SF 154: Relating to reimbursement of hospitals for days awaiting placement through private insurance and the Medicaid program

What it does

This bill relates to reimbursement for services provided by a hospital during a days awaiting placement period. The bill provides that under private insurance and fee-for-service and managed care administration of Medicaid, a hospital shall not be denied reimbursement for the continuation of all higher-level services, including but not limited to inpatient care, provided to a covered individual or Medicaid-eligible member, respectively, during a days awaiting placement period. Reimbursement shall be provided to a hospital for each day a covered individual or Medicaid-eligible member remains in the care of the hospital while awaiting placement in a lower-level facility.

Senate subcommittee · named January 27, 2021

• Sen. Mark Costello (R) · mark.costello@legis.iowa.gov
• Sen. Jeff Edler (R)
• Sen. Liz Mathis (D)

Lobbying · 3 for, 1 against

For: Iowa Hospital Association; Iowa Mental Health Advocacy; Iowa State Association of Counties

Against: Elevance Health, and its Affiliates dba Anthem, Inc.

In plain words

1. January 25, 2021Filed in the Senate and sent to the Human Resources committee
2. January 27, 2021Senate subcommittee named: Costello, Edler and Mathis