Bill Text: IA HF334 | 2023-2024 | 90th General Assembly | Introduced
Bill Title: A bill for an act relating to coverage for the CenteringPregnancy model of group prenatal care under the Medicaid program.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2023-02-16 - Introduced, referred to Health and Human Services. H.J. 363. [HF334 Detail]
Download: Iowa-2023-HF334-Introduced.html
House
File
334
-
Introduced
HOUSE
FILE
334
BY
BERGAN
A
BILL
FOR
An
Act
relating
to
coverage
for
the
CenteringPregnancy
model
of
1
group
prenatal
care
under
the
Medicaid
program.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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Section
1.
MEDICAID
GROUP
PRENATAL
CARE
——
1
CENTERINGPREGNANCY
MODEL.
2
1.
The
general
assembly
finds
all
of
the
following:
3
a.
CenteringPregnancy
is
an
evidence-based
model
of
group
4
prenatal
care
that
has
been
shown
to
improve
birth
outcomes
for
5
both
mothers
and
babies.
6
b.
Research
indicates
that
the
benefits
of
7
CenteringPregnancy
include
increased
birth
weights,
increased
8
rates
of
breastfeeding,
reduced
risk
of
pre-term
pregnancies,
9
and
reduced
risk
of
gestational
diabetes.
10
c.
Across
studies,
CenteringPregnancy
reduces
the
odds
11
of
premature
birth,
the
single
largest
contributor
to
infant
12
mortality,
by
between
thirty-three
and
forty-seven
percent.
13
d.
CenteringPregnancy
provides
even
greater
benefits
14
to
certain
high-risk
populations
and
can
be
effective
at
15
reducing
health
disparities
related
to
race,
ethnicity,
and
16
socioeconomic
status.
17
e.
By
reducing
the
rate
of
negative
birth
outcomes,
18
CenteringPregnancy
prevents
high-cost
medical
interventions
and
19
reduces
overall
costs
of
care.
20
f.
Expanding
patient
access
to
CenteringPregnancy
within
21
Iowa’s
Medicaid
program
will
simultaneously
improve
population
22
health
outcomes
and
reduce
overall
costs
of
health
care
23
delivery.
24
2.
The
department
of
health
and
human
services
shall
submit
25
any
state
plan
amendment
or
waiver
to
the
centers
for
Medicare
26
and
Medicaid
services
of
the
United
States
department
of
27
health
and
human
services
as
necessary
for
approval
to
include
28
group
prenatal
care
based
on
the
CenteringPregnancy
model
as
a
29
covered
service
under
the
Medicaid
program.
30
3.
Expenses
of
a
provider
for
group
prenatal
care
shall
be
31
reimbursed
provided
that
all
of
the
following
criteria
are
met:
32
a.
The
provider,
including
but
not
limited
to
a
federally
33
qualified
health
center
or
a
community
health
center,
is
a
site
34
accredited
by
the
centering
healthcare
institute
or
is
a
site
35
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engaged
in
an
active
implementation
contract
with
the
centering
1
healthcare
institute,
that
utilizes
the
CenteringPregnancy
2
model.
3
b.
The
provider
incorporates
the
applicable
information
4
outlined
in
any
best
practices
manual
for
prenatal
and
5
postpartum
maternal
care
developed
by
the
department
of
health
6
and
human
services
into
the
curriculum
for
each
group
prenatal
7
visit.
8
c.
The
provider
ensures
that
each
group
prenatal
care
visit
9
is
at
least
one
and
one-half
hours
in
duration
with
a
minimum
10
of
two
women
and
a
maximum
of
twenty
women
participating.
11
d.
The
provider
provides
that
no
more
than
ten
group
12
prenatal
care
visits
occur
per
pregnancy.
13
4.
As
used
in
this
section,
“group
prenatal
care
services”
14
means
a
series
of
prenatal
care
visits
provided
in
a
group
15
setting
which
are
based
upon
the
CenteringPregnancy
model
16
developed
by
the
centering
healthcare
institute
and
which
17
include
health
assessments,
social
and
clinical
support,
and
18
educational
activities.
19
EXPLANATION
20
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
21
the
explanation’s
substance
by
the
members
of
the
general
assembly.
22
This
bill
requires
the
department
of
health
and
human
23
services
(HHS)
to
receive
federal
approval
to
include
group
24
prenatal
care
based
on
the
CenteringPregnancy
model
as
a
25
covered
service
under
the
Medicaid
program.
Reimbursement
26
is
contingent
upon
the
provider
of
group
prenatal
care,
27
including
but
not
limited
to
a
federally
qualified
health
28
center
or
a
community
health
center,
being
a
site
accredited
29
by
the
centering
healthcare
institute
or
a
site
engaged
in
an
30
active
implementation
contract
with
the
centering
healthcare
31
institute,
that
utilizes
the
CenteringPregnancy
model;
32
incorporating
the
applicable
information
outlined
in
any
best
33
practices
manual
for
prenatal
and
postpartum
maternal
care
34
developed
by
HHS
into
the
curriculum
for
each
group
prenatal
35
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visit;
ensuring
that
each
group
prenatal
care
visit
is
at
least
1
1.5
hours
in
duration
with
a
minimum
of
two
women
and
a
maximum
2
of
20
women
participating;
and
providing
that
no
more
than
3
10
group
prenatal
care
visits
occur
per
pregnancy.
The
bill
4
defines
“group
prenatal
care
services”
as
a
series
of
prenatal
5
care
visits
provided
in
a
group
setting
which
are
based
6
upon
the
CenteringPregnancy
model
developed
by
the
centering
7
healthcare
institute
and
which
include
health
assessments,
8
social
and
clinical
support,
and
educational
activities.
9
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