Senate
Study
Bill
3124
-
Introduced
SENATE
FILE
_____
BY
(PROPOSED
COMMITTEE
ON
HUMAN
RESOURCES
BILL
BY
CHAIRPERSON
SEGEBART)
A
BILL
FOR
An
Act
relating
to
primary
care
providers
under
Medicaid
1
managed
care.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
TLSB
5942XC
(3)
87
pf/rn
S.F.
_____
Section
1.
2016
Iowa
Acts,
chapter
1139,
section
95,
1
subsection
3,
is
amended
to
read
as
follows:
2
3.
a.
A
Medicaid
managed
care
organization
may
shall
3
include
as
a
primary
care
provider
any
provider
designated
by
4
the
state
as
a
primary
care
provider,
subject
to
a
provider’s
5
respective
state
certification
standards,
including
but
not
6
limited
to
all
of
the
following:
7
(1)
A
physician
who
is
a
family
or
general
practitioner,
a
8
pediatrician,
an
internist,
an
obstetrician,
or
a
gynecologist.
9
(2)
An
advanced
registered
nurse
practitioner.
10
(3)
A
physician
assistant.
11
(4)
A
chiropractor
licensed
pursuant
to
chapter
151
.
12
b.
A
Medicaid
managed
care
organization
shall
not
impose
13
more
restrictive
,
scope
of
practice
requirements
or
standards
14
of
practice
on
a
primary
care
provider
than
those
prescribed
by
15
state
law
as
a
prerequisite
for
participation
in
the
managed
16
care
organization’s
provider
network.
17
EXPLANATION
18
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
19
the
explanation’s
substance
by
the
members
of
the
general
assembly.
20
This
bill
requires,
rather
than
authorizes,
Medicaid
managed
21
care
organizations
to
include
as
a
primary
care
provider
any
22
provider
designated
by
the
state
as
a
primary
care
provider,
23
subject
to
a
provider’s
respective
state
certification
24
standards,
including
a
physician
who
is
a
family
or
general
25
practitioner,
a
pediatrician,
an
internist,
an
obstetrician,
26
a
gynecologist,
an
advanced
registered
nurse
practitioner,
a
27
physician
assistant,
or
a
chiropractor.
28
-1-
LSB
5942XC
(3)
87
pf/rn
1/
1