Iowa 2023-2024 Regular Session

Iowa Senate Bill SF172

Introduced
1/30/23  
Introduced
1/30/23  

Caption

A bill for an act relating to a pilot program to allow Medicaid members to participate in direct health care agreements.

Impact

The introduction of SF172 could significantly alter the landscape of Medicaid services in Iowa. By permitting direct health care agreements, the bill enables Medicaid members to access various health care services more efficiently and may potentially reduce bureaucracy involved in traditional Medicaid protocols. Supporters argue that this pilot program could lead to better health outcomes by allowing greater choice for members and a more personalized approach to care.

Summary

SF172 is a legislative proposal aimed at establishing a pilot program that allows certain Medicaid members to engage in direct health care agreements. Under this program, the Iowa Department of Health and Human Services will facilitate access to health care services for eligible Medicaid participants, specifically targeting childless adults and pregnant women. This initiative is slated to begin on January 1, 2024, and will run until December 31, 2025. The program aims to enhance the flexibility and accessibility of health care for these vulnerable populations by using state funds to cover costs.

Contention

Despite the potential benefits, not all stakeholders agree on the implications of SF172. Concerns have been raised regarding the equitable access to care, especially for those who might not qualify under the specified categories. Critics suggest that this system could inadvertently create gaps in coverage for other without sufficient alternatives. Moreover, the effectiveness of direct agreements in truly benefiting low-income populations is yet to be fully vetted, raising questions about long-term sustainability and fairness in Medicaid funding.

Companion Bills

No companion bills found.

Previously Filed As

IA SF462

A bill for an act relating to the Medicaid program including third-party recovery and taxation of Medicaid managed care organization premiums.(Formerly SSB 1167; See SF 567.)

IA HF525

A bill for an act relating to the Medicaid program including third-party recovery and taxation of Medicaid managed care organization premiums.(Formerly HSB 177; See HF 685.)

IA HSB177

A bill for an act relating to the Medicaid program including third-party recovery and taxation of Medicaid managed care organization premiums.(See HF 525, HF 685.)

IA SSB1167

A bill for an act relating to the Medicaid program including third-party recovery and taxation of Medicaid managed care organization premiums.(See SF 462, SF 567.)

IA HF685

A bill for an act relating to health care services and financing, including nursing facility licensing and financing and the Medicaid program including third-party recovery and taxation of Medicaid managed care organization premiums. (Formerly HF 525, HSB 177.) Effective date: 07/01/2023.

IA SF567

A bill for an act relating to health care services and financing including nursing facility licensing and financing and the Medicaid program including third-party recovery and taxation of Medicaid managed care organization premiums, and providing for licensee discipline.(Formerly SF 462, SSB 1167.)

IA HF387

A bill for an act creating the better caths for Iowa Act including a review of the use and reimbursement of certain catheters under the Medicaid program.

IA HF427

A bill for an act relating to the health and well-being of children and families including provisions for regional centers of excellence, a state-funded family medicine obstetrical fellowship program, self-administered hormonal contraceptives, maternal support and fatherhood initiatives, adoption expenses under the adoption subsidy program, and accessibility to the all Iowa scholarship program; making appropriations; and including effective date and applicability provisions.(Formerly HSB 91.)

IA SSB1116

A bill for an act relating to the health and well-being of children and families including provisions for maternal support and fatherhood initiatives, regional centers of excellence, a state-funded family medicine obstetrics fellowship program, self-administered hormonal contraceptives, state employee parental leave, adoption expenses under the adoption subsidy program, and accessibility to the all Iowa scholarship program; making appropriations; and including effective date and applicability provisions.

IA HF613

A bill for an act relating to public assistance program integrity, making appropriations, and including effective date provisions.(Formerly HF 3.)

Similar Bills

No similar bills found.