2009 Iowa Code
Title 13 - Commerce
Subtitle 1 - Insurance and Related Regulation
CHAPTER 514F - UTILIZATION AND COST CONTROL
514F.1 - UTILIZATION AND COST CONTROL REVIEW COMMITTEES.



        514F.1  UTILIZATION AND COST CONTROL REVIEW
      COMMITTEES.
         The licensing boards under chapters 148, 149, 151, and 152 shall
      establish utilization and cost control review committees of licensees
      under the respective chapters, selected from licensees who have
      practiced in Iowa for at least the previous five years, or shall
      accredit and designate other utilization and cost control
      organizations as utilization and cost control committees under this
      section, for the purposes of utilization review of the
      appropriateness of levels of treatment and of giving opinions as to
      the reasonableness of charges for diagnostic or treatment services of
      licensees.  Persons governed by the various chapters of Title XIII,
      subtitle 1, of the Code and self-insurers for health care benefits to
      employees may utilize the services of the utilization and cost
      control review committees upon the payment of a reasonable fee for
      the services, to be determined by the respective boards.  The
      respective boards under chapters 148, 149, 151, and 152 shall adopt
      rules necessary and proper for the administration of this section
      pursuant to chapter 17A.  It is the intent of this general assembly
      that conduct of the utilization and cost control review committees
      authorized under this section shall be exempt from challenge under
      federal or state antitrust laws or other similar laws in regulation
      of trade or commerce.  
         Section History: Recent Form
         86 Acts, ch 1180, § 10; 87 Acts, ch 115, § 63; 88 Acts, ch 1199, §
      6; 89 Acts, ch 164, § 6; 90 Acts, ch 1233, §32; 2007 Acts, ch 10,
      §177; 2008 Acts, ch 1088, §135

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