SF 2006 (LSB 5398XS (3) 89)

SENATE FILE 2006

BY  PETERSEN, RAGAN, MATHIS, BOULTON, LYKAM, JOCHUM, CELSI, J. SMITH, KINNEY, DOTZLER, T. TAYLOR, TRONE GARRIOTT, GIDDENS, QUIRMBACH, BOLKCOM, WAHLS, and HOGG

A BILL FOR

An Act relating to Medicaid reimbursement for maternal and child health.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  MEDICAID REIMBURSEMENT FOR MATERNAL HEALTH —— RELATED SERVICES.  Under both fee-for-service and managed care administration of Medicaid, the department of human services shall adopt rules pursuant to chapter 17A, amend any contract with a managed care organization, and apply for any Medicaid state plan amendment or waiver as may be necessary to provide for all of the following:
   1.  Reimbursement in an amount appropriate to cover the entire standard of care costs for labor and delivery.
   2.  The same reimbursement for maternal-fetal medicine services and comprehensive maternity care, including both facility and professional fees, whether provided in person or through the use of telehealth.
   3.  Comprehensive maternity care, to include the basic number of prenatal and postpartum visits recommended by the American college of obstetricians and gynecologists; additional prenatal and postpartum visits that are medically necessary; necessary laboratory, nutritional assessment and counseling, health education, personal counseling, managed care, outreach, and follow-up services; and treatment of conditions which may complicate pregnancy.
   4.  Reimbursement for breast-feeding supports, counseling, and supplies including the standard cost of breast pumps including electric breast pumps and associated breast pump supplies.
   5.  Reimbursement for transportation to all prenatal and postpartum care appointments including transportation to a hospital with the appropriate level of care for a pregnant person and for a baby when transfer is necessary.
   6.  Reimbursement for all postpartum care products such as breast pads, period pads, comfort products, pain relievers, and other similar products.
EXPLANATION
The inclusion of this explanation does not constitute agreement with
the explanation’s substance by the members of the general assembly.
   This bill relates to maternal and child health improvements under the Medicaid program. The bill directs the department of human services (DHS) under both fee-for-service and managed care administration of Medicaid to adopt rules pursuant to Code chapter 17A, amend any contract with a managed care organization, and apply for any Medicaid state plan amendment or waiver as may be necessary to provide all of the following: 1) reimbursement in an amount appropriate to cover the entire standard of care costs for labor and delivery, 2) the same reimbursement for maternal-fetal medicine services and comprehensive maternity care, including facility and professional fees, whether provided in person or through the use of telehealth, 3) comprehensive maternity care, to include the basic number of prenatal and postpartum visits recommended by the American college of obstetricians and gynecologists; additional prenatal and postpartum visits that are medically necessary; necessary laboratory, nutritional assessment and counseling, health education, personal counseling, managed care, outreach, and follow-up services; and treatment of conditions which may complicate pregnancy, 4) reimbursement for breast-feeding supports, counseling, and supplies including the standard cost of breast pumps including electric breast pumps and associated breast pump supplies, 5) reimbursement for transportation to all prenatal and postpartum care appointments, including transportation to a hospital with the appropriate level of care for a pregnant person and for a baby when transfer is necessary, and 6) reimbursement for all postpartum care products such as breast pads, period pads, comfort products, pain relievers, and other similar products.