Senate Joint Resolution 4

                                  SENATE JOINT RESOLUTION       
                                  BY  KRAMER


    Passed Senate, Date               Passed House,  Date             
    Vote:  Ayes        Nays           Vote:  Ayes        Nays         
                 Approved                            

                                SENATE JOINT RESOLUTION

  1 A Joint Resolution proposing redesign of the Medicaid system.
  2    WHEREAS, Iowa's current medical assistance program cannot be
  3 sustained in a manner that provides care for participants at the
  4 current rate of growth as demonstrated by cost increases of more
  5 than two percent per enrollee per month for the previous two
  6 years; and
  7    WHEREAS, Iowans deserve a health care safety net that provides
  8 health care that is timely, effective, and responsive to their
  9 specific needs; and
 10    WHEREAS, Iowans would be better served if the current medical
 11 assistance program were redesigned to create insurance=like
 12 products that meets their needs; and
 13    WHEREAS, Iowans would be better served, at a lower cost to
 14 taxpayers, if persons who are at risk of becoming medical
 15 assistance recipients due to their income, health, and current
 16 insurance status could be identified and insured; and
 17    WHEREAS, Iowa's children and families would benefit from the
 18 use of a medical home model that links children and families to
 19 an ongoing source of medical care that ensures access to and
 20 appropriate utilization of medical services including preventive
 21 services; and
 22    WHEREAS, Iowa's senior population should have more options
 23 available to address their health care needs, including home and
 24 community=based services and assisted living; NOW THEREFORE,
 25 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
  1 TLSB 2909SS 80
  2 pf/cl/14

PAG LIN

  1  1    Section 1.  A unified group including the governor, the
  1  2 general assembly, and the department of human services shall
  1  3 seek all waivers necessary from the centers for medicare and
  1  4 medicaid of the United States department of health and human
  1  5 services so that Iowa will become a laboratory for the nation
  1  6 in redesigning the medical assistance program.  The redesign
  1  7 shall provide for such measures as state=funded health care
  1  8 spending accounts for families on medical assistance that
  1  9 provide incentives for effective health care cost management;
  1 10 providing an insurance=like benefit package for those
  1 11 individuals with extensive medical needs that emphasizes
  1 12 flexible and preventive care through case management; moving
  1 13 to an acuity=based reimbursement system for dually eligible
  1 14 seniors; and developing an evidence=based pharmaceutical
  1 15 program.
  1 16    Sec. 2.  The department of human services shall adopt
  1 17 necessary rules to immediately implement the medical
  1 18 assistance program redesign upon receipt of approval from the
  1 19 centers for medicare and medicaid of the United States
  1 20 department of health and human services.
  1 21                           EXPLANATION
  1 22    This joint resolution relates to redesign of the medicaid
  1 23 system.  The joint resolution directs a unified group
  1 24 including the governor, the general assembly and the
  1 25 department of human services to seek all waivers necessary
  1 26 from the centers for medicare and medicaid services of the
  1 27 United States department of health and human services so that
  1 28 Iowa will become a laboratory for the nation in the redesign
  1 29 of the medical assistance program.  The joint resolution also
  1 30 directs the department of human services to adopt all
  1 31 necessary rules to immediately implement the medical
  1 32 assistance program redesign upon receipt of approval from the
  1 33 centers for medicare and medicaid services of the United
  1 34 States department of health and human services.
  1 35 LSB 2909SS 80
  2  1 pf/cl/14