House File 426 - Introduced
HOUSE FILE
BY T. TAYLOR, BERRY, COHOON,
PETTENGILL, WHITEAD, LYKAM, MERTZ,
HUNTER, WESSEL=KROESCHELL,
D. TAYLOR, MURPHY, BUKTA, WHITAKER,
HEDDENS, WINCKLER, ZIRKELBACH,
SCHUELLER, SMITH, SHOULTZ, MASCHER,
FOEGE, DAVITT, and JOCHUM
Passed House, Date Passed Senate, Date
Vote: Ayes Nays Vote: Ayes Nays
Approved
A BILL FOR
1 An Act relating to information required to be provided and
2 published relative to health care benefits provided through
3 public funds or which are uncompensated and providing an
4 effective date.
5 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
6 TLSB 1519HH 81
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PAG LIN
1 1 UNCOMPENSATED CARE
1 2 Section 1. NEW SECTION. 135M.1 PATIENT INFORMATION
1 3 REQUIRED == UNCOMPENSATED CARE.
1 4 1. An individual who is the recipient of health care
1 5 services in a hospital and is uninsured shall disclose to the
1 6 hospital the identity of the employer of the proposed
1 7 beneficiary of health care benefits. If the proposed
1 8 beneficiary of health care benefits is not employed, the
1 9 individual shall identify the employer of any adult who is
1 10 responsible for providing support to the proposed beneficiary.
1 11 2. On or before January 1, 2007, and on or before January
1 12 1 annually thereafter, each hospital shall submit a report to
1 13 the department of human services providing the information
1 14 collected under subsection 1 in a compiled format. The
1 15 reports submitted shall be used by the department of human
1 16 services to compile the report required pursuant to section
1 17 217.30A. The department of human services shall adopt rules
1 18 regarding the form to be used and the information to be
1 19 collected under subsection 1. Information collected shall not
1 20 include the name of any individual proposed beneficiary and
1 21 shall be collected in a manner that complies with all privacy
1 22 standards established by state or federal law.
1 23 3. For purposes of this section, "proposed beneficiary"
1 24 means an individual who receives health care services in a
1 25 hospital who is uninsured or the person on whose behalf the
1 26 individual receives health care benefits through the hospital,
1 27 including but not limited to a child or other dependent of the
1 28 individual.
1 29 Sec. 2. NEW SECTION. 217.30A REPORT ON HEALTH CARE
1 30 BENEFICIARIES.
1 31 1. On or before January 15, 2007, and on or before each
1 32 January 15 annually thereafter, the department of human
1 33 services shall submit a report to the governor and the general
1 34 assembly specifying all employers identified pursuant to
1 35 sections 135M.1, 249A.3A, and 514I.12 that, combined, employ
2 1 twenty=five or more proposed beneficiaries as defined in those
2 2 sections. In determining whether an employer meets the
2 3 threshold of employing twenty=five or more proposed
2 4 beneficiaries, the department of human services shall include
2 5 all proposed beneficiaries employed by the employer and its
2 6 subsidiaries at all locations within the state. The report
2 7 shall include the name of the employer, the location of the
2 8 employer, and the total number of the employer's employees and
2 9 dependents of employees who are proposed beneficiaries. The
2 10 report shall also include the total cost to the state for
2 11 providing health care benefits to the employees and dependents
2 12 of the employees of the employers identified. The report
2 13 shall not include the name of any individual proposed
2 14 beneficiary and shall comply with all privacy standards
2 15 established by state or federal law. The report shall also be
2 16 made available to the public.
2 17 2. The department of human services shall adopt rules
2 18 pursuant to chapter 17A to implement this section.
2 19 Sec. 3. NEW SECTION. 249A.3A APPLICANT INFORMATION
2 20 REQUIRED == PUBLISHING INFORMATION.
2 21 1. An applicant for the medical assistance program shall
2 22 disclose the identity of the employer of the proposed
2 23 beneficiary of health care benefits. If the proposed
2 24 beneficiary is not employed, the applicant shall identify the
2 25 employer of any adult who is responsible for providing support
2 26 to the proposed beneficiary.
2 27 2. On or before January 1, 2007, and on or before January
2 28 1 annually thereafter, the department shall compile the
2 29 information collected under subsection 1. The information
2 30 compiled shall be used by the department of human services to
2 31 compile the report required pursuant to section 217.30A. The
2 32 department of human services shall adopt rules regarding the
2 33 form to be used and the information to be collected under
2 34 subsection 1. Information collected shall not include the
2 35 name of any individual proposed beneficiary and shall be
3 1 collected in a manner that complies with all privacy standards
3 2 established by state or federal law.
3 3 3. For the purposes of this section, "proposed
3 4 beneficiary" means an individual who files an application for
3 5 medical assistance for the individual or the person on whose
3 6 behalf the individual files an application, including but not
3 7 limited to a child or other dependent of the applicant or
3 8 other individual for whom the application is filed.
3 9 Sec. 4. NEW SECTION. 514I.12 APPLICANT INFORMATION
3 10 REQUIRED == PUBLISHING INFORMATION.
3 11 1. An applicant for the hawk=i program shall disclose the
3 12 identity of the employer of the proposed beneficiary of health
3 13 care benefits. If the proposed beneficiary is not employed,
3 14 the applicant shall identify the employer of any adult who is
3 15 responsible for providing support to the proposed beneficiary.
3 16 2. On or before January 1, 2007, and on or before January
3 17 1 annually thereafter, the department shall compile the
3 18 information collected under subsection 1. The information
3 19 submitted shall be used by the department of human services to
3 20 compile the report required pursuant to section 217.30A. The
3 21 department of human services shall adopt rules regarding the
3 22 form to be used and the information to be collected under
3 23 subsection 1. Information collected shall not include the
3 24 name of any individual proposed beneficiary and shall be
3 25 collected in a manner that complies with all privacy standards
3 26 established by state or federal law.
3 27 3. For the purposes of this section, "proposed
3 28 beneficiary" means an individual who files an application for
3 29 the hawk=i program for the individual or the person on whose
3 30 behalf the individual files an application, including but not
3 31 limited to a child or other dependent of the applicant or
3 32 other individual for whom the application is filed.
3 33 Sec. 5. EFFECTIVE DATE. This Act takes effect January 1,
3 34 2006.
3 35 EXPLANATION
4 1 This bill requires individuals who are the recipients of
4 2 health care services in a hospital and are uninsured to
4 3 disclose the identity of the employer of the proposed
4 4 beneficiary of health care benefits. If the proposed
4 5 beneficiary of health care benefits is not employed, the
4 6 individual is required to identify the employer of any adult
4 7 who is responsible for providing support to the proposed
4 8 beneficiary. The bill also requires that an applicant for the
4 9 medical assistance program or the hawk=i program disclose the
4 10 identity of the employer of the proposed beneficiary of health
4 11 care benefits. If the proposed beneficiary is not employed,
4 12 the applicant is required to identify the employer of any
4 13 adult who is responsible for providing support to the proposed
4 14 beneficiary. The required provision of information is to
4 15 begin January 1, 2006.
4 16 The bill provides that on or before January 1, 2007, and on
4 17 or before January 1 annually thereafter, each hospital is
4 18 required to compile the information submitted by individuals
4 19 regarding employers and submit a report of this information to
4 20 the department of human services. Additionally, on or before
4 21 January 1, 2007, and on or before January 1 annually
4 22 thereafter, the information submitted by applicants for
4 23 medical assistance or the hawk=i program regarding employers
4 24 is to be compiled by the department of human services.
4 25 The bill then provides that beginning January 15, 2007, and
4 26 each January 15 annually thereafter, the department of human
4 27 services is to submit a report to the governor and the general
4 28 assembly specifying all employers identified by hospitals or
4 29 the Medicaid or hawk=i programs that, combined, employ 25 or
4 30 more proposed beneficiaries. The report is to include the
4 31 name of the employer, the location of the employer, and the
4 32 total number of the employer's employees and dependents of
4 33 employees who are proposed beneficiaries. The report is also
4 34 to include the total cost to the state for providing health
4 35 care benefits to the employees and dependents of the employees
5 1 of the employers identified. The report is not to include the
5 2 names of any individual proposed beneficiary and is also to
5 3 comply with all privacy standards established by state or
5 4 federal law. The bill also provides that the report is to be
5 5 made available to the public.
5 6 The bill takes effect January 1, 2006.
5 7 LSB 1519HH 81
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