House File 2309 - Enrolled House File 2309 AN ACT RELATING TO REIMBURSEMENT FOR DUALLY ELIGIBLE MEDICARE AND MEDICAID BENEFICIARIES RECEIVING THE MEDICARE HOSPICE BENEFIT IN A NURSING FACILITY. BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: Section 1. DUALLY ELIGIBLE MEDICARE AND MEDICAID BENEFICIARIES RECEIVING HOSPICE BENEFIT IN A NURSING FACILITY —— OPTIONS FOR ELIMINATION OF PASS-THROUGH PAYMENT. The department of human services, after consulting with affected providers and stakeholders, shall pursue options for the payment of the nursing facility room and board expenses for a dually eligible Medicare and Medicaid member receiving the Medicare hospice benefit, to allow Medicaid managed care organizations and the department’s fee-for-service Medicaid payment system to reimburse the nursing facility directly for the room and board expenses rather than indirectly as a pass-through payment from the hospice services provider. The department of human services shall report all options identified to the chairpersons and ranking members of the joint appropriations subcommittee on health and human services, the

House File 2309, p. 2 legislative services agency, and the legislative caucus staffs on or before October 1, 2018. ______________________________ LINDA UPMEYER Speaker of the House ______________________________ CHARLES SCHNEIDER President of the Senate I hereby certify that this bill originated in the House and is known as House File 2309, Eighty-seventh General Assembly. ______________________________ CARMINE BOAL Chief Clerk of the House Approved _______________, 2018 ______________________________ KIM REYNOLDS Governor