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PAG LIN
1 1 DIVISION I
1 2 TITLE AND FINDINGS
1 3 Section 1. NEW SECTION. 249I.1 TITLE.
1 4 This chapter shall be known and may be cited as the "Iowa
1 5 Health Services Trust Fund".
1 6 Sec. 2. NEW SECTION. 249I.2 LEGISLATIVE FINDINGS –
1 7 GOAL.
1 8 1. The general assembly finds that:
1 9 a. The preservation, improvement, and coordination of the
1 10 health care infrastructure of Iowa is critical to the health
1 11 and safety of Iowans.
1 12 b. Iowa health services providers are a vital and critical
1 13 component of Iowa's health care and economic infrastructure.
1 14 c. An increasing number of Iowans are eligible for and
1 15 enrolled in Iowa's medical assistance program.
1 16 2. The goal of the trust fund is to provide a continuing
1 17 source of funding to ensure the state's ability to support the
1 18 labor force, infrastructure, technology needs, and other
1 19 elements of the health services system.
1 20 DIVISION II
1 21 IOWA HEALTH SERVICES TRUST FUND
1 22 Sec. 3. NEW SECTION. 249I.3 DEFINITIONS.
1 23 As used in this chapter, unless the context otherwise
1 24 provides:
1 25 1. "Department" means the department of human services.
1 26 2. "Director" means the director of human services.
1 27 3. "Health services trust fund" means the fund created in
1 28 this chapter to secure funds based on hospital inpatient and
1 29 outpatient prospective payment methodologies under the medical
1 30 assistance program.
1 31 4. "Hospital" means hospital as defined in section 135B.1.
1 32 5. "Prospective payment methodologies" means the inpatient
1 33 diagnosis related group (DRG) system and the outpatient
1 34 ambulatory payment groups (APG) system under the medical
1 35 assistance program.
2 1 6. "Public hospital" means a hospital licensed pursuant to
2 2 chapter 135B and governed pursuant to chapter 145A, 347, 347A,
2 3 or 392.
2 4 Sec. 4. NEW SECTION. 249I.4 HEALTH SERVICES TRUST FUND
2 5 – CREATED – APPROPRIATIONS.
2 6 1. A health services trust fund is created in the state
2 7 treasury under the authority of the department of human
2 8 services. Moneys received through intergovernmental transfer
2 9 agreements for the trust fund and moneys received from
2 10 sources, including grants, contributions, and participant
2 11 payments, shall be deposited in the trust fund.
2 12 2. The department, upon receipt of federal revenue on or
2 13 after October 1, 2001, from public hospitals participating in
2 14 the medical assistance program, shall deposit the federal
2 15 revenue received in the trust fund, less a sum of five
2 16 thousand dollars as an administration fee per participating
2 17 public hospital.
2 18 3. Moneys deposited in the trust fund shall be used only
2 19 as provided in appropriations from the trust fund to the
2 20 department for the purposes specified in the appropriation.
2 21 4. The trust fund shall be operated in accordance with the
2 22 guidelines of the center for medicare and medicaid services of
2 23 the United States department of health and human services.
2 24 The trust fund shall be separate from the general fund of the
2 25 state and shall not be considered part of the general fund of
2 26 the state. The moneys in the trust fund shall not be
2 27 considered revenue of the state, but rather shall be funds of
2 28 the trust fund. The moneys in the trust fund are not subject
2 29 to section 8.33 and shall not be transferred, used, obligated,
2 30 appropriated, or otherwise encumbered, except to provide for
2 31 the purposes of this chapter. Notwithstanding section 12C.7,
2 32 subsection 2, interest or earnings on moneys deposited in the
2 33 trust fund shall be credited to the trust fund.
2 34 5. The department shall adopt rules pursuant to chapter
2 35 17A to administer the trust fund and to establish procedures
3 1 for participation by public hospitals in the intergovernmental
3 2 transfer of funds to the trust fund.
3 3 6. The treasurer of state shall provide a quarterly report
3 4 of trust fund activities and balances to the director.
3 5 Sec. 5. NEW SECTION. 249I.5 INTERGOVERNMENTAL TRANSFERS
3 6 AND RELATED PAYMENTS.
3 7 1. The director shall execute agreements on behalf of the
3 8 state with eligible public hospitals to collect revenues
3 9 through an intergovernmental transfer.
3 10 2. The written agreement shall provide for all of the
3 11 following:
3 12 a. Identification of the methodology for determining the
3 13 amount of funds to be transferred to the state through an
3 14 intergovernmental transfer.
3 15 b. The conditions under which the agreement may be amended
3 16 or terminated by the participating parties.
3 17 Sec. 6. NEW SECTION. 249I.6 STATE PLAN AMENDMENT.
3 18 The director shall amend the state medical assistance plan
3 19 as necessary to implement this chapter.
3 20 Sec. 7. EMERGENCY RULES.
3 21 1. The department of human services may adopt emergency
3 22 rules to implement this Act.
3 23 2. If the department of human services adopts emergency
3 24 rules under section 17A.4, subsection 2, and section 17A.5,
3 25 subsection 2, paragraph "b", to implement this Act, the rules
3 26 shall become effective immediately upon filing, unless a later
3 27 effective date is specified in the rules. Any rules adopted
3 28 in accordance with the provisions of this section shall also
3 29 be published as notice of intended action as provided in
3 30 section 17A.4.
3 31 Sec. 8. EFFECTIVE DATE. This Act, being deemed of
3 32 immediate importance, takes effect upon enactment.
3 33 Sec. 9. RETROACTIVE APPLICABILITY. The section in this
3 34 Act that creates section 249I.4 as it relates to receipt of
3 35 federal funding, is retroactively applicable to October 1,
4 1 2001.
4 2 EXPLANATION
4 3 This bill creates an Iowa health services trust fund for
4 4 the deposit of federal revenues received from public hospitals
4 5 participating in the medical assistance program through an
4 6 intergovernmental transfer agreement between the department of
4 7 human services and participating public hospitals. The
4 8 agreements are to identify the methodology for determining the
4 9 amount of the intergovernmental transfer and are to describe
4 10 the conditions under which the agreement may be amended or
4 11 terminated. The trust fund is created in the state treasury
4 12 under the authority of the department of human services.
4 13 Moneys deposited in the trust fund are to be used only as
4 14 provided in the appropriations of moneys from the fund. The
4 15 trust fund is to be operated in accordance with the guidelines
4 16 of the center for medicare and medicaid services of the United
4 17 States department of health and human services.
4 18 The bill takes effect upon enactment and the provision of
4 19 the bill relating to receipt of federal revenues is
4 20 retroactively applicable to October 1, 2001.
4 21 LSB 5187SV 79
4 22 pf/sh/8
Text: SF00553 Text: SF00555 Text: SF00500 - SF00599 Text: SF Index Bills and Amendments: General Index Bill History: General Index
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