Bill Text: IA SF2013 | 2017-2018 | 87th General Assembly | Introduced


Bill Title: A bill for an act relating to the transition of the Medicaid program long-term services and supports population from managed care to fee-for-service administration, and including effective date provisions.

Spectrum: Partisan Bill (Democrat 2-0)

Status: (Introduced - Dead) 2018-01-17 - Subcommittee: Segebart, Costello, and Ragan. S.J. 119. [SF2013 Detail]

Download: Iowa-2017-SF2013-Introduced.html

Senate File 2013 - Introduced




                                 SENATE FILE       
                                 BY  RAGAN and MATHIS

                                      A BILL FOR

  1 An Act relating to the transition of the Medicaid program
  2    long=term services and supports population from managed care
  3    to fee=for=service administration, and including effective
  4    date provisions.
  5 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
    TLSB 5303XS (3) 87
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PAG LIN



  1  1    Section 1.  TERMINATION OF MEDICAID MANAGED CARE CONTRACTS
  1  2 RELATIVE TO LONG=TERM SERVICES AND SUPPORTS POPULATION ==
  1  3 TRANSITION TO FEE=FOR=SERVICE.  The department of human
  1  4 services shall, upon the effective date of this Act, provide
  1  5 written notice in accordance with the termination provisions
  1  6 of the contract, to each managed care organization with whom
  1  7 the department executed a contract to administer the Iowa
  1  8 high quality health care initiative as established by the
  1  9 department, to terminate such contracts as applicable to
  1 10 the Medicaid long=term services and supports population,
  1 11 following a sixty=day transition period. The department shall
  1 12 transfer the long=term services and supports population to
  1 13 fee=for=service program administration. The transition shall
  1 14 be based on a transition plan developed by the department and
  1 15 submitted to the council on human services and the medical
  1 16 assistance advisory council for review.  The department of
  1 17 human services shall seek any Medicaid state plan or waiver
  1 18 amendments necessary to complete the transition.
  1 19    Sec. 2.  EFFECTIVE DATE.  This Act, being deemed of immediate
  1 20 importance, takes effect upon enactment.
  1 21                           EXPLANATION
  1 22 The inclusion of this explanation does not constitute agreement with
  1 23 the explanation's substance by the members of the general assembly.
  1 24    This bill directs the department of human services (DHS)
  1 25 to provide written notice in accordance with the termination
  1 26 provisions of the contract, to each managed care organization
  1 27 with whom DHS executed a contract to administer the Iowa
  1 28 high quality health care initiative as established by the
  1 29 department, to terminate such contracts as applicable to the
  1 30 long=term services and supports population, following a 60=day
  1 31 transition period.  DHS is directed to transfer the long=term
  1 32 services and supports population to fee=for=service program
  1 33 administration.  The transition is to be based on a transition
  1 34 plan developed by the department and submitted to the council
  1 35 on human services and the medical assistance advisory council
  2  1 for review. The bill directs DHS to seek any Medicaid state
  2  2 plan or waiver amendments necessary to complete the transition.
  2  3    The bill takes effect upon enactment.
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