House File 108 - Introduced HOUSE FILE 108 BY LOHSE A BILL FOR An Act relating to a Medicaid demonstration waiver to support 1 and improve the delivery of substance use disorder treatment 2 services. 3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 4 TLSB 1974YH (2) 89 pf/rh
H.F. 108 Section 1. MEDICAID DEMONSTRATION WAIVER —— SUBSTANCE USE 1 DISORDER TREATMENT. The department of human services shall 2 submit a Medicaid 1115 demonstration waiver application to 3 the centers for Medicare and Medicaid services of the United 4 States department of health and human services, in accordance 5 with the initiative described in state Medicaid director 6 letter #17-003 relating to strategies to address the opioid 7 epidemic, to support the delivery of a full continuum of 8 comprehensive, evidence-based substance use disorder treatment 9 services to Medicaid members in an effort to improve quality, 10 accessibility, and outcomes in the most cost-effective manner, 11 including by accessing federal financial participation for 12 clinically appropriate services otherwise approved under 13 the Iowa Medicaid state plan delivered to individuals with 14 substance use disorders in institutions for mental disease as 15 defined in 42 U.S.C. §1396d(i). The department shall provide 16 progress reports regarding the approval of the demonstration 17 waiver application to the governor and the general assembly on 18 a quarterly basis. 19 EXPLANATION 20 The inclusion of this explanation does not constitute agreement with 21 the explanation’s substance by the members of the general assembly. 22 This bill requires the department of human services (DHS) 23 to submit a Medicaid 1115 demonstration waiver application to 24 the centers for Medicare and Medicaid services of the United 25 States department of health and human services, in accordance 26 with federal guidance relating to strategies to address the 27 opioid epidemic, to support the delivery of a full continuum of 28 comprehensive, evidence-based substance use disorder treatment 29 services to Medicaid members in an effort to improve quality, 30 accessibility, and outcomes in the most cost-effective manner. 31 The demonstration waiver would, in part, allow the state 32 to receive federal financial participation for clinically 33 appropriate Medicaid services delivered to individuals with 34 substance use disorders in institutions for mental disease 35 -1- LSB 1974YH (2) 89 pf/rh 1/ 2
H.F. 108 (IMD). Currently, federal financial participation is not 1 available for such services delivered in an IMD, which under 2 federal law is defined as a hospital, nursing facility, or 3 other institution of more than 16 beds, that is primarily 4 engaged in providing diagnosis, treatment, or care of persons 5 with mental diseases, including medical attention, nursing 6 care, and related services. DHS shall provide progress reports 7 regarding the approval of the demonstration waiver application 8 to the governor and the general assembly on a quarterly basis. 9 -2- LSB 1974YH (2) 89 pf/rh 2/ 2