Relating to family planning and abortion reduction in the state and including effective date provisions

The section of Division II of the bill requiring submission of the state plan amendment takes effect upon enactment. Division III of the bill repeals the state family planning services program. The repeal of the program takes effect upon receipt of approval by DHS from CMS of the Medicaid state plan amendment establishing the Iowa family planning network. Division IV of the bill relates to the dispensing of self-administered hormonal contraceptives by a pharmacist. The division provides that notwithstanding any provision of law to the contrary, a pharmacist may dispense at one time, up to a one-year supply of a self-administered hormonal contraceptive to a patient pursuant to a standing order established by the medical director of the department of public health (medical director). The division authorizes the medical director to establish a standing order authorizing the dispensing of self-administered hormonal contraceptives by any pharmacist who complies with the standing order and retains and submits the patient’s record to the department of public health (DPH). The division requires DPH, in collaboration with the boards of pharmacy and medicine, and in consideration of the guidelines established by the American congress of obstetricians and gynecologists, to adopt administrative rules to administer the division. The division amends prescription contraceptive coverage provisions to require that a group policy, contract, or plan delivered, issued for delivery, continued, or renewed in the state on or after January 1, 2020, providing for third-party payment or prepayment of health or medical expenses, shall specifically provide for payment of a one-year supply of self-administered hormonal contraceptives, as prescribed and dispensed as specified in the division, including those dispensed at one time.