House File 2492 - Introduced HOUSE FILE 2492 BY COMMITTEE ON HUMAN RESOURCES (SUCCESSOR TO HSB 581) A BILL FOR An Act relating to reenrollment following a member’s 1 termination from the Iowa health and wellness plan. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 5801HV (3) 88 pf/rh
H.F. 2492 Section 1. IOWA HEALTH AND WELLNESS PLAN —— MEMBER 1 REENROLLMENT FOLLOWING TERMINATION FOR NONPAYMENT OF MONTHLY 2 CONTRIBUTIONS. The department of human services shall seek 3 approval of an amendment to the section 1115 demonstration 4 waiver for the Iowa health and wellness plan from the centers 5 for Medicare and Medicaid services of the United States 6 department of health and human services to provide the 7 following: 8 1. An Iowa health and wellness plan member who is not 9 otherwise exempt from payment of a monthly contribution, who 10 is subject to payment of a monthly contribution as the result 11 of failure to complete required healthy behaviors, and whose 12 eligibility for the program is terminated due to nonpayment 13 of monthly contributions, shall be allowed to subsequently 14 reenroll in the program without first paying any outstanding 15 monthly contributions, if the member has not been terminated 16 from the program previously for nonpayment of monthly 17 contributions. 18 2. Following an initial termination from the Iowa health and 19 wellness program pursuant to subsection 1, if an Iowa health 20 and wellness plan member is subsequently terminated from the 21 program pursuant to subsection 1 for nonpayment of monthly 22 contributions, the member shall be subject to payment of any 23 outstanding monthly contributions prior to reenrollment in the 24 program. 25 EXPLANATION 26 The inclusion of this explanation does not constitute agreement with 27 the explanation’s substance by the members of the general assembly. 28 This bill requires the department of human services (DHS) to 29 seek approval of an amendment to the section 1115 demonstration 30 waiver for the Iowa health and wellness plan from the centers 31 for Medicare and Medicaid services of the United States 32 department of health and human services to provide both of the 33 following: 34 1. That an Iowa health and wellness plan member who is 35 -1- LSB 5801HV (3) 88 pf/rh 1/ 2
H.F. 2492 not otherwise exempt from payment of a monthly contribution, 1 who is subject to payment of a monthly contribution as the 2 result of failure to complete required healthy behaviors, 3 and whose eligibility for the program is terminated due to 4 nonpayment of monthly contributions, shall be allowed to 5 subsequently reenroll in the program without first paying 6 any outstanding monthly contributions, if the member has not 7 been terminated from the program previously for nonpayment of 8 monthly contributions. 9 2. Following an initial termination from the Iowa 10 health and wellness program, if an Iowa health and wellness 11 plan member is subsequently terminated from the program for 12 nonpayment of monthly contributions, the member shall be 13 subject to payment of any outstanding monthly contributions 14 prior to reenrollment in the program. 15 -2- LSB 5801HV (3) 88 pf/rh 2/ 2