Bill Text: IA HF2211 | 2017-2018 | 87th General Assembly | Introduced
Bill Title: A bill for an act relating to county funding of services for persons with substance-related disorders and co-occurring mental health and substance-related disorders and including effective date provisions.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2018-02-02 - Introduced, referred to Human Resources. H.J. 199. [HF2211 Detail]
Download: Iowa-2017-HF2211-Introduced.html
House File 2211 - Introduced HOUSE FILE BY ISENHART A BILL FOR 1 An Act relating to county funding of services for persons with 2 substance=related disorders and co=occurring mental health 3 and substance=related disorders and including effective date 4 provisions. 5 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: TLSB 5435YH (5) 87 hb/rh PAG LIN 1 1 Section 1. Section 331.391, subsection 4, paragraph b, Code 1 2 2018, is amended to read as follows: 1 3 b. For fiscal years beginning July 1, 2017, July 1, 2018, 1 4 and July 1, 2019, that portion of each region's cash flow 1 5 amount either reserved in the combined account or reserved 1 6 among all separate county accounts under the control of the 1 7 governing board that exceeds twenty=five percent of the gross 1 8 expenditures from the combined account or from all separate 1 9 county accounts under control of the governing board in the 1 10 fiscal year preceding the fiscal year in progress shall be used 1 11 in whole or in part to fund the payment of services provided 1 12 under the regional service system management plan under section 1 13 331.393, which may include expenses associated with increasing 1 14 capacity to provide services to persons with substance=related 1 15 disorders and persons with co=occurring mental health and 1 16 substance=related disorders. 1 17 Sec. 2. Section 331.393, subsection 2, Code 2018, is amended 1 18 to read as follows: 1 19 2. Each region shall submit to the department an annual 1 20 service and budget plan approved by the region's governing 1 21 board and subject to approval by the director of human 1 22 services. Provisions for the director of human services' 1 23 approval of the annual service and budget plan, and any 1 24 amendments to the plan, and other requirements shall be 1 25 specified in rule adopted by the state commission. 1 26 a. The provisions addressed in the annual plan shall include 1 27 but are not limited to all of the following: 1 28a.(1) The region's budget and financing provisions for 1 29 the next fiscal year. The provisions shall address how county, 1 30 regional, state, and other funding sources will be used to meet 1 31 the service needs within the region. 1 32b.(2) The scope of services included in addition to 1 33 the required core services. Each service included shall be 1 34 described and projection of need and the funding necessary to 1 35 meet the need shall be included. 2 1c.(3) The location of the local access points for 2 2 services. 2 3d.(4) The plan for assuring effective crisis prevention, 2 4 response, and resolution. 2 5e.(5) The provider reimbursement provisions. A region's 2 6 use of provider reimbursement approaches in addition to 2 7 fee=for=service reimbursement and for compensating the 2 8 providers engaged in a systems of care approach and other 2 9 nontraditional providers shall be encouraged. A region also 2 10 shall be encouraged to use and the department shall approve 2 11 funding approaches that identify and incorporate all services 2 12 and sources of funding used by persons receiving services, 2 13 including medical assistance program funding. 2 14f.(6) Financial forecasting measures. 2 15g.(7) The targeted case managers designated for the 2 16 region. 2 17h.(8) The financial eligibility requirements for service 2 18 under the regional service system. A plan that otherwise 2 19 incorporates the financial eligibility requirements of section 2 20 331.395 but allows eligibility for persons with resources above 2 21 the minimum resource limitations adopted pursuant to section 2 22 331.395, subsection 1, paragraph "c", who were eligible under 2 23 resource limitations in effect prior to July 1, 2014, or are 2 24 authorized by the region as an exception to policy, shall be 2 25 deemed by the department to be in compliance with financial 2 26 eligibility requirements of section 331.395. 2 27 b. The provisions addressed in the annual plan may include 2 28 a plan for the use of anticipated residual funding in excess 2 29 of twenty=five percent of the gross expenditures as provided 2 30 in section 331.391, subsection 4, paragraph "b", to increase 2 31 capacity to provide services to persons with substance=related 2 32 disorders and co=occurring mental health and substance=related 2 33 disorders. 2 34 Sec. 3. Section 331.397, Code 2018, is amended by adding the 2 35 following new subsection: 3 1 NEW SUBSECTION. 6A. Notwithstanding any other provision 3 2 of this section to the contrary, a regional service system 3 3 may provide funding to increase capacity to provide services 3 4 to persons with substance=related disorders and persons with 3 5 co=occurring mental health and substance=related disorders 3 6 pursuant to section 331.391, subsection 4, paragraph "b". 3 7 Sec. 4. EFFECTIVE DATE. This Act, being deemed of immediate 3 8 importance, takes effect upon enactment. 3 9 EXPLANATION 3 10 The inclusion of this explanation does not constitute agreement with 3 11 the explanation's substance by the members of the general assembly. 3 12 Under current law, if a mental health and disability 3 13 services region is meeting the financial obligations for 3 14 implementation of its regional service system management plan 3 15 for a fiscal year and residual funding is anticipated, the 3 16 regional administrator shall reserve an adequate amount of 3 17 unobligated and unencumbered funds for cash flow of expenditure 3 18 obligations in the next fiscal year. For fiscal years 3 19 beginning July 1, 2017, July 1, 2018, and July 1, 2019, that 3 20 portion of each region's cash flow amount either reserved in 3 21 the combined account or reserved among all separate county 3 22 accounts under the control of the governing board that exceeds 3 23 25 percent of the gross expenditures from the combined account 3 24 or from all separate county accounts under the control of the 3 25 governing board in the fiscal year preceding the fiscal year in 3 26 progress are required to be used in whole or in part to fund the 3 27 payment of services provided under the regional service system 3 28 management plan. The bill provides such funds may be used 3 29 for expenses associated with increasing capacity to provide 3 30 services to persons with substance=related disorders and 3 31 persons with co=occurring mental health and substance=related 3 32 disorders. 3 33 Current law requires each region to submit to the department 3 34 of human services an annual service and budget plan approved 3 35 by the region's governing board and subject to the approval of 4 1 the director of human services. The bill provides the annual 4 2 service and budget plan may include a plan for the use of 4 3 anticipated residual funding in excess of 25 percent of the 4 4 gross expenditures to increase capacity to provide services 4 5 to persons with substance=related disorders and co=occurring 4 6 mental health and substance=related disorders, and that a 4 7 regional service system may provide funding for such services. 4 8 The bill takes effect upon enactment. LSB 5435YH (5) 87 hb/rh
