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PAG LIN
1 1 Amend the House amendment, S-5550, to Senate File
1 2 2442, as amended, passed, and reprinted by the Senate,
1 3 as follows:
1 4 #1. Page 11, by inserting after line 8 the
1 5 following:
1 6 "# . Page 41, by inserting after line 33 the
1 7 following:
1 8 "Sec. . IOWA HEALTHY KIDS PROGRAM. There is
1 9 appropriated from the general fund of the state to the
1 10 Iowa healthy kids trust fund for the fiscal year
1 11 beginning July 1, 1996, and ending June 30, 1997, the
1 12 following amount, or so much thereof as is necessary,
1 13 to be used for the purpose designated:
1 14 For planning, administration, and implementation of
1 15 the Iowa healthy kids program:
1 16 .................................................. $ 200,000"."
1 17 #2. Page 11, by inserting before line 40 the
1 18 following:
1 19 "# . Page 45, by inserting before line 32 the
1 20 following:
1 21 "Sec. . NEW SECTION. 514I.1 IOWA HEALTHY KIDS
1 22 PROGRAM – LEGISLATIVE INTENT.
1 23 1. The general assembly finds that increased
1 24 access to health care services could improve
1 25 children's health and reduce the incidence and costs
1 26 of childhood illness and disabilities among children
1 27 in this state. Many children do not have health care
1 28 services available or funded, and for those who do,
1 29 lack of access is a restriction to obtaining such
1 30 services. It is the intent of the general assembly
1 31 that a program be implemented to provide health care
1 32 services and comprehensive health benefits or
1 33 insurance coverage to children. A goal for the
1 34 program is to cooperate with any existing programs
1 35 with similar purposes funded by either the public or
1 36 private sector.
1 37 2. For the purposes of this chapter, unless the
1 38 context otherwise requires:
1 39 a. "Advisory council" means the advisory council
1 40 created by the division under section 514I.4.
1 41 b. "Division" means the insurance division of the
1 42 department of commerce.
1 43 c. "Program" means the program developed by the
1 44 division in accordance with section 514I.3.
1 45 Sec. . NEW SECTION. 514I.2 IOWA HEALTHY KIDS
1 46 PROGRAM AUTHORIZATION.
1 47 1. The general assembly authorizes the division to
1 48 implement the Iowa healthy kids program. The division
1 49 shall have all powers necessary to carry out the
1 50 purposes of this chapter, including, but not limited
2 1 to, the power to receive and accept grants, loans, or
2 2 advances of funds from any person and to receive and
2 3 accept from any source contributions of money,
2 4 property, labor, or any other thing of value, to be
2 5 held, used, and applied for the purposes of the
2 6 program.
2 7 2. The program shall operate initially on a pilot
2 8 project basis to include urban and rural areas.
2 9 Expansion beyond the initial pilot project is subject
2 10 to authorization by law.
2 11 3. Implementation of the program shall be limited
2 12 to the extent of the funding appropriated for the
2 13 purposes of the program.
2 14 Sec. . NEW SECTION. 514I.3 IOWA HEALTHY KIDS
2 15 PROGRAM OBJECTIVES.
2 16 The division shall develop a program to attain all
2 17 of the following objectives:
2 18 1. Organize groupings of children for provision of
2 19 comprehensive health benefits or insurance coverage.
2 20 2. Arrange for the collection of any payment or
2 21 premium, in an amount to be determined by the
2 22 division. The payment or premium shall be collected
2 23 from a family of a participating child or other person
2 24 to provide for payment for health care services or
2 25 premiums for comprehensive health benefits or
2 26 insurance coverage and for the actual or estimated
2 27 administrative expenses incurred during the period for
2 28 which the payments are made. The amount of payment or
2 29 premium charged shall be based on the ability of the
2 30 family of a child to pay. The division shall provide
2 31 for adjustment of the amount charged to reflect
2 32 contributions, public subsidy, or other means used to
2 33 defray the amount charged.
2 34 3. Establish administrative and accounting
2 35 procedures for the operation of the program.
2 36 4. Establish, in consultation with appropriate
2 37 professional organizations, standards for health care
2 38 services, providers, and comprehensive health benefits
2 39 or insurance coverage appropriate for children and
2 40 their family members.
2 41 5. Establish eligibility criteria which children
2 42 and their family members must meet in order to
2 43 participate in the program.
2 44 6. Establish participation criteria for the
2 45 program and, if appropriate, contract with an
2 46 authorized insurer, health maintenance organization,
2 47 or insurance or benefits administrator to provide
2 48 administrative services to the program.
2 49 7. Contract with authorized insurers, benefits
2 50 providers, or any provider of health care services
3 1 meeting standards established by the division, for the
3 2 provision of comprehensive health benefits or
3 3 insurance coverage and health care services to
3 4 participants.
3 5 8. Develop and implement a plan to publicize the
3 6 program, eligibility requirements of the program, and
3 7 procedures for enrollment in the program and to
3 8 maintain public awareness of the program.
3 9 9. Provide for administration of the program.
3 10 10. As appropriate, enter into contracts with
3 11 local school boards or other agencies to provide on-
3 12 site information, enrollment, and other services
3 13 necessary to the operation of the program.
3 14 11. Provide an interim report on or before March
3 15 1, 1997, to the governor and general assembly, on the
3 16 development of the program to date and an annual
3 17 report thereafter until the program is terminated or
3 18 extended statewide.
3 19 Sec. . NEW SECTION. 514I.4 ADVISORY COUNCIL.
3 20 1. The division may create an advisory council to
3 21 assist the division in implementing the program. The
3 22 advisory council membership may include, but is not
3 23 limited to, the following:
3 24 a. A school administrator.
3 25 b. A member of a school board.
3 26 c. An employee of the state or local government in
3 27 public health services.
3 28 d. A pediatrician who is a member of the American
3 29 academy of pediatrics, Iowa chapter.
3 30 e. The director of human services or the
3 31 director's designee.
3 32 f. A member of the association of Iowa hospitals
3 33 and health systems.
3 34 g. A representative of authorized health care
3 35 insurers or health maintenance organizations.
3 36 h. A representative of a university center for
3 37 health issues.
3 38 i. A family practice physician who is a member of
3 39 the Iowa academy of family physicians.
3 40 j. A school nurse who is a member of the Iowa
3 41 nurses association.
3 42 k. The director of public health or the director's
3 43 designee.
3 44 l. A citizen who is knowledgeable concerning
3 45 health care and children's issues.
3 46 m. A citizen who is a parent with children at home
3 47 who is active in a school-parent organization.
3 48 2. Advisory council members are entitled to
3 49 receive, from funds of the division, reimbursement for
3 50 actual and necessary expenses incurred in the
4 1 performance of their official duties.
4 2 Sec. . NEW SECTION. 514I.5 LICENSING NOT
4 3 REQUIRED – FISCAL OPERATION.
4 4 1. Health benefits or insurance coverage obtained
4 5 under the program is secondary to any other available
4 6 private or public health benefits or insurance
4 7 coverage held by the participant child. The division
4 8 may establish procedures for coordinating benefits
4 9 under this program with benefits under other public
4 10 and private coverage.
4 11 2. The program shall not be deemed to be
4 12 insurance. However, the insurance division may
4 13 require that any marketing representative utilized and
4 14 compensated by the program be appointed as a
4 15 representative of the insurers or health benefits
4 16 services providers with which the program contracts.
4 17 Sec. . NEW SECTION. 514I.6 THE IOWA HEALTHY
4 18 KIDS TRUST FUND.
4 19 1. An Iowa healthy kids trust fund is created in
4 20 the state treasury under the authority of the
4 21 commissioner of insurance, to which all appropriations
4 22 shall be deposited and used to carry out the purposes
4 23 of this chapter. Other revenues of the program such
4 24 as grants, contributions, matching funds, and
4 25 participant payments shall not be considered revenue
4 26 of the state, but rather shall be funds of the
4 27 program. However, the division may designate portions
4 28 of grants, contributions, matching funds, and
4 29 participant payments as funds of the state and deposit
4 30 those funds in the trust fund.
4 31 2. The trust fund shall be separate from the
4 32 general fund of the state and shall not be considered
4 33 part of the general fund of the state. The moneys in
4 34 the trust fund are not subject to section 8.33 and
4 35 shall not be transferred, used, obligated,
4 36 appropriated, or otherwise encumbered except as
4 37 provided in this section. Notwithstanding section
4 38 12C.7, subsection 2, interest or earnings on moneys
4 39 deposited in the trust fund shall be credited to the
4 40 trust fund.
4 41 Sec. . NEW SECTION. 514I.7 ACCESS TO RECORDS
4 42 – CONFIDENTIALITY – PENALTIES.
4 43 1. Notwithstanding any other law to the contrary,
4 44 the program shall have access to the medical records
4 45 of a child who is participating or applying to
4 46 participate in the program upon receipt of permission
4 47 from a parent or guardian of the child, including but
4 48 not limited to the medical records maintained by the
4 49 state or a political subdivision of the state.
4 50 Notwithstanding chapter 22, any identifying
5 1 information, including medical records and family
5 2 financial information, obtained by the program
5 3 pursuant to this subsection is confidential. The
5 4 program, the program's employees, and agents of the
5 5 program shall not release, without the written consent
5 6 of the participant or the parent or guardian of the
5 7 participant, to any state or federal agency, to any
5 8 private business or person, or to any other entity,
5 9 any confidential information received pursuant to this
5 10 subsection.
5 11 2. A violation of the provisions of subsection 1
5 12 is a serious misdemeanor.""
5 13 #3. By renumbering as necessary.
5 14
5 15
5 16
5 17 ELAINE SZYMONIAK
5 18
5 19
5 20
5 21 JOHNIE HAMMOND
5 22
5 23
5 24
5 25 JIM LIND
5 26 SF 2442.233 76
5 27 jp/jj
Text: S05688 Text: S05690 Text: S05600 - S05699 Text: S Index Bills and Amendments: General Index Bill History: General Index
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