SF 81 (LSB 1713XS (3) 89)

SENATE FILE 81

BY  GARRETT

A BILL FOR

An Act relating to a pilot program to allow Medicaid members to participate in direct primary care agreements. 
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  DIRECT PRIMARY CARE AGREEMENTS —— MEDICAID MEMBERS —— PILOT PROGRAM.  The department of human services shall develop and oversee a pilot program beginning January 1, 2022, and ending December 31, 2023, to allow Medicaid members in specified categories to receive primary care health services, as defined in section 135N.1, through a direct primary care arrangement, with the Iowa Medicaid enterprise acting as the third-party payor for such services utilizing state-only funds. The eligible Medicaid member categories shall include childless adults and pregnant women.
EXPLANATION
The inclusion of this explanation does not constitute agreement with
the explanation’s substance by the members of the general assembly.
   This bill requires the department of human services to develop and oversee a pilot program beginning January 1, 2022, and ending December 31, 2023, to allow Medicaid members in specified categories to receive primary care health services through a direct primary care arrangement, with the Iowa Medicaid enterprise acting as the third-party payor for such services utilizing state-only funds. The eligible Medicaid member categories shall include childless adults and pregnant women.