Senate File 163 - Introduced
SENATE FILE
BY HATCH, HANCOCK, RIELLY, BEALL,
BOLKCOM, KIBBIE, CONNOLLY,
KREIMAN, RAGAN, DANIELSON,
DOTZLER, DVORSKY, and HORN
Passed Senate, Date Passed House, Date
Vote: Ayes Nays Vote: Ayes Nays
Approved
A BILL FOR
1 An Act providing for the establishment of a health care
2 information technology and infrastructure advisory committee,
3 and making an appropriation.
4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
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PAG LIN
1 1 Section 1. NEW SECTION. 135.151 LEGISLATIVE FINDINGS AND
1 2 INTENT.
1 3 The general assembly recognizes research indicating that
1 4 the application of information technology such as electronic
1 5 medical records, computer=based physician order entry, and
1 6 electronic data interchange has significant potential for
1 7 improving health care quality and safety and obtaining
1 8 efficiencies in the health care delivery system. The general
1 9 assembly also recognizes that these efficiencies can be
1 10 significantly improved if there are statewide standards to
1 11 enable the sharing of information among health care payers,
1 12 providers, consumers, and governmental entities. The state
1 13 has an interest in designing and implementing a statewide
1 14 interoperable health care information infrastructure that
1 15 includes standards for administrative data exchange, clinical
1 16 support programs, quality performance measures, and the
1 17 maintenance of the security and confidentiality of individual
1 18 patient data. It is the intent of the general assembly to
1 19 promote the implementation and development of this
1 20 infrastructure by establishing a health care information
1 21 technology and infrastructure advisory committee to assist in
1 22 the development of a health care information technology
1 23 strategic plan.
1 24 Sec. 2. NEW SECTION. 135.152 HEALTH CARE INFORMATION
1 25 TECHNOLOGY AND INFRASTRUCTURE ADVISORY COMMITTEE == DUTIES.
1 26 1. a. The department shall establish a health care
1 27 information technology and infrastructure advisory committee.
1 28 Members shall be appointed by the director of public health,
1 29 and shall include representatives of the department of human
1 30 services, licensed hospitals and other licensed health care
1 31 facilities or providers, licensed health care professionals,
1 32 institutions of higher education in the state, health insurers
1 33 and health maintenance organizations, and other parties with
1 34 an interest and expertise in health care information
1 35 technology. Members shall serve staggered terms of two years.
2 1 Appointments of members of the committee shall comply with
2 2 sections 69.16 and 69.16A. Vacancies shall be filled by the
2 3 original appointing authority and in the manner of the
2 4 original appointment. Members shall receive actual expenses
2 5 incurred while serving in their official capacity and may also
2 6 be eligible to receive compensation as provided in section
2 7 7E.6. The committee shall annually select a chairperson from
2 8 its membership. A majority of the members of the committee
2 9 shall constitute a quorum.
2 10 2. The advisory committee shall assist the department in
2 11 all of the following activities:
2 12 a. Development of a health care information technology
2 13 strategic plan. The strategic plan shall include an inventory
2 14 and assessment of existing health care information technology
2 15 infrastructure and systems, and shall identify the required
2 16 steps to develop a statewide interoperable health care
2 17 information infrastructure within a ten=year time frame. The
2 18 steps identified shall include estimates of necessary
2 19 financial resources for development of the infrastructure, and
2 20 for determining standards for development of administrative
2 21 data exchange, clinical support systems, data warehousing,
2 22 smart cards, personal medical records, and the maintenance of
2 23 the security and confidentiality of individual patient data.
2 24 The plan shall be submitted by the director to the governor
2 25 and the general assembly by January 1, 2007.
2 26 b. Plan implementation, including the promulgation of
2 27 rules regarding application of the standards identified in
2 28 paragraph "a" to hospitals, nursing homes, and other licensed
2 29 health care facilities and education organizations, and
2 30 identification of potential sources of financial assistance to
2 31 such entities and organizations relating to that application.
2 32 c. Preparation of an annual report, to be submitted by the
2 33 director to the governor and the general assembly by January
2 34 1, providing a status report regarding plan development and
2 35 implementation. The report shall detail progress made during
3 1 the previous year, itemize expenditures of any appropriated
3 2 funds, and make a recommendation regarding the amount of
3 3 funding necessary to fully implement the plan and establish
3 4 the infrastructure.
3 5 Sec. 3. HEALTH CARE INFORMATION TECHNOLOGY AND
3 6 INFRASTRUCTURE ADVISORY COMMITTEE == APPROPRIATION. There is
3 7 appropriated from the general fund of the state to the Iowa
3 8 department of public health for the fiscal year beginning July
3 9 1, 2005, and ending June 30, 2006, the following amount, or so
3 10 much thereof as may be necessary, to be utilized for the
3 11 purpose designated:
3 12 .................................................. $ 250,000
3 13 Amounts appropriated pursuant to this section shall be
3 14 utilized by and in support of the health care information
3 15 technology and infrastructure advisory committee established
3 16 in section 135.152 in the development of a health care
3 17 information technology strategic plan. Notwithstanding
3 18 section 8.33, moneys appropriated in this section that remain
3 19 unencumbered or unobligated at the close of the fiscal year
3 20 shall not revert but shall remain available for expenditure
3 21 for the purpose designated until the close of the succeeding
3 22 fiscal year.
3 23 EXPLANATION
3 24 This bill provides for the establishment of a health care
3 25 information technology and infrastructure advisory committee.
3 26 The committee shall provide assistance to the Iowa department
3 27 of public health in developing a health care information
3 28 technology strategic plan relating to the establishment of a
3 29 statewide interoperable health care information infrastructure
3 30 within a 10=year period.
3 31 The bill provides legislative intent language regarding the
3 32 importance of information technology in improving health care
3 33 quality and safety and obtaining efficiencies in the health
3 34 care delivery system. The bill provides that the state has an
3 35 interest in designing and implementing a statewide
4 1 interoperable health care information infrastructure to
4 2 facilitate the development of statewide standards to enable
4 3 the sharing of information among health care payers,
4 4 providers, consumers, and governmental entities.
4 5 The bill provides that the department shall establish a
4 6 health care information technology and infrastructure advisory
4 7 committee. The bill provides that members shall be appointed
4 8 by the director and shall include representatives of the
4 9 department of human services, licensed hospitals and other
4 10 licensed health care facilities or providers, licensed health
4 11 care professionals, institutions of higher education in the
4 12 state, health insurers and health maintenance organizations,
4 13 and other parties with an interest and expertise in health
4 14 care information technology. The bill specifies provisions
4 15 relating to membership appointment, terms, and compensation.
4 16 The bill provides that the advisory committee shall assist
4 17 the department in developing a health care information
4 18 technology strategic plan that includes an inventory and
4 19 assessment of existing health care information technology
4 20 infrastructure and systems, and identifies the required steps
4 21 to develop a statewide interoperable health care information
4 22 infrastructure within a 10=year time frame. The bill provides
4 23 that the plan shall be submitted by the director to the
4 24 governor and the general assembly by January 1, 2007. The
4 25 bill provides that the committee shall additionally assist
4 26 with plan implementation, including the promulgation of rules
4 27 regarding application of the identified standards to
4 28 hospitals, nursing homes, and other licensed health care
4 29 facilities and education organizations, and identification of
4 30 potential sources of financial assistance to such entities and
4 31 organizations relating to that application. The bill provides
4 32 that the committee shall also assist in the preparation of an
4 33 annual report, to be submitted by the director to the governor
4 34 and the general assembly by January 1, providing a status
4 35 report regarding plan development and implementation.
5 1 The bill provides for an appropriation from the general
5 2 fund of the state to the department for the fiscal year
5 3 beginning July 1, 2005, and ending June 30, 2006, of $250,000
5 4 for utilization by and in support of the committee, and
5 5 provides for nonreversion of the funds.
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