reglab/housing_qa huggingface dataset:
IA Code § 510B.3 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510B - REGULATION OF PHARMACY BENEFITS MANAGERS|Section 510B.3 - Enforcement — rules.

510B.3 Enforcement — rules.   1. The commissioner shall enforce the provisions of this chapter. After notice and hearing, the commissioner may impose any or all of the sanctions set out in section 507B.7 and may suspend or revoke a pharmacy benefits manager’s certificate of registration as a third-party administrator pursuant to chapter 510, upon finding that the pharmacy benefits manager violated any of the requirements of this chapter or of chapter 510 pertaining to third-party administrators.   2. A pharmacy benefits manager, as an agent or vendor of an insurance company, is subject to the commissioner’s authority to conduct an examination pursuant to chapter 507. The procedures set forth in chapter 507 regarding examination reports shall apply to an examination of a pharmacy benefits manager under this chapter.   3. A pharmacy benefits manager is subject to the commissioner’s authority to conduct an investigation pursuant to chapter 507B. The procedures set forth in chapter 507B regarding investigations shall apply to an investigation of a pharmacy benefits manager under this chapter.   4. A pharmacy benefits manager is subject to the commissioner’s authority to conduct an examination, audit, or inspection pursuant to chapter 510 for third-party administrators. The procedures set forth in chapter 510 for third-party administrators shall apply to an examination, audit, or inspection of a pharmacy benefits manager under this chapter.   5. When the commissioner conducts an examination of a pharmacy benefits manager under chapter 507; an investigation under chapter 507B; or an examination, audit, or inspection under chapter 510, all information received from the pharmacy benefits manager, and all notes, work papers, or other documents related to the examination, investigation, audit, or inspection of the pharmacy benefits manager are confidential records under chapter 22 and shall be accorded the same confidentiality as notes, work papers, investigatory materials, or other documents related to the examination of an insurer as provided in chapter 507.   6. The commissioner shall adopt rules pursuant to chapter 17A to administer this chapter including rules relating to all of the following:   a. Timely payment of pharmacy claims.   b. A process for adjudication of complaints and settlement of disputes between a pharmacy benefits manager and a licensed pharmacy related to pharmacy auditing practices, termination of pharmacy agreements, and timely payment of pharmacy claims.   c. A process for the submission of forms.  2007 Acts, ch 193, §3, 9; 2014 Acts, ch 1140, §99, 101; 2015 Acts, ch 24, §1 – 3
IA Code § 510B.4 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510B - REGULATION OF PHARMACY BENEFITS MANAGERS|Section 510B.4 - Performance of duties — good faith — conflict of interest.

510B.4 Performance of duties — good faith — conflict of interest.   1. A pharmacy benefits manager shall perform the pharmacy benefits manager’s duties exercising good faith and fair dealing in the performance of its contractual obligations toward the covered entity.   2. A pharmacy benefits manager shall notify the covered entity in writing of any activity, policy, practice ownership interest, or affiliation of the pharmacy benefits manager that presents any conflict of interest.  2007 Acts, ch 193, §4, 9
IA Code § 510B.5 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510B - REGULATION OF PHARMACY BENEFITS MANAGERS|Section 510B.5 - Contacting covered individual — requirements.

510B.5 Contacting covered individual — requirements.   A pharmacy benefits manager, unless authorized pursuant to the terms of its contract with a covered entity, shall not contact any covered individual without the express written permission of the covered entity.  2007 Acts, ch 193, §5, 9
IA Code § 510B.6 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510B - REGULATION OF PHARMACY BENEFITS MANAGERS|Section 510B.6 - Dispensing of substitute prescription drug for prescribed drug.

510B.6 Dispensing of substitute prescription drug for prescribed drug.   1. The following provisions shall apply when a pharmacy benefits manager requests the dispensing of a substitute prescription drug for a prescribed drug to a covered individual:   a. The pharmacy benefits manager may request the substitution of a lower priced generic and therapeutically equivalent drug for a higher priced prescribed drug.   b. If the substitute drug’s net cost to the covered individual or covered entity exceeds the cost of the prescribed drug, the substitution shall be made only for medical reasons that benefit the covered individual.   2. A pharmacy benefits manager shall obtain the approval of the prescribing practitioner prior to requesting any substitution under this section.   3. A pharmacy benefits manager shall not substitute an equivalent prescription drug contrary to a prescription drug order that prohibits a substitution.  2007 Acts, ch 193, §6, 9
IA Code § 510B.7 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510B - REGULATION OF PHARMACY BENEFITS MANAGERS|Section 510B.7 - Duties to pharmacy network providers.

510B.7 Duties to pharmacy network providers.   1. A pharmacy benefits manager shall not mandate basic recordkeeping that is more stringent than that required by state or federal law or regulation.   2. If a pharmacy benefits manager receives notice from a covered entity of termination of the covered entity’s contract, the pharmacy benefits manager shall notify, within ten working days of the notice, all pharmacy network providers of the effective date of the termination.   3. Within three business days of a price increase notification by a manufacturer or supplier, a pharmacy benefits manager shall adjust its payment to the pharmacy network provider consistent with the price increase.  2007 Acts, ch 193, §7, 9
IA Code § 510B.8 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510B - REGULATION OF PHARMACY BENEFITS MANAGERS|Section 510B.8 - Pricing methodology for maximum reimbursement amount.

510B.8 Pricing methodology for maximum reimbursement amount.   1. The commissioner may require a pharmacy benefits manager to submit information to the commissioner related to the pharmacy benefits manager’s pricing methodology for maximum reimbursement amount.   2. For purposes of the disclosure of pricing methodology, maximum reimbursement amounts shall be implemented as follows:   a. Established for multiple-source prescription drugs prescribed after the expiration of any generic exclusivity period.   b. Established for any prescription drug with at least two or more A-rated therapeutically equivalent, multiple-source prescription drugs with a significant cost difference.   c. Determined using comparable prescription drug prices obtained from multiple nationally recognized comprehensive data sources including wholesalers, prescription drug file vendors, and pharmaceutical manufacturers for prescription drugs that are nationally available and available for purchase locally by multiple pharmacies in the state.   3. For those prescription drugs to which maximum reimbursement amount pricing applies, a pharmacy benefits manager shall include in a contract with a pharmacy information regarding which of the national compendia is used to obtain pricing data used in the calculation of the maximum reimbursement amount pricing and shall provide a process to allow a pharmacy to comment on, contest, or appeal the maximum reimbursement amount rates or maximum reimbursement amount list. The right to comment on, contest, or appeal the maximum reimbursement amount rates or maximum reimbursement amount list shall be limited in duration and allow for retroactive payment in the event that it is determined that maximum reimbursement amount pricing has been applied incorrectly.  2014 Acts, ch 1016, §2
IA Code § 510B.9 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510B - REGULATION OF PHARMACY BENEFITS MANAGERS|Section 510B.9 - Submission, approval, and use of prior authorization form.

510B.9 Submission, approval, and use of prior authorization form.   A pharmacy benefits manager shall file with and have approved by the commissioner a single prior authorization form as provided in section 505.26. A pharmacy benefits manager shall use the single prior authorization form as provided in section 505.26.  2014 Acts, ch 1140, §100, 101
IA Code § 510B.10 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510B - REGULATION OF PHARMACY BENEFITS MANAGERS|Section 510B.10 - Rights related to covered individuals.

510B.10 Rights related to covered individuals.   1. A pharmacy or pharmacist, as defined in section 155A.3, has the right to provide a covered individual information regarding the amount of the covered individual’s cost share for a prescription drug. A pharmacy benefits manager shall not prohibit a pharmacy or pharmacist from discussing any such information or from selling a more affordable alternative to the covered individual, if one is available.   2. A health benefit plan, as defined in section 514J.102, issued or renewed on or after July 1, 2018, that provides coverage for pharmacy benefits shall not require a covered individual to pay a copayment for pharmacy benefits that exceeds the pharmacy’s or pharmacist’s submitted charges.   3. Any amount paid by a covered individual for a covered prescription drug pursuant to this section shall be applied toward any deductible imposed by the covered individual’s health benefit plan in accordance with the covered individual’s health benefit plan coverage documents.   4. To the extent that any provision of this section is inconsistent or conflicts with applicable federal law, rule, or regulation, such federal law, rule, or regulation shall prevail to the extent necessary to eliminate the inconsistency or conflict.  2018 Acts, ch 1165, §140
IA Code § 510C.1 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510C - PHARMACY BENEFITS MANAGER REPORTING|Section 510C.1 - Definitions.

510C.1 Definitions.   As used in this chapter unless the context otherwise requires:   1. “Administrative fees” means a fee or payment, other than a rebate, under a contract between a pharmacy benefits manager and a pharmaceutical drug manufacturer in connection with the pharmacy benefits manager’s management of a health carrier’s prescription drug benefit, that is paid by a pharmaceutical drug manufacturer to a pharmacy benefits manager or is retained by the pharmacy benefits manager.   2. “Aggregate retained rebate percentage” means the percentage of all rebates received by a pharmacy benefits manager that is not passed on to the pharmacy benefits manager’s health carrier clients.   3. “Commissioner” means the commissioner of insurance.   4. “Covered person” means the same as defined in section 514J.102.   5. “Formulary” means a complete list of prescription drugs eligible for coverage under a health benefit plan.   6. “Health benefit plan” means the same as defined in section 514J.102.   7. “Health carrier” means the same as defined in section 514J.102.   8. “Health carrier administrative service fee” means a fee or payment under a contract between a pharmacy benefits manager and a health carrier in connection with the pharmacy benefits manager’s administration of the health carrier’s prescription drug benefit that is paid by a health carrier to a pharmacy benefits manager or is otherwise retained by a pharmacy benefits manager.   9. “Pharmacy benefits manager” means a person who, pursuant to a contract or other relationship with a health carrier, either directly or through an intermediary, manages a prescription drug benefit provided by the health carrier.   10. “Prescription drug benefit” means a health benefit plan providing for third-party payment or prepayment for prescription drugs.   11. “Rebate” means all discounts and other negotiated price concessions paid directly or indirectly by a pharmaceutical manufacturer or other entity, other than a covered person, in the prescription drug supply chain to a pharmacy benefits manager, and which may be based on any of the following:   a. A pharmaceutical manufacturer’s list price for a prescription drug.   b. Utilization.   c. To maintain a net price for a prescription drug for a specified period of time for the pharmacy benefits manager in the event the pharmaceutical manufacturer’s list price increases.   d. Reasonable estimates of the volume of a prescribed drug that will be dispensed by a pharmacy to covered persons.  2019 Acts, ch 88, §1; 2020 Acts, ch 1063, §279 – 281  Subsections 1, 2, 8, and 9 amended  Subsection 11, unnumbered paragraph 1 amended  Subsection 11, paragraph c amended
IA Code § 510C.2 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510C - PHARMACY BENEFITS MANAGER REPORTING|Section 510C.2 - Annual report to the commissioner.

510C.2 Annual report to the commissioner.   1. Each pharmacy benefits manager shall provide a report annually by February 15 to the commissioner that contains all of the following information regarding prescription drug benefits provided to covered persons of each health carrier with whom the pharmacy benefits manager has contracted during the prior calendar year:   a. The aggregate dollar amount of all rebates received by the pharmacy benefits manager.   b. The aggregate dollar amount of all administrative fees received by the pharmacy benefits manager.   c. The aggregate dollar amount of all health carrier administrative service fees received by the pharmacy benefits manager.   d. The aggregate dollar amount of all rebates received by the pharmacy benefits manager that the pharmacy benefits manager did not pass through to the health carrier.   e. The aggregate amount of all administrative fees received by the pharmacy benefits manager that the pharmacy benefits manager did not pass through to the health carrier.   f. The aggregate retained rebate percentage as calculated by dividing the dollar amount in paragraph “d” by the dollar amount in paragraph “a”.   g. Across all health carrier clients with whom the pharmacy benefits manager was contracted, the highest and the lowest aggregate retained rebate percentages.   2. a. A pharmacy benefits manager shall provide the information pursuant to subsection 1 to the commissioner in a format approved by the commissioner that does not directly or indirectly disclose any of the following:   (1) The identity of a specific health carrier.   (2) The price charged by a specific pharmaceutical manufacturer for a specific prescription drug or for a class of prescription drugs.   (3) The amount of rebates provided for a specific prescription drug or class of prescription drugs.   b. Information provided under this section by a pharmacy benefits manager to the commissioner that may reveal the identity of a specific health carrier, the price charged by a specific pharmaceutical manufacturer for a specific prescription drug or class of prescription drugs, or the amount of rebates provided for a specific prescription drug or class of prescription drugs shall be considered a confidential record and be recognized and protected as a trade secret pursuant to section 22.7, subsection 3.   3. The commissioner shall publish, within sixty calendar days of receipt, the nonconfidential information received by the commissioner on a publicly accessible internet site. The information shall be made available to the public in a format that complies with subsection 2, paragraph “a”.  2019 Acts, ch 88, §2; 2020 Acts, ch 1063, §282–284  Subsection 1 amended  Subsection 2, paragraph a, unnumbered paragraph 1 amended  Subsection 2, paragraph b amended
IA Code § 510C.3 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510C - PHARMACY BENEFITS MANAGER REPORTING|Section 510C.3 - Rules.

510C.3 Rules.   The commissioner of insurance shall adopt rules pursuant to chapter 17A as necessary to administer this chapter.  2019 Acts, ch 88, §3
IA Code § 510C.4 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510C - PHARMACY BENEFITS MANAGER REPORTING|Section 510C.4 - Enforcement.

510C.4 Enforcement.   The commissioner may take any action within the commissioner’s authority to enforce compliance with this chapter.  2019 Acts, ch 88, §4
IA Code § 510C.5 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 510C - PHARMACY BENEFITS MANAGER REPORTING|Section 510C.5 - Applicability.

510C.5 Applicability.   This chapter is applicable to a health benefit plan that is delivered, issued for delivery, continued, or renewed in this state on or after January 1, 2019.  2019 Acts, ch 88, §5
IA Code § 511.1 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 511 - PROVISIONS APPLICABLE TO LIFE INSURANCE COMPANIES AND ASSOCIATIONS|Section 511.1 - Annual statement of foreign companies.

511.1 Annual statement of foreign companies.   Every company or association organized under the laws of any other state or country and doing business in this state shall annually, by the first day of March, file with the commissioner of insurance a statement of its affairs for the year terminating on the thirty-first day of December preceding, in the same manner and form provided for similar companies or associations organized in this state.  [C73, §1166; C97, §1799; C24, 27, 31, 35, 39, §8728; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §511.1]
IA Code § 511.2 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 511 - PROVISIONS APPLICABLE TO LIFE INSURANCE COMPANIES AND ASSOCIATIONS|Section 511.2 - Amended forms of statement.

511.2 Amended forms of statement.   The commissioner may amend the form of the annual statement required to be made by companies or associations doing business in this state, and propose and require such additional matter to be covered therein as the commissioner may think necessary to elicit a full exhibit of the standing of any such company or association.  [C73, §1168; C97, §1799; C24, 27, 31, 35, 39, §8729; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §511.2]
IA Code § 511.4 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 511 - PROVISIONS APPLICABLE TO LIFE INSURANCE COMPANIES AND ASSOCIATIONS|Section 511.4 - Advertisements — who deemed agent.

511.4 Advertisements — who deemed agent.   The provisions of section 515.105 shall apply to life insurance companies and associations.  [C97, §1815; C24, 27, 31, 35, 39, §8731; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §511.4]  2001 Acts, ch 16, §8, 37; 2001 Acts, ch 69, §12; 2007 Acts, ch 152, §57
IA Code § 511.7 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 511 - PROVISIONS APPLICABLE TO LIFE INSURANCE COMPANIES AND ASSOCIATIONS|Section 511.7 - Recovery of penalties.

511.7 Recovery of penalties.   Actions brought to recover any of the penalties provided for in this chapter shall be instituted in the name of the state by the county attorney of the county, under the direction and authority of the commissioner of insurance, and may be brought in the district court of any county in which the company or association proceeded against is engaged in the transaction of business, or in which the offending person resides, if it is against the person. The penalties, when recovered, shall be paid to the treasurer of state for deposit in the general fund of the state.  [C73, §1178; C97, §1802; C24, 27, 31, 35, 39, §8734; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §511.7]  83 Acts, ch 185, §49, 62; 83 Acts, ch 186, §10106, 10201, 10204  Referred to in §331.756(60)
IA Code § 511.8A (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 511 - PROVISIONS APPLICABLE TO LIFE INSURANCE COMPANIES AND ASSOCIATIONS|Section 511.8A - Agricultural land.

511.8A Agricultural land.   Agricultural land, as defined in section 9H.1, acquired as provided in section 511.8, subsection 10, paragraph “b”, by a life insurance company or association incorporated by or organized under the laws of this or any other state, shall be sold or otherwise disposed of by the company or association within five years after title is vested in the company or association. A life insurance company or association is a corporation for purposes of chapter 9H.  89 Acts, ch 311, §30
IA Code § 511.9 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 511 - PROVISIONS APPLICABLE TO LIFE INSURANCE COMPANIES AND ASSOCIATIONS|Section 511.9 - Violations.

511.9 Violations.   The commissioner shall have authority to suspend or revoke the certificate of authority of any company or association failing to comply with any of the provisions of section 511.8, or for violating the same.  [SS15, §1806; C24, 27, 31, 35, 39, §8745; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §511.9]
IA Code § 511.10 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 511 - PROVISIONS APPLICABLE TO LIFE INSURANCE COMPANIES AND ASSOCIATIONS|Section 511.10 - Rule of valuation.

511.10 Rule of valuation.   1. All bonds or other evidences of debt having a fixed term and rate, held by any fraternal beneficiary association authorized to do business in this state may, if amply secured and not in default as to principal and interest, be valued as follows:   a. If purchased at par, at the par value.   b. If purchased above or below par, on the basis of the purchase price adjusted so as to bring the value to par at maturity and so as to yield in the meantime the effective rate of interest at which the purchase was made.   2. Provided that the purchase price shall in no case be taken at a higher figure than the actual market value at the time of purchase.   3. The commissioner of insurance shall have full discretion in determining the method of calculating values according to the foregoing rule.  [C24, 27, 31, 35, 39, §8746; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §511.10]  2012 Acts, ch 1023, §157
IA Code § 511.11 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 511 - PROVISIONS APPLICABLE TO LIFE INSURANCE COMPANIES AND ASSOCIATIONS|Section 511.11 - Prohibited loans.

511.11 Prohibited loans.   No insurance company or association organized under the statutes of this state to transact an insurance business, shall invest its capital, surplus funds, or other assets, in or loan the same on property owned by any officer or director of such company or by any of the immediate members of the family of any such officer or director.  [C24, 27, 31, 35, 39, §8748; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §511.11]
IA Code § 511.12 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 511 - PROVISIONS APPLICABLE TO LIFE INSURANCE COMPANIES AND ASSOCIATIONS|Section 511.12 - Officers not to profit by investments.

511.12 Officers not to profit by investments.   No such officer or director shall gain through the investment of funds of any such company.  [C24, 27, 31, 35, 39, §8749; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §511.12]
IA Code § 511.13 (2021)
2021 Iowa Code|Title XIII - COMMERCE|Chapter 511 - PROVISIONS APPLICABLE TO LIFE INSURANCE COMPANIES AND ASSOCIATIONS|Section 511.13 - Disbursements — vouchers — affidavit.

511.13 Disbursements — vouchers — affidavit.   No domestic life insurance company shall make any disbursement of one hundred dollars or more unless the same be evidenced by a voucher signed by or on behalf of the person, firm, or corporation receiving the money and correctly describing the consideration for the payment. If the expenditure be for both services and disbursements the voucher shall set forth the services rendered and an itemized statement of the disbursements made. When such voucher cannot be obtained the expenditure shall be evidenced by an affidavit of some officer or agent of said company describing the character and object of the expenditure and stating the reason for not obtaining such voucher.  [S13, §1820-a; C24, 27, 31, 35, 39, §8750; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §511.13]