HF 426 (LSB 2028YH (1) 91)

HOUSE FILE 426

BY  TUREK

A BILL FOR

An Act relating to the provision of durable medical equipment to Medicaid recipients with a permanent disability.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  MEDICAID —— RECIPIENT WITH PERMANENT DISABILITY —— DURABLE MEDICAL EQUIPMENT.  The department of health and human services shall contractually require that when a Medicaid recipient has a qualifying disability as determined by the federal social security administration, or is determined by the department of health and human services to have a physical or mental impairment or combination of impairments that have lasted or are expected to last for at least twelve months or result in death, a Medicaid managed care organization shall continue to approve coverage for durable medical equipment for which the Medicaid recipient has previously been approved, if there has been no significant change in the Medicaid recipient’s condition.
EXPLANATION
The inclusion of this explanation does not constitute agreement with
the explanation’s substance by the members of the general assembly.
   This bill relates to Medicaid recipients with a permanent disability and the provision of durable medical equipment.
   The bill directs the department of health and human services to contractually require a Medicaid managed care organization to continue to approve coverage for durable medical equipment for which a Medicaid recipient has previously been approved, if the Medicaid recipient has a permanent disability as described in the bill and if there has been no significant change in the Medicaid recipient’s condition.