House
File
217
-
Introduced
HOUSE
FILE
217
BY
HEATON
A
BILL
FOR
An
Act
relating
to
limitations
on
licensed
intermediate
care
1
facility
beds
in
the
state.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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H.F.
217
Section
1.
Section
135.63,
subsection
4,
paragraph
a,
Code
1
2015,
is
amended
to
read
as
follows:
2
a.
The
new
or
changed
beds
shall
not
result
in
an
3
increase
in
the
total
number
of
medical
assistance
certified
4
intermediate
care
facility
beds
for
persons
with
an
5
intellectual
disability
in
the
state,
exclusive
of
including
6
those
beds
at
the
state
resource
centers
or
other
state
7
institutions,
beyond
one
thousand
six
hundred
thirty-six
beds.
8
Sec.
2.
Section
249A.12,
Code
2015,
is
amended
by
adding
the
9
following
new
subsection:
10
NEW
SUBSECTION
.
8.
Beginning
July
1,
2015,
the
limitation
11
on
the
number
of
medical
assistance
certified
intermediate
care
12
facility
beds
for
persons
with
an
intellectual
disability
of
13
one
thousand
six
hundred
thirty-six
beds
specified
in
section
14
135.63,
subsection
4,
shall
be
permanently
reduced
to
reflect
15
any
reduction
in
such
beds
at
the
state
resource
centers
due
16
to
outplacement
and
census
decline.
Any
assistance
furnished
17
under
this
chapter
to
a
state
resource
center
attributable
18
to
an
individual
representing
such
an
outplacement
or
census
19
decline,
less
an
amount
which
represents
the
portion
of
20
such
assistance
provided
to
such
individual
that
reflects
21
the
state
resource
center’s
fixed
costs
and
infrastructure,
22
shall
continue
to
be
provided
to
the
individual
to
the
extent
23
necessary
to
instead
provide
a
subsequent
placement
in
a
24
community-based
setting.
The
resource
center
shall
continue
to
25
downsize
and
restructure
the
resource
center’s
infrastructure
26
to
reflect
any
permanent
decline
in
beds
under
this
subsection
27
to
meet
the
needs
and
number
of
individuals
actually
served.
28
EXPLANATION
29
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
30
the
explanation’s
substance
by
the
members
of
the
general
assembly.
31
This
bill
relates
to
the
number
of
medical
assistance
32
certified
intermediate
care
facility
beds
for
persons
with
an
33
intellectual
disability
(ICF/ID)
in
the
state.
The
bill
amends
34
the
certificate
of
need
provisions
relating
to
ICF/ID
beds
to
35
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H.F.
217
provide
that
the
limitation
on
the
number
of
such
beds
of
1,636
1
includes
such
beds
at
the
state
resource
centers
and
other
2
state
institutions.
The
bill
requires
that
beginning
July
1,
3
2015,
the
limitation
of
1,636
beds
shall
be
permanently
reduced
4
to
reflect
any
reduction
in
such
beds
at
the
state
resource
5
centers
due
to
outplacement
and
census
decline.
Any
medical
6
assistance
furnished
to
a
state
resource
center
attributable
to
7
an
individual
representing
the
outplacement
or
census
decline,
8
less
an
amount
for
the
portion
of
the
medical
assistance
9
provided
to
that
individual
that
reflects
the
state
resource
10
center’s
fixed
costs
and
infrastructure,
shall
continue
to
11
be
provided
to
the
individual
to
the
extent
necessary
to
12
instead
provide
a
subsequent
placement
in
a
community-based
13
setting.
The
bill
directs
the
resource
centers
to
continue
to
14
downsize
and
restructure
their
infrastructure
to
reflect
any
15
such
permanent
decline
in
beds
to
meet
the
needs
and
number
of
16
individuals
actually
served.
17
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