Senate Amendment 3243
PAG LIN
1 1 Amend House File 841, as amended, passed, and
1 2 reprinted by the House, as follows:
1 3 #1. Page 3, line 8, by inserting after the word
1 4 <on> the following: <or after>.
1 5 #2. Page 5, line 31, by inserting after the word
1 6 <the> the following: <health risk assessment, the>.
1 7 #3. Page 6, line 20, by inserting after the word
1 8 <clinic> the following: <or rural health clinic>.
1 9 #4. Page 6, lines 21 and 22, by striking the words
1 10 <or rural health clinics>.
1 11 #5. Page 7, line 33, by striking the word <ten>
1 12 and inserting the following: <twenty>.
1 13 #6. By striking page 13, line 32, through page 14,
1 14 line 6, and inserting the following: <pursuant to
1 15 section 249A.3, and also meet the criteria specified
1 16 in section 234.7, subsection 2, if enacted in the 2005
1 17 legislative session.>
1 18 #7. By striking page 14, line 8, through page 15,
1 19 line 7, and inserting the following:
1 20 <1. The department of human services shall submit
1 21 an amendment to the home and community=based services
1 22 waiver for the elderly to the centers for Medicare and
1 23 Medicaid services of the United States department of
1 24 health and human services to provide for inclusion of
1 25 case management as a medical assistance covered
1 26 service. The department of human services shall
1 27 develop the amendment in collaboration with the
1 28 department of elder affairs.
1 29 2. If the request for an amendment to the waiver
1 30 is approved, the department of elder affairs shall use
1 31 existing funding for case management as nonfederal
1 32 matching funds. The department of elder affairs, in
1 33 collaboration with the department of human services,
1 34 shall determine the amount of existing funding that
1 35 would be eligible for use as nonfederal matching funds
1 36 so that sufficient funding is retained to also provide
1 37 case management services for frail elders who are not
1 38 eligible for the medical assistance program.
1 39 3. The department of human services, in
1 40 collaboration with the department of elder affairs,
1 41 shall establish a reimbursement rate for case
1 42 management for the frail elderly such that the amount
1 43 of state funding necessary to pay for such case
1 44 management does not exceed the amount appropriated to
1 45 the department of elder affairs for case management
1 46 for the frail elderly in the fiscal year beginning
1 47 July 1, 2005. Any state savings realized from
1 48 including case management under the home and
1 49 community=based services waiver for the elderly shall
1 50 be used for services for the frail elderly and for
2 1 substitute decision=making services to eligible
2 2 individuals pursuant to chapter 231E, if enacted by
2 3 the Eighty=first General Assembly.
2 4 4. The department of human services, in
2 5 collaboration with the department of elder affairs,
2 6 shall determine whether case management for the frail
2 7 elderly should continue to be provided through a sole
2 8 source contract or if a request for proposals process
2 9 should be initiated to provide the services. The
2 10 departments shall submit their recommendations to the
2 11 general assembly by January 1, 2006.>
2 12 #8. Page 16, line 17, by inserting after the word
2 13 <department> the following: <, in collaboration with
2 14 Iowa department of public health programs relating to
2 15 tobacco use prevention and cessation,>.
2 16 #9. Page 16, line 35, by striking the word <date>
2 17 and inserting the following: <data>.
2 18 #10. Page 19, line 12, by striking the word
2 19 <Costs> and inserting the following: <The department
2 20 shall inform the members of the task force that
2 21 costs>.
2 22 #11. Page 19, line 13, by striking the word
2 23 <shall> and inserting the following: <may>.
2 24 #12. Page 26, line 7, by inserting after the
2 25 figure <262.28> the following: <or any provision of
2 26 this chapter to the contrary>.
2 27 #13. Page 26, line 10, by inserting after the word
2 28 <installments> the following: <based upon the amount
2 29 appropriated or allocated, as applicable to a specific
2 30 public hospital, in a specific fiscal year>.
2 31 #14. Page 26, line 32, by inserting after the word
2 32 <account.> the following: <The agreement shall
2 33 include provisions relating to exceptions to the
2 34 deadline for submission of clean claims as required
2 35 pursuant to section 249J.7 and provisions relating to
2 36 data reporting requirements regarding the expansion
2 37 population.>
2 38 #15. Page 27, line 3, by inserting after the
2 39 figure <4.> the following: <Notwithstanding the
2 40 specified amount of proceeds to be transferred under
2 41 this subsection, if the amount allocated that does not
2 42 require federal matching funds under an appropriation
2 43 in a subsequent fiscal year to such hospital for
2 44 medical and surgical treatment of indigent patients,
2 45 for provision of services to expansion population
2 46 members, and for medical education, is reduced from
2 47 the amount allocated that does not require federal
2 48 matching funds under the appropriation for the fiscal
2 49 year beginning July 1, 2005, the amount of proceeds
2 50 required to be transferred under this subsection in
3 1 that subsequent fiscal year shall be reduced in the
3 2 same amount as the amount allocated that does not
3 3 require federal matching funds under that
3 4 appropriation.>
3 5 #16. Page 27, line 9, by inserting after the word
3 6 <account.> the following: <The agreement shall
3 7 include provisions relating to exceptions to the
3 8 deadline for submission of clean claims as required
3 9 pursuant to section 249J.7 and provisions relating to
3 10 data reporting requirements regarding the expansion
3 11 population.>
3 12 #17. Page 46, by striking line 33, and inserting
3 13 the following: <services to members of the>.
3 14 #18. Page 47, by striking lines 10 and 11 and
3 15 inserting the following: <indigent patients, for
3 16 provision of services to members of the expansion
3 17 population>.
3 18 #19. Page 47, line 16, by striking the figure
3 19 <36,000,000> and inserting the following:
3 20 <37,000,000>.
3 21 #20. Page 47, line 20, by striking the figure
3 22 <36,000,000> and inserting the following:
3 23 <37,000,000>.
3 24 #21. Page 47, by striking line 31, and inserting
3 25 the following: <members of the expansion>.
3 26 #22. Page 48, by striking line 2, and inserting
3 27 the following: <members of the expansion>.
3 28 #23. Page 48, by striking line 8, and inserting
3 29 the following: <members of the expansion>.
3 30 #24. Page 48, by striking line 14, and inserting
3 31 the following: <services to members of the>.
3 32 #25. By renumbering as necessary.
3 33
3 34
3 35
3 36 JEFF LAMBERTI
3 37
3 38
3 39
3 40 MICHAEL E. GRONSTAL
3 41 HF 841.319 81
3 42 pf/cf/4554
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