House Study Bill 623 



                                       HOUSE FILE       
                                       BY  (PROPOSED COMMITTEE ON
                                            HUMAN RESOURCES BILL BY
                                            CHAIRPERSON SMITH)


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

                                      A BILL FOR

  1 An Act relating to communications and patient transfers among
  2    providers and payers for the IowaCare program.
  3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
  4 TLSB 5090HC 82
  5 pf/nh/5

PAG LIN



  1  1    Section 1.  Section 249J.5, Code 2007, is amended by adding
  1  2 the following new subsection:
  1  3    NEW SUBSECTION.  8A.  The department shall establish
  1  4 procedures for transmitting approval of an individual as
  1  5 eligible for membership in the expansion population to a
  1  6 provider included in the expansion population provider network
  1  7 by a variety of means including but not limited to electronic
  1  8 media and facsimile transmission.  If a provider included in
  1  9 the expansion population provider network receives an approved
  1 10 means of transmittal, the provider shall accept the individual
  1 11 as a member of the expansion population.  If the department
  1 12 transmits an approval by approved means, the department shall
  1 13 pay any claims resulting from the transmittal.
  1 14    Sec. 2.  Section 249J.7, Code 2007, is amended by adding
  1 15 the following new subsection:
  1 16    NEW SUBSECTION.  6.  Providers included in the expansion
  1 17 population provider network shall adopt procedures for the
  1 18 transfer of expansion population members between the providers
  1 19 and shall not delay any transfer if the patient is an approved
  1 20 expansion population member.
  1 21                           EXPLANATION
  1 22    This bill relates to procedures under the IowaCare program.
  1 23 The bill directs the department of human services to establish
  1 24 procedures for transmitting approval of an individual as
  1 25 eligible for membership in the expansion population to a
  1 26 provider included in the expansion population provider network
  1 27 by a variety of means including but not limited to electronic
  1 28 media and facsimile transmission.  If the provider receives an
  1 29 approved means of transmittal, the provider shall accept the
  1 30 individual as a member of the expansion population.  If the
  1 31 department transmits an approval by approved means, the
  1 32 department shall pay any claims resulting from the
  1 33 transmittal.
  1 34    The bill also directs providers included in the expansion
  1 35 population provider network to adopt procedures for the
  2  1 transfer of expansion population members between the providers
  2  2 and prohibits delay of any transfer if the patient is an
  2  3 approved expansion population member.
  2  4 LSB 5090HC 82
  2  5 pf/nh/5