Section 514B.4A - Direct provision of health care services1. An application for a certificate of authority to provide health care services, directly, shall be forwarded by the commissioner to the director of health and human services for review, comment, and recommendation, with respect to the health care services to be provided directly, to assure that the applicant has demonstrated the willingness and potential ability to provide the health care services through adequate personnel and facilities.2. Rules proposed by the commissioner for adoption for the direct provision of health care services by a health maintenance organization, shall be forwarded by the commissioner to the director of health and human services for review, comment, and recommendation, prior to submission to the administrative rules coordinator pursuant to section 17A.4.3. The director of health and human services shall respond to the commissioner, with respect to an application or proposed rule, with any comments or recommendations within thirty days of the forwarding of the application or proposed rules to the director of health and human services.Amended by 2023 Iowa, ch 19, s 1195, eff. 7/1/2023.