AffordableCareAct,Pub.L.No.111-148isunconstitutional,9
andthatcourt’sdecisionbecomingfinalandbinding.The10
attorneygeneralshallprovidewrittennotificationofthe11
finalandbindingcourtdecisiontothecommissionerof12
insurance,thegovernor,andthegeneralassembly.Thebill13
appliestothird-partypaymentproviderpolicies,contracts,14
orplansthatareineffect,delivered,issuedfordelivery,15
continued,orrenewedinthisstateonoraftertheeffective16
dateofthebill.17
-2-
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