H-1182

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

______________________________
ZABNER of Johnson