Bill Text: IA HF217 | 2015-2016 | 86th General Assembly | Introduced

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Bill Title: A bill for an act relating to limitations on licensed intermediate care facility beds in the state. (See Cmte. Bill HF 543)

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced - Dead) 2015-02-25 - Passed subcommittee. [HF217 Detail]

Download: Iowa-2015-HF217-Introduced.html

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House File 217 - Introduced




                                 HOUSE FILE       
                                 BY  HEATON

                                      A BILL FOR

  1 An Act relating to limitations on licensed intermediate care
  2    facility beds in the state.
  3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
    TLSB 2091YH (5) 86
    pf/nh

PAG LIN



  1  1    Section 1.  Section 135.63, subsection 4, paragraph a, Code
  1  2 2015, is amended to read as follows:
  1  3    a.  The new or changed beds shall not result in an
  1  4 increase in the total number of medical assistance certified
  1  5 intermediate care facility beds for persons with an
  1  6 intellectual disability in the state, exclusive of including
  1  7  those beds at the state resource centers or other state
  1  8 institutions, beyond one thousand six hundred thirty=six beds.
  1  9    Sec. 2.  Section 249A.12, Code 2015, is amended by adding the
  1 10 following new subsection:
  1 11    NEW SUBSECTION.  8.  Beginning July 1, 2015, the limitation
  1 12 on the number of medical assistance certified intermediate care
  1 13 facility beds for persons with an intellectual disability of
  1 14 one thousand six hundred thirty=six beds specified in section
  1 15 135.63, subsection 4, shall be permanently reduced to reflect
  1 16 any reduction in such beds at the state resource centers due
  1 17 to outplacement and census decline.  Any assistance furnished
  1 18 under this chapter to a state resource center attributable
  1 19 to an individual representing such an outplacement or census
  1 20 decline, less an amount which represents the portion of
  1 21 such assistance provided to such individual that reflects
  1 22 the state resource center's fixed costs and infrastructure,
  1 23 shall continue to be provided to the individual to the extent
  1 24 necessary to instead provide a subsequent placement in a
  1 25 community=based setting.  The resource center shall continue to
  1 26 downsize and restructure the resource center's infrastructure
  1 27 to reflect any permanent decline in beds under this subsection
  1 28 to meet the needs and number of individuals actually served.
  1 29                           EXPLANATION
  1 30 The inclusion of this explanation does not constitute agreement with
  1 31 the explanation's substance by the members of the general assembly.
  1 32    This bill relates to the number of medical assistance
  1 33 certified intermediate care facility beds for persons with an
  1 34 intellectual disability (ICF/ID) in the state.  The bill amends
  1 35 the certificate of need provisions relating to ICF/ID beds to
  2  1 provide that the limitation on the number of such beds of 1,636
  2  2 includes such beds at the state resource centers and other
  2  3 state institutions.  The bill requires that beginning July 1,
  2  4 2015, the limitation of 1,636 beds shall be permanently reduced
  2  5 to reflect any reduction in such beds at the state resource
  2  6 centers due to outplacement and census decline.  Any medical
  2  7 assistance furnished to a state resource center attributable to
  2  8 an individual representing the outplacement or census decline,
  2  9 less an amount for the portion of the medical assistance
  2 10 provided to that individual that reflects the state resource
  2 11 center's fixed costs and infrastructure, shall continue to
  2 12 be provided to the individual to the extent necessary to
  2 13 instead provide a subsequent placement in a community=based
  2 14 setting.  The bill directs the resource centers to continue to
  2 15 downsize and restructure their infrastructure to reflect any
  2 16 such permanent decline in beds to meet the needs and number of
  2 17 individuals actually served.
       LSB 2091YH (5) 86
       pf/nh