House File 2021 - Introduced HOUSE FILE BY HEDDENS Passed House, Date Passed Senate, Date Vote: Ayes Nays Vote: Ayes Nays Approved A BILL FOR 1 An Act relating to the costs of services provided to persons with 2 mental retardation whose service costs are a state 3 responsibility. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 TLSB 5163HH 81 6 jp/je/5 PAG LIN 1 1 Section 1. Section 249A.12, Code Supplement 2005, is 1 2 amended by adding the following new subsection: 1 3 NEW SUBSECTION. 8. If a person with mental retardation 1 4 has no legal settlement or the legal settlement is unknown so 1 5 that the person is deemed to be a state case and the services 1 6 associated with the mental retardation can be covered under a 1 7 medical assistance program home and community=based services 1 8 waiver or other medical assistance program provision, the 1 9 department may transfer moneys to cover the nonfederal share 1 10 of the medical assistance program costs from an appropriation 1 11 made for state cases in a particular fiscal year to an 1 12 appropriation made for the medical assistance program in that 1 13 same fiscal year. The department shall act expeditiously to 1 14 obtain federal approval for additional waiver slots to cover 1 15 such state cases beginning at the earliest possible time in 1 16 the fiscal year, if such approval is necessary. 1 17 EXPLANATION 1 18 This bill relates to the costs of services provided to 1 19 persons with mental retardation whose service costs are a 1 20 state responsibility. 1 21 Code section 249A.12, relating to medical assistance 1 22 program benefits paid on behalf of persons with mental 1 23 retardation, is amended. The bill provides that if a person 1 24 with mental retardation has no legal settlement or the legal 1 25 settlement is unknown so that the person is deemed to be a 1 26 state case and the services associated with the mental 1 27 retardation can be covered under a medical assistance program 1 28 home and community=based services waiver or other medical 1 29 assistance program provision, the department of human services 1 30 may transfer moneys to cover the nonfederal share of the 1 31 medical assistance program costs from the appropriation made 1 32 for state cases to the appropriation made for the medical 1 33 assistance program. 1 34 The department is required to act expeditiously to obtain 1 35 federal approval for additional waiver slots to cover such 2 1 state cases beginning at the earliest possible time in the 2 2 fiscal year, if such approval is necessary. 2 3 LSB 5163HH 81 2 4 jp:nh/je/5