Bill Text: IA SF2024 | 2019-2020 | 88th General Assembly | Introduced


Bill Title: A bill for an act relating to Medicaid postpartum coverage.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2020-02-06 - Subcommittee: Johnson, Costello, and Mathis. S.J. 239. [SF2024 Detail]

Download: Iowa-2019-SF2024-Introduced.html
Senate File 2024 - Introduced SENATE FILE 2024 BY MATHIS A BILL FOR An Act relating to Medicaid postpartum coverage. 1 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 2 TLSB 5505XS (3) 88 pf/rh
S.F. 2024 Section 1. Section 249A.3, subsection 1, paragraph h, Code 1 2020, 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 Medicaid eligible, and 16 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 -1- LSB 5505XS (3) 88 pf/rh 1/ 2
S.F. 2024 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 Medicaid eligible, and remains eligible for 5 coverage during the month in which the woman’s pregnancy ends. 6 The woman’s eligibility for coverage shall continue during the 7 12-month postpartum period beginning with the last day of the 8 woman’s pregnancy through the end of the month in which the 9 12-month period ends, shall continue without regard to the 10 basis for the woman’s eligibility or changes in family income 11 or resources, and shall continue in the same coverage group 12 under which the woman received Medicaid coverage while pregnant 13 unless the woman qualifies for Medicaid under another coverage 14 group once the pregnancy ends or unless the woman’s eligibility 15 is through the medically needy program. 16 -2- LSB 5505XS (3) 88 pf/rh 2/ 2
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