Bills › 88th General Assembly

SF 468Died when the session ended · March 4, 2019

Relating to an administrative services organization delivery model for the Medicaid program, and including effective date provisions

Topics:Health careMedicaid

Where it is now

  1. Done: IntroducedMarch 4, 2019
  2. Done: SubcommitteeMarch 5, 2019
  3. Stopped: Senate committeeDied when the General Assembly ended
  4. Next: Passes the Senate
  5. Next: House committee
  6. Next: Passes the House
  7. Next: To the Governor
  8. Next: Signed into law

Died when the session ended The 2020 session adjourned on June 14, 2020, the General Assembly’s last regular session. Bills that didn’t pass both chambers died. What’s a funnel?

What’s in it

This bill relates to the development and implementation of a managed fee-for-service value-based delivery model utilizing an administrative services organization. Division I of the bill requires the department of human services (DHS) to issue a request for proposals and enter into contracts as necessary effective July 1, 2020, to provide a managed fee-for-service value-based delivery model utilizing an administrative services organization to coordinate delivery of physical and behavioral health services for the Medicaid program.

Read the full explanation

The bill also strikes current Code language that authorizes the DHS director to contract with corporations authorized to insure groups or individuals; corporations maintaining and operating medical, hospital, or health service prepayment plans; or health maintenance organizations to provide coverage for Medicaid members. This division takes effect July 1, 2020. Division II of the bill requires DHS to contract with the university of Iowa public policy center to assist in developing a request for proposals (RFP) to be issued no later than January 1, 2020, as the basis for soliciting bids from entities to contract for and implement a managed fee-for-service value-based delivery model utilizing an administrative services organization for the Medicaid program in place of Medicaid managed care beginning July 1, 2020. The public policy center is required to convene a request for proposals development work group to develop the RFP. The bill describes the goals of the delivery system and requires the work group to consider the key elements for the delivery system; the infrastructure for the delivery system including a single statewide data analytics infrastructure, a statewide administrative services organization, a statewide strategy for the adoption and advancement of value-based payment models, and enhanced state oversight and accountability; and the role of state agencies.

Full bill text1

Senate subcommittee

Named March 5, 2019. It hasn’t reported yet.

Three legislators hear a bill first and recommend what the committee should do; it’s the best time to weigh in. How to take part

Iowa Code it changes

Creates§249A.4A

Amends§249A.4

How the Code works2

Lobbying

0 for · 1 against · 20 undecided · Who →