§ 514c-30

514C.30 Services provided by a physical therapist, occupational therapist, or speech pathologist. 1. Notwithstanding the uniformity of treatment requirements of section 514C.6, a policy, contract, or plan providing for third-party payment or prepayment of health or medicalexpenses shall not impose a copayment or coinsurance amount on an insured for servicesprovided by a physical therapist licensed pursuant to chapter 148A, by an occupationaltherapist licensed pursuant to chapter 148B, or by a speech pathologist licensed pursuantto chapter 154F that is greater than the copayment or coinsurance amount imposed on theinsured for services provided by a person engaged in the practice of medicine and surgeryor osteopathic medicine and surgery under chapter 148 for the same or a similar diagnosedcondition even if a different nomenclature is used to describe the condition for which theservices are provided. 2. This section applies to the following classes of third-party payment provider policies, contracts, or plans delivered, issued for delivery, continued, or renewed in this state on orafter July 1, 2015: a.

section applies to the following classes of third-party payment provider policies, contracts, or plans delivered, issued for delivery, continued, or renewed in this state on orafter July 1, 2015: a. Individual or group accident and sickness insurance providing coverage on an expense-incurred basis. b. An individual or group hospital or medical service contract issued pursuant to chapter 509, 514, or 514A. c. An individual or group health maintenance organization contract regulated under chapter 514B. d. A plan established pursuant to chapter 509A for public employees.3. This section shall not apply to accident-only, specified disease, short-term hospital or medical, hospital confinement indemnity, credit, dental, vision, Medicare supplement,long-term care, basic hospital and medical-surgical expense coverage as defined by thecommissioner, disability income insurance coverage, coverage issued as a supplement toliability insurance, workers’ compensation or similar insurance, or automobile medicalpayment insurance. 2015 Acts, ch 137, §101, 162, 163; 2017 Acts, ch 148, §82 Sat Dec 23 00:45:15 2023 Iowa Code 2024, Section 514C.30 (13, 0)