SF 56: Relating to Medicaid reimbursement for maternal and child health

What it does

F. This bill relates to maternal and child health improvements under the Medicaid program. The bill directs the department of health and human services under both fee-for-service and managed care administration of Medicaid to adopt rules pursuant to Code chapter 17A, amend any contract with a managed care organization, and apply for any Medicaid state plan amendment or waiver as may be necessary to provide all of the following: 1) reimbursement in an amount appropriate to cover the entire standard of care costs for labor and delivery, 2) the same reimbursement for maternal-fetal medicine services and comprehensive maternity care, including facility and professional fees, whether provided in person or through the use of telehealth, 3) comprehensive maternity care, to include the basic number of prenatal and postpartum visits recommended by the American college of obstetricians and gynecologists; additional prenatal and postpartum visits that are medically necessary; necessary laboratory, nutritional assessment and counseling, health education, personal counseling, managed care, outreach, and follow-up services; and treatment of conditions which may complicate pregnancy, 4) reimbursement for breast-feeding supports, counseling, and supplies including the standard cost of breast pumps including electric breast pumps and associated breast pump supplies, 5) reimbursement for transportation to all prenatal and postpartum care appointments, including transportation to a hospital with the appropriate level of care for a pregnant person and for a baby when transfer is necessary, and 6) reimbursement for all postpartum care products such as breast pads, period pads, comfort products, pain relievers, and other similar products.

Senate subcommittee · named January 17, 2023

• Sen. Jeff Edler (R)
• Sen. Mark Costello (R) · mark.costello@legis.iowa.gov
• Sen. Janet Petersen (D) · janet.petersen@legis.iowa.gov

Lobbying · 4 for, 0 against

For: Family Planning Council of Iowa; Iowa ACEs 360; Iowa Affiliate of the American College of Nurse-Midwives; Planned Parenthood Advocates of Iowa

In plain words

1. January 11, 2023Filed in the Senate and sent to the Health and Human Services committee
2. January 17, 2023Senate subcommittee named: Edler, Costello and Petersen