House File 2460 S-5172 Amend the amendment, S-5158, to House File 2460, 1 as amended, passed, and reprinted by the House, as 2 follows: 3 1. Page 38, line 26, by striking < 1,318,246,446 > 4 and inserting < 1,315,246,446 > 5 2. By striking page 41, line 28, through page 42, 6 line 6, and inserting: 7 < 12. a. Of the funds appropriated in this section, 8 $2,041,939 is allocated for the state match for a 9 disproportionate share hospital payment of $4,544,712 10 to The hospitals that meet both of the conditions 11 specified in subparagraphs (1) and (2) . In addition, 12 the hospitals that meet the conditions specified 13 shall either certify public expenditures or transfer 14 to the medical assistance program an amount equal to 15 provide the nonfederal share for a disproportionate 16 share hospital payment of $8,772,003 $26,633,430 . 17 The hospitals that meet the conditions specified 18 shall receive and retain 100 percent of the total 19 disproportionate share hospital payment of $13,316,715 20 $26,633,430 . > 21 3. Page 47, line 33, by striking < 17,045,964 > and 22 inserting < 20,045,964 > 23 4. Page 49, after line 32 by inserting: 24 < ___. Of the funds appropriated in this section, 25 $3,000,000 shall be used for the family planning 26 services program, including for implementation and 27 administration, if enacted in this 2016 Act. > 28 5. Page 93, after line 19 by inserting: 29 < DIVISION ___ 30 STATE FAMILY PLANNING SERVICES PROGRAM 31 Sec. ___. STATE FAMILY PLANNING SERVICES PROGRAM 32 —— ESTABLISHMENT —— DISCONTINUATION OF MEDICAID FAMILY 33 PLANNING NETWORK WAIVER. 34 1. The department of human services shall 35 -1- S5158.3800 (3) 86 pf/rn 1/ 4 #1. #2. #3. #4. #5.
discontinue the Medicaid family planning network waiver 1 effective July 1, 2016, and shall instead establish 2 a state family planning services program. The state 3 program shall replicate the eligibility requirements 4 and other provisions included in the Medicaid family 5 planning network waiver as approved by the centers for 6 Medicare and Medicaid services of the United States 7 department of health and human services in effect on 8 June 30, 2016, but shall provide for distribution 9 of the family planning services program funds in 10 accordance with this section. 11 2. Distribution of family planning services program 12 funds shall be made to eligible applicants in the 13 following order of priority: 14 a. Public entities that provide family planning 15 services including state, county, or local community 16 health clinics and federally qualified health centers. 17 b. Nonpublic entities that, in addition to family 18 planning services, provide required primary health 19 services as described in 42 U.S.C. §254b(b)(1)(A). 20 c. Nonpublic entities that provide family planning 21 services but do not provide required primary health 22 services as described in 42 U.S.C. §254b(b)(1)(A). 23 3. Distribution of family planning services program 24 funds under this section shall be made in a manner that 25 continues access to family planning services. 26 4. Distribution of family planning services program 27 funds shall not be made to any entity that performs 28 abortions or that maintains or operates a facility 29 where abortions are performed. For the purposes of 30 this section, “abortion” does not include any of the 31 following: 32 a. The treatment of a woman for a physical 33 disorder, physical injury, or physical illness, 34 including a life-endangering physical condition caused 35 -2- S5158.3800 (3) 86 pf/rn 2/ 4
by or arising from the pregnancy itself, that would, 1 as certified by a physician, place the woman in danger 2 of death. 3 b. The treatment of a woman for a spontaneous 4 abortion, commonly known as a miscarriage, when not all 5 of the products of human conception are expelled. 6 5. Family planning services program funds 7 distributed in accordance with this section shall 8 not be used for direct or indirect costs, including 9 but not limited to administrative costs or expenses, 10 overhead, employee salaries, rent, and telephone and 11 other utility costs, related to providing abortions as 12 specified in subsection 4. 13 6. The department of human services shall submit 14 a report to the governor and the general assembly, 15 annually by January 1, listing any entities that 16 received funds pursuant to subsection 2, paragraph 17 “c”, and the amount and type of funds received by such 18 entities during the preceding calendar year. The 19 report shall provide a detailed explanation of how 20 the department determined that distribution of family 21 planning services program funds to such an entity, 22 instead of to an entity described in subsection 2, 23 paragraph “a” or “b”, was necessary to prevent severe 24 limitation or elimination of access to family planning 25 services in the region of the state where the entity 26 is located. > 27 6. By renumbering as necessary. 28 ______________________________ KEN ROZENBOOM -3- S5158.3800 (3) 86 pf/rn 3/ 4 #6.
______________________________ MARK SEGEBART ______________________________ JAKE CHAPMAN ______________________________ DENNIS GUTH ______________________________ AMY SINCLAIR ______________________________ DAVID JOHNSON ______________________________ JASON SCHULTZ ______________________________ RANDY FEENSTRA -4- S5158.3800 (3) 86 pf/rn 4/ 4