HF 543 (LSB 2091HV (2) 86)

HOUSE FILE 543

BY  COMMITTEE ON HUMAN RESOURCES

(SUCCESSOR TO HF 217)

A BILL FOR

An Act relating to limitations on licensed intermediate care facility beds for persons with an intellectual disability at the state resource centers in the state.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  Section 249A.12, Code 2015, is amended by adding the following new subsection:
   NEW SUBSECTION.  8.  The number of medical assistance certified intermediate care facility beds for persons with an intellectual disability at the state resource centers shall be limited to three hundred ninety-five beds. Beginning July 1, 2015, the maximum number of beds specified in this subsection shall be permanently reduced by any reduction in such beds at the state resource centers due to outplacement or census decline. Any assistance furnished under this chapter to a state resource center attributable to an individual representing such an outplacement or census decline, less an amount which represents the portion of such assistance provided to such individual that reflects the state resource center’s fixed costs and infrastructure, shall continue to be provided to the individual to the extent necessary to instead provide a subsequent placement in a community-based setting. The resource center shall continue to downsize and restructure the resource center’s infrastructure to reflect any permanent reduction in beds under this subsection to meet the needs and number of individuals actually served.
EXPLANATION
The inclusion of this explanation does not constitute agreement with

the explanation’s substance by the members of the general assembly.
   This bill relates to the number of medical assistance certified intermediate care facility beds for persons with an intellectual disability (ICF/ID) at the state resource centers. The bill requires that beginning July 1, 2015, the maximum number of ICF/ID beds at the state resource centers of 395 shall be permanently reduced to reflect any reduction in such beds at the state resource centers due to outplacement and census decline. Any medical assistance furnished to a state resource center attributable to an individual representing the outplacement or census decline, less an amount for the portion of the medical assistance provided to that individual that reflects the state resource center’s fixed costs and infrastructure, shall continue to be provided to the individual to the extent necessary to instead provide a subsequent placement in a community-based setting. The bill directs the resource centers to continue to downsize and restructure their infrastructure to reflect any permanent reduction in beds to meet the needs and number of individuals actually served.