Iowa-2017-HF2211-Introduced
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:
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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 28 a. (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 32 b. (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 1 c. (3) The location of the local access points for
2 2 services.
2 3 d. (4) The plan for assuring effective crisis prevention,
2 4 response, and resolution.
2 5 e. (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 14 f. (6) Financial forecasting measures.
2 15 g. (7) The targeted case managers designated for the
2 16 region.
2 17 h. (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.
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