Bill Text: IA SF56 | 2023-2024 | 90th General Assembly | Introduced
Bill Title: A bill for an act relating to Medicaid reimbursement for maternal and child health.
Spectrum: Partisan Bill (Democrat 16-0)
Status: (Introduced - Dead) 2023-01-17 - Subcommittee: Edler, Costello, and Petersen. S.J. 143. [SF56 Detail]
Download: Iowa-2023-SF56-Introduced.html
Senate
File
56
-
Introduced
SENATE
FILE
56
BY
PETERSEN
,
CELSI
,
BOULTON
,
DOTZLER
,
JOCHUM
,
QUIRMBACH
,
T.
TAYLOR
,
DONAHUE
,
KNOX
,
TRONE
GARRIOTT
,
BENNETT
,
WEINER
,
WINCKLER
,
GIDDENS
,
BISIGNANO
,
and
WAHLS
A
BILL
FOR
An
Act
relating
to
Medicaid
reimbursement
for
maternal
and
1
child
health.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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Section
1.
MEDICAID
REIMBURSEMENT
FOR
MATERNAL
HEALTH
——
1
RELATED
SERVICES.
Under
both
fee-for-service
and
managed
care
2
administration
of
Medicaid,
the
department
of
health
and
human
3
services
shall
adopt
rules
pursuant
to
chapter
17A,
amend
any
4
contract
with
a
managed
care
organization,
and
apply
for
any
5
Medicaid
state
plan
amendment
or
waiver
as
may
be
necessary
to
6
provide
for
all
of
the
following:
7
1.
Reimbursement
in
an
amount
appropriate
to
cover
the
8
entire
standard
of
care
costs
for
labor
and
delivery.
9
2.
The
same
reimbursement
for
maternal-fetal
medicine
10
services
and
comprehensive
maternity
care,
including
both
11
facility
and
professional
fees,
whether
provided
in
person
or
12
through
the
use
of
telehealth.
13
3.
Comprehensive
maternity
care,
to
include
the
basic
14
number
of
prenatal
and
postpartum
visits
recommended
by
the
15
American
college
of
obstetricians
and
gynecologists;
additional
16
prenatal
and
postpartum
visits
that
are
medically
necessary;
17
necessary
laboratory,
nutritional
assessment
and
counseling,
18
health
education,
personal
counseling,
managed
care,
outreach,
19
and
follow-up
services;
and
treatment
of
conditions
which
may
20
complicate
pregnancy.
21
4.
Reimbursement
for
breast-feeding
supports,
counseling,
22
and
supplies
including
the
standard
cost
of
breast
pumps
23
including
electric
breast
pumps
and
associated
breast
pump
24
supplies.
25
5.
Reimbursement
for
transportation
to
all
prenatal
and
26
postpartum
care
appointments
including
transportation
to
a
27
hospital
with
the
appropriate
level
of
care
for
a
pregnant
28
person
and
for
a
baby
when
transfer
is
necessary.
29
6.
Reimbursement
for
all
postpartum
care
products
such
as
30
breast
pads,
period
pads,
comfort
products,
pain
relievers,
and
31
other
similar
products.
32
EXPLANATION
33
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
34
the
explanation’s
substance
by
the
members
of
the
general
assembly.
35
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56
This
bill
relates
to
maternal
and
child
health
improvements
1
under
the
Medicaid
program.
The
bill
directs
the
department
2
of
health
and
human
services
under
both
fee-for-service
3
and
managed
care
administration
of
Medicaid
to
adopt
rules
4
pursuant
to
Code
chapter
17A,
amend
any
contract
with
a
managed
5
care
organization,
and
apply
for
any
Medicaid
state
plan
6
amendment
or
waiver
as
may
be
necessary
to
provide
all
of
the
7
following:
1)
reimbursement
in
an
amount
appropriate
to
cover
8
the
entire
standard
of
care
costs
for
labor
and
delivery,
2)
9
the
same
reimbursement
for
maternal-fetal
medicine
services
10
and
comprehensive
maternity
care,
including
facility
and
11
professional
fees,
whether
provided
in
person
or
through
the
12
use
of
telehealth,
3)
comprehensive
maternity
care,
to
include
13
the
basic
number
of
prenatal
and
postpartum
visits
recommended
14
by
the
American
college
of
obstetricians
and
gynecologists;
15
additional
prenatal
and
postpartum
visits
that
are
medically
16
necessary;
necessary
laboratory,
nutritional
assessment
and
17
counseling,
health
education,
personal
counseling,
managed
18
care,
outreach,
and
follow-up
services;
and
treatment
of
19
conditions
which
may
complicate
pregnancy,
4)
reimbursement
for
20
breast-feeding
supports,
counseling,
and
supplies
including
21
the
standard
cost
of
breast
pumps
including
electric
breast
22
pumps
and
associated
breast
pump
supplies,
5)
reimbursement
23
for
transportation
to
all
prenatal
and
postpartum
care
24
appointments,
including
transportation
to
a
hospital
with
25
the
appropriate
level
of
care
for
a
pregnant
person
and
for
26
a
baby
when
transfer
is
necessary,
and
6)
reimbursement
for
27
all
postpartum
care
products
such
as
breast
pads,
period
pads,
28
comfort
products,
pain
relievers,
and
other
similar
products.
29
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