HF 690 (LSB 1981YH (4) 90)

HOUSE FILE 690

BY  KONFRST, JAMES, STECKMAN, CAHILL, LEVIN, NIELSEN, KURTH, AMOS JR., SCHEETZ, MADISON, SRINIVAS, WILSON, BUCK, CROKEN, BAGNIEWSKI, FORBES, BAETH, GAINES, ZABNER, GJERDE, JACOBY, ISENHART, STAED, KRESSIG, EHLERT, ABDUL-SAMAD, OLSON, B. MEYER, BROWN-POWERS, WESSEL-KROESCHELL, SCHOLTEN, WILBURN, MATSON, and COOLING

A BILL FOR

An Act relating to the Medicaid extended postpartum coverage option, making an appropriation, and including effective date provisions.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

DIVISION I
MEDICAID EXTENDED POSTPARTUM COVERAGE

    Section 1.  MEDICAID EXTENDED POSTPARTUM COVERAGE OPTION.  The department of health and human services shall submit a Medicaid state plan amendment to the centers for Medicare and Medicaid services of the United States department of health and human services for approval of the option to provide twelve months of continuous postpartum coverage under the Medicaid program to pregnant women enrolled in the Medicaid program in accordance with sections 9812 and 9822 of the federal American Rescue Plan Act of 2021, Pub. L. No. 117-2, as amended by section 5113 of the federal Consolidated Appropriations Act of 2023.
    Sec. 2.  EFFECTIVE DATE.  This division of this Act, being deemed of immediate importance, takes effect upon enactment.
DIVISION II
POSTPARTUM COVERAGE APPROPRIATION

    Sec. 3.  MEDICAID EXTENDED POSTPARTUM COVERAGE —— APPROPRIATION.  There is appropriated from the general fund of the state to the department of human services for the following fiscal years, the following amounts or so much thereof as is necessary to fund extended postpartum coverage to pregnant women enrolled in the Medicaid program in accordance with this Act:
   FY 2023-2024:
   ...................................................................... $  5,588,660

   FY 2024-2025:
   ...................................................................... $  8,878,785
EXPLANATION
The inclusion of this explanation does not constitute agreement with
the explanation’s substance by the members of the general assembly.
   DIVISION I —— MEDICAID EXTENDED POSTPARTUM COVERAGE. Under current federal law, pregnant Medicaid beneficiaries are eligible for at least pregnancy-related services through the end of the month in which the 60-day period beginning on the last day of the pregnancy ends.
   Provisions of the federal American Rescue Plan Act of 2021 (H.R. 1319) provide the option to states to submit a state plan amendment to provide postpartum Medicaid coverage for 12 months after the end of a pregnancy for a five-year period. A provision under the federal Consolidated Appropriations Act of 2023 removed the five-year limitation.
   This division requires the department of health and human services (HHS) to submit a Medicaid state plan amendment to the centers for Medicare and Medicaid services of the United States department of health and human services for approval of the new option to provide 12 months of continuous postpartum coverage under the Medicaid program to pregnant women enrolled in the Medicaid program.
   The division of the bill takes effect upon enactment.
   DIVISION II —— MEDICAID EXTENDED POSTPARTUM COVERAGE —— APPROPRIATION. This division of the bill appropriates moneys from the general fund of the state to HHS for FY 2023-2024 and FY 2024-2025 for the state costs of postpartum coverage under the Medicaid program.