Senate File 2074 - Introduced



                                       SENATE FILE       
                                       BY  MILLER


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

                                      A BILL FOR

  1 An Act relating to Medicaid reform through the use of managed
  2    care and opt=out provisions.
  3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
  4 TLSB 5868XS 81
  5 pf/sh/8

PAG LIN



  1  1    Section 1.  MEDICAID REFORM WAIVER.  The department of
  1  2 human services shall request a waiver from the centers for
  1  3 Medicare and Medicaid services of the United States department
  1  4 of health and human services to provide for capitated managed
  1  5 care under the Medicaid program which allows a Medicaid
  1  6 recipient to customize the recipient's benefits package to
  1  7 meet the unique needs of the recipient and to allow the
  1  8 Medicaid recipient to opt out of the Medicaid program and use
  1  9 a state=allocated premium to participate in the Medicaid
  1 10 recipient's employer=sponsored health care plan.  The waiver
  1 11 shall include provisions which encourage Medicaid recipients
  1 12 to engage in healthy lifestyles by allowing them to earn
  1 13 credits to be used for approved health=related expenses and
  1 14 which require participating health care plans to collect and
  1 15 report information such as consumer satisfaction and waiting
  1 16 times for customer assistance.  The department of human
  1 17 services shall report the progress regarding the waiver
  1 18 request to the general assembly on a periodic basis.
  1 19                           EXPLANATION
  1 20    This bill requires the department of human services to
  1 21 request a waiver from the centers for Medicare and Medicaid
  1 22 services of the United States department of health and human
  1 23 services to provide for capitated managed care under the
  1 24 Medicaid program which allows a Medicaid recipient to
  1 25 customize the recipient's benefits package to meet the unique
  1 26 needs of the recipient and to allow the Medicaid recipient to
  1 27 opt out of the Medicaid program and use a state=allocated
  1 28 premium to participate in the Medicaid recipient's employer=
  1 29 sponsored health care plan.  The waiver is to include
  1 30 provisions which encourage Medicaid recipients to engage in
  1 31 healthy lifestyles by allowing them to earn credits to be used
  1 32 for approved health=related expenses and which require
  1 33 participating health care plans to collect and report
  1 34 information such as consumer satisfaction and waiting times
  1 35 for customer assistance.  The bill directs the department of
  2  1 human services to report the progress regarding the waiver
  2  2 request to the general assembly on a periodic basis.
  2  3 LSB 5868XS 81
  2  4 pf:rj/sh/8