§ 514b-31

514B.31 Taxation. 1. For the first five years of the existence of a health maintenance organization and the health maintenance organization’s successors and assigns, the following shall not beconsidered premiums received and taxable under section 432.1: a. Payments received by the health maintenance organization for health care services, insurance, indemnity, or other benefits to which an enrollee is entitled through a healthmaintenance organization authorized under this chapter. b. Payments made by the health maintenance organization to providers for health care services, to insurers, or to corporations authorized under chapter 514 for insurance,indemnity, or other service benefits authorized under this chapter. 2. After the first five years of the existence of a health maintenance organization and the health maintenance organization’s successors and assigns, the following shall be consideredpremiums received and taxable under section 432.1: a. Payments received by the health maintenance organization for health care services, insurance, indemnity, or other benefits to which an enrollee is entitled through a healthmaintenance organization authorized under this chapter. b.

maintenance organization for health care services, insurance, indemnity, or other benefits to which an enrollee is entitled through a healthmaintenance organization authorized under this chapter. b. Payments made by the health maintenance organization to providers for health care services, to insurers, or to corporations authorized under chapter 514 for insurance,indemnity, or other service benefits authorized under this chapter. 3. Notwithstanding subsections 1 and 2, beginning January 1, 2024, and for each subsequent calendar year, the following shall be considered premiums received and taxableunder section 432.1B for a health maintenance organization contracting with the departmentof health and human services to administer the medical assistance program under chapter249A: a. Payments received by the health maintenance organization for health care services, insurance, indemnity, or other benefits to which an enrollee is entitled through a healthmaintenance organization authorized under this chapter. b. Payments made by the health maintenance organization to providers for health care services, to insurers, or to corporations authorized under chapter 514 for insurance,indemnity,

nder this chapter. b. Payments made by the health maintenance organization to providers for health care services, to insurers, or to corporations authorized under chapter 514 for insurance,indemnity, or other service benefits authorized under this chapter. 4. Payments made to a health maintenance organization by the United States secretary of health and human services under a contract issued under section 1833 or 1876 of the federalSocial Security Act, or under section 4015 of the federal Omnibus Budget Reconciliation Actof 1987, shall not be considered premiums received and shall not be taxable under section432.1 or 432.1B. Payments made to a health maintenance organization contracting with thedepartment of health and human services to administer the medical assistance program underchapter 249A shall not be taxable under section 432.1. [C75, 77, 79, 81, §514B.31]90 Acts, ch 1173, §1; 2002 Acts, ch 1158, §8; 2023 Acts, ch 158, §5Referred to in §432.1B, 514E.1Section stricken and rewritten Sat Dec 23 00:44:55 2023 Iowa Code 2024, Section 514B.31 (20, 4)