Bill Text: IA HF617 | 2019-2020 | 88th General Assembly | Introduced
Bill Title: A bill for an act relating to Medicaid managed care contracting requirements.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2019-03-05 - Introduced, referred to Human Resources. H.J. 397. [HF617 Detail]
Download: Iowa-2019-HF617-Introduced.html
House
File
617
-
Introduced
HOUSE
FILE
617
BY
FRY
A
BILL
FOR
An
Act
relating
to
Medicaid
managed
care
contracting
1
requirements.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
TLSB
2058YH
(9)
88
pf/rh
H.F.
617
Section
1.
MEDICAID
MANAGED
CARE
CONTRACTS
——
EXECUTION
1
DATE
——
NOTIFICATION
TO
GENERAL
ASSEMBLY.
2
1.
The
department
of
human
services
shall
execute
all
3
contracts
with
managed
care
organizations
to
administer
the
4
Iowa
high
quality
health
care
initiative
as
established
by
5
the
department
no
later
than
March
1
of
the
calendar
year
6
immediately
preceding
the
start
of
the
succeeding
state
7
fiscal
year
applicable
to
the
term
of
the
contract.
If
such
8
contract
is
not
executed
on
or
before
March
1
of
the
calendar
9
year
immediately
preceding
the
start
of
the
succeeding
state
10
fiscal
year
applicable
to
the
term
of
the
contract,
one
of
the
11
following
shall
apply:
12
a.
The
contract
in
place
on
March
1,
including
all
13
applicable
capitation
rates,
shall
be
extended
and
applicable
14
for
an
additional
state
fiscal
year.
15
b.
If
the
general
assembly
appropriates
additional
funding
16
for
specific
provider
reimbursement,
the
contract
may
be
17
amended
to
reflect
the
reimbursement
change
and
the
specific
18
amount
appropriated
for
such
reimbursement
change.
19
2.
The
department
of
human
services
shall
notify
the
20
chairpersons
and
ranking
members
of
the
joint
appropriations
21
subcommittee
on
health
and
human
services,
the
legislative
22
services
agency,
and
the
legislative
caucus
staffs
as
follows:
23
a.
Within
thirty
days
of
the
execution
of
a
Medicaid
managed
24
care
contract
or
amendment
to
a
Medicaid
managed
care
contract.
25
b.
Within
thirty
days
of
the
determination
by
the
26
department
during
each
measurement
year
whether
to
return
the
27
incentive
payment
withhold
amount
to
the
Medicaid
managed
care
28
organization
based
upon
performance
and
the
criteria
used
in
29
making
the
determination.
30
EXPLANATION
31
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
32
the
explanation’s
substance
by
the
members
of
the
general
assembly.
33
This
bill
requires
the
department
of
human
services
(DHS)
34
to
execute
all
contracts
with
managed
care
organizations
35
-1-
LSB
2058YH
(9)
88
pf/rh
1/
2
H.F.
617
to
administer
the
Iowa
high
quality
health
care
initiative
1
no
later
than
March
1
of
the
calendar
year
immediately
2
preceding
the
start
of
the
succeeding
state
fiscal
year.
If
3
such
contract
is
not
executed
on
or
before
March
1
of
the
4
calendar
year
immediately
preceding
the
start
of
the
succeeding
5
state
fiscal
year
applicable
to
the
term
of
the
contract,
6
the
contract
in
place
on
March
1,
including
all
applicable
7
capitation
rates,
shall
be
extended
and
applicable
for
an
8
additional
state
fiscal
year
or,
if
the
general
assembly
9
appropriates
additional
funding
for
a
specific
provider
10
reimbursement,
the
contract
may
be
amended
to
reflect
the
11
reimbursement
change
and
the
specific
amount
appropriated
12
for
such
reimbursement
change.
The
bill
also
requires
DHS
13
to
notify
the
chairpersons
and
ranking
members
of
the
joint
14
appropriations
subcommittee
on
health
and
human
services,
15
the
legislative
services
agency,
and
the
legislative
caucus
16
staffs
within
30
days
of
the
execution
of
a
Medicaid
managed
17
care
contract
or
contract
amendment,
and
within
30
days
of
a
18
determination
whether
to
return
the
incentive
payment
withhold
19
amount
to
the
Medicaid
managed
care
organization
based
on
20
performance
and
the
criteria
used
in
making
the
determination.
21
-2-
LSB
2058YH
(9)
88
pf/rh
2/
2
