Bill Text: IA SSB3114 | 2023-2024 | 90th General Assembly | Introduced
Bill Title: A bill for an act relating to the more options for maternal support program, and including effective date and retroactive applicability provisions.(See SF 2252.)
Spectrum: Committee Bill
Status: (Introduced - Dead) 2024-02-07 - Committee report approving bill, renumbered as SF 2252. [SSB3114 Detail]
Download: Iowa-2023-SSB3114-Introduced.html
Senate
Study
Bill
3114
-
Introduced
SENATE
FILE
_____
BY
(PROPOSED
COMMITTEE
ON
HEALTH
AND
HUMAN
SERVICES
BILL
BY
CHAIRPERSON
EDLER)
A
BILL
FOR
An
Act
relating
to
the
more
options
for
maternal
support
1
program,
and
including
effective
date
and
retroactive
2
applicability
provisions.
3
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
4
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Section
1.
Section
217.41C,
Code
2024,
is
amended
to
read
1
as
follows:
2
217.41C
More
options
for
maternal
support
program.
3
1.
a.
The
department
shall
create
the
more
options
for
4
maternal
support
program,
a
statewide
program
to
promote
5
healthy
pregnancies
and
childbirth
through
nonprofit
6
organizations
that
provide
pregnancy
support
services.
7
b.
The
more
options
for
maternal
support
program
is
designed
8
to
do
all
of
the
following:
9
(1)
Provide
an
approach
and
personalized
support
to
10
pregnant
women
to
provide
stabilization
to
families.
11
(2)
Promote
improved
pregnancy
outcomes,
including
reducing
12
abortions,
by
helping
women
practice
sound
health-related
13
behaviors
and
improve
prenatal
nutrition.
14
(3)
Improve
child
health
and
development
by
helping
parents
15
provide
responsible
and
competent
care
for
their
children.
16
(4)
Improve
family
economic
self-sufficiency
by
linking
17
parents
to
services
that
address
individual
economic
and
social
18
needs.
19
c.
For
the
purposes
of
this
section
,
“pregnancy
support
20
services”
:
21
(1)
“Pregnancy
support
services”
means
those
nonmedical
22
services
that
promote
childbirth
by
providing
information,
23
counseling,
and
support
services
that
assist
pregnant
women
or
24
women
who
believe
they
may
be
pregnant
to
choose
childbirth
and
25
to
make
informed
decisions
regarding
the
choice
of
adoption
or
26
parenting
with
respect
to
their
children.
27
(2)
“Provider
of
pregnancy
support
services”
or
“provider”
28
means
a
nonprofit
organization
that
provides
pregnancy
support
29
services
under
contract
with
the
program
administrator
or
the
30
department.
31
2.
The
program
may
provide
and
support
all
of
the
following
32
pregnancy
support
services:
33
a.
Nutritional
services
and
education.
34
b.
Housing,
education,
and
employment
assistance
during
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pregnancy
and
up
to
one
year
following
a
birth.
1
c.
Adoption
education,
planning,
and
services.
2
d.
Child
care
assistance
if
necessary
for
a
pregnant
woman
3
to
receive
pregnancy
support
services.
4
e.
Parenting
education
and
support
services
for
up
to
one
5
year
following
a
child’s
birth.
6
f.
Material
items
which
are
supportive
of
pregnancy
and
7
childbirth
including
but
not
limited
to
cribs,
car
seats,
8
clothing,
diapers,
formula,
or
other
safety
devices.
9
g.
Information
regarding
health
care
benefits,
including
but
10
not
limited
to
available
Medicaid
coverage
for
pregnancy
care
11
and
health
care
coverage
for
a
child
following
birth.
12
h.
A
call
center
for
information
or
to
schedule
13
appointments.
14
i.
Medical
information
and
referrals
for
medical
care,
15
including
but
not
limited
to
pregnancy
tests,
sexually
16
transmitted
infection
tests,
other
health
screenings,
17
ultrasound
services,
prenatal
care,
and
birth
classes
and
18
planning.
19
j.
Counseling,
mentoring,
educational
information,
and
20
classes
relating
to
pregnancy,
parenting,
adoption,
life
21
skills,
and
employment
readiness.
22
3.
The
department
shall
may
administer
the
program
directly
23
through
providers
of
pregnancy
support
services
or
may
issue
a
24
request
for
proposals
to
select
a
program
administrator
for
the
25
program.
A
If
the
department
issues
a
request
for
proposals
26
and
selects
a
program
administrator,
the
program
administrator
27
shall
meet
all
of
the
following
requirements:
28
a.
Be
a
nonprofit
entity
incorporated
in
this
state
with
a
29
tax-exempt
status
pursuant
to
section
501(c)(3)
of
the
Internal
30
Revenue
Code.
31
b.
Have
Create
and
maintain,
and
have
systems
and
processes
32
in
place
that
have
been
used
for
at
least
three
years
to
33
successfully
manage
,
a
statewide
network
of
subcontractors
34
providing
providers
of
pregnancy
support
services.
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c.
Have
a
commitment
to
promoting
healthy
pregnancies
and
1
childbirth
instead
of
abortion
as
a
fundamental
part
of
the
2
program
administrator’s
mission.
3
d.
Create
and
maintain
a
network
of
subcontractors
to
4
provide
pregnancy
support
services.
5
e.
d.
Maintain
records
for
each
subcontractor
provider
of
6
pregnancy
support
services
.
7
f.
e.
Monitor
compliance
with
the
terms
and
conditions
of
8
a
subcontractor
contract
with
a
provider
of
pregnancy
support
9
services
.
10
4.
A
subcontractor
providing
provider
of
pregnancy
support
11
services
under
the
program
shall
meet
all
of
the
following
12
requirements:
13
a.
Be
a
nonprofit
organization
incorporated
in
this
state
14
with
a
tax-exempt
status
pursuant
to
section
501(c)(3)
of
the
15
Internal
Revenue
Code.
16
b.
Have
a
minimum
of
one
year
of
operational
experience
in
17
either
providing
core
pregnancy
support
services
or
managing
18
a
network
of
providers
of
pregnancy
support
services
as
a
19
subcontractor
.
20
c.
Have
a
primary
mission
of
promoting
healthy
pregnancies
21
and
childbirth
instead
of
abortion.
22
d.
Have
a
system
of
financial
accountability
consistent
with
23
generally
accepted
accounting
principles,
including
an
annual
24
budget.
25
e.
Have
a
board
that
hires
and
supervises
a
director
who
26
manages
the
organization’s
operations.
27
f.
Offer,
at
a
minimum,
counseling
or
services
for
women
who
28
are
or
may
be
experiencing
unplanned
pregnancies.
29
g.
Provide
confidential
and
free
pregnancy
support
services
30
and
other
program
services.
31
h.
Provide
each
pregnant
woman
with
accurate
information
32
on
the
developmental
characteristics
of
unborn
children
and
33
babies.
34
i.
Ensure
that
program
funds
are
not
used
to
provide
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or
refer
pregnant
women
for
terminations
of
pregnancy,
or
1
to
encourage
or
affirmatively
counsel
a
pregnant
woman
to
2
terminate
a
pregnancy
unless
the
pregnant
woman’s
attending
3
physician
confirms
the
termination
of
pregnancy
is
medically
4
necessary
to
prevent
the
pregnant
woman’s
death.
5
j.
Maintain
confidentiality
of
all
data,
files,
and
records
6
related
to
the
program
pregnancy
support
services
provided
7
to
persons
accessing
program
the
pregnancy
support
services
8
through
the
program
in
compliance
with
state
and
federal
laws.
9
5.
The
department
shall
publish
the
program
administrator
10
and
subcontractor
criteria
on
the
department’s
internet
site.
11
6.
5.
The
department
shall
adopt
rules
pursuant
to
chapter
12
17A
to
administer
the
program
,
and
.
If
the
department
selects
13
a
program
administrator
through
a
request
for
proposals
14
process,
the
department
shall
provide
technical
assistance
to
15
the
program
administrator,
monitor
the
program
administrator
16
for
adherence
to
state
and
federal
requirements,
and
collect
17
and
maintain
program
data.
18
7.
6.
Beginning
October
1,
2023
2024
,
and
on
or
before
19
October
1
annually
thereafter,
the
department
shall
submit
to
20
the
general
assembly
the
following
program
information
relative
21
to
the
prior
fiscal
year:
22
a.
The
total
number
of
subcontractors
providers
of
pregnancy
23
support
services
by
geographical
region
and
the
total
number
24
of
unduplicated
clients
served
by
each
subcontractor
provider
25
by
gender
and
age.
26
b.
A
description
of
outreach
efforts
by
the
an
27
administrator,
subcontractors
providers
of
pregnancy
support
28
services
,
and
the
department.
29
c.
Total
program
expenditures.
30
d.
The
amounts
attributable
to
the
any
program
administrator
31
contract
and
to
each
contract
with
the
subcontractors
a
32
provider
of
pregnancy
support
services
.
33
e.
The
outcomes
based
on
outcome
measures
included
in
34
the
contracts
with
the
any
program
administrator
and
each
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subcontractor
provider
of
pregnancy
support
services
.
1
Sec.
2.
EFFECTIVE
DATE.
This
Act,
being
deemed
of
immediate
2
importance,
takes
effect
upon
enactment.
3
Sec.
3.
RETROACTIVE
APPLICABILITY.
This
Act
applies
4
retroactively
to
July
1,
2022.
5
EXPLANATION
6
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
7
the
explanation’s
substance
by
the
members
of
the
general
assembly.
8
This
bill
relates
to
the
more
options
for
maternal
support
9
(MOMS)
program.
10
Under
Code
section
217.41C,
the
MOMS
program
is
required
11
to
be
administered
by
the
department
of
health
and
human
12
services
(HHS)
through
an
administrator
selected
by
a
request
13
for
proposals
(RFP)
process.
The
bill
amends
this
provision
14
to
authorize
HHS
to
either
administer
the
program
directly
15
through
contracts
with
providers
of
pregnancy
support
services
16
(providers),
or
through
a
program
administrator
selected
17
through
an
RFP
process.
The
bill
also
eliminates
the
reference
18
to
subcontractors
and
instead
refers
to
providers
and
makes
19
requirements
for
the
former
subcontractors
applicable
to
these
20
providers.
The
bill
eliminates
the
requirement
that
HHS
21
publish
the
program
administrator
and
subcontractor
criteria
on
22
the
HHS
internet
site.
23
The
bill
changes
the
date
by
which
HHS
is
required
to
begin
24
submitting
an
annual
report
regarding
the
program
to
the
25
general
assembly
from
October
1,
2023,
to
October
1,
2024.
26
The
bill
makes
conforming
changes
to
Code
section
217.41C
27
to
reflect
the
optional
use
of
a
program
administrator
and
the
28
elimination
of
program
subcontractors.
29
The
bill
takes
effect
upon
enactment
and
is
retroactively
30
applicable
to
July
1,
2022,
the
original
effective
date
of
the
31
Code
section.
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