Bills › 90th General Assembly
Relating to limitations on activities related to paid claims under the Medicaid program, and including effective date provisions
Sponsored by the House Health and Human Services Committee
Topics:Health careMedicaid
Where it is now
- Done: IntroducedFebruary 1, 2024
- Stopped: SubcommitteeDied when the General Assembly ended
- Next: House committee
- Next: Passes the House
- Next: Senate committee
- Next: Passes the Senate
- Next: To the Governor
- Next: Signed into law
Died when the session ended The General Assembly adjourned on April 19, 2024. Bills that didn’t pass both chambers died. What’s a funnel?
What’s in it
This bill relates to the limitations on activities related to paid claims under the Medicaid program. The bill provides that notwithstanding any provision of law to the contrary, any post-payment review of Medicaid provider claims paid under either Medicaid fee-for-service or managed care administration that do not involve fraud or misrepresentation shall be limited to a review of only those claims for which no more than months have elapsed since the date of payment of the claim. Additionally, any provider overpayment identified for which months or more have elapsed since the date of payment of the claim shall not be subject to repayment or to offset against future reimbursement of claims by the provider.
Read the full explanation
Any improper payment identified through a review may be resubmitted by the provider as a claims adjustment. The bill takes effect upon enactment.
From the explanation printed with the bill as introduced, written by the Legislative Services Agency. Amendments adopted later aren’t reflected. Full bill text
Fiscal note
Cost: up to $535,000 Compare with other bills
House File 2268 is estimated to increase costs to the State Medicaid program by approximately $535,000 annually due to lost recoveries, beginning in FY 2025. Fiscal Note Fiscal Services Division 2 Source Department of Health and Human Services /s/ Jennifer Acton February 20, 2024 Doc ID 1447008 The fiscal note for this Bill was prepared pursuant to Joint Rule 17 and the Iowa Code.
- Medicaid, Refunds and Offsets · February 20, 2024
Nonpartisan cost estimates from the Legislative Services Agency’s Fiscal Services Division. The newest is first. Reading a fiscal note
Iowa Code it changes
Creates§249A.42B
Read from the bill as introduced. Each links to every bill touching that chapter of the Iowa Code. How the Code works
Lobbying
19 for · 0 against · 0 undecided · Who →
Family tree
Where this legislation came from and where it went: earlier tries, the versions it moved through this Assembly, and later bills built on it.
90th General Assembly
Picked up later
Earlier and later bills are matched by wording or an identical title; check the text to be sure it’s the same idea.
Similar bills
- HF 2142 Relating to limitations on activities related to paid claims under the Medicaid program, a…91st General Assembly · In committeeNearly identical
Matched by the wording of each bill’s explanation, or an identical title. Companion bills and renumbered versions of this bill aren’t listed; they’re the same bill.