SF 148 (LSB 2026XS (3) 88)

SENATE FILE 148

BY  RAGAN, MATHIS, JOCHUM, J. SMITH, WAHLS, BOULTON, KINNEY, R. TAYLOR, QUIRMBACH, BOLKCOM, PETERSEN, CELSI, and T. TAYLOR

A BILL FOR

An Act relating to a uniform prior authorization process under the Medicaid program.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  MEDICAID —— PRIOR AUTHORIZATION UNIFORM PROCESS.  The department of human services shall adopt rules pursuant to chapter 17A to require, and shall contractually require, that both managed care and fee-for-service payment and delivery systems utilize a uniform process, including but not limited to uniform forms, information requirements, and time frames, to request prior authorization under the Medicaid program. 
EXPLANATION
The inclusion of this explanation does not constitute agreement with
the explanation’s substance by the members of the general assembly.
   This bill requires the department of human services to adopt administrative rules to require, and to contractually require, that both managed care and fee-for-service payment and delivery systems utilize a uniform process, including but not limited to uniform forms, information requirements, and time frames, to request prior authorization under the Medicaid program.