SF 484 (LSB 2418XS (2) 91)

SENATE FILE 484

BY  PETERSEN

A BILL FOR

An Act relating to Hawki coverage for applied behavior analysis services including a state plan amendment waiver for the children’s health insurance program.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  Section 514I.5, subsection 4, paragraph c, Code 2025, is amended by adding the following new subparagraph:
   NEW SUBPARAGRAPH.  (18)  Applied behavior analysis services.
    Sec. 2.  CHILDREN’S HEALTH INSURANCE PROGRAM —— APPLIED BEHAVIOR ANALYSIS SERVICES.  The department of health and human services shall submit a state plan amendment to the centers for Medicare and Medicaid services of the United States department of health and human services for approval to provide coverage for applied behavior analysis services under the children’s health insurance program.
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 medical assistance advisory council, in consultation with the department of health and human services (HHS), to adopt rules to include applied behavior analysis services as a benefit covered in a qualified child health plan included in a benchmark or a benchmark equivalent plan, and which comply with Tit. XXI of the federal Social Security Act.
   The bill requires 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 to provide coverage for applied behavior analysis services under the children’s health insurance program.