House
Study
Bill
226
-
Introduced
HOUSE
FILE
_____
BY
(PROPOSED
COMMITTEE
ON
WAYS
AND
MEANS
BILL
BY
CHAIRPERSON
KAUFMANN)
A
BILL
FOR
An
Act
relating
to
the
Medicaid
extended
postpartum
coverage
1
option,
making
an
appropriation,
and
including
effective
2
date
provisions.
3
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
4
TLSB
2107YC
(2)
90
pf/rh
H.F.
_____
DIVISION
I
1
MEDICAID
EXTENDED
POSTPARTUM
COVERAGE
2
Section
1.
MEDICAID
EXTENDED
POSTPARTUM
COVERAGE
3
OPTION.
The
department
of
health
and
human
services
shall
4
submit
a
Medicaid
state
plan
amendment
to
the
centers
for
5
Medicare
and
Medicaid
services
of
the
United
States
department
6
of
health
and
human
services
for
approval
of
the
option
7
to
provide
twelve
months
of
continuous
postpartum
coverage
8
under
the
Medicaid
program
to
pregnant
women
enrolled
in
the
9
Medicaid
program
in
accordance
with
sections
9812
and
9822
10
of
the
federal
American
Rescue
Plan
Act
of
2021,
Pub.
L.
No.
11
117-2,
as
amended
by
section
5113
of
the
federal
Consolidated
12
Appropriations
Act
of
2023.
13
Sec.
2.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
14
deemed
of
immediate
importance,
takes
effect
upon
enactment.
15
DIVISION
II
16
POSTPARTUM
COVERAGE
APPROPRIATION
17
Sec.
3.
MEDICAID
EXTENDED
POSTPARTUM
COVERAGE
——
18
APPROPRIATION.
There
is
appropriated
from
the
general
fund
of
19
the
state
to
the
department
of
human
services
for
the
following
20
fiscal
years,
the
following
amounts
or
so
much
thereof
as
is
21
necessary
to
fund
extended
postpartum
coverage
to
pregnant
22
women
enrolled
in
the
Medicaid
program
in
accordance
with
this
23
Act:
24
FY
2023-2024:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,588,660
26
FY
2024-2025:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,878,785
28
EXPLANATION
29
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
30
the
explanation’s
substance
by
the
members
of
the
general
assembly.
31
DIVISION
I
——
MEDICAID
EXTENDED
POSTPARTUM
COVERAGE.
Under
32
current
federal
law,
pregnant
Medicaid
beneficiaries
are
33
eligible
for
at
least
pregnancy-related
services
through
the
34
end
of
the
month
in
which
the
60-day
period
beginning
on
the
35
-1-
LSB
2107YC
(2)
90
pf/rh
1/
2
H.F.
_____
last
day
of
the
pregnancy
ends.
1
Provisions
of
the
federal
American
Rescue
Plan
Act
of
2021
2
(H.R.
1319)
provide
the
option
to
states
to
submit
a
state
3
plan
amendment
to
provide
postpartum
Medicaid
coverage
for
12
4
months
after
the
end
of
a
pregnancy
for
a
five-year
period.
A
5
provision
under
the
federal
Consolidated
Appropriations
Act
of
6
2023
removed
the
five-year
limitation.
7
This
division
of
the
bill
requires
the
department
of
health
8
and
human
services
(HHS)
to
submit
a
Medicaid
state
plan
9
amendment
to
the
centers
for
Medicare
and
Medicaid
services
of
10
the
United
States
department
of
health
and
human
services
for
11
approval
of
the
new
option
to
provide
12
months
of
continuous
12
postpartum
coverage
under
the
Medicaid
program
to
pregnant
13
women
enrolled
in
the
Medicaid
program.
14
The
division
of
the
bill
takes
effect
upon
enactment.
15
DIVISION
II
——
MEDICAID
EXTENDED
POSTPARTUM
COVERAGE
——
16
APPROPRIATION.
This
division
of
the
bill
appropriates
moneys
17
from
the
general
fund
of
the
state
to
HHS
for
FY
2023-2024
and
18
FY
2024-2025
for
the
state
costs
of
postpartum
coverage
under
19
the
Medicaid
program.
20
-2-
LSB
2107YC
(2)
90
pf/rh
2/
2