SF 2024 (LSB 5505XS (3) 88)

SENATE FILE 2024

BY  MATHIS

A BILL FOR

An Act relating to Medicaid postpartum coverage.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  Section 249A.3, subsection 1, paragraph h, Code 2020, is amended to read as follows:
   h.  Is a woman who, while pregnant, meets eligibility requirements for assistance under the federal Social Security Act, section 1902(l), and continues to meet the requirements except for income. The woman is eligible to receive assistance until sixty days twelve months after the date pregnancy ends.
    Sec. 2.  MEDICAID COVERAGE FOR POSTPARTUM CARE.  Under both fee-for-service and managed care administration of Medicaid, the department of human services shall adopt rules pursuant to chapter 17A, amend any contract with a managed care organization, and apply for any Medicaid state plan amendment or waiver as may be necessary to provide continuous Medicaid eligibility for a woman for a twelve-month postpartum period, if the woman applied for Medicaid coverage before the end of the woman’s pregnancy, was determined Medicaid eligible, and remains eligible for coverage during the month in which the woman’s pregnancy ends. The woman’s eligibility for coverage shall continue during the twelve-month postpartum period beginning with the last day of the woman’s pregnancy through the end of the month in which the twelve-month period ends, shall continue without regard to the basis for the woman’s eligibility or changes in family income or resources, and shall continue in the same coverage group under which the woman received Medicaid coverage while pregnant unless the woman qualifies for Medicaid under another coverage group once the pregnancy ends or unless the woman’s eligibility is through the medically needy 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 that under both fee-for-service and managed care administration of Medicaid, the department of human services (DHS) shall adopt administrative rules, amend any contract with a managed care organization, and apply for any Medicaid state plan amendment or waiver as may be necessary to provide continuous Medicaid eligibility for a woman for a 12-month postpartum period, if the woman applied for Medicaid coverage before the end of the woman’s pregnancy, was determined Medicaid eligible, and remains eligible for coverage during the month in which the woman’s pregnancy ends. The woman’s eligibility for coverage shall continue during the 12-month postpartum period beginning with the last day of the woman’s pregnancy through the end of the month in which the 12-month period ends, shall continue without regard to the basis for the woman’s eligibility or changes in family income or resources, and shall continue in the same coverage group under which the woman received Medicaid coverage while pregnant unless the woman qualifies for Medicaid under another coverage group once the pregnancy ends or unless the woman’s eligibility is through the medically needy program.