Senate File 122 - Introduced SENATE FILE 122 BY PETERSEN , RAGAN , MATHIS , J. SMITH , WAHLS , BOULTON , R. TAYLOR , CELSI , BOLKCOM , JOCHUM , BISIGNANO , DOTZLER , and QUIRMBACH A BILL FOR An Act relating to a prohibition against prior authorization 1 for medication-assisted treatment under the Medicaid 2 program. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 4 TLSB 1782XS (3) 88 pf/rh

S.F. 122 Section 1. MEDICATION-ASSISTED TREATMENT —— PRIOR 1 AUTHORIZATION PROHIBITED. The department of human services 2 shall adopt rules pursuant to chapter 17A that prohibit prior 3 authorization for medication-assisted treatment under either 4 Medicaid fee-for-service or managed care administration. 5 The department of human services shall also include this 6 prohibition in any contract entered into with a Medicaid 7 managed care organization. For the purposes of this 8 section, “medication-assisted treatment” means the medically 9 monitored use of certain substance use disorder medications in 10 combination with other treatment services. 11 EXPLANATION 12 The inclusion of this explanation does not constitute agreement with 13 the explanation’s substance by the members of the general assembly. 14 This bill relates to medication-assisted treatment. The 15 bill requires the department of human services (DHS) to adopt 16 administrative rules to prohibit prior authorization for 17 the provision of medication-assisted treatment under either 18 Medicaid fee-for-service or managed care administration. 19 The bill also requires DHS to include this prohibition 20 in any contract entered into with a Medicaid managed care 21 organization. Under the bill, “medication-assisted treatment” 22 means the medically monitored use of certain substance use 23 disorder medications in combination with other treatment 24 services. 25 -1- LSB 1782XS (3) 88 pf/rh 1/ 1