SSB 3124 (LSB 5942XC (3) 87)

SENATE FILE _____ 

BY  (PROPOSED COMMITTEE ON HUMAN RESOURCES BILL BY CHAIRPERSON SEGEBART)

A BILL FOR

An Act relating to primary care providers under Medicaid managed care.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  2016 Iowa Acts, chapter 1139, section 95, subsection 3, is amended to read as follows:
   3.  a.  A Medicaid managed care organization may shall include as a primary care provider any provider designated by the state as a primary care provider, subject to a provider’s respective state certification standards, including but not limited to all of the following:
   (1)  A physician who is a family or general practitioner, a pediatrician, an internist, an obstetrician, or a gynecologist.
   (2)  An advanced registered nurse practitioner.
   (3)  A physician assistant.
   (4)  A chiropractor licensed pursuant to chapter 151.
   b.  A Medicaid managed care organization shall not impose more restrictive, scope of practice requirements or standards of practice on a primary care provider than those prescribed by state law as a prerequisite for participation in the managed care organization’s provider network.
EXPLANATION
The inclusion of this explanation does not constitute agreement with
the explanation’s substance by the members of the general assembly.
   This bill requires, rather than authorizes, Medicaid managed care organizations to include as a primary care provider any provider designated by the state as a primary care provider, subject to a provider’s respective state certification standards, including a physician who is a family or general practitioner, a pediatrician, an internist, an obstetrician, a gynecologist, an advanced registered nurse practitioner, a physician assistant, or a chiropractor.