House File 948 H-1182 Amend House File 948 as follows: 1 1. By striking everything after the enacting clause and 2 inserting: 3 < Section 1. MANAGED CARE ORGANIZATIONS CONTRACTS —— MEDICAL 4 ASSISTANCE PROGRAM AND HAWKI ADMINISTRATION. 5 1. a. On or after July 1, 2025, the department of health 6 and human services shall not enter into, continue, extend, 7 amend, or renew a contract with a managed care organization to 8 administer the medical assistance program under chapter 249A, 9 or the healthy and well kids in Iowa (Hawki) program under 10 chapter 514I. 11 b. Upon the expiration or termination of a contract entered 12 into on or before June 30, 2025, by a managed care organization 13 and the department of health and human services to administer 14 the medical assistance program under chapter 249A, or the 15 healthy and well kids in Iowa (Hawki) program under chapter 16 514I, the department of health and human services shall 17 transition the administration of the medical assistance program 18 and Hawki from managed care to fee-for-service. 19 2. Within thirty calendar days of the effective date of 20 this division of this Act, the department of health and human 21 services shall submit any waiver or state plan amendment 22 necessary to the centers of Medicare and Medicaid services 23 of the United States department of health and human services 24 for approval to transition the administration of the medical 25 assistance program under chapter 249A, and the healthy and well 26 kids in Iowa (Hawki) program under chapter 514I, from managed 27 care to fee-for-service. 28 Sec. 2. TRANSITION OVERSIGHT. The legislative council’s 29 legislative health policy oversight committee shall provide 30 oversight for the transition of the administration of the 31 medical assistance program and the healthy and well kids in 32 Iowa (Hawki) program from managed care to fee-for-service. 33 Sec. 3. RULES. The department of health and human services 34 shall adopt rules pursuant to chapter 17A to implement and 35 -1- HF 948.1076 (2) 91 lh/ko 1/ 2 #1.
administer the transition of the administration of the medical 1 assistance program under chapter 249A, and the healthy and well 2 kids in Iowa (Hawki) program under chapter 514I, from managed 3 care to fee-for-service. 4 Sec. 4. LEGISLATIVE PROPOSALS. The department of health 5 and human services shall submit legislative proposals, in due 6 course, to the senate and house of representatives standing 7 committees on health and human services to amend the Iowa Code 8 to delete redundancies, resolve inconsistencies and conflicts, 9 and remove any ambiguities in order to fully implement this 10 Act. 11 Sec. 5. EFFECTIVE DATE. This Act, being deemed of immediate 12 importance, takes effect upon enactment. > 13 2. Title page, by striking lines 1 through 5 and inserting 14 < An Act relating to the transition of the administration of 15 the medical assistance program and Hawki from managed care to 16 fee-for-service, and including effective date provisions. > 17 ______________________________ ZABNER of Johnson -2- HF 948.1076 (2) 91 lh/ko 2/ 2 #2.