Senate Study Bill 3200 - Introduced SENATE FILE _____ BY (PROPOSED COMMITTEE ON APPROPRIATIONS BILL BY CHAIRPERSON DVORSKY) A BILL FOR An Act relating to reimbursement of community mental health 1 centers under the medical assistance program for the fiscal 2 year beginning July 1, 2013, and including effective date 3 and retroactive applicability provisions. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 TLSB 6121SC (2) 85 jp/rj
S.F. _____ Section 1. 2013 Iowa Acts, chapter 138, section 29, 1 subsection 1, paragraph n, is amended to read as follows: 2 n. For the fiscal year beginning July 1, 2013, the 3 reimbursement rates for inpatient mental health services 4 provided at hospitals shall be increased by 1 percent over the 5 rates in effect on June 30, 2013, subject to Medicaid program 6 upper payment limit rules; community mental health centers 7 and providers of mental health services to county residents 8 pursuant to a waiver approved under section 225C.7, subsection 9 3 , shall be reimbursed at 100 percent of the reasonable 10 costs for the provision of services to recipients of medical 11 assistance; and psychiatrists shall be reimbursed at the 12 medical assistance program fee-for-service rate. 13 Sec. 2. 2013 Iowa Acts, chapter 138, section 29, subsection 14 1, is amended by adding the following new paragraph: 15 NEW PARAGRAPH . 0o. For the fiscal year beginning July 16 1, 2013, community mental health centers may choose to be 17 reimbursed for the services provided to recipients of medical 18 assistance through either of the following options: 19 (1) For 100 percent of the reasonable costs of the services. 20 (2) In accordance with the alternative reimbursement rate 21 methodology established by the medical assistance program’s 22 managed care contractor for mental health services and approved 23 by the department of human services. 24 Sec. 3. EMERGENCY RULES. The department of human services 25 may adopt emergency rules under section 17A.4, subsection 3, 26 and section 17A.5, subsection 2, paragraph “b”, to implement 27 the provisions of this Act and the rules shall be effective 28 immediately upon filing unless a later date is specified in the 29 rules. Any rules adopted in accordance with this section shall 30 also be published as a notice of intended action as provided 31 in section 17A.4. 32 Sec. 4. EFFECTIVE UPON ENACTMENT. This Act, being deemed of 33 immediate importance, takes effect upon enactment. 34 Sec. 5. RETROACTIVE APPLICABILITY. This Act applies 35 -1- LSB 6121SC (2) 85 jp/rj 1/ 2
S.F. _____ retroactively to July 1, 2013. 1 EXPLANATION 2 The inclusion of this explanation does not constitute agreement with 3 the explanation’s substance by the members of the general assembly. 4 This bill relates to reimbursement of community mental 5 health centers under the medical assistance (Medicaid) program 6 for the fiscal year beginning July 1, 2013, by amending the 7 reimbursement provision in 2013 Iowa Acts, chapter 138 (SF 8 446). 9 Under SF 446, reimbursement for a service provided by a 10 community mental health center under the Medicaid program was 11 established at 100 percent of the reasonable costs of the 12 service. The bill allows a center to choose instead to be 13 reimbursed in accordance with the alternative reimbursement 14 rate methodology established by the Medicaid program’s managed 15 care contractor for mental health services that was approved by 16 the department of human services. 17 The department is authorized to adopt administrative rules 18 to implement the bill without using the regular notice and 19 review processes under Code chapter 17A. 20 The bill takes effect upon enactment and is retroactively 21 applicable to July 1, 2013. 22 -2- LSB 6121SC (2) 85 jp/rj 2/ 2