Bill Text: IA HF376 | 2019-2020 | 88th General Assembly | Introduced


Bill Title: A bill for an act relating to Medicaid program coverage for certain populations, and including effective date provisions.

Spectrum: Partisan Bill (Democrat 10-0)

Status: (Introduced - Dead) 2019-02-26 - Sponsor added, Derry. H.J. 360. [HF376 Detail]

Download: Iowa-2019-HF376-Introduced.html
House File 376 - Introduced HOUSE FILE 376 BY STAED , B. MEYER , GASKILL , KURTH , FORBES , HUNTER , ANDERSON , GAINES , ABDUL-SAMAD , and KACENA A BILL FOR An Act relating to Medicaid program coverage for certain 1 populations, and including effective date provisions. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 2260YH (4) 88 pf/rh
H.F. 376 Section 1. TERMINATION OF MEDICAID MANAGED CARE 1 CONTRACTS RELATIVE TO LONG-TERM SERVICES AND SUPPORTS AND 2 MEDICARE-MEDICAID DUAL ELIGIBLE POPULATIONS —— TRANSITION TO 3 FEE-FOR-SERVICE. The department of human services shall, upon 4 the effective date of this Act, provide written notice in 5 accordance with the termination provisions of the contract, 6 to each managed care organization with whom the department 7 executed a contract to administer the Iowa high quality health 8 care initiative as established by the department, to terminate 9 such contracts as applicable to the Medicaid long-term 10 services and supports and Medicare-Medicaid dual eligible 11 populations, following a sixty-day transition period. The 12 department shall transfer the long-term services and supports 13 and Medicare-Medicaid dual eligible populations to the Medicaid 14 fee-for-service payment and delivery system. The transition 15 shall be based on a transition plan developed by the department 16 and submitted to the council on human services and the medical 17 assistance advisory council for review. The department of 18 human services shall seek any Medicaid state plan or waiver 19 amendments necessary to complete the transition. 20 Sec. 2. EFFECTIVE DATE. This Act, being deemed of immediate 21 importance, takes effect upon enactment. 22 EXPLANATION 23 The inclusion of this explanation does not constitute agreement with 24 the explanation’s substance by the members of the general assembly. 25 This bill requires the department of human services (DHS) 26 to terminate existing contracts with Medicaid managed care 27 organizations as the contracts apply to the Medicaid long-term 28 services and supports and the Medicare-Medicaid dual eligible 29 populations, and to transfer these populations from the 30 Medicaid managed care to the Medicaid fee-for-service payment 31 and delivery system. The transition is to be based on a 32 transition plan developed by DHS and submitted to the council 33 on human services and the medical assistance advisory council 34 for review. DHS is required to seek any Medicaid state plan or 35 -1- LSB 2260YH (4) 88 pf/rh 1/ 2
H.F. 376 waiver amendments as necessary to complete the transition. The 1 bill takes effect upon enactment. 2 -2- LSB 2260YH (4) 88 pf/rh 2/ 2
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