Iowa SSB3177 mandates insurance coverage for emergency services and out-of-network provider reimbursements, with arbitration for complicating factors.

Iowa SSB3177 establishes rules for insurance coverage and reimbursements for out-of-network providers. It requires policies, contracts, or plans providing third-party payment of medical expenses to cover emergency services and services provided at participating facilities when a covered person cannot receive services from a participating provider. Out-of-network providers can request additional reimbursement for services involving complicating factors, which are defined as elements not typically involved in providing health care services.

Iowa SSB3177 mandates insurance coverage for emergency services and out-of-network provider reimbursements, with arbitration for complicating factors.

Iowa SSB3177 establishes rules for insurance coverage and reimbursements for out-of-network providers. It requires policies, contracts, or plans providing third-party payment of medical expenses to cover emergency services and services provided at participating facilities when a covered person cannot receive services from a participating provider. Out-of-network providers can request additional reimbursement for services involving complicating factors, which are defined as elements not typically involved in providing health care services.