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House File 565

Partial Bill History

Bill Text

PAG LIN
  1  1                                           HOUSE FILE 565     
  1  2 
  1  3                             AN ACT
  1  4 RELATING TO THE HEALTHY AND WELL KIDS IN IOWA PROGRAM.  
  1  5 
  1  6 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
  1  7 
  1  8    Section 1.  Section 514I.4, subsection 4, Code 2003, is
  1  9 amended to read as follows:
  1 10    4.  The department shall do or shall provide for all of the
  1 11 following:
  1 12    a.  Develop a program application form not to exceed two
  1 13 pages in length, which is consistent with the rules of the
  1 14 board, which is easy to understand, complete, and concise, and
  1 15 which, to the greatest extent possible, coordinates with the
  1 16 medical assistance program.
  1 17    b.  Establish the family cost sharing amount, based on a
  1 18 sliding fee scale, if established by amounts of not less than
  1 19 ten dollars per individual and twenty dollars per family, if
  1 20 not otherwise prohibited by federal law, with the approval of
  1 21 the board.
  1 22    c.  Perform annual, random reviews of enrollee applications
  1 23 to ensure compliance with program eligibility and enrollment
  1 24 policies.  Quality assurance reports shall be made to the
  1 25 board and the department based upon the data maintained by the
  1 26 administrative contractor.
  1 27    c. d.  Perform other duties as determined by the department
  1 28 with the approval of the board.
  1 29    Sec. 2.  Section 514I.5, subsection 1, unnumbered paragraph
  1 30 1, Code 2003, is amended to read as follows:
  1 31    A HAWK-I board for the HAWK-I program is established.  The
  1 32 board shall meet not less than ten six and not more than
  1 33 twelve times annually, for the purposes of establishing policy
  1 34 for, directing the department on, and adopting rules for the
  1 35 program.  The board shall consist of seven members, including
  2  1 all of the following:
  2  2    Sec. 3.  Section 514I.5, subsection 7, paragraphs d and e,
  2  3 Code 2003, are amended to read as follows:
  2  4    d.  Develop, with the assistance of the department, an
  2  5 outreach plan, and provide for periodic assessment of the
  2  6 effectiveness of the outreach plan.  The plan shall provide
  2  7 outreach to families of children likely to be eligible for
  2  8 assistance under the program, to inform them of the
  2  9 availability of and to assist the families in enrolling
  2 10 children in the program.  The outreach efforts may include,
  2 11 but are not limited to, a comprehensive statewide media
  2 12 campaign, solicitation of cooperation from programs, agencies,
  2 13 and other persons who are likely to have contact with eligible
  2 14 children, including but not limited to those associated with
  2 15 the educational system, and the development of community plans
  2 16 for outreach and marketing.
  2 17    e.  In consultation with the clinical advisory committee,
  2 18 select a single, nationally recognized functional health
  2 19 assessment form for an initial assessment of all eligible
  2 20 assess the initial health status of children participating in
  2 21 the program, establish a baseline for comparison purposes, and
  2 22 develop appropriate indicators to measure the subsequent
  2 23 health status of eligible children participating in the
  2 24 program.
  2 25    Sec. 4.  Section 514I.5, subsection 7, paragraph i, Code
  2 26 2003, is amended by striking the paragraph.
  2 27    Sec. 5.  Section 514I.5, subsection 7, paragraph l,
  2 28 unnumbered paragraph 1, Code 2003, is amended to read as
  2 29 follows:
  2 30    Establish an advisory committee to make recommendations to
  2 31 the board and to the general assembly on or before by January
  2 32 1, 1999, annually concerning the provision of health insurance
  2 33 coverage to children with special health care needs under the
  2 34 program.  The committee shall include individuals with
  2 35 experience in, knowledge of, or expertise in this area.  The
  3  1 recommendations shall address, but are not limited to, all of
  3  2 the following:
  3  3    Sec. 6.  Section 514I.5, subsection 8, paragraph h, Code
  3  4 2003, is amended to read as follows:
  3  5    h.  The amount of any cost sharing under the program which
  3  6 shall be assessed on a sliding fee scale based on family
  3  7 income, which provides for a minimum amount of cost sharing,
  3  8 and which complies with federal law.
  3  9    Sec. 7.  Section 514I.5, subsection 8, paragraph m, Code
  3 10 2003, is amended by striking the paragraph.
  3 11    Sec. 8.  Section 514I.6, subsection 3, Code 2003, is
  3 12 amended by striking the subsection.
  3 13    Sec. 9.  Section 514I.7, subsection 2, paragraph c, Code
  3 14 2003, is amended to read as follows:
  3 15    c.  Forward names of children who appear to be eligible for
  3 16 medical assistance or other public health insurance coverage
  3 17 to local to the department of human services offices or other
  3 18 appropriate person or agency for follow up follow-up and
  3 19 retain the identifying data on children who are referred.
  3 20    Sec. 10.  Section 514I.7, subsection 2, paragraph h, Code
  3 21 2003, is amended by striking the paragraph.
  3 22    Sec. 11.  Section 514I.8, subsection 2, paragraph e, Code
  3 23 2003, is amended to read as follows:
  3 24    e.  Is not currently covered under or was not covered
  3 25 within the prior six months under a group health plan as
  3 26 defined in 42 U.S.C. } 300gg-91(a)(1) or other health benefit
  3 27 plan, unless the coverage was involuntarily lost or unless
  3 28 dropping the coverage is allowed by rule of the board.
  3 29    Sec. 12.  Section 514I.10, Code 2003, is amended to read as
  3 30 follows:
  3 31    514I.10  COST SHARING.
  3 32    1.  Cost sharing for eligible children whose family income
  3 33 is at or below one hundred fifty percent of the federal
  3 34 poverty level shall not exceed the standards permitted under
  3 35 42 U.S.C. } 1396(o)(a)(3) or } 1396(o)(b)(1).
  4  1    2.  Cost sharing for eligible children whose family income
  4  2 is between equals or exceeds one hundred fifty percent and two
  4  3 hundred percent of the federal poverty level shall may include
  4  4 a premium or copayment amount which is at least a minimum
  4  5 amount but which does not exceed five percent of the annual
  4  6 family income.  The amount of the any premium or the copayment
  4  7 amount shall be based on family income and size.
  4  8    Sec. 13.  MONITORING AND REPORTING REQUIREMENTS.  The
  4  9 department of human services shall monitor the effects of the
  4 10 striking of section 514I.5, subsection 8, paragraph "m", by
  4 11 this Act, until June 30, 2005.  The department shall submit a
  4 12 report to the general assembly annually on January 15, during
  4 13 the period ending June 30, 2005, that includes the reporting
  4 14 of any increased cost of the hawk-i program resulting from the
  4 15 striking of the paragraph described in this section.  
  4 16 
  4 17 
  4 18                                                             
  4 19                               CHRISTOPHER C. RANTS
  4 20                               Speaker of the House
  4 21 
  4 22 
  4 23                                                             
  4 24                               MARY E. KRAMER
  4 25                               President of the Senate
  4 26 
  4 27    I hereby certify that this bill originated in the House and
  4 28 is known as House File 565, Eightieth General Assembly.
  4 29 
  4 30 
  4 31                                                             
  4 32                               MARGARET THOMSON
  4 33                               Chief Clerk of the House
  4 34 Approved                , 2003
  4 35 
  5  1 
  5  2                            
  5  3 THOMAS J. VILSACK
  5  4 Governor
     

Text: HF00564                           Text: HF00566
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