Text: HF02244 Text: HF02246 Text: HF02200 - HF02299 Text: HF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
1 1 HOUSE FILE 2245
1 2
1 3 AN ACT
1 4 RELATING TO THE MEDICAL ASSISTANCE PROGRAM, MAKING APPROPRIATIONS
1 5 AND TRANSFERS OF FUNDS, AND PROVIDING AN EFFECTIVE DATE.
1 6
1 7 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
1 8
1 9 Section 1. DEPARTMENT OF HUMAN SERVICES APPROPRIATION –
1 10 SENIOR LIVING TRUST FUND – MEDICAL ASSISTANCE. After
1 11 applying the reduction made pursuant to executive order number
1 12 24 to the appropriation made to the department of human
1 13 services for the medical assistance program for the fiscal
1 14 year beginning July 1, 2001, and ending June 30, 2002, there
1 15 is appropriated from the senior living trust fund created in
1 16 section 249H.4, to the department of human services for the
1 17 fiscal year beginning July 1, 2001, and ending June 30, 2002,
1 18 the following amount, or so much thereof as is necessary, to
1 19 supplement appropriations made for the following designated
1 20 purpose:
1 21 To supplement the appropriation made for the medical
1 22 assistance program in 2001 Iowa Acts, chapter 184, section 1;
1 23 2001 Iowa Acts, chapter 191, section 7; 2001 Iowa Acts,
1 24 chapter 192, section 2; and any appropriation made for fiscal
1 25 year 2001-2002 for the medical assistance program in this or
1 26 any other Act:
1 27 .................................................. $ 39,000,000
1 28 Sec. 2. DEPARTMENT OF HUMAN SERVICES – SENIOR LIVING
1 29 TRUST FUND – TRANSFER. For the fiscal year beginning July 1,
1 30 2001, and ending June 30, 2002, there is transferred from the
1 31 appropriation made to the department of human services
1 32 pursuant to 2001 Iowa Acts, chapter 192, section 2, subsection
1 33 1, to provide grants to nursing facilities for conversion to
1 34 assisted living programs or to provide long-term care
1 35 alternatives, the following amount, or so much thereof as is
2 1 necessary, to supplement the appropriation made for the
2 2 medical assistance program in 2001 Iowa Acts, chapter 184,
2 3 section 1; 2001 Iowa Acts, chapter 191, section 7; 2001 Iowa
2 4 Acts, chapter 192, section 2; and any appropriation made for
2 5 fiscal year 2001-2002 for the medical assistance program in
2 6 this or any other Act:
2 7 .................................................. $ 9,500,000
2 8 Sec. 3. DEPARTMENT OF HUMAN SERVICES – TOBACCO SETTLEMENT
2 9 FUND – APPROPRIATION – MEDICAL ASSISTANCE. For the fiscal
2 10 year beginning July 1, 2001, and ending June 30, 2002, there
2 11 is appropriated from the endowment for Iowa's health account
2 12 of the tobacco settlement trust fund created in section
2 13 12E.12, to the department of human services the following
2 14 amount, or so much thereof as is necessary, to supplement the
2 15 appropriation made for the medical assistance program in 2001
2 16 Iowa Acts, chapter 184, section 1; 2001 Iowa Acts, chapter
2 17 191, section 7; 2001 Iowa Acts, chapter 192, section 2; and
2 18 any appropriation made for fiscal year 2001-2002 for the
2 19 medical assistance program in this or any other Act:
2 20 .................................................. $ 2,500,000
2 21 Sec. 4. DEPARTMENT OF HUMAN SERVICES APPROPRIATION –
2 22 HOSPITAL TRUST FUND.
2 23 1. There is appropriated from the hospital trust fund
2 24 created in section 249I.4 to the department of human services
2 25 for the fiscal year beginning July 1, 2001, and ending June
2 26 30, 2002, the following amount, or so much thereof as is
2 27 necessary, to be used to supplement the appropriation made for
2 28 the medical assistance program in 2001 Iowa Acts, chapter 184,
2 29 section 1; 2001 Iowa Acts, chapter 191, section 7; 2001 Iowa
2 30 Acts, chapter 192, section 2; and any appropriation made for
2 31 fiscal year 2001-2002 for the medical assistance program in
2 32 this or any other Act:
2 33 .................................................. $ 7,000,000
2 34 2. Following the appropriation of moneys pursuant to
2 35 subsection 1, of the moneys remaining in the hospital trust
3 1 fund, $2,500,000 shall be transferred to and deposited in the
3 2 endowment for Iowa's health account of the tobacco settlement
3 3 trust fund created in section 12E.12.
3 4 3. Following the appropriation of moneys pursuant to
3 5 subsection 1, and the transfer and deposit of moneys pursuant
3 6 to subsection 2, any remaining moneys in the hospital trust
3 7 fund shall be transferred to and deposited in the senior
3 8 living trust fund created in section 249H.4.
3 9 Sec. 5. FEDERAL FUNDS – CONTINGENCY – TOBACCO SETTLEMENT
3 10 FUND – MEDICAL ASSISTANCE. If federal funds are not received
3 11 in accordance with chapter 249I, during the fiscal year
3 12 beginning July 1, 2001, and ending June 30, 2002, there is
3 13 appropriated from the endowment for Iowa's health account of
3 14 the tobacco settlement trust fund created in section 12E.12,
3 15 to the department of human services for that fiscal year the
3 16 following amount or so much thereof as is necessary, to be
3 17 used to supplement the appropriation made for the medical
3 18 assistance program in 2001 Iowa Acts, chapter 184, section 1;
3 19 2001 Iowa Acts, chapter 191, section 7; 2001 Iowa Acts,
3 20 chapter 192, section 2; and any appropriation made for fiscal
3 21 year 2001-2002 for the medical assistance program in this or
3 22 any other Act:
3 23 .................................................. $ 7,000,000
3 24 1. However, if federal funds are received in accordance
3 25 with chapter 249I at any time during the succeeding fiscal
3 26 year, the first $7,000,000 shall be transferred to and
3 27 deposited in the endowment for Iowa's health account of the
3 28 tobacco settlement trust fund created in section 12E.12.
3 29 2. If federal funds are not received as provided in
3 30 subsection 1, the department of human services shall transfer
3 31 $7,000,000 of the moneys appropriated to the department in
3 32 that fiscal year to the endowment for Iowa's health account of
3 33 the tobacco settlement trust fund created in section 12E.12.
3 34 Sec. 6. FEDERAL FUNDS – TRANSFER AND DEPOSIT IN TRUST
3 35 FUNDS. If federal funding is not received during the fiscal
4 1 year beginning July 1, 2001, in accordance with chapter 249I,
4 2 but unanticipated federal funding is received during the
4 3 fiscal years beginning July 1, 2001, or beginning July 1,
4 4 2002, the purpose of which is to reimburse the costs of the
4 5 medical assistance program, the unanticipated funding received
4 6 shall be credited as follows:
4 7 1. Of the moneys received, $2,500,000 shall be credited to
4 8 the endowment for Iowa's health account of the tobacco
4 9 settlement trust fund created in section 12E.12.
4 10 2. Following the crediting of moneys pursuant to
4 11 subsection 1, any remaining moneys received shall be credited
4 12 to the senior living trust fund created in section 249H.4.
4 13 Sec. 7. MEDICAL ASSISTANCE – REPORTING REQUIREMENTS –
4 14 DENTAL SERVICES FOR ADULTS – PHARMACEUTICAL COPAYMENT.
4 15 1. The department of human services shall require
4 16 applicants for or recipients of medical assistance to report
4 17 changes in income or resources that affect eligibility on a
4 18 monthly basis.
4 19 2. Beginning March 1, 2002, adults receiving dental
4 20 services under the medical assistance program shall receive
4 21 only preventive services, diagnostic services, restorative
4 22 services limited to white and silver fillings, and prosthetic
4 23 services limited to dentures only if the dentures are
4 24 necessary to establish masticatory function.
4 25 3. The department of human services shall require
4 26 recipients of medical assistance to pay the following
4 27 copayment on each covered drug prescription, including each
4 28 refill as follows:
4 29 a. A copayment of $1 for each covered generic drug
4 30 prescription.
4 31 b. A copayment of $1 for each covered brand-name drug
4 32 prescription for which the cost to the state is less than $25.
4 33 c. A copayment of $2 for each covered brand-name drug
4 34 prescription for which the cost to the state is between $25
4 35 and $50.
5 1 d. A copayment of $3 for each covered brand-name drug
5 2 prescription for which the cost to the state is over $50.
5 3 Sec. 8. MEDICAL ASSISTANCE ADVISORY GROUP.
5 4 1. The department of human services shall convene a joint
5 5 legislative and executive branch medical assistance advisory
5 6 group to provide ongoing analysis and recommendations
5 7 regarding the medical assistance program in this state. The
5 8 membership of the advisory group shall consist of the
5 9 chairpersons and ranking members of the human services
5 10 appropriations subcommittee, the director of the department of
5 11 management, and the director of human services. The goal of
5 12 the advisory group shall be to propose recommendations for
5 13 systemic changes in the medical assistance program to reduce
5 14 state costs.
5 15 2. The advisory group shall consider, at a minimum, the
5 16 reports and recommendations of the joint legislative and
5 17 executive branch medical assistance work group that met in
5 18 fall 2001, including but not limited to recommendations
5 19 related to alternative forecasting methods in determining
5 20 participation in the medical assistance program and options
5 21 relating to prescription drugs. The advisory group shall also
5 22 consult with national and regional entities, including but not
5 23 limited to the national conference of state legislatures, the
5 24 council of state governments, the national governors
5 25 association, and other entities that may provide assistance in
5 26 addressing growth in and cost-containment strategies related
5 27 to the medical assistance program.
5 28 3. The advisory group shall submit a report to the fiscal
5 29 committee and to the chairpersons and members of the human
5 30 services appropriations subcommittee no later than June 1,
5 31 2002. The advisory group shall meet, as necessary, to
5 32 continue review of the medical assistance program.
5 33 Sec. 9. NEW SECTION. 249A.20A NURSING FACILITIES – DUAL
5 34 CERTIFICATION REQUIRED.
5 35 Beginning October 1, 2002, all licensed nursing facilities
6 1 shall be certified under both the federal Medicare program and
6 2 the medical assistance program as a condition for
6 3 participation in the medical assistance program.
6 4 Sec. 10. EMERGENCY RULES. If it is necessary to adopt
6 5 rules to implement a provision of this Act, the department of
6 6 human services may adopt administrative rules under section
6 7 17A.4, subsection 2, and section 17A.5, subsection 2,
6 8 paragraph "b", to implement the provisions and the rules shall
6 9 become effective immediately upon filing, unless the effective
6 10 date is delayed by the administrative rules review committee,
6 11 notwithstanding section 17A.4, subsection 5, and section
6 12 17A.8, subsection 9, or a later effective date is specified in
6 13 the rules. Any rules adopted in accordance with this section
6 14 shall not take effect before the rules are reviewed by the
6 15 administrative rules review committee. Any rules adopted in
6 16 accordance with the provisions of this section shall also be
6 17 published as notice of intended action as provided in section
6 18 17A.4.
6 19 Sec. 11. EFFECTIVE DATE. This Act, being deemed of
6 20 immediate importance, takes effect upon enactment.
6 21
6 22
6 23
6 24 BRENT SIEGRIST
6 25 Speaker of the House
6 26
6 27
6 28
6 29 MARY E. KRAMER
6 30 President of the Senate
6 31
6 32 I hereby certify that this bill originated in the House and
6 33 is known as House File 2245, Seventy-ninth General Assembly.
6 34
6 35
7 1
7 2 MARGARET THOMSON
7 3 Chief Clerk of the House
7 4 Approved , 2002
7 5
7 6
7 7
7 8 THOMAS J. VILSACK
7 9 Governor
Text: HF02244 Text: HF02246 Text: HF02200 - HF02299 Text: HF Index Bills and Amendments: General Index Bill History: General Index
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