House File 425 - Introduced HOUSE FILE 425 BY TUREK A BILL FOR An Act relating to reimbursement for the repair of complex 1 rehabilitation technology under the Medicaid program. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 2026YH (2) 91 lh/ko
H.F. 425 Section 1. MEDICAID REIMBURSEMENT FOR THE REPAIR OF 1 COMPLEX REHABILITATION TECHNOLOGY. Under both Medicaid 2 managed care and fee-for-service administration of the 3 Medicaid program, the department of health and human services 4 shall not require a prescription or prior authorization 5 for reimbursement of a provider for the repair of complex 6 rehabilitation equipment, if the complex rehabilitation 7 technology was previously prescribed and reimbursed under 8 the Medicaid program. For the purposes of this section, 9 complex rehabilitation technology means items classified 10 under the Medicare program as durable medical equipment that 11 is individually configured for individuals to meet their 12 specific and unique medical, physical, and functional needs 13 and capacities for basic activities of daily living and 14 instrumental activities of daily living identified as medically 15 necessary. 16 EXPLANATION 17 The inclusion of this explanation does not constitute agreement with 18 the explanations substance by the members of the general assembly. 19 This bill provides that under both Medicaid managed care 20 and fee-for-service administration of the Medicaid program, 21 the department of health and human services shall not 22 require provision of a prescription or prior authorization 23 for reimbursement of a provider for the repair of complex 24 rehabilitation equipment, if the complex rehabilitation 25 technology was previously prescribed and reimbursed under the 26 Medicaid program. The bill defines complex rehabilitation 27 technology for the purposes of the bill. 28 -1- LSB 2026YH (2) 91 lh/ko 1/ 1