Text: SF02134 Text: SF02136 Text: SF02100 - SF02199 Text: SF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Section 1. DEPARTMENT OF HUMAN SERVICES APPROPRIATION 1 2 SENIOR LIVING TRUST FUND MEDICAL ASSISTANCE. After 1 3 applying the reduction made pursuant to executive order number 1 4 24 to the appropriation made to the department of human 1 5 services for the medical assistance program for the fiscal 1 6 year beginning July 1, 2001, and ending June 30, 2002, there 1 7 is appropriated from the senior living trust fund created in 1 8 section 249H.4, to the department of human services for the 1 9 fiscal year beginning July 1, 2001, and ending June 30, 2002, 1 10 the following amount, or so much thereof as is necessary, to 1 11 supplement appropriations made for the following designated 1 12 purpose: 1 13 To supplement the appropriation made for the medical 1 14 assistance program in 2001 Iowa Acts, chapter 184, section 1; 1 15 2001 Iowa Acts, chapter 191, section 7; 2001 Iowa Acts, 1 16 chapter 192, section 2; and any appropriation made for fiscal 1 17 year 2001-2002 for the medical assistance program in this or 1 18 any other Act: 1 19 .................................................. $ 39,000,000 1 20 Sec. 2. DEPARTMENT OF HUMAN SERVICES SENIOR LIVING 1 21 TRUST FUND TRANSFER. For the fiscal year beginning July 1, 1 22 2001, and ending June 30, 2002, there is transferred from the 1 23 appropriation made to the department of human services 1 24 pursuant to 2001 Iowa Acts, chapter 192, section 2, subsection 1 25 1, to provide grants to nursing facilities for conversion to 1 26 assisted living programs or to provide long-term care 1 27 alternatives, the following amount, or so much thereof as is 1 28 necessary, to supplement the appropriation made for the 1 29 medical assistance program in 2001 Iowa Acts, chapter 184, 1 30 section 1; 2001 Iowa Acts, chapter 191, section 7; 2001 Iowa 1 31 Acts, chapter 192, section 2; and any appropriation made for 1 32 fiscal year 2001-2002 for the medical assistance program in 1 33 this or any other Act: 1 34 .................................................. $ 9,500,000 1 35 Sec. 3. DEPARTMENT OF HUMAN SERVICES TOBACCO SETTLEMENT 2 1 FUND APPROPRIATION MEDICAL ASSISTANCE. For the fiscal 2 2 year beginning July 1, 2001, and ending June 30, 2002, there 2 3 is appropriated from the endowment for Iowa's health account 2 4 of the tobacco settlement trust fund created in section 2 5 12E.12, to the department of human services the following 2 6 amount, or so much thereof as is necessary, to supplement the 2 7 appropriation made for the medical assistance program in 2001 2 8 Iowa Acts, chapter 184, section 1; 2001 Iowa Acts, chapter 2 9 191, section 7; 2001 Iowa Acts, chapter 192, section 2; and 2 10 any appropriation made for fiscal year 2001-2002 for the 2 11 medical assistance program in this or any other Act: 2 12 .................................................. $ 2,500,000 2 13 Sec. 4. DEPARTMENT OF HUMAN SERVICES APPROPRIATION 2 14 HOSPITAL TRUST FUND. 2 15 1. There is appropriated from the hospital trust fund 2 16 created in section 249I.4 to the department of human services 2 17 for the fiscal year beginning July 1, 2001, and ending June 2 18 30, 2002, the following amount, or so much thereof as is 2 19 necessary, to be used to supplement the appropriation made for 2 20 the medical assistance program in 2001 Iowa Acts, chapter 184, 2 21 section 1; 2001 Iowa Acts, chapter 191, section 7; 2001 Iowa 2 22 Acts, chapter 192, section 2; and any appropriation made for 2 23 fiscal year 2001-2002 for the medical assistance program in 2 24 this or any other Act: 2 25 .................................................. $ 7,000,000 2 26 2. Following the appropriation of moneys pursuant to 2 27 subsection 1, of the moneys remaining in the hospital trust 2 28 fund, $2,500,000 shall be transferred to and deposited in the 2 29 endowment for Iowa's health account of the tobacco settlement 2 30 trust fund created in section 12E.12. 2 31 3. Following the appropriation of moneys pursuant to 2 32 subsection 1, and the transfer and deposit of moneys pursuant 2 33 to subsection 2, any remaining moneys in the hospital trust 2 34 fund shall be transferred to and deposited in the senior 2 35 living trust fund created in section 249H.4. 3 1 Sec. 5. FEDERAL FUNDS CONTINGENCY TOBACCO SETTLEMENT 3 2 FUND MEDICAL ASSISTANCE. 3 3 If federal funds are not received in accordance with 3 4 chapter 249I, during the fiscal year beginning July 1, 2001, 3 5 and ending June 30, 2002, there is appropriated from the 3 6 endowment for Iowa's health account of the tobacco settlement 3 7 trust fund created in section 12E.12, to the department of 3 8 human services for that fiscal year the following amount or so 3 9 much thereof as is necessary, to be used to supplement the 3 10 appropriation made for the medical assistance program in 2001 3 11 Iowa Acts, chapter 184, section 1; 2001 Iowa Acts, chapter 3 12 191, section 7; 2001 Iowa Acts, chapter 192, section 2; and 3 13 any appropriation made for fiscal year 2001-2002 for the 3 14 medical assistance program in this or any other Act: 3 15 .................................................. $ 7,000,000 3 16 1. However, if federal funds are received in accordance 3 17 with chapter 249I at any time during the succeeding fiscal 3 18 year, the first $7,000,000 shall be transferred to and 3 19 deposited in the endowment for Iowa's health account of the 3 20 tobacco settlement trust fund created in section 12E.12. 3 21 2. If federal funds are not received as provided in 3 22 subsection 1, the department of human services shall transfer 3 23 $7,000,000 of the moneys appropriated to the department in 3 24 that fiscal year to the endowment for Iowa's health account of 3 25 the tobacco settlement trust fund created in section 12E.12. 3 26 Sec. 6. FEDERAL FUNDS TRANSFER AND DEPOSIT IN TRUST 3 27 FUNDS. If federal funding is not received during the fiscal 3 28 year beginning July 1, 2001, in accordance with chapter 249I, 3 29 but unanticipated federal funding is received during the 3 30 fiscal years beginning July 1, 2001, or beginning July 1, 3 31 2002, the purpose of which is to reimburse the costs of the 3 32 medical assistance program, the unanticipated funding received 3 33 shall be credited as follows: 3 34 1. Of the moneys received, $2,500,000 shall be credited to 3 35 the endowment for Iowa's health account of the tobacco 4 1 settlement trust fund created in section 12E.12. 4 2 2. Following the crediting of moneys pursuant to 4 3 subsection 1, any remaining moneys received shall be credited 4 4 to the senior living trust fund created in section 249H.4. 4 5 Sec. 7. MEDICAL ASSISTANCE REPORTING REQUIREMENTS 4 6 DENTAL SERVICES FOR ADULTS PHARMACEUTICAL COPAYMENT. 4 7 1. The department of human services shall require 4 8 applicants for or recipients of medical assistance to report 4 9 changes in income or resources that affect eligibility on a 4 10 monthly basis. 4 11 2. Beginning March 1, 2002, adults receiving dental 4 12 services under the medical assistance program shall receive 4 13 only preventive services. 4 14 3. The department of human services shall require 4 15 recipients of medical assistance to pay the following 4 16 copayment on each covered drug prescription, including each 4 17 refill as follows: 4 18 a. A copayment of $1 for each covered generic drug 4 19 prescription. 4 20 b. A copayment of $1 for each covered brand-name drug 4 21 prescription for which the cost to the state is less than $25. 4 22 c. A copayment of $2 for each covered brand-name drug 4 23 prescription for which the cost to the state is between $25 4 24 and $50. 4 25 d. A copayment of $3 for each covered brand-name drug 4 26 prescription for which the cost to the state is over $50. 4 27 Sec. 8. MEDICAL ASSISTANCE ADVISORY GROUP. 4 28 1. The department of human services shall convene a joint 4 29 legislative and executive branch medical assistance advisory 4 30 group to provide ongoing analysis and recommendations 4 31 regarding the medical assistance program in this state. The 4 32 membership of the advisory group shall consist of the 4 33 chairpersons and ranking members of the human services 4 34 appropriations subcommittee, the director of the department of 4 35 management, and the director of human services. The goal of 5 1 the advisory group shall be to propose recommendations for 5 2 systemic changes in the medical assistance program to reduce 5 3 state costs. 5 4 2. The advisory group shall consider, at a minimum, the 5 5 reports and recommendations of the joint legislative and 5 6 executive branch medical assistance work group that met in 5 7 fall 2001, including but not limited to recommendations 5 8 related to alternative forecasting methods in determining 5 9 participation in the medical assistance program and options 5 10 relating to prescription drugs. The advisory group shall also 5 11 consult with national and regional entities, including but not 5 12 limited to the national conference of state legislatures, the 5 13 council of state governments, the national governors 5 14 association, and other entities that may provide assistance in 5 15 addressing growth in and cost-containment strategies related 5 16 to the medical assistance program. 5 17 3. The advisory group shall submit a report to the fiscal 5 18 committee and to the chairpersons and members of the human 5 19 services appropriations subcommittee no later than June 1, 5 20 2002. The advisory group shall meet, as necessary, to 5 21 continue review of the medical assistance program. 5 22 Sec. 9. NEW SECTION. 249A.20A NURSING FACILITIES DUAL 5 23 CERTIFICATION REQUIRED. 5 24 Beginning October 1, 2002, all licensed nursing facilities 5 25 shall be certified under both the federal Medicare program and 5 26 the medical assistance program as a condition for 5 27 participation in the medical assistance program. 5 28 Sec. 10. EMERGENCY RULES. If it is necessary to adopt 5 29 rules to implement a provision of this Act, the department of 5 30 human services may adopt administrative rules under section 5 31 17A.4, subsection 2, and section 17A.5, subsection 2, 5 32 paragraph "b", to implement the provisions and the rules shall 5 33 become effective immediately upon filing, unless the effective 5 34 date is delayed by the administrative rules review committee, 5 35 notwithstanding section 17A.4, subsection 5, and section 6 1 17A.8, subsection 9, or a later effective date is specified in 6 2 the rules. Any rules adopted in accordance with this section 6 3 shall not take effect before the rules are reviewed by the 6 4 administrative rules review committee. Any rules adopted in 6 5 accordance with the provisions of this section shall also be 6 6 published as notice of intended action as provided in section 6 7 17A.4. 6 8 Sec. 11. EFFECTIVE DATE. This Act, being deemed of 6 9 immediate importance, takes effect upon enactment. 6 10 EXPLANATION 6 11 This bill relates to the medical assistance program and 6 12 makes supplemental appropriations and transfers for the fiscal 6 13 year beginning July 1, 2001, and ending June 30, 2002, to 6 14 supplement the medical assistance appropriations made for that 6 15 fiscal year. 6 16 The bill includes contingency language making 6 17 appropriations and transfers and providing other direction in 6 18 the event federal moneys are not received for purposes of the 6 19 hospital trust fund under Code chapter 249I and in the event 6 20 unanticipated federal funding for medical assistance is 6 21 received. 6 22 The bill directs the department of human services to 6 23 require applicants for or recipients of medical assistance to 6 24 report changes in income or resources that affect eligibility 6 25 on a monthly basis; directs that beginning March 1, 2002, 6 26 adults receiving dental services under the medical assistance 6 27 program shall receive only preventive services; and directs 6 28 the department of human services to require recipients of 6 29 medical assistance to pay a copayment on each covered drug 6 30 prescription, including each refill, depending on the cost of 6 31 the prescription drug to the state and whether the drug is a 6 32 generic or brand-name drug. 6 33 The bill also directs the department of human services to 6 34 convene a joint legislative and executive branch medical 6 35 assistance advisory group to provide ongoing analysis and 7 1 recommendations regarding the medical assistance program in 7 2 this state. The goal of the advisory group is to propose 7 3 recommendations for systemic changes in the medical assistance 7 4 program to reduce state costs. The bill requires the advisory 7 5 group to submit a report to the fiscal committee and to the 7 6 chairpersons and members of the human services appropriations 7 7 subcommittee no later than June 1, 2002, and provides that the 7 8 advisory group is to meet, as necessary, to continue review of 7 9 the medical assistance program. 7 10 The bill requires that beginning October 1, 2002, all 7 11 licensed nursing facilities are to be certified under both the 7 12 federal Medicare program and the medical assistance program as 7 13 a condition for participation in the medical assistance 7 14 program. 7 15 The bill provides for emergency rulemaking. 7 16 The bill takes effect upon enactment. 7 17 LSB 6667SV 79 7 18 pf/sh/8
Text: SF02134 Text: SF02136 Text: SF02100 - SF02199 Text: SF Index Bills and Amendments: General Index Bill History: General Index
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