HF 2200 — A bill for an act relating to direct health care agreements, and including effective date and applicability provisions. (Formerly HF 625, HF 289.) Effective date: 05/12/2022. Applicability date: 05/12/2022.

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1Z A L , ASSEM B I .'N' I I11lI1 I11!1ll ltl ^1Ill FIiI I 1U?1 1 I];9III1 CI,II 1 l1!.0 House File 2200 AN ACT RELATING TO DIRECT HEALTH CARE AGREEMENTS, AND INCLUDING EFFECTIVE DATE AND APPLICABILITY PROVISIONS.

"Direct“Direct health care agreementagreement” - means an agreement between a provider and a patient, or the patientspatient’s representative, in which the provider agrees to provide health care services for a specified period of time to the patient for a service charge.

-Durable“Durable power of attorney for health carecare” - means the same as defined in section 144B.1.

C,c. Health care services - means services for the diagnosis, prevention, treatment, cure, or relief of a health condition, illness, injury, or disease.

Health“Health care services"services” includesmeans dentalservices carefor services.the diagnosis, prevention, treatment, cure, or relief of a health condition, illness, injury, or disease.

“Health care services” includes dental care services.

Patient“Patient” - means an individual, or an individual and the individual'sindividual’s immediate family, that is a party to a direct health care agreement.

e,e. "Patient's representative - means a parent, guardian, or an individual holding a durable power of attorney for health care for a patient.

“Patient’s representative” means a parent, guardian, or an individual holding a durable power of attorney for health care for a patient.

"Provider“Provider” - means a health care professional licensed, accredited, registered, or certified to perform health care House File 2200, p.

Provider“Provider” includes an individual health care professional or other legal health care entity alone or with other health care professionals professionally associated with the individual health care professional or other legal health care entity.

Service“Service chargecharge” -meansmeans a charge for health care services provided by a provider to a patient covered by a direct health care agreement.

Service“Service charge"charge” may include a periodic retainer, a membership fee, a subscription fee, or a charge in any other form paid by a patient to a provider under a direct health care agreement.

(2) Be signed by the provider, or an agent of the provider, and the patient or the patient'spatient’s representative.

(4) State each of the provider'sprovider’s locations where a patient may obtain health care services and specify any out-of-office health care services that are covered under the direct health care agreement.

A termination of the direct health care agreement by the provider shall include a minimum of a thirty-calendar-day advance, written notice to the patient or to the patient'spatient’s representative.

3 9)(9) Specify that the direct health care agreement may be terminated at any time by the patient upon written notice to the provider.

a)(a) Within thirty calendar days of the date of the notice of termination from either party, the provider shall refund all unearned service charges to the patient.

b)(b) Within thirty calendar days of the date of the notice of termination from either party, the patient shall pay all outstanding earned service charges to the provider.

The provider shall provide the patient, or the patient'spatient’s representative, with a fully executed copy of the direct health care agreement at the time the direct health care agreement is executed.

If a provider requires a prospective patient to complete an application for a direct health care agreement, the provider shall provide a written disclaimer on each application that informs the prospective patient of the patient'spatient’s financial rights and responsibilities and that states that the provider will not bill a health insurance carrier for health care services covered under the direct health care agreement.

The disclaimer shall also include the identical notice required by subsection 22, , paragraph -a-,“a”, subparagraph (11).

(2) Any change in the provider'sprovider’s locations where the patient may access health care services.

Discrimination based on an individualindividual’s 's health status or preexisting condition.

A provider shall not do any of the following based on a patient'spatient’s or prospective patient'spatient’s preexisting condition or health status:

C.c.

A patient may submit a request for reimbursement to an insurer if permitted under the patient'spatient’s policy of insurance.

This paragraph does not prohibit a provider from billing a patient'spatient’s House File 2200, p.

ThirdpartyThird-party payment of a service charge.

______________________________ ______________________________ PAT GRASSLEY JAKE CHAPMAN Speaker of th,4'Housethe House President of the Senate I hereby certify that this bill originated in the House and is known as House File 2200, Eighty-ninth General Assembly.

MEGRAN______________________________ MEGHAN NELSON C11iefChief Clerk of the House \ Approved i_______________, -2022 ,______________________________ 2022KIM REYNOLDS Governor