Bill Text: IA SF155 | 2021-2022 | 89th General Assembly | Introduced
Bill Title: A bill for an act relating to Medicaid postpartum coverage.
Spectrum: Partisan Bill (Democrat 2-0)
Status: (Introduced - Dead) 2021-01-26 - Subcommittee: Edler, Ragan, and Sweeney. S.J. 161. [SF155 Detail]
Download: Iowa-2021-SF155-Introduced.html
Senate
File
155
-
Introduced
SENATE
FILE
155
BY
MATHIS
and
RAGAN
A
BILL
FOR
An
Act
relating
to
Medicaid
postpartum
coverage.
1
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
2
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Section
1.
Section
249A.3,
subsection
1,
paragraph
h,
Code
1
2021,
is
amended
to
read
as
follows:
2
h.
Is
a
woman
who,
while
pregnant,
meets
eligibility
3
requirements
for
assistance
under
the
federal
Social
Security
4
Act,
section
1902(l),
and
continues
to
meet
the
requirements
5
except
for
income.
The
woman
is
eligible
to
receive
assistance
6
until
sixty
days
twelve
months
after
the
date
pregnancy
ends.
7
Sec.
2.
MEDICAID
COVERAGE
FOR
POSTPARTUM
CARE.
Under
8
both
fee-for-service
and
managed
care
administration
of
9
Medicaid,
the
department
of
human
services
shall
adopt
rules
10
pursuant
to
chapter
17A,
amend
any
contract
with
a
managed
care
11
organization,
and
apply
for
any
Medicaid
state
plan
amendment
12
or
waiver
as
may
be
necessary
to
provide
continuous
Medicaid
13
eligibility
for
a
woman
for
a
twelve-month
postpartum
period,
14
if
the
woman
applied
for
Medicaid
coverage
before
the
end
of
15
the
woman’s
pregnancy,
was
determined
to
be
Medicaid
eligible,
16
and
remains
eligible
for
coverage
during
the
month
in
which
the
17
woman’s
pregnancy
ends.
The
woman’s
eligibility
for
coverage
18
shall
continue
during
the
twelve-month
postpartum
period
19
beginning
with
the
last
day
of
the
woman’s
pregnancy
through
20
the
end
of
the
month
in
which
the
twelve-month
period
ends,
21
shall
continue
without
regard
to
the
basis
for
the
woman’s
22
eligibility
or
changes
in
family
income
or
resources,
and
shall
23
continue
in
the
same
coverage
group
under
which
the
woman
24
received
Medicaid
coverage
while
pregnant
unless
the
woman
25
qualifies
for
Medicaid
under
another
coverage
group
once
the
26
pregnancy
ends
or
unless
the
woman’s
eligibility
is
through
the
27
medically
needy
program.
28
EXPLANATION
29
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
30
the
explanation’s
substance
by
the
members
of
the
general
assembly.
31
This
bill
requires
that
under
both
fee-for-service
and
32
managed
care
administration
of
Medicaid,
the
department
of
33
human
services
(DHS)
shall
adopt
administrative
rules,
amend
34
any
contract
with
a
managed
care
organization,
and
apply
35
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155
for
any
Medicaid
state
plan
amendment
or
waiver
as
may
be
1
necessary
to
provide
continuous
Medicaid
eligibility
for
a
2
woman
for
a
12-month
postpartum
period,
if
the
woman
applied
3
for
Medicaid
coverage
before
the
end
of
the
woman’s
pregnancy,
4
was
determined
to
be
Medicaid
eligible,
and
remains
eligible
5
for
coverage
during
the
month
in
which
the
woman’s
pregnancy
6
ends.
The
woman’s
eligibility
for
coverage
shall
continue
7
during
the
12-month
postpartum
period
beginning
with
the
last
8
day
of
the
woman’s
pregnancy
through
the
end
of
the
month
in
9
which
the
12-month
period
ends,
shall
continue
without
regard
10
to
the
basis
for
the
woman’s
eligibility
or
changes
in
family
11
income
or
resources,
and
shall
continue
in
the
same
coverage
12
group
under
which
the
woman
received
Medicaid
coverage
while
13
pregnant
unless
the
woman
qualifies
for
Medicaid
under
another
14
coverage
group
once
the
pregnancy
ends
or
unless
the
woman’s
15
eligibility
is
through
the
medically
needy
program.
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