Bill Text: IA SF11 | 2017-2018 | 87th General Assembly | Introduced
Bill Title: A bill for an act relating to maternal health care coverage for low-income women.
Sponsorship: Partisan Bill (Democrat 1)
Status: (Introduced - Dead) 2017-01-13 - Subcommittee: C. Johnson, Ragan, and Shipley. S.J. 88. [SF11 Detail]
Download: Iowa-2017-SF11-Introduced.html
Senate File 11 - Introduced SENATE FILE BY PETERSEN A BILL FOR 1 An Act relating to maternal health care coverage for low=income 2 women. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: TLSB 1073XS (3) 87 pf/nh PAG LIN 1 1 Section 1. MATERNAL HEALTH CARE COVERAGE FOR LOW=INCOME 1 2 WOMEN. 1 3 1. a. The department of human services, in cooperation 1 4 with the division of insurance of the department of commerce, 1 5 shall design a system that facilitates, seamlessly and with 1 6 continuity for low=income women who qualify for Medicaid 1 7 under the pregnancy=related coverage group, the transition to 1 8 comprehensive public or private health care coverage in the 1 9 postpartum period and beyond. The department and the division 1 10 shall cooperate to provide such women with information about 1 11 and assistance with enrollment in the most appropriate coverage 1 12 option. 1 13 b. The system shall include a process for a birthing 1 14 hospital as defined in section 135.131 or an attending 1 15 health care provider as defined in section 136A.2 to notify 1 16 the department of human services following the birth of a 1 17 child whose mother has pregnancy=related Medicaid coverage. 1 18 Following notification of the department by the birthing 1 19 hospital or attending health care provider, or, in the absence 1 20 of such notification, on the first day of the month following 1 21 the projected birth month of the child, the department shall 1 22 notify the woman who has pregnancy=related Medicaid coverage 1 23 that following the birth of the child she will be assigned to 1 24 the postpartum coverage group and that her coverage will end 1 25 sixty days postpartum. The notice shall also inform the woman 1 26 of the public and private health care coverage options for 1 27 which the woman may be eligible, and that the department will 1 28 assist in enrolling the woman in the most appropriate coverage. 1 29 The process shall ensure that any continued health care 1 30 coverage includes coverage of comprehensive maternal health 1 31 services including but not limited to screening and treatment 1 32 for postpartum depression and chronic conditions prevalent in 1 33 women of child=bearing age. 1 34 2. The department of human services shall collaborate 1 35 with Medicaid managed care organizations and Medicaid 2 1 providers including maternal and child health centers and 2 2 other appropriate entities, to ensure that low=income women of 2 3 child=bearing age are aware of health care coverage options and 2 4 the need for health care coverage and care before, during, and 2 5 after a pregnancy. The department shall incorporate into any 2 6 managed care organization contract a provision requiring the 2 7 offering of incentives to recipients to comply with prenatal 2 8 and postpartum care standards and requiring managed care 2 9 organizations to provide prenatal and postpartum care managers. 2 10 3. The department of human services shall collaborate with 2 11 the department of public health to coordinate their respective 2 12 programs in providing comprehensive maternal health services. 2 13 The department of public health shall incorporate into any 2 14 maternal health program, including but not limited to healthy 2 15 opportunities for parents to experience hope and the healthy 2 16 families Iowa program, information regarding options for 2 17 public and private health care coverage for low=income women 2 18 of child=bearing age. The department of human services and 2 19 the department of public health shall utilize Medicaid program 2 20 data, vital records data, and public health survey data to 2 21 identify gaps in health care coverage, monitor outcomes, and 2 22 inform policy to ensure the availability of comprehensive 2 23 maternal health care coverage and care for low=income women of 2 24 child=bearing age in the state. 2 25 EXPLANATION 2 26 The inclusion of this explanation does not constitute agreement with 2 27 the explanation's substance by the members of the general assembly. 2 28 This bill relates to maternal health care coverage for 2 29 low=income women. 2 30 The bill directs the department of human services (DHS), in 2 31 cooperation with the division of insurance of the department 2 32 of commerce, to design a system that facilitates, seamlessly 2 33 and with continuity for low=income women who qualify for 2 34 Medicaid under the pregnancy=related coverage group, the 2 35 transition to comprehensive public or private health care 3 1 coverage during the postpartum period and beyond. DHS and the 3 2 division of insurance are to cooperate to provide such women 3 3 with information about and assistance with enrollment in the 3 4 most appropriate coverage option. 3 5 The system developed by DHS is also to include a process 3 6 for a birthing hospital or an attending health care provider 3 7 to notify DHS following the birth of a child whose mother 3 8 has pregnancy=related Medicaid coverage. Following such 3 9 notification or, in the absence of such notification, on the 3 10 first day of the month following the projected birth month 3 11 of the child, DHS is required to notify the woman who has 3 12 pregnancy=related Medicaid coverage that following the birth of 3 13 the child the woman will be assigned to the postpartum coverage 3 14 group and that coverage will end 60 days postpartum. The 3 15 notice is also required to inform the woman of the public and 3 16 private health care coverage options for which the woman may 3 17 be eligible, and that DHS will assist in enrolling the woman 3 18 in the most appropriate health care coverage. The process 3 19 shall ensure that any continued health care coverage includes 3 20 coverage of comprehensive maternal health services including 3 21 but not limited to screening and treatment for postpartum 3 22 depression and chronic conditions prevalent in women of 3 23 child=bearing age. 3 24 The bill also requires DHS to collaborate with Medicaid 3 25 managed care organizations and Medicaid providers including 3 26 maternal and child health centers and other appropriate 3 27 entities to ensure that low=income women of child=bearing 3 28 age are aware of health care coverage options and the need 3 29 for health care coverage and care before, during, and after 3 30 a pregnancy. The department shall incorporate into any 3 31 managed care organization contract a provision requiring the 3 32 offering of incentives to encourage compliance of recipients 3 33 with prenatal and postpartum care standards and requiring the 3 34 managed care organizations to provide prenatal and postpartum 3 35 care managers. 4 1 The bill requires DHS to collaborate with the department of 4 2 public health (DPH) to coordinate their respective programs 4 3 in providing comprehensive maternal health services. DPH is 4 4 required to incorporate into any maternal health program, 4 5 including but not limited to healthy opportunities for parents 4 6 to experience hope and the healthy families Iowa program, 4 7 information regarding options for public and private health 4 8 care coverage for low=income women of child=bearing age. 4 9 DHS and DPH are required to utilize Medicaid program data, 4 10 vital records data, and public health survey data to identify 4 11 gaps in maternal health care coverage, monitor outcomes, and 4 12 inform policy to ensure the availability of comprehensive 4 13 maternal health care coverage and care for low=income women of 4 14 child=bearing age in the state. LSB 1073XS (3) 87 pf/nh
