House File 136
HOUSE FILE
BY GREIMANN, PETERSEN, WISE,
HOGG, JOCHUM, MURPHY, MERTZ,
D. OLSON, REASONER, WHITEAD,
GASKILL, HEDDENS, DANDEKAR,
OLDSON, THOMAS, STRUYK, OSTERHAUS,
WINCKLER, SHOULTZ, LENSING, BERRY,
LYKAM, FORD, BUKTA, FOEGE, MASCHER,
MYERS, FALLON, DAVITT, T. TAYLOR,
WHITAKER, WENDT, MILLER, and
D. TAYLOR
Passed House, Date Passed Senate, Date
Vote: Ayes Nays Vote: Ayes Nays
Approved
A BILL FOR
1 An Act relating to the benefits included in the healthy and well
2 kids in Iowa program benefit package.
3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
4 TLSB 2115HH 80
5 pf/pj/5
PAG LIN
1 1 Section 1. Section 514I.5, subsection 8, paragraph e, Code
1 2 2003, is amended by adding the following new subparagraphs:
1 3 NEW SUBPARAGRAPH. (15) Care coordination. For the
1 4 purposes of this subparagraph, "care coordination" means
1 5 coordinating the provision of services to children and
1 6 families to ensure that the children receive health care
1 7 services by promoting the coordination of social supports and
1 8 medical services across organizations and providers. Care
1 9 coordination may include but is not limited to educating
1 10 families about the services provided under the family's health
1 11 insurance coverage plan; assisting families in selecting
1 12 providers; assisting families with scheduling of health care
1 13 appointments, transportation to attend health care
1 14 appointments, and translation during health care appointments;
1 15 and assisting families in accessing community support
1 16 services.
1 17 NEW SUBPARAGRAPH. (16) Dental services, including the
1 18 coverage of partial dentures and dentures, with an annual
1 19 coverage maximum of one thousand five hundred dollars.
1 20 NEW SUBPARAGRAPH. (17) Mental health and substance abuse
1 21 benefits, including coverage of Axis I and Axis II diagnoses
1 22 as specified in the diagnostic and statistical manual of
1 23 mental disorders; coverage of the full continuum of
1 24 evaluation, treatment, and services; provision of adequate
1 25 provider panels; use of admission, discharge, continued stay,
1 26 and placement criteria specific to children and adolescents;
1 27 and the use of Iowa juvenile placement criteria for substance
1 28 abuse services.
1 29 NEW SUBPARAGRAPH. (18) Medically necessary nutrition
1 30 services provided by a licensed dietician based upon a
1 31 physician referral.
1 32 NEW SUBPARAGRAPH. (19) Occupational therapy services
1 33 provided by a licensed occupational therapist.
1 34 NEW SUBPARAGRAPH. (20) Case management for children with
1 35 special health care needs. For the purposes of this
2 1 subparagraph, "case management" means services intended to
2 2 coordinate various clinical services to ensure the best
2 3 clinical outcomes, and "children with special health care
2 4 needs" means children who have or are at increased risk for a
2 5 chronic physical, developmental, behavioral, or emotional
2 6 condition and who also require health and related services of
2 7 a type or amount beyond that required by children generally.
2 8 EXPLANATION
2 9 This bill adds benefits to the health program benefit
2 10 package of the healthy and well kids in Iowa program including
2 11 care coordination, dental services, mental health and
2 12 substance abuse benefits, institution services, occupational
2 13 therapy services, and case management for children with
2 14 special health care needs.
2 15 LSB 2115HH 80
2 16 pf/pj/5