House File 179 - Introduced HOUSE FILE 179 BY MASCHER , LENSING , WINCKLER , RUNNING-MARQUARDT , GASKILL , JACOBY , STAED , OURTH , PRICHARD , KEARNS , BERRY , BENNETT , ANDERSON , STUTSMAN , HANSON , H. MILLER , THEDE , BROWN-POWERS , HUNTER , FORBES , FINKENAUER , OLDSON , COHOON , HALL , STECKMAN , and T. TAYLOR A BILL FOR An Act establishing a long-term care committee. 1 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 2 TLSB 1578HH (2) 86 pf/nh

H.F. 179 Section 1. LONG-TERM CARE COMMITTEE —— MEMBERSHIP —— 1 DUTIES. 2 1. A long-term care committee is established which shall 3 consist of ten voting members as follows: 4 a. Five members of the general public, one selected by each 5 of the following: 6 (1) The older Iowans legislature. 7 (2) The Iowa alliance for retired Americans. 8 (3) The Iowa association of area agencies on aging. 9 (4) The Iowa caregivers association. 10 (5) AARP Iowa. 11 b. Five members representative of those involved in the 12 delivery of long-term care services selected by the president 13 of the senate and the speaker of the house of representatives 14 in accordance with section 2.32A. 15 2. The following individuals shall serve as ex-officio, 16 nonvoting members of the committee: 17 a. (1) Five members of the senate appointed by the 18 president of the senate in accordance with section 2.32A and 19 five members of the house of representatives appointed by the 20 speaker of the house in accordance with section 2.32A. 21 (2) The members of the senate and house of representatives 22 appointed pursuant to subparagraph (1) shall include all of the 23 following: 24 (a) The chairpersons and ranking members of the committees 25 on human resources or a member of the committee designated by 26 the chairperson or ranking member, respectively. 27 (b) The chairpersons and ranking members of the joint 28 appropriations subcommittee on health and human services or 29 a member of the committee designated by the chairpersons or 30 ranking members, respectively. 31 b. The director or the director’s designee of the department 32 on aging, the department of human services, the department of 33 inspections and appeals, and the department of public health. 34 c. The long-term care ombudsman, or the long-term care 35 -1- LSB 1578HH (2) 86 pf/nh 1/ 3

H.F. 179 ombudsman’s designee. 1 d. The commissioner of insurance or the commissioner’s 2 designee. 3 3. The voting members of the committee shall select 4 co-chairpersons at the initial meeting of the committee, one of 5 whom shall be a member of the general public selected pursuant 6 to subsection 1, paragraph “a”, and one of whom shall be a 7 member selected pursuant to subsection 1, paragraph “b”. 8 4. The department on aging shall provide administrative 9 support to the committee. 10 5. The committee shall do all of the following: 11 a. Comprehensively review the existing long-term care 12 delivery system in the state and make recommendations to 13 create a sustainable, person-centered approach that increases 14 health and life outcomes and supports maximum independence by 15 providing the appropriate level of care and services through 16 a balance of facility-based and home and community-based 17 options; to address medical and social needs in a coordinated, 18 integrated manner; to provide for sufficient resources 19 including a stable, well-qualified workforce; and which provide 20 for fiscal accountability. 21 b. Provide a forum for open and constructive dialogue 22 among stakeholders representing individuals involved in the 23 delivery and financing of long-term care services and supports, 24 consumers, and families of consumers in need of such services 25 and support. 26 c. Specifically address the cost and financing of long-term 27 care services, the coordination of services among providers, 28 the availability of and access to a well-qualified workforce 29 including both the compensated workforce and family and 30 other uncompensated caregivers, and the balance between 31 facility-based and home and community-based care and services. 32 d. Consider methods to educate consumers and enhance 33 engagement of consumers in the broader conversation regarding 34 long-term care issues, including their experience with, 35 -2- LSB 1578HH (2) 86 pf/nh 2/ 3

H.F. 179 concern about, and expectations and recommendations for action 1 regarding the long-term care delivery system in the state. 2 e. Recommend ways to eliminate Iowa’s institutional bias 3 and come into full compliance with the Olmstead decision. 4 f. Consult with the state universities and other 5 institutions with expertise in the area of elder issues and the 6 long-term care continua. 7 g. Submit an interim report, with any preliminary 8 recommendations, to the governor and the general assembly by 9 December 15, 2015. 10 6. All meetings of the committee shall be open to the public 11 and ample time shall be allowed at each meeting for public 12 testimony and comments. 13 7. The committee may request information and assistance 14 from state agencies as needed to complete its work. 15 8. The committee shall complete its deliberations and issue 16 a final report by December 15, 2016. The final report shall be 17 submitted to the governor and the general assembly and contain 18 recommendations for action along with the rationale for the 19 recommendations. 20 EXPLANATION 21 The inclusion of this explanation does not constitute agreement with 22 the explanation’s substance by the members of the general assembly. 23 This bill establishes a long-term care committee. The 24 bill specifies the membership of the committee and the duties 25 of the committee. The committee is directed to submit an 26 interim report with recommendations to the governor and the 27 general assembly by December 15, 2015, and is to complete its 28 deliberations and submit a final report to the governor and the 29 general assembly, including recommendations for action and the 30 rationale for the recommendations, by December 15, 2016. 31 -3- LSB 1578HH (2) 86 pf/nh 3/ 3