SF 172 (LSB 1639XS (2) 90)

SENATE FILE 172

BY  GARRETT

A BILL FOR

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

    Section 1.  DIRECT HEALTH CARE AGREEMENTS —— MEDICAID MEMBERS —— PILOT PROGRAM.  The department of health and human services shall develop and oversee a pilot program beginning January 1, 2024, and ending December 31, 2025, to allow Medicaid members in specified categories to receive health care services, as defined in section 135N.1, through a direct health care agreement, with the Medicaid program 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 health and human services to develop and oversee a pilot program beginning January 1, 2024, and ending December 31, 2025, to allow Medicaid members in specified categories to receive health care services through a direct health care agreement, with the Medicaid program 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.