Iowa 2021-2022 Regular Session Status: Enacted

HF 736 — A bill for an act relating to recovery of an overpayment to a provider based on specified grounds under the Medicaid program. (Formerly HSB 225.) Effective date: 07/01/2022.

Last action — Fiscal note.

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced March 03, 2021. Enacted.

Prognosis

Not enough signal yet

Where this bill stands today.

Odds of enactment

High

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Bill Text

What changed in the latest version

37 added · 58 removed

37 line(s) added, 58 removed.

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K i m R e y n o l d s O f f i c e o f t h e G o v e r n o r A d a m Gregg G O V E R N O R L T G O V E R N O R May 17,2022 The Honorable Paul Pate SecretaryofStateofIowa StateCapitol Des Moines,Iowa 50319 Dear Mr.Secretary, 1herebytransmit:
House File 736 - Enrolled House File 736 AN ACT RELATING TO RECOVERY OF AN OVERPAYMENT TO A PROVIDER BASED ON SPECIFIED GROUNDS UNDER THE MEDICAID PROGRAM.
HouseFile736,anActrelatingtorecoveryofanoverpaymenttoaproviderbasedon specifiedgroundsundertheMedicaid program.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
TheaboveHouse Fileisherebyapprovedon thisdate.
Sincerely, Leyrclds Governor o O o w a cc:
SecretaryoftheSenate Clerk of the House STATE CAPITOL DES MOINES, IOWA 50319 5I5.281.52II FAX 515.725.352WWW.G0VERN0R.10WA.GOV E ^ i z e ^ a o r ^ i .
A ziinnannnnnrararannramnnnnrnn sSiSi'r '2£Wili.m*intai inilW!:!;T^i:fli!!;ii:!iii!ii:i;i,.:^;^ ■' ;
1 ra I ' G K N E R A I .
A S S K M B I A [rtiit]:i>iii]iiiiiiiiiiim?!t!!:3Hitiiiiii[iiiiiiKn!i!i»iii:imiimuiii!r;i!!i]>!iimiiiKiiiNiiiHiiii!ii(i[in!!iiiiiHiiiiiiiitiiiEiii;Ei!iiiiimiiKiiimiHi!i!itiiiiiHiimimii!»iiniii H o u s e F i l e 7 3 6 A N A C T R E L A T I N GT O R E C O V E R YO F A N O V E R P A Y M E N T O A P R O V I D E RB A S E D O N S P E C I F I E D G R O U N DU N D E R T H E M E D I C A I D P R O G R A M .
B E IT E N A C T E D B Y T H E G E N E R A L A S S E M B L Y O F T H ES T A T E O F I O W A :
249A.42A Overpayment •— subsequent ineligibility of recipient — recovery — recoupment — reimbursement.
249A.42A Overpayment —— subsequent ineligibility of recipient —— recovery —— recoupment —— reimbursement.
Notwithstanding any provision to the contrary, if a recipient is deemed ineligible for medical assistance following delivery of care or service by a provider, in an administrative action to recover an overpayment to the provider based solely on the grounds of such recipient's ineligibility, the department acting as the state Medicaid agency shall reimburse the provider for any recoupment of an overpayment using state-only funds for care or services delivered if all of the following c o n d i t i o n s a r m e t :
Notwithstanding any provision to the contrary, if a recipient is deemed ineligible for medical assistance following delivery of care or service by a provider, in an administrative action to recover an overpayment to the provider based solely on the grounds of such recipient’s ineligibility, the department acting as the state Medicaid agency shall reimburse the provider for any recoupment of an overpayment using state-only funds for care or services delivered if all of the following conditions are met:
The provider documented the eligibility verification performed and any necessary prior authorization obtained pursuant to paragraph in a manner and format established by House File 736, p.
The provider documented the eligibility verification performed and any necessary prior authorization obtained pursuant to paragraph “a” in a manner and format established by House File 736, p.
2 the department by rule, and retained the required documentation in the recipient's file.
2 the department by rule, and retained the required documentation in the recipient’s file.
PAT'GftA SSLE^^ C H A P M A N Speaker of the House P r e s i do ft h S e n a t e I hereby certify that this bill originated in the House and is known as House File 736, Eighty-ninth General Assembly.
______________________________ ______________________________ PAT GRASSLEY JAKE CHAPMAN Speaker of the House President of the Senate I hereby certify that this bill originated in the House and is known as House File 736, Eighty-ninth General Assembly.
MEC^AN NELSON Ch^ef Clerk of the House Approved 2 0 2 2 K I MR E Y N O L D S G o v e r n o r
______________________________ MEGHAN NELSON Chief Clerk of the House Approved _______________, 2022 ______________________________ KIM REYNOLDS Governor
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Amendments

4 amendments

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Action History

  1. Fiscal note.

  2. Signed by Governor.

  3. Reported correctly enrolled, signed by Speaker and President, and sent to Governor.

  4. Message from House.

  5. Immediate message.

  6. Passed House, yeas 97, nays 0.

  7. House concurred in Senate amendment H-8291.

  8. Fiscal note.

  9. Senate amendment H-8291 filed.

  10. Message from Senate.

  11. Immediate message.

  12. Passed Senate, yeas 47, nays 0.

  13. Amendment S-5095 filed, adopted.

  14. Amendment S-5064 withdrawn.

  15. Placed on calendar under unfinished business.

  16. Amendment S-5064 filed.

  17. Committee report, recommending amendment and passage.

  18. Subcommittee recommends passage.

  19. Subcommittee Meeting: [].

  20. Subcommittee: Costello, Johnson, and Mathis.

  21. * * * * * END OF [] ACTIONS * * * * *

  22. Subcommittee: Costello, Johnson, and Mathis.

  23. Fiscal note.

  24. Read first time, referred to Human Resources.

  25. Message from House.

  26. Immediate message.

  27. Passed House, yeas 95, nays none.

  28. Amendment H-1235 adopted.

  29. Amendment H-1235 filed.

  30. Fiscal note.

  31. Introduced, placed on calendar.

Sponsorship breakdown

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0 sponsors · 0 co-sponsors · 148 not signed on

Sponsors (0)

None.

Co-sponsors (0)

None.

Not signed on (148)

148 members have not signed on to this bill.

Show all 148 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What is the current status of HF 736?
This bill has been enacted into law. Introduced March 03, 2021. Enacted.
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