Senate File 2149 - Introduced SENATE FILE 2149 BY RAGAN , MATHIS , JOCHUM , McCOY , ALLEN , KINNEY , BOWMAN , DOTZLER , DVORSKY , BISIGNANO , LYKAM , BOULTON , BOLKCOM , HOGG , DANIELSON , PETERSEN , HART , TAYLOR , D. JOHNSON , and QUIRMBACH A BILL FOR An Act relating to supplemental reimbursement for publicly 1 owned or operated ground emergency medical transportation 2 providers through the Medicaid program, and including 3 effective date provisions. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 TLSB 6052XS (4) 87 pf/rh

S.F. 2149 Section 1. DEPARTMENT OF HUMAN SERVICES —— SUBMISSION OF 1 MEDICAID STATE PLAN AMENDMENT —— SUPPLEMENTAL REIMBURSEMENT FOR 2 ELIGIBLE GROUND EMERGENCY MEDICAL TRANSPORTATION SERVICES. 3 1. By July 1, 2018, the department of human services 4 shall submit a Medicaid state plan amendment to the 5 centers for Medicare and Medicaid services of the United 6 States department of health and human services to request 7 authorization to establish and administer a methodology to 8 provide supplemental reimbursement to eligible ground emergency 9 medical transportation providers that provide ground emergency 10 medical transportation services to Medicaid beneficiaries. 11 Supplemental reimbursements shall be available only for the 12 uncompensated care costs incurred by eligible ground emergency 13 medical transportation providers for providing ground emergency 14 medical transportation services to Medicaid beneficiaries. 15 The department shall implement applicability of the 16 supplemental reimbursement to eligible ground emergency medical 17 transportation providers upon receipt of federal approval. 18 2. For the purposes of this section: 19 a. “Advanced life support” means special services designed 20 to provide definitive prehospital emergency medical care, 21 including but not limited to cardiopulmonary resuscitation, 22 cardiac monitoring, cardiac defibrillation, advanced airway 23 management, intravenous therapy, administration of drugs and 24 other medicinal preparations, and other specified techniques 25 and procedures. 26 b. “Basic life support” means emergency first aid and 27 cardiopulmonary resuscitation procedures to maintain life 28 without invasive techniques. 29 c. “Eligible ground emergency medical transportation 30 provider” means a provider who is eligible to receive 31 supplemental payments, provides ground emergency medical 32 transportation services to Medicaid beneficiaries continuously 33 during the claiming period, is enrolled as a Medicaid provider 34 during the period being claimed, and is owned or operated by an 35 -1- LSB 6052XS (4) 87 pf/rh 1/ 2

S.F. 2149 eligible governmental entity, including but not limited to the 1 state, a city, county, city and county, or fire district. 2 d. “Ground emergency medical transportation services” means 3 both the act of transporting an individual from any point of 4 origin to the nearest medical facility capable of meeting the 5 emergency medical needs of the individual, as well as the 6 advanced life support, limited-advanced life support, and basic 7 life support services provided to an individual by ground 8 emergency medical transportation providers before or during the 9 act of transportation. 10 e. “Limited advanced life support” means special services 11 to provide prehospital emergency medical care limited to 12 techniques and procedures that exceed basic life support but 13 are less than advanced life support services. 14 Sec. 2. EFFECTIVE DATE. This Act, being deemed of immediate 15 importance, takes effect upon enactment. 16 EXPLANATION 17 The inclusion of this explanation does not constitute agreement with 18 the explanation’s substance by the members of the general assembly. 19 This bill directs the department of human services, 20 by July 1, 2018, to submit a state plan amendment to the 21 centers for Medicare and Medicaid services of the United 22 States department of health and human services to request 23 authorization to establish and administer a methodology to 24 provide supplemental reimbursement to eligible ground emergency 25 medical transportation providers. Supplemental reimbursements 26 provided by the program shall be available only for the 27 uncompensated care costs incurred by eligible ground emergency 28 medical transportation providers. The bill takes effect upon 29 enactment. 30 -2- LSB 6052XS (4) 87 pf/rh 2/ 2