House Journal: Page 1246: Tuesday, April 13, 1999

H-1532

 1     Amend the amendment, H-1180, to Senate file 276, as
 2   amended, passed, and reprinted by the Senate, as
 3   follows:
 4     1.  Page 1, by inserting after line 12 the
 5   following:
 6     "     .  Page 12, by striking lines 19 and 20 and
 7   inserting the following:  "necessary and consistent
 8   with clinical standards of"."
Amendment H?1532 was adopted.
Osterhaus of Jackson moved the adoption of amendment H-1180, 
as amended.
Roll call was requested by Myers of Johnson and Osterhaus of 
Jackson.
On the question "Shall amendment H-1180, as amended, be 
adopted?" (S.F. 276)
	The ayes were, 43:
Bell	Bukta	Burnett	Cataldo
Chapman	Chiodo	Cohoon	Doderer
Dotzler	Falck	Fallon	Foege
Ford	Frevert	Grundberg	Holveck
Huser	Jochum	Kreiman	Kuhn
Larkin	Mascher	May	Mertz
Mundie	Murphy	Myers	O'Brien
Osterhaus	Parmenter	Reynolds	Richardson
Scherrman	Schrader	Shoultz	Stevens
Taylor	Thomas	Warnstadt	Weigel
Whitead	Wise	Witt	
	The nays were, 53:
Alons	Arnold	Barry	Baudler
Blodgett	Boal	Boddicker	Bradley
Brauns	Brunkhorst	Carroll	Cormack
Davis	Dix	Dolecheck	Drake
Eddie	Garman	Gipp	Greiner
Hahn	Hansen	Heaton	Hoffman
Holmes	Horbach	Houser	Huseman
Jacobs	Jager	Jenkins	Johnson
Kettering	Klemme	Larson	Martin
Metcalf	Millage	Nelson	Raecker
Rants	Rayhons	Siegrist	Sukup^
Sunderbruch	Teig	Thomson	Tyrrell
Van Engelenhoven	Van Fossen	Weidman	Welter
Mr. Speaker
  Corbett
	Absent or not voting, 4:
Boggess	Connors	Drees	Lord
	Amendment H?1180, as amended, lost.
Jochum of Dubuque offered the following amendment H?1171 filed 
by her and moved its adoption:
H-1171
 1     Amend Senate File 276, as amended, passed, and
 2   reprinted by the Senate, as follows:
 3     1.  Page 7, by inserting after line 4, the
 4   following:
 5     "    .  "Medically necessary" means the provision of
 6   a service, item, or procedure that will or is
 7   reasonably expected to do any of the following:
 8     a.  Arrive at a correct diagnosis.
 9     b.  Prevent the onset of an illness, condition, or
10   disability.
11     c.  Reduce or ameliorate the physical, mental,
12   developmental, or behavioral effects of an illness,
13   condition, injury, or disability.
14     d.  Assist the individual to achieve or maintain
15   optimum functional capacity in performing age-
16   appropriate daily activities.
17     e.  Minimize the deterioration of health status or
18   reduce or prevent suffering or pain.
19     Input from multiple individual sources including an
20   individual or an individual's family shall be
21   considered in determining what services are medically
22   necessary.  The medically necessary services provided,
23   as well as the type of provider and setting, which may
24   include the individual's home, must be appropriate to
25   the specific health needs of the individual.  A
26   determination of medically necessary services shall be
27   made on an individual basis only, and not on a class
28   or group basis.  Determinations shall take into
29   account the health care practice guidelines and
30   standards that are issued by professionally recognized
31   organizations or governmental bodies."
32     2.  Page 8, by striking lines 8 and 9 and
33   inserting the following:  "of medically necessary."
34     3.  Page 12, by striking lines 19 through 20 and
35   inserting the following:  "necessary and consistent

© 1999 Cornell College and League of Women Voters of Iowa

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