Senate File 157 - Introduced SENATE FILE 157 BY DANIELSON A BILL FOR An Act relating to reimbursement parity for certain health 1 professionals. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 2046XS (2) 88 pf/rn
S.F. 157 Section 1. Section 249A.15, subsection 2, Code 2019, is 1 amended to read as follows: 2 2. Entitlement to payment under this section is applicable 3 to services provided to recipients of medical assistance 4 under both the fee-for-service and managed care payment and 5 delivery systems. Neither the fee-for-service nor the managed 6 care payment and delivery system shall impose a practice 7 or supervision restriction which is inconsistent with or 8 more restrictive than the authority already granted by law, 9 including the authority to provide supervision in person or 10 remotely through electronic means as specified by rule of the 11 board of psychology. The reimbursement rate paid for services 12 provided by a provisionally licensed psychologist in accordance 13 with the requirements of this section shall be one hundred 14 percent of the reimbursement rate paid for the same services if 15 provided by the qualified supervisor. 16 Sec. 2. Section 249A.15A, subsection 6, Code 2019, is 17 amended to read as follows: 18 6. Entitlement to payment under this section is applicable 19 to services provided to recipients of medical assistance 20 under both the fee-for-service and managed care payment and 21 delivery systems. Neither the fee-for-service nor the managed 22 care payment and delivery system shall impose a practice 23 or supervision restriction which is inconsistent with or 24 more restrictive than the authority already granted by law, 25 including the authority to provide supervision in person or 26 remotely through electronic means as specified by rule of the 27 applicable licensing board. The reimbursement rate paid for 28 services provided by a professional holding a provisional or 29 temporary license in accordance with the requirements of this 30 section shall be one hundred percent of the reimbursement 31 rate paid for the same services if provided by the qualified 32 supervisor. 33 Sec. 3. Section 514C.32, Code 2019, is amended by adding the 34 following new subsection: 35 -1- LSB 2046XS (2) 88 pf/rn 1/ 3
S.F. 157 NEW SUBSECTION . 6. The reimbursement rate paid for 1 services provided in accordance with this section by a licensed 2 master social worker who is licensed by the board of social 3 work as a master social worker pursuant to section 154C.3, 4 subsection 1, paragraph “b” , and who provides services under the 5 supervision of an independent social worker licensed pursuant 6 to section 154C.3, subsection 1, paragraph “c” , or for services 7 provided by a licensed mental health counselor or a licensed 8 marital and family therapist who holds a temporary license to 9 practice mental health counseling or marital and family therapy 10 pursuant to section 154D.7, and who provides services under the 11 supervision of a qualified supervisor, shall be one hundred 12 percent of the reimbursement rate paid for the same services if 13 provided by the respective supervisor. 14 Sec. 4. Section 514C.33, Code 2019, is amended by adding the 15 following new subsection: 16 NEW SUBSECTION . 6. The reimbursement rate paid for services 17 provided in accordance with this section by a person who 18 holds a provisional license to practice psychology pursuant 19 to section 154B.6, and who practices under the supervision of 20 a supervisor who meets the qualifications determined by the 21 board of psychology by rule shall be one hundred percent of the 22 reimbursement rate paid for the same services if provided by 23 the qualified supervisor. 24 EXPLANATION 25 The inclusion of this explanation does not constitute agreement with 26 the explanation’s substance by the members of the general assembly. 27 This bill provides reimbursement parity for certain health 28 professionals. 29 The bill provides that under both the Medicaid program and 30 private insurance, the reimbursement rate paid for services 31 provided by provisionally licensed psychologists and marital 32 and family therapists, master social workers, and mental health 33 counselors holding provisional or temporary licenses, who 34 provide services under the supervision of a supervisor, is 100 35 -2- LSB 2046XS (2) 88 pf/rn 2/ 3
S.F. 157 percent of the reimbursement rate paid for the same services if 1 provided by the respective supervisor. 2 -3- LSB 2046XS (2) 88 pf/rn 3/ 3