Text: H01447 Text: H01449 Text: H01400 - H01499 Text: H Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
1 1 Amend House File 691 as follows:
1 2 #1. Page 33, by inserting after line 16 the
1 3 following:
1 4 "Sec. . MEDICAL ASSISTANCE PROGRAM REDESIGN.
1 5 1. The department of human services shall
1 6 establish a work group in cooperation with
1 7 representatives of the insurance industry to develop a
1 8 plan for the redesign of the medical assistance
1 9 program. In developing the redesign plan, the work
1 10 group shall consider all of the following:
1 11 a. Iowa's medical assistance program cannot be
1 12 sustained in a manner that provides care for
1 13 participants at the current rate of growth.
1 14 b. Iowans deserve a health care safety net that
1 15 provides health care that is timely, effective, and
1 16 responsive to individual needs.
1 17 c. Iowans would be better served, at a lower cost
1 18 to taxpayers, if persons who are at risk of becoming
1 19 medical assistance recipients due to their income,
1 20 health, and insurance status could be identified and
1 21 insured.
1 22 d. Iowa's children and families would benefit from
1 23 the use of a medical home model that links children
1 24 and families to an ongoing source of medical care that
1 25 ensures access to and appropriate utilization of
1 26 medical services including preventive services.
1 27 e. Iowa's senior population should have more
1 28 options available to address the population's health
1 29 care needs including home and community-based services
1 30 and assisted living.
1 31 2. The redesign plan shall include for measures
1 32 such as providing state funding for health care
1 33 spending accounts for families in the medical
1 34 assistance program in order to provide incentives for
1 35 effective health care cost management, providing an
1 36 insurance-like benefit package for those individuals
1 37 with extensive medical needs that emphasizes flexible
1 38 and preventive care through case management, moving to
1 39 an acuity-based reimbursement system for dually
1 40 eligible seniors, and developing an evidence-based
1 41 pharmaceutical program.
1 42 3. The department shall submit a progress report
1 43 of the work group's recommendations for medical
1 44 assistance program redesign to the governor and the
1 45 general assembly by January 15, 2004."
1 46 #2. Page 34, by inserting after line 23 the
1 47 following:
1 48 "Sec. . NEW SECTION. 249A.32 PHARMACEUTICAL
1 49 SETTLEMENT ACCOUNT – MEDICAL ASSISTANCE PROGRAM.
1 50 1. A pharmaceutical settlement account is created
2 1 in the state treasury under the authority of the
2 2 department of human services. Moneys received from
2 3 settlements relating to provision of pharmaceuticals
2 4 under the medical assistance program shall be
2 5 deposited in the account.
2 6 2. Moneys in the account shall be used only as
2 7 provided in appropriations from the account to the
2 8 department for the purpose of technology upgrades
2 9 under the medical assistance program.
2 10 3. The account shall be separate from the general
2 11 fund of the state and shall not be considered part of
2 12 the general fund of the state. The moneys in the
2 13 account shall not be considered revenue of the state,
2 14 but rather shall be funds of the account. The moneys
2 15 in the account are not subject to reversion to the
2 16 general fund of the state under section 8.33 and shall
2 17 not be transferred, used, obligated, appropriated, or
2 18 otherwise encumbered, except to provide for the
2 19 purposes of this section. Notwithstanding section
2 20 12C.7, subsection 2, interest or earnings on moneys
2 21 deposited in the account shall be credited to the
2 22 account.
2 23 4. The treasurer of state shall provide a
2 24 quarterly report of account activities and balances to
2 25 the director."
2 26 #3. By renumbering as necessary.
2 27
2 28
2 29
2 30 HEATON of Henry
2 31 HF 691.205 80
2 32 jp/sh
Text: H01447 Text: H01449 Text: H01400 - H01499 Text: H Index Bills and Amendments: General Index Bill History: General Index
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