- The Iowa General Assembly is to restore Public Employee Collective Bargaining rights to the same mandatory topics of bargaining rights as Chapter 20 had in 2016.
- The General Assembly should expand and support programs that assist in recruiting and retaining healh care professionals in Iowa.
- The Bureau of Labor Statistics estimates by 2022 there will be over one million job openings for nurses in the U.S. Physicians will be harder to acquire.
- The General Assembly should modernize commitment laws to ensure a working and efficient commitment process for patients and professionals.
- Iowa’s commitment laws are complex and require a patient to move through several agencies and processes. Judicial, law enforcement, and medical personnel are just a few of the many professionals who will make decisions on behalf of the patient. This makes the process difficult.
- The General Assembly should designate state-operated Mental Health Institutes as Psychiatric Intensive Care Hospitals.
- Psychiatric Intensive Care refers to hospitals that provide acute psychiatric care to individuals with complex psychiatric needs that other providers find too difficult or dangerous to treat.
- The General Assembly should require timely and appropriate authorizations and reimbursements for substance use services and treatments.
- The Complex Service Needs Workgroup noted in its Report last year that “low reimbursement rates for substance use disorder residential treatment make it difficult to maintain capacity and workforce to serve patients with complex needs.”
- The Iowa General Assembly should appropriate funding to restore inpatient and outpatient cost-based reimbursements for CAHS (Critical Access Hospitals) and direct the Department of Human Services to develop a cost adjustment factor methodology.
- Critical Access Hospitals are eligible for allowable cost plus one percent reimbursement. However, CAHs have been denied this payment following the transition to Medicaid managed care.
- The Iowa General Assembly should pass legislation to restory Medicaid retroactive enrollment for hospitals which was eliminated in 2017.
- Iowa Medicaid should be required to retroactively enroll Medicaid beneficiaries who become eligible or enrolled in the program within 90 days following an instance of receiving care, and reimburse the provider, for services during the 90-day period.
- The Iowa General Assembly should stand by the Department of Human Services' decision to not implement Medicaid work requirements.
- Recent federal guidance allows states to disqualify Medicaid beneficiaries from the program unless they can prove that they are working or engaged in “work-related activities” for a specific number of hours per month. Work requirements will make it difficult to maintain coverage.
- Designate EMS an essential service under state law, which would qualify this necessary service to be supported by state and local funding.
- Having a reliable source of funding will help hospitals and other providers who deliver EMS services to recover a greater portion of the built-in costs of 24/7 service. Provide flexibility to structure EMS services so that limited resources can be used efficiently and effectively.
- The Iowa General Assembly should oppose further reductions to Medicaid reimbursement to hospitals.
- The legislature passed millions in “cost containment measures” in 2017, the payment gap widened further. Combining that with the continued payment challenges hospitials are experiencing because of the state’s implementation of Medicaid managed care.