Iowa 2021-2022 Regular Session Status: Enacted

HF 2167 — A bill for an act relating to the definition of autism spectrum disorder for purposes of certain health care coverage, making conforming changes, and including applicability provisions. (Formerly HSB 512.) Effective date: 07/01/2022. Applicability date: 01/01/2023.

Last action — Signed by Governor.

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced January 31, 2022. Enacted.

Prognosis

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Where this bill stands today.

Odds of enactment

High

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Bill Text

What changed in the latest version

175 added · 195 removed

175 line(s) added, 195 removed.

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Kim Reynolds O f f i c e o f t h e G o v e r n o r A d a m G r e g g G O V E R N O R L T g o v e r n o r April21.2022 The Honorable Paul Pate SecretaryofStateofIowa StateCapitol Des Moines.Iowa 50319 Dear Mr.Secretary, Iherebytransmit:
House File 2167 - Enrolled House File 2167 AN ACT RELATING TO THE DEFINITION OF AUTISM SPECTRUM DISORDER FOR PURPOSES OF CERTAIN HEALTH CARE COVERAGE, MAKING CONFORMING CHANGES, AND INCLUDING APPLICABILITY PROVISIONS.
HouseFile2167,anActrelatingtothedelinilionofautismspectrumdisorderfor purposesofcertainhealthcarecoverage,makingconformingchanges,and including applicabilityprovisions.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
TheaboveHouseFileisherebyapprovedonthisdate.
Sincerely, KimVReynolds Governor ofIowa cc:
SecretaryoftheSenate Clerk of the House STATE CAPITOL DES MOINES, I O W A 5031515.281.521FAX 515.725.3527W W W .
G O V E R N O R .
I O W A .
G O V epftUE R R i c m T^^iriiin»»iifmnn ^ L L MAINTAI » - li G E N E 1 G \ E A S S E H o u s e F i l e 2 1 6 7 A N A C T R E L A T I N G T O T H E D E F I N I T I O N O F A U T I S M S P E C T R U M D I S O R D E R F O R P U R P O S E S O F C E R T A I N H E A L T H C A R E C O V E R A G E , M A K I N G C O N F O R M I N G C H A N G E S , A N D I N C L U D I N G A P P L I C A B I L I T Y P R O V I S I O N S .
B E I T E N A C T E D B Y T H E G E N E R A L A S S E M B L Y O F T H E S T A T E O F I O W A :
Section 225D.1, subsection 2, Code 2022, is a m e n d e d t o r e a d a s f o l l o w s :
Section 225D.1, subsection 2, Code 2022, is amended to read as follows:
^Autism^ means autism spectrum disorders disorder as d e f i n e d i n s e c t i o n 5 1 4 C .
“Autism” means autism spectrum disorders disorder as defined in section 514C.28.
2 8 .
Sec.
Sec, 2, Section 321.189, subsection 10, Code 2022, is a m e n d e d t o r e a d a s f o l l o w s :
2.
Section 321.189, subsection 10, Code 2022, is amended to read as follows:
Autism spectrum disorder status, A licensee who has autism spectrum disorder, as defined in section 514C.28, may request that the license be marked to reflect the licensee's autism spectrum disorder status on the face of the license when the licensee applies for the issuance or renewal of a license.
Autism spectrum disorder status.
The department may adopt rules pursuant to chapter 17A establishing criteria under which a license may be marked, including requiring the licensee to submit medical proof of the licensee's autism spectrum disorder status.
A licensee who has an autism spectrum disorder, as defined in section 514C.28, may request that the license be marked to reflect the licensee’s autism spectrum disorder status on the face of the license when the licensee applies for the issuance or renewal of a license.
When a driver's license is so marked, the licensee's autism spectrum disorder status shall be noted in the electronic database used by the department and law enforcement to access registration, titling, and driver's license information.
The department may adopt rules pursuant to chapter 17A establishing criteria under which a license may be marked, including requiring the licensee to submit medical proof of the licensee’s autism spectrum disorder status.
When a driver’s license is so marked, the licensee’s autism spectrum disorder status shall be noted in the electronic database used by the department and law enforcement to access registration, titling, and driver’s license information.
2 of a licensee's ability to request the license be marked to reflect the licensee's autism spectrum disorder status.
2 of a licensee’s ability to request the license be marked to reflect the licensee’s autism spectrum disorder status.
(6) An applicant for a nonoperator's identification card who has rtft autism spectrum disorder, as defined in section 514C.28, may request that the card be marked to reflect the applicant's autism spectrum disorder status on the face of the card when the applicant applies for the issuance or renewal of a card.
(6) An applicant for a nonoperator’s identification card who has an autism spectrum disorder, as defined in section 514C.28, may request that the card be marked to reflect the applicant’s autism spectrum disorder status on the face of the card when the applicant applies for the issuance or renewal of a card.
The department may adopt rules pursuant to chapter 17A establishing criteria under which a card may be marked, including requiring the applicant to submit medical proof of the applicant's autism spectrum disorder status.
The department may adopt rules pursuant to chapter 17A establishing criteria under which a card may be marked, including requiring the applicant to submit medical proof of the applicant’s autism spectrum disorder status.
The department, in consultation with the mental health and disability services commission, shall develop educational media to raise awareness of an applicant's ability to request the card be marked to reflect the applicant's autism spectrum d i s o rs t a t u s .
The department, in consultation with the mental health and disability services commission, shall develop educational media to raise awareness of an applicant’s ability to request the card be marked to reflect the applicant’s autism spectrum disorder status.
Section 514C.28, subsection 1, Code 2022, is amended t or e aa s f o l l o w s :
Section 514C.28, subsection 1, Code 2022, is amended to read as follows:
Section 514C.28, subsection 2, paragraphs b, c, d, j, and k.
Section 514C.28, subsection 2, paragraphs b, c, d, j, and k, Code 2022, are amended to read as follows:
Code 2022, are amended to read as follows:
b.
b, '^Autism service provider'' means a person, or group providing treatment of autism spectrum disorders disorder.
“Autism service provider” means a person, or group providing treatment of autism spectrum disorders disorder.
a, ^Autism spectrum disorders disorder" means any of the pervasive developmental disorders including autistic disordery House File 2167, p.
c.
3 Aaporgcr^s diaordcr^ and pervasive developmental disordcra not othcrwiao apocifiGd.—The comniiaaioner, by rule# shall dofino ^autlam apcctrum diaordcra^ conaiatcnt with definitions provided in the moat recent edition of the American paychiatric aaaociation'a diagnostic and atatiotioal manual of mental disorders;
“Autism spectrum disorders disorder” means any of the pervasive developmental disorders including autistic disorder, House File 2167, p.
as such dofinitiona may bo amended from time to time*—The Gommissioner may adopt the definitions provided in auch manual by reference a mental health condition that meets the diagnostic criteria for such disorder as published in the most recent edition of the diagnostic and statistical manual of mental disorders as published by the American psychiatric a s s o c i a t i o n .
3 Asperger’s disorder, and pervasive developmental disorders not otherwise specified.
d, '^Diagnostic assessment of autism spectrum disorders disorder" means medically necessary assessment, evaluations, or tests performed by a licensed physician, licensed physician assistant, licensed psychologist, or licensed registered nurse practitioner to diagnose whether an individual has €m autism spectrum disorder.
The commissioner, by rule, shall define “autism spectrum disorders” consistent with definitions provided in the most recent edition of the American psychiatric association’s diagnostic and statistical manual of mental disorders, as such definitions may be amended from time to time.
j, '^Treatment of autism spectrum disorders disorder" means treatment that is identified in a treatment plan and includes medically necessary pharmacy care, psychiatric care, psychological care, rehabilitative care, and therapeutic care that is one of the following:
The commissioner may adopt the definitions provided in such manual by reference a mental health condition that meets the diagnostic criteria for such disorder as published in the most recent edition of the diagnostic and statistical manual of mental disorders as published by the American psychiatric association.
d.
“Diagnostic assessment of autism spectrum disorders disorder” means medically necessary assessment, evaluations, or tests performed by a licensed physician, licensed physician assistant, licensed psychologist, or licensed registered nurse practitioner to diagnose whether an individual has an autism spectrum disorder.
j.
“Treatment of autism spectrum disorders disorder” means treatment that is identified in a treatment plan and includes medically necessary pharmacy care, psychiatric care, psychological care, rehabilitative care, and therapeutic care that is one of the following:
k, '^Treatment plan" means a plan for the treatment of autism spectrum disorders disorder developed by a licensed physician or licensed psychologist pursuant to a comprehensive evaluation or reevaluation performed in consultation with the patient and the patient's representative.
k.
“Treatment plan” means a plan for the treatment of autism spectrum disorders disorder developed by a licensed physician or licensed psychologist pursuant to a comprehensive evaluation or reevaluation performed in consultation with the patient and the patient’s representative.
6 .
6.
Section 514C.28, subsections 3 , 7 , and 1 0 , Code 2022, are amended to read as follows:
Section 514C.28, subsections 3, 7, and 10, Code 2022, are amended to read as follows:
4 dollars per year but shall not be subject to any limits on the number of visits to an autism service provider for treatment of autism spectrum dioordors disorder.
4 dollars per year but shall not be subject to any limits on the number of visits to an autism service provider for treatment of autism spectrum disorders disorder.
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Payments made under a group plan subject to this section on behalf of a covered individual for treatment o f a health condition unrelated t o or distinguishable from the individual's autism spectrum disorder shall not be applied toward any maximum benefit established under t h i s s u b s e c t i o n .
Payments made under a group plan subject to this section on behalf of a covered individual for treatment of a health condition unrelated to or distinguishable from the individual’s autism spectrum disorder shall not be applied toward any maximum benefit established under this subsection.
Consistent with federal or state law and upon consent of the parent or guardian of a covered individual, the treatment of autism spectrum diaordora disorder may be coordinated with any services included in an individualized education program.
Consistent with federal or state law and upon consent of the parent or guardian of a covered individual, the treatment of autism spectrum disorders disorder may be coordinated with any services included in an individualized education program.
However, coverage for the treatment of autism spectrum diaordera disorder shall not be contingent upon coordination of services with an individualized education program.
However, coverage for the treatment of autism spectrum disorders disorder shall not be contingent upon coordination of services with an individualized education program.
Section 514C.31, subsection 2, paragraphs b and d.
Section 514C.31, subsection 2, paragraphs b and d, Code 2022, are amended to read as follows:
Code 2022, are amended to read as follows:
'*'Autism spectrum disorder" means a complex neurodovGlopmental medical disorder characteriBGd by social impairment# communication difficultiea# and reatrictedi> House File 2167/ p.
“Autism spectrum disorder” means a complex neurodevelopmental medical disorder characterized by social impairment, communication difficulties, and restricted, House File 2167, p.
5 ropotitivG/—and storootyped pattorna of behavior the same as defined in section 514C.28, subsection 2.
5 repetitive, and stereotyped patterns of behavior the same as defined in section 514C.28, subsection 2.
d, ^Treatment plan" means a plan for the treatment of eft autism spectrum disorder developed by a licensed physician or licensed psychologist after a comprehensive evaluation or reevaluation performed in a manner consistent with the most recent clinical report or recommendations of the American academy of pediatrics.
d.
'^Treatment plan" includes supervisory services/ subject to the provisions of subsection 5.
“Treatment plan” means a plan for the treatment of an autism spectrum disorder developed by a licensed physician or licensed psychologist after a comprehensive evaluation or reevaluation performed in a manner consistent with the most recent clinical report or recommendations of the American academy of pediatrics.
S e c8 .
“Treatment plan” includes supervisory services, subject to the provisions of subsection 5.
A P P L I C A B I L I T Y .
Sec.
8.
APPLICABILITY.
The sections of this Act amending section 514C.28 apply to plans established pursuant to chapter 509A for employees of the state that are delivered/ issued for delivery/ continued/ or renewed in this state on or after January 1 , 2023.
The sections of this Act amending section 514C.28 apply to plans established pursuant to chapter 509A for employees of the state that are delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2023.
The section of this Act amending section 514C.31 applies to third-party provider payment contracts, policies, or plans specified in section 5140.31, subsection 1, paragraph ^a", or to plans established pursuant to chapter 509A for public employees other than employees of the state, that are delivered, issued for delivery, continued, or renewed in this state o n ^ rafter January 1, 2023.
The section of this Act amending section 514C.31 applies to third-party provider payment contracts, policies, or plans specified in section 514C.31, subsection 1, paragraph “a”, or to plans established pursuant to chapter 509A for public employees other than employees of the state, that are delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2023.
P A G R A ^ J A K E CHAPMAN Speaker of e H o u s e P r e s i do ft h S e n a t e I hereby certify that this bill originated in the House and is known as House File 2167, Eighty-ninth General Assembly.
______________________________ ______________________________ PAT GRASSLEY JAKE CHAPMAN Speaker of the House President of the Senate I hereby certify that this bill originated in the House and is known as House File 2167, Eighty-ninth General Assembly.
MEG^N NELSON C h i e £ C l e the H o u s e Approved f 21 .
______________________________ MEGHAN NELSON Chief Clerk of the House Approved _______________, 2022 ______________________________ KIM REYNOLDS Governor
2 0 2 2 K I R E Y N O L G o v e r n o r
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Action History

  1. Signed by Governor.

  2. Reported correctly enrolled, signed by Speaker and President, and sent to Governor.

  3. Message from Senate.

  4. Immediate message.

  5. Passed Senate, yeas 50, nays 0.

  6. Committee report, recommending passage.

  7. Subcommittee recommends passage.

  8. Subcommittee Meeting: 03/01/2022 10:30AM Room G15.

  9. Subcommittee: Sinclair, Johnson, and Quirmbach.

  10. Read first time, referred to Commerce.

  11. Message from House.

  12. Immediate message.

  13. Passed House, yeas 95, nays 0.

  14. Introduced, placed on calendar.

Sponsorship breakdown

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0 sponsors · 0 co-sponsors · 150 not signed on

Sponsors (0)

None.

Co-sponsors (0)

None.

Not signed on (150)

150 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
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This bill has been enacted into law. Introduced January 31, 2022. Enacted.
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