House and Senate differ on reimbursement rates for telehealth Covid-19 has upended the health care delivery system in Iowa. The House has passed legislation that requires telehealth services to be reimbursed by insurers at the same level as in-person services. Rates lower than that — like those proposed by the Senate — are a disincentive for providers to deliver care via telehealth, hurting Iowans who rely on these critical services, including folks in rural communities with limited access to local health care services. Child care is still in the mix We expect several child care bills that have already passed the House to appear on the Senate debate calendar soon. These good if relatively small-scale bills would push more resources into our child care system — for example, raising the Child Care Assistance provider reimbursement level for some infants and toddlers, and helping local businesses, non-profits and consortiums establish child care facilities to increase the supply of quality, affordable care in their communities. We must note one disappointing child care bill that may still advance. It sounds good on its face: it increases CCA provider reimbursement rates to the 50th percentile of 2017 market rate survey for some providers. But because of how it's structured, much of the benefit would go toward unregistered providers, giving providers a disincentive to register and participate in quality initiatives. We believe Iowa should increase rates in a way that rewards registered and licensed providers who provide quality care. Lawmakers have so far declined to revisit punitive safety-net bills Before session paused in March, the Senate had passed a series of bad bills that would take away health insurance from Iowans who don't meet harsh working reporting requirements — and implement costly and unnecessary verification checks for public assistance supports including Medicaid, SNAP and TANF. We're glad to see that the House has shown no interest in taking up these counterproductive bills. We need to make important supports like health insurance and food assistance easier, not harder, for Iowans to access — especially during a health and economic crisis. House and Senate budgets ignores current crises Both chambers have introduced their respective funding bills: the House calls for status-quo funding (with a few exceptions) largely following last year's budget, while the Senate is expected to make some cuts and policy changes. This isn't unexpected, but it is disappointing. We need policymakers to make bolder decisions to meet the needs of Iowans facing health and economic hardship right now and protect state finances to preserve the foundations of long-term economic growth. House bill includes a long-needed boost for FIP One of those small changes from last year in the House budget bill is a $1.5 million funding increase for the Family Investment Program (FIP). Although relatively modest, it's a big deal: FIP, which provides cash assistance to low-income families, hasn't seen since a funding increase in decades. Boosting FIP will help families with fewest resources pay for basics, like rent, food, diapers and personal hygiene supplies, and avert serious hardship, including eviction and homelessness. |