Senate File 172 - Introduced SENATE FILE 172 BY GARRETT A BILL FOR An Act relating to a pilot program to allow Medicaid members to 1 participate in direct health care agreements. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 1639XS (2) 90 pf/rh
S.F. 172 Section 1. DIRECT HEALTH CARE AGREEMENTS —— MEDICAID 1 MEMBERS —— PILOT PROGRAM. The department of health and human 2 services shall develop and oversee a pilot program beginning 3 January 1, 2024, and ending December 31, 2025, to allow 4 Medicaid members in specified categories to receive health 5 care services, as defined in section 135N.1, through a direct 6 health care agreement, with the Medicaid program acting as the 7 third-party payor for such services utilizing state-only funds. 8 The eligible Medicaid member categories shall include childless 9 adults and pregnant women. 10 EXPLANATION 11 The inclusion of this explanation does not constitute agreement with 12 the explanation’s substance by the members of the general assembly. 13 This bill requires the department of health and human 14 services to develop and oversee a pilot program beginning 15 January 1, 2024, and ending December 31, 2025, to allow 16 Medicaid members in specified categories to receive health 17 care services through a direct health care agreement, with 18 the Medicaid program acting as the third-party payor for such 19 services utilizing state-only funds. The eligible Medicaid 20 member categories shall include childless adults and pregnant 21 women. 22 -1- LSB 1639XS (2) 90 pf/rh 1/ 1