House
File
549
-
Introduced
HOUSE
FILE
549
BY
FRY
A
BILL
FOR
An
Act
relating
to
certain
health-related
entities
including
1
membership,
reimbursement,
and
the
elimination
or
combining
2
of
such
entities.
3
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
4
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DIVISION
I
1
IOWA
COLLABORATIVE
SAFETY
NET
PROVIDER
NETWORK
2
Section
1.
Section
135.24,
subsection
7,
paragraph
e,
Code
3
2019,
is
amended
to
read
as
follows:
4
e.
“Specialty
health
care
provider
office”
means
the
5
private
office
or
clinic
of
an
individual
specialty
health
6
care
provider
or
group
of
specialty
health
care
providers
as
7
referred
by
the
Iowa
collaborative
safety
net
provider
network
8
established
in
section
135.153
,
but
does
not
include
a
field
9
dental
clinic,
a
free
clinic,
or
a
hospital.
10
Sec.
2.
Section
135.159,
subsection
1,
paragraph
h,
Code
11
2019,
is
amended
by
striking
the
paragraph.
12
Sec.
3.
REPEAL.
Section
135.153,
Code
2019,
is
repealed.
13
DIVISION
II
14
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
BOARD
15
Sec.
4.
Section
249M.4,
Code
2019,
is
amended
to
read
as
16
follows:
17
249M.4
Hospital
health
care
access
trust
fund
——
board
.
18
1.
A
hospital
health
care
access
trust
fund
is
created
19
in
the
state
treasury
under
the
authority
of
the
department.
20
Moneys
received
through
the
collection
of
the
hospital
health
21
care
access
assessment
imposed
under
this
chapter
and
any
22
other
moneys
specified
for
deposit
in
the
trust
fund
shall
be
23
deposited
in
the
trust
fund.
24
2.
Moneys
in
the
trust
fund
shall
be
used,
subject
to
25
their
appropriation
by
the
general
assembly,
by
the
department
26
to
reimburse
participating
hospitals
the
medical
assistance
27
program
upper
payment
limit
for
inpatient
and
outpatient
28
hospital
services
as
calculated
in
this
section
.
Following
29
payment
of
such
upper
payment
limit
to
participating
hospitals,
30
any
remaining
funds
in
the
trust
fund
on
an
annual
basis
may
be
31
used
for
any
of
the
following
purposes:
32
a.
To
support
medical
assistance
program
utilization
33
shortfalls.
34
b.
To
maintain
the
state’s
capacity
to
provide
access
to
and
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delivery
of
services
for
vulnerable
Iowans.
1
c.
To
fund
the
health
care
workforce
support
initiative
2
created
pursuant
to
section
135.175
.
3
d.
To
support
access
to
health
care
services
for
uninsured
4
Iowans.
5
e.
To
support
Iowa
hospital
programs
and
services
which
6
expand
access
to
health
care
services
for
Iowans.
7
3.
The
trust
fund
shall
be
separate
from
the
general
fund
8
of
the
state
and
shall
not
be
considered
part
of
the
general
9
fund.
The
moneys
in
the
trust
fund
shall
not
be
considered
10
revenue
of
the
state,
but
rather
shall
be
funds
of
the
hospital
11
health
care
access
assessment
program.
The
moneys
deposited
12
in
the
trust
fund
are
not
subject
to
section
8.33
and
shall
not
13
be
transferred,
used,
obligated,
appropriated,
or
otherwise
14
encumbered,
except
to
provide
for
the
purposes
of
this
chapter
.
15
Notwithstanding
section
12C.7,
subsection
2
,
interest
or
16
earnings
on
moneys
deposited
in
the
trust
fund
shall
be
17
credited
to
the
trust
fund.
18
4.
The
department
shall
adopt
rules
pursuant
to
chapter
19
17A
to
administer
the
trust
fund
and
reimbursements
and
20
expenditures
as
specified
in
this
chapter
made
from
the
trust
21
fund.
22
5.
a.
Beginning
July
1,
2010,
or
the
implementation
date
23
of
the
hospital
health
care
access
assessment
program
as
24
determined
by
receipt
of
approval
from
the
centers
for
Medicare
25
and
Medicaid
services
of
the
United
States
department
of
health
26
and
human
services,
whichever
is
later,
the
department
shall
27
increase
the
diagnostic
related
groups
and
ambulatory
patient
28
classifications
base
rates
to
provide
payments
to
participating
29
hospitals
at
the
Medicare
upper
payment
limit
for
the
fiscal
30
year
beginning
July
1,
2010,
calculated
as
of
July
31,
2010.
31
Each
participating
hospital
shall
receive
the
same
percentage
32
increase,
but
the
percentage
may
differ
depending
on
whether
33
the
basis
for
the
base
rate
increase
is
the
diagnostic
related
34
groups
or
ambulatory
patient
classifications.
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b.
The
percentage
increase
shall
be
calculated
by
dividing
1
the
amount
calculated
under
subparagraph
(1)
by
the
amount
2
calculated
under
subparagraph
(2)
as
follows:
3
(1)
The
amount
under
the
Medicare
upper
payment
limit
for
4
the
fiscal
year
beginning
July
1,
2010,
for
participating
5
hospitals.
6
(2)
The
projected
expenditures
for
participating
hospitals
7
for
the
fiscal
year
beginning
July
1,
2010,
as
determined
by
8
the
fiscal
management
division
of
the
department,
plus
the
9
amount
calculated
under
subparagraph
(1).
10
6.
For
the
fiscal
year
beginning
July
1,
2011,
and
for
11
each
fiscal
year
beginning
July
1,
thereafter,
the
payments
to
12
participating
hospitals
shall
continue
to
be
calculated
based
13
on
the
upper
payment
limit
as
calculated
for
the
fiscal
year
14
beginning
July
1,
2010.
15
7.
Reimbursement
of
participating
hospitals
shall
16
incorporate
the
rebasing
process
for
inpatient
and
outpatient
17
services
for
state
fiscal
year
2012.
However,
the
total
amount
18
of
increased
funding
available
for
reimbursement
attributable
19
to
rebasing
shall
not
exceed
four
million
five
hundred
thousand
20
dollars
for
state
fiscal
year
2012
and
six
million
dollars
for
21
state
fiscal
year
2013.
22
8.
Any
payments
to
participating
hospitals
under
this
23
section
shall
result
in
budget
neutrality
to
the
general
fund
24
of
the
state.
25
9.
a.
A
hospital
health
care
access
trust
fund
board
is
26
established
consisting
of
the
following
members:
27
(1)
The
co-chairpersons
and
the
ranking
members
of
the
joint
28
appropriations
subcommittee
on
health
and
human
services.
29
(2)
The
Iowa
medical
assistance
program
director.
30
(3)
Two
hospital
executives
representing
the
two
largest
31
private
health
care
systems
in
the
state.
32
(4)
The
president
of
the
Iowa
hospital
association.
33
(5)
A
representative
of
a
consumer
advocacy
group,
involved
34
in
both
state
and
national
initiatives,
that
provides
data
on
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key
indicators
of
well-being
for
children
and
families
in
order
1
to
inform
policymakers
to
help
children
and
families
succeed.
2
b.
The
board
shall
do
all
of
the
following:
3
(1)
Provide
oversight
of
the
trust
fund.
4
(2)
Make
recommendations
regarding
the
hospital
health
care
5
access
assessment
program,
including
recommendations
regarding
6
the
assessment
calculation,
assessment
amounts,
payments
to
7
participating
hospitals,
and
use
of
the
moneys
in
the
trust
8
fund.
9
(3)
Submit
an
annual
report
to
the
governor
and
the
general
10
assembly
regarding
the
use
and
expenditure
of
moneys
deposited
11
in
the
trust
fund.
12
c.
The
department
shall
provide
administrative
assistance
13
to
the
board.
14
DIVISION
III
15
ADVISORY
COUNCIL
ON
BRAIN
INJURIES
16
Sec.
5.
Section
135.22A,
Code
2019,
is
amended
to
read
as
17
follows:
18
135.22A
Advisory
council
on
Lead
agency
for
brain
injuries
19
injury
.
20
1.
For
purposes
of
this
section
,
unless
the
context
21
otherwise
requires:
22
a.
“Brain
injury”
means
a
brain
injury
as
defined
in
section
23
135.22
.
24
b.
“Council”
means
the
advisory
council
on
brain
injuries.
25
2.
The
advisory
council
on
brain
injuries
is
established.
26
The
following
persons
or
their
designees
shall
serve
as
ex
27
officio,
nonvoting
members
of
the
council:
28
a.
The
director
of
public
health.
29
b.
The
director
of
human
services
and
any
division
30
administrators
of
the
department
of
human
services
so
assigned
31
by
the
director.
32
c.
The
director
of
the
department
of
education.
33
d.
The
chief
of
the
special
education
bureau
of
the
34
department
of
education.
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e.
The
administrator
of
the
division
of
vocational
1
rehabilitation
services
of
the
department
of
education.
2
f.
The
director
of
the
department
for
the
blind.
3
3.
The
council
shall
be
composed
of
a
minimum
of
nine
4
members
appointed
by
the
governor
in
addition
to
the
ex
officio
5
members,
and
the
governor
may
appoint
additional
members.
6
Insofar
as
practicable,
the
council
shall
include
persons
with
7
brain
injuries;
family
members
of
persons
with
brain
injuries;
8
representatives
of
industry,
labor,
business,
and
agriculture;
9
representatives
of
federal,
state,
and
local
government;
and
10
representatives
of
religious,
charitable,
fraternal,
civic,
11
educational,
medical,
legal,
veteran,
welfare,
and
other
12
professional
groups
and
organizations.
Members
shall
be
13
appointed
representing
every
geographic
and
employment
area
14
of
the
state
and
shall
include
members
of
both
sexes.
A
15
simple
majority
of
the
members
appointed
by
the
governor
shall
16
constitute
a
quorum.
17
4.
Members
of
the
council
appointed
by
the
governor
shall
18
be
appointed
for
terms
of
two
years.
Vacancies
on
the
council
19
shall
be
filled
for
the
remainder
of
the
term
of
the
original
20
appointment.
Members
whose
terms
expire
may
be
reappointed.
21
5.
The
voting
members
of
the
council
shall
appoint
a
22
chairperson
and
a
vice
chairperson
and
other
officers
as
the
23
council
deems
necessary.
The
officers
shall
serve
until
their
24
successors
are
appointed
and
qualified.
Members
of
the
council
25
shall
receive
actual
expenses
for
their
services.
Members
may
26
also
be
eligible
to
receive
compensation
as
provided
in
section
27
7E.6
.
The
council
shall
adopt
rules
pursuant
to
chapter
17A
.
28
6.
1.
a.
The
council
shall
do
department
is
designated
29
as
Iowa’s
lead
agency
for
brain
injury.
For
the
purposes
of
30
this
section,
the
designation
of
lead
agency
authorizes
the
31
department
to
perform
or
oversee
the
performance
of
all
of
the
32
following:
33
a.
(1)
Promote
Promotion
of
meetings
and
programs
for
34
the
discussion
of
methods
to
reduce
the
debilitating
effects
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of
brain
injuries,
and
disseminate
the
dissemination
of
1
information
in
cooperation
with
any
other
department,
agency,
2
or
entity
on
the
prevention,
evaluation,
care,
treatment,
and
3
rehabilitation
of
persons
affected
by
brain
injuries.
4
b.
(2)
Study
The
study
and
review
of
current
prevention,
5
evaluation,
care,
treatment,
and
rehabilitation
technologies
6
and
recommend
appropriate
preparation,
training,
retraining,
7
and
distribution
of
personnel
and
resources
in
the
provision
8
of
services
to
persons
with
brain
injuries
through
private
9
and
public
residential
facilities,
day
programs,
and
other
10
specialized
services.
11
c.
(3)
Participate
Participation
in
developing
the
12
development
and
disseminating
dissemination
of
criteria
and
13
standards
which
may
be
required
for
future
funding
or
licensing
14
of
facilities,
day
programs,
and
other
specialized
services
for
15
persons
with
brain
injuries
in
this
state.
16
d.
(4)
Make
The
making
of
recommendations
to
the
governor
17
for
developing
the
development
and
administering
administration
18
of
a
state
plan
to
provide
services
for
persons
with
brain
19
injuries.
20
e.
Meet
at
least
quarterly.
21
7.
The
department
is
designated
as
Iowa’s
lead
agency
22
for
brain
injury.
For
the
purposes
of
this
section
,
the
23
designation
of
lead
agency
authorizes
the
department
to
perform
24
or
oversee
the
performance
of
those
functions
specified
in
25
subsection
6
,
paragraphs
“a”
through
“c”
.
The
council
is
26
assigned
to
the
department
for
administrative
purposes.
27
b.
The
director
shall
be
responsible
for
budgeting,
program
28
coordination,
and
related
management
functions
under
this
29
section
.
30
8.
2.
The
council
department
may
receive
gifts,
grants,
31
or
donations
made
for
any
of
the
purposes
of
its
programs
this
32
section
and
disburse
and
administer
them
in
accordance
with
33
their
terms
and
under
the
direction
of
the
director.
34
Sec.
6.
Section
135.22B,
subsection
2,
paragraphs
b
and
c,
35
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Code
2019,
are
amended
to
read
as
follows:
1
b.
The
duties
of
the
division
of
the
department
assigned
to
2
administer
the
advisory
council
on
brain
injuries
under
section
3
135.22A
shall
be
the
program
administrator.
The
division
4
duties
shall
include
but
are
not
limited
to
serving
as
the
5
fiscal
agent
and
contract
administrator
for
the
program
and
6
providing
program
oversight.
7
c.
The
division
shall
consult
with
the
advisory
council
8
on
brain
injuries,
established
pursuant
to
section
135.22A
,
9
regarding
the
program
and
shall
report
to
the
council
10
department
concerning
the
program
at
least
quarterly.
The
11
council
division
shall
make
recommendations
to
the
department
12
concerning
the
program’s
operation.
13
DIVISION
IV
14
ADVISORY
COMMITTEE
TO
THE
CENTER
FOR
RURAL
HEALTH
AND
PRIMARY
15
CARE
16
Sec.
7.
Section
135.107,
subsection
5,
Code
2019,
is
amended
17
by
striking
the
subsection.
18
Sec.
8.
Section
262.78,
subsection
3,
Code
2019,
is
amended
19
to
read
as
follows:
20
3.
The
president
of
the
university
of
Iowa,
in
consultation
21
with
the
president
of
Iowa
state
university
of
science
and
22
technology,
shall
employ
a
full-time
director
of
the
center.
23
The
center
may
employ
staff
to
carry
out
the
center’s
purpose.
24
The
director
shall
coordinate
the
agricultural
health
and
25
safety
programs
of
the
center.
The
director
shall
regularly
26
meet
and
consult
with
the
advisory
committee
to
the
center
for
27
rural
health
and
primary
care.
The
director
shall
provide
28
the
board
of
regents
with
relevant
information
regarding
the
29
center.
30
DIVISION
V
31
DOMESTIC
ABUSE
DEATH
REVIEW
TEAM
32
Sec.
9.
Section
216A.133A,
subsection
3,
paragraph
a,
33
subparagraph
(8),
Code
2019,
is
amended
to
read
as
follows:
34
(8)
Best
practices
related
to
the
Iowa
child
death
review
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team
established
in
section
135.43
and
the
Iowa
domestic
abuse
1
death
review
team
established
in
section
135.109
.
2
Sec.
10.
REPEAL.
Sections
135.108,
135.109,
135.110,
3
135.111,
and
135.112,
Code
2019,
are
repealed.
4
DIVISION
VI
5
GOVERNMENTAL
PUBLIC
HEALTH
ADVISORY
COUNCIL
6
Sec.
11.
Section
135A.2,
subsection
2,
Code
2019,
is
amended
7
by
striking
the
subsection.
8
Sec.
12.
Section
135A.9,
subsection
1,
Code
2019,
is
amended
9
by
striking
the
subsection.
10
Sec.
13.
REPEAL.
Section
135A.4,
Code
2019,
is
repealed.
11
DIVISION
VII
12
PATIENT-CENTERED
HEALTH
ADVISORY
COUNCIL
13
Sec.
14.
REPEAL.
Section
135.159,
Code
2019,
is
repealed.
14
DIVISION
VIII
15
COMBINING
STATE
MEDICAL
EXAMINER
ADVISORY
COUNCIL
WITH
THE
16
INTERAGENCY
COORDINATING
COUNCIL
17
Sec.
15.
Section
691.6B,
Code
2019,
is
amended
to
read
as
18
follows:
19
691.6B
Interagency
coordinating
council.
20
1.
An
interagency
coordinating
council
is
created
to
advise
21
do
all
of
the
following:
22
a.
Advise
and
consult
with
the
state
medical
examiner
on
a
23
range
of
issues
affecting
the
organization
and
functions
of
the
24
office
of
the
state
medical
examiner
and
the
effectiveness
of
25
the
medical
examiner
system
in
the
state.
26
b.
Advise
the
state
medical
examiner
concerning
the
27
assurance
of
effective
coordination
of
the
functions
and
28
operations
of
the
office
of
the
state
medical
examiner
with
the
29
needs
and
interests
of
the
departments
of
public
safety
and
30
public
health.
31
2.
Members
of
the
interagency
coordinating
council
shall
32
include
the
all
of
the
following:
33
a.
The
state
medical
examiner,
or
when
the
state
medical
34
examiner
is
not
available,
the
deputy
state
medical
examiner
;
35
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the
.
1
b.
The
commissioner
of
public
safety
or
the
commissioner’s
2
designee
;
the
.
3
c.
The
director
of
public
health
or
the
director’s
designee
;
4
and
the
.
5
d.
The
governor
or
the
governor’s
designee.
6
e.
Representatives
from
the
office
of
the
attorney
general,
7
the
Iowa
county
attorneys
association,
the
Iowa
medical
8
society,
the
Iowa
association
of
pathologists,
the
Iowa
9
association
of
medical
examiners,
the
statewide
emergency
10
medical
system,
and
the
Iowa
funeral
directors
association.
11
3.
The
interagency
coordinating
council
shall
meet
on
12
a
regular
basis
,
and
shall
be
organized
and
function
as
13
established
by
the
state
medical
examiner
by
rule
.
14
Sec.
16.
REPEAL.
Section
691.6C,
Code
2019,
is
repealed.
15
DIVISION
IX
16
TOBACCO
USE
PREVENTION
AND
CONTROL
COMMISSION
——
MEMBERSHIP
——
17
MEETINGS
——
EXPENSES
18
Sec.
17.
Section
142A.3,
subsection
3,
Code
2019,
is
amended
19
to
read
as
follows:
20
3.
The
membership
of
the
commission
shall
include
the
21
following
voting
members
who
shall
serve
three-year,
staggered
22
terms:
23
a.
Members,
at
least
one
of
whom
is
a
member
of
a
racial
24
minority,
to
be
appointed
by
the
governor,
subject
to
25
confirmation
by
the
senate
pursuant
to
sections
2.32
and
69.19
,
26
and
consisting
of
the
following:
27
(1)
Three
Two
members
who
are
active
with
nonprofit
health
28
organizations
that
emphasize
tobacco
use
prevention
or
who
are
29
active
as
health
services
providers,
at
the
local
level.
30
(2)
Three
Two
members
who
are
active
with
health
promotion
31
activities
at
the
local
level
in
youth
education,
nonprofit
32
services,
or
other
activities
relating
to
tobacco
use
33
prevention
and
control.
34
b.
Three
voting
members,
to
be
selected
by
the
participants
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in
the
annual
statewide
youth
summit
of
the
initiative’s
youth
1
program,
who
shall
not
be
subject
to
section
69.16
or
69.16A
.
2
However,
the
selection
process
shall
provide
for
diversity
3
among
the
members
and
at
least
one
of
the
youth
members
shall
4
be
a
female.
5
Sec.
18.
Section
142A.3,
subsection
6,
Code
2019,
is
amended
6
to
read
as
follows:
7
6.
Citizen
members
shall
be
reimbursed
for
actual
and
8
necessary
expenses
incurred
in
performance
of
their
duties.
9
Citizen
members
shall
be
paid
a
per
diem
as
specified
in
10
section
7E.6
.
Legislative
members
are
eligible
for
per
diem
11
and
expenses
as
provided
in
section
2.10
.
12
Sec.
19.
Section
142A.3,
subsection
9,
Code
2019,
is
amended
13
to
read
as
follows:
14
9.
The
commission
shall
elect
a
chairperson
from
among
its
15
voting
members
and
may
select
other
officers
from
among
its
16
voting
members,
as
determined
necessary
by
the
commission.
17
The
commission
shall
meet
regularly
no
more
than
quarterly
as
18
determined
by
the
commission,
upon
the
call
of
the
chairperson,
19
or
upon
the
call
of
a
majority
of
the
voting
members.
20
Sec.
20.
TRANSITION
PROVISIONS.
Notwithstanding
any
21
provision
of
section
142A.3,
subsection
8,
to
the
contrary:
22
1.
If
the
term
of
a
voting
member
of
the
tobacco
use
23
prevention
and
control
commission
appointed
pursuant
to
section
24
142A.3,
subsection
3,
paragraph
“a”,
expires
on
April
30,
25
2020,
or
April
30,
2021,
the
member
shall
continue
serving
26
until
the
expiration
of
that
member’s
term
or
until
a
vacancy
27
occurs
prior
to
the
expiration
of
the
applicable
term,
and
such
28
vacancy
shall
only
be
filled
to
the
extent
consistent
with
29
section
142A.3,
subsection
3,
as
amended
in
this
Act.
30
2.
If
the
term
of
a
voting
member
of
the
tobacco
use
31
prevention
and
control
commission
appointed
pursuant
to
section
32
142A.3,
subsection
3,
paragraph
“a”,
expires
on
April
30,
2019,
33
or
June
30,
2019,
such
vacancy
shall
only
be
filled
to
the
34
extent
consistent
with
section
142A.3,
subsection
3,
as
amended
35
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in
this
Act.
1
Sec.
21.
EFFECTIVE
DATE.
The
following,
being
deemed
of
2
immediate
importance,
takes
effect
upon
enactment:
3
The
section
of
this
division
of
this
Act
relating
to
4
transition
provisions
for
the
tobacco
use
prevention
and
5
control
commission.
6
Sec.
22.
RETROACTIVE
APPLICABILITY.
The
following
applies
7
retroactively
to
April
30,
2019:
8
The
section
of
this
division
of
this
Act
relating
to
9
transition
provisions
for
the
tobacco
use
prevention
and
10
control
commission.
11
DIVISION
X
12
STATE
BOARD
OF
HEALTH
——
MEMBERSHIP
——
EXPENSES
13
Sec.
23.
Section
136.1,
subsection
1,
Code
2019,
is
amended
14
to
read
as
follows:
15
1.
The
state
board
of
health
shall
consist
of
the
following
16
members:
17
a.
Two
members
One
member
learned
in
health-related
18
disciplines.
19
b.
Three
Two
members
who
have
direct
experience
with
public
20
health.
21
c.
Two
members
One
member
who
have
has
direct
experience
22
with
substance
abuse
treatment
or
prevention.
23
d.
Four
Three
members
representing
the
general
public.
24
Sec.
24.
REPEAL.
Section
136.9,
Code
2019,
is
repealed.
25
Sec.
25.
TRANSITION
PROVISIONS.
Notwithstanding
any
26
provision
of
section
136.2
to
the
contrary:
27
1.
If
the
term
of
a
member
of
the
state
board
of
health
28
ends
on
June
30,
2019,
such
vacancy
shall
only
be
filled
to
the
29
extent
consistent
with
section
136.1,
subsection
1,
as
amended
30
in
this
Act.
31
2.
If
the
term
of
a
member
of
the
state
board
of
health
who
32
is
a
member
on
July
1,
2019,
expires
on
April
30,
2020,
June
33
30,
2020,
or
June
30,
2021,
the
member
shall
continue
serving
34
until
the
expiration
of
that
member’s
term
or
until
a
vacancy
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occurs
prior
to
the
expiration
of
the
applicable
term,
and
such
1
vacancy
shall
only
be
filled
to
the
extent
consistent
with
2
section
136.1,
subsection
1,
as
amended
in
this
Act.
3
Sec.
26.
EFFECTIVE
DATE.
The
following,
being
deemed
of
4
immediate
importance,
takes
effect
upon
enactment:
5
The
section
of
this
division
of
this
Act
relating
to
6
transition
provisions
for
the
state
board
of
health.
7
Sec.
27.
RETROACTIVE
APPLICABILITY.
The
following
applies
8
retroactively
to
June
30,
2019:
9
The
section
of
this
division
of
this
Act
relating
to
10
transition
provisions
for
the
state
board
of
health.
11
DIVISION
XI
12
TRAUMA
SYSTEM
ADVISORY
COUNCIL
13
Sec.
28.
Section
147A.24,
subsection
2,
Code
2019,
is
14
amended
to
read
as
follows:
15
2.
The
council
shall
consist
of
seven
members
to
be
16
appointed
by
the
director
from
the
recommendations
of
17
the
organizations
in
subsection
1
for
terms
of
two
years.
18
Vacancies
on
the
council
shall
be
filled
for
the
remainder
of
19
the
term
of
the
original
appointment.
Members
whose
terms
20
expire
may
be
reappointed.
21
Sec.
29.
TRANSITION
PROVISIONS.
Notwithstanding
any
22
provision
of
section
147A.24,
subsection
2,
to
the
contrary,
a
23
member
of
the
trauma
system
advisory
council
on
July
1,
2019,
24
shall
continue
serving
until
the
expiration
of
that
member’s
25
term
or
until
a
vacancy
occurs
prior
to
the
expiration
of
the
26
applicable
term,
and
such
vacancy
shall
only
be
filled
to
the
27
extent
consistent
with
and
necessary
to
maintain
the
total
28
number
of
members
of
the
council
specified
in
section
147A.24,
29
subsection
2,
as
amended
in
this
Act.
30
DIVISION
XII
31
TELECONFERENCE
OPTION
FOR
STATE
ENTITIES
32
Sec.
30.
NEW
SECTION
.
135.11B
Statutory
board,
commission,
33
committee,
or
council
of
committee
——
teleconference
option.
34
Any
statutorily
established
board,
commission,
committee,
or
35
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council
established
under
the
purview
of
the
department
shall
1
provide
for
a
teleconference
option
for
board,
commission,
2
committee,
or
council
members
to
participate
in
official
3
meetings.
4
DIVISION
XIII
5
ELIMINATION
OF
PAYMENT
OF
EXPENSES
FOR
PUBLIC
MEMBERS
OF
6
CERTAIN
STATE
ENTITIES
7
Sec.
31.
Section
105.3,
subsection
6,
Code
2019,
is
amended
8
by
striking
the
subsection.
9
Sec.
32.
Section
135.43,
subsection
2,
unnumbered
paragraph
10
1,
Code
2019,
is
amended
to
read
as
follows:
11
The
membership
of
the
review
team
is
subject
to
the
12
provisions
of
sections
69.16
and
69.16A
,
relating
to
political
13
affiliation
and
gender
balance.
Review
team
members
who
14
are
not
designated
by
another
appointing
authority
shall
be
15
appointed
by
the
state
medical
examiner.
Membership
terms
16
shall
be
for
three
years.
A
membership
vacancy
shall
be
filled
17
in
the
same
manner
as
the
original
appointment.
The
review
18
team
shall
elect
a
chairperson
and
other
officers
as
deemed
19
necessary
by
the
review
team.
The
review
team
shall
meet
upon
20
the
call
of
the
state
medical
examiner
or
as
determined
by
21
the
review
team.
The
members
of
the
team
are
eligible
for
22
reimbursement
of
actual
and
necessary
expenses
incurred
in
the
23
performance
of
their
official
duties.
The
review
team
shall
24
include
the
following:
25
Sec.
33.
Section
135.62,
subsection
2,
paragraph
e,
Code
26
2019,
is
amended
by
striking
the
paragraph.
27
Sec.
34.
Section
147A.3,
Code
2019,
is
amended
to
read
as
28
follows:
29
147A.3
Meetings
of
the
council
——
quorum
——
expenses
.
30
Membership,
terms
of
office,
and
quorum
,
and
expenses
shall
31
be
determined
by
the
director
pursuant
to
chapter
135
.
32
Sec.
35.
Section
256I.3,
subsection
3,
Code
2019,
is
amended
33
by
striking
the
subsection.
34
EXPLANATION
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The
inclusion
of
this
explanation
does
not
constitute
agreement
with
1
the
explanation’s
substance
by
the
members
of
the
general
assembly.
2
This
bill
eliminates
or
combines
certain
health-related
3
entities
and
makes
other
changes
relating
to
health-related
4
entities.
5
Division
I
repeals
Code
section
135.153
(Iowa
collaborative
6
safety
net
provider
network
established)
thereby
eliminating
7
the
network.
The
bill
also
makes
conforming
changes
to
8
eliminate
references
to
the
network
in
Code
section
135.24
9
(volunteer
health
care
provider
program
established
——
10
immunity
from
civil
liability)
and
Code
section
135.159
11
(patient-centered
health
advisory
council).
12
Division
II
eliminates
the
hospital
health
care
access
trust
13
fund
board
by
striking
the
language
establishing
the
board
in
14
Code
section
249M.4
(hospital
health
care
access
trust
fund
——
15
board).
16
Division
III
eliminates
the
advisory
council
on
brain
17
injuries
and
amends
Code
section
135.22A
(advisory
council
on
18
brain
injuries)
to
redistribute
the
duties
of
the
advisory
19
council
to
the
department
of
public
health
and
makes
other
20
conforming
changes.
21
Division
IV
eliminates
the
advisory
committee
to
the
center
22
for
rural
health
and
primary
care
(Code
section
135.107(5))
and
23
makes
conforming
changes.
24
Division
V
eliminates
the
domestic
abuse
death
review
team
25
(Code
sections
135.108
through
135.112)
and
makes
conforming
26
changes.
27
Division
VI
eliminates
the
governmental
public
health
28
advisory
council
(Code
section
135A.4)
and
makes
conforming
29
changes.
30
Division
VII
eliminates
the
patient-centered
health
advisory
31
council
(Code
section
135.159).
32
Division
VIII
combines
the
state
medical
examiner
advisory
33
council
with
the
interagency
coordinating
council
(Code
34
sections
691.6B
and
691.6C).
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Division
IX
reduces
the
voting
membership
of
the
tobacco
1
use
prevention
and
control
commission
from
nine
members
to
2
seven
members
and
includes
membership
transition
provisions,
3
limits
the
number
of
meetings
of
the
commission
to
no
more
4
than
quarterly,
and
eliminates
reimbursement
for
the
citizen
5
members.
6
Division
X
reduces
the
membership
of
the
state
board
of
7
health
from
11
to
7
members,
includes
membership
transition
8
provisions,
and
eliminates
payment
of
compensation
and
expenses
9
for
members.
10
Division
XI
limits
the
membership
of
the
trauma
system
11
advisory
council
to
seven
members
selected
from
a
listing
of
12
organizations,
and
includes
membership
transition
provisions.
13
Division
XII
requires
any
statutorily
established
board,
14
commission,
committee,
or
council
under
the
purview
of
the
15
department
of
public
health
to
provide
for
a
teleconference
16
option
for
board,
commission,
committee,
or
council
members
to
17
participate
in
official
meetings.
18
Division
XIII
eliminates
payment
of
compensation
or
19
expenses,
as
applicable,
of
public
members
of
the
child
20
death
review
team,
the
early
childhood
Iowa
state
board,
the
21
emergency
management
services
advisory
council,
the
health
22
facilities
council,
and
the
plumbing
and
mechanical
systems
23
board.
24
-15-
LSB
2076YH
(11)
88
pf/rh
15/
15