House File 520 - Introduced HOUSE FILE BY HEATON and UPMEYER Passed House, Date Passed Senate, Date Vote: Ayes Nays Vote: Ayes Nays Approved A BILL FOR 1 An Act relating to medical assistance program criteria for 2 admission to a psychiatric medical institution for children. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 4 TLSB 2662YH 82 5 pf/cf/24 PAG LIN 1 1 Section 1. Section 135H.3, Code 2007, is amended by adding 1 2 the following new unnumbered paragraph: 1 3 NEW UNNUMBERED PARAGRAPH. A child who is diagnosed with a 1 4 biologically based mental illness as defined in section 1 5 514C.22 and meets the medical assistance program criteria for 1 6 admission to a psychiatric medical institution for children 1 7 shall be deemed to meet the acuity criteria for inpatient 1 8 benefits under a group policy, contract, or plan providing for 1 9 third=party payment or prepayment of health, medical, and 1 10 surgical coverage benefits issued by a carrier, as defined in 1 11 section 513B.2, or by an organized delivery system authorized 1 12 under 1993 Iowa Acts, ch. 158, that is subject to section 1 13 514C.22. 1 14 EXPLANATION 1 15 This bill amends Code section 135H.3 to provide that a 1 16 child who is diagnosed with a biologically based mental 1 17 illness, as defined in new Code section 514C.22, and meets the 1 18 medical assistance program criteria for admission to a 1 19 psychiatric medical institution for children is deemed to meet 1 20 the acuity criteria for specified third=party payment of 1 21 inpatient benefits. 1 22 LSB 2662YH 82 1 23 pf:rj/cf/24