HSB 743: HSB 743

What it does

This bill relates to reimbursement of a provider by a Medicaid managed care organization (MCO) for an item or service subject to prior authorization. The bill provides that if a provider obtains any necessary prior authorization from an MCO for the furnishing of an item or service to a recipient, the MCO shall pay the provider 100 percent of the claim for reimbursement for the item or service, and shall not seek repayment, offset against future reimbursement of claims, or other payment or reimbursement from the recipient, the provider, or any other source involved with the furnishing of the item or service, unless the MCO determines the claim for reimbursement involves fraud or misrepresentation.

House subcommittee · named March 26, 2024

• Rep. Brian Best (R)
• Rep. Craig P. Johnson (R) · craig.johnson@legis.iowa.gov
• Rep. Monica Kurth (D) · monica.kurth@legis.iowa.gov

Lobbying · 20 for, 1 against

For: Blank Childrens Hospital; Broadlawns Medical Center; Easterseals Iowa; Exceptional Persons, Inc.; Great River Health System; Heartland Impact; Imagine the Possibilities; Iowa Association of Community Providers; Iowa Chapter-American Academy of Pediatrics; Iowa Chiropractic Society; Iowa Dental Association; Iowa Emergency Medical Services Association; and 8 more

Against: Molina Healthcare, Inc.

In plain words

1. March 26, 2024Filed in the House and sent to the Ways and Means committee
2. March 26, 2024House subcommittee named: Best, Johnson and Kurth
3. April 2, 2024Subcommittee recommended passing it