ARC 4392C
HUMAN SERVICES DEPARTMENT[441]
Adopted and Filed
Rule making related to primary care providers
The Human Services Department hereby amends Chapter 73, “Managed Care,” Iowa Administrative Code.
Legal Authority for Rule Making
This rule making is adopted under the authority provided in Iowa Code section 249A.4 and 2018 Iowa Acts, Senate File 2418.
State or Federal Law Implemented
This rule making implements, in whole or in part, Iowa Code section 249A.4 and 2018 Iowa Acts, Senate File 2418, section 128.
Purpose and Summary
This amendment allows advanced registered nurse practitioners (ARNPs) and physician assistants (PAs) to be primary care providers with a managed care organization (MCO).
Public Comment and Changes to Rule Making
Notice of Intended Action for this rule making was published in the Iowa Administrative Bulletin on January 30, 2019, as ARC 4258C. The Department received a comment from one respondent supporting the proposed change in administrative rule during the public comment period. No changes from the Notice have been made.
Adoption of Rule Making
This rule making was adopted by the Council on Human Services on March 13, 2019.
Fiscal Impact
This rule making has no fiscal impact to the State of Iowa.
Jobs Impact
After analysis and review of this rule making, no impact on jobs has been found.
Waivers
Any person who believes that the application of the discretionary provisions of this rule making would result in hardship or injustice to that person may petition the Department for a waiver of the discretionary provisions, if any, pursuant to rule 441—1.8(17A,217).
Review by Administrative Rules Review Committee
The Administrative Rules Review Committee, a bipartisan legislative committee which oversees rule making by executive branch agencies, may, on its own motion or on written request by any individual or group, review this rule making at its regular monthly meeting or at a special meeting. The Committee’s meetings are open to the public, and interested persons may be heard as provided in Iowa Code section 17A.8(6).
Effective Date
This rule making will become effective on June 1, 2019.
The following rule-making action is adopted:
	Adopt the following new subrule 73.8(5):
	73.8(5) An enrollee’s primary care provider shall be responsible for providing preventative and primary health care to the enrollee; for initiating referrals for specialist care, where appropriate; and for maintaining the continuity of patient care. Primary care providers may be physicians, advanced registered nurse practitioners, or physician assistants, licensed and practicing in accordance with state law.
[Filed 3/13/19, effective 6/1/19]
[Published 4/10/19]
Editor’s Note: For replacement pages for IAC, see IAC Supplement 4/10/19.