Iowa 2023-2024 Regular Session

Iowa Senate Bill SF2083

Introduced
1/22/24  
Introduced
1/22/24  

Caption

A bill for an act relating to Medicaid program improvements, making an appropriation, and providing penalties.

Impact

The bill also directs the Department of Health and Human Services (HHS) to allow members of the long-term services population the option to transition from managed care to a fee-for-service Medicaid program. This change is significant as it could affect how Medicaid beneficiaries receive services and how providers are reimbursed, potentially leading to improved access to care for affected individuals. Additionally, the bill aims to enhance the recruiting, retention, and training of Medicaid service providers to improve overall service quality for older Iowans.

Summary

Senate File 2083 focuses on improvements to the Medicaid program in Iowa, specifically targeting long-term services and supports. One of the primary objectives of the bill is to ensure that services for members of the long-term services and supports population are provided in a conflict-free manner. This is to be achieved by requiring that case management services and assessments are conducted by independent providers, addressing concerns about potential conflicts of interest in service delivery.

Contention

Another noteworthy provision in SF2083 establishes an external independent review process for Medicaid providers. This aims to provide a mechanism for the review of final adverse decisions made by managed care organizations, allowing providers recourse if their claims are denied. There is contention around the imposed civil penalties for managed care organizations that fail to comply with the outlined processes, which indicates potential disagreements about how stringent these penalties should be and their implications on provider operations and patient care.

Fiscal_details

The bill appropriates $300,000 from the state's general fund for the fiscal year 2024-2025, along with the authorization of 2.50 full-time equivalent positions specifically for the purposes of the Medicaid managed care ombudsman program. This funding allocation reflects an investment in ensuring adequate oversight and responsiveness within the Medicaid program while highlighting the ongoing budgetary challenges faced by state healthcare programs.

Companion Bills

No companion bills found.

Previously Filed As

IA SF558

A bill for an act relating to Medicaid program improvements, making an appropriation, and providing penalties.

IA SF2306

A bill for an act relating to options for long-term care, and making appropriations.

IA SSB1213

A bill for an act relating to appropriations for veterans and health and human services and including other related provisions and appropriations, providing penalties, and including effective date and retroactive and other applicability date provisions.(See SF 561.)

IA SF2304

A bill for an act relating to oversight for long-term care facilities, providing penalties, making an appropriation, and including effective date and retroactive applicability provisions.

IA SF2437

A bill for an act relating to and making appropriations for veterans and health and human services, including other related provisions and appropriations, and including effective date and retroactive applicability provisions.(Formerly SSB 3205.)

IA SSB3205

A bill for an act relating to and making appropriations for veterans and health and human services, including other related provisions and appropriations, and including effective date and retroactive applicability provisions.(See SF 2437.)

IA SF534

A bill for an act relating to options for long-term care, and making appropriations.

IA SSB1123

A bill for an act relating to the organization, structure, and functions of state government, providing for salaries of appointed state officers, providing for confirmation of appointments, providing for penalties, making appropriations, providing Code editor directives and transition provisions, and including applicability and effective date provisions.(See SF 514.)

IA HF2698

A bill for an act relating to and making appropriations for veterans and health and human services, including other related provisions and appropriations including but not limited to the personal needs allowance for certain persons under Medicaid and the state supplementary assistance programs, replacement generation tax revenues, the Medicaid fraud and health care trust funds, the retention of certain revenues by the mental health institutes, the retention of Medicaid eligibility by residents of mental health institutes, the scope of services of the state resource centers, the appropriation of moneys in the juvenile detention home fund, the family investment program account and diversion program, the child support collection services center refund account, the quality assurance assessment payment period, the centers of excellence grant program, an assisted living program revised payment model study, funding for county commissions of veteran affairs, foster care provisions including those relating to a relative or fictive kin, health care employment agencies and health care technology platforms, medical cannabidiol practitioner requirements, nursing facility oversight, and state-funded psychiatry residency and fellowship positions, providing penalties, and including effective date and retroactive applicability provisions. Effective date: 05/09/2024, 07/01/2024. Applicability date: 07/01/2022, 07/01/2023.

IA SF561

A bill for an act relating to appropriations for veterans and health and human services and including other related provisions and appropriations including health policy oversight, public assistance program provisions and a public assistance modernization fund, sprinkler systems for home and community-based services waiver recipient residences, a state-funded family medicine obstetrics fellowship program and fund, adoption subsidy program nonrecurring adoption expenses, real estate transactions involving departmental institutions, providing penalties, and including effective date and other applicability date provisions. (Formerly SSB 1213.) Effective date: 06/01/2023, 07/01/2023.

Similar Bills

IA SF558

A bill for an act relating to Medicaid program improvements, making an appropriation, and providing penalties.

NH SB36

Relative to systems of care for healthy aging.

TX HB4688

Relating to the protection and care of individuals with mental retardation who reside in a state developmental center.

TX HB4691

Relating to the protection and care of individuals requiring long term care services and supports.

TX SB1475

Relating to establishing an enhanced Medicaid managed care consumer support system.

TX HB2453

Relating to the operation and administration of Medicaid, including the Medicaid managed care program.

TX SB1139

Relating to the operation and administration of Medicaid, including the Medicaid managed care program.

TX SB1101

Relating to the consolidation of ombudsman programs administered by the Health and Human Services Commission.