Human Resources Committee – Week 8, 2020


HF 2221 – Local Boards of Health membership

HF 2221 – Currently local Boards of Health are required to have one of the five members be a physician. The bill allows that position to be filled by a physician, physician assistant, an Advanced Registered Nurse Practitioner (ARNP), or an advanced practice registered nurse. The bill also redefines health officer to reflect the change in membership requirements.
[3/4: short form]

HF 2222 – DHS Study of mental health services

HF 2222 requires DHS to conduct a statewide study of the current availability of mental health services in the state. The study will supply data necessary to determine if an 1115 Demonstration Waiver should be requested from the Centers for Medicaid and Medicare (CMS) that allows Medicaid reimbursement in settings defined as Institutions for Mental Diseases that have more than 15 beds.
[3/4: short form]


SF 2318 – Collaborative Pharmacy Practice

SF 2318 allows a pharmacist to engage in a collaborative pharmacy practice, in accordance with administrative rules adopted by the Board of Pharmacy and under a collaborative pharmacy practice agreement, to provide patient care and drug therapy management services to a patient, including a patient following a behavioral health diagnosis by a practitioner. The bill also provides that if a health benefit plan provides for payment or reimbursement for a service that is within the lawful scope of practice of a practitioner or pharmacist and the service is provided by a pharmacist pursuant to a collaborative pharmacy practice agreement, the health carrier may provide payment or reimbursement for the service. An amendment was adopted to exempt Medicaid from requirements of this bill.
[3/4: 46-2 (No: Bisignano, Celsi; Excused: Kraayenbrink, Wahls)]

SF 2346 – Medicaid as third-party payer for primary care agreements

SF 2346, as amended on the floor, requires DHS to develop a pilot project regarding Direct Primary Care Agreements as authorized under Code chapter 135N. Such agreements are between a direct provider and a direct patient, or the direct patient’s representative, in which the direct provider agrees to provide primary care health services for a specified period of time to the direct patient for a direct service charge. Code chapter 135N authorizes a direct provider to accept payment of a direct service charge for a patient either directly or indirectly from a third party. Under the bill, a pilot program allows childless adults and pregnant women to enter into the agreements with the Iowa Medicaid Enterprise as the third-party payor.
[2/27: 31-18, party-line (Excused: Miller-Meeks)]