514C.11 - SERVICES PROVIDED BY LICENSED PHYSICIAN ASSISTANTS AND LICENSED ADVANCED REGISTERED NURSE PRACTITIONERS.

        514C.11  SERVICES PROVIDED BY LICENSED PHYSICIAN      ASSISTANTS AND LICENSED ADVANCED REGISTERED NURSE PRACTITIONERS.         Notwithstanding section 514C.6, a policy or contract providing for      third-party payment or prepayment of health or medical expenses shall      include a provision for the payment of necessary medical or surgical      care and treatment provided by a physician assistant licensed      pursuant to chapter 148C, or provided by an advanced registered nurse      practitioner licensed pursuant to chapter 152 and performed within      the scope of the license of the licensed physician assistant or the      licensed advanced registered nurse practitioner if the policy or      contract would pay for the care and treatment if the care and      treatment were provided by a person engaged in the practice of      medicine and surgery or osteopathic medicine and surgery under      chapter 148.  The policy or contract shall provide that policyholders      and subscribers under the policy or contract may reject the coverage      for services which may be provided by a licensed physician assistant      or licensed advanced registered nurse practitioner if the coverage is      rejected for all providers of similar services.  A policy or contract      subject to this section shall not impose a practice or supervision      restriction which is inconsistent with or more restrictive than the      restriction already imposed by law.  This section applies to services      provided under a policy or contract delivered, issued for delivery,      continued, or renewed in this state on or after July 1, 1996, and to      an existing policy or contract, on the policy's or contract's      anniversary or renewal date, or upon the expiration of the applicable      collective bargaining contract, if any, whichever is later.  This      section does not apply to policyholders or subscribers eligible for      coverage under Title XVIII of the federal Social Security Act or any      similar coverage under a state or federal government plan.  For the      purposes of this section, third-party payment or prepayment includes      an individual or group policy of accident or health insurance or      individual or group hospital or health care service contract issued      pursuant to chapter 509, 514, or 514A, an individual or group health      maintenance organization contract issued and regulated under chapter      514B, an organized delivery system contract regulated under rules      adopted by the director of public health, or a preferred provider      organization contract regulated pursuant to chapter 514F.  Nothing in      this section shall be interpreted to require an individual or group      health maintenance organization, an organized delivery system, or a      preferred provider organization or arrangement to provide payment or      prepayment for services provided by a licensed physician assistant or      licensed advanced registered nurse practitioner unless the physician      assistant's supervising physician, the physician-physician assistant      team, the advanced registered nurse practitioner, or the advanced      registered nurse practitioner's collaborating physician has entered      into a contract or other agreement to provide services with the      individual or group health maintenance organization, the organized      delivery system, or the preferred provider organization or      arrangement.  
         Section History: Recent Form
         96 Acts, ch 1169, §1; 2008 Acts, ch 1088, §130