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House Journal: Page 946: Wednesday, April 2, 2003

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1 incorporating chronic disease management programming
2 into the medical assistance system and the potential
3 improvements in care and reductions in costs that may
4 be obtained through chronic disease management.
5 7. The department of human services may adopt
6 emergency rules to implement this section.
7 8. Any savings realized under this section may be
8 used as necessary to pay the costs associated with
9 implementation of this section prior to reversion to
10 the medical assistance program. The department shall
11 report the amount of any savings realized and the
12 amount of any costs paid to the chairpersons of the
13 joint appropriations subcommittee on health and human
14 services.
15 Sec. . EFFECTIVE DATES.
16 1. The section of this Act enacting section
17 249A.20A takes effect upon enactment.
18 2. The section of this Act enacting section
19 249A.20B, being deemed of immediate importance, takes
20 effect upon enactment.
21 3. The section of this Act relating to physician
22 supplemental payments at certain publicly owned
23 hospitals, being deemed of immediate importance, takes
24 effect upon enactment.
25 4. The section of this Act relating to chronic
26 disease management, being deemed of immediate
27 importance, takes effect upon enactment."
28 4. Title page, line 2, by inserting after the
29 word "eligibility" the following: "and providing
30 effective dates".
31 5. By renumbering as necessary.

Carroll of Poweshiek offered the following amendment H-1250, to
amendment H-1216, filed by him from the floor and requested
division as follows:

H-1250

1 Amend the amendment, H-1216, to House File 619 as
2 follows:

H-1250A

3 1. By striking page 2, line 37, through page 4,
4 line 32.
5 2. By striking page 4, line 42, through page 5,
6 line 3, and inserting the following:
7 "2. a. a medical assistance pharmaceutical and
8 therapeutics committee shall be established within the


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