Bill Text: IA HF436 | 2017-2018 | 87th General Assembly | Introduced

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Bill Title: A bill for an act relating to supplemental reimbursement for publicly owned or operated ground emergency medical transportation providers through the Medicaid program, and including effective date provisions.

Spectrum: Bipartisan Bill

Status: (Introduced - Dead) 2018-02-20 - Withdrawn. H.J. 326. [HF436 Detail]

Download: Iowa-2017-HF436-Introduced.html

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House File 436 - Introduced




                                 HOUSE FILE       
                                 BY  HINSON and
                                     BRECKENRIDGE

                                      A BILL FOR

  1 An Act relating to supplemental reimbursement for publicly
  2    owned or operated ground emergency medical transportation
  3    providers through the Medicaid program, and including
  4    effective date provisions.
  5 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
    TLSB 2439YH (7) 87
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PAG LIN



  1  1    Section 1.  DEPARTMENT OF HUMAN SERVICES == SUBMISSION OF
  1  2 MEDICAID STATE PLAN AMENDMENT == SUPPLEMENTAL REIMBURSEMENT FOR
  1  3 ELIGIBLE GROUND EMERGENCY MEDICAL TRANSPORTATION SERVICES.
  1  4    1.  By July 1, 2017, the department of human services shall
  1  5 submit a Medicaid state plan amendment to the centers for
  1  6 Medicare and Medicaid services of the United States department
  1  7 of health and human services to request authorization to
  1  8 establish and administer a methodology to provide supplemental
  1  9 reimbursement to publicly owned or operated ground emergency
  1 10 medical transportation providers that provide ground emergency
  1 11 medical transportation services to Medicaid beneficiaries.
  1 12 Supplemental reimbursements shall be available only for the
  1 13 uncompensated care costs incurred by eligible ground emergency
  1 14 medical transportation providers for providing ground emergency
  1 15 medical transportation  services to Medicaid beneficiaries.
  1 16 The department shall implement applicability of the
  1 17 supplemental reimbursement to eligible ground emergency medical
  1 18 transportation providers upon receipt of federal approval.
  1 19    2.  For the purposes of this section:
  1 20    a.  "Advanced life support" means special services designed
  1 21 to provide definitive prehospital emergency medical care,
  1 22 including but not limited to cardiopulmonary resuscitation,
  1 23 cardiac monitoring, cardiac defibrillation, advanced airway
  1 24 management, intravenous therapy, administration of drugs and
  1 25 other medicinal preparations, and other specified techniques
  1 26 and procedures.
  1 27    b.  "Basic life support" means emergency first aid and
  1 28 cardiopulmonary resuscitation procedures to maintain life
  1 29 without invasive techniques.
  1 30    c.  "Eligible ground emergency medical transportation
  1 31 provider" means a provider who is eligible to receive
  1 32 supplemental payments  and meets all  of the following
  1 33 requirements continuously during the claiming period:
  1 34    (1)  Provides ground emergency medical transportation
  1 35 services to Medicaid beneficiaries.
  2  1    (2)  Is a provider enrolled as a Medicaid provider for the
  2  2 period being claimed.
  2  3    (3)  Is owned or operated by an eligible governmental entity,
  2  4 including but not limited to the state, a city, county, city
  2  5 and county, or fire district.
  2  6    d.  "Ground emergency medical transportation services" means
  2  7 both the act of transporting an individual from any point of
  2  8 origin to the nearest medical facility capable of meeting the
  2  9 emergency medical needs of the individual, as well as the
  2 10 advanced life support, limited=advanced life support, and basic
  2 11 life support services provided to an individual by ground
  2 12 emergency medical transportation providers before or during the
  2 13 act of transportation.
  2 14    e.  "Limited advanced life support" means special services
  2 15 to provide prehospital emergency medical care limited to
  2 16 techniques and procedures that exceed basic life support but
  2 17 are less than advanced life support services.
  2 18    Sec. 2.  EFFECTIVE UPON ENACTMENT.  This Act, being deemed of
  2 19 immediate importance, takes effect upon enactment.
  2 20                           EXPLANATION
  2 21 The inclusion of this explanation does not constitute agreement with
  2 22 the explanation's substance by the members of the general assembly.
  2 23    This bill directs the department of human services (DHS),
  2 24 by  July 1, 2017, to submit a state plan amendment to the
  2 25 centers for Medicare and Medicaid services of the United
  2 26 States department of health and human services to request
  2 27 authorization to establish and administer a methodology to
  2 28 provide supplemental reimbursement to eligible ground emergency
  2 29 medical transportation providers. Supplemental reimbursements
  2 30 provided by the program shall be available only for the
  2 31 uncompensated care costs incurred by eligible ground emergency
  2 32 medical transportation providers.  Upon approval of the state
  2 33 plan amendment, DHS shall apply the supplemental reimbursement
  2 34 to eligible ground emergency medical transportation providers.
  2 35 The bill provides definitions for the purposes of the bill.
  3  1 The bill takes effect upon enactment.
       LSB 2439YH (7) 87
       pf/nh