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IA HF808

Bill

Official Source

Status

Introduced

3/6/2025

Primary Sponsor

Matthew Rinker

Click for details

Origin

House of Representatives

91st General Assembly

AI Summary

  • Managed care organizations (MCOs) administering Iowa's Medicaid program cannot issue chargebacks to healthcare providers more than 12 months after providing reimbursement to that provider

  • MCOs must negotiate a fee with third-party auditors before the auditor begins any audit of a provider on the MCO's behalf

  • Third-party auditor compensation cannot be based on the percentage of chargebacks the auditor identifies, prohibiting contingency-fee arrangements tied to audit findings

Legislative Description

A bill for an act relating to managed care organization chargebacks and third-party auditors.

Last Action

Introduced, referred to Commerce. H.J. 539.

3/6/2025

Committee Referrals

Commerce3/6/2025

Full Bill Text

No bill text available