Bill Text: IA SF2319 | 2019-2020 | 88th General Assembly | Introduced
Bill Title: A bill for an act relating to Medicaid reimbursement for breast pumps and associated supplies. (Formerly SF 2128.)
Spectrum: Committee Bill
Status: (Introduced - Dead) 2020-02-20 - Fiscal note. [SF2319 Detail]
Download: Iowa-2019-SF2319-Introduced.html
Senate
File
2319
-
Introduced
SENATE
FILE
2319
BY
COMMITTEE
ON
HUMAN
RESOURCES
(SUCCESSOR
TO
SF
2128)
A
BILL
FOR
An
Act
relating
to
Medicaid
reimbursement
for
breast
pumps
and
1
associated
supplies.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
TLSB
5980SV
(2)
88
pf/rh
S.F.
2319
Section
1.
MEDICAID
REIMBURSEMENT
FOR
BREAST
PUMPS.
Under
1
both
fee-for-service
and
managed
care
administration
of
2
Medicaid,
the
department
of
human
services
shall
adopt
rules
3
pursuant
to
chapter
17A,
amend
any
contract
with
a
managed
care
4
organization,
and
apply
for
any
Medicaid
state
plan
amendment
5
or
waiver
as
may
be
necessary
to
provide
reimbursement
for
6
breast
pumps,
including
electric
breast
pumps
and
associated
7
breast
pump
supplies,
as
prescribed
by
a
Medicaid
member’s
8
health
care
provider
based
on
a
determination
of
medical
9
necessity
for
the
mother
or
child.
The
rules
adopted
by
the
10
department
shall
include
the
specifications
that
a
breast
pump
11
must
meet
to
be
covered
and
the
reimbursement
rate
applicable
12
to
the
specific
type
of
breast
pump
and
associated
breast
pump
13
supplies.
14
EXPLANATION
15
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
16
the
explanation’s
substance
by
the
members
of
the
general
assembly.
17
This
bill
directs
the
department
of
human
services
(DHS)
18
under
both
fee-for-service
and
managed
care
administration
of
19
Medicaid
to
adopt
administrative
rules,
amend
any
contract
20
with
a
managed
care
organization,
and
apply
for
any
Medicaid
21
state
plan
amendment
or
waiver
as
may
be
necessary
to
provide
22
reimbursement
for
breast
pumps,
including
electric
breast
23
pumps
and
associated
breast
pump
supplies,
as
prescribed
by
a
24
Medicaid
member’s
health
care
provider
based
on
a
determination
25
of
medical
necessity
for
the
mother
or
child.
The
rules
26
adopted
by
the
DHS
shall
include
the
specifications
that
a
27
covered
breast
pump
must
meet
and
the
reimbursement
rate
28
applicable
to
the
specific
type
of
breast
pump
and
associated
29
breast
pump
supplies.
30
-1-
LSB
5980SV
(2)
88
pf/rh
1/
1