House File 342 - Introduced
HOUSE FILE
BY HEATON, GRASSLEY, FOEGE, DEYOE,
SMITH, UPMEYER, and HEDDENS
Passed House, Date Passed Senate, Date
Vote: Ayes Nays Vote: Ayes Nays
Approved
A BILL FOR
1 An Act relating to providing services and support opportunities
2 to individuals with disabilities.
3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
4 TLSB 1787YH 82
5 pf/je/5
PAG LIN
1 1 Section 1. Section 249A.3, subsection 2, Code 2007, is
1 2 amended by adding the following new paragraph:
1 3 NEW PARAGRAPH. l. As allowed under the federal Deficit
1 4 Reduction Act of 2005, Pub. L. No. 109=171, section 6062,
1 5 individuals who are less than nineteen years of age on a
1 6 phased=in basis, who meet the federal supplemental security
1 7 income program rules for disability but whose income or
1 8 resources exceed such program rules, who are members of
1 9 families whose income is at or below three hundred percent of
1 10 the most recently revised official poverty guidelines
1 11 published by the United States department of health and human
1 12 services for the family, and whose parent complies with the
1 13 requirements relating to family coverage offered by the
1 14 parent's employer and any premium requirements adopted by rule
1 15 of the department. The rules adopted by the department shall
1 16 provide that premiums charged shall not exceed five percent of
1 17 family income for families with incomes up to two hundred
1 18 percent of the most recently revised official poverty
1 19 guidelines and not more than seven and one=half percent of
1 20 family income for families with incomes from two hundred
1 21 through three hundred percent of the most recently revised
1 22 official poverty guidelines. The rules shall also provide
1 23 that the premium may be waived if payment would create an
1 24 undue hardship.
1 25 Sec. 2. HOME AND COMMUNITY=BASED ALTERNATIVES TO
1 26 PSYCHIATRIC RESIDENTIAL TREATMENT FACILITIES FOR CHILDREN. As
1 27 provided under the federal Deficit Reduction Act of 2005, Pub.
1 28 L. No. 109=171, section 6063, the department of human services
1 29 shall seek a waiver to participate in a demonstration project
1 30 to test the effectiveness in improving or maintaining a
1 31 child's functional level and the cost effectiveness of
1 32 providing coverage of home and community=based alternatives to
1 33 psychiatric residential treatment for children for individuals
1 34 under twenty=one years of age who are enrolled in the medical
1 35 assistance program.
2 1 Sec. 3. DEVELOPMENT AND SUPPORT OF FAMILY=TO=FAMILY HEALTH
2 2 INFORMATION CENTER.
2 3 1. As provided under the federal Deficit Reduction Act of
2 4 2005, Pub. L. No. 109=171, section 6064, the department of
2 5 human services shall aggressively pursue the establishment of
2 6 a family=to=family health information center in Iowa. The
2 7 center shall provide for all of the following:
2 8 a. Assistance to families of children with disabilities or
2 9 special health care needs to make informed choices about
2 10 health care in order to promote good treatment decisions,
2 11 cost=effectiveness, and improved health outcomes for such
2 12 children.
2 13 b. Information regarding health care needs of and
2 14 resources available for such children.
2 15 c. Identification of successful health delivery models for
2 16 such children.
2 17 d. Development, with representatives of health care
2 18 providers, managed care organizations, health care purchasers,
2 19 and appropriate state agencies, of a model for collaboration
2 20 between families of such children and health professionals.
2 21 e. Training and guidance regarding caring for such
2 22 children.
2 23 f. Conducting of outreach activities to the families of
2 24 such children, health professionals, schools, and other
2 25 appropriate entities and individuals.
2 26 2. The center shall be staffed by families of children
2 27 with disabilities or special health care needs who have
2 28 expertise in federal and state public and private health care
2 29 systems and by health professionals.
2 30 Sec. 4. PRESUMPTIVE ELIGIBILITY FOR CERTAIN SUPPLEMENTAL
2 31 SECURITY INCOME BENEFICIARIES. Pursuant to the federal
2 32 Deficit Reduction Act of 2005, Pub. L. No. 109=171, section
2 33 6065, the department of human services shall adopt rules,
2 34 pursuant to chapter 17A, to provide presumptive eligibility,
2 35 on the latter of the date of application or the date federal
3 1 supplemental security income is granted, under the medical
3 2 assistance program for individuals under twenty=one years of
3 3 age who meet the presumptive eligibility requirements under
3 4 the federal supplemental security income program.
3 5 EXPLANATION
3 6 This bill directs the department of human services to
3 7 implement certain provisions specified in the federal Deficit
3 8 Reduction Act of 2005 for individuals with disabilities.
3 9 The bill directs the department to implement the Medicaid
3 10 buy=in provision for individuals under 19 years of age with
3 11 disabilities whose family income or resources are at or below
3 12 300 percent of the federal poverty level. In order to be
3 13 eligible for the program the parent of the individual would be
3 14 required to comply with provisions relating to family coverage
3 15 offered by the parent's employer and any premium requirements
3 16 adopted by rule of the department. Premium amounts would be
3 17 limited to not more than 5 percent of family income for
3 18 families with incomes up to 200 percent of the federal poverty
3 19 level and not more than 7.5 percent of family income for
3 20 families with incomes from 200 through 300 percent of the
3 21 federal poverty level. Additionally, the rules regarding
3 22 premiums would provide that the premium may be waived if
3 23 payment would create an undue hardship.
3 24 The bill directs the department of human services to seek a
3 25 waiver to participate in a demonstration project to test the
3 26 effectiveness in improving or maintaining a child's functional
3 27 level and the cost effectiveness of providing coverage of home
3 28 and community=based alternatives to psychiatric residential
3 29 treatment for children for individuals under 21 years of age
3 30 who are enrolled in the medical assistance program.
3 31 The bill requires the department of human services to
3 32 aggressively pursue the establishment of a family=to=family
3 33 health information center in Iowa to provide assistance to
3 34 families of children with disabilities or special health care
3 35 needs to make informed choices about health care in order to
4 1 promote good treatment decisions, cost=effectiveness, and
4 2 improved health outcomes for such children. The center would
4 3 be staffed by families of children with disabilities or
4 4 special health care needs who have expertise in federal and
4 5 state public and private health care systems and by health
4 6 professionals.
4 7 The bill directs the department of human services to adopt
4 8 rules to provide presumptive eligibility under the medical
4 9 assistance program for individuals under 21 years of age who
4 10 meet the presumptive eligibility requirements under the
4 11 federal supplemental security income program.
4 12 LSB 1787YH 82
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