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 TLSB 1487XS (3) 90 pf/rh
S.F. 56 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 explanations substance by the members of the general assembly. 35 -1- LSB 1487XS (3) 90 pf/rh 1/ 2
S.F. 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 -2- LSB 1487XS (3) 90 pf/rh 2/ 2