House File 506 - Introduced HOUSE FILE 506 BY BROWN-POWERS A BILL FOR An Act relating to Medicaid managed care for the long-term 1 services and supports population, and including effective 2 date provisions. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 4 TLSB 2579YH (2) 88 pf/rh

H.F. 506 Section 1. MEDICAID MANAGED CARE —— TRANSITION TO SINGULAR 1 MANAGED CARE ORGANIZATION —— ENTIRE LONG-TERM SERVICES AND 2 SUPPORTS POPULATION. The department of human services shall 3 do all of the following: 4 1. Assign the entire long-term services and supports 5 population for administration of the Iowa high quality 6 health care initiative to a singular Medicaid managed care 7 organization that has an existing Medicaid managed care 8 contract with the state and had a Medicaid managed care 9 membership in December 2018 of between one hundred eighty-five 10 thousand and two hundred twenty thousand. 11 2. Provide written notice in accordance with the 12 termination provisions of the contract, to the other Medicaid 13 managed care organizations with whom the department has 14 executed a contract to administer the Iowa high quality health 15 care initiative, to terminate such contracts as applicable to 16 the Medicaid long-term services and supports population. The 17 termination shall be effective upon the date of transition of 18 all long-term services and supports members to the singular 19 Medicaid managed care organization serving the entire long-term 20 services and supports population. 21 3. Develop a plan for the transition of administration of 22 the Iowa high quality health care initiative for the long-term 23 services and supports population to the singular Medicaid 24 managed care organization and submit the transition plan to 25 the council on human services and to the medical assistance 26 advisory council for review. 27 4. Seek any Medicaid state plan or waiver amendments 28 necessary to complete the transition. 29 Sec. 2. EFFECTIVE DATE. This Act, being deemed of immediate 30 importance, takes effect upon enactment. 31 EXPLANATION 32 The inclusion of this explanation does not constitute agreement with 33 the explanation’s substance by the members of the general assembly. 34 This bill requires the department of human services (DHS) 35 -1- LSB 2579YH (2) 88 pf/rh 1/ 2

H.F. 506 to assign the entire long-term services and supports (LTSS) 1 population for administration of the Iowa high quality 2 health care initiative to a singular Medicaid managed care 3 organization (MCO) that has an existing Medicaid managed 4 care contract with the state and had a Medicaid managed care 5 membership in December 2018 of between 185,000 and 220,000. 6 DHS is required to provide written notice in accordance with 7 the termination provisions of the contract, to the other 8 MCOs with whom DHS has executed a contract, to terminate 9 such contracts as applicable to the LTSS population. The 10 termination is effective upon the date of transition of all 11 LTSS members to the singular MCO. DHS is also required to 12 develop a plan for the transition of the LTSS population to the 13 singular MCO, to submit the transition plan to the council on 14 human services and to the medical assistance advisory council 15 for review, and to seek any Medicaid state plan or waiver 16 amendments necessary to complete the transition. The bill 17 takes effect upon enactment. 18 -2- LSB 2579YH (2) 88 pf/rh 2/ 2