House
Study
Bill
581
-
Introduced
HOUSE
FILE
_____
BY
(PROPOSED
COMMITTEE
ON
HUMAN
RESOURCES
BILL
BY
CHAIRPERSON
LUNDGREN)
A
BILL
FOR
An
Act
relating
to
reenrollment
following
a
member’s
1
termination
from
the
Iowa
health
and
wellness
plan
or
the
2
dental
wellness
plan.
3
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
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Section
1.
Section
249N.7,
Code
2020,
is
amended
to
read
as
1
follows:
2
249N.7
Member
financial
participation
——
reenrollment
3
administrative
fee
for
Iowa
health
and
wellness
plan
and
dental
4
wellness
plan
.
5
1.
Membership
in
the
Iowa
health
and
wellness
plan
shall
6
require
payment
of
monthly
contributions
for
members
whose
7
household
income
is
at
or
above
fifty
percent
of
the
federal
8
poverty
level.
Members
shall
be
subject
to
copayment
amounts
9
applicable
only
to
nonemergency
use
of
a
hospital
emergency
10
department.
Total
member
cost-sharing,
annually,
shall
align
11
with
the
cost-sharing
limitations
requirements
for
the
American
12
health
benefits
exchanges
under
the
Affordable
Care
Act.
13
Contributions
and
copayment
amounts
shall
be
established
by
14
rule
of
the
department.
15
2.
Contributions
shall
be
waived
for
a
member
during
16
the
initial
year
of
membership.
If
a
member
completes
all
17
required
preventive
care
services
and
wellness
activities
as
18
specified
by
rule
of
the
department
during
the
initial
year
of
19
membership,
contributions
shall
be
waived
during
the
subsequent
20
year
of
membership
and
each
year
thereafter
until
such
time
as
21
the
member
fails
to
complete
required
preventive
care
services
22
and
wellness
activities
specified
during
the
prior
annual
23
membership
period.
24
3.
Membership
in
the
Iowa
health
and
wellness
plan
and
the
25
dental
wellness
plan
shall
require
that
a
member
who
does
not
26
complete
required
healthy
behaviors
and
is
not
otherwise
exempt
27
from
payment
of
a
monthly
contribution,
and
whose
eligibility
28
is
terminated
due
to
nonpayment
of
monthly
contributions,
in
29
addition
to
any
other
requirements
for
reenrollment,
shall
be
30
subject
to
payment
of
an
administrative
fee
as
established
31
by
rule
of
the
department
upon
the
member’s
application
for
32
reenrollment
in
either
plan.
33
Sec.
2.
IOWA
HEALTH
AND
WELLNESS
PLAN
——
DENTAL
WELLNESS
34
PLAN
——
TERMINATION
——
REENROLLMENT
FEE.
Subject
to
any
35
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necessary
federal
approval,
the
department
of
human
services
1
shall
adopt
rules
pursuant
to
chapter
17A
to
require
that
an
2
Iowa
health
and
wellness
plan
member
or
a
dental
wellness
3
plan
member
who
does
not
complete
required
healthy
behaviors
4
and
is
not
otherwise
exempt
from
payment
of
a
monthly
5
contribution,
and
whose
eligibility
is
terminated
due
to
6
nonpayment
of
monthly
contributions,
in
addition
to
any
other
7
requirements
for
reenrollment,
shall
be
subject
to
payment
of
8
an
administrative
fee
as
established
by
rule
of
the
department
9
upon
the
member’s
application
for
reenrollment
in
either
plan.
10
EXPLANATION
11
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
12
the
explanation’s
substance
by
the
members
of
the
general
assembly.
13
This
bill
provides
that
membership
in
the
Iowa
health
14
and
wellness
plan
or
the
dental
wellness
plan
shall
require
15
that
an
Iowa
health
and
wellness
plan
member
or
a
dental
16
wellness
plan
member
who
does
not
complete
required
healthy
17
behaviors
and
is
not
otherwise
exempt
from
payment
of
a
monthly
18
contribution,
and
whose
eligibility
is
terminated
due
to
19
nonpayment
of
monthly
contributions,
in
addition
to
any
other
20
requirements
for
reenrollment,
shall
be
subject
to
payment
of
21
an
administrative
fee
as
established
by
rule
of
the
department
22
upon
the
member’s
application
for
reenrollment
in
either
plan.
23
The
bill
directs
the
department
of
human
services
to
adopt
24
administrative
rules
in
accordance
with
the
bill,
subject
to
25
federal
approval.
26
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