H-1126

   Amend House File 434 as follows:
   1.  Page 5, lines 2 and 3, by striking <shall specifically> and inserting <specifically shall not>
   2.  Page 5, line 11, after <time> by inserting <, but shall only provide for payment of a self-administered hormonal contraceptive as prescribed by a practitioner following the applicable standard of care for the prescribing of a self-administered hormonal contraceptive>
   3.  Page 8, by striking lines 3 through 10.
   4.  Page 9, after line 1 by inserting: 
   <Sec. ___.  MEDICAID COVERAGE —— SELF-ADMINISTERED HORMONAL CONTRACEPTIVES.  The department of human services shall not require under Medicaid fee-for-service and Medicaid managed care administration, coverage for a self-administered hormonal contraceptive as prescribed by a practitioner as defined in section 155A.3, or as prescribed by standing order and dispensed by a pharmacist pursuant to section 155A.47, for up to an initial three-month supply of the self-administered hormonal contraceptive dispensed at one time and for up to a twelve-month supply of the same self-administered hormonal contraceptive subsequently dispensed at one time, but shall only provide for coverage of a self-administered hormonal contraceptive as prescribed by a practitioner following the applicable standard of care for the prescribing of a self-administered hormonal contraceptive.>
   5.  Title page, line 1, after <of> by inserting <and health care coverage related to>
   6.  By renumbering as necessary.

______________________________
SALMON of Black Hawk

______________________________
JACOBSEN of Pottawattamie

______________________________
CISNEROS of Muscatine