Text: SF00276 Text: SF00278 Text: SF00200 - SF00299 Text: SF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
1 1 Section 1. NEW SECTION. 135.135 HEALTH CARE ACCESS
1 2 PARTNERSHIPS.
1 3 1. A health care access partnership program is
1 4 established. The director shall adopt rules as necessary to
1 5 establish and administer the program. In adopting rules, the
1 6 director shall consult with persons and agencies who may be
1 7 involved with a health care access partnership and with the
1 8 department of human services.
1 9 2. The purpose of the health care access partnership
1 10 program is to implement systems of health care services for
1 11 low-income persons or persons without health insurance
1 12 coverage, and others, by enhancing collaboration between
1 13 persons and agencies providing charity care or services under
1 14 the medical assistance program.
1 15 3. The elements of the program shall include but are not
1 16 limited to all of the following:
1 17 a. A person participating in the program may be a public,
1 18 private, for-profit, or nonprofit entity.
1 19 b. Participation provisions shall be outlined in a written
1 20 agreement between those participating. If authorized under
1 21 chapter 28E, a chapter 28E agreement may be utilized for all
1 22 or a portion of the participant provisions.
1 23 c. If a participant in the partnership is a medical
1 24 assistance program provider, the participant must be a medical
1 25 assistance program provider in good standing and must accept
1 26 medical assistance reimbursement as full payment for any
1 27 service provided. Unless expressly prohibited by the federal
1 28 government, a medical assistance program provider offering
1 29 services in the area served by a partnership shall be required
1 30 to participate in the partnership as a condition of
1 31 participation in the medical assistance program.
1 32 d. Participants shall be authorized to share confidential
1 33 information if the sharing is in the best interests of
1 34 clients. If it is determined that the optimal approach for
1 35 the information sharing is for the participants to establish a
2 1 multidisciplinary community services team under section
2 2 331.909, notwithstanding section 331.909, subsection 4, the
2 3 participants may disclose information other than oral
2 4 information with one another.
2 5 e. A referral process among the participants shall be
2 6 established.
2 7 f. The geographic area to be served by those participating
2 8 in the agreement shall be identified in the agreement.
2 9 g. Provision shall be made for receipt and expenditure of
2 10 funding for the joint purposes of those participating or for
2 11 clients of those participating and for receiving and expending
2 12 funding received from foundations, grants, or other revenue
2 13 sources.
2 14 h. Provision to allow a partnership to form any governance
2 15 structure that is appropriate to the purposes of the
2 16 partnership and that meets all federal or state statutory
2 17 requirements for the specific elements of the partnership's
2 18 charter.
2 19 Sec. 2. EMERGENCY RULES. If administrative rules are
2 20 necessary to implement the provisions of this Act, the initial
2 21 rules shall be adopted on or before September 1, 2003. The
2 22 Iowa department of public health may adopt the initial rules
2 23 as emergency rules under section 17A.4, subsection 2, and
2 24 section 17A.5, subsection 2, paragraph "b", to implement the
2 25 provisions of this Act and the rules shall be effective
2 26 immediately upon filing unless the effective date is delayed
2 27 by the administrative rules review committee, notwithstanding
2 28 section 17A.4, subsection 5, and section 17A.8, subsection 9,
2 29 or a later date is specified in the rules. Any rules adopted
2 30 in accordance with this section shall not take effect before
2 31 the administrative rules review committee reviews the rules.
2 32 Any rules adopted in accordance with this section shall also
2 33 be published as a notice of intended action as provided in
2 34 section 17A.4.
2 35 Sec. 3. EFFECTIVE DATE. This Act, being deemed of
3 1 immediate importance, takes effect upon enactment.
3 2 EXPLANATION
3 3 This bill provides for creation of special health care
3 4 access partnerships under the Iowa department of public health
3 5 for delivery of health care services to low-income persons and
3 6 persons who do not have health insurance.
3 7 The department is authorized to adopt rules as necessary to
3 8 establish and administer the program. The initial set of
3 9 rules may be adopted utilizing emergency procedures which
3 10 dispense with waiting periods for public input but maintain
3 11 authority for review and delay by the administrative rules
3 12 review committee.
3 13 The program provisions are required to include the
3 14 following: allowing participants to be public, private, for-
3 15 profit, or nonprofit entities; requiring those participating
3 16 to enter into a written agreement which may be a Code chapter
3 17 28E agreement between governmental and nongovernmental
3 18 entities; requiring the service participants to be medical
3 19 assistance (Medicaid) program providers in good standing and
3 20 accept Medicaid reimbursement as full payment; requiring the
3 21 Medicaid program providers offering services in the area
3 22 served by a partnership to participate in the partnership as a
3 23 condition of participation in the Medicaid program (unless
3 24 expressly prohibited by the federal government); allowing for
3 25 sharing of confidential information between participants and
3 26 if a multidisciplinary community services team approach is
3 27 used for the sharing, allowing the participants to disclose
3 28 information other than oral information with one another;
3 29 referral processes; identification of the geographic area to
3 30 be served; ability to receive and expend funding; and allowing
3 31 partnerships to develop governance structures.
3 32 The bill takes effect upon enactment.
3 33 LSB 2561XS 80
3 34 jp/cf/24.1
Text: SF00276 Text: SF00278 Text: SF00200 - SF00299 Text: SF Index Bills and Amendments: General Index Bill History: General Index
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