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1 1 Section 1. INDIGENT PATIENT CARE PILOT PROJECT.
1 2 1. The general assembly finds that a pilot project should
1 3 be created to determine whether the state is providing medical
1 4 treatment and care to the indigent patient population in a
1 5 manner that serves this population's best interest while
1 6 operating cost-effectively.
1 7 2. An indigent patient care pilot project is created to
1 8 analyze the most appropriate method for delivery of medical
1 9 and surgical treatment and hospital care to the indigent
1 10 patient population. The pilot project shall provide that an
1 11 indigent patient, who would otherwise be eligible for
1 12 assistance pursuant to chapter 255, may obtain, at the
1 13 indigent patient's own discretion, medical or surgical
1 14 treatment or hospital care, at the appropriate and necessary
1 15 level, from a health care provider at a hospital or facility
1 16 that is geographically close and available to the indigent
1 17 person rather than through the university of Iowa hospitals
1 18 and clinics.
1 19 3. The pilot project shall be implemented in Woodbury and
1 20 Pottawattamie counties by January 1, 2000.
1 21 4. The university of Iowa hospitals and clinics shall
1 22 administer the pilot project in conjunction with the county
1 23 general assistance directors in Woodbury and Pottawattamie
1 24 counties. The university of Iowa hospitals and clinics shall
1 25 contract with hospitals, facilities, and health care providers
1 26 in these counties to provide medical or surgical treatment or
1 27 hospital care. The costs of treatment and care provided under
1 28 the pilot project shall be paid by the university of Iowa
1 29 hospitals and clinics from funds dedicated to indigent patient
1 30 care.
1 31 5. A hospital, facility, or health care provider under
1 32 contract with the pilot project shall accept as payment in
1 33 full for treatment or care provided, the reimbursement amount
1 34 allowable under the medical assistance program pursuant to
1 35 chapter 249A, adjusted for the intensity of care. However,
2 1 the total reimbursement amount to hospitals, facilities, and
2 2 health care providers under the pilot project shall not exceed
2 3 each county's quota under chapter 255 multiplied by the
2 4 medical assistance program average reimbursement per patient
2 5 for the most recent fiscal year.
2 6 6. The number of participants in the pilot project shall
2 7 be limited to the quotas established respectively for Woodbury
2 8 and Pottawattamie counties pursuant to section 255.16. If the
2 9 county in which an indigent patient resides exceeds the
2 10 patient quota allocated for the county, and the indigent
2 11 patient is deemed eligible pursuant to chapter 255, the person
2 12 shall be served at the university of Iowa hospitals and
2 13 clinics pursuant to section 255.16. A patient eligible to
2 14 participate in the pilot project may choose to receive the
2 15 appropriate level of treatment or care at the university of
2 16 Iowa hospitals and clinics rather than locally.
2 17 7. The university of Iowa hospitals and clinics and the
2 18 county general assistance directors of Woodbury and
2 19 Pottawattamie counties shall each submit reports to the
2 20 general assembly by January 15, 2001. The reports shall
2 21 contain information relating to any cost savings to the state
2 22 resulting from the pilot program, the effect on the indigent
2 23 patients who have received treatment or care locally under the
2 24 pilot project, and any recommendations for continuation,
2 25 discontinuation, or expansion of the pilot project.
2 26 8. For the purposes of this section:
2 27 a. "Facility" means a place, other than a hospital, which
2 28 is certified or licensed to provide health care or treatment.
2 29 b. "Hospital" means a hospital licensed pursuant to
2 30 chapter 135B.
2 31 c. "Health care provider" means an individual who is
2 32 licensed or certified to provide health services as defined in
2 33 section 135.61.
2 34 EXPLANATION
2 35 This bill creates a pilot project in Woodbury and
3 1 Pottawattamie counties to provide medical care and treatment
3 2 to indigent persons through hospitals, facilities, and health
3 3 care providers who are located near the indigent patient
3 4 rather than through the university of Iowa hospitals and
3 5 clinics. The university is to administer the pilot project
3 6 and is to pay the costs of locally provided care and
3 7 treatment, at the medical assistance level of reimbursement,
3 8 adjusted for the intensity of care, through expenditure of
3 9 funds dedicated to indigent care. Total reimbursement for
3 10 each county is not to exceed the county's quota under the
3 11 indigent patient care program multiplied by the medical
3 12 assistance program average reimbursement for the most recent
3 13 fiscal year. Participation in the pilot project is limited in
3 14 each county to the number allowed under the quota system for
3 15 the indigent patient care program. The counties and the
3 16 university of Iowa hospitals and clinics are to each submit a
3 17 report to the general assembly by January 1, 2001, which
3 18 includes information regarding cost savings to the state
3 19 resulting from the pilot project, the effect on the population
3 20 served by receiving treatment and care locally, and any
3 21 recommendations as to the future of the pilot project.
3 22 LSB 1266YH 78
3 23 pf/cf/24.1
Text: HF00580 Text: HF00582 Text: HF00500 - HF00599 Text: HF Index Bills and Amendments: General Index Bill History: General Index
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