SF 160 (LSB 2085XS (1) 86)

SENATE FILE 160

BY  WILHELM, BOLKCOM, RAGAN, DOTZLER, DVORSKY, MATHIS, ALLEN, SODDERS, QUIRMBACH, HART, SCHOENJAHN, JOCHUM, GRONSTAL, COURTNEY, DEARDEN, HORN, TAYLOR, PETERSEN, BISIGNANO, KINNEY, McCOY, SENG, and BRASE

A BILL FOR

An Act establishing a long-term care committee.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  LONG-TERM CARE COMMITTEE —— MEMBERSHIP —— DUTIES.
   1.  A long-term care committee is established which shall consist of ten voting members as follows: 
   a.  Five members of the general public, one selected by each of the following:
   (1)  The older Iowans legislature.
   (2)  The Iowa alliance for retired Americans.
   (3)  The Iowa association of area agencies on aging.
   (4)  The Iowa caregivers association.
   (5)  AARP Iowa.
   b.  Five members representative of those involved in the delivery of long-term care services selected by the president of the senate and the speaker of the house of representatives in accordance with section 2.32A.
   2.  The following individuals shall serve as ex-officio, nonvoting members of the committee:
   a.  (1)  Five members of the senate appointed by the president of the senate in accordance with section 2.32A and five members of the house of representatives appointed by the speaker of the house in accordance with section 2.32A.
   (2)  The members of the senate and house of representatives appointed pursuant to subparagraph (1) shall include all of the following:
   (a)  The chairpersons and ranking members of the committees on human resources or a member of the committee designated by the chairperson or ranking member, respectively.
   (b)  The chairpersons and ranking members of the joint appropriations subcommittee on health and human services or a member of the committee designated by the chairpersons or ranking members, respectively.
   b.  The director or the director’s designee of the department on aging, the department of human services, the department of inspections and appeals, and the department of public health.
   c.  The long-term care ombudsman, or the long-term care ombudsman’s designee.
   d.  The commissioner of insurance or the commissioner’s designee.
   3.  The voting members of the committee shall select co-chairpersons at the initial meeting of the committee, one of whom shall be a member of the general public selected pursuant to subsection 1, paragraph “a”, and one of whom shall be a member selected pursuant to subsection 1, paragraph “b”.
   4.  The department on aging shall provide administrative support to the committee.
   5.  The committee shall do all of the following:
   a.  Comprehensively review the existing long-term care delivery system in the state and make recommendations to create a sustainable, person-centered approach that increases health and life outcomes and supports maximum independence by providing the appropriate level of care and services through a balance of facility-based and home and community-based options; to address medical and social needs in a coordinated, integrated manner; to provide for sufficient resources including a stable, well-qualified workforce; and which provide for fiscal accountability.
   b.  Provide a forum for open and constructive dialogue among stakeholders representing individuals involved in the delivery and financing of long-term care services and supports, consumers, and families of consumers in need of such services and support.
   c.  Specifically address the cost and financing of long-term care services, the coordination of services among providers, the availability of and access to a well-qualified workforce including both the compensated workforce and family and other uncompensated caregivers, and the balance between facility-based and home and community-based care and services.
   d.  Consider methods to educate consumers and enhance engagement of consumers in the broader conversation regarding long-term care issues, including their experience with, concern about, and expectations and recommendations for action regarding the long-term care delivery system in the state.
   e.  Recommend ways to eliminate Iowa’s institutional bias and come into full compliance with the Olmstead decision.
   f.  Consult with the state universities and other institutions with expertise in the area of elder issues and the long-term care continua.
   g.  Submit an interim report, with any preliminary recommendations, to the governor and the general assembly by December 15, 2015.
   6.  All meetings of the committee shall be open to the public and ample time shall be allowed at each meeting for public testimony and comments.
   7.  The committee may request information and assistance from state agencies as needed to complete its work.
   8.  The committee shall complete its deliberations and issue a final report by December 15, 2016. The final report shall be submitted to the governor and the general assembly and contain recommendations for action along with the rationale for the recommendations.
EXPLANATION
The inclusion of this explanation does not constitute agreement with

the explanation’s substance by the members of the general assembly.
   This bill establishes a long-term care committee. The bill specifies the membership of the committee and the duties of the committee. The committee is directed to submit an interim report with recommendations to the governor and the general assembly by December 15, 2015, and is to complete its deliberations and submit a final report to the governor and the general assembly, including recommendations for action and the rationale for the recommendations, by December 15, 2016.