Bill Text: IA HF623 | 2011-2012 | 84th General Assembly | Introduced
Bill Title: A bill for an act relating to the treatment of medical assistance eligibility for individuals committed to certain public institutions, and including effective date provisions. (Formerly HF 106)
Spectrum: Committee Bill
Status: (Introduced - Dead) 2011-12-31 - END OF 2011 ACTIONS [HF623 Detail]
Download: Iowa-2011-HF623-Introduced.html
House
File
623
-
Introduced
HOUSE
FILE
623
BY
COMMITTEE
ON
HUMAN
RESOURCES
(SUCCESSOR
TO
HF
106)
A
BILL
FOR
An
Act
relating
to
the
treatment
of
medical
assistance
1
eligibility
for
individuals
committed
to
certain
public
2
institutions,
and
including
effective
date
provisions.
3
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
4
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623
Section
1.
NEW
SECTION
.
249A.38
Inmates
of
public
1
institutions
——
suspension
or
termination
of
medical
assistance.
2
1.
The
following
conditions
shall
apply
to
an
individual
who
3
is
an
inmate
of
a
public
institution
as
defined
in
42
C.F.R.
4
§
435.1010,
who
is
enrolled
in
the
medical
assistance
program
5
at
the
time
of
commitment
to
the
public
institution,
and
who
6
is
eligible
for
medical
assistance
by
reason
of
disability
or
7
being
sixty-five
years
of
age
or
older:
8
a.
The
department
shall
suspend
the
individual’s
9
eligibility
for
up
to
the
initial
twelve
months
of
the
period
10
of
commitment.
The
department
shall
delay
the
suspension
11
of
eligibility
for
a
period
of
up
to
the
first
thirty
days
12
of
commitment
if
such
delay
is
approved
by
the
centers
for
13
Medicare
and
Medicaid
services
of
the
United
States
department
14
of
health
and
human
services.
If
such
delay
is
not
approved,
15
the
department
shall
suspend
eligibility
during
the
entirety
16
of
the
initial
twelve
months
of
the
period
of
commitment.
17
Claims
submitted
on
behalf
of
the
individual
under
the
medical
18
assistance
program
for
covered
services
provided
during
the
19
delay
period
shall
only
be
reimbursed
if
federal
financial
20
participation
is
applicable
to
such
claims.
21
b.
The
department
shall
terminate
the
individual’s
22
eligibility
following
the
initial
twelve
months
of
the
period
23
of
commitment.
24
2.
a.
A
public
institution
shall
provide
the
department
and
25
the
social
security
administration
with
a
monthly
report
of
the
26
individuals
who
are
committed
to
the
public
institution
and
of
27
the
individuals
who
are
discharged
from
the
public
institution.
28
b.
The
department
shall
provide
a
public
institution
with
29
the
forms
necessary
to
be
used
by
the
individual
in
expediting
30
restoration
of
the
individual’s
medical
assistance
benefits
31
upon
discharge
from
the
public
institution.
32
3.
This
section
applies
to
individuals
as
specified
in
33
subsection
1
on
or
after
January
1,
2012.
34
4.
The
department
may
adopt
rules
pursuant
to
chapter
17A
to
35
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623
implement
this
section.
1
Sec.
2.
IMPLEMENTATION.
2
1.
The
department
of
human
services
shall
request
any
3
waiver
or
approval
necessary
from
the
centers
for
Medicare
and
4
Medicaid
services
of
the
United
States
department
of
health
5
and
human
services
to
provide
for
the
delay
in
suspension
of
6
eligibility
as
provided
in
this
Act.
The
department
shall
7
implement
the
delay
period
to
the
maximum
extent
of
the
federal
8
approval.
9
2.
The
department
of
human
services
shall
do
all
of
the
10
following:
11
a.
Develop
a
process
for
suspension
of
medical
assistance
12
eligibility
for
individuals
as
specified
in
this
Act.
13
b.
By
July
1,
2013,
submit
recommendations
to
the
general
14
assembly
for
changes
in
state
law
and
the
redesign
of
the
15
eligibility
information
management
system
in
order
to
maximize
16
and
facilitate
restoration
of
medical
assistance
benefits
17
to
inmates
of
public
institutions
upon
discharge.
The
18
recommendations
shall
incorporate
medical
assistance
program
19
eligibility
changes
necessitated
by
the
federal
Patient
20
Protection
and
Affordable
Care
Act,
Pub.
L.
No.
111-148.
21
c.
Incorporate
provisions
for
suspension
and
termination
22
of
medical
assistance
eligibility
for
inmates
of
public
23
institutions
within
any
future
redesign
of
the
medical
24
assistance
program
eligibility
information
management
system.
25
Sec.
3.
EFFECTIVE
UPON
ENACTMENT.
This
Act,
being
deemed
of
26
immediate
importance,
takes
effect
upon
enactment.
27
EXPLANATION
28
This
bill
provides
for
the
suspension
of
medical
assistance
29
(Medicaid)
benefits
of
a
person
who
is
eligible
for
Medicaid
30
by
reason
of
disability
or
being
65
years
of
age
or
older,
31
and
who
received
Medicaid
benefits
immediately
prior
to
the
32
individual’s
commitment
to
a
public
institution.
The
duration
33
of
the
suspension
would
be
for
the
initial
12-month
period
of
34
commitment,
after
which
such
benefits
would
be
terminated.
35
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623
The
bill
also
provides
that
if
federal
approval
is
received,
1
DHS
would
delay
the
suspension
for
up
to
the
first
30
days
of
2
the
period
of
commitment,
and
that
payment
of
claims
under
3
the
medical
assistance
program
for
the
individual
during
the
4
30-day
delay
would
not
be
reimbursed
if
federal
financial
5
participation
was
not
applicable
to
the
claim.
6
The
bill
requires
a
public
institution
to
provide
the
7
department
of
human
services
(DHS)
and
the
social
security
8
administration
with
a
monthly
report
of
individuals
who
are
9
committed
to
or
who
are
discharged
from
the
public
institution.
10
DHS
is
required
to
provide
the
public
institution
with
the
11
forms
necessary
to
be
used
by
the
individual
to
expedite
12
restoration
of
Medicaid
benefits
upon
discharge.
13
The
bill
applies
to
individuals
on
or
after
January
1,
2012.
14
The
bill
directs
DHS
to
request
a
federal
waiver
or
approval
15
for
the
30-day
delay
in
the
suspension;
directs
DHS
to
develop
16
a
process
for
the
suspension;
directs
DHS
by
July
1,
2013,
to
17
submit
recommendations
to
the
general
assembly
for
changes
18
in
state
law
and
the
redesign
of
the
eligibility
information
19
management
system
to
maximize
and
facilitate
restoration
of
20
Medicaid
benefits
for
inmates
of
public
institutions
upon
21
discharge,
incorporating
the
eligibility
changes
under
the
22
federal
Patient
Protection
and
Affordable
Care
Act;
and
directs
23
DHS
to
incorporate
the
suspension
and
termination
provisions
in
24
any
redesign
of
the
eligibility
information
management
system.
25
The
bill
takes
effect
upon
enactment.
26
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