1. An application for a certificate of authority to provide health care services,
directly, shall be forwarded by the commissioner to the director of public health
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
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 public health for review, comment, and recommendation, prior to
submission to the administrative rules coordinator pursuant to section 17A.4.
3. The director of public health 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 public
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