H.F. 232 Section 1. TERMINATION OF MEDICAID MANAGED CARE CONTRACTS 1 —— ALTERNATIVES FOR HEALTH CARE DELIVERY AND PAYMENT REFORM. 2 1. The department of human services shall, upon the 3 effective date of this Act, terminate the contracts executed 4 with managed care organizations to administer the Iowa 5 high quality health care initiative, in accordance with the 6 termination provisions of the contract. 7 2. The department shall continue to pursue other 8 initiatives to realign the health care delivery system and 9 provide holistic, integrated, patient-centered care while 10 moving toward a value-based model of payment reform, including 11 but not limited to the healthiest state initiative, the Iowa 12 health and wellness plan created pursuant to chapter 249N, the 13 state innovation models initiative utilizing accountable care 14 organizations, and integrated health homes. 15 Sec. 2. EFFECTIVE UPON ENACTMENT. This Act, being deemed of 16 immediate importance, takes effect upon enactment. 17 EXPLANATION 18 The inclusion of this explanation does not constitute agreement with 19 the explanation’s substance by the members of the general assembly. 20 This bill directs the department of human services 21 to terminate the contracts executed with managed care 22 organizations to administer the Iowa high quality health care 23 initiative, in accordance with the termination provisions of 24 the contract upon the effective date of the Act. 25 The bill directs the department to continue to pursue 26 initiatives to realign the health care delivery system and 27 provide holistic, integrated, patient-centered care while 28 moving toward a value-based model of payment, including but not 29 limited to the healthiest state initiative, the Iowa health 30 and wellness plan created pursuant to Code chapter 249N, the 31 state innovation models initiative utilizing accountable care 32 organizations, and integrated health homes. 33 The bill takes effect upon enactment. 34 -1- LSB 2023YH (1) 88 pf/rh 1/ 1