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 4 13 pf:nh/je/5