Bill > HF443

This bill requires health insurance plans to provide coverage for Assertive Community Treatment (ACT) services for dependents who receive these services from an ACT provider enrolled in and in good standing with the medical assistance program. Specifically, the bill mandates that health benefit plans cover these specialized mental health services starting January 1, 2026, for various types of insurance contracts including individual and group accident and sickness insurance, hospital and medical service contracts, health maintenance organization contracts, and public employee plans. The bill defines key terms such as "covered person" (policyholder or participant), "dependent" (a dependent of a covered person), and "health benefit plan." Importantly, the bill excludes certain types of specialized insurance from this coverage requirement, such as accident-only, short-term medical, dental, vision, and workers' compensation insurance. The bill also empowers the commissioner of insurance to adopt administrative rules to implement these requirements, ensuring that individuals with complex mental health needs can access comprehensive treatment services through their health insurance.

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https://www.legis.iowa.gov/legislation/BillBook?ga=91&ba=HF443