Bill Text: IA SF2062 | 2019-2020 | 88th General Assembly | Introduced
Bill Title: A bill for an act relating to maternal and child health.
Spectrum: Partisan Bill (Democrat 18-0)
Status: (Introduced - Dead) 2020-01-27 - Subcommittee: Johnson, Garrett, and Mathis. S.J. 151. [SF2062 Detail]
Download: Iowa-2019-SF2062-Introduced.html
Senate
File
2062
-
Introduced
SENATE
FILE
2062
BY
PETERSEN
,
RAGAN
,
MATHIS
,
BOULTON
,
CELSI
,
J.
SMITH
,
JOCHUM
,
WAHLS
,
KINNEY
,
DOTZLER
,
R.
TAYLOR
,
BISIGNANO
,
LYKAM
,
GIDDENS
,
BOLKCOM
,
QUIRMBACH
,
HOGG
,
and
T.
TAYLOR
A
BILL
FOR
An
Act
relating
to
maternal
and
child
health.
1
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
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DIVISION
I
1
MEDICAID
COVERAGE
——
MATERNAL
AND
CHILD
HEALTH
IMPROVEMENTS
2
Section
1.
Section
249A.3,
subsection
1,
paragraph
h,
Code
3
2020,
is
amended
to
read
as
follows:
4
h.
Is
a
woman
who,
while
pregnant,
meets
eligibility
5
requirements
for
assistance
under
the
federal
Social
Security
6
Act,
section
1902(l),
and
continues
to
meet
the
requirements
7
except
for
income.
The
woman
is
eligible
to
receive
assistance
8
until
sixty
days
twelve
months
after
the
date
pregnancy
ends.
9
Sec.
2.
MEDICAID
REIMBURSEMENT
FOR
MATERNAL
HEALTH.
Under
10
both
fee-for-service
and
managed
care
administration
of
11
Medicaid,
the
department
of
human
services
shall
adopt
rules
12
pursuant
to
chapter
17A,
amend
any
contract
with
a
managed
13
care
organization,
and
apply
for
any
Medicaid
state
plan
14
amendment
or
waiver
as
may
be
necessary
to
provide
for
all
of
15
the
following:
16
1.
Reimbursement
in
an
amount
appropriate
to
cover
the
17
entire
standard
of
care
costs
for
labor
and
delivery.
18
2.
The
same
reimbursement
for
maternal-fetal
medicine
19
services
and
comprehensive
maternity
care,
including
both
20
facility
and
professional
fees,
whether
provided
in
person
or
21
through
the
use
of
telehealth.
22
3.
Continuous
Medicaid
eligibility
for
a
woman
for
a
23
twelve-month
postpartum
period,
if
the
woman
applied
for
24
Medicaid
coverage
before
the
end
of
the
woman’s
pregnancy,
was
25
determined
Medicaid
eligible,
and
remains
eligible
for
coverage
26
during
the
month
in
which
the
woman’s
pregnancy
ends.
The
27
woman’s
eligibility
for
coverage
shall
continue
during
the
28
twelve-month
postpartum
period
beginning
with
the
last
day
of
29
the
woman’s
pregnancy
through
the
end
of
the
month
in
which
the
30
twelve-month
period
ends;
shall
continue
without
regard
to
the
31
basis
for
the
woman’s
eligibility
or
changes
in
family
income
32
or
resources;
and
shall
continue
in
the
same
coverage
group
33
under
which
the
woman
received
Medicaid
coverage
while
pregnant
34
unless
the
woman
qualifies
for
Medicaid
under
another
coverage
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group
once
the
pregnancy
ends
or
unless
the
woman’s
eligibility
1
is
through
the
medically
needy
program.
2
4.
Comprehensive
maternity
care,
to
include
the
basic
3
number
of
prenatal
and
postpartum
visits
recommended
by
the
4
American
college
of
obstetricians
and
gynecologists;
additional
5
prenatal
and
postpartum
visits
that
are
medically
necessary;
6
necessary
laboratory,
nutritional
assessment
and
counseling,
7
health
education,
personal
counseling,
managed
care,
outreach,
8
and
follow-up
services;
treatment
of
conditions
which
may
9
complicate
pregnancy;
and
doula
care.
For
the
purposes
of
this
10
subsection,
“doula”
means
a
trained
professional
who
provides
11
continuous
physical,
emotional,
and
informational
support
to
a
12
woman
before,
during,
and
after
childbirth,
to
help
the
woman
13
achieve
the
healthiest,
most
satisfying
experience
possible.
14
5.
Reimbursement
for
breast-feeding
supports,
counseling,
15
and
supplies
including
the
standard
cost
of
breast
pumps,
16
including
electronic
breast
pumps.
17
6.
Reimbursement
for
transportation
to
all
prenatal
and
18
postpartum
care
appointments.
19
7.
Reimbursement
for
all
postpartum
care
products
such
as
20
breast
pads,
period
pads,
comfort
products,
pain
relievers,
and
21
other
similar
products.
22
DIVISION
II
23
MATERNAL
BEST
PRACTICES
OR
SAFETY
BUNDLES
——
REQUIREMENTS
FOR
24
HOSPITALS
25
Sec.
3.
NEW
SECTION
.
135B.36
Maternal
best
practices
or
26
safety
bundles
——
information.
27
A
hospital
licensed
under
this
chapter
that
provides
labor
28
and
delivery
services
shall
do
all
of
the
following:
29
1.
Adopt
and
implement
the
current
best
practices
or
safety
30
bundles
recommended
by
the
American
college
of
obstetricians
31
and
gynecologists
and
the
alliance
for
innovation
on
maternal
32
health
including
but
not
limited
to
action
measures
for
33
obstetrical
hemorrhage,
severe
hypertension
or
preeclampsia,
34
prevention
of
venous
thromboembolism,
reduction
of
low-risk
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primary
cesarean
births
and
support
for
intended
vaginal
1
births,
reduction
of
peripartum
racial
disparities,
and
2
postpartum
care
access
and
standards.
3
2.
Provide
all
of
the
following
information
to
the
public:
4
a.
Maternity
and
neonatal
level
of
care
status
and
the
5
meaning
of
a
maternity
or
neonatal
level
of
care
status.
6
b.
Cesarean
birth
statistics.
7
c.
Vaginal
birth
after
cesarean
statistics.
8
d.
Vaginal
birth
after
two
cesarean
sections
statistics.
9
e.
The
rate
of
exclusive
breastfeeding
upon
discharge
from
10
a
hospital.
11
3.
Provide
all
women
receiving
labor
and
delivery
services
12
with
information
and
assistance
in
applying
for
services
13
and
health
care
coverage
available
for
the
woman
and
the
14
infant
including
but
not
limited
to
those
available
through
15
Medicaid;
area
education
agencies;
the
federal
women,
infants,
16
and
children
program;
and
home
visiting
programs;
and
other
17
relevant
programs
prior
to
discharge
from
the
hospital.
18
4.
Have
in
place
a
comprehensive
labor
and
delivery
unit
19
closure
plan
that
includes
a
plan
for
future
births
and
20
pregnancies
and
the
capacity
of
other
providers
to
absorb
the
21
services
in
case
of
unit
closure.
22
DIVISION
III
23
MATERNAL
AND
INFANT
HOME
VISITING
PROGRAM
24
Sec.
4.
MATERNAL
AND
INFANT
HOME
VISITING
PROGRAM.
The
25
department
of
human
services
shall
engage
in
a
cross-agency
26
collaboration
with
the
department
of
public
health
and
the
27
department
of
education
to
identify
and
leverage
funding
28
sources
and
opportunities,
including
Medicaid,
to
expand
home
29
visiting
services
for
women
and
infants
that
promote
healthy
30
pregnancies,
positive
birth
outcomes,
and
healthy
infant
31
growth
and
development.
The
departments
shall
involve
key
32
stakeholders
in
designing
a
home
visiting
services
approach
33
for
the
state
that
maximizes
the
coordination
and
integration
34
of
programs
and
funding
streams,
reduces
duplication
of
35
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efforts,
and
ensures
that
the
services
provided
meet
federal
1
evidence-based
criteria.
The
approach
shall
ensure
that
home
2
visiting
services
shall
be
available
to
women
prenatally,
3
throughout
the
pregnancy,
and
postpartum,
and
shall
include
4
mental
and
physical
health,
social,
educational,
and
other
5
services
and
interventions
based
upon
the
risk
factors
and
6
needs
identified.
The
departments
may
conduct
a
feasibility
7
study
to
consider
the
various
options
available
to
increase
8
Medicaid
coverage
and
funding
of
home
visiting
services,
either
9
through
a
state
plan
amendment
or
waiver.
The
department
of
10
human
services
shall
seek
federal
approval
of
any
Medicaid
11
state
plan
amendment
or
waiver
necessary
to
administer
this
12
section.
13
EXPLANATION
14
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
15
the
explanation’s
substance
by
the
members
of
the
general
assembly.
16
This
bill
relates
to
maternal
and
child
health.
17
Division
I
of
the
bill
relates
to
maternal
and
child
health
18
improvements
under
the
Medicaid
program.
The
bill
directs
the
19
department
of
human
services
(DHS)
under
both
fee-for-service
20
and
managed
care
administration
of
Medicaid
to
adopt
rules
21
pursuant
to
Code
chapter
17A,
amend
any
contract
with
a
managed
22
care
organization,
and
apply
for
any
Medicaid
state
plan
23
amendment
or
waiver
as
may
be
necessary
to
provide
all
of
the
24
following:
1)
reimbursement
in
an
amount
appropriate
to
cover
25
the
entire
standard
of
care
costs
for
labor
and
delivery,
2)
26
the
same
reimbursement
for
maternal-fetal
medicine
services
27
and
comprehensive
maternity
care,
including
facility
and
28
professional
fees,
whether
provided
in
person
or
through
the
29
use
of
telehealth,
3)
continuous
Medicaid
eligibility
for
30
a
woman
for
a
12-month
postpartum
period,
4)
comprehensive
31
maternity
care,
to
include
the
basic
number
of
prenatal
and
32
postpartum
visits
recommended
by
the
American
college
of
33
obstetricians
and
gynecologists;
additional
prenatal
and
34
postpartum
visits
that
are
medically
necessary;
necessary
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laboratory,
nutritional
assessment
and
counseling,
health
1
education,
personal
counseling,
managed
care,
outreach,
2
and
follow-up
services;
treatment
of
conditions
which
may
3
complicate
pregnancy;
and
doula
care,
5)
reimbursement
for
4
breastfeeding
supports,
counseling,
and
supplies
including
5
the
standard
cost
of
breast
pumps
including
electronic
breast
6
pumps,
6)
reimbursement
for
transportation
to
all
prenatal
and
7
postpartum
care
appointments,
and
7)
reimbursement
for
all
8
postpartum
care
products
such
as
breast
pads,
period
pads,
9
comfort
products,
pain
relievers,
and
other
similar
products.
10
Division
II
of
the
bill
relates
to
maternal
best
practices
or
11
safety
bundle
requirements
for
hospitals.
The
bill
requires
12
a
licensed
hospital
that
provides
labor
and
delivery
services
13
to
1)
adopt
and
implement
the
current
best
practices
or
safety
14
bundles
recommended
by
the
American
college
of
obstetricians
15
and
gynecologists
and
the
alliance
for
innovation
on
maternal
16
health;
2)
provide
information
to
the
public,
including
but
17
not
limited
to
maternity
and
neonatal
level
of
care
status
and
18
the
meaning
of
a
maternity
and
neonatal
level
of
care
status,
19
cesarean
birth,
vaginal
births
following
cesarean
births,
and
20
exclusive
breast-feeding
statistics;
3)
provide
all
women
21
receiving
labor
and
delivery
services
with
information
and
22
assistance
in
applying
for
services
and
health
care
coverage
23
available
for
the
woman
and
the
infant
including
but
not
24
limited
to
those
available
through
Medicaid;
area
education
25
agencies;
the
federal
women,
infants,
and
children
program;
and
26
home
visiting
programs;
and
other
programs
prior
to
discharge
27
from
the
hospital;
and
4)
have
in
place
a
comprehensive
labor
28
and
delivery
unit
closure
plan
that
includes
a
plan
for
future
29
births
and
pregnancies
and
the
capacity
of
other
providers
to
30
absorb
the
services
in
case
of
unit
closure.
31
Division
III
of
the
bill
requires
DHS
to
engage
in
a
32
cross-agency
collaboration
with
the
departments
of
public
33
health
and
education
to
identify
and
leverage
funding
sources
34
and
opportunities,
including
Medicaid,
to
expand
home
visiting
35
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6
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2062
services
for
women,
infants,
and
young
children
that
promote
1
healthy
pregnancies,
positive
birth
outcomes,
and
healthy
2
infant
growth
and
development.
The
departments
shall
involve
3
key
stakeholders
in
designing
a
home
visiting
services
approach
4
for
the
state.
Home
visiting
services
shall
be
available
to
5
women
prenatally,
throughout
the
pregnancy,
and
postpartum,
and
6
shall
include
mental
and
physical
health,
social,
educational,
7
and
other
services
and
interventions
based
upon
the
risk
8
factors
and
needs
identified.
The
departments
may
conduct
a
9
feasibility
study
to
consider
the
various
options
available
10
to
increase
Medicaid
coverage
and
funding
of
home
visiting
11
services,
either
through
a
state
plan
amendment
or
waiver.
12
DHS
shall
seek
federal
approval
of
any
Medicaid
state
plan
13
amendment
or
waiver
necessary
to
administer
this
division
of
14
the
bill.
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