House Journal: Page 940: Wednesday, April 2, 2003
Page 6
1 therapeutics committee is operational, the department
2 shall adopt and utilize a preferred drug list
3 developed by a midwestern state that has received
4 approval for its medical assistance state plan
5 amendment from the centers for Medicare and Medicaid
6 services of the United States department of health and
7 human services.
8 9. The department may procure a sole source
9 contract with an outside entity or contactor to
10 participate in a pharmaceutical pooling program with
11 midwestern or other states to provide for an enlarged
12 pool of individuals for the purchase of pharmaceutical
13 products and services for medical assistance
14 recipients.
15 10. The department may adopt administrative rules
16 under section 17A.4, subsection 2, and section 17A.5,
17 subsection 2, paragraph "b", to implement this
18 section.
19 11. Any savings realized under this section may be
20 used to the extent necessary to pay the costs
21 associated with implementation of this section prior
22 to reversion to the medical assistance program. The
23 department shall report the amount of any savings
24 realized and the amount of any costs paid to the
25 chairpersons of the joint appropriations subcommittee
26 on health and human services.
27 Sec. . NEW SECTION. 249A.20B NURSING FACILITY
28 QUALITY ASSURANCE ASSESSMENT.
29 1. The department may assess nursing facilities a
30 quality assurance assessment not to exceed six percent
31 of the total annual revenue of the facility.
32 2. The quality assurance assessment shall be paid
33 to the department in equal monthly amounts on or
34 before the fifteenth day of each month. The
35 department may deduct the monthly assessment amount
36 from medical assistance payments to a nursing
37 facility. The amount deducted from payments shall not
38 exceed the total amount of the fee due.
39 3. Revenue generated from the quality assurance
40 assessment shall be deposited in the senior living
41 trust fund created in section 249H.4. The revenues
42 shall only be used for services for which federal
43 financial participation under the medical assistance
44 program is available to match state funds.
45 4. If federal financial participation to match the
46 assessments made under subsection 1 becomes
47 unavailable under federal law, the department shall
48 terminate the imposition of the assessment beginning
49 on the date that the federal statutory, regulatory, or
50 interpretive change takes effect.
© 2003 Cornell College and
League of Women Voters of Iowa
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