Senate File 199 - Introduced
SENATE FILE
BY BOLKCOM
Passed Senate, Date Passed House, Date
Vote: Ayes Nays Vote: Ayes Nays
Approved
A BILL FOR
1 An Act relating to information required to be provided and
2 reported relative to the provision of health care benefits,
3 and providing an effective date.
4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
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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 == REPORTING INFORMATION.
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 is employed, the proposed beneficiary shall also
1 9 disclose whether the employment is full=time or part=time and
1 10 the number of hours worked per week. If the proposed
1 11 beneficiary of health care benefits is not employed, the
1 12 individual shall identify the employer of any adult who is
1 13 responsible for providing support to the proposed beneficiary.
1 14 2. On or before January 1, 2007, and on or before January
1 15 1 annually thereafter, each hospital shall submit a report to
1 16 the department of human services providing the information
1 17 collected under subsection 1 in a compiled format. The
1 18 reports submitted shall be used by the department of human
1 19 services to compile the report required pursuant to section
1 20 217.30A. The department of human services shall adopt rules
1 21 regarding the form to be used and the information to be
1 22 collected under subsection 1. Information collected shall not
1 23 include the name of any individual proposed beneficiary and
1 24 shall be collected in a manner that complies with all privacy
1 25 standards established by state or federal law.
1 26 3. For purposes of this section, "proposed beneficiary"
1 27 means an individual who receives health care services in a
1 28 hospital who is uninsured or the person on whose behalf the
1 29 individual receives health care benefits through the hospital,
1 30 including but not limited to a child or other dependent of the
1 31 individual.
1 32 Sec. 2. NEW SECTION. 217.30A REPORT ON HEALTH CARE
1 33 BENEFICIARIES.
1 34 1. On or before January 15, 2007, and on or before each
1 35 January 15 annually thereafter, the department of human
2 1 services shall submit a report to the governor and the general
2 2 assembly specifying all employers identified pursuant to
2 3 sections 135M.1, 249A.3A, 255.15A, and 514I.12 that, combined,
2 4 employ twenty=five or more proposed beneficiaries as defined
2 5 in those sections. In determining whether an employer meets
2 6 the threshold of employing twenty=five or more proposed
2 7 beneficiaries, the department of human services shall include
2 8 all proposed beneficiaries employed by the employer and its
2 9 subsidiaries at all locations within the state. The report
2 10 shall include the name of the employer, the location of the
2 11 employer, the total number of the employer's employees and
2 12 dependents of employees who are proposed beneficiaries, and
2 13 the total number of the employer's employees who are proposed
2 14 beneficiaries that are employed full=time, the total number
2 15 employed part=time, and the average number of hours worked by
2 16 the employees per week. The report shall also include the
2 17 total cost to the state for providing health care benefits to
2 18 the employees and dependents of the employees of the employers
2 19 identified. The report shall not include the name of any
2 20 individual proposed beneficiary and shall comply with all
2 21 privacy standards established by state or federal law. The
2 22 report shall also be made available to the public.
2 23 2. The department of human services shall adopt rules
2 24 pursuant to chapter 17A to implement this section.
2 25 Sec. 3. NEW SECTION. 249A.3A APPLICANT INFORMATION
2 26 REQUIRED == REPORTING INFORMATION.
2 27 1. An applicant for the medical assistance program shall
2 28 disclose the identity of the employer of the proposed
2 29 beneficiary of health care benefits. If the proposed
2 30 beneficiary is employed, the proposed beneficiary shall also
2 31 disclose whether the employment is full=time or part=time and
2 32 the number of hours worked per week. If the proposed
2 33 beneficiary is not employed, the applicant shall identify the
2 34 employer of any adult who is responsible for providing support
2 35 to the proposed beneficiary.
3 1 2. On or before January 1, 2007, and on or before January
3 2 1 annually thereafter, the department shall compile the
3 3 information collected under subsection 1. The information
3 4 compiled shall be used by the department of human services to
3 5 compile the report required pursuant to section 217.30A. The
3 6 department of human services shall adopt rules regarding the
3 7 form to be used and the information to be collected under
3 8 subsection 1. Information collected shall not include the
3 9 name of any individual proposed beneficiary and shall be
3 10 collected in a manner that complies with all privacy standards
3 11 established by state or federal law.
3 12 3. For the purposes of this section, "proposed
3 13 beneficiary" means an individual who files an application for
3 14 medical assistance for the individual or the person on whose
3 15 behalf the individual files an application, including but not
3 16 limited to a child or other dependent of the applicant or
3 17 other individual for whom the application is filed.
3 18 Sec. 4. NEW SECTION. 255.15A PATIENT INFORMATION
3 19 REQUIRED == REPORTING INFORMATION.
3 20 1. Any patient admitted to the university of Iowa
3 21 hospitals and clinics under this chapter shall disclose the
3 22 identity of the employer of the proposed beneficiary of health
3 23 care benefits. If the proposed beneficiary is employed, the
3 24 proposed beneficiary shall also disclose whether the
3 25 employment is full=time or part=time and the number of hours
3 26 worked per week. If the proposed beneficiary of health care
3 27 benefits is not employed, the individual shall identify the
3 28 employer of any adult who is responsible for providing support
3 29 to the proposed beneficiary.
3 30 2. On or before January 1, 2007, and on or before January
3 31 1, annually thereafter, the university of Iowa hospitals and
3 32 clinics shall submit a report to the department of human
3 33 services providing the information collected under subsection
3 34 1 in a compiled format. The reports submitted shall be used
3 35 by the department of human services to compile the report
4 1 required pursuant to section 217.30A. The department of human
4 2 services shall adopt rules regarding the form to be used and
4 3 the information to be collected under subsection 1.
4 4 Information collected shall not include the name of any
4 5 individual proposed beneficiary and shall be collected in a
4 6 manner that complies with all privacy standards established by
4 7 state or federal law.
4 8 3. For the purposes of this section, "proposed
4 9 beneficiary" means an individual who receives health care
4 10 services at the university of Iowa hospitals and clinics
4 11 pursuant to this chapter or the person on whose behalf the
4 12 individual receives health care benefits through the hospital,
4 13 including but not limited to a child or other dependent of the
4 14 individual.
4 15 Sec. 5. NEW SECTION. 514I.12 APPLICANT INFORMATION
4 16 REQUIRED == REPORTING INFORMATION.
4 17 1. An applicant for the hawk=i program shall disclose the
4 18 identity of the employer of the proposed beneficiary of health
4 19 care benefits. If the proposed beneficiary is employed, the
4 20 proposed beneficiary shall also disclose whether the
4 21 employment is full=time or part=time and the number of hours
4 22 worked per week. If the proposed beneficiary is not employed,
4 23 the applicant shall identify the employer of any adult who is
4 24 responsible for providing support to the proposed beneficiary.
4 25 2. On or before January 1, 2007, and on or before January
4 26 1 annually thereafter, the department shall compile the
4 27 information collected under subsection 1. The information
4 28 submitted shall be used by the department of human services to
4 29 compile the report required pursuant to section 217.30A. The
4 30 department of human services shall adopt rules regarding the
4 31 form to be used and the information to be collected under
4 32 subsection 1. Information collected shall not include the
4 33 name of any individual proposed beneficiary and shall be
4 34 collected in a manner that complies with all privacy standards
4 35 established by state or federal law.
5 1 3. For the purposes of this section, "proposed
5 2 beneficiary" means an individual who files an application for
5 3 the hawk=i program for the individual or the person on whose
5 4 behalf the individual files an application, including but not
5 5 limited to a child or other dependent of the applicant or
5 6 other individual for whom the application is filed.
5 7 Sec. 6. EFFECTIVE DATE. This Act takes effect January 1,
5 8 2006.
5 9 EXPLANATION
5 10 This bill requires individuals who are the recipients of
5 11 health care services in a hospital and are uninsured to
5 12 disclose the identity of the employer of the proposed
5 13 beneficiary of health care benefits. If the proposed
5 14 beneficiary is employed, the proposed beneficiary is also to
5 15 disclose whether the employment is full=time or part=time and
5 16 the number of hours worked per week. If the proposed
5 17 beneficiary of health care benefits is not employed, the
5 18 individual is required to identify the employer of any adult
5 19 who is responsible for providing support to the proposed
5 20 beneficiary. The bill also requires that an applicant for the
5 21 medical assistance program, the indigent patient program, or
5 22 the hawk=i program disclose the identity of the employer of
5 23 the proposed beneficiary of health care benefits. If the
5 24 proposed beneficiary is employed, the proposed beneficiary is
5 25 also to disclose whether the employment is full=time or part=
5 26 time and the number of hours worked per week. If the proposed
5 27 beneficiary is not employed, the applicant is required to
5 28 identify the employer of any adult who is responsible for
5 29 providing support to the proposed beneficiary. The required
5 30 provision of information is to begin January 1, 2006.
5 31 The bill provides that on or before January 1, 2007, and on
5 32 or before January 1 annually thereafter, each hospital is
5 33 required to compile the information submitted by individuals
5 34 regarding employers and submit a report of this information to
5 35 the department of human services. Additionally, on or before
6 1 January 1, 2007, and on or before January 1 annually
6 2 thereafter, the information submitted by applicants for
6 3 medical assistance, the indigent patient program, or the hawk=
6 4 i program regarding employers is to be compiled by the
6 5 department of human services.
6 6 The bill then provides that beginning January 15, 2007, and
6 7 each January 15 annually thereafter, the department of human
6 8 services is to submit a report to the governor and the general
6 9 assembly specifying all employers identified by hospitals or
6 10 the Medicaid, indigent patient, or hawk=i programs that,
6 11 combined, employ 25 or more proposed beneficiaries. The
6 12 report is to include the name of the employer, the location of
6 13 the employer, the total number of the employer's employees and
6 14 dependents of employees who are proposed beneficiaries, and
6 15 the total number of the employer's employees who are proposed
6 16 beneficiaries who are employed full=time and part=time, and
6 17 the average number of hours worked per week. The report is
6 18 also to include the total cost to the state for providing
6 19 health care benefits to the employees and dependents of the
6 20 employees of the employers identified. The report is not to
6 21 include the names of any individual proposed beneficiary and
6 22 is also to comply with all privacy standards established by
6 23 state or federal law. The bill also provides that the report
6 24 is to be made available to the public.
6 25 The bill takes effect January 1, 2006.
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