Bill Text: IA SF440 | 2013-2014 | 85th General Assembly | Amended
Bill Title: A bill for an act relating to human services involving mental health and disability services and children's services, making appropriations, and including effective dates. (Formerly SSB 1199 and SF 415.)
Spectrum: Committee Bill
Status: (Engrossed - Dead) 2013-12-31 - END OF 2013 ACTIONS [SF440 Detail]
Download: Iowa-2013-SF440-Amended.html
Senate
File
440
-
Reprinted
SENATE
FILE
440
BY
COMMITTEE
ON
APPROPRIATIONS
(SUCCESSOR
TO
SF
415)
(SUCCESSOR
TO
SSB
1199)
(As
Amended
and
Passed
by
the
Senate
April
16,
2013
)
A
BILL
FOR
An
Act
relating
to
human
services
involving
mental
health
1
and
disability
services
and
children’s
services,
making
2
appropriations,
and
including
effective
dates.
3
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
4
SF
440
(4)
85
jp/rj/jh
S.F.
440
DIVISION
I
1
SYSTEM
REDESIGN
——
IMPLEMENTATION
2
RESEARCH-BASED
PRACTICE
3
Section
1.
Section
331.388,
Code
2013,
is
amended
by
adding
4
the
following
new
subsection:
5
NEW
SUBSECTION
.
4A.
“Research-based
practice”
means
a
6
service
or
other
support
in
which
the
efficacy
of
the
service
7
or
other
support
is
recognized
as
an
evidence-based
practice,
8
or
is
deemed
to
be
an
emerging
and
promising
practice,
or
which
9
is
part
of
a
demonstration
and
will
supply
evidence
as
to
the
10
effectiveness
of
the
service
or
other
support.
11
Sec.
2.
Section
331.393,
subsection
4,
paragraph
g,
12
unnumbered
paragraph
1,
Code
2013,
is
amended
to
read
as
13
follows:
14
The
requirements
for
designation
of
targeted
case
management
15
providers
and
for
implementation
of
evidence-based
models
16
of
case
management
that
apply
research-based
practice
.
The
17
requirements
shall
be
designed
to
provide
the
person
receiving
18
the
case
management
with
a
choice
of
providers,
allow
a
19
service
provider
to
be
the
case
manager
but
prohibit
the
20
provider
from
referring
a
person
receiving
the
case
management
21
only
to
services
administered
by
the
provider,
and
include
22
other
provisions
to
ensure
compliance
with
but
not
exceed
23
federal
requirements
for
conflict-free
case
management.
The
24
qualifications
of
targeted
case
managers
and
other
persons
25
providing
service
coordination
under
the
management
plan
shall
26
be
specified
in
the
rules.
The
rules
shall
also
include
but
27
are
not
limited
to
all
of
the
following
relating
to
targeted
28
case
management
and
service
coordination
services:
29
Sec.
3.
Section
331.397,
subsection
5,
paragraph
b,
Code
30
2013,
is
amended
to
read
as
follows:
31
b.
Providing
evidence-based
services
that
apply
32
research-based
practice
.
33
Sec.
4.
Section
331.397,
subsection
6,
paragraph
d,
Code
34
2013,
is
amended
to
read
as
follows:
35
-1-
SF
440
(4)
85
jp/rj/jh
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20
S.F.
440
d.
Advances
in
the
use
of
evidence-based
treatment
applying
1
research-based
practice
,
including
but
not
limited
to
all
of
2
the
following:
3
(1)
Positive
behavior
support.
4
(2)
Assertive
community
treatment.
5
(3)
Peer
self-help
drop-in
centers.
6
Sec.
5.
Section
331.397,
subsection
7,
paragraphs
b
and
c,
7
Code
2013,
are
amended
to
read
as
follows:
8
b.
The
efficacy
of
the
services
or
other
support
is
are
9
recognized
as
an
evidence-based
a
research-based
practice
,
is
10
deemed
to
be
an
emerging
and
promising
practice,
or
providing
11
the
services
is
part
of
a
demonstration
and
will
supply
12
evidence
as
to
the
services’
effectiveness
.
13
c.
A
determination
that
the
services
or
other
support
14
provides
an
effective
alternative
to
existing
services
15
that
have
been
shown
by
the
evidence
research
base
to
be
16
ineffective,
to
not
yield
the
desired
outcome,
or
to
not
17
support
the
principles
outlined
in
Olmstead
v.
L.C.,
527
U.S.
18
581
(1999).
19
COMMUNITY
CORRECTIONS
SYSTEM
ACCESS
TO
REGIONAL
SERVICES
20
Sec.
6.
Section
331.395,
Code
2013,
is
amended
by
adding
the
21
following
new
subsection:
22
NEW
SUBSECTION
.
5.
If
adequate
funding
is
provided
through
23
a
state
appropriation
made
for
purposes
of
paying
for
services
24
authorized
pursuant
to
this
subsection,
a
person
with
an
income
25
within
the
level
specified
in
subsection
1
who
is
housed
by
or
26
supervised
by
a
judicial
district
department
of
correctional
27
services
established
under
chapter
905
shall
be
deemed
to
28
have
met
the
income
and
resource
eligibility
requirements
for
29
services
under
the
regional
service
system.
30
ELIGIBILITY
MAINTENANCE
31
Sec.
7.
Section
331.396,
subsection
1,
paragraph
b,
Code
32
2013,
is
amended
to
read
as
follows:
33
b.
The
person
is
at
least
eighteen
years
of
age
and
is
a
34
resident
of
this
state.
However,
a
person
who
is
seventeen
35
-2-
SF
440
(4)
85
jp/rj/jh
2/
20
S.F.
440
years
of
age,
is
a
resident
of
this
state,
and
is
receiving
1
publicly
funded
children’s
services
may
be
considered
eligible
2
for
services
through
the
regional
service
system
during
the
3
three-month
period
preceding
the
person’s
eighteenth
birthday
4
in
order
to
provide
a
smooth
transition
from
children’s
5
to
adult
services.
In
addition,
a
person
who
is
less
than
6
eighteen
years
of
age
and
a
resident
of
this
state
may
be
7
eligible,
as
determined
by
the
region,
for
those
mental
health
8
services
made
available
to
all
or
a
portion
of
the
residents
9
of
the
region
of
the
same
age
and
eligibility
class
under
the
10
county
management
plan
of
one
or
more
counties
of
the
region
11
applicable
prior
to
formation
of
the
region.
12
Sec.
8.
Section
331.396,
subsection
2,
paragraph
b,
Code
13
2013,
is
amended
to
read
as
follows:
14
b.
The
person
is
at
least
eighteen
years
of
age
and
is
a
15
resident
of
this
state.
However,
a
person
who
is
seventeen
16
years
of
age,
is
a
resident
of
this
state,
and
is
receiving
17
publicly
funded
children’s
services
may
be
considered
eligible
18
for
services
through
the
regional
service
system
during
the
19
three-month
period
preceding
the
person’s
eighteenth
birthday
20
in
order
to
provide
a
smooth
transition
from
children’s
21
to
adult
services.
In
addition,
a
person
who
is
less
than
22
eighteen
years
of
age
and
a
resident
of
this
state
may
be
23
eligible,
as
determined
by
the
region,
for
those
intellectual
24
disability
services
made
available
to
all
or
a
portion
of
the
25
residents
of
the
region
of
the
same
age
and
eligibility
class
26
under
the
county
management
plan
of
one
or
more
counties
of
the
27
region
applicable
prior
to
formation
of
the
region.
28
Sec.
9.
Section
331.397,
subsection
2,
paragraph
b,
Code
29
2013,
is
amended
to
read
as
follows:
30
b.
Until
funding
is
designated
for
other
service
31
populations,
eligibility
for
the
service
domains
listed
in
this
32
section
shall
be
limited
to
such
persons
who
are
in
need
of
33
mental
health
or
intellectual
disability
services.
However,
if
34
a
county
in
a
region
was
providing
services
to
an
individual
35
-3-
SF
440
(4)
85
jp/rj/jh
3/
20
S.F.
440
person
eligibility
class
of
persons
with
a
developmental
1
disability
other
than
intellectual
disability
or
a
brain
injury
2
prior
to
formation
of
the
region,
the
individual
person
class
3
of
persons
shall
remain
eligible
for
the
services
provided
when
4
the
region
is
formed,
provided
that
funds
are
available
to
5
continue
such
services.
6
CORE
SERVICES
7
Sec.
10.
Section
331.397,
subsection
4,
paragraphs
c
and
d,
8
Code
2013,
are
amended
to
read
as
follows:
9
c.
Support
for
community
living
and
other
living
10
arrangements
,
including
but
not
limited
to
all
of
the
11
following:
12
(1)
Home
health
aide.
13
(2)
Home
and
vehicle
modifications.
14
(3)
Respite.
15
(4)
Supportive
community
living.
16
(5)
Residential
care
facility
living
arrangements.
17
d.
Support
for
employment
and
work
activity
,
including
but
18
not
limited
to
all
of
the
following:
19
(1)
Day
habilitation.
20
(2)
Job
development.
21
(3)
Supported
employment.
22
(4)
Prevocational
services.
23
(5)
Other
work
activity
services.
24
STATE
PAYMENTS
TO
REGION
25
Sec.
11.
Section
426B.3,
subsection
4,
as
enacted
by
2012
26
Iowa
Acts,
chapter
1120,
section
137,
is
amended
to
read
as
27
follows:
28
4.
a.
For
the
fiscal
years
beginning
July
1,
2013,
and
29
July
1,
2014,
a
county
with
a
county
population
expenditure
30
target
amount
that
exceeds
the
amount
of
the
county’s
base
year
31
expenditures
for
mental
health
and
disabilities
services
shall
32
receive
an
equalization
payment
for
the
difference.
33
b.
The
equalization
payments
determined
in
accordance
34
with
this
subsection
shall
be
made
by
the
department
of
human
35
-4-
SF
440
(4)
85
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4/
20
S.F.
440
services
for
each
fiscal
year
as
provided
in
appropriations
1
made
from
the
property
tax
relief
fund
for
this
purpose.
If
2
the
county
is
part
of
a
region
that
has
been
approved
by
the
3
department
in
accordance
with
section
331.389,
to
commence
4
partial
or
full
operations,
the
county’s
equalization
payment
5
shall
be
remitted
to
the
region
for
expenditure
as
approved
by
6
the
region’s
governing
board.
7
STRATEGIC
PLAN
REQUIREMENT
FOR
FY
2013-2014
8
Sec.
12.
2012
Iowa
Acts,
chapter
1128,
section
8,
is
amended
9
to
read
as
follows:
10
SEC.
8.
COUNTY
MENTAL
HEALTH,
MENTAL
RETARDATION
11
INTELLECTUAL
DISABILITY
,
AND
DEVELOPMENTAL
DISABILITIES
12
SERVICES
MANAGEMENT
PLAN
——
STRATEGIC
PLAN.
Notwithstanding
13
section
331.439,
subsection
1
,
paragraph
“b”,
subparagraph
(3),
14
counties
are
not
required
to
submit
a
three-year
strategic
15
plan
by
April
1,
2012,
to
the
department
of
human
services.
A
16
county’s
strategic
plan
in
effect
as
of
the
effective
date
of
17
this
section
shall
remain
in
effect
until
the
regional
service
18
system
management
plan
for
the
region
to
which
the
county
19
belongs
is
approved
in
accordance
with
section
331.393
,
subject
20
to
modification
before
that
date
as
necessary
to
conform
with
21
statutory
changes
affecting
the
plan
and
any
amendments
to
the
22
plan
that
are
adopted
in
accordance
with
law
.
23
RISK
POOL
DISTRIBUTIONS
24
Sec.
13.
2012
Iowa
Acts,
chapter
1128,
section
6,
25
subsections
5
and
6,
as
amended
by
2012
Iowa
Acts,
chapter
26
1133,
section
67,
are
amended
to
read
as
follows:
27
5.
If
moneys
from
a
distribution
made
under
this
section
are
28
not
expended
by
a
county
by
June
30,
2013
2015
,
for
services
29
provided
by
that
date
under
the
applicable
service
management
30
plan
,
the
county
shall
reimburse
the
unexpended
moneys
to
the
31
department
by
August
30,
2013
2015
,
and
the
moneys
reimbursed
32
shall
be
credited
to
the
risk
pool
in
the
property
tax
relief
33
fund.
34
6.
The
risk
pool
board
shall
submit
annual
reports
to
the
35
-5-
SF
440
(4)
85
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5/
20
S.F.
440
governor
and
general
assembly
on
or
before
December
31
,
2012
1
and
2013,
regarding
the
expenditure
of
funds
distributed
under
2
this
section.
The
final
annual
report
shall
be
submitted
on
or
3
before
December
31,
2015.
4
TRANSITION
FUND
——
SERVICES
MAINTENANCE
5
Sec.
14.
TRANSITION
FUND
——
SERVICES
MAINTENANCE.
A
county
6
receiving
an
allocation
of
funding
from
the
mental
health
and
7
disability
services
redesign
transition
fund
created
in
2012
8
Iowa
Acts,
chapter
1120,
section
23,
shall
utilize
the
funding
9
received
by
the
county
as
necessary
for
the
services
covered
10
in
accordance
with
the
county’s
approved
management
plan
in
11
effect
as
of
June
30,
2012,
for
the
fiscal
year
beginning
July
12
1,
2012,
and
ending
June
30,
2013.
13
REDESIGN
EQUALIZATION
PAYMENTS
AND
RISK
POOL
14
Sec.
15.
EQUALIZATION
PAYMENTS
AND
RISK
POOL.
15
1.
There
is
transferred
from
the
general
fund
of
the
state
16
to
the
property
tax
relief
fund
created
in
section
426B.1
17
for
the
fiscal
year
beginning
July
1,
2012,
and
ending
June
18
30,
2013,
the
following
amount
to
be
used
for
the
purposes
19
designated:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,826,316
21
2.
a.
The
moneys
credited
to
the
property
tax
relief
22
fund
in
accordance
with
this
section
are
appropriated
to
the
23
department
of
human
services
for
the
fiscal
year
beginning
July
24
1,
2013,
and
ending
June
30,
2014,
for
distribution
to
counties
25
and
regions
in
accordance
with
this
section.
If
a
county
is
26
part
of
a
region
that
has
been
approved
by
the
department
to
27
commence
partial
or
full
operations
in
accordance
with
section
28
331.389
for
the
fiscal
year,
the
county’s
payment
made
pursuant
29
to
this
section
shall
be
remitted
to
the
region
for
expenditure
30
as
approved
by
the
region’s
governing
board.
The
payments
made
31
under
this
section
are
in
lieu
of
equalization
payments
for
the
32
fiscal
year
beginning
July
1,
2013,
otherwise
required
under
33
section
426B.3,
as
amended
by
2012
Iowa
Acts,
section
137.
34
b.
For
the
purposes
of
this
section,
unless
the
context
35
-6-
SF
440
(4)
85
jp/rj/jh
6/
20
S.F.
440
otherwise
requires:
1
(1)
“Net
expenditures
from
the
county’s
services
fund”
2
means
a
county’s
payments
for
non-Medicaid
services,
as
3
reported
to
the
department
of
management
pursuant
to
section
4
331.403,
plus
any
reimbursement
of
moneys
distributed
to
the
5
county
pursuant
to
2012
Iowa
Acts,
chapter
1128,
section
6,
as
6
amended
by
2012
Iowa
Acts,
chapter
1133,
section
67,
and
less
7
any
moneys
expended
by
the
county
as
a
provider
of
services
8
that
were
reimbursed
to
the
county.
9
(2)
“Population”
means
the
same
as
defined
in
section
10
331.388.
11
(3)
“Services
fund”
means
a
county’s
mental
health
and
12
disabilities
services
fund
created
in
accordance
with
section
13
331.424A.
14
3.
Of
the
amount
appropriated
in
this
section,
$31,388,667
15
shall
be
distributed
to
counties
as
per
capita
growth
payments
16
in
accordance
with
this
section.
17
4.
A
per
capita
growth
amount
shall
be
distributed
to
each
18
county
in
two
payments.
The
provisional
per
capita
growth
19
amount
for
the
fiscal
year
is
$10.25,
with
the
final
amount
20
determined
in
accordance
with
subsection
5.
A
county’s
first
21
per
capita
growth
payment
shall
be
the
product
of
$8.25
of
the
22
provisional
per
capita
growth
amount
times
the
county’s
general
23
population
for
the
fiscal
year.
24
5.
The
moneys
transferred
to
the
property
tax
relief
fund
25
for
the
fiscal
year
beginning
July
1,
2013,
from
the
federal
26
social
services
block
grant
pursuant
to
2013
Iowa
Acts,
House
27
File
614,
or
any
other
2013
Iowa
Acts,
if
enacted
and
from
28
the
federal
temporary
assistance
for
needy
families
block
29
grant,
totaling
at
least
$11,774,275,
are
appropriated
to
the
30
department
of
human
services
for
the
fiscal
year
beginning
July
31
1,
2013,
to
be
used
for
distribution
of
state
payment
program
32
remittances
to
counties
for
the
fiscal
year
in
accordance
33
with
this
subsection.
The
state
payment
program
remittance
34
shall
be
an
amount
equal
to
the
amount
paid
to
a
county
of
35
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residence
under
the
program
for
state
case
services
known
as
1
the
state
payment
program,
implemented
pursuant
to
section
2
331.440,
subsection
5,
during
the
most
recently
available
3
twelve-month
period.
The
department
shall
draw
upon
the
4
appropriation
made
from
the
general
fund
of
the
state
for
the
5
medical
assistance
program
for
the
fiscal
year
as
necessary
for
6
cash
flow
purposes
in
order
to
comply
with
the
date
specified
7
for
remitting
payments
to
counties
in
subsection
6,
and
to
8
distribute
at
least
the
amount
specified
in
this
subsection.
9
If
the
procedure
for
reduced
federal
funds
specified
in
2013
10
Iowa
Acts,
House
File
614,
or
any
other
2013
Iowa
Acts,
if
11
enacted,
reduces
the
amount
of
block
grant
funding
available
12
for
the
purposes
of
this
subsection,
the
amount
drawn
from
the
13
medical
assistance
appropriation
shall
be
increased
to
replace
14
the
amount
of
the
reduction.
15
6.
The
first
per
capita
growth
payment
due
a
county
under
16
subsection
4
and
any
state
payment
program
remittance
due
a
17
county
under
subsection
5,
shall
be
combined
and
remitted
to
18
the
counties
on
or
before
July
15,
2013.
19
7.
a.
Of
the
amount
appropriated
in
this
section,
20
$11,437,649
shall
be
distributed
to
counties
as
stabilization
21
payments
in
accordance
with
this
subsection.
A
stabilization
22
payment
shall
be
distributed
to
each
county
for
which
the
23
amount
of
net
expenditures
from
the
county’s
services
fund
24
under
section
331.424A
for
the
fiscal
year
beginning
July
1,
25
2012,
exceeds
the
sum
of
the
county’s
state
payment
program
26
remittance
under
subsection
5
plus
the
dollar
amount
of
the
27
county’s
services
fund
levies
for
the
fiscal
year
beginning
28
July
1,
2013.
A
county’s
stabilization
payment
amount
shall
29
be
equal
to
the
excess
net
expenditures
amount.
To
receive
30
a
stabilization
payment,
on
or
before
December
1,
2013,
the
31
county
shall
submit
a
statement
of
net
expenditures
from
32
the
county’s
services
fund
for
the
fiscal
year
beginning
33
July
1,
2012.
The
statement
shall
be
accompanied
by
the
34
annual
financial
report
for
that
fiscal
year
submitted
to
the
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department
of
management
pursuant
to
section
331.403.
The
1
department
shall
determine
the
county’s
stabilization
payment
2
amount
by
subtracting
the
sum
of
the
county’s
state
payment
3
program
remittance
and
the
dollar
amount
of
the
county’s
4
certified
levy
amount
for
the
services
fund
for
the
fiscal
year
5
from
the
county’s
statement
of
total
net
expenditures.
6
b.
If
the
sum
of
the
total
of
all
eligible
counties’
7
stabilization
payments
plus
the
product
of
$2.00
of
the
8
provisional
per
capita
growth
payment
amount
under
subsection
9
4
times
the
state’s
general
population
for
the
fiscal
year
is
10
greater
or
less
than
the
amount
of
moneys
remaining
after
the
11
first
per
capita
growth
payments
made
pursuant
to
subsection
12
4
and
the
amount
allocated
in
this
subsection,
the
department
13
shall
identify
a
final
per
capita
growth
amount
by
adjusting
14
the
provisional
per
capita
growth
amount
as
necessary
to
15
distribute
all
of
the
moneys
remaining.
If
the
total
of
the
16
stabilization
payments
exceeds
the
amount
allocated
in
this
17
subsection,
the
provisional
per
capita
growth
amount
shall
be
18
reduced
to
provide
sufficient
funding
to
address
the
excess.
19
If
the
total
of
the
stabilization
payments
is
less
than
the
20
amount
allocated
in
this
subsection,
the
provisional
per
21
capita
growth
amount
shall
be
increased
to
address
the
reduced
22
amount.
A
county’s
second
per
capita
growth
payment
shall
be
23
the
product
of
the
remainder
of
the
final
per
capita
growth
24
amount
as
adjusted
by
the
department
times
the
county’s
general
25
population
for
the
fiscal
year.
26
c.
Each
county’s
second
per
capita
growth
payment
shall
be
27
combined
with
any
stabilization
payment
due
the
county.
The
28
payments
shall
be
remitted
to
the
counties
on
or
before
January
29
2,
2014.
30
SUBSTANCE-RELATED
DISORDER
DETOXIFICATION
31
Sec.
16.
COORDINATION
OF
DETOXIFICATION
SERVICES.
The
32
department
of
human
services
shall
review
options
for
the
33
mental
health
and
disability
services
regions
to
coordinate
34
detoxification
funding
provided
by
counties
and
other
such
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disorder
funding
provided
by
counties
in
place
of
county
1
coordination.
The
department
shall
report
to
the
governor
and
2
general
assembly
its
findings,
options,
and
recommendations
on
3
or
before
October
15,
2013.
4
MEDICAID
OBLIGATION
COST
SETTLEMENT
5
Sec.
17.
COUNTY
MEDICAL
ASSISTANCE
NONFEDERAL
SHARE
——
6
COST
SETTLEMENT.
Any
county
obligation
for
payment
to
the
7
department
of
human
services
of
the
nonfederal
share
of
the
8
cost
of
services
provided
under
the
medical
assistance
program
9
prior
to
July
1,
2012,
pursuant
to
sections
249A.12
and
10
249A.26,
shall
remain
at
the
amount
agreed
upon
as
of
June
30,
11
2013.
Beginning
July
1,
2013,
other
than
a
county
payment
on
12
the
obligation
or
for
a
charge
when
the
county
is
the
provider
13
of
the
service,
the
department
shall
be
responsible
for
any
14
adjustment
that
would
otherwise
be
applied
to
the
amount
of
the
15
county
obligation
after
that
date
due
to
cost
settlement
of
16
charges
or
other
reasons.
17
COUNTY
MENTAL
HEALTH
AND
DISABILITY
18
SERVICES
FUND
——
FY
2013-2014
19
Sec.
18.
SERVICES
FUND
——
MANAGEMENT
PLAN.
For
the
fiscal
20
year
beginning
July
1,
2013,
and
ending
June
30,
2014,
the
21
appropriations
made
by
the
county
board
of
supervisors
for
22
payment
for
mental
health
and
disability
services
pursuant
23
to
section
331.424A,
subsection
3,
as
enacted
by
2012
Iowa
24
Acts,
chapter
1120,
section
132,
shall
be
made
in
accordance
25
with
the
county’s
service
management
plan
approved
under
26
section
331.439,
Code
2013,
until
the
county
management
plan
is
27
replaced
by
a
regional
service
system
management
plan
approved
28
under
section
331.393.
29
Sec.
19.
CONTINUATION
OF
MENTAL
HEALTH
AND
DISABILITY
30
SERVICES
REDESIGN
FISCAL
VIABILITY
STUDY
COMMITTEE.
The
31
legislative
council
is
requested
to
continue
for
the
2013
32
legislative
interim
the
mental
health
and
disability
services
33
redesign
fiscal
viability
study
committee
initially
created
by
34
the
legislative
council
in
2012.
The
legislative
council
is
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requested
to
add
at
least
four
citizen
members
to
the
study
1
committee
to
provide
representation
for
service
consumers,
2
service
providers,
county
supervisors,
and
the
community
3
services
affiliate
of
the
Iowa
state
association
of
counties.
4
In
addition
to
monitoring
implementation
of
the
mental
health
5
and
disability
services
redesign
and
receiving
reports
from
6
stakeholder
groups
engaged
in
implementation
of
the
redesign,
7
the
study
committee
shall
be
directed
to
propose
a
permanent
8
approach
for
state,
county,
and
regional
financing
of
the
9
redesign.
10
Sec.
20.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
11
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
12
enactment.
13
DIVISION
II
14
DATA
AND
STATISTICAL
INFORMATION
AND
OUTCOME
AND
PERFORMANCE
15
MEASURES
16
Sec.
21.
Section
225C.4,
subsection
1,
paragraph
j,
Code
17
2013,
is
amended
to
read
as
follows:
18
j.
Establish
and
maintain
a
data
collection
and
management
19
information
system
oriented
to
the
needs
of
patients,
20
providers,
the
department,
and
other
programs
or
facilities
in
21
accordance
with
section
225C.6A
.
The
system
shall
be
used
to
22
identify,
collect,
and
analyze
service
outcome
and
performance
23
measures
data
in
order
to
assess
the
effects
of
the
services
on
24
the
persons
utilizing
the
services.
The
administrator
shall
25
annually
submit
to
the
commission
information
collected
by
the
26
department
indicating
the
changes
and
trends
in
the
disability
27
services
system.
The
administrator
shall
make
the
outcome
data
28
available
to
the
public.
29
Sec.
22.
Section
225C.6A,
Code
2013,
is
amended
to
read
as
30
follows:
31
225C.6A
Disability
services
system
redesign
central
data
32
repository
.
33
1.
The
commission
department
shall
do
the
following
34
relating
to
redesign
of
data
concerning
the
disability
services
35
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system
in
the
state:
1
1.
Identify
sources
of
revenue
to
support
statewide
2
delivery
of
core
disability
services
to
eligible
disability
3
populations.
4
2.
Ensure
there
is
a
continuous
improvement
process
for
5
development
and
maintenance
of
the
disability
services
system
6
for
adults
and
children.
The
process
shall
include
but
is
not
7
limited
to
data
collection
and
reporting
provisions.
8
3.
a.
Plan,
collect,
and
analyze
data
as
necessary
to
9
issue
cost
estimates
for
serving
additional
populations
and
10
providing
core
disability
services
statewide.
The
department
11
shall
maintain
compliance
with
applicable
federal
and
state
12
privacy
laws
to
ensure
the
confidentiality
and
integrity
of
13
individually
identifiable
disability
services
data.
The
14
department
shall
regularly
may
periodically
assess
the
status
15
of
the
compliance
in
order
to
assure
that
data
security
is
16
protected.
17
b.
In
implementing
Implement
a
system
central
data
18
repository
under
this
subsection
section
for
collecting
and
19
analyzing
state,
county
and
region
,
and
private
contractor
20
data
,
the
.
The
department
shall
establish
a
client
identifier
21
for
the
individuals
receiving
services.
The
client
identifier
22
shall
be
used
in
lieu
of
the
individual’s
name
or
social
23
security
number.
The
client
identifier
shall
consist
of
the
24
last
four
digits
of
an
individual’s
social
security
number,
25
the
first
three
letters
of
the
individual’s
last
name,
the
26
individual’s
date
of
birth,
and
the
individual’s
gender
in
an
27
order
determined
by
the
department.
28
c.
Consult
on
an
ongoing
basis
with
regional
administrators,
29
service
providers,
and
other
stakeholders
in
implementing
the
30
central
data
repository
and
operations
of
the
repository.
The
31
consultation
shall
focus
on
minimizing
the
state
and
local
32
costs
associated
with
operating
the
repository.
33
d.
Engage
with
other
state
and
local
government
and
34
nongovernmental
entities
operating
the
Iowa
health
information
35
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network
under
chapter
135
and
other
data
systems
that
maintain
1
information
relating
to
individuals
with
information
in
the
2
central
data
repository
in
order
to
integrate
data
concerning
3
individuals.
4
c.
2.
A
county
or
region
shall
not
be
required
to
utilize
a
5
uniform
data
operational
or
transactional
system.
However,
the
6
system
utilized
shall
have
the
capacity
to
exchange
information
7
with
the
department,
counties
and
regions,
contractors,
and
8
others
involved
with
services
to
persons
with
a
disability
9
who
have
authorized
access
to
the
central
data
repository.
10
The
information
exchanged
shall
be
labeled
consistently
11
and
share
the
same
definitions.
Each
county
regional
12
administrator
shall
regularly
report
to
the
department
annually
13
on
or
before
December
1,
for
the
preceding
fiscal
year
the
14
following
information
for
each
individual
served:
demographic
15
information,
expenditure
data,
and
data
concerning
the
services
16
and
other
support
provided
to
each
individual,
as
specified
17
in
administrative
rule
adopted
by
the
commission
by
the
18
department
.
19
4.
Work
with
county
representatives
and
other
qualified
20
persons
to
develop
an
implementation
plan
for
replacing
the
21
county
of
legal
settlement
approach
to
determining
service
22
system
funding
responsibilities
with
an
approach
based
upon
23
residency.
The
plan
shall
address
a
statewide
standard
for
24
proof
of
residency,
outline
a
plan
for
establishing
a
data
25
system
for
identifying
residency
of
eligible
individuals,
26
address
residency
issues
for
individuals
who
began
residing
in
27
a
county
due
to
a
court
order
or
criminal
sentence
or
to
obtain
28
services
in
that
county,
recommend
an
approach
for
contesting
29
a
residency
determination,
and
address
other
implementation
30
issues.
31
3.
The
outcome
and
performance
measures
applied
to
the
32
regional
disability
services
system
shall
utilize
measurement
33
domains.
The
department
may
identify
other
measurement
domains
34
in
consultation
with
system
stakeholders
to
be
utilized
in
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addition
to
the
following
initial
set
of
measurement
domains:
1
a.
Access
to
services.
2
b.
Life
in
the
community.
3
c.
Person-centeredness.
4
d.
Health
and
wellness.
5
e.
Quality
of
life
and
safety.
6
f.
Family
and
natural
supports.
7
4.
a.
The
processes
used
for
collecting
outcome
and
8
performance
measures
data
shall
include
but
are
not
limited
9
to
direct
surveys
of
the
individuals
and
families
receiving
10
services
and
the
providers
of
the
services.
The
department
11
shall
involve
a
workgroup
of
persons
who
are
knowledgeable
12
about
both
the
regional
service
system
and
survey
techniques
13
to
implement
and
maintain
the
processes.
The
workgroup
shall
14
conduct
an
ongoing
evaluation
for
the
purpose
of
eliminating
15
the
collection
of
information
that
is
not
utilized.
The
16
surveys
shall
be
conducted
with
a
conflict-free
approach
in
17
which
someone
other
than
a
provider
of
services
surveys
an
18
individual
receiving
the
services.
19
b.
The
outcome
and
performance
measures
data
shall
encompass
20
and
provide
a
means
to
evaluate
both
the
regional
services
and
21
the
services
funded
by
the
medical
assistance
program
provided
22
to
the
same
service
populations.
23
c.
The
department
shall
develop
and
implement
an
24
internet-based
approach
with
graphical
display
of
information
25
to
provide
outcome
and
performance
measures
data
to
the
public
26
and
those
engaged
with
the
regional
service
system.
27
d.
The
department
shall
include
any
significant
costs
for
28
collecting
and
interpreting
outcome
and
performance
measures
29
and
other
data
in
the
department’s
operating
budget.
30
Sec.
23.
REPEAL.
The
amendment
to
section
225C.4,
31
subsection
1,
paragraph
j,
in
2012
Iowa
Acts,
chapter
1120,
32
section
2,
is
repealed.
33
Sec.
24.
REPEAL.
The
amendments
to
section
225C.6A,
in
2012
34
Iowa
Acts,
chapter
1120,
sections
6,
7,
and
95,
are
repealed.
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DIVISION
III
1
CHILDREN’S
CABINET
2
Sec.
25.
NEW
SECTION
.
242.1
Findings.
3
The
general
assembly
finds
there
is
a
need
for
a
4
state-level
children’s
cabinet
to
provide
guidance,
oversight,
5
problem-solving,
and
long-term
strategy
development,
and
to
6
foster
collaboration
among
state
and
local
efforts
to
build
a
7
comprehensive,
coordinated
system
of
care
in
order
to
promote
8
the
well-being
of
the
children
in
this
state.
The
system
of
9
care
should
address
all
domains
of
child
physical,
mental,
10
intellectual,
developmental,
and
social
health
and
meet
the
11
particular
needs
of
children
for
family-centered
mental
health
12
and
disability
services
and
for
other
appropriate
specialized
13
services.
14
Sec.
26.
NEW
SECTION
.
242.2
Children’s
cabinet
established.
15
There
is
established
within
the
department
of
human
services
16
a
children’s
cabinet.
17
1.
The
voting
members
of
the
children’s
cabinet
shall
18
consist
of
the
following:
19
a.
The
director
of
the
department
of
education
or
the
20
director’s
designee.
21
b.
The
director
of
the
department
of
human
services
or
the
22
director’s
designee.
This
member
shall
be
chairperson
of
the
23
cabinet.
24
c.
The
director
of
the
department
of
inspections
and
appeals
25
or
the
director’s
designee.
26
d.
The
director
of
the
department
of
public
health
or
the
27
director’s
designee.
28
e.
A
parent
of
a
child
with
a
severe
emotional
disturbance
29
or
a
disability
who
is
the
primary
caregiver
for
that
child,
30
appointed
by
the
governor.
31
f.
A
juvenile
court
judge
or
juvenile
court
officer
32
appointed
by
the
chief
justice
of
the
supreme
court.
33
g.
A
community-based
provider
of
child
welfare,
health,
34
or
juvenile
justice
services
to
children,
appointed
by
the
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director
of
human
services.
1
h.
A
member
of
the
early
childhood
Iowa
state
board
or
the
2
early
childhood
stakeholders
alliance,
appointed
by
the
state
3
board.
4
i.
A
community
stakeholder
who
is
not
affiliated
with
a
5
provider
of
services,
appointed
by
the
governor.
6
j.
A
member
of
a
child
advocacy
organization
approved
by
the
7
members
of
the
children’s
cabinet.
8
k.
A
member
of
the
Iowa
chapter
of
the
American
academy
9
of
pediatrics
who
has
expertise
in
pediatric
health
care
and
10
addressing
the
needs
of
children
with
special
needs,
designated
11
by
the
Iowa
chapter.
12
l.
An
area
education
agency
staff
member
who
works
with
13
early
childhood
services,
appointed
by
the
state’s
area
14
education
agency
directors.
15
m.
An
area
education
agency
staff
member
who
works
with
16
children’s
mental
health
services,
appointed
by
the
state’s
17
area
education
agency
directors.
18
n.
Not
more
than
three
other
members
designated
by
19
the
cabinet
chairperson
to
ensure
adequate
representation
20
of
the
persons
and
interests
who
may
be
affected
by
the
21
recommendations
made
by
the
cabinet.
22
2.
In
addition
to
the
voting
members,
there
shall
be
four
ex
23
officio,
nonvoting
members
of
the
children’s
cabinet.
These
24
members
shall
be
two
state
representatives,
one
appointed
by
25
the
speaker
of
the
house
of
representatives
and
one
by
the
26
minority
leader
of
the
house
of
representatives,
and
two
state
27
senators,
one
appointed
by
the
majority
leader
of
the
senate
28
and
one
by
the
minority
leader
of
the
senate.
29
3.
a.
The
voting
members,
other
than
department
directors
30
and
their
designees,
shall
be
appointed
for
four-year
terms.
31
The
terms
of
such
members
begin
on
May
1
in
the
year
of
32
appointment
and
expire
on
April
30
in
the
year
of
expiration.
33
b.
Vacancies
shall
be
filled
in
the
same
manner
as
original
34
appointments.
A
vacancy
shall
be
filled
for
the
unexpired
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term.
1
c.
The
voting
members
shall
receive
actual
and
necessary
2
expenses
incurred
in
the
performance
of
their
duties
and
3
legislative
members
shall
be
compensated
as
provided
in
section
4
2.32A.
5
4.
Staffing
services
for
the
children’s
cabinet
shall
be
6
provided
by
the
department
of
human
services.
7
Sec.
27.
NEW
SECTION
.
242.3
Duties.
8
The
children’s
cabinet
shall
perform
the
following
duties
9
in
making
recommendations
to
the
agencies
and
organizations
10
represented
on
the
cabinet,
the
governor,
the
general
assembly,
11
and
the
judicial
branch
to
address
the
needs
of
children
and
12
families
in
this
state:
13
1.
Recommend
operating
provisions
for
health
homes
for
14
children
implemented
by
the
department
of
human
services.
The
15
provisions
shall
include
but
are
not
limited
to
all
of
the
16
following:
17
a.
Identification
of
quality
metrics.
18
b.
Identification
of
performance
criteria.
19
c.
Provisions
for
monitoring
the
implementation
of
20
specialized
health
homes.
21
d.
Identification
of
system
of
care
principles
and
values
22
based
on
the
recommendations
of
the
workgroup
for
redesign
of
23
publicly
funded
children’s
disability
services
implemented
by
24
the
department
of
human
services
in
accordance
with
2011
Iowa
25
Acts,
chapter
121,
section
1,
subsection
4,
paragraph
“i”
.
26
2.
Gather
information
and
improve
the
understanding
of
27
policymakers
and
the
public
of
how
the
various
service
systems
28
intended
to
meet
the
needs
of
children
and
families
operate
at
29
the
local
level.
30
3.
Address
areas
of
overlap,
gaps,
and
conflict
between
31
service
systems.
32
4.
Support
the
evolution
of
service
systems
in
implementing
33
new
services
and
enhancing
existing
services
to
address
the
34
needs
of
children
and
families
through
process
improvement
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methodologies.
1
5.
Assist
policymakers
and
service
system
users
in
2
understanding
and
effectively
managing
system
costs.
3
6.
Ensure
services
offered
are
evidence-based.
4
7.
Issue
guidelines
to
enable
the
services
and
other
support
5
which
is
provided
by
or
under
the
control
of
state
entities
and
6
delivered
at
the
local
level
to
have
sufficient
flexibility
to
7
engage
local
resources
and
meet
unique
needs
of
children
and
8
families.
9
8.
Integrate
efforts
of
policymakers
and
service
providers
10
to
improve
the
well-being
of
community
members
in
addition
to
11
children
and
families.
12
9.
Implement
strategies
so
that
the
children
and
families
13
engaged
with
the
service
systems
avoid
the
need
for
higher
14
level
services
and
other
support.
15
10.
Oversee
the
practices
utilized
by
accountable
care
16
organizations
and
other
care
management
entities
operating
on
17
behalf
of
the
state
in
the
provision
of
government
supported
18
children’s
services
and
systems
of
care.
19
11.
Identify
and
promote
evidence-based
practices
that
may
20
be
creatively
applied
in
appropriate
settings
for
prevention
21
and
early
identification
of
social,
emotional,
behavioral,
and
22
developmental
risk
factors
for
children
from
birth
through
age
23
eight.
24
12.
Making
periodic
recommendations
to
the
agencies
25
and
organizations
represented
on
the
cabinet.
An
agency
or
26
organization
receiving
such
a
recommendation
shall
respond
27
in
writing
to
the
children’s
cabinet
detailing
how
the
28
recommendation
was
addressed.
The
response
shall
be
submitted
29
not
later
than
sixty
business
days
following
the
date
of
the
30
receipt
of
the
recommendation.
31
13.
Submit
a
report
annually
by
December
15
to
the
governor,
32
general
assembly,
and
supreme
court
providing
findings
and
33
recommendations
and
issue
other
reports
as
deemed
necessary
by
34
the
cabinet.
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Sec.
28.
INITIAL
TERMS.
Notwithstanding
section
242.2,
1
subsection
3,
paragraph
“a”,
as
enacted
by
this
division
of
2
this
Act,
the
appointing
authorities
for
the
members
of
the
3
children’s
cabinet
created
by
this
division
of
this
Act
who
are
4
subject
to
terms
of
service
shall
be
coordinated
so
that
the
5
initial
terms
of
approximately
half
of
such
members
are
two
6
years
and
the
remainder
are
for
four
years
and
remain
staggered
7
thereafter.
8
DIVISION
IV
9
CENTER
FOR
CHILD
HEALTH
INNOVATION
AND
EXCELLENCE
10
Sec.
29.
Section
135.11,
Code
2013,
is
amended
by
adding
the
11
following
new
subsection:
12
NEW
SUBSECTION
.
32.
Create
and
operate,
subject
to
13
appropriation
of
funding
by
the
general
assembly,
a
center
for
14
child
health
excellence
and
innovation.
The
purpose
of
the
15
center
is
to
provide
a
policy
forum
for
efforts
to
improve
16
child
health,
including
but
not
limited
to
improving
health
17
quality,
demonstrating
better
health
outcomes,
and
reducing
18
long-term
health
care
costs.
19
a.
The
center
shall
engage
major
providers
of
child
health
20
services
and
associated
groups,
including
but
not
limited
to
21
representatives
of
the
department,
the
medical
assistance
22
program
administrator,
child
health
specialty
clinics,
the
23
association
representing
community
health
centers,
the
state
24
council
created
by
the
department
for
the
department’s
project
25
LAUNCH
initiative,
staff
of
institutions
of
higher
education
26
with
expertise
in
pediatric
health
and
child
health
care,
the
27
prevention
of
disabilities
policy
council
in
conjunction
with
28
the
center
for
disabilities
and
development
of
the
university
29
of
Iowa’s
children’s
hospital,
and
others.
30
b.
The
center
shall
lead
the
review
and
analysis
of
public
31
policy
efforts
that
are
directed
toward
the
purpose
of
the
32
center.
33
c.
The
center
shall
develop
community-based
initiatives
34
to
promote
healthy
child
development,
leveraging
medical
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assistance
program
funding
where
possible.
The
initiatives
1
of
Iowa
shall
include
but
are
not
limited
to
the
promotion
of
2
demonstration
programs
within
the
behavioral
health
managed
3
care
contract
and
the
development
of
a
grant
application
for
4
federal
and
foundation
funding
opportunities
that
focus
upon
5
improving
child
health
through
innovation
and
the
diffusion
of
6
innovation.
7
d.
The
center
shall
develop
an
early
childhood
mental
health
8
certification
for
professionals
and
others
engaged
in
working
9
with
young
children.
10
e.
The
center
shall
draw
upon
national
and
state
11
expertise
in
the
field
of
child
health,
including
experts
12
from
Iowa’s
institutions
of
higher
education,
health
provider
13
organizations,
and
health
policy
and
advocacy
organizations.
14
The
center
shall
seek
support
from
the
Iowa
research
15
community
in
data
report
development
and
analysis
of
available
16
information
from
Iowa
child
health
data
sources.
17
f.
The
center
shall
work
with
the
departments
of
human
18
services
and
public
health
and
with
the
governor
and
members
19
of
the
general
assembly
in
child
health
public
policy
efforts
20
such
as
providing
medical
assistance
funding
as
necessary
to
21
expand
the
department’s
initiative
to
provide
for
adequate
22
developmental
surveillance
and
screening
during
a
child’s
first
23
five
years
to
be
available
statewide
and
enabling
child
care
24
resource
and
referral
service
agencies
to
facilitate
provision
25
of
child
mental
health
consultation
for
child
care
providers.
26
g.
The
center
shall
submit
a
report
of
its
activities
and
27
policy
recommendations
to
the
general
assembly
by
December
15
28
annually.
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