HF3237 Summary

• Covers medical services identified in individualized education plans (IEPs) for students, with mental health services provided through children's mental health collaboratives where they exist and school districts eligible as medical assistance providers.

• Establishes State Health Access Program allowing community-based health care initiatives to offer fixed prepaid health coverage to eligible individuals in participating communities, with demonstration projects in designated counties and specific reporting requirements.

• Authorizes long-term care partnership policies meeting federal requirements under Public Law 109-171, allowing existing long-term care insurance policies to qualify as partnership policies through amendments, riders, or disclosure statements.

• Modifies dental benefit coverage for nonpregnant adults to limit services to specific procedures (exams, x-rays, cleanings, fillings, extractions, prophylaxis) with frequency restrictions, while expanding coverage for children and pregnant women.

• Adjusts eligibility income standards for medical assistance and general assistance medical care, establishes performance targets for managed care plans with withhold requirements, and creates administrative committees for drug formulary and multisource drug payment procedures.