House File 565
HOUSE FILE
BY COMMITTEE ON HUMAN RESOURCES
(SUCCESSOR TO HF 49)
Passed House, Date Passed Senate, Date
Vote: Ayes Nays Vote: Ayes Nays
Approved
A BILL FOR
1 An Act relating to the healthy and well kids in Iowa program.
2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
3 TLSB 1058HV 80
4 pf/sh/8
PAG LIN
1 1 Section 1. Section 514I.4, subsection 4, Code 2003, is
1 2 amended to read as follows:
1 3 4. The department shall do or shall provide for all of the
1 4 following:
1 5 a. Develop a program application form not to exceed two
1 6 pages in length, which is consistent with the rules of the
1 7 board, which is easy to understand, complete, and concise, and
1 8 which, to the greatest extent possible, coordinates with the
1 9 medical assistance program.
1 10 b. Establish the family cost sharing amount, based on a
1 11 sliding fee scale, if established by amounts of not less than
1 12 ten dollars per individual and twenty dollars per family, if
1 13 not otherwise prohibited by federal law, with the approval of
1 14 the board.
1 15 c. Perform annual, random reviews of enrollee applications
1 16 to ensure compliance with program eligibility and enrollment
1 17 policies. Quality assurance reports shall be made to the
1 18 board and the department based upon the data maintained by the
1 19 administrative contractor.
1 20 c. d. Perform other duties as determined by the department
1 21 with the approval of the board.
1 22 Sec. 2. Section 514I.5, subsection 1, unnumbered paragraph
1 23 1, Code 2003, is amended to read as follows:
1 24 A HAWK=I board for the HAWK=I program is established. The
1 25 board shall meet not less than ten six and not more than
1 26 twelve times annually, for the purposes of establishing policy
1 27 for, directing the department on, and adopting rules for the
1 28 program. The board shall consist of seven members, including
1 29 all of the following:
1 30 Sec. 3. Section 514I.5, subsection 7, paragraphs d and e,
1 31 Code 2003, are amended to read as follows:
1 32 d. Develop, with the assistance of the department, an
1 33 outreach plan, and provide for periodic assessment of the
1 34 effectiveness of the outreach plan. The plan shall provide
1 35 outreach to families of children likely to be eligible for
2 1 assistance under the program, to inform them of the
2 2 availability of and to assist the families in enrolling
2 3 children in the program. The outreach efforts may include,
2 4 but are not limited to, a comprehensive statewide media
2 5 campaign, solicitation of cooperation from programs, agencies,
2 6 and other persons who are likely to have contact with eligible
2 7 children, including but not limited to those associated with
2 8 the educational system, and the development of community plans
2 9 for outreach and marketing.
2 10 e. In consultation with the clinical advisory committee,
2 11 select a single, nationally recognized functional health
2 12 assessment form for an initial assessment of all eligible
2 13 assess the initial health status of children participating in
2 14 the program, establish a baseline for comparison purposes, and
2 15 develop appropriate indicators to measure the subsequent
2 16 health status of eligible children participating in the
2 17 program.
2 18 Sec. 4. Section 514I.5, subsection 7, paragraph i, Code
2 19 2003, is amended by striking the paragraph.
2 20 Sec. 5. Section 514I.5, subsection 7, paragraph l,
2 21 unnumbered paragraph 1, Code 2003, is amended to read as
2 22 follows:
2 23 Establish an advisory committee to make recommendations to
2 24 the board and to the general assembly on or before by January
2 25 1, 1999, annually concerning the provision of health insurance
2 26 coverage to children with special health care needs under the
2 27 program. The committee shall include individuals with
2 28 experience in, knowledge of, or expertise in this area. The
2 29 recommendations shall address, but are not limited to, all of
2 30 the following:
2 31 Sec. 6. Section 514I.5, subsection 8, paragraph h, Code
2 32 2003, is amended to read as follows:
2 33 h. The amount of any cost sharing under the program which
2 34 shall be assessed on a sliding fee scale based on family
2 35 income, which provides for a minimum amount of cost sharing,
3 1 and which complies with federal law.
3 2 Sec. 7. Section 514I.5, subsection 8, paragraph m, Code
3 3 2003, is amended by striking the paragraph.
3 4 Sec. 8. Section 514I.6, subsection 3, Code 2003, is
3 5 amended by striking the subsection.
3 6 Sec. 9. Section 514I.7, subsection 2, paragraph c, Code
3 7 2003, is amended to read as follows:
3 8 c. Forward names of children who appear to be eligible for
3 9 medical assistance or other public health insurance coverage
3 10 to local to the department of human services offices or other
3 11 appropriate person or agency for follow up follow=up and
3 12 retain the identifying data on children who are referred.
3 13 Sec. 10. Section 514I.7, subsection 2, paragraph h, Code
3 14 2003, is amended by striking the paragraph.
3 15 Sec. 11. Section 514I.8, subsection 2, paragraph e, Code
3 16 2003, is amended to read as follows:
3 17 e. Is not currently covered under or was not covered
3 18 within the prior six months under a group health plan as
3 19 defined in 42 U.S.C. } 300gg=91(a)(1) or other health benefit
3 20 plan, unless the coverage was involuntarily lost or unless
3 21 dropping the coverage is allowed by rule of the board.
3 22 Sec. 12. Section 514I.10, Code 2003, is amended to read as
3 23 follows:
3 24 514I.10 COST SHARING.
3 25 1. Cost sharing for eligible children whose family income
3 26 is at or below one hundred fifty percent of the federal
3 27 poverty level shall not exceed the standards permitted under
3 28 42 U.S.C. } 1396(o)(a)(3) or } 1396(o)(b)(1).
3 29 2. Cost sharing for eligible children whose family income
3 30 is between equals or exceeds one hundred fifty percent and two
3 31 hundred percent of the federal poverty level shall may include
3 32 a premium or copayment amount which is at least a minimum
3 33 amount but which does not exceed five percent of the annual
3 34 family income. The amount of the any premium or the copayment
3 35 amount shall be based on family income and size.
4 1 Sec. 13. MONITORING AND REPORTING REQUIREMENTS. The
4 2 department of human services shall monitor the effects of the
4 3 striking of section 514I.5, subsection 8, paragraph "m", by
4 4 this Act, until June 30, 2005. The department shall submit a
4 5 report to the general assembly annually on January 15, during
4 6 the period ending June 30, 2005, that includes the reporting
4 7 of any increased cost of the hawk=i program resulting from the
4 8 striking of the paragraph described in this section.
4 9 HF 565
4 10 pf/es/25