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