Senate File 2356
Directs DHS to amend the extension proposal for the IowaCare program to provide expansion population services through a phased in approach, utilizing the 14 Federally Qualified Health Centers statewide. Creates a mechanism to expand the IowaCare provider network to include private providers, and hospitals designated by the Department subject to availability of funds. Eestablishes a mechanism to leverage additional federal monies through certified public expenditures to compensate University of Iowa Hospitals and Clinics for a portion of the costs associated with physician care. Directs DHS to develop this plan in a phased in approach and to consult with the Medical Assistance and Projections Council and receive their approval prior to implementation. Establishes a payment mechanism for the regional provider network to receive payment for primary care services to IowaCare members. Directs the Department to adopt rules in collaboration with the Medical Home Advisory Council specifying the requirements and certification of a medical home. Directs the Department of Public Health to work with the appropriate entities to develop a plan for coordination of care for individuals with diabetes receiving care through members of the Iowa Collaborative Safety Net Provider Network.

Division II of SF2356 creates an insurance exchange in Iowa, the purpose of which is to establish an information clearinghouse where all Iowans can obtain information about health care coverage that is available in this state including availability of care delivered by safety-net providers and comparisons of benefits, premiums, and out-of-pocket costs. The bill specifies the nature of the information to be provided to consumers in making decisions about purchasing or acquiring health care coverage. The bill also establishes that the commissioner is to make recommendations to the Legislative Health Care Commission at each meeting of the Commission including those related to the promotion of greater transparency in providing quality data on health care providers and health care coverage plans and in providing data on the cost of medical care that is easily accessible to the public, statutory options that improve seamlessness in the health care system in this state and funding opportunities to increase health care coverage in the state, particularly for individuals who have been denied access to health insurance coverage.

House File 2370
Enterprise Zones are designed to stimulate development by targeting economically distressed areas in Iowa. Through state and local tax incentives, businesses and developers are encouraged to make new investments, and create or retain jobs in these areas. The goal of the program is to revitalize these areas and make them competitive with other locations throughout the state. Under current law, certification of enterprise zones ends on July 1, 2010. This law extends the deadline for 2 years to July 1, 2012. In addition, the cap under the program is eliminated since the program will fall under the tax credit cap for economic development programs created last year and modified in SF 2380, the tax credit reform bill pending the Governor’s signature.

House File 2483
Relates to trusts and estates including provisions relating to state inheritance tax, uniform transfers to minors, and medical assistance claims. This bill specifies that retirement plans subject to federal income tax when paid to a beneficiary are not subject to state inheritance tax. Increases transfers to minors from $10,000 to $25,000 under Uniform Law provisions. Allows electronic notice to DHS on estates in order to let DHS decide whether to make a Medicaid claim. This bill allows for distribution of property by affidavit if the property does not exceed $25,000. It states that remedies for a trustee’s failure to inform and account are not available for trusts created prior to July, 2002. In addition, this bill allows a transfer agent to request certification of the existence of a trust and of the identity of a trustee. This bill also adds provisions that allow the consent of a person, who can represent another, binding unless the represented person objects before the consent becomes effective and only applicable to written consents prior to July, 2010.

Senate File 2388
Creates a program that assesses urban hospitals a fee that would generate $40 million that can be used as a match for the state’s Medicaid program, and those funds are deposited in the Hospital Health Care Access Trust Fund. Hospitals are limited in the funds they can receive by the federal Upper Payment Limit ($69.1 million). Hospitals would receive a $20.5 million appropriation from the Trust Fund for a provider rate increase. The $20.5 million is then matched to draw down $48.6 million to reach the federal Upper Payment Limit of $69.1 million. The state nets $19.4 million for Medicaid expenses. The legislation also includes funding for hospital re-basing at $4.5 million in FY 12 and $6 million in FY 13.

Senate File 2331
Adds chiropractic as a covered service for hawk-i enrollees. Chiropractic is not currently specifically listed as a covered service. The legislation also allows any chiropractor who is licensed in the state of Iowa to be a participating provider in the hawk-i program. This means that a hawk-i participating health plan cannot limit their network if chiropractors want to be a hawk-i provider.