HF 2399: Relating to reimbursement for health care services provided after receipt of a prior authorization, and including applicability provisions

What it does

This bill is related to reimbursement for health care services provided after receipt of a prior authorization. Except in a case where the health care provider or the covered person has committed fraud, the bill prohibits a utilization review organization from revoking, or imposing a limitation, condition, or restriction on a prior authorization after the date on which a health care provider provides a health care service to a covered person per the prior authorization. The bill requires a health carrier to reimburse a health care provider at the contracted reimbursement rate for a health care service provided by the provider to a covered person per a prior authorization.

Senate subcommittee · named March 1, 2022

• Sen. Mike Klimesh (R) · mike.klimesh@legis.iowa.gov
• Sen. Tony Bisignano (D) · tony.bisignano@legis.iowa.gov
• Sen. Craig Steven Williams (R) · craig.williams@legis.iowa.gov

Lobbying · 11 for, 2 against

For: Broadlawns Medical Center; CHILDSERVE; Exceptional Persons, Inc.; Genesis Health System; Gundersen Health System; Hope Haven Area Development Center; Imagine the Possibilities; Iowa Hospital Association; Iowa Physician Assistant Society; MercyOne; National Association of Social Workers, Iowa Chapter

Against: Americas Health Insurance Plans (AHIP); Medica

In plain words

1. February 16, 2022Filed in the House
2. February 24, 2022Passed the House, 97–0
3. February 24, 2022Arrived in the Senate
4. March 1, 2022Senate subcommittee named: Klimesh, Bisignano and Williams
5. March 7, 2022Subcommittee recommended passing it
6. March 16, 2022Approved by the Senate committee
7. April 6, 2022Passed the Senate, 47–0
8. May 2, 2022Sent to the Governor
9. May 2, 2022Signed into law