Bill Text: IA HF692 | 2021-2022 | 89th General Assembly | Introduced
Bill Title: A bill for an act relating to the direct care workforce, including the expansion of the direct care workforce registry.(Formerly HF 402.)
Spectrum: Committee Bill
Status: (Introduced - Dead) 2021-04-15 - Referred to Human Resources. H.J. 965. [HF692 Detail]
Download: Iowa-2021-HF692-Introduced.html
House
File
692
-
Introduced
HOUSE
FILE
692
BY
COMMITTEE
ON
HUMAN
RESOURCES
(SUCCESSOR
TO
HF
402)
A
BILL
FOR
An
Act
relating
to
the
direct
care
workforce,
including
the
1
expansion
of
the
direct
care
workforce
registry.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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692
Section
1.
LEGISLATIVE
FINDINGS
AND
INTENT.
1
1.
The
general
assembly
finds
that
the
novel
coronavirus
2
pandemic
has
shed
light
on
the
importance
of
the
state’s
direct
3
care
workforce
in
providing
essential
direct
care
and
supports
4
to
vulnerable
Iowans
and
has
called
attention
to
the
need
for
5
a
coordinated
effort
to
meet
the
demand
for
this
essential
6
workforce.
The
direct
care
workforce
is
responsible
for
the
7
care
of
thousands
of
individuals
of
all
ages
and
abilities
8
including
older
individuals
and
persons
with
disabilities
in
9
providing
assistance
with
daily
activities,
performing
personal
10
tasks,
and
administering
medications.
11
2.
The
intent
of
this
Act
is
to
enhance
the
portability
of
12
continuing
education,
credentials,
and
certifications
of
the
13
direct
care
workforce;
streamline
data
collection
and
analysis
14
to
support
interagency
planning
and
legislative
decision
15
making;
and
assist
Iowans
needing
direct
care
workforce
16
services
and
supports
and
their
families
in
living
successfully
17
in
their
community
of
choice.
18
Sec.
2.
DIRECT
CARE
WORKFORCE
REGISTRY
——
INCLUSION
OF
ALL
19
CERTIFIED
NURSE
ASSISTANTS
——
PLAN
FOR
EXPANSION.
20
1.
As
used
in
this
section:
21
a.
“Department”
means
the
department
of
inspections
and
22
appeals.
23
b.
“Direct
care
workforce”
includes
individuals
employed
24
to
provide
direct
care
and
supports
to
individuals
of
all
ages
25
and
abilities
regardless
of
setting
including
but
not
limited
26
to
certified
nurse
assistants,
personal
care
assistants,
home
27
care
aides,
hospice
aides,
medication
aides,
consumer
directed
28
attendant
care
workers,
universal
workers,
resident
assistants,
29
patient
care
technicians,
and
residential
treatment
workers.
30
c.
“Direct
care
workforce
registry”
means
the
registry
of
31
nurse
aides
required
to
be
established
and
maintained
by
a
32
state
pursuant
to
42
C.F.R.
§483.156.
33
2.
a.
The
department
shall
expand
the
direct
care
workforce
34
registry
to
include
all
certified
nurse
assistants
regardless
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of
employment
setting.
1
b.
The
department
shall
require
all
employers
of
certified
2
nurse
assistants,
regardless
of
employment
setting,
to
report
3
the
qualifying
employment
of
a
certified
nurse
assistant
for
4
inclusion
in
the
direct
care
workforce
registry.
5
3.
a.
The
department
shall
convene
a
stakeholder
advisory
6
work
group
to
develop
a
plan
for
the
expansion
of
the
direct
7
care
workforce
registry.
The
plan
shall
provide
for
all
of
the
8
following:
9
(1)
Identification
of
database
system
content.
10
(2)
A
listing
of
the
classifications
of
workers
who
provide
11
direct
care
to
be
included
in
the
registry.
12
(3)
Identification
of
information
to
be
included
in
the
13
registry
to
enhance
public
safety.
14
(4)
An
estimate
of
the
costs
associated
with
the
development
15
and
maintenance
of
the
expanded
registry.
16
(5)
Alignment
of
registry
data
with
information
collected
17
by
the
department
of
education,
the
department
of
public
18
health,
and
the
department
of
workforce
development.
19
(6)
Development
of
a
public
portal
to
allow
access
by
family
20
caregivers
and
individuals
requiring
direct
care
workforce
21
services
and
supports.
22
(7)
A
timeline
for
expansion
of
the
registry
and
for
23
development
of
the
public
portal.
24
(8)
Options
for
state,
federal,
and
other
public
and
private
25
funding
to
support
initial
development
and
maintenance
of
the
26
registry
and
public
portal.
27
b.
The
department
shall
submit
the
plan
to
the
governor
28
and
the
general
assembly
no
later
than
December
15,
2021.
If
29
federal
or
other
funding
becomes
available,
the
department
may
30
implement
the
plan
without
additional
legislative
approval.
31
Sec.
3.
HEALTH,
DIRECT
CARE,
AND
LONG-TERM
SERVICES
AND
32
SUPPORTS
WORKFORCE
DATA
SYSTEM
——
INTERAGENCY
COLLABORATION.
33
1.
The
department
of
education
and
the
department
of
34
public
health,
in
collaboration
with
the
department
of
35
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workforce
development,
department
of
human
services,
and
the
1
department
of
inspections
and
appeals,
shall
incorporate
the
2
enhanced
direct
care
workforce
registry
created
in
this
Act
3
into
existing
health,
direct
care,
and
long-term
services
and
4
supports
workforce
dashboard
data,
and
shall
utilize
such
data
5
in
informing
the
state’s
strategies
to
build
a
strong
health,
6
direct
care,
and
long-term
services
and
supports
workforce.
7
2.
The
department
of
education
and
the
department
of
8
public
health
shall
submit
a
progress
report
on
the
work
of
9
the
interagency
collaboration
to
the
governor
and
the
general
10
assembly,
annually,
by
January
15.
11
EXPLANATION
12
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
13
the
explanation’s
substance
by
the
members
of
the
general
assembly.
14
This
bill
relates
to
the
direct
care
workforce,
including
15
the
expansion
of
the
direct
care
workforce
registry.
16
The
bill
includes
legislative
findings
and
intent
relating
17
to
the
direct
care
workforce
and
the
needs
of
Iowans
for
direct
18
care
workforce
services
and
supports.
19
The
bill
requires
the
department
of
inspections
and
appeals
20
(DIA)
to
expand
the
existing
federally
required
direct
care
21
workforce
registry
to
include
all
certified
nurse
assistants
22
regardless
of
employment
setting.
DIA
shall
require
all
23
employers
of
certified
nurse
assistants,
regardless
of
24
employment
setting,
to
report
the
qualifying
employment
of
a
25
certified
nurse
assistant
for
inclusion
in
the
direct
care
26
workforce
registry.
Currently,
only
long-term
care
facilities
27
are
required
to
report
qualifying
employment
to
the
registry.
28
The
bill
defines
“direct
care
workforce”
and
“direct
care
29
workforce
registry”
for
the
purposes
of
the
bill.
30
The
bill
also
requires
DIA
to
convene
a
stakeholder
advisory
31
work
group
to
develop
a
plan
for
the
expansion
of
the
direct
32
care
workforce
registry.
The
bill
specifies
the
components
to
33
be
included
in
the
plan
and
requires
DIA
to
submit
the
plan
to
34
the
governor
and
the
general
assembly
no
later
than
December
35
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H.F.
692
15,
2021.
If
federal
or
other
funding
becomes
available,
DIA
1
may
implement
the
plan
without
additional
legislative
approval.
2
The
bill
also
requires
the
department
of
education
and
3
the
department
of
public
health,
in
collaboration
with
the
4
department
of
workforce
development,
department
of
human
5
services,
and
DIA,
to
incorporate
the
enhanced
direct
care
6
workforce
registry
created
in
the
bill
into
existing
health,
7
direct
care,
and
long-term
services
and
supports
workforce
8
dashboard
data,
and
to
utilize
such
data
in
informing
the
9
state’s
strategies
to
build
a
strong
health,
direct
care,
and
10
long-term
services
and
supports
workforce.
The
department
of
11
education
and
the
department
of
public
health
shall
submit
a
12
progress
report
on
the
work
of
the
interagency
collaboration
to
13
the
governor
and
the
general
assembly,
annually,
by
January
15.
14
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