§ 514c-17

514C.17 Continuity of care — terminal illness. 1. Except as provided under subsection 2 or 3, if a carrier, as defined in section 513B.2, or a plan established pursuant to chapter 509A for public employees, terminates its contractwith a participating health care provider, a covered individual who is undergoing a specifiedcourse of treatment for a terminal illness or a related condition, with the recommendation ofthe covered individual’s treating physician licensed under chapter 148 or treating physicianassistant licensed under chapter 148C may continue to receive coverage for treatmentreceived from the covered individual’s physician or physician assistant for the terminalillness or a related condition, for a period of up to ninety days. Payment for covered benefitsand benefit levels shall be according to the terms and conditions of the contract. 2. A covered person who makes a change in health plans involuntarily may request that the new health plan cover services of the covered person’s treating physician licensedunder chapter 148 or treating physician assistant licensed under chapter 148C who is nota participating health care provider under the new health plan, if the covered

son’s treating physician licensedunder chapter 148 or treating physician assistant licensed under chapter 148C who is nota participating health care provider under the new health plan, if the covered person isundergoing a specified course of treatment for a terminal illness or a related condition.Continuation of such coverage shall continue for up to ninety days. Payment for coveredbenefits and benefit levels shall be according to the terms and conditions of the contract. 3. Notwithstanding subsections 1 and 2, a carrier or a plan established under chapter 509A which terminates the contract of a participating health care provider for cause shall notbe required to cover health care services provided by the health care provider to a coveredperson following the date of termination. 99 Acts, ch 41, §4; 2008 Acts, ch 1088, §132; 2017 Acts, ch 148, §70; 2022 Acts, ch 1066, §46 Sat Dec 23 00:45:08 2023 Iowa Code 2024, Section 514C.17 (20, 0)