Iowa Administrative Bulletin

IOWA ADMINISTRATIVE BULLETIN

Published Biweekly VOLUME XXI NUMBER 10 November 4, 1998 Pages 829 to 928

CONTENTS IN THIS ISSUE

Pages 839 to 907 include ARC 8420A to ARC 8450A

ACCOUNTANCY EXAMINING BOARD[193A]
Professional Licensing and Regulation Division[193]
COMMERCE DEPARTMENT[181]"umbrella"
Filed, Certificate of registration--denial due to
default on student loan, 9.13, 12.19, 16.9(4)
ARC 8422A 890
Filed, Waivers or variances from rules, ch 13
ARC 8421A 891
AGRICULTURE AND LAND STEWARDSHP
DEPARTMENT[21]

Notice, Meat and poultry inspection, 1.6, 76.1 to
76.4, 76.13 ARC 8445A 839
ALL AGENCIES
Schedule for rule making 832
Publication procedures 833
Agency identification numbers 837
ATTORNEY GENERAL
Opinions summarized 908
CITATION OF ADMINISTRATIVE RULES 831
CORRECTIONS DEPARTMENT[201]
Filed, Offender transportation, 20.14
ARC 8447A 892
Filed, Sex offender management and treatment,
ch 38 ARC 8448A 893
HUMAN SERVICES DEPARTMENT[441]
Notice, Food stamp eligibility of noncitizens,
65.47 ARC 8425A 839
Notice, Healthy and well kids in Iowa (HAWK-I)
program, 76.1, 76.11(4), ch 86 ARC 8450A 840
Notice, Home- and community-based services
waiver for persons with physical disabilities,
77.41, 78.46, 79.1(2), 79.14(1), 83.101 to
83.111 ARC 8427A 852
Filed Emergency, Food stamp eligibility of
noncitizens, 65.47 ARC 8426A 887
Filed, Home health agencies--surety bonds,
77.9, 78.9 ARC 8428A 894
Filed, Maximum reimbursement rate for nursing
facilities, 81.6(16) ARC 8429A 897
Filed, Inclusion of state payment program
recipients in Iowa plan, 153.51 to 153.59
ARC 8430A 897
Filed Emergency After Notice, Payment to child in
independent living, 156.12(1) ARC 8431A 888
Filed, Adolescent pregnancy prevention, 163.1
to 163.5, 163.8 ARC 8432A 903
INSURANCE DIVISION[191]
COMMERCE DEPARTMENT[181]"umbrella"
Notice, General, 5.3, 5.26(6), 5.42, 15.13(1),
21.1(1), 21.3 to 21.6, 31.1, 31.6, 33.2(2),
33.11, 40.1, 40.19, 45.10(6), ch 45 form B
ARC 8440A 860
Notice, Licensing and continuing education,
chs 10 and 11 ARC 8439A 862
Notice Terminated, Pharmaceutical disclosure
requirements, 35.30, 36.7(1), 40.23, 71.19,
75.12 ARC 8449A 872
Filed Emergency, Health benefit plans--disclosure
requirements, 35.31, 36.7(1), 40.23, 71.19,
75.12 ARC 8441A 888
LANDSCAPE ARCHITECTURAL
EXAMINING BOARD[193D]

Professional Licensing and Regulation Division[193]
COMMERCE DEPARTMENT[181]"umbrella"
Notice, Certificate of registration--denial due to
default on student loan, 2.12, 4.13, 5.17
ARC 8424A 872
Filed, Waivers or variances from rules, ch 7
ARC 8423A 905
NATURAL RESOURCE COMMISSION[571]
NATURAL RESOURCES DEPARTMENT[561]"umbrella"
Notice, Wildlife refuges, 52.1(1), 61.2, 61.3,
61.4(2), 61.5(7), 61.6(1), 61.22(20)
ARC 8442A 874
Notice, Endangered and threatened plant and
animal species, ch 77 ARC 8444A 875
Filed Emergency, Waterfowl limits, 91.3(2)
ARC 8443A 889
PERSONNEL DEPARTMENT[581]
Notice, Job classification and pay, 1.1, 3.1(2),
3.4(6), 3.5, 3.6(3), 4.6(12), 8.3, 8.10(3),
8.11, 8.13 ARC 8438A 881
PUBLIC HEALTH DEPARTMENT[641]
Notice, Mammography, 41.1(1), 41.6(2)
ARC 8446A
883
PUBLIC HEARINGS
Summarized list 834
REVENUE AND FINANCE DEPARTMENT[701]
Notice, 1999 interest rate on unpaid taxes,
10.2 ARC 8437A 884
Notice, Motor fuel tax, 67.1, 67.12, 68.8
ARC 8436A
884
Amended Notice, Condominiums--commercial
or residential real estate, 71.1 ARC 8435A 885
Filed, Sales and use tax, 17.30, 18.24, 18.25,
18.34, 18.49, 18.58(1), 18.59, 20.7, 32.4
ARC 8433A 906
Filed, Local option school infrastructure
sales and service tax, ch 108 ARC 8434A 907
SUPREME COURT
Decisions summarized 912
TRANSPORTATION DEPARTMENT[761]
Notice, Vehicle registration; special plates,
400.1, 401.10 to 401.12, 401.21, 401.25
ARC 8420A
886
USURY
Notice 886
PUBLISHED UNDER AUTHORITY OF IOWA CODE SECTIONS 2B.5 AND 17A.6

__________________________________

PREFACE

The Iowa Administrative Bulletin is published biweekly in pamphlet form pursuant to Iowa Code chapters 2B and 17A and contains Notices of Intended Action on rules, Filed and Filed Emergency rules by state agencies.
It also contains Proclamations and Executive Orders of the Governor which are general and permanent in nature; Economic Impact Statements to proposed rules and filed emergency rules; Objections filed by Administrative Rules Review Committee, Governor or the Attorney General; and Delay by the Committee of the effective date of filed rules; Regulatory Flexibility Analyses and Agenda for monthly Administrative Rules Review Committee meetings. Other "materials deemed fitting and proper by the Administrative Rules Review Committee" include summaries of Public Hearings, Attorney General Opinions and Supreme Court Decisions.
The Bulletin may also contain Public Funds Interest Rates [12C.6]; Workers' Compensation Rate Filings [515A.6(7)]; Usury [535.2(3)"a"]; Agricultural Credit Corporation Maximum Loan Rates [535.12]; and Regional Banking--Notice of Application and Hearing [524.1905(2)].
PLEASE NOTE: Italics indicate new material added to existing rules; strike through letters indicate deleted material.
KATHLEEN K. BATES, Administrative Code Editor Telephone: (515)281-3355
ROSEMARY DRAKE, Assistant Editor (515)281-7252
Fax: (515)281-4424
SUBSCRIPTION INFORMATION

Iowa Administrative Bulletin

The Iowa Administrative Bulletin is sold as a separate publication and may be purchased by subscription or single copy. All subscriptions will expire on June 30 of each year. Subscriptions must be paid in advance and are prorated quarterly as follows:
First quarter July 1, 1998, to June 30, 1999 $244.10 plus $12.21 sales tax
Second quarter October 1, 1998, to June 30, 1999 $185.00 plus $9.25 sales tax
Third quarter January 1, 1999, to June 30, 1999 $125.00 plus $6.25 sales tax
Fourth quarter April 1, 1999, to June 30, 1999 $ 65.00 plus $3.25 sales tax
Single copies may be purchased for $19.00 plus $0.95 tax. Back issues may be purchased if the issues are available.
Iowa Administrative Code

The Iowa Administrative Code and Supplements are sold in complete sets and subscription basis only. All subscriptions for the Supplement (replacement pages) must be for the complete year and will expire on June 30 of each year.
Prices for the Iowa Administrative Code and its Supplements are as follows:
Iowa Administrative Code - $1,119.00 plus $55.95 sales tax
(Price includes 22 volumes of rules and index, plus a one-year subscription to the Code Supplement and the Iowa Administrative Bulletin. Additional or replacement binders can be purchased for $10.90 plus $0.55 tax.)
Iowa Administrative Code Supplement - $393.50 plus $19.68 sales tax
(Subscription expires June 30, 1999)
All checks should be made payable to the Iowa State Printing Division. Send all inquiries and subscription orders to:
Customer Service Center
Department of General Services
Hoover State Office Building, Level A
Des Moines, IA 50319
Telephone: (515)242-5120
Schedule for Rule Making
1998

NOTICE
SUBMISSION DEADLINE


NOTICE PUB.
DATE


HEARING OR
COMMENTS 20 DAYS


FIRST
POSSIBLE ADOPTION DATE
35 DAYS


ADOPTED FILING DEADLINE


ADOPTED PUB.
DATE


FIRST
POSSIBLE EFFECTIVE DATE


POSSIBLE EXPIRATION OF NOTICE 180 DAYS


Dec. 26 '97


Jan. 14 '98


Feb. 3


Feb. 18


Feb. 20


Mar. 11


Apr. 15


July 13


Jan. 9 '98


Jan. 28


Feb. 17


Mar. 4


Mar. 6


Mar. 25


Apr. 29


July 27


Jan. 23


Feb. 11


Mar. 3


Mar. 18


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Mar. 17


Apr. 1


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Apr. 22


May 27


Aug. 24


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Apr. 17


May 6


June 10


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Mar. 25


Apr. 14


Apr. 29


May 1


May 20


June 24


Sept. 21


Mar. 20


Apr. 8


Apr. 28


May 13


May 15


June 3


July 8


Oct. 5


Apr. 3


Apr. 22


May 12


May 27


May 29


June 17


July 22


Oct. 19


Apr. 17


May 6


May 26


June 10


June 12


July 1


Aug. 5


Nov. 2


May 1


May 20


June 9


June 24


June 26


July 15


Aug. 19


Nov. 16


May 15


June 3


June 23


July 8


July 10


July 29


Sept. 2


Nov. 30


May 29


June 17


July 7


July 22


July 24


Aug. 12


Sept. 16


Dec. 14


June 12


July 1


July 21


Aug. 5


Aug. 7


Aug. 26


Sept. 30


Dec. 28


June 26


July 15


Aug. 4


Aug. 19


Aug. 21


Sept. 9


Oct. 14


Jan. 11 '99


July 10


July 29


Aug. 18


Sept. 2


Sept. 4


Sept. 23


Oct. 28


Jan. 25 '99


July 24


Aug. 12


Sept. 1


Sept. 16


Sept. 18


Oct. 7


Nov. 11


Feb. 8 '99


Aug. 7


Aug. 26


Sept. 15


Sept. 30


Oct. 2


Oct. 21


Nov. 25


Feb. 22 '99


Aug. 21


Sept. 9


Sept. 29


Oct. 14


Oct. 16


Nov. 4


Dec. 9


Mar. 8 '99


Sept. 4


Sept. 23


Oct. 13


Oct. 28


Oct. 30


Nov. 18


Dec. 23


Mar. 22 '99


Sept. 18


Oct. 7


Oct. 27


Nov. 11


Nov. 13


Dec. 2


Jan. 6 '99


Apr. 5 '99


Oct. 2


Oct. 21


Nov. 10


Nov. 25


Nov. 27


Dec. 16


Jan. 20 '99


Apr. 19 '99


Oct. 16


Nov. 4


Nov. 24


Dec. 9


Dec. 11


Dec. 30


Feb. 3 '99


May 3 '99


Oct. 30


Nov. 18


Dec. 8


Dec. 23


Dec. 25


Jan. 13 '99


Feb. 17 '99


May 17 '99


Nov. 13


Dec. 2


Dec. 22


Jan. 6 '99


Jan. 8 '99


Jan. 27 '99


Mar. 3 '99


May 31 '99


Nov. 27


Dec. 16


Jan. 5 '99


Jan. 20 '99


Jan. 22 '99


Feb. 10 '99


Mar. 17 '99


June 14 '99


Dec. 11


Dec. 30


Jan. 19 '99


Feb. 3 '99


Feb. 5 '99


Feb. 24 '99


Mar. 31 '99


June 28 '99


Dec. 25


Jan. 13 '99


Feb. 2 '99


Feb. 17 '99


Feb. 19 '99


Mar. 10 '99


Apr. 14 '99


July 12 '99


Jan. 8 '99


Jan. 27 '99


Feb. 16 '99


Mar. 3 '99


Mar. 5 '99


Mar. 24 '99


Apr. 28 '99


July 26 '99



PRINTING SCHEDULE FOR IAB




ISSUE NUMBER


SUBMISSION DEADLINE


ISSUE DATE


12


Friday, November 13, 1998


December 2, 1998


13


Friday, November 27, 1998


December 16, 1998


14


Friday, December 11, 1998


December 30, 1998



PLEASE NOTE:
Rules will not be accepted after 12 o'clock noon on the Friday filing deadline days unless prior approval has been received from the Administrative Rules Coordinator's office.
If the filing deadline falls on a legal holiday, submissions made on the following Monday will be accepted.

PUBLICATION PROCEDURES

TO: Administrative Rules Coordinators and Text Processors of State Agencies
FROM: Kathleen K. Bates, Iowa Administrative Code Editor
SUBJECT: Publication of Rules in Iowa Administrative Bulletin
The Administrative Code Division uses Interleaf 6 to publish the Iowa Administrative Bulletin and can import documents directly from most other word processing systems, including Microsoft Word, Word for Windows (Word 7 or earlier), and WordPerfect.
1. To facilitate the processing of rule-making documents, we request a 3.5\ High Density (not Double Density) IBM PC-compatible diskette of the rule making. Please indicate on each diskette the following information: agency name, file name, format used for exporting, and chapter(s) amended. Diskettes may be delivered to the Administrative Code Division, 4th Floor, Lucas State Office Building or included with the documents submitted to the Governor's Administrative Rules Coordinator.
2. Alternatively, if you have Internet E-mail access, you may send your document as an attachment to an E-mail message, addressed to both of the following:
bcarr@legis.state.ia.us
kbates@legis.state.ia.us
Please note that changes made prior to publication of the rule-making documents are reflected on the hard copy returned to agencies by the Governor's office, but not on the diskettes; diskettes are returned unchanged.
Your cooperation helps us print the Bulletin more quickly and cost-effectively than was previously possible and is greatly appreciated.

PUBLIC HEARINGS

To All Agencies:
The Administrative Rules Review Committee voted to request that Agencies comply with Iowa Code section 17A.4(1)"b" by allowing the opportunity for oral presentation (hearing) to be held at least twenty days after publication of Notice in the Iowa Administrative Bulletin.

AGENCY


HEARING LOCATION


DATE AND TIME OF HEARING


EDUCATION DEPARTMENT[281]




Financial incentives for national
board certification, ch 84
IAB 10/7/98 ARC 8371A
(See also ARC 8372A)


State Board Room--2nd Floor
Grimes State Office Bldg.
Des Moines, Iowa


November 5, 1998
9 a.m.


ENVIRONMENTAL PROTECTION COMMISSION[567]




Environmental self-audits,
ch 12
IAB 10/21/98 ARC 8419A


Conference Room--4th Floor
Wallace State Office Bldg.
Des Moines, Iowa


November 10, 1998
1 p.m.


HUMAN SERVICES DEPARTMENT[441]




Healthy and well kids in Iowa
(HAWK-I) program,
76.1, 76.11(4), ch 86
IAB 11/4/98 ARC 8450A


Conference Room--6th Floor
Iowa Bldg., Suite 600
411 Third St. S.E.
Cedar Rapids, Iowa


November 30, 1998
10 a.m.



Administrative Conference Room
417 E. Kanesville Blvd.
Council Bluffs, Iowa


December 2, 1998
10 a.m.



Conference Room 3--3rd Floor
Bicentennial Bldg.
428 Western
Davenport, Iowa


December 1, 1998
10 a.m.



Conference Room 104
City View Plaza
1200 University
Des Moines, Iowa


December 2, 1998
10 a.m.



Liberty Room
Mohawk Square
22 N. Georgia Ave.
Mason City, Iowa


November 30, 1998
10 a.m.



Conference Room 3
120 E. Main
Ottumwa, Iowa


December 2, 1998
10 a.m.



Fifth Floor
520 Nebraska St.
Sioux City, Iowa


November 30, 1998
1 p.m.



Conference Room 420
Pinecrest Office Bldg.
1407 Independence Ave.
Waterloo, Iowa


December 1, 1998
10 a.m.


HUMAN SERVICES
DEPARTMENT[441]

(Cont'd)




HCBS physical disability waiver
services, 77.41, 78.46, 79.1(2),
79.14(1), 83.92 to 83.111
IAB 11/4/98 ARC 8427A


Conference Room--6th Floor
Iowa Bldg., Suite 600
411 Third St. S.E.
Cedar Rapids, Iowa


December 2, 1998
10 a.m.



Administrative Conference Room
417 E. Kanesville Blvd.
Council Bluffs, Iowa


December 2, 1998
9 a.m.



Conference Room 5--5th Floor
Bicentennial Bldg.
428 Western
Davenport, Iowa


December 2, 1998
10 a.m.



Conference Room 102
City View Plaza
1200 University
Des Moines, Iowa


December 1, 1998
10 a.m.



Liberty Room
Mohawk Square
22 N. Georgia Ave.
Mason City, Iowa


December 1, 1998
10 a.m.



Conference Room 3
120 E. Main
Ottumwa, Iowa


December 1, 1998
10 a.m.



Fifth Floor
520 Nebraska St.
Sioux City, Iowa


November 30, 1998
9 a.m.



Conference Room 220
Pinecrest Office Bldg.
1407 Independence Ave.
Waterloo, Iowa


November 30, 1998
10 a.m.


INSURANCE DIVISION[191]




Licensing of insurance producers;
continuing education for insurance
producers, chs 10, 11
IAB 11/4/98 ARC 8439A


Main Conference Room
330 Maple St.
Des Moines, Iowa


November 24, 1998
10 a.m.


LANDSCAPE ARCHITECTURAL EXAMINING BOARD[193D]




Noncompliance--college student aid,
2.12, 4.13, 5.17
IAB 11/4/98 ARC 8424A


Conference Room--2nd Floor
Commerce Bldg.
1918 S.E. Hulsizer
Ankeny, Iowa


November 24, 1998
9 a.m.


NATURAL RESOURCE COMMISSION[571]




Wildlife refuges,
52.1(1), 61.2 to 61.6, 61.22(20)
IAB 11/4/98 ARC 8442A


Conference Room--4th Floor East
Wallace State Office Bldg.
Des Moines, Iowa


November 25, 1998
9 a.m.


NATURAL RESOURCE
COMMISSION[571]

(Cont'd)




Endangered and threatened plant
and animal species, ch 77
IAB 11/4/98 ARC 8444A


Conference Room--4th Floor
Wallace State Office Bldg.
Des Moines, Iowa


November 24, 1998
10 a.m.


PERSONNEL DEPARTMENT[581]




Job classification and pay,
1.1, 3.1(2), 3.4(6), 3.5, 3.6(3),
4.6(12), 8.3, 8.10(3), 8.11, 8.13
IAB 11/4/98 ARC 8438A


South Conference Room--1st Floor
Grimes State Office Bldg.
Des Moines, Iowa


November 24, 1998
9 a.m.


PROFESSIONAL LICENSURE DIVISION[645]




Board of dietetic examiners,
80.1, 80.8, 80.9(1), 80.100,
80.107(2), 80.108(3)
IAB 10/21/98 ARC 8405A


Conference Room--4th Floor
Lucas State Office Bldg.
Des Moines, Iowa


November 10, 1998
10 a.m. to 12 noon


PUBLIC HEALTH DEPARTMENT[641]




Federal standards--mammography,
41.1(1), 41.6(2)
IAB 11/4/98 ARC 8446A


Conference Room--3rd Floor
Side Two
Lucas State Office Bldg.
Des Moines, Iowa


November 24, 1998
9 a.m.


REVENUE AND FINANCE DEPARTMENT[701]




Condominiums--commercial or
residential real estate,
71.1
IAB 11/4/98 ARC 8435A
(See also ARC 8342A, IAB 9/23/98)


Conference Room--4th Floor
Hoover State Office Bldg.
Des Moines, Iowa


December 4, 1998
10 a.m.


TRANSPORTATION DEPARTMENT[761]




EMS, Ex-POW, and U.S. armed
forces retired plates,
400.1, 401.10 to 401.12,
401.21, 401.25
IAB 11/4/98 ARC 8420A


Conference Room
Park Fair Mall
Lower Level
100 Euclid Ave.
Des Moines, Iowa


December 1, 1998
10 a.m.
(If requested)



CITATION of Administrative Rules

The Iowa Administrative Code shall be cited as (agency identification number) IAC
(chapter, rule, subrule, lettered paragraph, or numbered subparagraph).

441 IAC 79 (Chapter)

441 IAC 79.1(249A) (Rule)

441 IAC 79.1(1) (Subrule)

441 IAC 79.1(1)"a" (Paragraph)

441 IAC 79.1(1)"a"(1) (Subparagraph)

The Iowa Administrative Bulletin shall be cited as IAB (volume), (number), (publication
date), (page number), (ARC number).

IAB Vol. XII, No. 23 (5/16/90) p. 2050, ARC 872A

AGENCY IDENTIFICATION NUMBERS

Due to reorganization of state government by 1986 Iowa Acts, chapter 1245, it was necessary to revise the agency identification numbering system, i.e., the bracketed number following the agency name.
"Umbrella" agencies and elected officials are set out below at the left-hand margin in CAPITAL letters.
Divisions (boards, commissions, etc.) are indented and set out in lowercase type under their statutory "umbrellas."
Other autonomous agencies which were not included in the original reorganization legislation as "umbrella" agencies are included alphabetically in small capitals at the left-hand margin, e.g., BEEF INDUSTRY COUNCIL, IOWA[101].
The following list will be updated as changes occur:
AGRICULTURE AND LAND STEWARDSHIP DEPARTMENT[21]
Agricultural Development Authority[25]
Soil Conservation Division[27]
ATTORNEY GENERAL[61]
AUDITOR OF STATE[81]
BEEF INDUSTRY COUNCIL, IOWA[101]
BLIND, DEPARTMENT FOR THE[111]
CITIZENS' AIDE[141]
CIVIL RIGHTS COMMISSION[161]
COMMERCE DEPARTMENT[181]
Alcoholic Beverages Division[185]
Banking Division[187]
Credit Union Division[189]
Insurance Division[191]
Professional Licensing and Regulation Division[193]
Accountancy Examining Board[193A]
Architectural Examining Board[193B]
Engineering and Land Surveying Examining Board[193C]
Landscape Architectural Examining Board[193D]
Real Estate Commission[193E]
Real Estate Appraiser Examining Board[193F]
Savings and Loan Division[197]
Utilities Division[199]
CORRECTIONS DEPARTMENT[201]
Parole Board[205]
CULTURAL AFFAIRS DEPARTMENT[221]
Arts Division[222]
Historical Division[223]
ECONOMIC DEVELOPMENT, IOWA DEPARTMENT OF[261]
City Development Board[263]
Iowa Finance Authority[265]
EDUCATION DEPARTMENT[281]
Educational Examiners Board[282]
College Student Aid Commission[283]
Higher Education Loan Authority[284]
Iowa Advance Funding Authority[285]
Libraries and Information Services Division[286]
Public Broadcasting Division[288]
School Budget Review Committee[289]
EGG COUNCIL[301]
ELDER AFFAIRS DEPARTMENT[321]
EMPLOYMENT SERVICES DEPARTMENT[341]
Job Service Division[345]
Labor Services Division[347]
EMPOWERMENT BOARD, IOWA[349]
ETHICS AND CAMPAIGN DISCLOSURE BOARD, IOWA[351]
EXECUTIVE COUNCIL[361]
FAIR BOARD[371]
GENERAL SERVICES DEPARTMENT[401]
HUMAN INVESTMENT COUNCIL[417]
HUMAN RIGHTS DEPARTMENT[421]
Community Action Agencies Division[427]
Criminal and Juvenile Justice Planning Division[428]
Deaf Services Division[429]
Persons With Disabilities Division[431]
Latino Affairs Division[433]
Status of Blacks Division[434]
Status of Women Division[435]
HUMAN SERVICES DEPARTMENT[441]
INSPECTIONS AND APPEALS DEPARTMENT[481]
Employment Appeal Board[486]
Foster Care Review Board[489]
Racing and Gaming Commission[491]
State Public Defender[493]
LAW ENFORCEMENT ACADEMY[501]
LIVESTOCK HEALTH ADVISORY COUNCIL[521]
MANAGEMENT DEPARTMENT[541]
Appeal Board, State[543]
City Finance Committee[545]
County Finance Committee[547]
NARCOTICS ENFORCEMENT ADVISORY COUNCIL[551]
NATIONAL AND COMMUNITY SERVICE, IOWA COMMISSION ON[555]
NATURAL RESOURCES DEPARTMENT[561]
Energy and Geological Resources Division[565]
Environmental Protection Commission[567]
Natural Resource Commission[571]
Preserves, State Advisory Board[575]
PERSONNEL DEPARTMENT[581]
PETROLEUM UNDERGROUND STORAGE TANK FUND
BOARD, IOWA COMPREHENSIVE[591]
PREVENTION OF DISABILITIES POLICY COUNCIL[597]
PUBLIC DEFENSE DEPARTMENT[601]
Emergency Management Division[605]
Military Division[611]
PUBLIC EMPLOYMENT RELATIONS BOARD[621]
PUBLIC HEALTH DEPARTMENT[641]
Substance Abuse Commission[643]
Professional Licensure Division[645]
Dental Examiners Board[650]
Medical Examiners Board[653]
Nursing Board[655]
Pharmacy Examiners Board[657]
PUBLIC SAFETY DEPARTMENT[661]
RECORDS COMMISSION[671]
REGENTS BOARD[681]
Archaeologist[685]
REVENUE AND FINANCE DEPARTMENT[701]
Lottery Division[705]
SECRETARY OF STATE[721]
SEED CAPITAL CORPORATION, IOWA[727]
SHEEP AND WOOL PROMOTION BOARD, IOWA[741]
TELECOMMUNICATIONS AND TECHNOLOGY COMMISSION, IOWA[751]
TRANSPORTATION DEPARTMENT[761]
Railway Finance Authority[765]
TREASURER OF STATE[781]
UNIFORM STATE LAWS COMMISSION[791]
VETERANS AFFAIRS COMMISSION[801]
VETERINARY MEDICINE BOARD[811]
VOTER REGISTRATION COMMISSION[821]
WORKFORCE DEVELOPMENT DEPARTMENT[871]
Labor Services Division[875]
Workers' Compensation Division[876]
Workforce Development Board and
Workforce Development Center Administration Division[877]
NOTICES

ARC 8445A
AGRICULTURE AND LAND STEWARDSHIP DEPARTMENT[21]

Notice of Intended Action

Twenty-five interested persons, a governmental subdivision, an agency or association of 25 or more persons may demand an oral presentation hereon as provided in Iowa Code section 17A.4(1)"b."

Notice is also given to the public that the Administrative Rules Review Committee may, on its own motion or on written request by any individual or group, review this proposed action under section 17A.8(6) at a regular or special meeting where the public or interested persons may be heard.

Pursuant to the authority of Iowa Code section 159.5(11), the Department of Agriculture and Land Stewardship gives Notice of Intended Action to amend Chapter 1, "Administration," and Chapter 76, "Meat and Poultry Inspection," Iowa Administrative Code.
These proposed amendments are intended to implement a minor change in the rules relating to the organization of the Department's regulatory division by establishing the meat and poultry inspection unit as a bureau rather than a unit in the animal industry bureau. These proposed amendments will bring the departmental rules into conformity with the longtime practice within the Department of treating the meat and poultry inspection unit as a bureau. In addition, the amendments update references in the rules relating to federal regulations which have been adopted by reference to the current versions of those regulations.
Any interested person may make written suggestions or comments on the following proposed amendments prior to 4:30 p.m. on November 24, 1998. Such written material should be directed to Ron Rowland, Regulatory Division Director, Department of Agriculture and Land Stewardship, Wallace State Office Building, Des Moines, Iowa 50319. Comments may also be faxed to (515)281-4282 or sent by E-mail to Ron.Rowland@idals.state.ia.us.
These amendments are intended to implement Iowa Code chapter 159.
The following amendments are proposed.
ITEM 1. Amend subrule 1.6(1) by rescinding paragraph "c."
ITEM 2. Adopt the following new subrule:
1.6(6) Meat and poultry inspection bureau. This bureau enforces and administers Iowa Code chapter 189A, meat and poultry inspection Act. It is a cooperative program with the United States Department of Agriculture. The program must maintain an "equal to" status with the federal Wholesome Meat and Poultry Products Inspection Acts. This bureau conducts inspections of facilities, animals, products, and labeling and exercises processing controls and reinspection of meat and poultry products for intrastate commerce.
ITEM 3. Amend rule 21--76.1(189A), introductory paragraph, as follows:
21--76.1(189A) Federal Wholesome Meat Act regulations adopted. Part 301 of Title 9, Chapter III, of the Code of Federal Regulations, revised as of November 1, 1996 October 1, 1998, is hereby adopted in its entirety by reference; and in addition thereto, the following subsections shall be expanded to include:
ITEM 4. Amend rule 21--76.2(189A) as follows:
21--76.2(189A) Federal Wholesome Meat Act regulations adopted. Part 303, Part 304, Part 305, Part 306, Parts 308 through 320, Part 329, Part 416, and Part 417 of Title 9, Chapter III of the Code of Federal Regulations, revised as of November 1, 1996 October 1, 1998, are hereby adopted in their entirety by reference. Part 307 except Sections 307.5 and 307.6 and Part 325 except Sections 325.3 and 325.12 of Title 9, Chapter III, of the Code of Federal Regulations, revised as of November 1, 1996 October 1, 1998, are hereby adopted in their entirety by reference.
ITEM 5. Amend rule 21--76.3(189A), introductory paragraph, as follows:
21--76.3(189A) Federal Poultry Products Inspection Act regulations adopted. Part 381, Title 9, Chapter III, of the Code of Federal Regulations, revised as of November 1, 1996 October 1, 1998, is hereby adopted in its entirety with the following exceptions: 381.96, 381.97, 381.99, 381.101, 381.102, 381.104, 381.105, 381.106, 381.107, 381.128, Subpart R, Subpart T, Subpart V, Subpart W; and in addition thereto, the following subsections shall be expanded to include:
ITEM 6. Amend rule 21--76.4(189A) to read as follows:
21--76.4(189A) Inspection required. Every establishment except as provided in Section 303.1 (a), (b), (c) and (d) of Title 9, Chapter III, Subchapter A, of the Code of Federal Regulations, revised as of November 1, 1996 October 1, 1998, in which slaughter of livestock or poultry, or the preparation of livestock products or poultry products is maintained for transportation or sale in commerce, shall be subject to the inspection and other requirements of those parts of Title 9, Chapter III, Subchapter A, of the Code of Federal Regulations, revised as of November 1, 1996 October 1, 1998, enumerated in rules 21--76.1(189A), 21--76.2(189A) and 21--76.3(189A).
ITEM 7. Amend rule 21--76.13(189A) as follows:
21--76.13(189A) Voluntary inspections of exotic animals. Every person wishing to obtain voluntary inspection of exotic animals shall comply with the regulations adopted in this rule.
Part 352 of Title 9, Chapter III of the Code of Federal Regulations, revised as of November 1, 1996 October 1, 1998, is hereby adopted in its entirety by reference.
This rule is intended to implement Iowa Code chapter 189A.
ARC 8425A
HUMAN SERVICES DEPARTMENT[441]

Notice of Intended Action

Twenty-five interested persons, a governmental subdivision, an agency or association of 25 or more persons may demand an oral presentation hereon as provided in Iowa Code section 17A.4(1)"b."

Notice is also given to the public that the Administrative Rules Review Committee may, on its own motion or on written request by any individual or group, review this proposed action under section 17A.8(6) at a regular or special meeting where the public or interested persons may be heard.

Pursuant to the authority of Iowa Code section 234.6, the Department of Human Services proposes to amend Chapter 65, "Administration," appearing in the Iowa Administrative Code.
This amendment restores food stamp eligibility to certain legal aliens effective November 1, 1998, as follows:
1. Eligibility is not time-limited for the following additional categories of aliens:

* Aliens lawfully residing in the United States who were members of a Hmong or Highland Lao tribe when the tribe assisted the U.S. armed forces during the Vietnam War (August 5, 1964, through May 7, 1975), their spouses, unmarried dependent children, and the unremarried widows or widowers of those who are deceased.

* Native Americans born in Canada who have treaty rights to cross the U.S. borders into Canada and Mexico.

* Legal immigrants who were lawfully residing in the U.S. on August 22, 1996, who were 65 years of age or older on August 22, 1996, or are under 18 years of age, or are receiving payments or assistance for blindness or disability, as defined in the Food Stamp Act (Section 3(r)), regardless of when they became disabled.
2. Eligibility is extended from five to seven years from the date the following aliens receive the following statuses:

* Refugees admitted under Section 207 of the Immigration and Nationality Act (INA).

* Asylees admitted under Section 208 of the INA.

* Aliens whose deportation has been withheld under Section 243(h) of the INA.
3. Eligibility is limited to seven years from the date the following aliens receive the following statuses:

* Aliens whose deportation has been withheld under Section 241(b)(3) of the INA.

* Cuban and Haitian entrants under Section 501(e) of the Refugee Education Assistance Act of 1980.

* Amerasian immigrants under Section 584 of the Foreign Operations, Export Financing and Related Program Appropriations Act.
The President signed Public Law 105-185, the Agricultural Research, Extension, and Education Reform Act of 1998 on June 23, 1998. Title V of the Act contained provisions regarding reductions in funding of employment and training programs and food stamp alien provisions. A memorandum instructing states to implement these changes was received from the United States Department of Agriculture on July 17, 1998.
The substance of these amendments is also Adopted and Filed Emergency and is published herein as ARC 8426A. The purpose of this Notice is to solicit comment on that submission, the subject matter of which is incorporated by reference.
Consideration will be given to all written data, views, and arguments thereto received by the Bureau of Policy Analysis, Department of Human Services, Hoover State Office Building, Des Moines, Iowa 50319-0114, on or before November 25, 1998.
These amendments are intended to implement Iowa Code section 234.6.
ARC 8450A
HUMAN SERVICES DEPARTMENT[441]

Notice of Intended Action

Twenty-five interested persons, a governmental subdivision, an agency or association of 25 or more persons may demand an oral presentation hereon as provided in Iowa Code section 17A.4(1)"b."

Notice is also given to the public that the Administrative Rules Review Committee may, on its own motion or on written request by any individual or group, review this proposed action under section 17A.8(6) at a regular or special meeting where the public or interested persons may be heard.

Pursuant to the authority of 1998 Iowa Acts, House File 2517, section 6, subsection 8, and section 14, the Department of Human Services proposes to amend Chapter 76, "Application and Investigation," appearing in the Iowa Administrative Code, and to adopt Chapter 86, "Healthy and Well Kids in Iowa (HAWK-I) Program," Iowa Administrative Code.
These amendments implement the Healthy and Well Kids in Iowa (HAWK-I) program.
The Balanced Budget Act of 1997 (Public Law 105-32) added a new Title XXI to the Social Security Act and appropriated $39.6 billion over ten years to provide health care coverage to uninsured targeted low-income children. Iowa's share of the funds is approximately $32.4 million annually.
States have three options in designing their child health program. States may:

* Expand their existing Medicaid program.

* Create a separate child health insurance program.

* Use a combination of these options.
The Seventy-seventh General Assembly passed House File 2517, which directs the Department of Human Services to implement a combination program. "Phase one" of the program expanded the Medicaid program to 133 percent of the federal poverty level for all children under the age of 19 and was implemented on July 1, 1998.
"Phase two" created a separate child health program called Healthy and Well Kids in Iowa (HAWK-I) to provide health care coverage to children under the age of 19 who are not Medicaid-eligible and who live in families with income below 185 percent of the federal poverty level. The HAWK-I program is to be effective January 1, 1999.
House File 2517 designated the Department of Human Services as the state agency responsible for the administration of the HAWK-I program and created the HAWK-I Board to adopt rules and provide direction to the department on the administration of the program.
The following children are not eligible for the HAWK-I plan. Children who:

* Are eligible for insurance coverage as the dependents of a state of Iowa employee.

* Are eligible for Medicaid.

* Are inmates in a nonmedical public institution.

* Are inmates in an institution for mental disease at the time of application or annual review.

* Have other health care coverage.
Families whose income is equal to or more than 150 percent of the federal poverty level shall be charged a monthly premium of $10 per child, up to maximum of $30 per month. Failure to pay the premium shall result in disenrollment from the program.
Children living in families who voluntarily dropped health insurance coverage are not eligible to participate in the program for six months following the last day of coverage unless there was good cause for dropping the coverage. Once an applicant is approved to participate in the HAWK-I program, coverage will begin on the first day of the month following the month of application for the program.
House File 2517 directed the Department to contract with health plans to provide health care coverage to children who qualify for the program. Due to the limited time available to implement the program, representatives of the insurance industry recommended that the Department not go through an RFP process for the initial implementation of the program, but allow any plan licensed in Iowa to participate if the plan is willing to accept the reimbursement system and offer all covered benefits.
The HAWK-I program is required to provide comprehensive benefits that are at least actuarially equivalent to a benchmark benefit package. At a minimum, health plans shall cover the following services: inpatient and outpatient hospital, ambulance, physical therapy, nursing services, speech therapy, durable medical equipment, home health care, hospice care, prescription drugs, dental care (including restorative and preventative services), medically necessary hearing services, and vision services. There are no copayments for services received under the HAWK-I program except for a $25 copayment that shall be charged for emergency room visits that do not result in an inpatient hospital admission. A child may not be denied coverage due to the presence of a preexisting medical condition.
Participating health plans shall pay claims, provide identification cards verifying enrollment in the plan, provide information about the plan and the provider network so that applicants can make an informed plan choice, establish a conflict management process, and provide statistical data to the Department. Participating health plans are prohibited from conducting direct marketing of their plans to HAWK-I applicants and enrollees.
House File 2517 also directs the Department to contract with a third-party administrator to provide administrative services for the program. The third-party administrator shall receive applications, determine initial and ongoing eligibility for the HAWK-I program, assist the family in selecting a health care plan when more than one is available, enroll the family in the health plan, bill and collect the premium, and provide statistical data to the Department. The third-party administrator shall maintain a 24-hour bilingual customer service line to answer inquiries regarding the program.
The Department issued a Request for Proposal (RFP) for the third-party administrator. Four bids were received. The HAWK-I Board voted to award the third-party administrator contract to Eligibility Services, Inc.
Once enrolled in the health care plan, the child shall remain enrolled for 12 months unless the child attains the age of 19, the family fails to pay the premium, the child attains Medicaid eligibility, the child attains other health insurance coverage, the child enters a nonmedical public institution (such as a penal institution), the child is eligible for health insurance coverage as a dependent of a state of Iowa employee, or the child relocates to another state. A child may be disenrolled if the child moves to an area of the state in which the plan has no provider network established. If the child is disenrolled, the child shall be enrolled in a participating plan in the new location.
These amendments also establish policy on the coordination of Medicaid and the HAWK-I program. If an application is made for HAWK-I and it appears the child may be eligible for Medicaid, the HAWK-I application shall also be considered an application for Medicaid and the third-party administrator shall refer the application to the county office of the Department. If the family applies for Medicaid and is found ineligible or would be eligible only if they met a spenddown under the Medically Needy program, the Medicaid application shall be considered an application for HAWK-I and referred to the third-party administrator.
Consideration will be given to all written data, views, and arguments thereto received by the Bureau of Policy Analysis, Department of Human Services, Hoover State Office Building, Des Moines, Iowa 50319-0114, on or before November 25, 1998.
Oral presentations may be made by persons appearing at the following meetings. Written comments will also be accepted at these times.
Cedar Rapids - November 30, 1998 10 a.m.
Cedar Rapids Regional Office
Iowa Building
Sixth Floor Conference Room
411 Third St. S.E.
Cedar Rapids, Iowa 52401
Council Bluffs - December 2, 1998 10 a.m.
Administrative Conference Room
Council Bluffs Regional Office
417 E. Kanesville Boulevard
Council Bluffs, Iowa 51501
Davenport - December 1, 1998 10 a.m.
Davenport Area Office
Bicentennial Building - Third Floor
Conference Room 3
428 Western
Davenport, Iowa 52801
Des Moines - December 2, 1998 10 a.m.
City View Plaza
Conference Room 104
1200 University
Des Moines, Iowa 50314
Mason City - November 30, 1998 10 a.m.
Mason City Area Office
Mohawk Square, Liberty Room
22 North Georgia Avenue
Mason City, Iowa 50401
Ottumwa - December 2, 1998 10 a.m.
Ottumwa Area Office
Conference Room 3
120 East Main
Ottumwa, Iowa 52501
Sioux City - November 30, 1998 1 p.m.
Sioux City Regional Office
Fifth Floor
520 Nebraska St.
Sioux City, Iowa 51101
Waterloo - December 1, 1998 10 a.m.
Waterloo Regional Office
Pinecrest Office Building - Conference Room 420
1407 Independence Avenue
Waterloo, Iowa 50703
Any persons who intend to attend a public hearing and have special requirements such as hearing or vision impairments should contact the Bureau of Policy Analysis at (515)281-8440 and advise of special needs.
These amendments are intended to implement 1998 Iowa Acts, House File 2517.
The following amendments are proposed.
ITEM 1. Amend rule 441--76.1(249A) as follows:
Amend the introductory paragraph as follows:
441--76.1(249A) Application. An application for family medical assistance-related Medicaid programs shall be submitted on the Public Assistance Application, Form PA-2207-0 or Form PA-2230-0 (Spanish), the Health Services Application, Form 470-2927, or the Application for Assistance, Part 1, Form 470-3112 or Form 470-3122 (Spanish), or the Healthy and Well Kids in Iowa (HAWK-I) Application, Form 470-3526, and the Supplement to the Healthy and Well Kids in Iowa (HAWK-I) Application, Form 470-3564. The Medically Needy Recertification/State Supplementary and Medicaid Review, Form 470-3118, shall be used instead of Form 470-3112 or 470-3122 (Spanish) for persons applying for assistance under the medically needy program as provided at 441--subrule 75.1(35) if an interview is not required.
Amend subrule 76.1(1) as follows:
76.1(1) Place of filing. An application should shall be filed in a local or area office of the department or directly with an income maintenance worker at a satellite office of the department or in any disproportionate share hospital, federally qualified health center or other facility in which outstationing activities are provided. The Health Services Application, Form 470-2927, may also be filed at the office of a qualified provider of presumptive Medicaid eligibility for pregnant women, at a WIC office, at a maternal health clinic, or at a well child clinic. The disproportionate share hospital, federally qualified health center or other facility will forward the application to the department office which is responsible for the completion of the eligibility determination. The Healthy and Well Kids in Iowa (HAWK-I) Application, Form 470-3526, may be filed with the third-party administrator or other entity as provided at 441--subrule 86.3(3). If it appears that the family is Medicaid-eligible, the third-party administrator shall forward the application to the county department office where the family resides for a determination of Medicaid eligibility. Those persons eligible for Supplemental Security Income and those who would be eligible if living outside a medical institution may make application at the social security district office.
Amend subrule 76.1(2), introductory paragraph, as follows:
76.1(2) Date and method of filing application. An application is considered filed on the date an identifiable application, Form 470-0442, 470-0462, 470-0466 (Spanish), 470-2927, or Form 470-3112 or 470-3122 (Spanish), is received and date-stamped: (1) in any local or area office of the department, or (2) by an income maintenance worker in any satellite office of the department, or (3) by a designated worker in a disproportionate share hospital, federally qualified health center, or other facility in which outstationing activities are provided, or (4) by the third-party administrator who has contracted with the department to administer the Healthy and Well Kids in Iowa (HAWK-I) program as provided at 441--Chapter 86. An identifiable application, Form 470-2927, which is filed to apply for FMAP or FMAP-related Medicaid at a WIC office, well child health clinic, maternal health clinic, or the office of a qualified provider for presumptive eligibility for pregnant women shall be considered filed on the date received and date-stamped in one of these offices. An application so received shall be forwarded within two working days to the department office responsible for completion of the eligibility determination. When a Healthy and Well Kids in Iowa (HAWK-I) Application, Form 470-3526, is filed with the third-party administrator and subsequently referred to the department for a Medicaid eligibility determination, the date the application is received and date-stamped by the third-party administrator shall be the filing date. A faxed application is considered filed on the date the faxed application is received in one of the places described above, if the fax is received during normal business hours. If the fax is received after normal business hours, such as evenings, weekends or holidays, the faxed application shall be considered received on the next normal business day. Before the faxed application can be approved, the original application with the applicant's original signature must be received by the department.
ITEM 2. Amend rule 441--76.11(249A) by adopting the following new subrule 76.11(4):
76.11(4) Referral for HAWK-I program. When the only coverage group under which a child will qualify for Medicaid is the medically needy program with a spenddown as provided in 441--subrule 75.1(35), a referral to the HAWK-I program shall be made in accordance with 441--subrule 86.4(4) as part of the automatic redetermination process when it appears the child is otherwise eligible.
ITEM 3. Adopt the following new chapter:
CHAPTER 86

HEALTHY AND WELL KIDS IN IOWA
(HAWK-I) PROGRAM

PREAMBLE

These rules define and structure the department of human services healthy and well kids in Iowa (HAWK-I) program. The purpose of this program is to provide transitional health care coverage to children ineligible for Title XIX (Medicaid) assistance or other health insurance. The program is implemented and administered in compliance with Title XXI of the federal Social Security Act. The rules establish requirements for the third-party administrator responsible for the program administration and for the participating health plans which will be delivering services to the enrollees.
441--86.1(77GA,HF2517) Definitions.
"Administrative contractor" shall mean the person or entity with whom the department contracts to administer the healthy and well kids in Iowa (HAWK-I) program.
"Benchmark benefit package" shall mean any of the following:
1. The standard Blue Cross Blue Shield preferred provider option service benefit plan, described in and offered under 5 U.S.C. Section 8903(1).
2. A health benefits coverage plan that is offered and generally available to state employees in this state.
3. The plan of a health maintenance organization, as defined in 42 U.S.C. Section 300e, with the largest insured commercial, nonmedical assistance enrollment of covered lives in the state.
"Capitation rate" shall mean the fee the department pays monthly to a participating health plan for each enrollee for the provision of covered medical services whether or not the enrollee received services during the month for which the fee is intended.
"Contract" shall mean the contract between the department and the person or entity selected as the third-party administrator or the contract between the department and the participating health plan for the provision of medical services to HAWK-I enrollees for whom the participating health plans assume risk.
"Cost sharing" shall mean the payment of a premium or copayment as provided for by Title XXI of the federal Social Security Act and 1998 Iowa Acts, House File 2517, section 11.
"Covered services" shall mean all or a part of those medical and health services set forth in rule 441--86.14(77GA, HF2517).
"Department" shall mean the Iowa department of human services.
"Director" shall mean the director of the Iowa department of human services.
"Eligible child" shall mean an individual who meets the criteria for participation in the HAWK-I program as set forth in rule 441--86.2(77GA,HF2517).
"Emergency services" shall mean, with respect to an individual enrolled with a plan, covered inpatient and outpatient services which are furnished by a provider qualified to furnish these services and which are needed to evaluate and stabilize an emergency medical condition.
"Enrollee" shall mean a HAWK-I recipient who has been enrolled with a participating health plan.
"Federal poverty level" shall mean the poverty income guidelines revised annually and published in the Federal Register by the United States Department of Health and Human Services.
"Good cause" shall mean the family has demonstrated that one or more of the following conditions exists:
1. There was a serious illness or death of the enrollee or a member of the enrollee's family.
2. There was a family emergency or household disaster, such as a fire, flood, or tornado.
3. The enrollee offers a good cause beyond the enrollee's control.
4. There was a failure to receive the third-party administrator's request for a reason not attributable to the enrollee. Lack of a forwarding address is attributable to the enrollee.
"Grievance" shall mean an incident, complaint, or concern that cannot be resolved in a manner satisfactory to enrollees by the immediate response, verbal or otherwise, of the plan staff member receiving the complaint or any complaint received in writing.
"HAWK-I board" or "board" shall mean the entity that adopts rules, establishes policy, and directs the department regarding the HAWK-I program.
"HAWK-I program" or "program" shall mean the healthy and well kids in Iowa program created in this chapter to provide health care coverage to eligible children.
"Health insurance coverage" shall mean health insurance coverage as defined in 42 U.S.C. Section 300gg(c).
"Institution for mental diseases" shall mean a hospital, nursing facility, or other institution of more than 16 beds that is primarily engaged in providing diagnosis, treatment, or care of persons with mental diseases, including medical attention, nursing care and related services as defined at 42 CFR Section 435.1009 as amended November 10, l994.
"Nonmedical public institution" shall mean an institution that is the responsibility of a governmental unit or over which a governmental unit exercises administrative control as defined in 42 CFR Section 435.1009 as amended November 10, l994.
"Participating health plan" shall mean any entity licensed by the division of insurance of the department of commerce to provide health insurance in Iowa or an organized delivery system licensed by the director of public health that has contracted with the department to provide health insurance coverage to eligible children under this chapter.
"Provider" shall mean an individual, firm, corporation, association, or institution that is providing or has been approved to provide medical care or services to an enrollee pursuant to the HAWK-I program.
"Regions" shall mean the six regions of the state as follows:

* Region 1: Lyon, Osceola, Dickinson, Emmett, Sioux, O'Brien, Clay, Palo Alto, Plymouth, Cherokee, Buena Vista, Woodbury, Ida, Sac, Monona, Crawford, and Carroll.

* Region 2: Kossuth, Winnebago, Worth, Mitchell,Howard, Hancock, Cerro Gordo, Floyd, Pocahontas,Humboldt, Wright, Franklin, Calhoun, Webster, Hamilton,Hardin, Greene, Boone, Story, Marshall, and Tama.

* Region 3: Winneshiek, Allamakee, Chickasaw, Fayette, Clayton, Butler, Bremer, Grundy, Black Hawk,Buchanan, Delaware, Dubuque, Jones, Jackson, Cedar, Clinton, and Scott.

* Region 4: Harrison, Shelby, Audubon, Pottawattamie, Cass, Mills, Montgomery, Fremont, and Page.

* Region 5: Guthrie, Dallas, Polk, Jasper, Adair, Madison, Warren, Marion, Adams, Union, Clarke, Lucas, Taylor, Ringgold, Decatur, and Wayne.

* Region 6: Benton, Linn, Poweshiek, Iowa, Johnson, Muscatine, Mahaska, Keokuk, Washington, Louisa, Monroe, Wapello, Jefferson, Henry, Des Moines, Appanoose, Davis, Van Buren, and Lee.
"Third-party administrator" shall mean the person or entity with which the department contracts to provide administrative services for the HAWK-I program.
441--86.2(77GA,HF2517) Eligibility factors. A child must meet the following eligibility factors to participate in the HAWK-I program.
86.2(1) Age. The child shall be under 19 years of age. Eligibility for the program ends the first day of the month following the month of the child's nineteenth birthday.
86.2(2) Income. Countable income shall not exceed 185 percent of the federal poverty level for a family of the same size when determining initial and ongoing eligibility for the program.
a. Countable income. When determining initial and ongoing eligibility for the HAWK-I program, all earned and unearned income, unless specifically exempted, shall be countable.
(1) Earned income. The earned income of all parents, spouses, and children under the age of 19 who are not students shall be countable. Income shall be countable earned income when an individual produces it as a result of the performance of services. Earned income is income in the form of a salary, wages, tips, bonuses, and commissions earned as an employee, or net profit from self-employment.
1. Earned income from employment. Earned income from employment means total gross income.
2. Earned income from self-employment. Earned income from self-employment means the net profit determined by comparing gross income with the allowable costs of producing the income. The net profit from self-employment income shall be determined according to the provisions of 441--paragraph 75.57(2)"f." A person is considered self-employed when the person:

* Is not required to report to the office regularly except for specific purposes such as sales training meetings, administrative meetings, or evaluation sessions; or

* Establishes the person's own working hours, territory, and methods of work; or

* Files quarterly reports of earnings, withholding payments, and FICA payments to the Internal Revenue Service.
(2) Unearned income. The unearned income of all parents, spouses, and children under the age of 19 shall be counted. Unearned income is any income in cash that is not gained by labor or service. The available unearned income shall be the amount remaining after the withholding of taxes (Federal Insurance Contribution Act, state and federal income taxes). Examples of unearned income include, but are not limited to:
1. Social security benefits. Social security income is the amount of the entitlement before withholding of a Medicare premium.
2. Child support and alimony payments received for a member of the family.
3. Unemployment compensation.
4. Veterans benefits.
(3) Recurring lump sum income. Earned and unearned lump sum income that is received on a regular basis shall be counted and prorated over the time it is intended to cover. These payments may include, but are not limited to:
1. Annual bonuses.
2. Lottery winnings that are paid out annually.
b. Exempt income. The following shall not be counted toward the income limit when establishing eligibility for the HAWK-I program.
(1) Nonrecurring lump sum income. Nonrecurring lump sum income is income that is not expected to be received more than once. These payments may include, but are not limited to:
1. An inheritance.
2. A one-time bonus.
3. Lump sum lottery winnings.
4. Other one-time payments.
(2) Food reserves from home-produced garden products, orchards, domestic animals, and the like, when used by the household for its own consumption.
(3) The value of the coupon allotment in the Food Stamp Program.
(4) The value of the United States Department of Agriculture donated foods (surplus commodities).
(5) The value of supplemental food assistance received under the Child Nutrition Act and the special food service program for children under the National School Lunch Act.
(6) Any benefits received under Title III-C, Nutrition Program for the Elderly, of the Older Americans Act.
(7) Benefits paid to eligible households under the Low Income Home Energy Assistance Act of 1981.
(8) Any payment received under Title II of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 and the Federal-Aid Highway Act of 1968.
(9) Interest and dividend income.
(10) Any judgment funds that have been or will be distributed per capita or held in trust for members of any Indian tribe.
(11) Payments to volunteers participating in the Volunteers in Service to America (VISTA) program.
(12) Payments for supporting services or reimbursement of out-of-pocket expenses received by volunteers in any of the programs established under Titles II and III of the Domestic Volunteer Services Act.
(13) Tax-exempt portions of payments made pursuant to the Alaskan Native Claims Settlement Act.
(14) Experimental housing allowance program payments.
(15) The income of a Supplemental Security Income (SSI) recipient.
(16) Income of an ineligible child if the family chooses not to include the child in the eligibility determination in accordance with the provisions of paragraph 86.2(3)"c."
(17) Unearned income in kind.
(18) Family support subsidy program payments.
(19) All earned and unearned educational funds of an undergraduate or graduate student or a person in training. However, any additional amount of educational funds received for the person's dependents that are in the eligible group shall be considered as nonexempt income.
(20) Bona fide loans.
(21) Payments made from the Agent Orange Settlement Fund or any other fund established pursuant to the settlement in the In re Agent Orange product liability litigation, M.D.L. No. 381 (E.D.N.Y.).
(22) Payment for major disaster and emergency assistance provided under the Disaster Relief Act of 1974 as amended by Public Law 100-707, the Disaster Relief and Emergency Assistance Amendments of 1988.
(23) Payments made to certain United States citizens of Japanese ancestry and resident Japanese aliens under Section 105 of Public Law 100-383, and payments made to certain eligible Aleuts under Section 206 of Public Law 100-383 entitled Wartime Relocation of Civilians.
(24) Payments received from the Radiation Exposure Compensation Act.
(25) Reimbursements from a third-party or from an employer for job-related expenses.
(26) Payments received for providing foster care when the family is operating a licensed foster home.
(27) Any payments received as a result of an urban renewal or low-cost housing project from any governmental agency.
(28) Retroactive corrective payments.
(29) The training allowance issued by the division of vocational rehabilitation, department of education.
(30) Payments from the PROMISE JOBS program.
(31) The training allowance for the blind issued by the department.
(32) Payments from passengers in a car pool.
(33) Compensation in lieu of wages received by a child under the Job Training Partnership Act of 1982.
(34) Any amount for training expenses included in a payment issued under the Job Training Partnership Act of 1982.
(35) Earnings of a child aged 19 or younger who is a student.
(36) Incentive payments received from participation in the adolescent pregnancy prevention programs.
(37) Payments received from the comprehensive child development program, funded by the Administration for Children, Youth, and Families, provided the payments are considered complementary assistance by federal regulations.
(38) Incentive allowance payments received from the work force investment project, provided the payments are considered complementary assistance by federal regulation.
(39) Honorarium income and all moneys paid to an eligible family in connection with the welfare reform longitudinal study.
(40) Family investment program (FIP) benefits.
(41) Moneys received through pilot self-sufficiency grants or diversion programs.
c. Verification of income. Earnings from the past 30 days may be used to verify earned income if it is representative of the income expected in future months. Pay stubs or employers' statements are acceptable forms of verification of earned income. Unearned income shall be verified through data matches when possible, award letters, warrant copies, or other acceptable means of verification. Self-employment income shall be verified using business records or income tax returns from the previous year if they are representative of anticipated earnings.
d. Changes in income. Once initial eligibility is established, changes in income during the 12-month enrollment period shall not affect the child's eligibility to participate in the HAWK-I program. However, if income has decreased, the family may request a review of their income to establish whether they are required to continue paying a premium in accordance with rule 441--86.8(77GA,HF2517).
86.2(3) Family size. For purposes of establishing initial and ongoing eligibility under the HAWK-I program, the family size shall consist of all persons living together who are children and who are parents of those children as defined below.
EXCEPTION: Persons who are receiving Supplemental Security Income (SSI) under Title XVI of the Social Security Act or who are voluntarily excluded in accordance with the provisions of paragraph "c" below are not considered in determining family size.
a. Children. A child under the age of 19 and any siblings of whole or half blood or adoptive shall be considered together unless the child is emancipated due to marriage, in which case the emancipated child is not included in the family size unless the marriage has been annulled. Emancipated children, their spouses, and children who live together shall be considered as a separate family when establishing eligibility for the HAWK-I program.
b. Parents. Any parent living with the child under the age of 19 shall be included in the family size. This includes the biological parent, stepparent, or adoptive parent of the child and is not dependent upon whether the parents are married to each other.
c. Persons who may be excluded when determining family size. If a child is ineligible for coverage under the HAWK-I program because the child has insurance or is on Medicaid, the family may choose not to count the child in the family size if the child also has income. However, this rule shall not apply when the child is receiving Supplemental Security Income (SSI) benefits.
d. Temporary absence from the home. The following policies shall be applied to an otherwise eligible child under the age of 19 who is temporarily absent from the home.
(1) When a child is absent from the home to secure education or training (e.g., the child is attending college), the child shall be included when establishing the size of the family at home.
(2) When a child is absent from the home to secure medical care, the child shall be included when establishing the size of the family at home when the reason for the absence is expected to last less than 12 months.
(3) When the child is absent from the home because the child is an inmate in a nonmedical public institution (e.g., a penal institution) in accordance with the provisions of subrule 86.2(9), the child shall be included when establishing the size of the family at home if the absence is expected to be less than three months.
(4) When a child is absent from the home because the child is in foster care, the child shall not be included when establishing the size of the family at home.
(5) When a child is absent from the home for vacation or visitation of an absent parent, for example, the child shall be included in establishing the size of the family at home if the absence does not exceed three months.
86.2(4) Uninsured status. The child must be uninsured. A child who is currently covered under an individual or group health plan is not eligible to participate in the HAWK-I program. However, a child who has coverage only for a specific disease or service (e.g., a vision- or dental-only policy or a cancer policy) shall not be considered insured for purposes of the HAWK-I program.
a. A child who has been covered in the six months prior to the month of application but who no longer has coverage is not eligible to participate in the HAWK-I program for six months from the last date of coverage unless the coverage was dropped for one of the following reasons:
(1) The loss of employment due to factors other than voluntary termination of employment.
(2) The death of the parent.
(3) There was a change in employment and the new employer does not provide for dependent coverage.
(4) The child moved to an area of the state where the plan did not have a provider network established.
(5) Expiration of COBRA coverage.
(6) Discontinuation of employer-sponsored coverage by the employer.
b. American Indian and Alaska Native. American Indian and Alaska Native children are eligible for the HAWK-I program on the same basis as other children in the state, regardless of whether or not they may be eligible for or served by Indian Health Services-funded care.
86.2(5) Ineligibility for Medicaid. The child shall not be receiving Medicaid or eligible to receive Medicaid if application was made except when the child would be required to meet a spenddown under the medically needy program in accordance with the provisions of 441--subrule 75.1(35). Additionally, a child who would be eligible for Medicaid except for the parent's failure or refusal to cooperate in establishing initial or ongoing eligibility shall not be eligible for coverage under the HAWK-I program.
86.2(6) Iowa residency. The child shall be a resident of the state of Iowa. A resident of Iowa is a person:
a. Who is living in Iowa voluntarily with the intention of making that person's home in Iowa and not for a temporary purpose; or
b. Who, at the time of application, is not receiving assistance from another state and entered Iowa with a job commitment or to seek employment or who is living with parents or guardians who entered Iowa with a job commitment or to seek employment.
86.2(7) Citizenship and alien status. The child shall be a citizen or lawfully admitted alien. The criteria established under Section 402(a)(2) of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 shall be followed when determining whether a lawfully admitted alien child is eligible to participate in the HAWK-I program. The citizenship or alien status of the parents or other responsible person shall not be considered when determining the eligibility of the child to participate in the program.
86.2(8) Dependents of state of Iowa employees. The child shall not be eligible for the HAWK-I program if the child is eligible for health insurance coverage as a dependent of a state of Iowa employee.
86.2(9) Inmates of nonmedical public institutions. The child shall not be an inmate of a nonmedical public institution as defined at 42 CFR Section 435.1009 as amended November 10, 1994.
86.2(10) Inmates of institutions for mental disease. At the time of application or annual review of eligibility, the child shall not be an inmate of an institution for mental disease as defined at 42 CFR Section 435.1009 as amended November 10, l994.
86.2(11) Preexisting medical conditions. The child shall not be denied eligibility based on the presence of a preexisting medical condition.
86.2(12) Furnishing a social security number. The child must furnish a social security number or, if one has not been issued or is not known, proof of application must be provided. This rule shall not apply when the family provides evidence that they are members of a religious group or organization which prohibits its members from applying for a social security number.
441--86.3(77GA,HF2517) Application process.
86.3(1) Who may apply. Each person wishing to do so shall have the opportunity to apply without delay. When the request is made in person, the requester shall immediately be given an application form. When a request is made that the application form be mailed, it shall be sent in the next outgoing mail.
a. Child lives with parents. When the child lives with the child's parents, including stepparents and adoptive parents, the parent shall file the application on behalf of the child unless the parent is unable to do so.
If the parent is unable to act on the child's behalf because the parent is incompetent or physically disabled, another person may file the application on behalf of the child. The responsible person shall be a family member, friend or other person who has knowledge of the family's financial affairs and circumstances and a personal interest in the child's welfare or a legal representative such as a conservator, guardian, executor or someone with power of attorney. The responsible person shall sign the application form and assume the responsibilities of the incompetent or disabled parent in regard to the application process and ongoing eligibility determinations.
b. Child lives with someone other than a parent. When the child lives with someone other than a parent (e.g., another relative, friend, guardian), the person who has assumed responsibility for the care of the child may apply on the child's behalf. This person shall sign the application form and assume responsibility for providing all information necessary to establish initial and ongoing eligibility for the child.
c. Child lives independently or is married. When a child under the age of 19 lives in an independent living situation or is married, the child may apply on the child's own behalf, in which case the child shall be responsible for providing all information necessary to establish initial and ongoing eligibility. If the child is married, both the child and the spouse shall sign the application form.
86.3(2) Application form. An application for the HAWK-I program shall be submitted on Form 470-3526, Healthy and Well Kids in Iowa (HAWK-I) Application, unless the family applies for the Medicaid program first.
When an application has been filed for the Medicaid program in accordance with the provisions of rule 441-- 76.1(249A) and Medicaid eligibility does not exist in accordance with the provisions of rule 441--75.1(249A), or the family must meet a spenddown in accordance with the provisions of 441--subrule 75.1(35) before the child can attain eligibility, the Medicaid application shall be used to establish eligibility for the HAWK-I program in lieu of the Healthy and Well Kids (HAWK-I) Application, Form 470-3526.
86.3(3) Place of filing. An application for the HAWK-I program shall be filed with the third-party administrator responsible for making the eligibility determination. An application may also be filed with any local or area office of the department of human services, disproportionate share hospital, federally qualified health center, other facilities in which outstationing activities are provided, school nurse, Head Start, maternal and child health center, WIC office, or other entity that accepts the applications. All applications shall be forwarded to the third-party administrator.
86.3(4) Date and method of filing. The application is considered filed on the date an identifiable application is received by the third-party administrator unless the family has applied for Medicaid first and a referral is made to the third-party administrator by the county office of the department, in which case the date the Medicaid application was originally filed with the department shall be the filing date. An identifiable application is an application containing a legible name, address, and signature.
86.3(5) Right to withdraw application. After an application has been filed, the applicant may withdraw the application at any time prior to the eligibility determination. Requests for voluntary withdrawal of the application shall be documented, and the applicant shall be sent a notice of decision confirming the request.
86.3(6) Application not required. An application shall not be required when a child becomes ineligible for Medicaid and the county office of the department makes a referral to the HAWK-I program, in which case Form 470-3563, HAWK-I Referral, shall be accepted in lieu of an application. The original Medicaid application or the last review form, whichever is more current, shall suffice to meet the signature requirements.
86.3(7) Information and verification procedure. The decision with respect to eligibility shall be based primarily on information furnished by the applicant or enrollee. The third-party administrator shall notify the applicant or enrollee in writing of additional information or verification that is required to establish eligibility. This notice shall be provided to the applicant or enrollee personally or by mail or facsimile. Failure of the applicant or enrollee to supply the information or verification or refusal by the applicant or enrollee to authorize the third-party administrator to secure the information shall serve as a basis for rejection of the application or cancellation of coverage. Five working days shall be allowed for the applicant or enrollee to supply the information or verification requested by the third-party administrator. The third-party administrator may extend the deadline for a reasonable period of time when the applicant or enrollee is making every effort but is unable to secure the required information or verification from a third party.
86.3(8) Time limit for decision. The third-party administrator shall make a decision regarding the applicant's eligibility to participate in the HAWK-I program within ten working days from the date of receiving the completed application and all necessary information and verification.
EXCEPTION: When the application is referred to the county office of the department for a Medicaid eligibility determination and the application is denied, the third-party administrator shall determine HAWK-I eligibility no later than ten working days from the date of the notice of Medicaid denial.
86.3(9) Applicant cooperation. An applicant must cooperate with the third-party administrator in the application process, which may include providing verification or signing documents. Failure to cooperate with the application process shall serve as basis for a denial of the application.
86.3(10) Waiting lists. When funds appropriated for this purpose are obligated, pending applications for HAWK-I coverage shall be denied by the third-party administrator. A notice of decision shall be mailed by the third-party administrator. The notice shall state that the applicant meets eligibility requirements but no funds are available and that the applicant will be placed on a waiting list, or that the person does not meet eligibility requirements.
a. Applicants shall be entered on the waiting list on the basis of the date a completed Form 470-3564 is date-stamped by the third-party administrator. In the event that more than one application is received on the same day, applicants shall be entered on the waiting list on the basis of the day of the month of the oldest child's birthday, the lowest number being first on the list. Any subsequent ties shall be decided by the month of birth of the oldest child, January being month one and the lowest number.
b. If funds become available, applicants shall be selected from the waiting list based on the order of the waiting list and notified by the third-party administrator.
c. The third-party administrator shall establish that the applicant continues to be eligible for HAWK-I coverage.
d. After eligibility is reestablished, the applicant shall have 15 working days to enroll in the program. If the applicant does not enroll in the program within 15 working days, the applicant's name shall be deleted from the waiting list and the third-party administrator shall contact the next applicant on the waiting list.
86.3(11) Falsification of information. A person is guilty of falsification of information if that person, with the intent to gain HAWK-I coverage to which that person is not eligible, knowingly makes or causes to be made a false statement or representation or knowingly fails to report to the third-party administrator or the department any change in circumstances affecting that person's eligibility for HAWK-I coverage in accordance with rule 441--86.2(77GA,HF2517) and rule 441--86.10(77GA,HF2517).
In cases of founded falsification of information, the department may proceed with disenrollment in accordance with rule 441--86.7(77GA,HF2517) and require repayment for the amount that was paid to a health plan by the department and any amount paid out by the plan while the person was ineligible.
441--86.4(77GA,HF2517) Coordination with Medicaid.
86.4(1) HAWK-I applicant appears eligible for Medicaid. At the time of initial application, if it appears the child may be eligible for Medicaid in accordance with the provisions of rule 441--75.1(249A), with the exception of meeting a spenddown under the medically needy program at 441--subrule 75.1(35), a referral shall be made by the third-party administrator to the county department office for a determination of Medicaid eligibility as follows:
a. The original Healthy and Well Kids in Iowa (HAWK-I) Application, Form 470-3526, and copies of any accompanying information and verification shall be forwarded to the county department office within 24 hours, or the next working day, whichever is sooner. The third-party administrator shall maintain a copy of all documentation sent to the department and a log to track the disposition of all referrals.
b. The third-party administrator shall notify the family that the referral has been made. The notice of the referral to the family shall be accompanied by a Medicaid Supplement to the Healthy and Well Kids in Iowa (HAWK-I) Application, Form 470-3564, and the third-party administrator shall return to the family any original verification and information that was submitted with the application.
c. The referral shall be considered an application for Medicaid in accordance with the provisions of rule 441-- 76.1(249A). The time limit for processing the referred application begins with the date the Healthy and Well Kids in Iowa (HAWK-I) Application, Form 470-3526, is date-stamped as being received by the third-party administrator.
86.4(2) HAWK-I enrollee appears eligible for Medicaid. At the time of the annual review, if it appears the child may be eligible for Medicaid in accordance with the provisions of rule 441--75.1(249A), with the exception of meeting a spenddown under the medically needy program at 441--subrule 75.1(35), a referral shall be made to the county department office for a determination of Medicaid eligibility as stated in subrule 86.4(1) above. However, the child shall remain eligible for the HAWK-I program pending the Medicaid eligibility determination unless the 12-month certification period expires first.
86.4(3) Medicaid applicant not eligible. If a child is not eligible for Medicaid under the provisions of rule 441-- 75.1(249A), with the exception of meeting a spenddown under the medically needy program at 441--subrule 75.1(35), the department shall make a referral to the third-party administrator for an eligibility determination under the HAWK-I program as follows:
a. A copy of the original application, copies of any accompanying information and verification, and a copy of the notice of decision shall be forwarded to the third-party administrator within 24 hours of the decision to deny Medicaid eligibility or the next working day, whichever is sooner.
b. The third-party administrator shall date-stamp the referral, notify the family of the referral, and proceed with an eligibility determination under the HAWK-I program.
c. The time frame for processing the application begins with the day on which the referred application is date-stamped as having been received by the third-party administrator.
d. If it is apparent that the child will not be eligible for the HAWK-I program (e.g., the child is the dependent of a state of Iowa employee), the referral shall not be made.
86.4(4) Medicaid recipient becomes ineligible. If a child becomes ineligible for Medicaid under the provisions of rule 441--75.1(249A), with the exception of meeting a spenddown under the medically needy program at 441--subrule 75.1(35), a referral shall be made to the third-party administrator for an eligibility determination under the HAWK-I program as follows:
a. The department shall complete a Referral to HAWK-I, Form 470-3563, and send it to the third-party administrator within 24 hours of the determination that the child is no longer eligible for Medicaid or that the child must meet a spenddown under the medically needy program.
b. The third-party administrator shall date-stamp the referral, notify the family of the referral, and proceed with an eligibility determination under the HAWK-I program. Form 470-3563, Referral to HAWK-I, shall be used as an application for the HAWK-I program. If needed, copies of supporting documentation and signatures shall be obtained from the case record at the county office of the department.
c. If it is apparent the child will not be eligible for the HAWK-I program (e.g., the child is the dependent of a state of Iowa employee), the referral shall not be made.
441--86.5(77GA,HF2517) Effective date of coverage. Coverage for children who are determined eligible for the HAWK-I program shall be effective the first day of the month following the month in which the application is filed, regardless of the day of the month the application is filed.
441--86.6(77GA,HF2517) Selection of a plan. At the time of initial application, if there is more than one participating plan available in the child's county of residence, the applicant shall select the plan in which the applicant wishes to enroll as part of the eligibility process. The child may change plans only at the time of the annual review unless the provisions of subrule 86.7(1) apply. The applicant shall designate the plan choice in writing by completing Form 470-3574, Selection of Plan.
86.6(1) Coverage in another county's plan. If a child traditionally travels to another county to receive medical care, the applicant may choose to participate in the plan available in the county in which the child receives medical care.
86.6(2) Period of enrollment. Once enrolled in a plan, the child shall remain enrolled in the selected plan for a period of 12 months unless the child is disenrolled in accordance with the provisions of rule 441--86.7(77GA,HF2517). If a child is disenrolled from the plan and subsequently reapplies prior to the end of the original 12-month enrollment period, the child shall be enrolled in the plan from which the child was originally disenrolled unless the provisions of subrule 86.7(1) apply.
86.6(3) Failure to select a plan. When more than one plan is available, if the applicant fails to select a plan within ten working days of the written request to make a selection, the application shall be denied unless good cause exists.
441--86.7(77GA,HF2517) Disenrollment. The child shall be disenrolled from the selected plan prior to the end of the 12-month enrollment period for any of the following:
86.7(1) Child moves from the service area. The child may be disenrolled from the plan when the child moves to an area of the state in which the plan does not have a provider network established. If the child is disenrolled, the child shall be enrolled in a participating plan in the new location. The period of enrollment shall be the number of months remaining in the original certification period.
86.7(2) Age. The child shall be disenrolled from the plan and canceled from the HAWK-I program as of the first day of the month following the month in which the child attained the age of 19.
86.7(3) Nonpayment of premiums. The child shall be disenrolled from the plan and canceled from the program as of the first day of the month in which premiums are not paid in accordance with the provisions of subrules 86.8(3) and 86.8(5).
86.7(4) Iowa residence abandoned. The child shall be disenrolled from the plan and canceled from the program as of the first day of the month following the month in which the child relocated to another state. A child shall not be disenrolled when the child is temporarily absent from the state in accordance with the provisions of subrule 86.2(6).
86.7(5) Eligible for Medicaid. The child shall be disenrolled from the plan and canceled from the program as of the first day of the month following the month in which Medicaid eligibility is established.
86.7(6) Eligible for other health insurance coverage. The child shall be disenrolled from the plan as of the first day of the month following the month in which the child attained other health insurance coverage.
86.7(7) Admission to a nonmedical public institution. The child shall be disenrolled from the plan and canceled from the program as of the first day of the month following the month in which the child enters a nonmedical public institution unless the temporary absence provisions of paragraph 86.2(3)"d" apply.
86.7(8) Admission to an institution for mental disease. The child shall be disenrolled from the plan and canceled from the program if the child is a patient in an institution for mental disease at the time of annual review.
86.7(9) Employment with the state of Iowa. The child shall be disenrolled from the plan and canceled from the HAWK-I program as of the first day of the month in which the child's parent became eligible to participate in a health plan available to state of Iowa employees.
441--86.8(77GA,HF2517) Premiums and copayments.
86.8(1) Income limit. No premium shall be assessed when countable income is less than 150 percent of the federal poverty level for a family of the same size. When countable income is equal to or greater than 150 percent of the federal poverty level for a family of the same size, participation in the program is contingent upon the payment of a monthly premium.
86.8(2) Premium amount. The premium amount shall be $10 per month per child up to a maximum of $30 per month per family.
86.8(3) Due date. When the third-party administrator notifies the applicant that the applicant is eligible to participate in the program, the applicant shall pay any premiums due within ten working days for the initial month of coverage. When the premium is received, the third-party administrator shall notify the plan of the enrollment. After the initial month of coverage, premiums shall be received no later than the last day of the month prior to the month of coverage. Failure to pay the premium by the last day of the month before the month of coverage shall result in disenrollment from the plan. At the request of the family, premiums may be paid in advance (e.g., on a quarterly or semiannual basis) rather than a monthly basis.
86.8(4) Reinstatement. A family may be reinstated once in a 12-month period for failure to pay the premium by the last day of the month prior to the month of coverage. However, the reinstatement must occur within the calendar month following the month of nonpayment and the premium must be paid in full prior to reinstatement.
86.8(5) Method of premium payment. Premiums may be submitted in the form of cash, personal checks, automatic bank account withdrawals, or other methods established by the third-party administrator.
86.8(6) Failure to pay premium. Failure to pay the premium in accordance with subrules 86.8(3) and 86.8(5) shall result in disenrollment from the plan and cancellation from the program unless the reinstatement provisions of subrule 86.8(4) apply. Once a child is disenrolled and canceled from the program due to nonpayment of premiums, the family must reapply for coverage.
86.8(7) Copayment. The enrollee shall be responsible for a $25 copayment for each emergency room visit unless the child is admitted to the hospital.
441--86.9(77GA,HF2517) Annual reviews of eligibility. All eligibility factors shall be reviewed at least every 12 months to establish ongoing eligibility for the program. "Month one" shall be the first month in which coverage is provided.
86.9(1) Review form. The family shall complete Form 470-3526, Healthy and Well Kids in Iowa (HAWK-I) Application, and provide information and verification of current income as part of the review process.
86.9(2) Failure to provide information. The child shall not be enrolled for the next 12-month period if the family fails to provide information and verification of income or otherwise fails to cooperate in the annual review process.
86.9(3) Change in plan. At the time of the annual review of eligibility, if more than one plan is available, the family shall designate whether the child is to remain enrolled in the current plan or is to be enrolled in another plan. The plan choice shall be designated in writing by completing Form 470-3574, Healthy and Well Kids in Iowa (HAWK-I) Selection of Plan.
441--86.10(77GA,HF2517) Reporting changes. Changes that may affect eligibility shall be reported to the third-party administrator as soon as possible but no later than ten working days after the change. "Day one" shall begin with the date of the change. The parent, guardian, or other adult responsible for the child shall report the change. If the child is emancipated, married, or otherwise in an independent living situation, the child shall be responsible for reporting the change.
86.10(1) Pregnancy. The pregnancy of a child shall be reported when the pregnancy is diagnosed.
86.10(2) Entry to a nonmedical public institution. The entry of a child into a nonmedical public institution, such as a penal institution, shall be reported following entry to the institution.
86.10(3) Iowa residence is abandoned. The abandonment of Iowa residence shall be reported following the move from the state.
86.10(4) Other insurance coverage. The attainment of other health insurance coverage for the child shall be reported.
86.10(5) Employment with the state of Iowa. The employment of the child's parent with the state of Iowa shall be reported.
86.10(6) Decrease in income. If the family reports a decrease in income, the third-party administrator shall ascertain whether the change affects the premium obligation of the family. If the change is such that the family is no longer required to pay a premium in accordance with the provisions of rule 441--86.8(77GA,HF2517), premiums will no longer be charged beginning with the month following the month of the report of the change.
86.10(7) Failure to report changes. Any benefits paid during a period of time in which the child was ineligible due to unreported changes will be subject to recoupment.
441--86.11(77GA,HF2517) Notice requirements. The applicant or enrollee shall be notified in writing of the decision of the third-party administrator regarding the applicant or enrollee's eligibility for the HAWK-I program. If the applicant or enrollee has been determined to be ineligible, an explanation of the reason shall be provided.
441--86.12(77GA,HF2517) Appeals and fair hearings. If the applicant or enrollee disputes a decision by the third-party administrator to reduce, cancel or deny participation in the HAWK-I program, the applicant or enrollee may appeal the decision in accordance with 441--Chapter 7.
441--86.13(77GA,HF2517) Third-party administrator. The third-party administrator shall have the following responsibilities:
86.13(1) Determination of eligibility. The third-party administrator shall determine eligibility in accordance with the provisions of rule 441--86.2(77GA,HF2517).
86.13(2) Dissemination of application forms and information. The third-party administrator shall disseminate the following:
a. Application forms to any organization or individual making a request in accordance with the provisions of subrule 86.3(1).
b. Outreach materials to any organization or individual making a request.
c. Participating health plan information.
d. Other materials as specified by the department.
86.13(3) Toll-free dedicated customer services line. The third-party administrator shall maintain a toll-free bilingual dedicated customer service line in accordance with the requirements of the department.
86.13(4) HAWK-I program web site. The third-party administrator shall work in cooperation with the department to maintain a web site providing information about the HAWK-I program.
86.13(5) Application process. The third-party administrator shall process applications in accordance with the provisions of rule 441--86.3(77GA,HF2517).
a. Processing applications and mailing of approvals and denials shall be completed within ten working days of receipt of the application and all necessary information and verification unless the application cannot be processed within this period for a reason beyond the control of the third-party administrator.
b. Original verification information shall be returned to the applicant or enrollee upon completion of review.
86.13(6) Tracking of applications. The third-party administrator shall track and maintain applications. This includes, but is not limited to, the following procedures:
a. Date-stamping all applications with the date of receipt.
b. Screening applications for completeness and requesting in writing any additional information or verification necessary to establish eligibility. All information or verification of information attained shall be logged.
c. Entering all applications received into the data system with an identifier status of pending, approved, or denied.
d. Referring applications to the county office of the department, when appropriate, and receiving application referrals from the department.
e. Tracking any waiting periods before coverage can begin in accordance with subrule 86.2(4).
86.13(7) Effective date of coverage. The third-party administrator shall establish effective date of coverage inaccordance with the provisions of rule 441--86.5(77GA, HF2517).
86.13(8) Selection of plan. The third-party administrator shall provide participating health plan information to families of eligible children by telephone or mail and, if necessary, offer unbiased assistance in the selection of a plan inaccordance with the provisions of rule 441--86.6(77GA, HF2517).
86.13(9) Enrollment. The third-party administrator shall notify participating health plans of enrollments.
86.13(10) Disenrollments. The third-party administrator shall disenroll an enrollee in accordance with the provisions of rule 441--86.7(77GA,HF2517). The third-party administrator shall notify the participating health plan when an enrollee is disenrolled.
86.13(11) Annual reviews of eligibility. The third-party administrator shall annually review eligibility in accordance with the provisions of rules 441--86.2(77GA,HF2517) and 86.9(77GA,HF2517).
86.13(12) Acting on reported changes. The third-party administrator shall ensure that all changes reported by the HAWK-I enrollee in accordance with rule 441-- 86.10(77GA,HF2517) are acted upon no later than ten working days from the date the change is reported.
86.13(13) Premiums. The third-party administrator shall:
a. Calculate premiums in accordance with the provisions of rule 441--86.8(77GA,HF2517).
b. Collect HAWK-I premium payments. The funds shall be deposited into an interest-bearing account maintained by the third-party administrator for periodic transmission of the funds and any accrued interest to the state in accordance with state accounting procedures.
c. Track the status of the enrollee premium payments and provide the data to the department.
d. Mail a reminder notice to the family if the premium is not received by the due date.
86.13(14) Notices to families. The third-party administrator shall develop and provide timely and adequate approval, denial, and cancellation notices to families that clearly explain the action being taken in regard to an application or an existing enrollment. Denial and cancellation notices shall clearly explain the appeal rights of the applicant or enrollee. All notices shall be available in English and Spanish.
86.13(15) Records. The third-party administrator shall at a minimum maintain the following records:
a. All records required by the department and the department of inspections and appeals.
b. Records which identify transactions with or on behalf of each enrollee by social security number or other unique identifier.
c. Application, case and financial records.
d. All other records as required by the department in determining compliance with any federal or state law or rule or regulation promulgated by the United States Department of Health and Human Services or by the department.
86.13(16) Confidentiality. The third-party administrator shall protect and maintain the confidentiality of HAWK-I applicants and enrollees in accordance with 441--Chapter 9.
86.13(17) Reports to the department. The third-party administrator shall submit reports as required by the department.
86.13(18) Systems. The third-party administrator shall maintain data files that are compatible with the department's and the health plans' data files and shall make the system accessible to department staff.
441--86.14(77GA,HF2517) Covered services. The benefits provided under the HAWK-I program shall meet a benchmark or benefit plan that complies with Title XXI of the federal Social Security Act.
86.14(1) Required services. The participating health plan shall cover at a minimum the following services:
a. Inpatient hospital services (including medical, surgical, intensive care unit, mental health, and substance abuse services).
b. Physician services (including surgical and medical, and including office visits, newborn care, well-baby and well-child care, immunizations, urgent care, specialist care, allergy testing and treatment, mental health visits, and substance abuse visits).
c. Outpatient hospital services (including emergency room, surgery, lab, and x-ray services and other services). Emergency room services shall be defined in accordance with paragraph 86.15(2)"b."
d. Ambulance services.
e. Physical therapy.
f. Nursing care services (including skilled nursing facility services).
g. Speech therapy.
h. Durable medical equipment.
i. Home health care.
j. Hospice services.
k. Prescription drugs.
l. Dental services (including restorative and preventative services).
m. Medically necessary hearing services.
n. Vision services (including corrective lenses).
86.14(2) Abortion. Payment for abortion shall only be made under the following circumstances:
a. The physician certifies that the pregnant woman suffers from a physical disorder, physical injury, or physical illness, including a life-endangering physical condition caused by or arising from the pregnancy itself, that would place the woman in danger of death unless an abortion is performed.
b. The pregnancy was the result of an act of rape or incest.
441--86.15(77GA,HF2517) Participating health plans.
86.15(1) Licensure. The participating health plan must be licensed by the division of insurance of the department of commerce to provide health care coverage in Iowa or be an organized delivery system licensed by the director of public health to provide health care coverage.
86.15(2) Services. The participating health plan shall provide health care coverage for the services specified in rule 441--86.14(77GA,HF2517) to all children determined eligible by the third-party administrator.
a. The participating health plan shall make services it provides to HAWK-I enrollees at least as accessible to the enrollees (in terms of timeliness, duration and scope) as those services are accessible to other commercial enrollees in the area served by the plan.
b. Participating health plans shall ensure that emergency services (inpatient and outpatient) are available on an emergency basis 24 hours a day, seven days a week, either through the health plan's own providers or through arrangements with other providers.
Participating health plans shall ensure that emergency medical condition is clearly defined as a medical condition manifesting itself by acute symptoms of sufficient severity, including severe pain, such that a prudent person, who possesses an average knowledge of health and medicine, could reasonably expect it to result in one of the following:
(1) Placing the health of the person or, with respect to a pregnant woman, the health of the woman and her unborn child, in serious jeopardy,
(2) Serious impairment to bodily functions, or
(3) Serious dysfunction of any bodily organ or part.
c. If a participating plan does not provide statewide coverage, the plan shall participate in every county within the region in which the plan has contracted to provide services in which it is licensed and in which a provider network has been established. Regions are specified in rule 441-- 86.1(77GA,HF2517).
86.15(3) Premium tax. Premiums paid to participating health plans by the third-party administrator are exempt from premium tax.
86.15(4) Provider network. The participating health plan shall establish a network of providers. Providers contracting with the participating health plan shall comply with HAWK-I requirements, which shall include collecting copayments, if applicable.
86.15(5) Medical cards. Medical identification cards shall be issued by the participating health plan to the enrollees for use in securing covered services.
86.15(6) Marketing.
a. Participating health plans may not distribute directly or through an agent or independent contractor any marketing materials.
b. All marketing materials require prior approval from the department.
c. At a minimum, participating health plans must provide the following written material:
(1) A current member handbook that fully explains the services available, how and when to obtain them, and special factors applicable to the HAWK-I enrollees. At a minimum the handbook shall include covered services, network providers, exclusions, emergency services procedures, 24-hour toll-free number for certification of services, daytime number to call for assistance, grievance procedures, and definitions of terms.
(2) All plan literature and brochures shall be available in English and Spanish and shall be made available to the third-party administrator for distribution.
d. All health plan literature and brochures shall be approved by the department.
e. The participating health plans shall not, directly or indirectly, conduct door-to-door, telephonic, or other "cold-call" marketing.
f. The participating health plan may make marketing presentations at the discretion of the department.
86.15(7) Conflict management system. The participating health plan shall have a written procedure by which enrollees may express grievances, complaints, concerns, or recommendations, either individually or as a class and which:
a. Is approved by the department prior to use.
b. Acknowledges receipt of a grievance to the grievant.
c. Sets time frames for resolution including emergency procedures which are appropriate to the nature of the grievance and which require that all grievances be resolved within 30 days.
d. Ensures the participation of persons with authority to require corrective action.
e. Includes at least one level of appeal.
f. Ensures the confidentiality of the grievant.
g. Ensures issuance of a departmentally approved notice of decision for each adverse action. These notices shall contain the enrollee's appeal rights and shall contain an adequate explanation of the action taken and the reason for the decision.
h. Maintains a log of the grievances and which is made available at the department's request.
i. Ensures that the participating health plan's written grievance procedures be provided to each newly covered enrollee.
j. Requires that the participating health plan make quarterly reports to the department summarizing grievances and resolutions.
86.15(8) Appeals to the department. An enrollee shall exhaust the established grievance procedure of the participating health plan before appealing the issue to the department in accordance with 441--Chapter 7.
86.15(9) Records and reports. The participating health plan shall maintain records and reports as follows:
a. The plan shall comply with the provisions of rule 441--79.3(249A) regarding maintenance and retention of clinical and fiscal records and shall file a letter with the commissioner of insurance as described in Iowa Code section 228.7. In addition, the plan must maintain a medical records system that:
(1) Identifies each medical record by HAWK-I enrollee identification number.
(2) Maintains a complete medical record for each enrollee.
(3) Provides a specific medical record on demand.
(4) Meets state and federal reporting requirements applicable to the HAWK-I program.
(5) Maintains the confidentiality of medical records information and releases the information only in accordance with established policy below:
1. All medical records of the enrollee shall be confidential and shall not be released without the written consent of the enrollee or responsible party.
2. Written consent is not required for the transmission of medical records information to physicians, other practitioners, or facilities that are providing services to enrollees under a subcontract with the plan. This provision also applies to specialty providers who are retained by the plan to provide services which are infrequently used, which provide a support system service to the operation of the plan, or which are of an unusual nature. This provision is also intended to waive the need for written consent for department staff and the third-party administrator assisting in the administration of the program, reviewers from the peer review organization (PRO), monitoring authorities from the Health Care Financing Administration (HCFA), the plan itself, and other subcontractors which require information as described under numbered paragraph "5" below.
3. Written consent is not required for the transmission of medical records information to physicians or facilities providing emergency care pursuant to paragraph 86.15(2)"b."
4. Written consent is required for the transmission of the medical records information of a former enrollee to any physician not connected with the plan.
5. The extent of medical records information to be released in each instance shall be based upon a test of medical necessity and a "need to know" on the part of the practitioner or a facility requesting the information.
6. Medical records maintained by subcontractors shall meet the requirements of this rule.
b. Each plan shall submit reports and plan information to the third-party administrator as follows:
(1) A list of providers of medical services under the plan.
(2) Information regarding plan rules relating to referrals to specialists.
(3) Information regarding the plan's conflict management system.
(4) A plan for a health improvement program.
(5) Periodic financial, utilization and statistical reports as required by the department.
(6) Encounter data on a monthly basis as required by the department.
(7) Time-specific reports which define activity for child health care, grievances, and other designated activities which may, at the department's discretion, vary among plans, depending on the services covered and other differences.
(8) An annual audited financial statement.
(9) Other information as directed by the department.
86.15(10) Systems. The participating health plan shall maintain data files that are compatible with the department's and third-party administrator's systems.
86.15(11) Payment to the participating health plan.
a. In consideration for all services rendered by a plan, the plan shall receive a payment each month for each enrollee. This capitation rate represents the total obligation of the department with respect to the costs of medical care and services provided to the enrollees.
b. The capitation rate shall be actuarially determined by the department for the beginning of each fiscal year using statistics and data assumptions and relevant experience derived from similar populations.
c. The capitation rate does not include any amounts for the recoupment of losses suffered by the plan for risks assumed under the current or any previous contract. The plan accepts the rate as payment in full for the contracted services. Any savings realized by the plan due to lower utilization from a less frequent incidence of health problems among the enrolled population shall be wholly retained by the plan.
d. If an enrollee has third-party coverage or a responsible party other than the HAWK-I program available for purposes of payment for medical expenses, it is the right and responsibility of the plan to investigate these third-party resources and attempt to obtain payment. The plan shall retain all funds collected through third-party sources. A complete record of all income from these sources must be maintained and made available to the department.
86.15(12) Quality assurance. The plan shall have in effect an internal quality assurance system.
These rules are intended to implement 1998 Iowa Acts, House File 2517.
ARC 8427A
HUMAN SERVICES DEPARTMENT[441]

Notice of Intended Action

Twenty-five interested persons, a governmental subdivision, an agency or association of 25 or more persons may demand an oral presentation hereon as provided in Iowa Code section 17A.4(1)"b."

Notice is also given to the public that the Administrative Rules Review Committee may, on its own motion or on written request by any individual or group, review this proposed action under section 17A.8(6) at a regular or special meeting where the public or interested persons may be heard.

Pursuant to the authority of Iowa Code section 249A.4, the Department of Human Services proposes to amend Chapter 77, "Conditions of Participation for Providers of Medical and Remedial Care," Chapter 78, "Amount, Duration and Scope of Medical and Remedial Services," Chapter 79, "Other Policies Relating to Providers of Medical and Remedial Care," and Chapter 83, "Medicaid Waiver Services," appearing in the Iowa Administrative Code.
Appropriations for state fiscal years 1997 and 1998 directed the Department to develop and implement a Home- and Community-Based Services waiver for persons with physical disabilities. A similar directive was contained in the appropriation for state fiscal year 1999 but was vetoed due to a disagreement regarding the language. However, the Governor directed the Department to proceed with the waiver. These amendments implement that waiver.
This waiver will be available to persons with a physical disability who currently reside in a medical institution and who have been residents of a medical institution for a minimum of 30 days. It is estimated that there are approximately 800 persons in institutions who will qualify for this waiver. In addition, two slots per each of the five Department regions will be available for persons with physical disabilities who are residing in the community at the time of their application for the waiver. The Department is requesting that a total of 100 slots consisting of 90 slots for persons in institutions and 10 slots for persons in the community be approved by the Health Care Financing Authority for the initial year. Persons not eligible because of the slot limitation will be placed on either a statewide waiting list for persons in institutions or on a regional waiting list for persons living in the community.
These amendments provide for the participation of counties in the nonfederal costs for the waiver for adults requiring the ICF/MR level of care and allow counties to limit the number of slots available for persons requiring this level of care. A county may choose not to establish payment slots for this program. Persons not approved because of a county slot limitation will be placed on a waiting list maintained by the Department.
To be eligible for this waiver the applicant must:

* Have a physical disability;

* Be blind or disabled as determined by the receipt of social security disability benefits or by a disability determination made through the division of medical services;

* Be ineligible for the HCBS MR waiver;

* Have the ability to hire, supervise, and fire the provider as determined by the service worker and be willing to do so or have a guardian named by probate court who will take this responsibility on behalf of the consumer;

* Be eligible for Medicaid; and be aged 18 years to 64 years;

* Use a minimum of one unit of consumer-directed attendant care service or personal emergency response system service each quarter.
Services available on this waiver include consumer-directed attendant care, home and vehicle modification, personal emergency response system, specialized medical equipment, and transportation.
The total cost of physical disability waiver services provided to a recipient shall not exceed $1,150 per month.
Consideration will be given to all written data, views, and arguments thereto received by the Bureau of Policy Analysis, Department of Human Services, Hoover State Office Building, Des Moines, Iowa 50319-0114, on or before November 25, 1998.
Oral presentations may be made by persons appearing at the following meetings. Written comments will also be accepted at these times.
Cedar Rapids - December 2, 1998 10 a.m.
Cedar Rapids Regional Office
Iowa Building - Suite 600
Sixth Floor Conference Room
411 Third St. S.E.
Cedar Rapids, Iowa 52401
Council Bluffs - December 2, 1998 9 a.m.
Administrative Conference Room
Council Bluffs Regional Office
417 E. Kanesville Boulevard
Council Bluffs, Iowa 51501
Davenport - December 2, 1998 10 a.m.
Davenport Area Office
Bicentennial Building - Fifth Floor
Conference Room 5
428 Western
Davenport, Iowa 52801
Des Moines - December 1, 1998 10 a.m.
Des Moines Regional Office
City View Plaza
Conference Room 102
1200 University
Des Moines, Iowa 50314
Mason City - December 1, 1998 10 a.m.
Mason City Area Office
Mohawk Square, Liberty Room
22 North Georgia Avenue
Mason City, Iowa 50401
Ottumwa - December 1, 1998 10 a.m.
Ottumwa Area Office
Conference Room 3
120 East Main
Ottumwa, Iowa 52501
Sioux City - November 30, 1998 9 a.m.
Sioux City Regional Office
Fifth Floor
520 Nebraska St.
Sioux City, Iowa 51101
Waterloo - November 30, 1998 10 a.m.
Waterloo Regional Office
Pinecrest Office Building
Conference Room 220
1407 Independence Avenue
Waterloo, Iowa 50703
Any persons who intend to attend a public hearing and have special requirements such as hearing or vision impairments should contact the Bureau of Policy Analysis at (515)281-8440 and advise of special needs.
These amendments are intended to implement Iowa Code section 249A.4.
The following amendments are proposed.
ITEM 1. Amend 441--Chapter 77 by adding the following new rule:
441--77.41(249A) HCBS physical disability waiver service providers. Consumer-directed attendant care, home and vehicle modification, personal emergency response system, specialized medical equipment, and transportation service providers shall be eligible to participate as approved physical disability waiver service providers in the Medicaid program based on the applicable subrules pertaining to the individual service. Enrolled providers shall maintain the certification listed in the applicable subrules in order to remain eligible providers.
77.41(1) Enrollment process. Reviews of compliance with standards for initial enrollment shall be conducted by the department's division of medical services quality assurance staff. Enrollment carries no assurance that the approved provider will receive funding.
Review of a provider may occur at any time.
The department may request any information from the prospective service provider that is pertinent to arriving at an enrollment decision. This may include, but is not limited to:
a. Current accreditations, evaluations, inspection reports, and reviews by regulatory and licensing agencies and associations.
b. Fiscal capacity of the prospective provider to initiate and operate the specified programs on an ongoing basis.
c. The prospective provider's written agreement to work cooperatively with the state and central point of coordination in the counties to be served by the provider.
77.41(2) Consumer-directed attendant care providers. The following providers may provide consumer-directed attendant care service:
a. An individual who contracts with the consumer to provide consumer-directed attendant care and who is:
(1) At least 18 years of age.
(2) Qualified by training or experience to carry out the consumer's plan of care pursuant to the department-approved case plan or individual comprehensive plan.
(3) Not the spouse or guardian of the consumer.
(4) Not the recipient of respite services paid through home- and community-based services on behalf of a consumer who receives home- and community-based services.
b. Home care providers that have a contract with the department of public health or have written certification from the department of public health stating that they meet the home care standards and requirements set forth in department of public health rules 641--80.5(135), 641-- 80.6(135), and 641--80.7(135).
c. Home health agencies that are certified to participate in the Medicare program.
d. Chore providers subcontracting with area agencies on aging or with letters of approval from the area agencies on aging stating that the organization is qualified to provide chore services.
e. Community action agencies as designated in Iowa Code section 216A.103.
f. Providers certified under an HCBS waiver for supported community living.
g. Assisted living programs that are voluntarily accredited or certified by the department of elder affairs.
h. Adult day service providers which meet the conditions of participation for adult day care providers as specified at 441--subrule 77.30(3), 77.33(1), 77.34(7), or 77.39(27) and which have provided a point-in-time letter of notification from the department of elder affairs or an area agency on aging stating the adult day service provider also meets the requirements of department of elder affairs rules in 321-- Chapter 25.
77.41(3) Home and vehicle modification providers. A home and vehicle modification provider shall be an approved HCBS brain injury or mental retardation supported community living service provider and shall meet the following standards:
a. The provider shall obtain a binding contract with a community business to perform the work at the reimbursement provided by the department without additional charge. The contract shall include, at a minimum, cost, time frame for work completion, employer's liability coverage, and workers' compensation coverage.
b. The business shall provide physical or structural modifications to homes or vehicles according to service descriptions listed in 441--subrule 78.46(2).
c. The business, or the business's parent company or corporation, shall have the necessary legal authority to operate in conformity with federal, state and local laws and regulations.
77.41(4) Personal emergency response system providers. Personal emergency response system providers shall be agencies which meet the conditions of participation set forth in subrule 77.33(2).
77.41(5) Specialized medical equipment providers. The following providers may provide specialized medical equipment:
a. Medical equipment and supply dealers participating as providers in the Medicaid program.
b. Retail and wholesale businesses participating as providers in the Medicaid program which provide specialized medical equipment as defined in 441--subrule 78.46(4).
77.41(6) Transportation service providers. The following providers may provide transportation:
a. Area agencies on aging as designated in 321-- 4.4(231) or with letters of approval from the area agencies on aging stating the organization is qualified to provide transportation services.
b. Community action agencies as designated in Iowa Code section 216A.93.
c. Regional transit agencies as recognized by the Iowa department of transportation.
d. Nursing facilities licensed pursuant to Iowa Code chapter 135C.
This rule is intended to implement Iowa Code section 249A.4.
ITEM 2. Amend 441--Chapter 78 by adding the following new rule:
441--78.46(249A) Physical disability waiver service. Payment shall be approved for the following services to consumers eligible for the HCBS physical disability waiver established in 441--Chapter 83 when identified in the consumer's service plan. All services shall include the applicable and necessary instructions, supervision, assistance and support as required by the consumer in achieving the goals written specifically in the service plan and those delineated in Form 470-3372, HCBS Consumer-Directed Attendant Care Agreement. The service shall be delivered in the least restrictive environment consistent with the consumer's needs and in conformity with the consumer's service plan.
Reimbursement shall not be available under the waiver for any services that the consumer can obtain through regular Medicaid or from any other funding source.
All services shall be billed in whole units as specified in the following subrules.
78.46(1) Consumer-directed attendant care service.Consumer-directed attendant care services are service activities listed below performed by a person to help a consumer with self-care tasks which the consumer would typically do independently if the consumer were otherwise able. The services must be cost-effective and necessary to prevent institutionalization.
Providers must demonstrate proficiency in delivery of the services in the consumer's plan of care. Proficiency must be demonstrated through documentation of prior training or experience or a certificate of formal training. All training orexperience will be detailed on Form 470-3372, HCBSConsumer-Directed Attendant Care Agreement, which must be reviewed and approved by the service worker for appropriateness of training or experience prior to the provision of services. Form 470-3372 becomes an attachment to and part of the case plan. Consumers shall give direction and training for activities which are not medical in nature to maintain independence. Licensed registered nurses and therapists must provide on-the-job training and supervision to the provider for skilled activities listed below and described on Form 470-3372. The training and experience must be sufficient to protect the health, welfare and safety of the consumer.
a. Nonskilled service activities covered are:
(1) Help with dressing.
(2) Help with bath, shampoo, hygiene, and grooming.
(3) Help with access to and from bed or a wheelchair, transferring, ambulation, and mobility in general. Certification for this is available through the area community colleges.
(4) Toilet assistance, including bowel, bladder, and catheter assistance which includes emptying the catheter bag, collecting a specimen and cleaning the external area around the catheter. Certification of training which includes demonstration of competence for catheter assistance is available through the area community colleges.
(5) Meal preparation, cooking, eating and feeding assistance but not the cost of meals themselves.
(6) Housekeeping services which are essential to the consumer's health care at home.
(7) Help with medications ordinarily self-administered including those ordered by a physician or other qualified health care provider. Certification of training in a medication aide course is available through the area community colleges.
(8) Minor wound care which does not require skilled nursing care.
(9) Assistance needed to go to, or return from, a place of employment but not assistance to the consumer while the consumer is on the job site.
(10) Cognitive assistance with tasks such as handling money and scheduling.
(11) Fostering communication through interpreting and reading services as well as assistance in use of assistive devices for communication.
(12) Assisting and accompanying a consumer in using transportation essential to the health and welfare of the consumer, but not the cost of the transportation.
b. Skilled service activities covered are the following performed under the supervision of a licensed nurse or licensed therapist working under the direction of a licensed physician. The licensed nurse or therapist shall retain accountability for actions that are delegated. The licensed nurse or therapist shall ensure appropriate assessment, planning, implementation, and evaluation. The licensed nurse or therapist shall make on-site supervisory visits every two weeks with the provider present. The cost of the supervision provided by the licensed nurse or therapist shall not be included in the reimbursement for consumer-directed attendant care services.
(1) Tube feedings of consumers unable to eat solid foods.
(2) Assistance with intravenous therapy which is administered by a registered nurse.
(3) Parenteral injections required more than once a week.
(4) Catheterizations, continuing care of indwelling catheters with supervision of irrigations, and changing of Foley catheters when required.
(5) Respiratory care including inhalation therapy and tracheotomy care or tracheotomy care and ventilator.
(6) Care of decubiti and other ulcerated areas, noting and reporting to the nurse or therapist.
(7) Rehabilitation services including bowel and bladder training, range of motion exercises, ambulation training, restorative nursing services, reteaching the activities of daily living, respiratory care and breathing programs, reality orientation, reminiscing therapy, remotivation, and behavior modification.
(8) Colostomy care.
(9) Care of medical conditions such as brittle diabetes and comfort care of terminal conditions.
(10) Postsurgical nurse-delegated activities under the supervision of the registered nurse.
(11) Monitoring medication reactions requiring close supervision because of fluctuating physical or psychological conditions, e.g., antihypertensives, digitalis preparations, mood altering or psychotropic drugs or narcotics.
(12) Preparing and monitoring response to therapeutic diets.
(13) Recording and reporting of changes in vital signs to the nurse or therapist.
c. A unit of service is 1 hour for up to 7 hours per day or one 8- to 24-hour day provided by an individual or an agency. Each service shall be billed in whole units.
d. The consumer or guardian shall be responsible for selecting the person or agency who will provide the components of the attendant care services to be provided.
e. The consumer or guardian shall determine the components of the attendant care services to be provided with the person who is providing the services to the consumer.
f. The service activities may not include parenting or child care on behalf of the consumer.
g. The consumer or guardian and provider shall complete and sign Form 470-3372, HCBS Consumer-Directed Attendant Care Agreement. A copy of the completed agreement shall be attached to the service plan which is signed by the service worker prior to the initiation of services and kept in the consumer's and department's records.
h. Supervision of consumer-directed attendant care providers shall be furnished either:
(1) Directly by the consumer. Consumers shall receive individual medical self-care training from the medical professionals of their choice.
(2) By the consumer's guardian acting on behalf of the consumer.
i. The frequency or intensity of services shall be indicated in the service plan.
j. Consumer-directed attendant care services may not be simultaneously reimbursed with any other HCBS waiver service.
k. Consumer-directed attendant care services may be provided to a recipient of in-home health-related care services, but not at the same time.
78.46(2) Home and vehicle modifications. Covered home and vehicle modifications are those physical modifications to the consumer's home environment and vehicle which are necessary to provide for the health, welfare and safety of the consumer and which enable the consumer to function with greater independence in the home or vehicle.
a. Services shall be included in the consumer's service plan and shall exceed the regular Medicaid services.
b. These services may include the purchase, installation, or modification of:
(1) Kitchen counters, sink space, cabinets, special adaptations to refrigerators, stoves and ovens, grab bars and handrails.
(2) Bathtubs and toilets to accommodate wheelchair transfer, shower and bathtub seats, grab bars, special handles and hoses for shower heads, water faucet controls,wheelchair-accessible showers and sink areas, and turnaround space adaptations.
(3) Entrance ramps and rails; lifts for porches or stairs; door, hall and window widening; motion-activated and electronic devices; air filtering, heating and cooling adaptations.
(4) Vehicle floor or wall bracing, lifts, and driver-specific adaptations.
c. A unit of service is the completion of needed modifications or adaptations.
d. All modifications and adaptations shall be in accordance with applicable federal, state and local building and vehicle codes.
e. Home and vehicle modifications shall be provided by community businesses. Services shall be performed following department approval of a contract between the supported community living provider and the community business.
78.46(3) Personal emergency response system. The personal emergency response system allows a consumer experiencing a medical emergency at home to activate electronic components that transmit a coded signal via digital equipment over telephone lines to a central monitoring station. The service shall be identified in the consumer's service plan. A unit is a one-time installation fee or one month of service. Maximum units per state fiscal year are the initial installation and 12 months of service. The necessary components of a system are:
a. An in-home medical communications transceiver.
b. A remote, portable activator.
c. A central monitoring station with backup systems staffed by trained attendants 24 hours per day, seven days a week.
d. Current data files at the central monitoring station containing response protocols and personal, medical, and emergency information for each consumer.
78.46(4) Specialized medical equipment. Specialized medical equipment shall include medically necessary items for personal use by consumers with a physical disability which provide for the health and safety of the consumer that are not covered by Medicaid, are not funded by vocational rehabilitation programs, and are not provided by voluntary means. This includes, but is not limited to: electronic aids and organizers, medicine-dispensing devices, communication devices, bath aids and noncovered environmental control units. This includes repair and maintenance of items purchased through the waiver in addition to the initial costs.
a. Consumers may receive specialized medical equipment once a month until a maximum yearly usage of $6000 has been reached.
b. The need for specialized medical equipment shall be documented by a health care professional as necessary for the consumer's health and safety and shall be identified in the consumer's service plan.
78.46(5) Transportation. Transportation services may be provided for consumers to conduct business errands and essential shopping, to receive medical services when not reimbursed through Medicaid as medical transportation, to travel to and from work or day programs, and to reduce social isolation. A unit of service is per mile or per trip.
This rule is intended to implement Iowa Code section 249A.4.
ITEM 3. Amend rule 441--79.1(249A) as follows:
Amend subrule 79.1(2) by adding the following new provider category in alphabetical order:


Provider category


Basis of
reimbursement



Upper limit


HCBS physical disability waiver service providers, including:




1. Consumer-
directed attendant care:




Agency provider


Fee agreed upon by consumer and provider


$18 per hour
$104 per day


Individual provider


Fee agreed upon by consumer and provider


$12 per hour
$70 per day


2. Home and vehicle modification providers


Fee schedule


$500 per month, not to exceed $6000 per year


3. Personal emergency response system


Fee schedule


Initial one-time fee of $45. Ongoing monthly fee of $35.


4. Specialized medical equipment


Fee schedule


$500 per month, not to exceed $6000 per year


5. Transportation


Fee schedule


State per mile rate for regional transit providers, or rate established by area agency on aging. Reimbursement shall be at the lowest cost service rate consistent with the consumer's needs.


ITEM 4. Amend subrule 79.14(1), paragraph "e," as follows:
e. All HCBS waiver providers shall submit Form 470-2917, Medicaid HCBS Provider Application, at least90 days before the planned service implementation date.CONSULTEC shall forward the application to the department for processing.
ITEM 5. Reserve rules 441--83.92 to 83.100.
ITEM 6. Amend 441--Chapter 83 by adding the following new Division VI:

DIVISION VI

PHYSICAL DISABILITY WAIVER SERVICES

441--83.101(249A) Definitions.
"Adaptive" means age-appropriate skills related to taking care of one's self and the ability to relate to others in daily living situations. These skills include limitations that occur in the areas of communication, self-care, home living, social skills, community use, self-direction, safety, functional academics, leisure and work.
"Adult" means a person with a physical disability aged 18 years to 64 years.
"Appropriate" means that the services or supports or activities provided or undertaken by the organization are relevant to the consumer's needs, situation, problems, or desires.
"Assessment" means the review of the consumer's current functioning in regard to the consumer's situation, needs, strengths, abilities, desires and goals.
"Behavior" means skills related to regulating one's own behavior including coping with demands from others, making choices, controlling impulses, conforming conduct to laws, and displaying appropriate sociosexual behavior.
"Client participation" means the amount of the consumer's income that the person must contribute to the cost of physical disability waiver services, exclusive of medical vendor payments, before Medicaid will provide additional reimbursement.
"Department" means the Iowa department of human services.
"Guardian" means a guardian appointed in probate court for an adult.
"Iowa Foundation for Medical Care" is the entity designated by the federal government to be the peer review organization for the state of Iowa.
"Medical institution" means a nursing facility, a skilled nursing facility, intermediate care facility for the mentally retarded, or hospital which has been approved as a Medicaid vendor.
"Physical disability" means a severe, chronic condition that is attributable to a physical impairment that results in substantial limitations of physical functioning in three or more of the following areas of major life activities: self-care, receptive and expressive language, learning, mobility, self-direction, capacity for independent living and economic self-sufficiency.
"Service plan" means a written consumer-centered,outcome-based plan of services developed using an interdisciplinary process which addresses all relevant services and supports being provided. It may involve more than one provider.
"Third-party payments" means payments from an individual, institution, corporation, or public or private provider which is liable to pay part or all of the medical costs incurred as a result of injury or disease on behalf of a consumer of medical assistance.
"Waiver year" means a 12-month period commencing on April 1 of each year.
441--83.102(249A) Eligibility. To be eligible for physical disability waiver services, a consumer must meet eligibility criteria set forth in subrule 83.102(1) and be determined to need a service allowable under the program per subrule 83.102(2).
83.102(1) Eligibility criteria. All of the following criteria must be met. The person must:
a. Have a physical disability.
b. Be blind or disabled as determined by the receipt of social security disability benefits or by a disability determination made through the division of medical services. Disability determinations are made according to supplemental security income guidelines as per Title XVI of the Social Security Act.
c. Be ineligible for the HCBS MR waiver.
d. Have the ability to hire, supervise, and fire the provider as determined by the service worker, and be willing to do so, or have a guardian named by probate court who will take this responsibility on behalf of the consumer.
e. Be eligible for Medicaid under 441--Chapter 75.
f. Be aged 18 years to 64 years.
g. Be a current resident of a medical institution and have been a resident for at least 30 consecutive days at the time of initial application for the physical disability waiver.
EXCEPTION: During any waiver year, up to ten persons, two per departmental region as established in 441--subrule 1.4(2), in need of the skilled nursing facility or intermediate care facility level of care who are not residents of a medical institution at the time of application may receive HCBS physical disability waiver services as provided in subrule 83.102(3).
h. Be in need of intermediate care facility for the mentally retarded (ICF/MR), skilled nursing, or intermediate care facility level of care. For those who are in need of ICF/MR level of care, the discharge planner must contact the county of financial responsibility for the consumer to determine the county's agreement with referral to the physical disability waiver. Initial decisions on level of care shall be made for the department by the Iowa Foundation for Medical Care (IFMC) within two working days of receipt of medical information. After notice of an adverse decision by IFMC, the Medicaid applicant or recipient or the applicant's or recipient's representative may request reconsideration by IFMC pursuant to subrule 83.109(2). Adverse decisions by IFMC on reconsiderations may be appealed to the department pursuant to 441--Chapter 7 and rule 441--83.109(249A).
i. Choose HCBS.
j. Use a minimum of one unit of consumer-directed attendant care service or personal emergency response system service each quarter.
83.102(2) Need for services.
a. The consumer shall have a service plan which is developed by a department service worker. This must be completed and approved prior to service provision and at least annually thereafter.
The service worker shall identify the need for service based on the needs of the consumer as well as the availability and appropriateness of services.
b. The total monthly cost of physical disability waiver services shall not exceed $1150 per month.
83.102(3) State slots. The total number of persons receiving HCBS physical disability waiver services in the state shall be limited to the number provided in the waiver approved by the Secretary of the U.S. Department of Health and Human Services. Of these, ten slots during any waiver year (two in each departmental region) shall be reserved for persons who were not residents of a medical institution at the time of initial application for the physical disability waiver as allowed by the exception under paragraph 83.102(1)"g." These slots shall be available on a first-come, first-served basis.
83.102(4) County payment slots for persons requiring the ICF/MR level of care. Waiver slots for adult persons in need of the ICF/MR level of care with legal settlement in a county must be identified in the county management plan submitted to the department pursuant to 441--Chapter 25. Each county shall inform the department regarding the number of payment slots desired by April 1 and October 1 of each year. These slots must be within the statewide total under subrule 83.102(3). The county shall have financial responsibility for the nonfederal share of the costs of services for these consumers as stated in rule 441--83.110(249A). A county may choose not to establish any payment slots under the HCBS physical disability waiver.
83.102(5) Securing a state slot.
a. The county department office shall contact the division of medical services for all cases to determine if a slot is available for all new applications for the HCBS physical disability waiver program.
(1) For persons not currently receiving Medicaid, the county department office shall contact the division of medical services by the end of the second working day after receipt of a completed Form 470-0442, Application for Medical Assistance or State Supplementary Assistance, submitted on or after April 1, 1999.
(2) For current Medicaid recipients, the county department office shall contact the division of medical services by the end of the second working day after receipt of a signed and dated Form 470-0660, Home- and Community-Based Service Report, submitted on or after April 1, 1999.
b. On the third day after the receipt of the completed Form 470-0442 or 470-0660, if no slot is available, the division of medical services shall enter persons on the HCBS physical disabilities waiver state waiting list for institutionalized persons or on a regional waiting list for the slots reserved for persons who are not institutionalized according to the following:
(1) Persons not currently eligible for Medicaid shall be entered on the basis of the date a completed Form 470-0442, Application for Medical Assistance or State Supplementary Assistance, is submitted on or after April 1, 1999, and date-stamped in the county department office. Consumers currently eligible for Medicaid shall be added on the basis of the date the consumer requests HCBS physical disability program services as documented by the date of the consumer's signature on Form 470-0660 submitted on or after April 1, 1999. In the event that more than one application is received on the same day, persons shall be entered on the waiting list on the basis of the day of the month of their birthday, the lowest number being first on the list. Any subsequent tie shall be decided by the month of birth, January being month one and the lowest number.
(2) Persons who do not fall within the available slots shall have their applications rejected but their names shall be maintained on the state waiting list for institutionalized persons or on a regional waiting list for the slots reserved for persons who are not institutionalized. As slots become available, persons shall be selected from the waiting lists to maintain the number of approved persons on the program based on their order on the waiting lists.
83.102(6) Securing a county payment slot.
a. In addition to contacting the division of medical services for all cases pursuant to 83.102(5), the county department office shall contact the county of legal settlement for adults coming from a medical institution who are in need of the ICF/MR level of care to determine if a county payment slot is available for new applications for the HCBS physical disability waiver program.
(1) For persons not currently receiving Medicaid, the county department office shall contact the county central point of coordination by the end of the second working day after receipt of a completed Form 470-0442, Application for Medical Assistance or State Supplementary Assistance, submitted on or after April 1, 1999.
(2) For current Medicaid recipients, the county department office shall contact the county central point of coordination by the end of the second working day after receipt of a signed and dated Form 470-0660, Home- and Community-Based Service Report, submitted on or after April 1, 1999.
b. On the third day after the receipt of the completed Form 470-0442 or 470-0660, if no payment slot is available, persons shall be entered on a waiting list by the county central point of coordination according to the following:
(1) Persons not currently eligible for Medicaid shall be entered on the waiting list on the basis of the date a completed Form 470-0442, Application for Medical Assistance or State Supplementary Assistance, is submitted on or after April 1, 1999, and date-stamped in the county department office. Consumers currently eligible for Medicaid shall be added to the list on the basis of the date the consumer requests HCBS physical disability program services as documented by the date of the consumer's signature on Form 470-0660 submitted on or after April 1, 1999. In the event that more than one application is received on the same day, persons shall be entered on the waiting list on the basis of the day of the month of their birthday, lowest number being first on the list. Any subsequent tie shall be decided by the month of birth, January being month one and the lowest number.
(2) Persons who do not fall within the available slots shall have their applications rejected but their names shall be maintained on the county waiting list. As slots become available, persons shall be selected from the list to maintain the number of approved persons on the program based on their order on the waiting list.
83.102(7) HCBS physical disability waiver waiting lists. When services are denied because the statewide limit for institutionalized persons is reached, a notice of decision denying service based on the limit and stating that the person's name shall be put on a statewide waiting list shall be sent to the person by the department.
When services are denied because the two slots per region for persons already residing in the community at the time of application are filled, a notice of decision denying service based on the limit on those slots and stating that the person's name shall be put on a waiting list by region for one of the community slots shall be sent to the person by the department.
When services are denied because the county of legal settlement has not established any slots in the county plan, a notice of decision will be issued denying service stating that the person is not eligible because the county has chosen not to participate in the HCBS physical disabilities waiver. The names of the persons who are not eligible because the county has chosen not to participate shall be placed on a waiting list by county by the department in case the county decides to participate.
When services are denied because all county of legal settlement slots are filled, a notice of decision will be issued denying service stating that the person is not eligible because all county slots are filled. The names of the persons who are not eligible because all county slots are filled shall be placed on a waiting list by county by the department in case a slot becomes available or the county decides to add additional slots.
441--83.103(249A) Application.
83.103(1) Application for financial eligibility. The application process as specified in rules 441--76.1(249A) to 441--76.6(249A) shall be followed. Applications for this program may only be filed on or after April 1, 1999.
83.103(2) Approval of application for eligibility.
a. Applications for this waiver shall be initiated on behalf of the applicant who is a resident of a medical institution with the applicant's consent or with the consent of the applicant's legal representative by the discharge planner of the medical facility where the applicant resides at the time of application. The discharge planner shall complete Form 470-3502, Physical Disability Waiver Assessment Tool, and submit it to the Iowa Foundation for Medical Care (IFMC) review coordinator. After completing the determination of the level of care needed by the applicant, the IFMC review coordinator shall inform the income maintenance worker and the discharge planner on behalf of the applicant or the applicant's guardian of its decision.
b. Applications for this waiver shall be initiated by the applicant or by the applicant's legal guardian on behalf of the applicant who is residing in the community. The applicant or the applicant's legal guardian shall complete Form 470-3502, Physical Disability Waiver Assessment Tool, and submit it to the Iowa Foundation for Medical Care (IFMC) review coordinator. After completing the determination of the level of care needed by the applicant, the IFMC review coordinator shall inform the income maintenance worker and the applicant or the applicant's legal guardian.
c. Eligibility for this waiver shall be effective as of the date when both the eligibility criteria in subrule 83.102(1) and need for services in subrule 83.102(2) have been established. Decisions shall be mailed or given to the consumer or the consumer's legal guardian on the date when each eligibility determination is completed.
d. An applicant shall be given the choice between waiver services and institutional care. The applicant shall complete and sign Form 470-0660, Home- and Community-Based Service Report, indicating the consumer's choice of caregiver.
e. The consumer or the consumer's guardian shall cooperate with the service worker in the development of the service plan, which must be approved by the department service worker prior to the start of services.
f. HCBS physical disability waiver services provided prior to both approvals of eligibility for the waiver cannot be paid.
g. HCBS physical disability waiver services are not available in conjunction with other HCBS waiver programs. The consumer may also receive in-home health-related care service if eligible for that program.
83.103(3) Effective date of eligibility.
a. The effective date of eligibility for the waiver for persons who are already determined eligible for Medicaid is the date on which the person is determined to meet all of the criteria set forth in rule 441--83.102(249A).
b. The effective date of eligibility for the waiver for persons who qualify for Medicaid due to eligibility for the waiver services is the date on which the person is determined to meet all of the criteria set forth in rule 441--83.102(249A) and when the eligibility factors set forth in 441--subrule 75.1(7) and, for married persons, in rule 441--75.5(249A), have been satisfied.
c. Eligibility for the waiver continues until the consumer fails to meet eligibility criteria listed in rule 441-- 83.102(249A). Consumers who return to inpatient status in a medical institution for more than 30 consecutive days shall be reviewed by IFMC to determine additional inpatient needs for possible termination from the physical disability waiver. The consumer shall be reviewed for eligibility under other Medicaid coverage groups in accordance with rule 441-- 76.11(249A). The consumer shall be notified of that decision through Form 470-0602, Notice of Decision.
If the consumer returns home before the effective date of the notice of decision and the consumer's condition has not substantially changed, the denial may be rescinded and eligibility may continue.
83.103(4) Attribution of resources. For the purposes of attributing resources as provided in rule 441--75.5(249A), the date on which the waiver consumer meets the institutional level of care requirement as determined by IFMC or an appeal decision shall be used as the date of entry to the medical institution. Only one attribution of resources shall be completed per person. Attributions completed for a prior institutionalization shall be applied to the waiver application.
441--83.104(249A) Client participation. Consumers who are financially eligible under 441--subrule 75.1(7) (the 300 percent group) must contribute a client participation amount to the cost of physical disability waiver services.
83.104(1) Computation of client participation. Client participation shall be computed by deducting a maintenance needs allowance equal to 300 percent of the maximum SSI grant for an individual from the consumer's total income. For a couple, client participation is determined as if each person were an individual.
83.104(2) Limitation on payment. If the sum of the third-party payment and client participation equals or exceeds the reimbursement for the specific physical disability waiver service, Medicaid shall make no payments for the waiver service. However, Medicaid shall make payments to other medical providers.
441--83.105(249A) Redetermination. A complete financial redetermination of eligibility for the physical disability waiver shall be completed at least once every 12 months. A redetermination of continuing eligibility factors shall be made when a change in circumstances occurs that affects eligibility in accordance with rule 441--83.102(249A). A redetermination shall contain the components listed in rule 441-- 83.102(249A).
441--83.106(249A) Allowable services. The services allowable under the physical disability waiver are consumer-directed attendant care, home and vehicle modification, personal emergency response system, transportation service, and specialized medical equipment as set forth in rule 441-- 78.46(249A).
441--83.107(249A) Individual service plan. An individualized service plan shall be prepared and used for each HCBS physical disability waiver consumer. The service plan shall be developed and approved by the DHS service worker prior to services beginning and payment being made to the provider. The plan shall be reviewed by the consumer and the service worker annually, and the current version approved by the service worker.
83.107(1) Information in plan. The plan shall be in accordance with 441--subrule 24.2(2) and shall additionally include the following information to assist in evaluating the program:
a. A listing of all services received by a consumer at the time of waiver program enrollment.
b. The name of all providers responsible for providing all services.
c. All service funding sources.
d. The amount of the service to be received by the consumer.
83.107(2) Annual assessment. The Iowa Foundation for Medical Care shall review the consumer's need for continued care annually and recertify the consumer's need for long-term care services, pursuant to the standards and subject to the reconsideration and appeal processes at rule 441-- 83.109(249A), based on the completed Form 470-3502, Physical Disability Waiver Assessment Tool, and supporting documentation as needed. Form 470-3502 is completed by the service worker at the time of recertification.
83.107(3) Case file. The consumer case file shall contain the following completed forms:
a. Eligibility for Medicaid Waiver, Form 470-0563.
b. Home- and Community-Based Service Report, Form 470-0660.
c. Medicaid Home- and Community-Based Payment Agreement, Form 470-0379.
d. HCBS Consumer-Directed Attendant Care Agreement, Form 470-3372, when consumer-directed attendant care services are being provided.
e. The service plan.
f. The county central point of coordination's final approval of service costs if the county is voluntarily participating at the intermediate care facility for the mentally retarded (ICF/MR) level of care.
441--83.108(249A) Adverse service actions.
83.108(1) Denial. An application for services shall be denied when it is determined by the department that:
a. All of the medically necessary service needs cannot be met in a home- or community-based setting.
b. Service needs exceed the reimbursement maximums.
c. Service needs are not met by the services provided.
d. Needed services are not available or received from qualifying providers.
e. The physical disability waiver service is not identified in the consumer's service plan.
f. There is another community resource available to provide the service or a similar service free of charge to the consumer that will meet the consumer's needs.
g. The consumer receives services from other Medicaid waiver providers.
h. The consumer or legal representative requests termination from the services.
83.108(2) Reduction. A particular service may be reduced when the department determines that the provisions of 441--subrule 130.5(3), paragraph "a" or "b," apply.
83.108(3) Termination. A particular service may be terminated when the department determines that:
a. The provisions of 441--subrule 130.5(2), paragraph "d," "g," or "h," apply.
b. Needed services are not available or received from qualifying providers.
c. The physical disability waiver service is not identified in the consumer's annual service plan.
d. Service needs are not met by the services provided.
e. Services needed exceed the service unit or reimbursement maximums.
f. Completion or receipt of required documents by the consumer for the physical disability waiver service has not occurred.
g. The consumer receives services from other Medicaid providers.
h. The consumer or legal representative requests termination from the services.
441--83.109(249A) Appeal rights. Notice of adverse actions and right to appeal shall be given in accordance with 441--Chapter 7 and rule 441--130.5(234).
83.109(1) Appeal to county. The applicant or consumer for whom a county has legal payment responsibility shall be entitled to a review of adverse decisions by the county by appealing to the county pursuant to rule 441--25.21(331). If dissatisfied with the county's decision, the applicant or consumer may file an appeal with the department.
83.109(2) Reconsideration request to Iowa Foundation for Medical Care (IFMC). After notice of an adverse decision by IFMC, the Medicaid applicant or recipient or the applicant's or recipient's representative may request reconsideration by IFMC by sending a letter requesting a review to IFMC not more than 60 days after the date of the notice of adverse decision. On initial and reconsideration decisions, IFMC determines whether the level of care requirement is met based on medical necessity and the appropriateness of the level of care under 441--subrules 79.9(1) and 79.9(2). Adverse decisions by IFMC on reconsiderations may be appealed to the department pursuant to 441--Chapter 7.
a. If a timely request for reconsideration of an initial denial determination is made, IFMC shall complete the reconsideration determination and send written notice including appeal rights to the Medicaid applicant or recipient and the applicant's or recipient's representative within ten working days after IFMC receives the request for reconsideration and a copy of the medical record.
IFMC shall complete the request for reconsideration within 30 working days after IFMC receives the request and a copy of the medical record, if the Medicaid applicant or recipient was admitted to the nursing facility when the initial determination was made but is no longer in the nursing facility when the request for reconsideration is received.
b. If a copy of the medical record is not submitted with the reconsideration request, IFMC will request a copy from the facility within two working days.
c. The notice to parties. Written notice of the IFMC reconsidered determination will contain the following:
(1) The basis for the reconsidered determination.
(2) A detailed rationale for the reconsidered determination.
(3) A statement explaining the Medicaid payment consequences of the reconsidered determination.
(4) A statement informing the parties of their appeal rights, including the information that must be included in the request for hearing, the locations for submitting a request for an administrative hearing, and the time period for filing a request.
d. If the request for reconsideration is mailed or delivered to IFMC within ten days of the date of the initial determination, any medical assistance payments previously approved will not be terminated until the decision on reconsideration. If the initial decision is upheld on reconsideration, medical assistance benefits continued pursuant to this rule will be treated as an overpayment to be paid back to the department.
441--83.110(249A) County reimbursement. The consumer's county of legal settlement must agree to reimburse the department for all of the nonfederal share of the cost of physical disability waiver services to persons at the ICF/MR level of care with legal settlement in the county if the county chooses to participate in the physical disability waiver. The county shall enter into a Medicaid Home- and Community-Based Payment Agreement, Form 470-0379, with the department for reimbursement of the nonfederal share of the cost of services provided to HCBS physical disability waiver adults at the ICF/MR level of care.
The county shall enter into the agreement using the criteria in subrule 83.102(2).
441--83.111(249A) Conversion to the X-PERT system. For conversion to the X-PERT system at a time other than review, the consumer may be required to provide additional information. To obtain this information, a consumer may be required to have an interview. Failure to respond for this interview when so requested, or failure to provide requested information, shall result in cancellation.
These rules are intended to implement Iowa Code sections 249A.3 and 249A.4.
ARC 8440A
INSURANCE DIVISION[191]

Notice of Intended Action

Twenty-five interested persons, a governmental subdivision, an agency or association of 25 or more persons may demand an oral presentation hereon as provided in Iowa Code section 17A.4(1)"b."

Notice is also given to the public that the Administrative Rules Review Committee may, on its own motion or on written request by any individual or group, review this proposed action under section 17A.8(6) at a regular or special meeting where the public or interested persons may be heard.

Pursuant to the authority of Iowa Code subsection 505.8(2), the Insurance Division hereby gives Notice of Intended Action to amend Chapter 5, "Regulation of Insurers--General Provisions," Chapter 15, "Unfair Trade Practices," Chapter 21, "Surplus Lines Requirements," Chapter 33, "Variable Life Insurance Model Regulation," Chapter 40, "Health Maintenance Organizations," and Chapter 45, "Insurance Holding Company Systems," Iowa Administrative Code.
The proposed amendments delete outdated language and practices of the Division. Electronic filing of financial statements is now used. The term "agent" has been changed to "producer" under current law. Surplus line forms no longer used have been deleted. There have been changes in producer examination requirements. Some financial information once required to be filed with the Commissioner is now filed only upon the request of the Commissioner.
Any interested person may submit written comments on the proposed amendments on or before November 24, 1998. These comments should be directed to Susan E. Voss, Proj-ects Director, Insurance Division, 330 E. Maple St., Des Moines, Iowa 50319. Comments may also be transmitted by E-mail to susan.voss@comm6.state.ia.us or by fax to (515) 281-3059.
These amendments are intended to implement Iowa Code subsection 505.8(2).
The following amendments are proposed.
ITEM 1. Amend rule 191--5.3(507,508,515) to read as follows:
191--5.3(507,508,515) Submission of quarterly financial information. All insurers, corporations, associations, and other entities required to submit annual financial statements to the commissioner shall also submit a short form quarterly financial statement within 45 days of the close of each calendar quarter on a form as specified by the commissioner. Included in the quarterly report shall be Upon request of the commissioner an exhibit showing a count of policies in force by line of business as of the close of the quarter shall be submitted with the quarterly report. The quarterly financial statements shall also be filed with the National Association of Insurance Commissioners.
This rule is intended to implement Iowa Code section 507.2 and Iowa Code chapters 508 and 515.
ITEM 2. Amend subrule 5.26(6) to read as follows:
5.26(6) Diskette Electronic filing. The annual financial statement filings required of domestic insurers pursuant to Iowa Code sections 508.11 and 515.63 and the quarterly statement filings required pursuant to rule 191-- 5.3(507,508,515) must be filed in diskette form electronically with the National Association of Insurance Commissioners. Electronic filing shall include filing via the Internet or by diskette. The diskettes electronic filing must be prepared in accordance with the NAIC Directive to Companies, Coding Conventions, Field Names and Definitions, Data Elements, and Reporting Requirements for Annual/Quarterly Statement Submission on Diskettes. The diskette Electronic filings are in addition to and due at the time of the filing of the annual/quarterly financial statement blank with the National Association of Insurance Commissioners. Diskette filings do not need to be filed with the insurance division unless the insurer is directed by the insurance commissioner to submit the filing(s) on diskette. This diskette filing requirement does not apply to entities organized pursuant to Iowa Code chapters 512A, 512B, 514, 514B, 518, and 518A.
ITEM 3. Rescind and reserve rule 191--5.42(515).
ITEM 4. Amend subrule 15.13(1), paragraph "a," to read as follows:
a. An insurer shall maintain its books, records, documents and other business records in such an order that data regarding complaints, claims, rating, underwriting and marketing are accessible and retrievable for examination by the insurance commissioner. Data shall be maintained for the current calendar year plus two calendar years.
ITEM 5. Amend subrule 21.1(1) to read as follows:
21.1(1) "Agent" "Producer" when used herein is defined to be that person who ultimately delivers the policy to the policyholder or the person who places the policy with the insurance company. The agent producer may be either a resident or nonresident of this state and must be licensed in Iowa to sell insurance classified as excess and surplus lines.
ITEM 6. Amend rule 191--21.3(515) to read as follows:
191--21.3(515) Agents' Producers' duties.
21.3(1) Agent Producer collection of tax. A licensed agent producer who procures or places insurance in nonadmitted insurers shall collect premium tax from the nonadmitted insurer by withholding 2 percent of the premiums for such tax. A nonresident agent shall submit the 2 percent premium tax to a resident agent licensed for surplus lines who shall be responsible for remitting the premium tax to the commissioner of insurance.
21.3(2) Affidavits required.
a. A resident agent producer who places insurance shall within 30 days subsequent to the date of delivery of a policy issued by a nonadmitted insurer cause to be filed with the commissioner of insurance a sworn statement on Form No. SL163A. In lieu of filing affidavits for each policy issued by a nonadmitted insurer, the agent producer may file a diskette with the commissioner on a monthly basis for multiple affidavit filings. The agent producer shall include with the diskette filed with the commissioner a sworn statement on Form No. SL163B. Copies of Form SL163A and Form SL163B are on file in the insurance division office and by reference are made a part of these rules the division's web site, http://www.state.ia.us/government/com/ins/ins.htm.
b. A nonresident agent who places insurance shall within 30 days subsequent to the date of delivery of a policy issued by a nonadmitted insurer submit to a resident agent licensed for surplus lines a sworn statement on Form No. SL164. A copy of Form SL164 is on file in the insurance division office and by reference is made a part of these rules. The resident agent shall countersign and file the statement with the insurance commissioner within ten days of receipt of the statement from the nonresident agent. Nonresident agents placing insurance in risk retention groups are exempt from the countersignature requirements of this section.
21.3(3) Annual report. On or before March 1 of each year, every agent producer who has placed insurance in nonadmitted insurers during the preceding calendar year shall file with the commissioner of insurance a sworn report of all such business written during the preceding calendar year. Said report shall be accompanied by a remittance to cover the taxes due on said business and shall be filed on Form No. SL263, a copy of which is attached* hereto, and by reference made a part hereof. Failure to file said return or pay the taxes imposed by Iowa Code sections 515.147 et seq., will be deemed grounds for the revocation of all licenses issued to the agent producer's license by the insurance division.
ITEM 7. Amend rule 191--21.4(515) to read as follows:
191--21.4(515) Agents' Producers' duty to insured; evidence of coverage. Each agent producer placing coverage in nonadmitted insurers as defined herein shall deliver to the insured, within 30 days of the date of delivery of the policy, one of the following:
1. Language which states as follows: "This policy is issued, pursuant to Iowa Code section 515.147, by a nonadmitted company in Iowa and as such is not covered by the Iowa Insurance Guaranty Association." Such requirement may be complied with by typing or stamping a verbatim copy of this language in a clear and conspicuous place on the policy;
2. A copy of the affidavit filed with the division.
ITEM 8. Amend rule 191--21.5(515), numbered paragraphs "9" to "11," as follows:
9. A designation of a licensed Iowa resident agent producer qualified to write excess and surplus lines insurance.
10. A synopsis of current reinsurance treaties in force.
11. 10. Remittance of a $50 filing fee.
ITEM 9. Amend rule 191--21.6(515) to read as follows:
191--21.6(515) Risk retention groups. A risk retention group as defined in Iowa Code chapter 515E may utilize its agents or brokers producers to report and pay premium taxes or may pay the taxes directly. If agents and brokers or the group producers are utilized, they shall follow the procedure set forth in subrule 21.3(2), paragraph "a," but need not be residents of this state. In the event that the group desires to pay the premium tax directly, it shall file with the commissioner a sworn statement on Form No. SL264. A copy of Form SL264 is on file in the insurance division office and by reference made a part of these rules.
ITEM 10. Rescind the following forms at the end of 191--Chapter 21:
Surplus Lines Affidavit
Surplus Lines Diskette Affidavit
Report of Surplus Lines Insurance
ITEM 11. Amend rule 191--31.1(508) to read as follows:
191--31.1(508) Definitions. When used in this regulation:
"Contracts on a variable basis" or "Variable contract" shall mean any (group or individual) policy or contract issued by an insurance company which provides for insurance or annuity benefits which may vary according to the investment experience of any separate or segregated account or accounts maintained by the insurer as to such policy or contract, as provided for in Iowa Code sections 508.31 and 508.32.
"Agent" shall mean any person who is qualified and licensed as a life insurance agent.
"Variable contract agent" shall mean an agent who sells or offers to sell any contract on a variable basis.
"Commissioner" shall mean the insurance commissioner of Iowa.
ITEM 12. Rescind and reserve rule 191--31.6(508).
ITEM 13. Rescind and reserve subrule 33.2(2).
ITEM 14. Rescind and reserve rule 191--33.11(508A).
ITEM 15. Amend rule 191--40.1(514B) by rescinding the definition of "Agent."
ITEM 16. Amend rule 191--40.19(514B) to read as follows:
191--40.19(514B) Agents' Producers' duties. In order to qualify for solicitation, enrollment, or delivery of a certificate of membership or policy in a health maintenance organization, an agent a producer must comply with the licensing rules set forth in 191--Chapter 10 of the Iowa Administrative Code and in particular submit to an examination to determine the applicant's competence to sell accident and health insurance as described in rule 191--10.7(522), classification 6.
ITEM 17. Amend subrule 45.10(6) to read as follows:
45.10(6) A dividend or distribution to an insurer's shareholders which exceeds the lesser greater of (a) 10 percent of the insurer's surplus as regards policyholders as of the 31st day of December next preceding, or (b) the net gain from operations of such insurer if the insurer is a life insurer, or the net income if the insurer is not a life insurer, not including realized capital gains, for the 12-month period ending the 31st day of December next preceding must be submitted to the commissioner 30 days in advance for review approval. The commissioner may deem such dividend to be excessive and constitute grounds under 191--subrule 5.23(6) for finding the insurer to be in a financially hazardous condition and subject to the provisions of 191--subrule 5.24(2).
ITEM 18. Amend 191--Chapter 45, Form B, Item 7, paragraph "c," to read as follows:
c. Exhibits shall include copies of the latest annual reports to shareholders of the ultimate controlling person and proxy material used by the ultimate controlling person; and any additional documents or papers required by FORM B or regulations sections 0.04 and 0.06 requested by the commissioner.
ARC 8439A
INSURANCE DIVISION[191]

Notice of Intended Action

Twenty-five interested persons, a governmental subdivision, an agency or association of 25 or more persons may demand an oral presentation hereon as provided in Iowa Code section 17A.4(1)"b."

Notice is also given to the public that the Administrative Rules Review Committee may, on its own motion or on written request by any individual or group, review this proposed action under section 17A.8(6) at a regular or special meeting where the public or interested persons may be heard.

Pursuant to the authority of Iowa Code section 505.8, the Insurance Division hereby gives Notice of Intended Action to rescind Chapter 10, "Licensing of Insurance Producers," and Chapter 11, "Continuing Education for Insurance Producers," Iowa Administrative Code, and to adopt new Chapters 10 and 11 with the same titles.
The new Chapter 10 contains more extensive definitions and like topics are now grouped together. The new chapter implements new procedures regarding license term and address changes and establishes penalties for failure to pay loans from the College Student Aid Commission (CSAC). All new Iowa insurance licenses will now be issued for a three-year term, and the current system of issuing an initial license for 1, 2 or 3 years based on applicant's birth month is eliminated. The renewal period will be shortened by one month, and this change will be phased in over three years.
The new Chapter 11 contains more extensive definitions and like topics are now grouped together. The new chapter eliminates the requirement that producers must complete continuing education (CE) credits for each line of authority held. A new standard requirement of 36 credits for each producer for each CE term is established. There is a transition rule that allows credit for all previously earned credits. CE providers and their courses will now be subject to a renewal process. A limit is imposed on the use of self-study CE courses after January 1, 2000. An appeal process is created for CE providers. The division is authorized to retain an outside vendor to perform review of CE providers and courses.
Any interested person may submit written comments on the proposed rules on or before November 24, 1998. These comments should be directed to Rosanne Mead, Assistant Commissioner, Insurance Division, 330 Maple Street, Des Moines, Iowa 50319. Comments may also be transmitted by E-mail to rosanne.mead@comm6.state.ia.us or by fax to (515)281-3059.
A public hearing will be held on Tuesday, November 24, 1998, at 10 a.m. at the main conference room of the Insurance Division, 330 Maple Street, Des Moines, Iowa 50319. At the hearing, all persons will be asked to give their names and addresses for the record and to confine their remarks to the subject of the rules. Comments may be submitted orally or in writing.
Any person who plans to attend the public hearing and who has special requirements such as hearing or mobility impairments should contact the Insurance Division and advise of specific needs.
These rules are intended to implement Iowa Code section 505.8 and Iowa Code chapters 252J, 272C, and 522.
The following rules are proposed.
ITEM 1. Rescind 191--Chapter 10 and adopt the following new chapter in lieu thereof:
CHAPTER 10

LICENSING OF INSURANCE PRODUCERS

191--10.1(522) Purpose and authority.
10.1(1) The purpose of these rules is to govern the qualifications and procedures for the licensing of insurance producers and to set out the requirements, procedures and fees relating to the qualification, licensure and appointment of insurance producers.
10.1(2) These rules are authorized by Iowa Code section 505.8 and are intended to implement Iowa Code chapters 252J and 522.
191--10.2(522) Definitions.
"Amended license" means an insurance producer license that has had qualifications added or deleted since the issue date of the prior insurance producer license.
"Appointment" means a request by a licensed insurance company to register a licensed insurance producer as a representative of that company. A company filing such a request must have or intend to have a contractual relationship with the producer and must verify that the producer is licensed for the appropriate qualification(s).
"Appointment form" means the NAIC Midwest Zone Uniform Request for Company Appointment/Cancellation form or such other form as designated by the division.
"CE" means continuing education.
"CE term" means the three-year period ending on the December 31 prior to the producer's renewal year.
"CSAC" means college student aid commission.
"Division" means the Iowa insurance division.
"Duplicate license" means an insurance producer license reissued due to name change, address change or loss of license.
"Individual" means a private or natural person, as distinguished from a partnership, corporation or association.
"Insurance" means any of the lines of insurance listed in subrule 10.7(1).
"Insurance agency" means any partnership, corporation, or limited liability company, or other entity that has been issued a federal tax identification number for whom producers transact or do business with the public or insurance companies, but shall not mean a natural person.
"Insurance producer license application form" means the form prescribed by the division to be used to apply for an insurance producer license.
"Letter of certification" means a letter or electronic verification obtained through the National Association of Insurance Commissioners (NAIC) Producer Database system (PDB) issued by the insurance commissioner of a producer's resident state which certifies the status, current qualifications and continuing education compliance of the producer's insurance license in the resident state.
"Letter of clearance" means a letter or electronic verification issued by a commissioner which certifies that the named producer was formerly licensed in that state, lists the qualifications previously held by the producer and states that the producer is clear to obtain a resident producer license in the state of the producer's new residence.
"License" means a document issued by the division which authorizes a person to act as an insurance producer for the lines of insurance specified in the document. The license itself does not provide the producer with any authority to represent or bind an insurance carrier.
"License information bulletin" means a brochure issued annually which describes the insurance license application and testing process and which can be obtained from the outside testing service on contract with the division.
"Nonresident" means a person residing permanently in a state other than Iowa.
"Person" means a natural person, corporation, association, partnership or other legal entity as distinguished from an individual.
"Producer" means a person required to obtain an insurance license under Iowa Code section 522.1.
"Producer renewal report" includes:
1. The form issued by the division with which producers apply for renewal of a producer license and verify CE credits on file with the division;
2. The continuing education fee described in rule 191--11.14(272C);
3. The license fee set forth in rule 10.25(522); and
4. A letter of certification (nonresidents only).
"Renewal year" means the third year following the issuance or last renewal of an insurance producer license.
"Resident" means a person residing permanently in Iowa.
"Resident state" means the state or district in which a producer resides.
"Retaliatory fee" means a fee equal to the fee which a nonresident person would be charged by such person's state of residence if that person were a resident of Iowa making application for a license in that state.
"Termination" means cancellation of the relationship between the producer and the insurer or the end of the insurance producer license term.
191--10.3(522) Requirement to hold a license.
10.3(1) No person may solicit insurance in Iowa until that person has been issued an Iowa insurance producer license.
10.3(2) A person shall not, for a fee, engage in the business of offering advice, counsel, opinion or service with respect to the benefits, advantages or disadvantages under a policy of insurance that could be issued in Iowa, unless that person holds an Iowa insurance producer license.
10.3(3) A person shall not advise an Iowa resident to cancel, not renew, or otherwise change an existing insurance policy unless that person holds an Iowa insurance producer license regarding the line of insurance for which the advice is given.
10.3(4) This rule does not apply to:
a. A licensed attorney providing surety bonds incident to the attorney's practice.
b. A producer appointed to represent a fraternal benefit society as stipulated under Iowa Code section 512B.31.
c. A person selling a ticket for transportation by a common carrier when the person also sells, in connection with and related to the transportation ticket, a trip accident insurance policy or an insurance policy on personal effects being carried as luggage.
191--10.4(522) Licensing of resident producers.
10.4(1) A person residing in the state of Iowa who desires to sell insurance in Iowa must satisfy the following requirements to obtain an Iowa resident insurance producer license:
a. Be at least 18 years of age,
b. Be of good character and competency,
c. Submit a completed insurance license application form,
d. Pass an examination in the area of qualification sought,
e. Pay the appropriate insurance producer license fee, and
f. If the person was previously licensed as an insurance producer in another state within the past five years, submit a letter of clearance from the last state in which the person held an insurance license.
10.4(2) Any Iowa-licensed nonresident insurance producer who moves to this state and wishes to obtain an Iowa resident insurance producer license must:
a. Comply with the requirements set out in subrule 10.4(1);
b. Submit to the division a letter of clearance or certification from the most recent state in which the applicant held a resident license; and
c. Pass an Iowa laws and regulations examination or other appropriate examination as determined by the division for each of the qualifications for which the producer wishes to obtain a license.
A producer holding only the surety, crop or credit accident, health and life qualification shall not be required to complete an examination.
10.4(3) Examinations are conducted by the outside testing service on contract with the division. Applications and fees for examinations and for initial producer licensing are submitted to the outside testing service. An applicant may request express processing of the application with payment of the appropriate fee set forth in rule 10.25(522).
10.4(4) An application is valid for 90 days after the date the outside testing service receives a properly completed application. If an applicant is unable to pass the necessary examinations within the 90 days, all but $10 of the license fee will be returned.
10.4(5) Examination results are valid for 90 days after the date of the test. Failure to apply for licensure within 90 days after the examination is passed voids the examination results.
10.4(6) Any licensed insurance producer desiring to become licensed in an additional qualification shall:
a. Submit a completed insurance producer license application form to the division's outside testing service specifying the qualifications requested to be added;
b. Pass an examination for each of the qualifications requested to be added; and
c. Pay the fee to amend an insurance producer license.
10.4(7) Qualification in personal lines is a prerequisite for obtaining the commercial lines qualification.
10.4(8) To receive a license for the variable contracts qualification, the applicant must:
a. Hold an active Iowa insurance license with a life insurance qualification;
b. Provide proof of an active Iowa securities license; and
c. File an application with the division to amend the license to add the variable contracts qualification.
If a producer's Iowa securities license terminates, the variable contract qualification automatically terminates effective the day the securities license terminates.
10.4(9) The division may require any documents reasonably necessary to verify the information contained in the application or to verify that the individual making application has the character and competency required to receive an insurance producer license.
10.4(10) A person who resides in an adjacent state and who desires to obtain an Iowa insurance producer license for use solely while working in Iowa and selling insurance to Iowa residents may apply for a special resident license. Applications are filed directly with the division. Applicants must comply with all provisions of this rule. Producers licensed under this subrule are not eligible to receive a letter of certification and may be placed under special supervision restrictions by the division.
191--10.5(522) Licensing of nonresident producers.
10.5(1) A producer not residing in the state of Iowa who desires to sell insurance in Iowa shall satisfy the following requirements to obtain an Iowa nonresident insurance producer license:
a. Be at least 18 years of age;
b. Be of good character and competency;
c. Submit a completed nonresident insurance license application form to the division;
d. Submit a letter of certification; and
e. Pay the appropriate fee.
10.5(2) Any licensed nonresident producer desiring to become licensed in an additional qualification shall submit to the division:
a. A completed application form specifying the qualifications requested to be added;
b. A letter of certification; and
c. The appropriate fee.
10.5(3) An Iowa nonresident insurance producer license is contingent on proper licensure in the nonresident insurance producer's resident state. Termination of the producer's resident license will be deemed the automatic termination of the Iowa nonresident insurance producer license unless the producer timely files a change of address pursuant to subrule 10.14(3).
10.5(4) Qualifications will not be issued to a nonresident producer if the producer's resident state does not issue those qualifications to Iowa resident producers applying for nonresident producer qualifications in that state or if the producer's resident state restricts Iowa resident producers' nonresident activities in that state.
10.5(5) The division may require any documents reasonably necessary to verify the information contained in the application or to verify that the individual making application has the character and competency required to receive an insurance producer license.
191--10.6(522) Issuance of license.
10.6(1) An insurance producer license shall remain in effect for a term of three years, unless revoked or suspended, and may be continually renewed as long as the proper fees are paid and continuing education requirements are met.
10.6(2) An individual insurance producer whose license has lapsed may seek reinstatement as set forth in rule 10.9(522).
10.6(3) The license shall contain the producer's name, address, license number, date of issuance, date of expiration, the qualifications held and any other information the division deems necessary.
191--10.7(522) License qualifications.
10.7(1) The following qualifications are available for issuance in Iowa:

Qualification
Number


Qualification


4


Crop


5


Surety


6


Accident and health (insurance coverage for sickness, bodily injury, or accidental death and may include benefits for disability income)


7


Life (insurance coverage on human lives including benefits of endowment, annuities, equity indexed products, may include benefits in event of death or dismemberment by accident and benefits for disability income)


9


Variable life/variable annuity products (insurance coverage provided under variable life insurance contracts, variable annuities, or any other life insurance or annuity product that reflects the investment experience of a separate account)


16


Personal lines (fire, casualty and auto insurance sold to individuals or families)


17


Commercial lines (fire, casualty and auto insurance sold to businesses) (prerequisite is qualification 14 or 16)


18


Credit accident and health and credit life


19


Legal expense


20


Excess and surplus lines (prerequisite is qualification 14 or 16 and 17)


30


Nonresident property (nonresident producers who sell insurance coverage for the direct or consequential loss of or damage to property of every kind)


31


Nonresident casualty (nonresident producers who sell insurance coverage against legal liability, including that for death, injury, or disability, or damage to real or personal property)



10.7(2) The following qualifications are no longer issued in Iowa but shall remain valid so long as renewal requirements are met:

1


Fire only


2


Casualty only


3


Auto only


8


County mutual


11


All but life and variable contracts


12


Life and accident and health


14


Personal lines (fire, casualty, auto, and crop insurance sold to individuals or families)


15


All but variable contracts


191--10.8(522) License renewal.
10.8(1) Effective January 1, 1999, all new or renewed individual insurance producer licenses will be issued with an expiration date of March 31. All licensees with an expiration date of March 31 must submit a completed producer renewal report on or before March 31 of the year in which the license expires. All licensees currently holding an insurance producer license with an expiration date of April 30 will have until April 30 of the year in which the license expires to renew that license.
10.8(2) The division shall send a producer renewal report form to each licensed producer at the producer's last-known address as it appears in division records. If the division has received notification from the post office that the address of record is no longer valid for any reason, no renewal report form will be mailed.
10.8(3) Failure to renew a license and pay appropriate fees prior to the expiration date printed on the license will result in termination of the license.
191--10.9(522) License reinstatement.
10.9(1) A resident producer may reinstate an expired license until September 30 of the renewal year by proving that during the CE term the producer met the CE requirements found in 191--Chapter 11, and by paying a reinstatement fee and license fees.
10.9(2) A nonresident producer may reinstate a terminated license until September 30 of the renewal year by filing a completed producer renewal report and by paying a reinstatement fee and license renewal fee.
10.9(3) A previously licensed resident producer who does not prove compliance with the CE requirements by September 30 of the renewal year must successfully complete an examination in all qualifications for which license renewal is sought and apply for a new license. If a producer holds both a personal lines and a commercial lines qualification, the producer shall take and pass only the commercial lines examination. If a producer holds an excess and surplus lines designation, the producer shall take and pass both the commercial lines and the excess and surplus lines examinations. If a producer holds both the accident and health and the life insurance qualification, the producer may take the combined life/health examination.
10.9(4) A previously licensed nonresident producer who cannot prove compliance with the CE requirements may either take and successfully complete the appropriate Iowa examination(s) in all qualifications for which license renewal is sought prior to September 30 of the renewal year or may wait until October 1 of the renewal year and apply for a new license.
10.9(5) A producer who surrenders a license and states an intent to exit the insurance business may file a request to reactivate the license. The request must be received at the division within 90 days of the date the license was placed on inactive status. The request will be granted if the former producer is otherwise eligible to receive the license. A fee will be charged for this service.
191--10.10(522) Licensing after revocation or voluntary surrender of license.
10.10(1) A producer who wishes to reactivate a license following a suspension, revocation or voluntary surrender due to a disciplinary matter must satisfactorily complete all terms of the order or agreement which caused the license to become inactive.
10.10(2) To obtain an active license, the producer must apply for a new license and pay all appropriate license fees. If the license has been inactive more than 90 days, the producer will, at a minimum, be required to successfully complete the appropriate examinations before a license will be issued.
191--10.11(522) Exemptions from examination requirement.
10.11(1) An applicant for a resident producer license who previously held a valid Iowa resident license and has since continuously held a resident license in another state is not required to complete Iowa examinations. This exemption applies only to a producer who seeks to return to Iowa as a resident producer within three years from the date the producer surrendered the Iowa resident license.
10.11(2) The examination requirement may be waived for an applicant for a resident producer license who files a request for waiver which states some extenuating circumstance. Upon a finding of good cause, the division may determine that a license should be granted. Licenses granted under this provision may be limited in scope or duration.
191--10.12(522) Letter of clearance.
10.12(1) A resident producer may request a letter of clearance by submitting the following items to the division:
a. A written request, signed by the producer, including the producer's name, insurance producer license number, and the name of the state for which a letter of clearance is sought;
b. The producer's Iowa insurance license, or a signed statement that it has been lost or destroyed;
c. A self-addressed stamped envelope; and
d. The appropriate fee.
10.12(2) Upon issuance of the letter of clearance, the division will cancel all of the producer's company appointments and the license status will be changed from active to inactive.
191--10.13(522) Letter of certification. A resident producer may request a letter of certification by submitting the following items to the division:
1. A written request including the producer's name, insurance producer license number, and the name of the state for which the letter of certification is sought;
2. A self-addressed stamped envelope; and
3. The appropriate fee.
191--10.14(522) Change in name or address.
10.14(1) If a producer's name is changed, the producer must file written notification with the division within 30 days of the change. If the change of name is by court order, a copy of the order must be submitted to the division within 30 days of the change.
10.14(2) Address change. If a resident or nonresident producer's address is changed, the producer must file written notification signed by the producer within 30 days of the address change, stating:
a. Producer's name;
b. License number;
c. Previous resident address; and
d. The new resident address.
10.14(3) If a nonresident producer moves from one state to another state, the producer must file a change of address and a letter of certification from the new resident state within 60 days. No fee or license application is required.
10.14(4) The division will not automatically issue a new license with the producer's new address. A license will be issued upon written request and payment of the fee for a duplicate license.
10.14(5) If a licensed Iowa resident producer moves from Iowa to another state and wishes to become licensed as a nonresident producer in Iowa, the producer may file a change of address and a letter of certification from the new resident state within 60 days of the date the producer established residency in the new resident state.
10.14(6) If a nonresident producer moves into Iowa and wishes to obtain a resident license, the producer must comply with subrule 10.4(1).
191--10.15(522) Reporting of actions.
10.15(1) A producer shall report to the division any administrative action taken against the producer in another jurisdiction or by another Iowa governmental agency within 30 days of the final disposition of the matter. This report shall include a copy of the order, consent to order or other legal document.
10.15(2) Within 30 days of the initial pretrial hearing date, a producer shall report to the division any criminal prosecution of the producer taken in any jurisdiction. The report shall include a copy of the initial complaint filed, the order resulting from the hearing, and any other relevant legal document.
10.15(3) A producer shall report to the division all court actions and all CSAC actions taken under or in connection with Iowa Code chapter 261 and shall provide the division copies, within seven days of filing or issuance, of all applications filed with the district court pursuant to 1998 Iowa Acts, Senate File 2170, section 7, all court orders entered in such actions, and withdrawals of certificates of noncompliance by the CSAC.
191--10.16(522) Commissions.
10.16(1) An insurance company shall not pay, directly or indirectly, any commission, service fee, brokerage or other valuable consideration to any individual or person for services as an insurance producer unless the individual or person performing the service held a valid license regarding the class of insurance for which the service was rendered at the time the service was performed. A producer may not receive commissions for insurance written with a company until that producer has been appointed with such company. Nothing herein is intended to alter the requirements of Iowa Code section 522.4.
10.16(2) A producer may assign commissions to an entity organized for the purpose of operating that producer's insurance business so long as all of the entity's representatives who personally engage in solicitation activities in Iowa are individually licensed as producers under Iowa law.
10.16(3) A person who is not directly engaged in any activities in Iowa that require an insurance producer license in Iowa is not required to maintain an active insurance producer license in order to receive override commissions or to receive renewal commissions earned while the producer was actively engaged in activities that did require an insurance producer license.
191--10.17(522) Appointments.
10.17(1) Any insurance company admitted to do business in Iowa may file an appointment form to request an appointment.
10.17(2) Appointment fees are set forth in rule 10.25(522). A billing statement will be submitted to insurance companies on a monthly basis and payment is due within 45 days. The failure to timely pay appointment billing statements may subject an insurer to late fees or other sanctions.
10.17(3) When an insurance company terminates its relationship with a producer, the company shall promptly notify the division by submitting an appointment form. The company shall also notify the producer that the producer's appointment has been canceled.
10.17(4) Appointments and cancellations are effective when processed by the division.
10.17(5) When a company loses its identity in a new company by merger, acquisition, or otherwise, the new company must contact the licensing bureau to arrange for reappointment of the producers to the remaining company.
191--10.18(522) Appointment renewal.
10.18(1) On or about May 1 of each year, the division shall provide a list of the producers currently appointed with each insurance company and a billing statement. No amendments may be made to the billing statement.
10.18(2) Payment is due at the division on or before June 30 and must include the billing statement. Renewals filed after June 30 will be subject to a late filing fee.
10.18(3) Failure to pay renewal appointment fees by July 15 will result in cancellation of a company's appointments. Appointments that are canceled due to nonpayment of renewal fees may be reinstated upon payment of a reinstatement fee.
10.18(4) Effective January 1, 2002, appointment renewal reports will be sent to insurance companies on April 1 and payment will be due on or before May 31. Appointments that are not renewed by June 15 will be canceled and may be reinstated only upon payment of renewal and reinstatement fees.
10.18(5) By special arrangement with the division, the appointment renewal process may be conducted via electronic processes.
191--10.19(522) Licensing of an insurance agency.
10.19(1) Application. An insurance agency may apply for an Iowa insurance license. For purposes of this rule, upon approval of an application by the division, the insurance agency shall be classified as a producer and shall be subject to all standards of conduct applicable to producers.
10.19(2) Requirements. To qualify for such a license, the insurance agency must:
a. File a completed license application on the form prescribed by the division;
b. Designate one officer, owner, partner, or member of the insurance agency, which person also is a producer licensed by the division, as the person who will have full responsibility for the conduct of all business transactions of the insurance agency or of insurance producers affiliated with the insurance agency;
c. File a report of all Iowa-licensed insurance producers affiliated or employed with the insurance agency;
d. For a nonresident insurance agency, file a current certification of insurance agency licensure from the insurance commissioner for the insurance agency's resident state or, if the resident state does not license insurance agencies, file a request for a waiver of this requirement;
e. Pay the insurance agency license fee or the appropriate retaliatory fee;
f. Provide the legal or trade name of the insurance agency and all business names, trade names, service marks, marketing names or other names under which the insurance agency may operate.
10.19(3) License term. An insurance agency license issued under this rule shall be effective for three calendar years, including the year of application; and all insurance agency licenses shall expire on December 31 of the third calendar year.
10.19(4) License renewal. The division shall mail a renewal notice to the address of the insurance agency on file with the division on or before December 1. The renewal notice will include a current listing of all producers affiliated with that agency. The designated responsible producer shall strike through the names of the insurance producers no longer affiliated with the insurance agency and add the names of any affiliated insurance producers not on the list. The renewal notice form and renewal fee must be received by the division on or before December 31. By arrangement with the division, renewal notices may be issued and submitted electronically.
10.19(5) License reinstatement. Insurance agency licenses may be reinstated through January 31 following the third calendar year by payment of the renewal fee and a $100 reinstatement fee. Insurance agencies that fail to complete the reinstatement process by January 31 must submit an application for a new insurance agency license.
10.19(6) Insurance agency appointments. Any insurance company admitted to do business in Iowa may appoint an Iowa-licensed insurance agency.
10.19(7) Business address. Insurance agencies licensed under this rule must maintain a current business address with the division. If an insurance agency's address is changed, written notification signed by the designated responsible producer must be submitted to the division within 30 days of the address change, stating:
a. The name of the insurance agency;
b. The federal tax identification number of the insurance agency;
c. The previous address of the insurance agency; and
d. The new address of the insurance agency.
10.19(8) Business name. Insurance agencies licensed under this rule must maintain a current business name with the division. If an insurance agency changes the name under which it is operating, written notification signed by the designated responsible producer must be submitted to the division within 30 days of the name change on the form prescribed by the division.
191--10.20(522) Violations and penalties.
10.20(1) A producer who sells insurance, directly or indirectly, in violation of this chapter shall be deemed to be in violation of Iowa Code section 522.1 and subject to the penalties provided in Iowa Code section 522.5.
10.20(2) Any company or company representative who aids and abets a producer in the above-described violation shall be deemed to be in violation of Iowa Code section 522.1 and subject to the penalties provided in Iowa Code sections 522.5, 507B.7 and 507B.11.
10.20(3) The commissioner may place on probation, suspend, revoke, or refuse to issue or renew a producer's license or may levy a civil penalty, in accordance with Iowa Code sections 522.3 and 522.5 or any combination of actions, for any one or more of the following causes:
a. Providing incorrect, incomplete or materially untrue information on an application for an insurance producer license;
b. Obtaining or attempting to obtain an insurance producer license by fraud, misrepresentation or material misstatement;
c. Improperly using notes, or any other reference material, to complete an examination for an insurance producer license;
d. Submitting a check to the division or to the outside testing service on contract with the division which is returned to the division by a bank without payment, or submitting a payment to the division by credit card which the credit card company does not approve, or canceling or refusing amounts charged to a credit card by the outside testing service on contract with the division where services were received by the producer;
e. Failing to report any administrative action or criminal prosecution taken against the producer or failure to report the termination of a resident insurance producer license;
f. Having an insurance producer's license or its equivalent suspended or revoked by any other state, district or territory of the U.S. or any province of Canada or state of Mexico;
g. Acting as an insurance producer through persons not licensed as insurance producers;
h. Having been convicted of a felony;
i. Failing to timely respond to division inquiries;
j. Refusing to cooperate with division employees in an investigation;
k. Misappropriating, converting, or improperly withholding money or property received in the conduct of insurance business;
l. Intentionally misrepresenting the terms of any actual or proposed insurance policy;
m. Demonstrating incompetence, untrustworthiness or financial irresponsibility in the transaction of insurance business;
n. Using fraudulent, coercive or dishonest practices in the conduct of affairs under the license;
o. Taking any action to circumvent the spirit of these rules and the Iowa insurance statutes or any other action that shows noncompliance with the requirements of Iowa Code chapter 522 or these rules.
10.20(4) In the event that the division denies a request to renew an insurance producer license or denies an application for an insurance producer license, the commissioner shall notify the producer or applicant of the denial or failure to renew in writing, including the reason therefor. The producer or applicant may request a hearing within 30 days of receipt of the notice to determine the reasonableness of the division's action. The hearing shall be held within 30 days of the date of the receipt of the written demand by the applicant and shall be held pursuant to 191--Chapter 3.
10.20(5) The license of an agency may be suspended, revoked or refused if the commissioner finds, after hearing, that an individual licensee's violation was known or should have been known by one or more of the partners, officers or managers acting on behalf of the partnership or corporation and the violation was neither reported to the insurance division nor was corrective action taken.
191--10.21(252J) Suspension for failure to pay child support.
10.21(1) Upon receipt of a certificate of noncompliance from the child support recovery unit (CSRU), the commissioner shall issue a notice to the producer that the producer's pending application for licensure, pending request for renewal, or current license will be suspended 30 days after the date of the notice. Notice shall be sent to the producer's last-known address by regular mail.
10.21(2) The notice shall contain the following items:
a. A statement that the commissioner intends to suspend the producer's application, request for renewal or current insurance license in 30 days;
b. A statement that the producer must contact the CSRU to request a withdrawal of the certificate of noncompliance;
c. A statement that the producer's application, request for renewal or current license will be suspended if the certificate of noncompliance is not withdrawn;
d. A statement that the producer does not have a right to a hearing before the division, but that the producer may file an application for a hearing in district court pursuant to Iowa Code section 252J.9;
e. A statement that the filing of an application with the district court will stay the proceedings of the division;
f. A copy of the certificate of noncompliance.
10.21(3) The filing of an application for hearing with the district court will stay all suspension proceedings until the division is notified by the district court of the resolution of the application.
10.21(4) If the division does not receive a withdrawal of the certificate of noncompliance from the CSRU or a notice from a clerk of court that an application for hearing has been filed, the division shall suspend the producer's application, request for renewal or current license 30 days after the notice is issued.
10.21(5) Upon receipt of a withdrawal of the certificate of noncompliance from the CSRU, suspension proceedings shall halt and the named producer shall be notified that the proceedings have been halted. If the producer's license has already been suspended, the license shall be reinstated if the producer is otherwise in compliance with division rules.
191--10.22(252J) Suspension for failure to pay student loan.
10.22(1) The division shall deny the issuance or renewal of an insurance producer license upon receipt of a certificate of noncompliance from the college student aid commission (CSAC) according to the procedures set forth in 1998 Iowa Acts, Senate File 2170. In addition to the procedures contained in those sections, this rule shall apply.
10.22(2) Upon receipt of a certificate of noncompliance from the CSAC according to the procedures set forth in 1998 Iowa Acts, Senate File 2170, the commissioner shall issue a notice to the producer that the producer's pending application for licensure, pending request for renewal, or current license will be suspended 60 days after the date of the notice. Notice shall be sent to the producer's last-known address by restricted certified mail, return receipt requested, or by personal service in accordance with the Iowa Rules of Civil Procedure. Alternatively, the applicant or licensed producer may accept service personally or through authorized counsel.
10.22(3) The notice shall contain the following items:
a. A statement that the commissioner intends to suspend the producer's application, request for renewal or current insurance license in 60 days;
b. A statement that the producer must contact the CSAC to request a withdrawal of the certificate of noncompliance;
c. A statement that the producer's application, request for renewal or current insurance producer license will be suspended if the certificate of noncompliance is not withdrawn or, if the current license is on suspension, a statement that the producer's current insurance producer license will be revoked;
d. A statement that the producer does not have a right to a hearing before the division, but that the producer may file an application for a hearing in district court pursuant to 1998 Iowa Acts, Senate File 2170, sections 6 and 7;
e. A statement that the filing of an application with the district court will stay the proceedings of the division;
f. A copy of the certificate of noncompliance.
10.22(4) The effective date of revocation or suspension of an insurance producer license, as specified in the notice required by 1998 Iowa Acts, Senate File 2170, section 6, shall be 60 days following service of the notice upon the applicant or registrant.
10.22(5) In the event an applicant or licensed producer timely files a district court action following service of a division notice pursuant to 1998 Iowa Acts, Senate File 2170, sections 6 and 7, the division's suspension proceedings will be stayed until the division is notified by the district court of the resolution of the application. Upon receipt of a court order lifting the stay, or otherwise directing the division to proceed, the division shall continue with the intended action described in the notice. For purposes of determining the effective date of the denial of the issuance or renewal of an insurance producer license, the division shall count the number of days before the action was filed and the number of days after the court disposed of the action.
10.22(6) If the division does not receive a withdrawal of the certificate of noncompliance from the CSAC or a notice from a clerk of court that an application for hearing has been filed, the division shall suspend the producer's application, request for renewal or current insurance producer license 60 days after the notice is issued.
10.22(7) Upon receipt of a withdrawal of the certificate of noncompliance from the CSAC, suspension proceedings shall halt and the named producer shall be notified that the proceedings have been halted. If the producer's insurance license has already been suspended, the license shall be reinstated if the producer is otherwise in compliance with division rules. All fees required for license renewal or license reinstatement must be paid by producers and all continuing education requirements must be met before an insurance producer license will be renewed or reinstated after the board has suspended or revoked a license pursuant to 1998 Iowa Acts, Senate File 2170.
10.22(8) The division shall notify the producer in writing through regular first-class mail, or such other means as the division deems appropriate in the circumstances, within ten days of the effective date of the suspension or revocation of an insurance producer license, and shall similarly notify the producer when the insurance producer license is reinstated following the division's receipt of a withdrawal of the certificate of noncompliance.
10.22(9) Notwithstanding any statutory confidentiality provision, the division may share information with the CSAC for the sole purpose of identifying producers subject to enforcement under Iowa Code chapter 261.
191--10.23(522) Administration of examinations.
10.23(1) The division will enter into a contractual relationship with an outside testing service to provide the licensing examinations for all of the producers' qualifications where an examination is required.
10.23(2) The outside testing service will administer all examinations for license applicants.
10.23(3) Any contract to implement subrule 10.23(1) shall require the outside testing service to:
a. Update, on a continual basis, the licensing examinations,
b. Ensure that the examinations are job-related,
c. Adequately inform the applicants of the procedures and requirements for taking the licensing examinations,
d. Prepare and administer examinations for all lines listed in subrule 10.7(1), except qualifications 9, 30 and 31, and
e. Conform to division guidelines and report to the division on at least a quarterly basis.
191--10.24(522) Forms. An original of each form necessary for the producer's licensure, appointment and cancellation may be requested from the division or downloaded from the division's web site and exact, readable, high-quality copies may be made therefrom. A self-addressed, stamped envelope must be submitted with each request.
191--10.25(522) Fees.
10.25(1) The fee for an examination shall be set by the outside testing service under contract to the division and approved by the division.
10.25(2) The express processing fee for resident producer license applications shall be set by the outside testing service under contract to the division and approved by the division.
10.25(3) The fee for issuance or renewal of an insurance producer license is $50 for three years or, for a nonresident producer, the greater of $50 or the retaliatory fee.
10.25(4) The fee for issuance or renewal of an insurance agency license is $50 for three years or, for a nonresident producer, the greater of $50 or the retaliatory fee.
10.25(5) The fee for reinstatement of an insurance producer license is a total of the renewal fee plus $100.
10.25(6) The fee for issuance of an amended or duplicate license is $10.
10.25(7) The fee for issuance of a clearance letter is $5.
10.25(8) The fee for issuance of a certification letter is $5.
10.25(9) The fee for an appointment or the renewal of an appointment is $5 per producer or the retaliatory fee. There is no fee for the cancellation of an appointment.
10.25(10) The total late fee for filing appointment renewals shall be double the renewal fee. The fee to reinstate appointments that were canceled for failure to renew shall be the late fee plus $100.
10.25(11) The fee to reactivate an inactive license and receive a new license under subrule 10.9(5) is $10.
10.25(12) The division may charge a fee for other services.
These rules are intended to implement Iowa Code chapters 522 and 252J.
ITEM 2. Rescind 191--Chapter 11 and adopt the following new chapter in lieu thereof:

CHAPTER 11

CONTINUING EDUCATION FOR
INSURANCE PRODUCERS

191--11.1(272C) Statutory authority--purpose--appli-cability.
11.1(1) These rules are adopted pursuant to the general rule-making authority of the insurance commissioner in Iowa Code chapter 505 and the specific authority in Iowa Code chapter 272C to issue rules establishing continuing education requirements for resident and nonresident insurance producers.
11.1(2) The purpose of these rules is to establish requirements by prescribing:
a. The minimum number of continuing education credits that an insurance producer must complete;
b. The procedure and standards that the division will utilize in the approval of continuing education providers and courses;
c. The procedure for establishing that the required continuing education has been completed; and
d. Enforcement criteria and guidelines.
11.1(3) These rules do not apply to:
a. A nonresident producer who resides in a state or district having a continuing education (CE) requirement for insurance producers.
b. A resident producer who holds qualification 18 (credit life, accident and health insurance), 4 (crop insurance) or 19 (legal expense insurance).
c. Licensed attorneys who are also producers who submit proof of completion of continuing legal education for the appropriate calendar years during the CE term, pay the continuing education fee set forth in subrule 11.14(1) and otherwise comply with the producer license renewal procedures set forth in 191--Chapter 10.
d. A producer who serves full-time in the armed forces of the United States of America on active duty during a substantial part of the CE term and who submits evidence of such service.
191--11.2(272C) Definitions.
"Annually" means each calendar year between January 1 and December 31.
"Approved subject" or "approved course" means any educational presentation which has been approved by the division and which is offered in a classroom, seminar or other similar form of instruction.
"Attendance record" means a record on which a CE provider requires attendees of a CE course to sign in at the time of entrance to the course.
"CE" means continuing education as defined in Iowa Code section 272C.1(1).
"CE provider" means any individual or entity that is approved to offer continuing education courses in Iowa.
"CE term" means the three-year period ending December 31 prior to the producer's renewal year.
"Credit" means continuing education credit. One credit is 50 minutes of instruction or reading material in an acceptable topic.
"License" means a document issued by the division which authorizes a person to act as an insurance producer for the lines of insurance specified in such document. The license itself does not provide the producer with any authority to represent or bind an insurance carrier.
"Producer" means a person required to obtain an insurance license under Iowa Code section 522.1.
"Renewal year" means the third year following the issuance or last renewal of an insurance producer license.
"Resident" means a person residing permanently in Iowa.
"Roster" means a listing of all licensed attendees at an approved course and includes the Iowa course number, the producer license number, the date the course was completed, and the actual number of credits earned by each producer.
"Self-study course" means an educational program that consists of a self-study manual and an examination that is timely submitted to the CE provider for scoring. Effective January 1, 2000, self-study courses will not be eligible for approval or renewal unless the course is eligible under subrule 11.5(5).
191--11.3(272C) Continuing education requirements for producers.
11.3(1) Effective January 1, 1999, every licensed resident producer shall obtain a minimum of 36 credits for each CE term in courses approved by the division.
11.3(2) Producers who accumulated CE credits in basic, life/health or property/casualty courses completed prior to January 1, 1999, may cumulate those credits and apply them toward the next CE term requirement.
11.3(3) An instructor of an approved subject is entitled to the same credit as a student completing that subject and may receive such credit once during a CE term.
11.3(4) A producer cannot carry over CE credits earned in excess of the producer's CE term requirements from one CE term to the next.
11.3(5) Effective January 1, 2000, a producer may receive CE credit for a self-study course only if that course is part of a series leading to a recognized national designation and the producer successfully completes the examination for that course. A self-study course is considered completed when the examination is received by the CE provider.
11.3(6) A producer may not receive CE credit for courses taken prior to the issuance of an initial license.
11.3(7) A producer cannot receive credit for the same course twice in one CE term.
11.3(8) A producer may elect to comply with the CE requirements by taking and passing the appropriate licensing examination for each qualification held by the producer. If a producer holds both a personal lines and a commercial lines qualification, the producer shall take and pass only the commercial lines examination. If a producer holds an excess and surplus lines designation, the producer shall take and pass both the commercial lines and the excess and surplus lines examinations. If a producer holds both the accident and health and the life insurance qualification, the producer may take the combined life/health examination. These examinations must be completed prior to the expiration of the producer's license.
191--11.4(272C) Proof of completion of continuing education requirements.
11.4(1) Producers are required to demonstrate compliance with the CE requirements at the time of license renewal. Procedures for completing the license renewal process are outlined in 191--Chapter 10.
11.4(2) Producers are required to maintain a record of all courses attended by keeping the original certificates of com-pletion for four years after the end of the year of attendance.
11.4(3) Waiver or extension. A producer who wishes to receive a waiver or extension of time to complete the CE requirements must file a written request with the division. A waiver or extension will not be issued to a producer unless the division finds that good cause exists. Good cause shall be defined as an inability to devote sufficient hours to fulfilling the CE requirements during the CE term because of a long-term, severe illness or incapacity evidenced by a doctor's certification, or extenuating circumstances.
191--11.5(272C) Course approval.
11.5(1) To qualify for approval a course must be designed to expand technical insurance skills and knowledge obtained prior to initial licensure or to develop new and relevant skills and knowledge.
11.5(2) Any approved active CE provider may submit a request for approval of any course, program of study, or subject for continuing education credit to the division on a form prescribed by the division. If an outside vendor is retained by the division for course reviews, requests for approval will be filed directly with the vendor.
11.5(3) Requests for course approval which do not include all required information will be returned as incomplete.
11.5(4) Except as provided in subrule 11.5(5), requests for approval shall be submitted at least 30 days prior to the beginning of the course. Requests received later may be disapproved.
11.5(5) A request for approval of any self-study course that is part of a recognized national designation program may be filed within 60 days after the course is completed. This course will be reviewed and may be approved for up to the number of hours credited for passage of the national examination in topics that are otherwise approvable under these rules. This subrule applies only to national designation programs such as AAI, ARM, CIC, CEBS, ChFC, CFP, CLU, CPCU, FLMI, LUTCF, RHU and similar courses as determined by the division.
11.5(6) An insurance producer who attends a classroom course offered by a college or governmental agency that has not been approved by the division may make application for approval of the course for CE credit. The application must be filed within 60 days of attendance at the course and must contain sufficient materials to allow for a thorough evaluation of the course content and instructor qualifications. To be eligible for CE credit, the course must meet all division guidelines for course approval. All course review fees must be paid by the producer.
11.5(7) A CE course must be offered for a minimum of one credit. Fractional credits will not be awarded.
11.5(8) Notification will be sent to the CE provider indicating approval or disapproval. Approved courses will be assigned a course number.
11.5(9) The division may deem the approval of a CE course by another state's insurance division as adequate evidence that a course is eligible for approval in Iowa and award the same number of credits for the course awarded by the other state.
11.5(10) CE courses approved by the division on or after January 1, 1999, may be offered for a 24-month period following the date of approval. CE courses which were approved by the division prior to January 1, 1999, will retain their approved status through May 31, 1999, and will expire on that date if not renewed.
191--11.6(272C) Topic guidelines.
11.6(1) The following course topics are examples of subjects that will qualify for approval:
1. Rating;
2. Tax laws (specifically related to insurance);
3. Policy contents;
4. Proper uses of products;
5. Ethics;
6. Risk management;
7. Iowa insurance laws and administrative rules;
8. Technical information related to the insurance license;
9. Errors and omissions;
10. Estate planning/taxation;
11. Wills and trusts; and
12. Financial planning.
11.6(2) The following course topics are examples of subjects that will not qualify for approval:
1. Sales;
2. Motivation;
3. Prospecting;
4. Psychology;
5. Communication skills;
6. Prelicense training;
7. Supportive office skills (e.g., typing, filing, computers);
8. Personnel management;
9. Recruiting; and
10. Other subjects not related to the insurance license.
191--11.7(272C) CE course renewal. Prior to expiration of the 24-month approval period, a CE provider must apply for renewal of each course with the division or its outside vendor. If a CE provider makes a substantial change to the content of a previously approved course, that course will not be eligible for renewal and must be submitted for a complete review.
191--11.8(272C) Appeals. A CE provider may appeal the amount of CE credit awarded by the division for a course. An appeal must be made in writing to the division within 30 days of the receipt by the CE provider of the notice of CE credit awarded for the course. If the division retains an outside vendor for course reviews, a CE provider must first complete an appeal process with the vendor before filing an appeal with the division.
191--11.9(272C) CE provider approval.
11.9(1) Any school, insurer, industry association or other organization intending to provide a course, program of study, or subject for continuing education credit must submit an application on a form prescribed by the division to become an approved CE provider.
11.9(2) To qualify for approval, a CE provider must demonstrate financial and organizational stability and must agree to comply with the administrative and regulatory constraints set forth by the division.
11.9(3) All CE providers that have been approved in Iowa prior to January 1, 1999, will retain their approved status through May 31, 1999. These CE providers must complete a renewal process by May 31, 1999, to be eligible to continue as a CE provider in Iowa. All new applicants for CE providers approved on or after January 1, 1999, will be eligible to submit courses for approval for the next 24-month period. Each individual course each CE provider intends to offer must be submitted to and approved by the division.
11.9(4) A CE provider must complete the renewal process to be eligible to continue serving as a CE provider. Failure to complete the renewal process will result in the expiration of the CE provider's approval and all previously approved courses.
11.9(5) If an outside vendor is retained by the division for CE provider reviews, requests for approval will be filed directly with the vendor.
191--11.10(272C) CE provider's responsibilities.
11.10(1) A CE provider must ensure that each classroom course is conducted by a qualified and competent instructor.
11.10(2) A CE provider shall obtain and maintain an attendance record for each course for at least four years from the end of the year in which the course is offered. Upon request by the division, a CE provider must submit copies of attendance records.
11.10(3) A CE provider of an approved course is responsible for both the attendance of the students and their attention. A CE provider must refuse to award CE credit for time periods when the student was absent.
11.10(4) Upon request by the division, a CE provider shall videotape a course and such recording shall be promptly submitted to the division.
11.10(5) Upon request by the division, a CE provider must provide a copy of all course materials.
11.10(6) If an approved course is canceled, a CE provider must notify the division, or its outside vendor, and registrants at least 48 hours prior to the course date.
11.10(7) CE providers must submit rosters of all course attendees to the division. These reports must be received at the division by the tenth day of the month following the month in which the course is completed. Rosters shall be submitted in computer disk format or electronically in a manner prescribed by the division.
11.10(8) Once a course is completed, the CE provider shall issue a certificate of completion to each person who satisfactorily completes a course. The certificate must be issued within 20 days of course completion and must be signed by either the course instructor or the CE provider's authorized representative. The certificate of completion used by the CE provider must be in a form or format prescribed by the division.
11.10(9) CE providers must report to the division any disciplinary action taken against that CE provider by another state licensing authority.
191--11.11(272C) Prohibited conduct--CE providers.
11.11(1) CE providers shall not:
a. Advertise, prior to approval, that a course is approved;
b. Prepare and distribute certificates of completion before the course has been conducted;
c. Issue inaccurate or incomplete certificates of completion;
d. Refuse to issue certificates of completion to any participant who satisfactorily completes an approved course, except when subrule 11.10(3) applies.
11.11(2) The division may revoke the approval of a continuing education provider or may discipline a continuing education provider, upon a finding that the CE provider:
a. Committed any one or more of the actions prohibited in subrule 11.11(1);
b. Failed to perform any duties required by these rules; or
c. Committed any other action inconsistent with these rules.
11.11(3) If the division finds that a CE provider has violated Iowa laws or these rules, the division shall give written notification to the CE provider of the alleged improper conduct and any discipline or sanction imposed. The CE provider may make a written request for a hearing within 30 days of receipt of the notice. The hearing shall be held within 30 days of the division's receipt of the written demand by the CE provider unless the parties agree to a later hearing date. The hearing shall be conducted pursuant to 191--Chapter 3.
11.11(4) A fine may be imposed against a CE provider if the commissioner finds, after hearing, that the CE provider knew or should have known that it was in violation of this chapter. The division may take any one or more of the following actions upon a finding of a violation of this subrule:
a. Require the CE provider to pay a fine not to exceed $1,000 per violation;
b. Require the CE provider to refund the course admission fee to all participants;
c. Require the CE provider to provide a suitable course to replace the course that was found in violation;
d. Withdraw the approval of courses sponsored by such CE provider; or
e. Take other disciplinary action permitted by statute.
191--11.12(272C) Outside vendor. The division may enter into a contractual arrangement with a qualified outside vendor to assist the division with review and renewal of continuing education providers and courses. Fees charged by the outside vendor will be subject to division approval and will be paid by the CE provider. Course approval fees are nonrefundable.
191--11.13(272C) CE course audits. The division may audit any CE course. The cost of the audit will be charged to the CE provider. Any discrepancies between the materials submitted for approval to the division and the content found at the audit, or any evidence of activity set forth in rule 191--11.11(272C), may subject the CE provider or instructor to administrative sanctions. Governmental bodies, such as community colleges and universities, shall not be charged for the cost of an audit.
191--11.14(272C) Fees and costs.
11.14(1) The CE fee that is due with a producer renewal report is $30.
11.14(2) The fee for a report of a producer's CE credits on file with the division is $10.
11.14(3) The fees for approval and renewal of CE providers, CE courses and registration of instructors shall be set by the outside vendor retained by the division and are subject to approval by the division.
11.14(4) The division may charge a fee for other services.
ARC 8449A
INSURANCE DIVISION[191]

Notice of Termination

Pursuant to the authority of Iowa Code section 505.8, the Insurance Commissioner terminates the rule making initiated by its Notice of Intended Action published in the Iowa Administrative Bulletin on April 8, 1998, as ARC 7939A, proposing to amend Chapter 35, "Accident and Health Insurance," Chapter 36, "Accident and Health--Minimum Standards," Chapter 40, "Health Maintenance Organizations," Chapter 71, "Small Group Health Benefit Plans," and Chapter 75, "Iowa Individual Health Benefit Plans," Iowa Administrative Code.
The Notice proposed to amend these chapters by requiring carriers and health maintenance organizations to include in contracts and evidence of coverage documents a disclosure of the existence of any drug formularies and the existence of any contractual arrangements which provide rebates or other incentives for drugs or medical devices.
The Division is terminating the rule making commenced in ARC 7939A and will later submit a Notice of Intended Action incorporating further changes and clarifications.
ARC 8424A
LANDSCAPE ARCHITECTURAL EXAMINING BOARD[193D]

Notice of Intended Action

Twenty-five interested persons, a governmental subdivision, an agency or association of 25 or more persons may demand an oral presentation hereon as provided in Iowa Code section 17A.4(1)"b."

Notice is also given to the public that the Administrative Rules Review Committee may, on its own motion or on written request by any individual or group, review this proposed action under section 17A.8(6) at a regular or special meeting where the public or interested persons may be heard.

Pursuant to the authority of Iowa Code section 544B.5, the Iowa Landscape Architectural Examining Board hereby gives Notice of Intended Action to amend Chapter 2, "Examinations and Registration," Chapter 4, "Disciplinary Action," and Chapter 5, "Public Records and Fair Information Practices," Iowa Administrative Code.
The amendments will enable the Board to comply with 1998 Iowa Acts, Senate File 2170, relating to licensing sanctions against individuals who default on debt owed to or collected by the College Student Aid Commission, which requires licensing authorities to deny the issuance or renewal of a registration, or suspend or revoke a registration upon receipt of a certificate of noncompliance (student loan default) from the Iowa College Student Aid Commission.
Consideration will be given to all written suggestions or comments on the proposed amendments received on orbefore November 24, 1998. Comments should be addressedto Roger Halvorson, 1918 S.E. Hulsizer, Ankeny, Iowa 50021, or faxed to (515)281-7411. E-mail may be sent to Roger.Halvorson@comm7.state.ia.us.
A public hearing will be held on November 24, 1998, at 9 a.m. in the Professional Licensing Conference Room on the second floor of the Department of Commerce Building, 1918 S.E. Hulsizer, Ankeny, Iowa.
These amendments are intended to implement 1998 Iowa Acts, Senate File 2170 [chapter 1081].
The following amendments are proposed.
ITEM 1. Adopt new rule 193D--2.12(77GA,SF2170) as follows:
193D--2.12(77GA,SF2170) Issuance or renewal of a certificate of registration--denial. The board shall deny the issuance or renewal of a registration upon receipt of a certificate of noncompliance from the college student aid commission according to the procedures set forth in 1998 Iowa Acts, Senate File 2170. In addition to the procedures contained in those sections, this rule shall apply.
2.12(1) The notice required by 1998 Iowa Acts, Senate File 2170, section 6, shall be served by restricted certified mail, return receipt requested, or by personal service in accordance with the Iowa Rules of Civil Procedure. Alternatively, the registrant or applicant may accept service personally or through authorized counsel.
2.12(2) The effective date of the denial of the issuance or renewal of a certificate of registration, as specified in the notice required by 1998 Iowa Acts, Senate File 2170, section 6, shall be 60 days following service of the notice upon the registrant or applicant.
2.12(3) The board's executive secretary is authorized to prepare and serve the notice required by 1998 Iowa Acts, Senate File 2170, section 6, upon the registrant or applicant.
2.12(4) Registrants and applicants shall keep the board informed of all court actions and all college student aid commission actions taken under or in connection with Iowa Code chapter 261 and shall provide the board copies, within seven days of filing or issuance, of all applications filed with the district court pursuant to 1998 Iowa Acts, Senate File 2170, section 7, all court orders entered in such actions, and withdrawals of certificates of noncompliance by the college student aid commission.
2.12(5) All board fees required for application, registration renewal or registration reinstatement must be paid by registrant or applicant, and all continuing education requirements must be met before a registration will be issued, renewed, or reinstated after the board has denied the issuance or renewal of a registration pursuant to Iowa Code chapter 261.
2.12(6) In the event a registrant or applicant timely files a district court action following service of a board notice pursuant to 1998 Iowa Acts, Senate File 2170, sections 6 and 7, the board shall continue with the intended action described in the notice until the board's receipt of a court order lifting the stay, dismissing the action, or otherwise directing the board to proceed. For purposes of determining the effective date of the denial of the issuance or renewal of a license, the board shall count the number of days before the action was filed and the number of days after the action was disposed of by the court.
2.12(7) The board shall notify the registrant or applicant in writing through regular first-class mail, or such other means as the board deems appropriate in the circumstances, within ten days of the effective date of the denial of the issuance or renewal of a registration, and shall similarly notify the registrant or applicant when the license is issued or renewed following the board's receipt of a withdrawal of the certificate of noncompliance.
ITEM 2. Adopt new rule 193D--4.13(77GA,SF2170) as follows:
193D--4.13(77GA,SF2170) Suspension or revocation of a certificate of registration--student loan. The board shall suspend or revoke a certificate of registration upon receipt of a certificate of noncompliance from the college student aid commission according to the procedures set forth in 1998 Iowa Acts, Senate File 2170. In addition to the procedures contained in those sections, this rule shall apply.
4.13(1) The notice required by 1998 Iowa Acts, Senate File 2170, section 6, shall be served by restricted certified mail, return receipt requested, or by personal service in accordance with the Iowa Rules of Civil Procedure. Alternatively, the registrant may accept service personally or through authorized counsel.
4.13(2) The effective date of revocation or suspension of a certificate of registration, as specified in the notice required by 1998 Iowa Acts, Senate File 2170, section 6, shall be 60 days following service of the notice upon the registrant.
4.13(3) The board's executive secretary is authorized to prepare and serve the notice required by 1998 Iowa Acts, Senate File 2170, section 6, and is directed to notify the registrant that the certificate of registration will be suspended, unless the certificate of registration is already suspended on other grounds. In the event a certificate of registration is on suspension, the executive secretary shall notify the registrant of the board's intention to revoke the certificate of registration.
4.13(4) Registrants shall keep the board informed of all court actions and all college student aid commission actions taken under or in connection with Iowa Code chapter 261 and shall provide the board copies, within seven days of filing or issuance, of all applications filed with the district court pursuant to 1998 Iowa Acts, Senate File 2170, section 7, all court orders entered in such actions, and withdrawals of certificates of noncompliance by the college student aid commission.
4.13(5) All board fees required for registration renewal or registration reinstatement must be paid by the registrant and all continuing education requirements must be met before a certificate of registration will be renewed or reinstated after the board has suspended or revoked a certificate of registration pursuant to Iowa Code chapter 261.
4.13(6) In the event a registrant timely files a district court action following service of a board notice pursuant to 1998 Iowa Acts, Senate File 2170, sections 6 and 7, the board shall continue with the intended action described in the notice until the board's receipt of a court order lifting the stay, dismissing the action, or otherwise directing the board to proceed. For purposes of determining the effective date of the denial of the issuance or renewal of a certificate of registration, the board shall count the number of days before the action was filed and the number of days after the action was disposed of by the court.
4.13(7) The board shall notify the registrant in writing through regular first-class mail, or such other means as the board deems appropriate in the circumstances, within ten days of the effective date of the suspension or revocation of a license, and shall similarly notify the registrant when the certificate of registration is reinstated following the board's receipt of a withdrawal of the certificate of noncompliance.
ITEM 3. Adopt new rule 193D--5.17(77GA,SF2170) as follows:
193D--5.17(77GA,SF2170) Sharing of information with the college student aid commission. Notwithstanding any statutory confidentiality provision, the board may share information with the college student aid commission for the sole purpose of identifying licensees or applicants subject to enforcement under 1998 Iowa Acts, Senate File 2170.
ARC 8442A
NATURAL RESOURCE COMMISSION[571]

Notice of Intended Action

Twenty-five interested persons, a governmental subdivision, an agency or association of 25 or more persons may demand an oral presentation hereon as provided in Iowa Code section 17A.4(1)"b."

Notice is also given to the public that the Administrative Rules Review Committee may, on its own motion or on written request by any individual or group, review this proposed action under section 17A.8(6) at a regular or special meeting where the public or interested persons may be heard.

Pursuant to the authority of Iowa Code subsection 455A.5(6), the Natural Resource Commission hereby gives Notice of Intended Action to amend Chapter 52, "Wildlife Refuges," and Chapter 61, "State Parks and Recreation Areas," Iowa Administrative Code.
These amendments accomplish the following:
1. Add Elinor Bedell State Park to the list of wildlife refuges.
2. Add Elinor Bedell State Park to the list of state parks managed by the state.
3. Add Elinor Bedell State Park to the list of parks with extended camping seasons.
4. Add the word "lodges" to the heading of the list of enclosed shelter rental facilities.
5. Increase the rental fee for A.A. Call State Park's enclosed shelter since it has been renovated and kitchen facilities have been added; add the lodge at Beeds Lake and the shelter at Lake Macbride State Park as enclosed shelters and set the rental fees for both.
6. Add the renovated beach house at Lake Ahquabi to the list of beach house open shelter rental facilities.
7. Add "designated organized youth camp site" to the list of facilities that can be reserved.
8. Amend subrule 61.4(2), paragraph "b," by adding "designated organized youth camp site" to the reservation policy.
9. Amend the reference to a subrule in 61.4(2)"l."
10. Amend subrule 61.5(7), paragraph "d," which restricts pets to a leash.
11. Amend the reference to a subrule in 61.6(1).
12. Add Elinor Bedell State Park to the list of areas where after-hours fishing is allowed.
Any interested person may make written suggestions or comments on the proposed amendments on or before November 25, 1998. Such written materials should be directed to the Parks, Recreation and Preserves Division, Department of Natural Resources, Wallace State Office Building, Des Moines, Iowa 50319-0034; fax (515)281-6794. Persons who wish to convey their views orally should contact the Division at (515)281-3449 or TDD (515)242-5976 or at the Division offices on the fourth floor of the Wallace State Office Building.
There will be a public hearing on November 25, 1998, at9 a.m. in the Fourth Floor East Conference Room of the Wallace State Office Building at which time persons may present their views either orally or in writing. At the hearing, persons will be asked to give their names and addresses for the record and to confine their remarks to the subject of the amendments.
Any persons who intend to attend the public hearing and have special requirements such as hearing or mobility impairments should contact the Department of Natural Resources and advise of specific needs.
These amendments are intended to implement Iowa Code sections 461A.3, 461A.42, 461A.44 to 461A.48, 461A.50,
461A.51, 461A.57, 481A.5, and 481A.7.
The following amendments are proposed.
ITEM 1. Amend subrule 52.1(1) by adding the following new language in alphabetical order:
Elinor Bedell Dickinson
1. Except that area along the shoreline signed as a public hunting area.
ITEM 2. Amend rule 571--61.2(461A), definition of "State park," by adding the following new language in alphabetical order:
Elinor Bedell Dickinson
ITEM 3. Amend subrule 61.3(1), paragraph "j," by adding the following new paragraph in alphabetical order:
Elinor Bedell State Park, Dickinson County--Monday before the national Memorial Day holiday through October 31 or until the facilities at Elinor Bedell State Park are closed for the season, whichever comes first.
ITEM 4. Amend subrule 61.3(3), paragraph "a," as follows:
a. Enclosed shelters/lodges Per Day
A.A. Call State Park, Kossuth County $55 70
Backbone State Park Auditorium,
Delaware County** 40
Backbone State Park, Delaware County 100
Beeds Lake State Park, Franklin County 55
Bellevue State Park-Nelson Unit, Jackson County 80
Big Creek State Park, Polk County 175
Clear Lake State Park, Cerro Gordo County 80
Dolliver Memorial State Park-Central Lodge,
Webster County** 40
Dolliver Memorial State Park-South Lodge,
Webster County 55
Ft. Defiance State Park, Emmet County 40
George Wyth Recreation Area,
Black Hawk County** 50
Gull Point State Park, Dickinson County 100
Lacey-Keosauqua State Park, Van Buren County 60
Lake Ahquabi State Park, Warren County 60
Lake Keomah State Park, Mahaska County 50
Lake Macbride State Park, Johnson County 55
Lake of Three Fires State Park, Taylor County 55
Lake Wapello State Park, Davis County 60
Lewis and Clark State Park, Monona County 40
Palisades-Kepler State Park, Linn County 100
Pine Lake State Park, Hardin County 60
Pleasant Creek Recreation Area, Linn County** 50
Stone State Park, Woodbury County 100
Walnut Woods State Park, Polk County 110
Wapsipinicon State Park, Jones County
Heated year-round shelter 40
Unheated seasonal shelter 30
**Do not contain kitchen facilities
ITEM 5. Amend subrule 61.3(3), paragraph "c," as follows:
c. Beach house open shelter reservation $40 plus applicable tax.
Lake Ahquabi State Park, Warren County
Lake Wapello State Park, Davis County
Pine Lake State Park, Hardin County
Springbrook Recreation Area, Guthrie County
ITEM 6. Amend subrule 61.4(2), catchwords, as follows:
61.4(2) Lodge, cabin, open shelter, and group camp and designated organized youth camp site reservations and rental.
ITEM 7. Amend subrule 61.4(2), paragraph "b," as follows:
b. Telephone and walk-in reservations will not be accepted until the first business day following November 1 of each year for the heated cabins and the first business day after January 1 of each year for all other cabins, group camps, open and enclosed shelters, designated organized youth camp sites or lodges.
ITEM 8. Amend subrule 61.4(2), paragraph "l," as follows:
l. Except at Wilson Island State Recreation Area and Dolliver State Park, no tents or other camping units are permitted for overnight occupancy in the designated cabin area. Tents or camping units placed in the cabin area are subject to the occupancy requirements of subrule 61.5(9)(10), paragraph "a."
ITEM 9. Amend subrule 61.5(7), paragraph "d," as follows:
d. Pets Except for dogs being used in designated hunting or in dog training areas, pets such as dogs or cats shall not be allowed to run at large within the designated camping area in recreation areas state parks, recreation areas, and preserves. Such animals shall be deemed running at large unless under the direct voice control of the owner or the owner carries the animal or leads it by a leash or chain not exceeding six feet in length or keeps it confined in or attached to a vehicle. Chains or other restraints used at campsites ensure that the animal is confined to the designated campsite. Such animals shall be carried by the owner or lead by a leash or chain not exceeding six feet in length or confined in or attached to a vehicle.
ITEM 10. Amend subrule 61.6(1) as follows:
61.6(1) Pleasant Creek Recreation Area, Linn County. Swimming is limited by the provisions of 61.5(8)(9); also, swimming is prohibited at the beach from 10:30 p.m. to 6 a.m. daily. Access in and out of the north portion of the area between the east end of the dam to the campground shall be closed to use from 10:31 p.m. to 3:59 a.m., except that walk-in overnight fishing will be allowed along the dam. The areas known as the dog trial area and the equestrian area shall be closed to use from 10:31 p.m. to 3:59 a.m., except for equestrian camping and those participating in a DNR-authorized field trial. During the hours of 10:31 p.m. to 3:59 a.m. only registered campers are permitted in the campground.
ITEM 11. Amend rule 571--61.22(461A) by adding the following new subrule:
61.22(20) Elinor Bedell State Park, Dickinson County. The entire length of the shoreline within the state park boundaries.
ARC 8444A
NATURAL RESOURCE COMMISSION[571]

Notice of Intended Action

Twenty-five interested persons, a governmental subdivision, an agency or association of 25 or more persons may demand an oral presentation hereon as provided in Iowa Code section 17A.4(1)"b."

Notice is also given to the public that the Administrative Rules Review Committee may, on its own motion or on written request by any individual or group, review this proposed action under section 17A.8(6) at a regular or special meeting where the public or interested persons may be heard.

Pursuant to the authority of Iowa Code subsection 481B.3, the Natural Resource Commission hereby gives Notice of Intended Action to rescind Chapter 77, "Endangered and Threatened Plant and Animal Species," Iowa Administrative Code, and adopt a new Chapter 77 with the same title.
These rules list the threatened and endangered plant and animal species which are protected by law. There are numerous changes in the list of endangered, threatened, and special concern plant and animal species. The changes reflect new information collected, regional status (surrounding states), and rangewide status information for these species. The following table summarizes the proposed changes:

Status


Current


Proposed


Change


Endangered (E)





Plants


64


19


-45


Animals


52


36


-16


Subtotal


116


55


-61






Threatened (T)





Plants


86


124


+38


Animals


33


42


+9


Subtotal


119


166


+47






Special Concern (SC)





Plants


224


205


-19


Animals


30


51


+21


Subtotal


254


256


+2






Protected Subtotal (E+T)


235


221


-14


Grand Total (E+T+SC)


489


477


-12



Information about individual species or groups of species may be reviewed at the Division's office in the Wallace State Office Building during normal work hours. Anyone wishing to review this information must schedule an appointment by calling (515)281-8524 or (515)281-3891.
Any interested person may make written comments on these proposed rules on or before November 24, 1998. Such written material should be directed to the Division of Parks, Recreation, and Preserves, Iowa Department of Natural Resources, Wallace State Office Building, Des Moines, Iowa 50319-0034; fax (515)281-6794. Persons who wish to convey their views orally should contact the Endangered Species Program at (515)281-8524 or at the Program offices on the fourth floor of the Wallace State Office Building on or before the above date.
There will be a public hearing on November 24, 1998, at 10 a.m. in the Fourth Floor Conference Room of the Wallace State Office Building at which time persons may present their views either orally or in writing. At the hearing, persons will be asked to give their names and addresses for the record and to confine their remarks to the subject of the rules.
Any persons who intend to attend a public hearing and have special requirements such as hearing or mobility impairments should contact the Department of Natural Resources and advise of specific needs.
These rules are intended to implement Iowa Code chapter 481B.
The following amendment is proposed.
Rescind 571--Chapter 77 and adopt in lieu thereof the following new chapter:

CHAPTER 77

ENDANGERED AND THREATENED
PLANT AND ANIMAL SPECIES

571--77.1(481B) Definitions. As used in this rule:
"Endangered species" means any species of fish, plant life, or wildlife which is in danger of extinction throughout all or a significant part of its range.
"Special concern species" means any species about which problems of status or distribution are suspected, but not documented, and for which no special protection is afforded under this chapter.
"Threatened species" means any species which is likely to become an endangered species within the foreseeable future throughout all or a significant portion of its range.
571--77.2(481B) Endangered, threatened and special concern animal species. The natural resource commission, in consultation with scientists with specialized knowledge and experience, has determined the following animals species to be endangered, threatened or of special concern in Iowa.
77.2(1) Endangered and threatened animal species:
E = Endangered and T = Threatened

Mammals

Southern Red-backed Vole


Clethrionomys gapperi


T


Least Shrew


Cryptotis parva


T


Indiana Bat


Myotis sodalis


E


Plains Pocket Mouse


Perognathus flavescens


T


Eastern Spotted Skunk


Spilogale putorius


E



Birds

Henslow's Sparrow


Ammodramus henslowii


T


Short-eared Owl


Asio flammeus


E


Long-eared Owl


Asio otus


T


Red-shouldered Hawk


Buteo lineatus


T


Piping Plover


Charadrius melodus


E


Northern Harrier


Circus cyaneus


E


Peregrine Falcon


Falco peregrinus


E


Bald Eagle


Haliaeetus leucocephalus


T


King Rail


Rallus elegans


E


Least Tern


Sterna antillarum


E


Barn Owl


Tyto alba


E



Reptiles

Copperhead


Agkistrodon contortrix


T


Western Worm Snake


Carphophis amoenus


T


Wood Turtle


Clemmys insculpta


E


Prairie Rattlesnake


Crotalus viridis


T


Great Plains Skink


Eumeces obsoletus


T


Western Hognose Snake


Heterodon nasicus


T


Yellow Mud Turtle


Kinosternon flavescens


E


Speckled King Snake


Lampropeltis getula


T


Yellowbelly Water Snake


Nerodia erythrogaster


T


Diamondback Water Snake


Nerodia rhombifera


T


Slender Glass Lizard


Ophisaurus attenuatus


T


Massasauga Rattlesnake


Sistrurus catenatus


E


Stinkpot


Sternotherus odoratus


T


Ornate Box Turtle


Terrapene ornata


T



Amphibians

Blue-spotted Salamander


Ambystoma laterale


T


Mudpuppy


Necturus maculosus


T


Central Newt


Notophthalmus
viridescens


T


Crawfish Frog


Rana areolata


E



Fish

Lake Sturgeon


Acipenser fulvescens


E


Crystal Darter


Ammocrypta asprella


E


Western Sand Darter


Ammocrypta clara


E


Pirate Perch


Aphredoderus sayanus


T


Mottled Sculpin


Cottus bairdi


T


Least Darter


Etheostoma microperca


T


Orangethroat Darter


Etheostoma spectabile


T


Sturgeon Chub


Macrhybopsis gelida


E


Sickelfin Chub


Macrhybopsis meeki


E


Pugnose Shiner


Notropis anogenus


E


Blacknose Shiner


Notropis heterolepis


T


Weed Shiner


Notropis texanus


T


Topeka Shiner


Notropis topeka


E


Pallid Sturgeon


Scaphirhynchus albus


E



Freshwater Mussels

Slippershell


Alasmidonta viridis


T


Rock Pocketbook


Arcidens confragosus


T


Spectacle Case


Cumberlandia
monodonta


E


Purple Pimpleback


Cyclonaias tuberculata


T


Butterfly


Ellipsaria lineolata


T


Ozark Pigtoe


Fusconaia ozarkensis


E


Higgin's Eye Pearly Mussel


Lampsilis higginsi


E


Bullhead


Plethobasus cyphyus


E


Round Pigtoe


Pleurobema sintoxia


T


Monkeyface


Quadrula metanevra


E


Pistolgrip


Tritogonia verrucosa


T


Ellipse


Venustaconcha
ellipsiformis


T



Land Snails

Frigid Ambersnail


Catinella gelida


E


Iowa Pleistocene Snail


Discus macclintocki


E


Minnesota Pleistocene
Ambersnail


Novisuccinea
new species A


E


Iowa Pleistocene Ambersnail


Novisuccinea
new species B


E


Briarton Pleistocene Vertigo


Vertigo briarensis


E


Midwest Pleistocene Vertigo


Vertigo hubrichti


T


Bluff Vertigo


Vertigo meramecensis


E


Iowa Pleistocene Vertigo


Vertigo new species


E



Butterflies

Arogos Skipper


Atrytone arogos


T


Dakota Skipper


Hesperia dacotae


E


Ottoe Skipper


Hesperia ottoe


T


Powesheik Skipperling


Oarisma powesheik


E


Byssus Skipper


Problema byssus


T


Regal Fritillary


Speyeria idalia


T



Dragonflies

Smoky Shadowfly


Neurocordulia molesta


E


Brook Snaketail


Ophiogomphus aspersus


T


River Clubtail


Stylurus amnicola


T


Elusive Clubtail


Stylurus notatus


T



72.2(2) Special concern animal species:

Mammals

Southern Flying Squirrel


Glaucomys volans


Bobcat


Lynx rufus


Southern Bog Lemming


Synaptomys cooperi



Birds

American Bittern


Botaurus lentiginosus


Broad-winged Hawk


Buteo platypterus


Veery


Catharus fuscescens


Black Tern


Chlidonias niger


Cerulean Warbler


Dendroica cerulea


Least Flycatcher


Empidonax minimus


Least Bittern


Ixobrychus exilis


Black-crowned Night Heron


Nycticorax nycticorax


Forster's Tern


Sterna forsteri



Reptiles

Blanding's Turtle


Emydoidea blandingii


Smooth Green Snake


Opheodrys vernalis



Fish

Slimy Sculpin


Cottus cognatus


Blue Sucker


Cycleptus elongatus


Bluntnose Darter


Etheostoma chlorosomum


Chestnut Lamprey


Ichthyomyzon castaneus


River Redhorse


Moxostoma carinatum


Freckled Madtom


Noturus nocturnus



Freshwater Mussels

Mucket


Actinonaias ligamentina


Elktoe


Alasmidonta marginata


Flat Floater


Anodonta suborbiculata


Cylinder


Anodontoides ferussacianus


Spike


Elliptio dilatata


Yellow and Slough Sandshell


Lampsilis teres


Creek Heelsplitter


Lasmigona compressa


Fluted-shell


Lasmigona costata



Butterflies

Dusted Skipper


Atrytonopsis hianna


Gorgone Skipper


Chlosyne gorgone


Olympia Marble


Euchloe olympia


Columbine Dusky Wing


Erynnis lucilius


Mottled Dusky Wing


Erynnis martialis


Baltimore


Euphydryas phaeton


Two-spotted Skipper


Euphyes bimacula


Black Dash


Euphyes conspicua


Dion Skipper


Euphyes dion


Harvester


Feniseca tarquinius


Leonard's Skipper


Hesperia leonardus


Mulberry Wing


Poanes massasoit


Checkered White


Pontia protodice


Hickory Hairstreak


Satyrium caryaevorum


Edward's Hairstreak


Satyrium edwardsii



Dragonflies and Damselflies

Canada Darner


Aeshna canadensis


Variable Darner


Aeshna interrupta


Emma's Dancer


Argia emma


Alkali Bluet


Enallagma clausum


Cobra Clubtail


Gomphurus vastus


Royal River Cruiser


Macromia taeniolata


Arrow Clubtail


Stylurus spiniceps


Violet-masked Glider


Tramea carolina



571--77.3(481B) Endangered, threatened and special concern plant species. The natural resource commission, in consultation with scientists with special knowledge and experience, determined the following plant species to be endangered, threatened, or of special concern in Iowa.
77.3(1) Endangered and threatened plant species:

E = Endangered and T = Threatened

Vascular Plants

Northern Wild Monkshood


Aconitum
novaboracense


E


Moschatel


Adoxa moschatellina


T


Round-stemmed False
Foxglove


Agalinus gattingeri


T


Pale False Foxglove


Agalinus skinneriana


E


Fragrant False Indigo


Amorpha nana


T


Purple Rockcress


Arabis divaricarpa


E


Woolly Milkweed


Asclepias lanuginosa


T


Mead's Milkweed


Asclepias meadii


E


Narrow-leaved Milkweed


Asclepias stenophylla


T


Ricebutton Aster


Aster dumosus


T


Forked Aster


Aster furcatus


E


Flax-leaved Aster


Aster linariifolius


T


Kittentails


Besseya bullii


T


Bog Birch


Betula pumila


T


Watershield


Brasenia schreberi


T


Sweet Indian-plantain


Cacalia suaveolens


T


Grass Pink


Calopogon tuberosus


E


Flowerhead Sedge


Carex cephalantha


T


Cordroot Sedge


Carex chordorrhiza


T


Fringed Sedge


Carex crinita


T


Double Sedge


Carex diandra


T


Sedge


Carex echinata


T


Delicate Sedge


Carex leptalea


T


Mud Sedge


Carex limosa


T


Yellow Sedge


Carex lurida


T


Intermediate Sedge


Carex media


T


Sterile Sedge


Carex sterilis


T


Pipsissewa


Chimaphila umbellata


T


Golden Saxifrage


Chrysosplenium
iowense


E


Swamp Thistle


Cirsium muticum


T


Small White Lady's-slipper


Cypripedium candidum


T


Showy Lady's-slipper


Cypripedium reginae


T


Silky Prairie-clover


Dalea villosa


T


Carolina Larkspur


Delphinium
carolinianum


T


Northern Panic-grass


Dichanthelium boreale


T


Slim-leaved Panic-grass


Dichanthelium
linearifolium


T


Jeweled Shooting Star


Dodecatheon
ameythystinum


T


Roundleaved Sundew


Drosera rotundifolia


T


Crested Fern


Dryopteris cristata


T


Glandular Wood Fern


Dryopteris intermedia


T


Marginal Shield Fern


Dryopteris marginalis


T


Stiff Willowherb


Epilobium strictum


T


Woodland Horsetail


Equisetum sylvaticum


T


Slender Cottongrass


Eriophorum gracile


T


Tawny Cottongrass


Eriophorum virginicum


T


Yellow Trout-lily


Erythronium
americanum


T


Black Huckleberry


Gaylussacia baccata


T


Fringed Gentian


Gentianopsis crinita


T


Small Fringed Gentian


Gentianopsis procera


T


Oak Fern


Gymnocarpium
dryopteris


T


Nahanni Oak Fern


Gymnocarpium
jessoense


T


Limestone Oak Fern


Gymnocarpium
robertianum


T


Green Violet


Hybanthus concolor


T


Northern St.-John's-wort


Hypericum boreale


T


Pineweed


Hypericum
gentianoides


T


Winterberry


Ilex verticillata


T


Vasey's Rush


Juncus vaseyi


T


Intermediate Pinweed


Lechea intermedia


T


Prairie Bush Clover


Lespedeza leptostachya


E


Silvery Bladder-pod


Lesquerella ludoviciana


E


Adder's-mouth Orchid


Malaxis unifolia


E


Bog Buckbean


Menyanthes trifoliata


T


Northern Lungwort


Mertensia paniculata


T


Yellow Monkeyflower


Mimulus glabratus


T


Pinesap


Monotropa hypopithys


T


Montia


Montia chamissoi


E


Glade Mallow


Napaea dioica


T


Small Sundrops


Oenothera perennis


T


Grass-of-Parnassus


Parnassia glauca


T


Purple Cliffbrake


Pellaea atropurpurea


T


Wood Orchid


Platanthera clavellata


T


Pale Green Orchid


Platanthera flava


T


Eastern Prairie
Fringed Orchid


Platanthera leucophaea


E


Western Prairie
Fringed Orchid


Platanthera praeclara


E


Purple Fringed Orchid


Platanthera psycodes


T


Weak Bluegrass


Poa languida


T


Bog Bluegrass


Poa paludigena


E


Meadow Bluegrass


Poa wolfii


T


Crossleaf Milkwort


Polygala cruciata


T


Pink Milkwort


Polygala incarnata


T


Purple Milkwort


Polygala polygama


T


Jointweed


Polygonella articulata


T


Ribbonleaf Pondweed


Potamogeton epihydrus


T


Vasey's Pondweed


Potamogeton vaseyi


T


Silverweed


Potentilla anserina


T


Marsh Cinquefoil


Potentilla palustris


T


Bird's-eye Primrose


Primula mistassinica


E


Canada Plum


Prunus nigra


T


Sand Cherry


Prunus pumila


T


Beaked Rush


Rhynchospora
capillacea


T


Northern Currant


Ribes hudsonianum


T


Fuller's Dewberry


Rubus fulleri


T


Dewberry


Rubus leviculus


T


Dewberry


Rubus semisetosus


T


Dewberry


Rubus stipulatus


E


Sage Willow


Salix candida


T


Shining Willow


Salix lucida


T


Bog Willow


Salix pedicellaris


T


Low Nutrush


Scleria verticillata


T


Veiny Skullcap


Scutellaria nervosa


T


False Golden Ragwort


Senecio pseudaureus


T


Rough Hedge-nettle


Stachys aspera


T


Sullivantia


Sullivantia sullivantia


T


Large Arrowgrass


Triglochin maritimum


T


Valerian


Valeriana edulis


T


Lance-leaved Violet


Viola lanceolata


T


Oregon Woodsia


Woodsia oregana


T


Yellow-eyed Grass


Xyris torta


T



Bryophytes

Moss


Brachythecium populeum


T


Moss


Campylium polygamum


T


Liverwort


Cephalozia connivens


T


Liverwort


Cephalozia lunulifolia


T


Moss


Desmatodon randii


E


Moss


Dicranum condensatum


T


Moss


Didymodon tophaceus


T


Moss


Drummondia prorepens


T


Moss


Fissidens fontanus


T


Liverwort


Geocalyx graveolens


T


Moss


Gyroweisia tenuis


E


Moss


Hygroamblystegium fluviatile


T


Moss


Hylocomium splendens


T


Moss


Hypnum pratense


T


Liverwort


Jungermannia pumila


T


Liverwort


Lophozia badensis


T


Liverwort


Nowellia curvifolia


T


Moss


Philonotis longiseta


T


Moss


Pohlia cruda


T


Moss


Ptychomitrium incurvum


T


Moss


Pyramidula tetragona


E


Moss


Seligera campylopoda


T


Moss


Sematophyllum adnatum


T


Moss


Sphagnum capillifolium


T


Moss


Sphagnum centrale


T


Moss


Sphagnum fimbriatum


T


Moss


Sphagnum girgensohnii


T


Moss


Sphagnum magellanicum


T


Moss


Sphagnum palustre


T


Moss


Sphagnum russowii


T


Moss


Sphagnum squarrosum


T


Moss


Sphagnum teres


T


Moss


Sphagnum warnstorfii


T


Moss


Tomentypnum nitens


T


Liverwort


Trichocolea tomentella


T



77.3(2) Special concern plant species:

Vascular Plants

Water Plantain


Alisma gramineum


Nodding Wild Onion


Allium cernuum


Speckled Alder


Alnus rugosa


Tower Mustard


Arabis glabra


Bearberry


Arctostaphylos uva-ursi


Virginia Snakeroot


Aristolochia serpentaria


Lake Cress


Armoracia aquatica


Rayless Aster


Aster brachyactis


Large-leaved Aster


Aster macrophyllus


Hairy Aster


Aster pubentior


Schreber's Aster


Aster schreberi


Prairie Aster


Aster turbinellus


Pliant Milkvetch


Astragalus flexuosus


Missouri Milkvetch


Astragalus missouriensis


Narrow-leaved Spleenwort


Athyrium pycnocarpon


Fern-leaved False Foxglove


Aureolaria pedicularia


Yellow Wild Indigo


Baptisia tinctoria


American Sloughgrass


Beckmannia syzigachne


Yellow Birch


Betula allegheniensis


Prairie Moonwort


Botrychium campestre


Matricary Grapefern


Botrychium
matricariifolium


Leathery Grapefern


Botrychium multifidum


Little Grapefern


Botrychium simplex


Canada Bromegrass


Bromus ciliatus


Bush's Poppy Mallow


Callirhoe bushii


Poppy Mallow


Callirhoe triangulata


Water-starwort


Callitriche heterophylla


Purple Cress


Cardamine douglasii


Sedge


Carex artitecta


Assiniboine Sedge


Carex assiniboinensis


Carey's Sedge


Carex careyana


Field Sedge


Carex conoidea


Crawe's Sedge


Carex crawei


Crawford's Sedge


Carex crawfordii


Straw Sedge


Carex festucacea


Dry Sedge


Carex foena


Swollen Sedge


Carex intumescens


Woolly Sedge


Carex lasiocarpa


Weakstemmed Sedge


Carex laxiculmis


Hoplike Sedge


Carex lupuliformis


Plantain-leaved Sedge


Carex plantaginea


Projecting Sedge


Carex projecta


Beaked Sedge


Carex rostrata


Deep green Sedge


Carex tonsa


Shaved Sedge


Carex trichocarpa


Tuckerman's Sedge


Carex tuckermanii


Cattail Sedge


Carex typhina


Pecan


Carya illinoensis


Kingnut Hickory


Carya laciniosa


Turtlehead


Chelone glabra


Pink Turtlehead


Chelone obliqua


Bugbane


Cimicifuga racemosa


Hill's Thistle


Cirsium hillii


Spotted Coralroot


Corallorhiza maculata


Bunchberry


Cornus canadensis


Golden Corydalis


Corydalis aurea


Large-bracted Corydalis


Corydalis curvisiliqua


Pink Corydalis


Corydalis sempervirens


Fireberry Hawthorn


Crataegus chrysocarpa


Two-fruited Hawthorn


Crataegus disperma


Hawthorn


Crataegus pruinosa


Double Nutgrass


Cyperus diandrus


Engelmann's Nutgrass


Cyperus engelmannii


Fragile Fern


Cystopteris fragilis


Long Panic-grass


Dichanthelium perlongum


Threeway Sedge


Dulichium arundinaceum


Purple Coneflower


Echinacea purpurea


Waterwort


Elatine triandra


Green Spikerush


Eleocharis olivacea


Dwarf Spikerush


Eleocharis parvula


Few-flowered Spikerush


Eleocharis pauciflora


Wolf's Spikerush


Eleocharis wolfii


Riparian Wildrye


Elymus riparius


Wiegand's Wildrye


Elymus wiegandii


Dwarf Scouring Rush


Equisetum scirpoides


Ponygrass


Eragrostis reptans


Cluster Fescue


Festuca paradoxa


Queen-of-the-prairie


Filipendula rubra


Slender Fimbristylis


Fimbristylis autumnalis


False Mermaid


Floerka proserpinacoides


Blue Ash


Fraxinus quadrangulata


Umbrella Grass


Fuirena simplex


Bog Bedstraw


Galium labradoricum


Northern Cranesbill


Geranium bicknellii


Rattlesnake Plantain


Goodyera pubescens


Tall Sunflower


Helianthus giganteus


Common Mare's-tail


Hippurus vulgaris


Povertygrass


Hudsonia tomentosa


Goldenseal


Hydrastis canadensis


Drummond St.-John's-wort


Hypericum drummondii


Twinleaf


Jeffersonia diphylla


Butternut


Juglans cinerea


Alpine Rush


Juncus alpinus


Green's Rush


Juncus canadensis


Creeping Juniper


Juniperus horizontalis


Pinweed


Lechea racemulosa


Catchfly Grass


Leersia lenticularis


Creeping Bush Clover


Lespedeza repens


Wild Flax


Linum medium


Bog Twayblade


Liparis loesellii


Prairie Trefoil


Lotus purshianus


Woodrush


Luzula multiflora


Running Clubmoss


Lycopodium clavatum


Tree Clubmoss


Lycopodium dendroideum


Bog Clubmoss


Lycopodium inundatum


Shining Clubmoss


Lycopodium lucidulum


Rock Clubmoss


Lycopodium porophilum


Annual Skeletonweed


Lygodesmia rostrata


Globe Mallow


Malvastrum hispidum


Hairy Waterclover


Marsilea vestita


Water Marigold


Megalodonta beckii


Three-flowered Melic-grass


Melica nitens


Millet Grass


Milium effusum


Bog Timothy


Muhlenbergia glomerata


Slender Muhly


Muhlenbergia tenuiflora


Clustered Broomrape


Orobanche fasciculata


Louisiana Broomrape


Orobanche ludoviciana


Cancer-root


Orobanche uniflora


Arrow Arum


Peltandra virginica


Clearweed


Pilea fontana


Heart-leaved Plantain


Plantago cordata


Hooker's Orchid


Platanthera hookeri


Woodland Bluegrass


Poa sylvestris


Clammyweed


Polanisia jamesii


Waterthread Pondweed


Potamogeton diversifolius


Fries' Pondweed


Potamogeton friesii


Spiralled Pondweed


Potamogeton spirillus


Tussock Pondweed


Potamogeton strictifolius


Crowfoot


Ranunculus circinatus


Gmelin's Crowfoot


Ranunculus gmelinii


Dwarf Sumac


Rhus copallina


Northern Gooseberry


Ribes hirtellum


Buffalo Currant


Ribes odoratum


Prickly Rose


Rosa acicularis


Widgeon Grass


Ruppia maritima


Prairie Rose Gentian


Sabatia campestris


Silky Willow


Salix sericea


Red-berried Elder


Sambucus racemosa


Scheuchzeria


Scheuchzeria palustris


Hall's Bulrush


Scirpus hallii


Prairie Bulrush


Scirpus maritimus


Smith's Bulrush


Scirpus smithii


Torrey's Bulrush


Scirpus torreyi


Marsh Fleabane


Senecio congestus


Ragwort


Senecio integerrimus


Yellow-lipped
Ladies'-tresses


Spiranthes lucida


Hooded Ladies'-tresses


Spiranthes romanzoffiana


Spring Ladies'-tresses


Spiranthes vernalis


Skunk Cabbage


Symplocarpus foetidus


Rough-seeded Fameflower


Talinum rugospermum


Long Beechfern


Thelypteris phegopteris


Eared False Foxglove


Tomanthera auriculata


Marsh St.-John's-wort


Triadenus fraseri


Blue Curls


Trichostema dichotomum


Small Arrowgrass


Triglochin palustre


Nodding Pogonia


Triphora trianthophora


Flat-leaved Bladderwort


Utricularia intermedia


Small Bladderwort


Utricularia minor


Sessile-leaved Bellwort


Uvularia sessiliflora


False Hellebore


Veratrum woodii


American Brookline


Veronica americana


Black Arrowwood


Viburnum molle


Macloskey's Violet


Viola macloskeyi


Plains Violet


Viola viarum


Rusty Woodsia


Woodsia ilvensis


White Camass


Zigadenus glaucus


Wild Rice


Zizania aquatica



Bryophytes

Moss


Acaulon muticum


Liverwort


Aneura maxima


Liverwort


Bazzania trilobata


Moss


Bruchia flexuosa


Moss


Bryoxiphium norvegicum


Moss


Buxbaumia aphylla


Moss


Calliergonella cuspidata


Moss


Campylium stellatum


Liverwort


Cephaloziella rubella


Moss


Dicranella rufescens


Moss


Didymodon rigidulus


Moss


Ephemerum cohaerens


Moss


Helodium paludosum


Moss


Hyophila involuta


Moss


Hypnum cupressiforme


Moss


Hypnum imponens


Moss


Jaffueliobyrum raui


Liverwort


Jungermannia gracillima


Moss


Leskea polycarpa


Moss


Leucodon julaceus


Liverwort


Mannia triandra


Moss


Orthotrichum anomalum


Moss


Physcomitrella patens


Moss


Physcomitrium immersum


Moss


Plagiomnium rostratum


Moss


Pohlia lescuriana


Moss


Polytrichum piliferum


Liverwort


Ptilidium pulcherrimum


Moss


Seligeria calcarea


Moss


Seligeria donniana


Moss


Seligeria pusilla


Moss


Sphagnum angustifolium


Moss


Sphagnum fallax


Moss


Sphagnum flexuosum



Fungi and Lichens

Elm Lichen


Caloplaca ulmorum


Black Earth Tongue


Geoglossum nigritum


Chanterelle Waxy Cap


Hygrophorus cantharellus


Prairie Puffball


Mycenastrum corium



571--77.4(481B) Exemption. Notwithstanding the foregoing list and the prohibitions in Iowa Code chapter 481B, a person may import, export, possess, transport, purchase, barter, buy, sell, offer to sell, hold for processing or process a species of animal or plant which is listed as endangered or threatened on the state list or as listed in the Code of Federal Regulations, Title 50, Part 17, as amended to December 30, 1991, according to the following rules:
77.4(1) Trophies lawfully taken by persons licensed to hunt or fish (not including trapping or commercial harvest licenses) in another state, country or territory may be brought into this state and possessed, held for processing and proc-essed but may not be sold or offered for sale.
77.4(2) Furs or skins of wildlife species appearing on the state list of endangered and threatened species which were lawfully taken or purchased in another state, country or territory may be imported, exported, purchased, possessed, bartered, offered for sale, sold, held for processing, or processed in this state if they are tagged or permanently marked by the state, country, or territory of origin.
77.4(3) Species of live animals appearing on the state list of endangered and threatened species may be imported, exported, possessed, purchased, bartered, offered for sale, or sold under the terms of a scientific collecting permit or educational project permit issued pursuant to Iowa Code section 481A.6 and administrative rules adopted by the department.
77.4(4) Plants, seeds, roots, and other parts of plants which appear on the state list of endangered and threatened plants which were lawfully taken or purchased in another state, country or territory may be imported, exported, purchased, possessed, offered for sale or sold in this state.
77.4(5) A part or product of species of fish or wildlife appearing on the state list of endangered or threatened species which enters the state from another state or from a point outside the territorial limits of the United States may enter, be transported, exported, possessed, sold, offered for sale, held for processing or processed in accordance with the terms of a permit issued by the agency of jurisdiction in the state of origin or, if entering from outside the United States, a federal permit issued by the United States Government. If proper documentation is available, a person may buy or offer to buy a part or product of a species of fish or wildlife appearing on the state or federal lists as long as it is imported from a legal source outside the state and proper documentation is provided.
77.4(6) If a person possesses a species of fish or wildlife or a part, produce or offspring of such a species, proper documentation such as receipt of purchase and the permit from the state of origin or the United States Government must be presented upon request of any conservation officer. Failure to produce such documentation is a violation of this chapter and will constitute grounds for forfeiture to the Iowa department of natural resources.
77.4(7) A species of plant, fish or wildlife appearing on the state list of endangered and threatened species may be collected, held, salvaged and possessed under the terms of a scientific collecting permit issued pursuant to Iowa Code section 481A.6 and administrative rules adopted by the department.
These rules are intended to implement Iowa Code chapter 481B.
ARC 8438A

PERSONNEL DEPARTMENT[581]

Notice of Intended Action

Twenty-five interested persons, a governmental subdivision, an agency or association of 25 or more persons may demand an oral presentation hereon as provided in Iowa Code section 17A.4(1)"b."

Notice is also given to the public that the Administrative Rules Review Committee may, on its own motion or on written request by any individual or group, review this proposed action under section 17A.8(6) at a regular or special meeting where the public or interested persons may be heard.

Pursuant to the authority of Iowa Code section 19A.9, the Department of Personnel proposes to amend Chapter 1, "Definitions," Chapter 3, "Job Classification," Chapter 4, "Pay," and Chapter 8, "Appointments," Iowa Administrative Code.
Chapter 1 is being amended to reflect the elimination of the personnel commission as mandated by the General Assembly.
Chapter 3 is also amended to reflect the elimination of the personnel commission. In addition, subrule 3.5(6) is being amended to clarify trainee/journey class reclassifications. A definition of the term "substantive change" as it relates to a position description questionnaire is found in new subrule 3.5(7).
Chapter 4 is amended to clarify the pay received by an employee who is reinstated pursuant to 581--8.6(19A).
Rule 581--8.3(19A), Project appointment, is being rescinded.
Consideration will be given to all written suggestions and comments on the proposed amendments on or before November 24, 1998. Such written materials should be sent to Gregg Schochenmaier, General Counsel, Department of Personnel, Grimes State Office Building, Des Moines, Iowa 50319-0150; fax (515)242-6450.
Also, there will be a public hearing on November 24, 1998, at 9 a.m. in the South Conference Room, First Floor, Grimes State Office Building, Des Moines, Iowa, at which time persons may present their views.
These amendments are intended to implement Iowa Code Supplement section 19A.9.
The following amendments are proposed.
ITEM 1. Amend rule 581--1.1(19A) by rescinding the definition of "Commission" as follows:
"Commission" means the Iowa personnel commission, composed of five volunteer citizens appointed by the governor and confirmed by the senate for six-year terms.
ITEM 2. Amend subrule 3.1(2) as follows:
3.1(2) The director may add, delete, modify, suspend pending deletion or subdivide job classifications to suit the needs of the executive branch of state government. When doing so results in new job classifications being added to the classification plan, they shall be approved by the commission.
ITEM 3. Amend subrule 3.4(6) as follows:
3.4(6) Following a final position classification review decision, any subsequent request for review of the same position must be accompanied by a showing of substantive changes from the position description questionnaire upon which the previous decision was based. A new position description questionnaire must be prepared and all new and substantively changed duties must be identified as such on the new questionnaire. The absence of a showing of substantive changes in duties shall result in the request being returned without further review to the requester. A decision to return a request for failing to show substantive change in duties may be appealed to the classification appeal committee in accordance with rule 581--3.5(19A). The classification appeal committee shall rule only on the issue of whether a substantive change in duties has been demonstrated by the appellant. The appellant has the burden of proof to show by a preponderance of evidence that there has been a substantive change in duties.
ITEM 4. Amend subrule 3.5(2) as follows:
3.5(2) A classification appeal panel committee shall be appointed by the commission director.
ITEM 5. Amend subrule 3.5(4) as follows:
3.5(4) The classification appeal committee hearing shall be scheduled within 30 calendar days following receipt of the request for hearing unless otherwise mutually agreed to in writing and signed by the parties. All exhibits to be entered into evidence at the hearing shall be exchanged between the parties prior to the hearing and three copies shall be available to be offered into evidence at hearing. The hearing shall be at the Grimes State Office Building during regular business hours of the department. The appellant shall carry the burden of proof to show by a preponderance of evidence that the duties of the requested job classification are assigned and carried out on a permanent basis and are performed over 50 percent of the time. The committee shall affirm grant or deny the job classification requested, or remand the request to the director for further review, or decide whether there has been a substantive change in duties pursuant to an appeal under subrule 3.4(6) or 3.5(6). The committee's written decision shall be issued within 30 calendar days following the close of the hearing and the receipt of any posthearing submission. The written decision of the committee shall constitute final agency action.
ITEM 6. Amend subrule 3.5(6) as follows:
3.5(6) Following a final classification appeal committee decision, any subsequent request for review of the same position must be accompanied by a showing of substantive changes from the position description questionnaire upon which the previous decision was based. A new position description questionnaire must be prepared and all new and substantively changed duties must be identified as such on the new questionnaire. The absence of such a showing of substantive changes in duties shall result in the request being returned without further review to the requester. A decision to return a request for failing to show substantive change in duties as defined in subrule 3.5(7) may be appealed to the classification appeal committee in accordance with rule 581--3.5(19A). The classification appeal committee shall rule only on the issue of whether a substantive change in duties has been demonstrated by the appellant. The appellant has the burden of proof to show by a preponderance of evidence that there has been a substantive change in duties.
ITEM 7. Adopt new subrule 3.5(7) as follows:
3.5(7) As it relates to 581 IAC subrules 3.4(6) and 3.5(6), the phrase "substantive change" means that sufficient credible evidence exists, in the form of the deletion or addition to the duties in the requester's present classification, that would cause a reasonable person to believe that the duties of the requested classification are assigned and carried out on a permanent basis and are performed over 50 percent of the time.
ITEM 8. Amend subrule 3.6(3) as follows:
3.6(3) An employee in a position covered by merit system provisions shall be required to meet the minimum qualifications for the new job classification when the reclassification is the result of successful completion of an established training period where progression to the next higher level in the job classification series is customary practice, for reasons other than those mentioned in subrule 3.6(2), or when the reclassification is the result of a voluntary or disciplinary demotion. "Completion of an established training period" shall be the period provided for on the class descriptions for the class. In addition, employees with probationary status must be eligible for certification in accordance with 581-- Chapter 9, Iowa Administrative Code.
ITEM 9. Amend subrule 4.6(12) as follows:
4.6(12) Reinstatement. If When an employee is reinstated in accordance with rule 581--8.6(19A), the employee may be paid at the same any step or pay rate as when separated, including any pay grade, pay plan, class or general salary increases, except as provided in subrules 4.6(1), 4.6(2) and 4.6(4) for the class to which reinstated. When the rate of pay is above the minimum, the decision to do so must be in accordance with subrule 4.5(1). For starting eligibility dates, see subrule 4.7(5).
ITEM 10. Rescind and reserve rule 581--8.3(19A) as follows:
581--8.3(19A) Project appointment. The director may approve a project appointment to a position when a particular project, grant, contract, or similar situation is of temporary duration or funding. Certification shall be in accordance with 581--Chapter 7 when applicable. Persons appointed shall be given temporary status and shall be subject to these rules, as they pertain to the rights of temporary employees, and shall acquire benefits in accordance with the number of hours worked. The initial appointment of an individual to any one particular project will be approved for no more than one year. If requested, the director may extend the appointment. At the expiration of the appointment the employee shall be terminated without right of appeal. Project appointees may apply to be on eligible lists in accordance with 581--subrule 5.2(4).
ITEM 11. Amend subrule 8.10(3) as follows:
8.10(3) Successful completion of an internship appointment of at least 120 contact hours 90 calendar days shall authorize the appointee to be certified from a promotional list for any job class for which the appointee has submitted an application and qualifies. Only persons formally enrolled in the department's intern development program are eligible to be on promotional lists. Successful completion shall be as determined by the director at the time of enrollment. An intern's name may remain on the promotional list for up to two years. If an appointment has not been made by the end of the two-year period, the name will be removed from the list. The intern may then reapply through the standard nonpromotional process. After initial selection from a promotional certificate, the intern's name shall be removed from all promotional lists until permanent status has been attained.
ITEM 12. Amend rule 581--8.11(19A) as follows:
581--8.11(19A) Seasonal appointment. The director may authorize appointing authorities to make seasonal appointments to positions. Seasonal appointments may be made to any class and at any rate of pay within the range for the class to which appointed. Seasonal appointments may, however, be made only during the seasonal period approved by the director of the agency requesting to make the appointment, and must be concluded by the end of that period. To be eligible to make seasonal appointments, the appointing authority must first submit a proposed seasonal period to the director for approval. Such period shall not exceed six months in a fiscal year.; however, the appointment may start as early as the beginning of the pay period that includes the first day of the seasonal period and may end as late as the last day of the pay period that includes the last day of the seasonal period.
Persons may be appointed with seasonal status without regard to merit system provisions, and shall have no rights of appeal, transfer, promotion, demotion, reinstatement, or other rights of position, nor be entitled to vacation, sick leave, or other benefits.
A person appointed with seasonal status to a classification covered by a collective bargaining agreement shall not work in excess of 700 hours in that status in such a class or classes, nor shall that person accumulate more than 700 hours worked in any combination of temporary statuses in any agency or any combination of agencies during a fiscal year.
ITEM 13. Amend rule 581--8.13(19A) as follows:
581--8.13(19A) Rescinding appointments. If, after being appointed, it is found that an employee should have been disqualified or removed as provided for in 581--subrules 5.2(6), or 5.2(7), 6.5(2)"d," or rule 581--6.5(19A) or 7.7(19A), the director may rescind the appointment. An employee with permanent status may appeal the director's decision to the public employment relations board. The appeal must be filed within 30 calendar days after the date the director's decision was issued. Decisions by the public employment relations board constitute final agency action.
ARC 8446A
PUBLIC HEALTH DEPARTMENT[641]

Notice of Intended Action

Twenty-five interested persons, a governmental subdivision, an agency or association of 25 or more persons may demand an oral presentation hereon as provided in Iowa Code section 17A.4(1)"b."

Notice is also given to the public that the Administrative Rules Review Committee may, on its own motion or on written request by any individual or group, review this proposed action under section 17A.8(6) at a regular or special meeting where the public or interested persons may be heard.

Pursuant to the authority of Iowa Code section 136C.3, the Department of Public Health hereby gives Notice of Intended Action to amend Chapter 41, "Safety Requirements for the Use of Radiation Machines and Certain Uses of Radioactive Materials," Iowa Administrative Code.
These amendments to subrules 41.1(1) and 41.6(2) make changes in the mammography rules to address the new federal standards that have an effective date of April 28, 1999. This action is necessary because of Iowa's status as a federally approved mammography accrediting and certifying body.
Any interested person may make written suggestions or comments on the proposed amendments by 4:30 p.m. on November 24, 1998. Such written material should be directed to Donald A. Flater, Chief, Bureau of Radiological Health, Lucas State Office Building, Des Moines, Iowa 50319; fax (515)242-6284.
A public hearing will be held on November 24, 1998, at9 a.m. in the Third Floor Conference Room, Side 2, Lucas State Office Building, Des Moines, Iowa, at which time persons may make oral suggestions or comments on the proposed amendments.
These amendments are intended to implement Iowa Code chapter 136C.
The following amendments are proposed.
ITEM 1. Amend subrule 41.1(1) as follows:
41.1(1) Scope. This rule establishes requirements, for which a registrant is responsible, for use of X-ray equipment by or under the supervision of an individual authorized by and licensed in accordance with state statutes to engage in the healing arts or veterinary medicine. The provisions of this rule are in addition to, and not in substitution for, any other applicable provisions of these rules. The provisions of Chapter 41 are in addition to, and not in substitution for any other applicable portions of 641--Chapters 38 to 42. All references to any Code of Federal Regulations (CFR) in this chapter are those in effect as of July 1, 1998 1999.
ITEM 2. Amend subrule 41.6(2) by adopting the following new paragraph "g":
g. Federal mammography regulations. All Iowa facilities performing mammography shall comply with the applicable regulations found in 21 CFR Parts 16 and 900 which have an effective date of April 28, 1999. Persons authorized to perform mammography in Iowa shall be responsible for ensuring compliance with the appropriate CFR regulations or Iowa administrative rules, whichever are more stringent.
ARC 8437A
REVENUE AND FINANCE DEPARTMENT[701]

Notice of Intended Action

Twenty-five interested persons, a governmental subdivision, an agency or association of 25 or more persons may demand an oral presentation hereon as provided in Iowa Code section 17A.4(1)"b."

Notice is also given to the public that the Administrative Rules Review Committee may, on its own motion or on written request by any individual or group, review this proposed action under section 17A.8(6) at a regular or special meeting where the public or interested persons may be heard.

Pursuant to the authority of Iowa Code section 421.14, the Department of Revenue and Finance hereby gives Notice of Intended Action to amend Chapter 10, "Interest, Penalty, Exceptions to Penalty, and Jeopardy Assessments," Iowa Administrative Code.
Iowa Code section 421.7 requires the Director of Revenue and Finance to determine the interest rate for each calendar year. The Director has determined that the rate of interest on interest-bearing taxes arising under Iowa Code Title XVI shall be 10 percent for the calendar year 1999. The interest rate is 2 percent above the average prime rate charged by banks on short-term business loans as published in the Federal Reserve Bulletin for the 12-month period ending September 30, 1998. For the past 12 months the average prime rate was 8 percent.
The 10 percent annual rate is equivalent to an interest rate of .08 percent per month on all outstanding taxes. The rate will be applied to all taxes owing or becoming payable on or after January 1, 1999. Under Iowa law, each fraction of a month is considered a whole month when interest is computed. When required to pay interest on taxpayer refunds, the Department will also pay interest at the 10 percent rate on refunds owing or becoming payable on or after January 1, 1999.
The proposed amendment will not necessitate additional expenditures by political subdivisions or agencies and entities which contract with political subdivisions.
The Department has determined that this proposed amendment may have an impact on small business. The Department has considered the factors listed in Iowa Code section 17A.31(4). The Department will issue a regulatory flexibility analysis as provided in Iowa Code sections 17A.31 to 17A.33 if a written request is filed by delivery or by mailing postmarked no later than November 24, 1998, to the Policy Section, Compliance Division, Department of Revenue and Finance, Hoover State Office Building, P.O. Box 10457, Des Moines, Iowa 50306. The request may be made by the Administrative Rules Review Committee, the Governor, a political subdivision, at least 25 persons who qualify as a small business under Iowa Code sections 17A.31 to 17A.33, or an organization of small businesses representing at least 25 persons which is registered with this agency under Iowa Code sections 17A.31 to 17A.33.
Any interested person may make written suggestions or comments on this proposed amendment on or before December 4, 1998. Such written comments should be directed to the Policy Section, Compliance Division, Department of Revenue and Finance, Hoover State Office Building, P.O. Box 10457, Des Moines, Iowa 50306.
Persons who want to orally convey their views should contact the Policy Section, Compliance Division, Department of Revenue and Finance, at (515)281-4250 or at the Department of Revenue and Finance offices on the fourth floor of the Hoover State Office Building.
Requests for a public hearing must be received by November 27, 1998.
This amendment is intended to implement Iowa Code section 421.7.
The following amendment is proposed.
Amend rule 701--10.2(421) by adding the following new subrule:
10.2(18) Calendar year 1999. The interest rate upon all unpaid taxes which are due as of January 1, 1999, will be 10 percent per annum (0.8% per month). This interest rate will accrue on taxes which are due and unpaid as of, or after, January 1, 1999. In addition, this interest rate will accrue on tax refunds which by law accrue interest, regardless of whether the tax to be refunded is due before or after January 1, 1999. This interest rate of 10 percent per annum, whether for unpaid taxes or tax refunds, will commence to accrue in 1999.
ARC 8436A
REVENUE AND FINANCE DEPARTMENT[701]

Notice of Intended Action

Twenty-five interested persons, a governmental subdivision, an agency or association of 25 or more persons may demand an oral presentation hereon as provided in Iowa Code section 17A.4(1)"b."

Notice is also given to the public that the Administrative Rules Review Committee may, on its own motion or on written request by any individual or group, review this proposed action under section 17A.8(6) at a regular or special meeting where the public or interested persons may be heard.

Pursuant to the authority of Iowa Code section 421.14, the Department of Revenue and Finance hereby gives Notice of Intended Action to amend Chapter 67, "Administration," and Chapter 68, "Motor Fuel and Undyed Special Fuel," Iowa Administrative Code.
These amendments make technical corrections in the motor fuel tax rules.
Item 1 amends the definition of "withdrawn from terminal" to include the movement of alcohol from an alcohol manufacturer to a nonterminal location and to exclude the movement of alcohol from an alcohol manufacturer to a licensed supplier's alcohol storage at a terminal.
Item 2 requires that invoices contain the amount of state and federal fuel tax paid so the department can identify the exact amount of tax paid when processing claims for refund. Many of the invoices presently received show only the total price paid per gallon with no indication of whether state tax was paid.
Item 3 clarifies that cement is mixed with other products to make concrete and that it is the concrete that is off-loaded.
Item 4 provides that the tax paid on all fuel exported by distributors is subject to refund. The existing rule limits refunds to the tax paid on fuel that is exported in less than transport loads.
Item 5 permits a refund of the tax paid on fuel that is inadvertently commingled with other fuel to produce a nonusable product.
The proposed amendments will not necessitate additional expenditures by political subdivisions or agencies and entities which contract with political subdivisions.
The Department has determined that these proposed amendments may have an impact on small business. The Department has considered the factors listed in Iowa Code section 17A.31(4). The Department will issue a regulatory flexibility analysis as provided in Iowa Code sections 17A.31 to 17A.33 if a written request is filed by delivery or by mailing postmarked no later than November 24, 1998, to the Policy Section, Compliance Division, Department of Revenue and Finance, Hoover State Office Building, P.O. Box 10457, Des Moines, Iowa 50306. The request may be made by the Administrative Rules Review Committee, the Governor, a political subdivision, at least 25 persons who qualify as a small business under Iowa Code sections 17A.31 to 17A.33, or an organization of small businesses representing at least 25 persons which is registered with this agency under Iowa Code sections 17A.31 to 17A.33.
Any interested person may make written suggestions or comments on these proposed amendments on or before December 4, 1998. Such written comments should be directed to the Policy Section, Compliance Division, Department of Revenue and Finance, Hoover State Office Building, P.O. Box 10457, Des Moines, Iowa 50306.
Persons who want to orally convey their views should contact the Policy Section, Compliance Division, Department of Revenue and Finance, at (515)281-4250 or at the Department of Revenue and Finance offices on the fourth floor of the Hoover State Office Building.
Requests for a public hearing must be received by November 27, 1998.
These amendments are intended to implement Iowa Code chapters 452A and 453A.
The following amendments are proposed.
ITEM 1. Amend rule 701--67.1(452A), definition of "Withdrawn from terminal," as follows:
"Withdrawn from terminal" means physical movement from a supplier to a distributor or eligible end user or from an alcohol manufacturer to a nonterminal location and includes an importer going out of state and obtaining fuel from a terminal and bringing the fuel into the state, and a restrictive supplier bringing fuel into the state even though not purchased directly from a terminal. Exchange of product by suppliers while in the distribution channel is and the physical movement of alcohol from an alcohol manufacturer to an Iowa licensed supplier's alcohol storage at a terminal are not to be considered "withdrawn from terminal."
ITEM 2. Amend rule 701--67.12(452A), numbered paragraph "7," as follows:
7. Indicate the total purchase price and show separately the amount of state and federal fuel tax included in the purchase price.
ITEM 3. Amend subrule 68.8(10), last unnumbered paragraph, as follows:
It has been predetermined that tax on fuel used in the off-loading or mixing of cement into concrete, the off-loading of the concrete, and the loading and off-loading of solid waste will be refunded on the basis of 30 percent of the fuel placed in the fuel supply tank of the vehicle provided proper records are maintained. Proper records shall consist of records of fills for each vehicle from tax-paid bulk storage tanks or sales tickets where fuel is purchased directly from a service station. Each vehicle must be identifiable by a unit number so the department can trace fuel usage to specific vehicles. An additional allowance will be granted where it can be substantiated through the use of separate meters which operate to measure the fuel when the vehicle is stationary or the use of separate tanks which fuel the vehicle only when the vehicle is stationary that the actual nonhighway fuel usage exceeds 30 percent.
ITEM 4. Amend subrule 68.8(15) as follows:
68.8(15) Exports by eligible purchasers (distributors). Distributors who have purchased tax-paid motor fuel or undyed special fuel and sell smaller quantities (less than transport load) the fuel to consumers outside the state may apply for a refund of the Iowa tax paid. The distributor must retain records as provided in rule 701--67.3(452A) to support the request for refund.
ITEM 5. Amend subrule 68.8(16) as follows:
68.8(16) Blending errors for special fuel. Dyed special fuel commingled with undyed special fuel and motor fuel commingled with special fuel. If dyed special fuel is inadvertently mixed with tax-paid undyed special fuel to the extent that the undyed fuel must have additional dye added to meet federal dying requirements to qualify as exempt dyed fuel, the tax is refundable on the undyed special fuel. The refund request must contain the number of gallons of undyed fuel lost through the mixing error and documentation as to how the gallonage was determined. If motor fuel is blended in error with dyed special fuel to produce a commingled product that must be destroyed or refined for subsequent use, the tax-paid fuel is subject to refund. The request for refund must contain documentation that the commingled product was destroyed or sold for purposes of refinement at a terminal.
ARC 8435A
REVENUE AND FINANCE DEPARTMENT[701]

Amended Notice of Intended Action

Pursuant to the authority of Iowa Code sections 421.14 and 422.68, the Department of Revenue and Finance published Notice of Intended Action in the September 23, 1998, Iowa Administrative Bulletin as ARC 8342A to amend Chapter 71, "Assessment Practices and Equalization," Iowa Administrative Code.
The Department has proposed amending its rule to require condominiums that are rented like apartments for commercial purposes to be classified as commercial real estate and condominiums that are sold for individual ownership and occupancy to be classified as residential real estate. The present rules permit all condominiums that are being used for residential purposes to be classified as residential real estate regardless of the fact that they may be rented and, thus, used as a commercial venture.
A public hearing on the proposed amendments will be held December 4, 1998, at 10 a.m. in the Fourth Floor Conference Room, Hoover State Office Building, Des Moines, Iowa. Any interested person may submit written comments on these amendments on or before December 4, 1998. Persons wanting to make oral comments at the hearing should contact Carl A. Castelda, Administrator, Compliance Division, Department of Revenue and Finance, Hoover State Office Building, Des Moines, Iowa 50319, telephone (515)281-3346, at least one day prior to the date of the public hearing.
ARC 8420A
TRANSPORTATION DEPARTMENT[761]

Notice of Intended Action

Notice is also given to the public that the Administrative Rules Review Committee may, on its own motion or on written request by any individual or group, review this proposed action under section 17A.8(6) at a regular or special meeting where the public or interested persons may be heard.
Pursuant to the authority of Iowa Code sections 307.10 and 307.12, the Department of Transportation hereby gives Notice of Intended Action to amend Chapter 400, "Vehicle Registration and Certificate of Title," and Chapter 401, "Special Registration Plates," Iowa Administrative Code.
Item 1 adds a definition of "hearse." Iowa Code section 321.117 sets the registration fee for hearses; however, Iowa Code chapter 321 does not define "hearse."
Item 2 adds a new rule on emergency medical services plates. 1998 Iowa Acts, Senate File 2023, section 3, establishes this new special plate type.
Item 3 amends the rule on ex-prisoner of war plates to provide that the surviving spouse of a person who was issued these plates may continue to use or apply for the plates until the surviving spouse remarries. This implements 1998 Iowa Acts, Senate File 2023, section 1.
Item 4 amends the rule on U.S. armed forces retired plates to provide that a person who served a minimum of ten years and received an honorable discharge due to a medical disqualification is eligible for the plates. This implements 1998 Iowa Acts, Senate File 2023, section 2.
Any person or agency may submit written comments concerning these proposed amendments or may submit a written request to make an oral presentation. The comments or request shall:
1. Include the name, address, and telephone number of the person or agency authoring the comments or request.
2. Reference the number and title of the proposed rule, as given in this Notice, that is the subject of the comments or request.
3. Indicate the general content of a requested oral presentation.
4. Be addressed to the Department of Transportation, Director's Staff Division, 800 Lincoln Way, Ames, Iowa 50010; fax (515)239-1639; Internet E-mail address: rules@iadot.e-mail.com.
5. Be received by the Director's Staff Division no later than November 24, 1998.
A meeting to hear requested oral presentations is scheduled for Tuesday, December 1, 1998, at 10 a.m. in the conference room of the Motor Vehicle Division, which is located on the lower level of Park Fair Mall, 100 Euclid Avenue, Des Moines.
The meeting will be canceled without further notice if no oral presentation is requested.
These amendments are intended to implement Iowa Code sections 321.34 and 321.117 and 1998 Iowa Acts, Senate File 2023.
Proposed rule-making actions:
ITEM 1. Amend rule 761--400.1(321) by adding the following new subrule and renumbering existing subrules 400.1(5) to 400.1(14) as 400.1(6) to 400.1(15):
400.1(5) "Hearse" means a motor vehicle used exclusively to transport a deceased person.
ITEM 2. Renumber rules 761--401.10(321) and 761-- 401.11(321) as rules 761--401.11(321) and 761-- 401.12(321), respectively, and adopt new rule 761-- 401.10(321) as follows:
761--401.10(321) Emergency medical services plates. Application for emergency medical services (EMS) plates shall be submitted to the Iowa department of public health on Form 411065. This agency shall determine whether the applicant is a current member of a paid or volunteer emergency medical services agency and, if so, certify this fact on the back of the application form. A vehicle owner whose membership in a paid or volunteer emergency medical services agency is terminated shall within 30 days after termination surrender the EMS plates to the county treasurer in exchange for regular registration plates.
ITEM 3. Amend rule 761--401.21(321) as follows:
761--401.21(321) Ex-prisoner of war plates. Application for special plates with an ex-prisoner of war processed emblem shall be made on Form 411065. The application shall include a copy of an official government document verifying that the applicant was a prisoner of war. If the document is not available, a person who has knowledge that the applicant was a prisoner of war shall sign a statement to that effect on the back of the application form.
The surviving spouse of a person who was issued ex-prisoner of war plates may continue to use or apply for the plates. If the surviving spouse remarries, the surviving spouse shall surrender the plates to the county treasurer in exchange for regular registration plates within 30 days after the date on the marriage certificate.
ITEM 4. Amend rule 761--401.25(321) as follows:
761--401.25(321) U.S. armed forces retired plates. Application for special plates with a United States armed forces retired processed emblem shall be made on Form 411065. To verify retirement from the United States armed forces after service of 20 years or longer, or to verify service for a minimum of 10 years and receipt of an honorable discharge from service due to a medical disqualification, the applicant shall include a copy of one of the following:
1. The official military order confirming retirement from the armed forces.
2. The report of discharge or federal Form DD214.
3. Other documentation approved by the Iowa office of the adjutant general.
NOTICE--USURY

In accordance with the provisions of Iowa Code section 535.2, subsection 3, paragraph "a," the Superintendent of Banking has determined that the maximum lawful rate of interest shall be:
October 1, 1997 -- October 31, 1997 8.25%
November 1, 1997 -- November 30, 1997 8.25%
December 1, 1997 -- December 31, 1997 8.00%
January 1, 1998 -- January 31, 1998 8.00%
February 1, 1998 -- February 28, 1998 7.75%
March 1, 1998 -- March 31, 1998 7.50%
April 1, 1998 -- April 30, 1998 7.50%
May 1, 1998 -- May 31, 1998 7.75%
June 1, 1998 -- June 30, 1998 7.75%
July 1, 1998 -- July 31, 1998 7.75%
August 1, 1998 -- August 31, 1998 7.50%
September 1, 1998 -- September 30, 1998 7.50%
October 1, 1998 -- October 31, 1998 7.25%
November 1, 1998 -- November 30, 1998 6.75%
FILED EMERGENCY

ARC 8426A
HUMAN SERVICES DEPARTMENT[441]

Adopted and Filed Emergency

Pursuant to the authority of Iowa Code section 234.6, the Department of Human Services hereby amends Chapter 65, "Administration," appearing in the Iowa Administrative Code.
This amendment restores food stamp eligibility to certain legal aliens effective November 1, 1998, as follows:
1. Eligibility is not time-limited for the following additional categories of aliens:

* Aliens lawfully residing in the United States who were members of a Hmong or Highland Lao tribe when the tribe assisted the U.S. armed forces during the Vietnam War (August 5, 1964, through May 7, 1975), their spouses, unmarried dependent children, and the unremarried widows or widowers of those who are deceased.

* Native Americans born in Canada who have treaty rights to cross the U.S. borders into Canada and Mexico.

* Legal immigrants who were lawfully residing in the U.S. on August 22, 1996, who were 65 years of age or older on August 22, 1996, or are under 18 years of age, or are receiving payments or assistance for blindness or disability, as defined in the Food Stamp Act (Section 3(r)), regardless of when they became disabled.
2. Eligibility is extended from five to seven years from the date the following aliens receive the following statuses:

* Refugees admitted under Section 207 of the Immigration and Nationality Act (INA).

* Asylees admitted under Section 208 of the INA.

* Aliens whose deportation has been withheld under Section 243(h) of the INA.
3. Eligibility is limited to seven years from the date the following aliens receive the following statuses:

* Aliens whose deportation has been withheld under Section 241(b)(3) of the INA.

* Cuban and Haitian entrants under Section 501(e) of the Refugee Education Assistance Act of 1980.

* Amerasian immigrants under Section 584 of the Foreign Operations, Export Financing and Related Program Appropriations Act.
The President signed Public Law 105-185, the Agricultural Research, Extension, and Education Reform Act of 1998 on June 23, 1998. Title V of the Act contained provisions regarding reductions in funding of employment and training programs and food stamp alien provisions. A memorandum instructing states to implement these changes was received from the United States Department of Agriculture on July 17, 1998.
The Department of Human Services finds that notice and public participation are impracticable because there is not time to allow for notice and public participation before the November 1, 1998, implementation date mandated by Congress. The Department has no choice but to implement this amendment, which is required by law. Therefore, this amendment is filed pursuant to Iowa Code section 17A.4(2).
The Department finds that this amendment confers a benefit by extending food stamp benefits to those aliens listed above. Therefore, this amendment is filed pursuant to Iowa Code section 17A.5(2)"b"(2).
This amendment is also published herein under Notice of Intended Action as ARC 8425A to allow for public comment.
The Council on Human Services adopted this amendment October 14, 1998.
This amendment is intended to implement Iowa Code section 234.6.
This amendment became effective November 1, 1998.
The following amendment is adopted.
Amend rule 441--65.47(234) as follows:
441--65.47(234) Eligibility of noncitizens. Notwithstanding anything to the contrary in these rules or regulations, noncitizens are not eligible for food stamp benefits except for the following categories of aliens, providing that they meet all other eligibility factors.
65.47(1) Five Seven-year eligibility. Eligibility is limited to the first five seven years after the date the alien obtains one of the following designated alien statuses:
a. and b. No change.
c. Aliens whose deportation has been withheld under Section 243(h) or 241(b)(3) of the INA.
d. Cuban and Haitian entrants under Section 501(e) of the Refugee Education Assistance Act of 1980.
e. Amerasian immigrants under Section 584 of the Foreign Operations, Export Financing and Related Program Appropriations Act.
65.47(2) Unlimited eligibility. Eligibility is not time-limited for the following aliens:
a. to c. No change.
d. Aliens lawfully residing in the United States who were members of a Hmong or Highland Lao tribe when the tribe assisted the U.S. armed forces during the Vietnam War (August 5, 1964, through May 7, 1975), their spouses, unmarried dependent children, and the unremarried widows or widowers of those who are deceased.
e. Native Americans born in Canada who have treaty rights to cross the U.S. borders into Canada and Mexico.
f. Legal immigrants who were lawfully residing in the U.S. on August 22, 1996, who:
(1) Were 65 years of age or older on August 22, 1996, or
(2) Are under 18 years of age, or
(3) Are receiving payments or assistance for blindness or disability, as defined in the Food Stamp Act (Section 3(r)), regardless of when they became disabled.
65.47(3) Transition period for noncitizens. Noncitizens who received food stamp benefits on August 22, 1996, shall continue to be eligible for benefits if they meet all eligibility requirements under current rules and regulations, except for alien status. The department shall recertify these noncitizens during the period beginning April 1, 1997, and ending August 22, 1997.
[Filed Emergency 10/14/98, effective 11/1/98]

[Published 11/4/98]

EDITOR'S NOTE: For replacement pages for IAC, see IAC Supplement 11/4/98.
ARC 8431A
HUMAN SERVICES DEPARTMENT[441]

Adopted and Filed Emergency After Notice

Pursuant to the authority of Iowa Code section 234.6, the Department of Human Services hereby amends Chapter 156, "Payments for Foster Care and Foster Parent Training," appearing in the Iowa Administrative Code.
The Council on Human Services adopted this amendment October 14, 1998. Notice of Intended Action regarding this amendment was published in the Iowa Administrative Bulletin on August 26, 1998, as ARC 8252A.
This amendment implements an increase in the maintenance payment paid to a child in independent living from $460 per month to $485.45 per month. Funding for this increase has been included in the Fiscal Year 1999 budget.
The Department of Human Services finds that this amendment confers a benefit on children in independent living by providing them a monthly rate increase. Therefore, this amendment is filed pursuant to Iowa Code section 17A.5(2)"b"(2).
This amendment is identical to that published under Notice of Intended Action.
This amendment is intended to implement Iowa Code section 234.35.
This amendment became effective November 1, 1998.
The following amendment is adopted.
Amend subrule 156.12(1) as follows:
156.12(1) Maintenance. When a child at least aged 16 but under the age of 20 is living in an independent living situation, an amount not to exceed $460 $485.45 per month may be paid to the child or another payee, other than a department employee, for the child's care.
[Filed Emergency After Notice 10/14/98, effective 11/1/98]

[Published 11/4/98]

EDITOR'S NOTE: For replacement pages for IAC, see IAC Supplement 11/4/98.
ARC 8441A
INSURANCE DIVISION[191]

Adopted and Filed Emergency

Pursuant to the authority of Iowa Code sections 505.8, 509.3, 513B.14, 513C.8 and 514B.23, the Insurance Commissioner amends Chapter 35, "Accident and Health Insurance," Chapter 36, "Accident and Health--Minimum Standards," Chapter 40, "Health Maintenance Organizations," Chapter 71, "Small Group Health Benefit Plans," and Chapter 75, "Iowa Individual Health Benefit Plans," Iowa Administrative Code.
The amendments require health insurance carriers and health maintenance organizations to include in contracts and evidence of coverage documents a disclosure of the existence of any drug formularies and the existence of any contractual arrangements which provide rebates or other incentives for drugs or medical devices. The proposed rule is being added to all chapters which govern various types of health benefit plans.
The Division originally published these amendments as a Notice of Intended Action on April 8, 1998, as ARC 7939A. A considerable amount of time was taken for comment from consumers and industry persons. Due to lengthy discussions, the 180-day time period following oral presentations lapsed. Therefore, it was necessary to terminate the Notice of Intended Action. The Division has received comments from all interested parties pursuant to the initial submission. Changes have been made to reflect those comments.
Pursuant to Iowa Code section 17A.4(2), the Division finds that public notice and participation are unnecessary because these amendments were previously submitted as a Notice of Intended Action and a comment period was provided.
The Division finds, pursuant to Iowa Code section 17A.5(2)"b"(2), that the normal effective date of the amendments should be waived and these amendments should be made effective upon filing as they confer a benefit on the public.
These amendments became effective October 16, 1998.
These amendments are intended to implement Iowa Code sections 509.3, 513B.14, 513C.8, 514B.23, and 514D.3.
The following amendments are adopted.
ITEM 1. Amend 191--Chapter 35 by adopting the following new rule:
191--35.31(509) Disclosure requirements. All carriers and ODSs shall include in contracts and evidence of coverage forms a statement disclosing the existence of any prescription drug formularies. Upon request, all carriers and ODSs offering health insurance coverage that includes a prescription drug formulary shall inform enrollees of the coverage, and prospective enrollees of the coverage during any open enrollment period, whether a prescription drug specified in the request is included in such formulary.
All carriers and ODSs shall also disclose the existence of any contractual arrangements providing rebates received by them for prescription drugs or durable medical equipment. Durable medical equipment means equipment that can stand repeated use and is primarily and customarily used to serve a medical purpose and is generally not useful to a person who is not sick or injured or used by other family members and is appropriate for home use for the purpose of improving bodily functions or preventing further deterioration of the medical condition caused by sickness or injury.
ITEM 2. Amend subrule 36.7(1) by adding the following new paragraph "m":
m. Disclosure requirements. All insurers shall include in contracts and evidence of coverage forms a statement disclosing the existence of any prescription drug formularies. Upon request, all insurers offering policies under this chapter that include a prescription drug formulary shall inform policyholders, and prospective policyholders at time of issuance, whether a prescription drug specified in the request is included in such formulary.
All insurers shall also disclose the existence of any contractual arrangements providing rebates received by them for prescription drugs or durable medical equipment. Durable medical equipment means equipment that can stand repeated use and is primarily and customarily used to serve a medical purpose and is generally not useful to a person who is not sick or injured or used by other family members and is appropriate for home use for the purpose of improving bodily functions or preventing further deterioration of the medical condition caused by sickness or injury.
ITEM 3. Amend 191--Chapter 40 by adding the following new rule:
191--40.23(514B) Disclosure requirements. All HMOs shall include in contracts and evidence of coverage forms a statement disclosing the existence of any prescription drug formularies. Upon request, an HMO offering a plan that includes a prescription drug formulary shall inform enrollees of the plan, and prospective enrollees of the plan during any open enrollment period, whether a prescription drug specified in the request is included in such formulary.
All HMOs shall also disclose the existence of any contractual arrangements providing rebates received by them for prescription drugs or durable medical equipment. Durable medical equipment means equipment that can stand repeated use and is primarily and customarily used to serve a medical purpose and is generally not useful to a person who is not sick or injured or used by other family members and is appropriate for home use for the purpose of improving bodily functions or preventing further deterioration of the medical condition caused by sickness or injury.
ITEM 4. Amend 191--Chapter 71 by adding the following new rule:
191--71.19(513C) Disclosure requirements. All carriers and ODSs shall include in contracts and evidence of coverage forms a statement disclosing the existence of any drug formularies. Upon request, a carrier or ODS offering health insurance coverage that includes a prescription drug formulary shall inform enrollees of the coverage, and prospective enrollees of the coverage during any open enrollment period, whether a prescription drug specified in the request is included in such formulary.
All carriers and ODSs shall also disclose the existence of any contractual arrangements providing rebates received by them for prescription drugs or durable medical equipment. Durable medical equipment means equipment that can stand repeated use and is primarily and customarily used to serve a medical purpose and is generally not useful to a person who is not sick or injured or used by other family members and is appropriate for home use for the purpose of improving bodily functions or preventing further deterioration of the medical condition caused by sickness or injury.
ITEM 5. Amend 191--Chapter 75 by adding the following new rule:
191--75.12(513C) Disclosure requirements. All carriers and ODSs shall include in contracts and evidence of coverage forms a statement disclosing the existence of any drug formularies. Upon request, a carrier or ODS offering health insurance coverage that includes a prescription drug formulary shall inform enrollees of the coverage, and prospective enrollees of the coverage during any open enrollment period, whether a prescription drug specified in the request is included in such formulary.
All carriers and ODSs shall also disclose the existence of any contractual arrangements providing rebates received by them for prescription drugs or durable medical equipment. Durable medical equipment means equipment that can stand repeated use and is primarily and customarily used to serve a medical purpose and is generally not useful to a person who is not sick or injured or used by other family members and is appropriate for home use for the purpose of improving bodily functions or preventing further deterioration of the medical condition caused by sickness or injury.
[Filed Emergency 10/16/98, effective 10/16/98]

[Published 11/4/98]

EDITOR'S NOTE: For replacement pages for IAC, see IAC Supplement 11/4/98.
ARC 8443A
NATURAL RESOURCE COMMISSION[571]

Adopted and Filed Emergency

Pursuant to the authority of Iowa Code subsection 455A.5(6), the Natural Resource Commission hereby amends Chapter 91, "Waterfowl and Coot Hunting Seasons," Iowa Administrative Code.
This amendment makes waterfowl limits consistent with federal regulatory requirements.
State hunting seasons on migratory birds must be set within frameworks established annually by the Fish and Wildlife Service, U.S. Department of the Interior. These frameworks specify shooting hours, bag limits and possession limits, as well as season lengths and outside dates. These frameworks were finalized by the Service in August. In previous rule making, which went into effect August 21, 1998, the federal regulations for the possession limits of geese were misunderstood and therefore amended incorrectly at that time.
In compliance with Iowa Code section 17A.4(2), the Department finds that notice and public participation are unnecessary because state regulations must stay in compliance with federal requirements and may not be more liberal.
The Department finds, pursuant to Iowa Code section 17A.5(2)"b"(2), that this amendment confers a benefit on a segment of the public by becoming effective upon filing with the Administrative Rules Coordinator and that the usual effective date of these rules would unnecessarily restrict the public by confusing the possession limits for geese.
This amendment became effective on October 16, 1998.
This amendment is intended to implement Iowa Code sections 481A.38, 481A.39 and 481A.48.
The following amendment is adopted.
Amend subrule 571--91.3(2) as follows:
91.3(2) Possession limit. Possession limit is 4 Canada geese, 4 white-fronted geese, 4 brant twice the daily bag limit and no possession limit on snow geese.
[Filed Emergency 10/16/98, effective 10/16/98]

[Published 11/4/98]

EDITOR'S NOTE: For replacement pages for IAC, see IAC Supplement 11/4/98.
FILED

ARC 8422A
ACCOUNTANCY EXAMINING BOARD[193A]

Adopted and Filed

Pursuant to the authority of Iowa Code section 542C.3, the Accountancy Examining Board hereby amends Chapter 9, "Permits to Practice," Chapter 12, "Procedure for Enforcement," and Chapter 16, "Public Records and Fair Information Practices," Iowa Administrative Code.
The amendments to Chapters 9 and 12 outline procedures to be followed when the Board receives a certificate of noncompliance from the College Student Aid Commission in accordance with 1998 Iowa Acts, Senate File 2170. The amendment to Chapter 16 allows the Board to share information regarding registrants with the College Student Aid Commission.
Notice of Intended Action was published in the Iowa Administrative Bulletin on August 12, 1998, as ARC 8229A. The amendments are unchanged from those published under Notice of Intended Action.
These amendments will become effective December 9, 1998.
These amendments are intended to implement 1998 Iowa Acts, Senate File 2170 [chapter 1081].
The following amendments are adopted.
ITEM 1. Adopt new rule 193A--9.13(77GA,SF2170) as follows:
193A--9.13(77GA,SF2170) Issuance or renewal of a certificate of registration--denial. The board shall deny the issuance or renewal of a certificate of registration upon receipt of a certificate of noncompliance from the college student aid commission according to the procedures set forth in 1998 Iowa Acts, Senate File 2170. In addition to those procedures, this rule shall apply.
9.13(1) The notice required by 1998 Iowa Acts, Senate File 2170, section 6, shall be served by restricted certified mail, return receipt requested, or by personal service in accordance with the Iowa Rules of Civil Procedure. Alternatively, the applicant or registrant may accept service personally or through authorized counsel.
9.13(2) The effective date of the denial of the issuance or renewal of a certificate of registration, as specified in the notice required by 1998 Iowa Acts, Senate File 2170, section 6, shall be 60 days following service of the notice upon the applicant or registrant.
9.13(3) The board's executive secretary is authorized to prepare and serve the notice required by 1998 Iowa Acts, Senate File 2170, section 6, upon the applicant or registrant.
9.13(4) Applicants and registrants shall keep the board informed of all court actions and all college student aid commission actions taken under or in connection with Iowa Code chapter 261 and shall provide the board copies, within seven days of filing or issuance, of all applications filed with the district court pursuant to 1998 Iowa Acts, Senate File 2170, section 7, all court orders entered in such actions, and withdrawals of certificates of noncompliance by the college student aid commission.
9.13(5) All board fees required for application, registration renewal or registration reinstatement must be paid by applicants or registrants, and all continuing education requirements must be met before a certificate of registration will be issued, renewed, or reinstated after the board has denied the issuance or renewal of a certificate of registration pursuant to Iowa Code chapter 261.
9.13(6) In the event an applicant or registrant timely files a district court action following service of a board notice pursuant to 1998 Iowa Acts, Senate File 2170, sections 6 and 7, the board shall continue with the intended action described in the notice upon the receipt of a court order lifting the stay, dismissing the action, or otherwise directing the board to proceed. For purposes of determining the effective date of the denial of the issuance or renewal of a certificate of registration, the board shall count the number of days before the action was filed and the number of days after the action was disposed of by the court.
9.13(7) The board shall notify the applicant or registrant in writing through regular first-class mail, or such other means as the board deems appropriate in the circumstances, within ten days of the effective date of the denial of the issuance or renewal of a certificate of registration, and shall similarly notify the applicant or registrant when the certificate of registration is issued or renewed following the board's receipt of a withdrawal of the certificate of noncompliance.
ITEM 2. Amend the implementation sentence at the end of 193A--Chapter 9 as follows:
These rules are intended to implement Iowa Code section 542C.20 and Iowa Code Supplement chapter 252J and 1998 Iowa Acts, Senate File 2170.
ITEM 3. Adopt new rule 193A--12.19(77GA,SF2170) as follows:
193A--12.19(77GA, SF2170) Suspension or revocation of a certificate of registration--student loan. The board shall suspend or revoke a certificate of registration upon receipt of a certificate of noncompliance from the college student aid commission according to the procedures set forth in 1998 Iowa Acts, Senate File 2170. In addition to those procedures, this rule shall apply.
12.19(1) The notice required by 1998 Iowa Acts, Senate File 2170, section 6, shall be served by restricted certified mail, return receipt requested, or by personal service in accordance with the Iowa Rules of Civil Procedure. Alternatively, the applicant or registrant may accept service personally or through authorized counsel.
12.19(2) The effective date of revocation or suspension of a certificate of registration, as specified in the notice required by 1998 Iowa Acts, Senate File 2170, section 6, shall be 60 days following service of the notice upon the applicant or registrant.
12.19(3) The board's executive secretary is authorized to prepare and serve the notice required by 1998 Iowa Acts, Senate File 2170, section 6, and is directed to notify the licensee that the certificate of registration will be suspended, unless the certificate of registration is already suspended on other grounds. In the event a certificate of registration is on suspension, the executive secretary shall notify the registrant of the board's intention to revoke the certificate of licensure.
12.19(4) Registrants shall keep the board informed of all court actions and all college student aid commission actions taken under or in connection with Iowa Code chapter 261 and shall provide the board copies, within seven days of filing or issuance, of all applications filed with the district court pursuant to 1998 Iowa Acts, Senate File 2170, section 7, all court orders entered in such actions, and withdrawals of certificates of noncompliance by the college student aid commission.
12.19(5) All board fees required for registration renewal or registration reinstatement must be paid by registrants, and all continuing education requirements must be met before a certificate of registration will be renewed or reinstated after the board has suspended or revoked a license pursuant to Iowa Code chapter 261.
12.19(6) In the event a registrant timely files a district court action following service of a board notice pursuant to 1998 Iowa Acts, Senate File 2170, sections 6 and 7, the board shall continue with the intended action described in the notice upon the receipt of a court order lifting the stay, dismissing the action, or otherwise directing the board to proceed. For purposes of determining the effective date of the denial of the issuance or renewal of a certificate of registration, the board shall count the number of days before the action was filed and the number of days after the action was disposed of by the court.
12.19(7) The board shall notify the registrant in writing through regular first-class mail, or such other means as the board deems appropriate in the circumstances, within ten days of the effective date of the suspension or revocation of a certificate of registration, and shall similarly notify the registrant when the certificate of registration is reinstated following the board's receipt of a withdrawal of the certificate of noncompliance.
This rule is intended to implement 1998 Iowa Acts, Senate File 2170.
ITEM 4. Adopt new subrule 16.9(4) as follows:
16.9(4) Notwithstanding any statutory confidentiality provision, the board may share information with the college student aid commission for the sole purpose of identifying applicants or registrants subject to enforcement under 1998 Iowa Acts, Senate File 2170.
ITEM 5. Amend the implementation sentence at the end of 193A--Chapter 16 as follows:
These rules are intended to implement Iowa Code section 22.11 and Iowa Code Supplement chapter 252J and 1998 Iowa Acts, Senate File 2170.
[Filed 10/13/98, effective 12/9/98]

[Published 11/4/98]

EDITOR'S NOTE: For replacement pages for IAC, see IAC Supplement 11/4/98.
ARC 8421A
ACCOUNTANCY EXAMINING BOARD[193A]

Adopted and Filed

Pursuant to the authority of Iowa Code section 542C.3, the Accountancy Examining Board hereby adopts Chapter 13, "Waivers or Variances from Rules," Iowa Administrative Code.
New Chapter 13 allows the Board to consider a waiver or variance from administrative rules, provides registrants with the procedures necessary to request a waiver or variance and outlines the Board's responsibilities when a request is submitted.
Notice of Intended Action was published in the Iowa Administrative Bulletin on August 12, 1998, as ARC 8235A. The amendment is unchanged from that published under Notice of Intended Action.
This amendment will become effective December 9, 1998.
This amendment is intended to implement Iowa Code chapters 17A and 542C.
The following amendment is adopted.
Adopt new 193A--Chapter 13 as follows:
CHAPTER 13

WAIVERS OR VARIANCES FROM RULES

193A--13.1(542C) Applicability. This chapter governs waivers or variances from board rules in the following circumstances: The board has exclusive rule-making authority to promulgate the rule from which the waiver or variance is requested or has final decision-making authority over a contested case in which waiver or variance is requested; and no statute or rule otherwise controls the grant of a waiver or variance from the rule from which the waiver or variance is requested.
13.1(1) Board's authority. The board may grant a waiver of, or variance from, all or part of a rule, upon the criteria described in rule 13.2(542C).
13.1(2) Compliance with statute. No waiver or variance may be granted from a requirement which is imposed by statute. Any waiver or variance must be consistent with statute.
193A--13.2(542C) Criteria. A waiver or variance under this chapter may be granted only upon showing that:
1. Substantially equal protection of the public interest will be afforded by a means other than that prescript in the particular rule for which the variance or waiver is requested;
2. The waiver or variance will not harm other persons or will not adversely affect the public interest;
3. Because of the circumstances, either the requester is unable to comply with the particular rule without undue hardship or compliance with the particular rule would be unnecessarily and unreasonably costly and serve no public benefit; and
4. Provision of a waiver or variance under the circumstances would not adversely impact an overall goal of uniform treatment of all licensees.
193A--13.3(542C) Request. A request for a waiver or variance must be submitted in writing to the board as follows:
13.3(1) License application. If the request relates to a license application, the request shall be made in accordance with the filing requirements for the license in question.
13.3(2) Contested case. If the request relates to a pending contested case, the request shall be filed in the contested case proceeding.
13.3(3) Other. If the request does not relate to a license application or a pending contested case, the request may be submitted to the board's executive secretary.
193A--13.4(542C) Elements. A request for waiver or variance shall include the following information where applicable:
1. The name, address, and telephone number of the person requesting the waiver or variance and the person's representative, if any.
2. The specific rule from which a waiver or variance is requested.
3. The nature of the waiver or variance requested, including any alternative means or other proposed condition or modification proposed to achieve the purpose of the rule.
4. An explanation of the reason for the waiver or variance, including all material facts relevant to grant the waiver or variance in question.
5. A description of any prior contact between the board and the requester relating to the regulated activity or license affected by the proposed waiver or variance, including a description of each affected license held by the requester, any notices of violation, contested case hearings, or investigative reports relating to the regulated activity or license within the last five years.
6. The name, address, and telephone number of any public agency or political subdivision which also regulates the activity in question or which might be affected by a grant of waiver or variance.
7. Any information known to the requester regarding the board's treatment of similar cases.
8. The name, address, and telephone number of any person with knowledge of the relevant facts relating to the proposed waiver or variance.
9. Any necessary releases of information authorizing persons with knowledge to disclose relevant information to the board.
193A--13.5(542C) Ruling. The board shall respond in writing to all requests. The ruling shall include the reason for granting or denying the request and, if approved, the time period during which the waiver or variance is effective. The board may condition the grant of waiver or variance on such reasonable conditions as appropriate to achieve the objectives of the particular rule in question through alternative means.
193A--13.6(542C) Public availability. All final rulings in response to requests for waivers or variances shall be indexed and available to members of the public at the board office.
193A--13.7(542C) Voiding or cancellation. A waiver or variance is void if the material facts upon which the request is based are not true or if material facts have been withheld. The board may at any time cancel a waiver or variance upon appropriate notice and hearing if the board finds that the facts as stated in the request are not true, material facts have been withheld, the alternative means of compliance provided in the waiver or variance has failed to achieve the objectives of the statute, or the requester has failed to comply with conditions set forth in the waiver or variance approval.
193A--13.8(542C) Violations. Violation of conditions in the waiver or variance approval is the equivalent of violation of the particular rule for which the waiver or variance is granted and is subject to the same remedies or penalties.
193A--13.9(542C) Appeals. Any request for an appeal from a decision granting or denying a waiver or variance shall be in accordance with the procedures provided in Iowa Code chapter 17A and this chapter. An appeal shall be taken within 30 days of the issuance of the ruling in response to the request unless a contrary time is provide by rule or statute.
These rules are intended to implement Iowa Code chapter 542C.
[Filed 10/13/98, effective 12/9/98]

[Published 11/4/98]

EDITOR'S NOTE: For replacement pages for IAC, see IAC Supplement 11/4/98.
ARC 8447A
CORRECTIONS DEPARTMENT[201]

Adopted and Filed

Pursuant to the authority of Iowa Code section 904.108, the Department of Corrections hereby amends Chapter 20, "Institutions Administration," Iowa Administrative Code.
Currently, Iowa Code chapter 80A requires private offender transportation companies to comply with Iowa Code provisions for private security companies.
This rule provides exemption to private offender transportation companies from compliance with the provisions of Iowa Code chapter 80A that classifies these companies as private security companies. The Department believes that many of these requirements for private security companies are unnecessary when applied to offender transportation. Therefore, 1998 Iowa Acts, Senate File 2331, provides an exemption for this purpose provided all offender transportation companies meet the requirements of this rule.
Notice of Intended Action was published in the Iowa Administrative Bulletin on July 29, 1998, as ARC 8215A. This adopted rule is identical to the rule published under Notice of Intended Action.
This rule was adopted by the Corrections Board at the regular meeting of the Board on September 25, 1998.
This rule will become effective on December 9, 1998.
This rule is intended to implement Iowa Code section 80A.2 as amended by 1998 Iowa Acts, Senate File 2331.
The following rule is adopted.
Adopt the following new rule:
201--20.14(80A) Offender transportation.
20.14(1) Companies under contract to county or state agencies to transport Iowa offenders must meet the requirements of this rule to qualify for exemption under Iowa Code section 80A.2 as amended by 1998 Iowa Acts, Senate File 2331.
20.14(2) To comply with the exemption in Iowa Code section 80A.2 as amended by 1998 Iowa Acts, Senate File 2331, the following requirements shall apply:
a. A company(ies) contracting with any jurisdiction/agency within the state of Iowa shall provide, upon request, training and compliance with policy standards governing weapons, security, transportation, and offender management procedures essential to accomplishing safe and secure movement of offenders.
b. A company contracting to provide offender transportation with a jurisdiction/agency within the state of Iowa shall provide proof of insurance coverage including, but not limited to, comprehensive general liability, automobile liability, workers' compensation insurance, all inclusive policies, general liability, and errors or omissions.
c. A company contracting with any jurisdiction/agency within the state of Iowa shall provide the names, dates of birth, and social security numbers of all transportation personnel for criminal history checks.
d. All transporting personnel shall possess appropriate and valid driver's licenses as required by the regulatory agencies.
e. All transporting vehicles shall be licensed under the appropriate Interstate Commerce Commission (ICC) regulations and the state where the vehicle is registered.
f. All transmitting/receiving radios and communication equipment shall comply with Federal Communications Commission (FCC) regulations.
g. This exemption applies only to offender transportation companies. This exemption does not provide exemption for any other part of this statute.
This rule is intended to implement Iowa Code section 80A.2 as amended by 1998 Iowa Acts, Senate File 2331.
[Filed 10/16/98, effective 12/9/98]

[Published 11/4/98]

EDITOR'S NOTE: For replacement pages for IAC, see IAC Supplement 11/4/98.
ARC 8448A
CORRECTIONS DEPARTMENT[201]

Adopted and Filed

Pursuant to the authority of Iowa Code section 904.108 and 1998 Iowa Acts, Senate File 2292, section 14, and Senate File 2398, section 21, the Department of Corrections hereby adopts new Chapter 38, "Sex Offender Management and Treatment," Iowa Administrative Code.
1998 Iowa Acts, Senate File 2292, requires the Department to establish procedures for risk assessment of offenders required to register with the Iowa Sex Offender Registry Program. These assessments will determine the level of risk that each offender might present to the community and the type of public notification to be exercised when necessary.
1998 Iowa Acts, Senate File 2398, requires the Department, in conjunction with the Board of Parole, to establish a hormonal intervention therapy program for the control of offender deviant sexual behavior through the use of pharmaceutical agents. This program will be applied to offenders being released from incarceration by parole or work release as well as those offenders that have been placed under community supervision.
There were no persons in attendance at the public hearing on August 18, 1998; however, as a result of comment by the Department of Public Safety and further review by the Department of Corrections, the following changes have been made:
Subrule 38.3(1) now requires the Department of Corrections instead of the Department of Public Safety to designate the risk assessment instrument to be used.
In subrule 38.4(1), the words "in which the victim was a child who, at the time the offense was committed, was 12 years of age" were added for clarity.
In 38.4(3)"a"(1), the third bulleted item was changed to permit staff members who meet the experience and educational requirements of the Iowa community-based corrections psychologist classification to conduct psychosexual assessments.
Notice of Intended Action was published in the Iowa Administrative Bulletin on July 29, 1998, as ARC 8213A. These rules were also Adopted and Filed Emergency effective July 10, 1998, and published in the Iowa Administrative Bulletin on July 29, 1998, as ARC 8214A.
These new rules were adopted by the Corrections Board at the regular meeting of the Board on September 25, 1998.
These rules will become effective on December 9, 1998.
These rules are intended to implement Iowa Code Supplement chapter 692A as amended by 1998 Iowa Acts, Senate File 2292, and 1998 Iowa Acts, Senate File 2398, section 21.
The following new chapter is adopted.
CHAPTER 38

SEX OFFENDER MANAGEMENT AND TREATMENT

201--38.1(692A,903B) Application of rules. The following rules apply to sex offender registration and hormonal intervention therapy.
201--38.2(692A,903B) Definitions.
"Hormonal intervention therapy" means a comprehensive treatment program inclusive of education, counseling, and pharmaceutical applications to control sexual deviant behavior.
"Risk assessment" means a comprehensive assessment of an offender's potential risk to the community.
"Serious sex offense" means a criminal offense as defined in 1998 Iowa Acts, Senate File 2398, section 21, subsection 4.
"Sexual offense" means a criminal offense as defined in Iowa Code Supplement section 692A.1 as amended by 1998 Iowa Acts, Senate File 2292.
201--38.3(692A) Sex offender risk assessment.
38.3(1) Risk assessment. The department of corrections, department of human services, and department of public safety, division of criminal investigation, in consultation with one another, shall utilize a risk assessment instrument designated by the department of corrections. The risk assessment instrument is designed to determine one of two risk levels for the purpose of community notification: The assessed offender is "low risk" to the community; or the assessed offender is "at risk" to the community
38.3(2) Agency responsibility. The department of corrections, department of human services, and the division of criminal investigation of the department of public safety shall complete the risk assessment on all offenders under each agency's authority in accordance with the requirements of Iowa Code section 692A.12(6) as amended by 1998 Iowa Acts, Senate File 2292.
38.3(3) Other offenses considered for assessment. Other criminal offenses may be considered if the specific circumstances of the offense(s) support the conclusion that the offense in any manner was sex related. Offenses involving a minor victim not included within the definition of "sexual offense" will also be considered. Any doubtful or questionable circumstances shall be referred to the department of public safety sex offender registry program for assistance.
38.3(4) Public notification. Affirmative public notification procedures are published in department of public safety rules 661--paragraph 8.304(1)"c."
38.3(5) Training requirements. All agency personnel conducting sex offender risk assessments shall complete the training program as developed and provided cooperatively by the responsible agencies.
38.3(6) Reporting requirements. Assessment completion and reporting results to the department of public safety sex offender registry program shall be fulfilled within 45 days of anticipated release or supervision placement.
38.3(7) Records maintenance.
a. Original sex offender registration and risk assessment documents shall be sent to the department of public safety sex offender registry program.
b. Copies of the sex offender registration and risk assessment documents shall be permanently maintained in the offender master file maintained by the reporting agency.
38.3(8) Additional rules. Additional department of public safety rules are published in 661--Chapter 8, Division III.
201--38.4(903B) Hormonal intervention therapy.
38.4(1) Affected offenders. All offenders convicted of a "serious sex offense" in which the victim was a child who, at the time the offense was committed, was 12 years of age or younger; or offenders convicted of a second or subsequent offense may be required to undergo hormonal intervention therapy as ordered by the court or board of parole in accordance with the provisions of the 1998 Iowa Acts, Senate File 2398, section 21.
38.4(2) Agency responsibility. The department of corrections, judicial districts' departments of correctional services, and the board of parole responsibilities are defined in 1998 Iowa Acts, Senate File 2398, section 21.
38.4(3) Assessment of affected offenders.
a. Psychosexual assessment. A psychosexual assessment shall be conducted on all "affected" offenders, as a part of the presentence investigation (PSI) prior to sentencing or upon entry into judicial district department of correctional services supervision or institutional placement.
(1) The psychosexual assessment shall be conducted by or under the direction of:

* A licensed psychologist; or

* A person specifically trained and experienced in the professional administration, scoring and interpretation of psychological tests (graduate level coursework in testing and assessment); or

* A staff member that meets the experience and educational requirements of the Iowa department of personnel or Iowa community-based corrections psychologist classification.
(2) The psychosexual assessment shall include:

* Tests of emotional and mental stability.

* I.Q. to measure capability.

* Measure of denial of deviant sexual characteristics.

* Polygraphy by July 1, 1999.

* Plethysmography (optional).
(3) The assessment shall follow the department of corrections standardized format and shall include a determination as to the need and effectiveness of hormonal intervention therapy as well as treatment recommendations.
b. Medical assessment. If hormonal intervention therapy is recommended as an appropriate treatment component, the offender shall receive a medical assessment to determine biological factors as related to hormonal intervention therapy.
38.4(4) Pharmaceuticals and distribution. The director of corrections may contract the purchase and distribution proc-ess to reduce pharmaceutical costs and ensure effective distribution and management of all pharmaceuticals related to the hormonal therapy program.
38.4(5) Educational/treatment programming.
a. Hormonal intervention therapy is to be utilized in conjunction with a sex offender educational/treatment program (SOTP). The offender should be involved in concurrentcognitive-behavioral treatment. In all cases where the treatment plan includes hormonal therapy, the plan shall also include monitoring and counseling.
b. All institutional or community-based corrections SOTP programs shall meet Iowa board for the treatment of sexual abusers (IBTSA) standards by July 1, 1999.
38.4(6) Application of hormonal therapy.
a. Utilization of hormonal therapy.
(1) Therapy shall utilize medroxyprogesterone acetate (MPA) or other approved pharmaceutical agents.
(2) Therapy shall be initiated as soon as reasonably possible after the offender is sentenced.
1. If the offender is incarcerated within a local jurisdiction (jail, residential facility), the judicial district department of correctional services shall coordinate initiation of treatment prior to the release of the offender from custody.
2. If the offender is incarcerated within the department of corrections, initiation of treatment shall be determined by department of corrections medical staff.
(3) Requests for hormonal therapy by the offender when the aforementioned criteria are not met shall be reviewed for consideration by the agency of jurisdiction.
(4) At any time during the course of supervision, the agency of jurisdiction may conduct a reassessment to determine if hormonal therapy should be considered or reconsidered as part of the treatment plan.
b. Monitoring/termination of hormonal therapy.
(1) Monitoring. The agency of jurisdiction shall continue to monitor the offender's therapy throughout the offender's confinement or supervision. The agency of jurisdiction may adjust medication, initiate other medication, or continue prescribed therapy with medical approval.
(2) Termination. Hormonal therapy may be discontinued only by the medical authority, with consent of the supervising officer. Termination requires a reassessment conclusion that the therapy has been determined ineffective or is no longer necessary.
38.4(7) Offender fees. Offenders are required to pay a reasonable fee for the costs related to hormonal therapy. Offender fees shall be based on the offender's ability to pay as determined by the supervising office.
38.4(8) Maintenance/transfer of records. Offender file information shall be available and shared upon request between responsible agencies including court of jurisdiction.
These rules are intended to implement Iowa Code Supplement chapter 692A as amended by 1998 Iowa Acts, Senate File 2292, and 1998 Iowa Acts, Senate File 2398, section 21.
[Filed 10/16/98, effective 12/9/98]

[Published 11/4/98]

EDITOR'S NOTE: For replacement pages for IAC, see IAC Supplement 11/4/98.
ARC 8428A
HUMAN SERVICES DEPARTMENT[441]

Adopted and Filed

Pursuant to the authority of Iowa Code section 249A.4 and 441--subrule 3.10(2), the Department of Human Services hereby amends Chapter 77, "Conditions of Participation for Providers of Medical and Remedial Care," and Chapter 78, "Amount, Duration and Scope of Medical and Remedial Services," appearing in the Iowa Administrative Code.
These amendments, which require home health agencies participating in Medicaid to obtain, maintain, and timely file surety bonds, were Adopted and Filed Emergency and published in the July 1, 1998, Iowa Administrative Bulletin as ARC 8116A. Notice of Intended Action to solicit comments on that submission was published in the July 1, 1998, Iowa Administrative Bulletin as ARC 8115A. These bonds permit the Department to recover from a bonding company the amount of overpayments which are not repaid by a home health agency.
The Balanced Budget Act (BBA) of 1997 requires each home health agency to secure separate surety bonds in order to participate in both the Medicare and Medicaid programs. This requirement applies to all participating Medicare and Medicaid home health agencies, regardless of the date their participation began. Federal regulations were issued January 5, 1998, implementing the surety bond provisions retroactive to January 1, 1998.
Generally, those regulations require each home health agency participating in Medicare to obtain from an authorized Surety and then to furnish to the fiscal intermediary a surety bond in an amount that is the greater of $50,000 or 15 percent of the annual amount paid to the home health agency by the Medicare program. The regulations also prohibit payment to a state for home health services furnished to Medicaid recipients unless the home health agency has furnished the Medicaid state agency with a surety bond similar to one that meets Medicare requirements. The amount of the Medicaid surety bond would be the greater of $50,000 or 15 percent of the annual amount paid to the home health agency by the Medicaid state agency for home health services.
As a result of technical issues concerning potential Surety liability raised by representatives of both the Surety and home health agency industries after the publication of the January 5, 1998, regulations, these regulations were rescinded on March 4, 1998. Modified regulations were published on June 1, 1998, to be effective July 1, 1998. The June 1, 1998, regulations revised certain sections of the January 5, 1998, regulations and established that the initial submission of a surety bond for Medicare is July 31, 1998, and for Medicaid by a date specified by each Medicaid state agency, but no later than September 29, 1998. The Department adopted the September 29, 1998, submittal date.
Because of significant concerns expressed by the United States Congress and home health agencies, and notification that the General Accounting Office is investigating issues surrounding the surety bond requirement, revised federal regulations were once again issued on July 31, 1998. These regulations suspend the compliance date until the Health Care Financing Administration evaluates the General Accounting Office report.
Therefore, although the surety bond requirements remain in effect, the practical effect of this document is to absolve participating home health agencies from having to show compliance with the requirements until 60 days following the publication of new regulations, but no earlier than February 15, 1999.
Based on the revised federal regulations, the following revisions were made to the Notice of Intended Action:
Rule 441--77.9(249A), introductory paragraph, and subrule 77.9(4), paragraph "a," subparagraphs (1), (2), (3), and (5) were revised to remove any requirement for submittal of the bond to the Medicaid fiscal agent. To remove enforcement provisions, subrules 77.9(5) and 77.9(8) were not adopted and the remaining subrules were renumbered.
The amendment proposed to rule 441--78.9(249A) requiring submittal of the bond prior to payment was not adopted, so the language added by simultaneous emergency rule making is stricken herein.
Although the requirements for a surety bond remain in effect, the Department of Human Services will not take any action to enforce these rules until further notice following receipt of revised federal regulations.
The Council on Human Services adopted these amendments October 14, 1998.
These amendments are intended to implement Iowa Code section 249A.4.
These amendments shall become effective December 9, 1998, at which time the Adopted and Filed Emergency amendments are hereby rescinded.
The following amendments are adopted.
ITEM 1. Amend rule 441--77.9(249A) as follows:
441--77.9(249A) Home health agencies. Home health agencies are eligible to participate providing they are certified to participate in the Medicare program (Title XVIII of the Social Security Act) and, unless exempted under subrule 77.9(5), have a surety bond as required by subrules 77.9(1) to 77.9(6).
77.9(1) Definitions.
"Assets" includes any listing that identifies Medicaid recipients to whom home health services were furnished by a participating or formerly participating home health agency.
"Rider" means a notice issued by a surety that a change in the bond has occurred or will occur.
"Uncollected overpayment" means a Medicaid overpayment, including accrued interest, for which the home health agency is responsible that has not been recouped by the department within 60 days from the date of notification that an overpayment has been identified.
77.9(2) Parties to surety bonds. The surety bond shall name the home health agency as the principal, the Iowa department of human services as the obligee and the surety company (and its heirs, executors, administrators, successors and assignees, jointly and severally) as surety. The bond shall be issued by a company holding a current Certificate of Authority issued by the U.S. Department of the Treasury in accordance with 31 U.S.C. Sections 9304 to 9308 and 31 CFR Part 223 as amended to November 30, 1984, Part 224 as amended to May 29, 1996, and Part 225 as amended to September 12, 1974. The bond shall list the surety's name, street address or post office box number, city, state and ZIP code. The company shall not have been determined by the department to be unauthorized in Iowa due to:
a. Failure to furnish timely confirmation of the issuance of and the validity and accuracy of information appearing on a surety bond that a home health agency presents to the department that shows the surety company as surety on the bond.
b. Failure to timely pay the department in full the amount requested, up to the face amount of the bond, upon presentation by the department to the surety company of a request for payment on a surety bond and of sufficient evidence to establish the surety company's liability on the bond.
c. Other good cause.
The department shall give public notice of a determination that a surety company is unauthorized in Iowa and the effective date of the determination by publication of a notice in the newspaper of widest circulation in each city in Iowa with a population of 50,000 or more. A list of surety companies determined by the department to be unauthorized in Iowa shall be maintained and shall be available for public inspection by contacting the division of medical services of the department. The determination that a surety company is unauthorized in Iowa has effect only in Iowa and is not a debarment, suspension, or exclusion for the purposes of Federal Executive Order No. 12549.
77.9(3) Surety company obligations. The bond shall guarantee payment to the department, up to the face amount of the bond, of the full amount of any uncollected overpayment, including accrued interest, based on payments made to the home health agency during the term of the bond. The bond shall provide that payment may be demanded from the surety after available administrative collection methods for collecting from the home health agency have been exhausted.
77.9(4) Surety bond requirements. Surety bonds secured by home health agencies participating in Medicaid shall comply with the following requirements:
a. Effective dates and submission dates.
(1) Home health agencies participating in the program on June 10, 1998, shall secure either an initial surety bond for the period January 1, 1998, through the end of the home health agency's fiscal year or a continuous bond which remains in effect from year to year.
(2) Home health agencies seeking to participate in Medicaid and Medicare for the first time after June 10, 1998, shall secure an initial surety bond for the period from Medicaid certification through the end of the home health agency's fiscal year or a continuous bond which remains in effect from year to year.
(3) Medicare-certified home health agencies seeking to participate in Medicaid for the first time after June 10, 1998, shall secure an initial surety bond for the period from Medicaid certification through the end of the home health agency's fiscal year or a continuous bond which remains in effect from year to year.
(4) Home health agencies seeking to participate in Medicaid after purchasing the assets of or an ownership interest in a participating or formerly participating agency shall secure an initial surety bond effective as of the date of purchase of the assets or the transfer of the ownership interest for the balance of the current fiscal year of the home health agency or a continuous bond which remains in effect from year to year.
(5) Home health agencies which continue to participate in Medicaid after the period covered by an initial surety bond shall secure a surety bond for each subsequent fiscal year of the home health agency or a continuous bond which remains in effect from year to year.
b. Amount of bond. Bonds for any period shall be in the amount of $50,000 or 15 percent of the home health agency's annual Medicaid payments during the most recently completed state fiscal year, whichever is greater. After June 1, 2005, all bonds shall be in the amount of $50,000. At least 90 days before the start of each home health agency's fiscal year, the department shall provide notice of the amount of the surety bond to be purchased and submitted to the Medicaid fiscal agent.
c. Other requirements. Surety bonds shall meet the following additional requirements. The bond shall:
(1) Guarantee that upon written demand by the department to the surety for payment under the bond and the department's furnishing to the surety sufficient evidence to establish the surety's liability under the bond, the surety shall within 60 days pay the department the amount so demanded, up to the stated amount of the bond.
(2) Provide that the surety's liability for uncollected overpayments is based on overpayments determined during the term of the bond.
(3) Provide that the surety's liability to the department is not extinguished by any of the following:
1. Any action by the home health agency or the surety to terminate or limit the scope or term of the bond unless the surety furnishes the department with notice of the action not later than 10 days after the date of notice of the action by the home health agency to the surety and not later than 60 days before the effective date of the action by the surety.
2. The surety's failure to continue to meet the requirements in subrule 77.9(2) or the department's determination that the surety company is an unauthorized surety under subrule 77.9(2).
3. Termination of the home health agency's provider agreement.
4. Any action by the department to suspend, offset, or otherwise recover payments to the home health agency.
5. Any action by the home health agency to cease operations, sell or transfer any assets or ownership interest, file for bankruptcy, or fail to pay the surety.
6. Any fraud, misrepresentation, or negligence by the home health agency in obtaining the surety bond or by the surety (or the surety's agent, if any) in issuing the surety bond; except that any fraud, misrepresentation, or negligence by the home health agency in identifying to the surety (or the surety's agent) the amount of Medicaid payments upon which the amount of the surety bond is determined shall not cause the surety's liability to the department to exceed the amount of the bond.
7. The home health agency's failure to exercise available appeal rights under Medicaid or assign appeal rights to the surety.
(4) Provide that if a home health agency fails to furnish a bond following the expiration date of an annual bond or if a home health agency fails to furnish a rider for a year in which a rider is required or if the home health agency's provider agreement with the department is terminated, the surety shall remain liable under the most recent annual bond or rider to a continuous bond for two years from the date the home health agency was required to submit the annual bond or rider to a continuous bond or for two years from the termination date of the provider agreement.
(5) Provide that actions under the bond may be brought by the department or by an agent designated by the department.
(6) Provide that the surety may appeal department decisions.
77.9(5) Exemption from surety bond requirements forgovernment-operated home health agencies. A home health agency operated by a federal, state, local, or tribal government agency is exempt from the bonding requirements ofthis rule if, during the preceding five years, the homehealth agency has not had any uncollected overpayments.Government-operated home health agencies having uncollected overpayments during the preceding five years shall not be exempted from the bonding requirements of this rule.
77.9(6) Government-operated home health agency that loses its exemption. A government-operated home health agency which has met the criteria for an exemption under subrule 77.9(6) but is later determined by the department not to meet the criteria shall submit a surety bond within 60 days of the date of the department's written notification to the home health agency that it no longer meets the criteria for an exemption, for the period and in the amount required in the notice from the department.
ITEM 2. Amend rule 441--78.9(249A), introductory paragraph, as follows:
441--78.9(249A) Home health agencies. Payment shall be approved for medically necessary home health agency services prescribed by a physician in a plan of home health care provided by a Medicare-certified home health agency which has provided the surety bond required in rule 441-- 77.9(249A) for the home health agency's fiscal year.
[Filed 10/14/98, effective 12/9/98]

[Published 11/4/98]

EDITOR'S NOTE: For replacement pages for IAC, see IAC Supplement 11/4/98.
ARC 8429A
HUMAN SERVICES DEPARTMENT[441]

Adopted and Filed

Pursuant to the authority of Iowa Code section 249A.4 and 1997 Iowa Acts, chapter 208, section 28, subsection 13, and section 37, the Department of Human Services hereby amends Chapter 81, "Nursing Facilities," appearing in the Iowa Administrative Code.
This amendment changes the basis for the maximum nursing facility rate from December 31, 1996, cost reports to December 31, 1997, cost reports, retroactive to January 1, 1998. This effectively increases the maximum rate from $71.70 to $73.21 per day. Effective July 1, 1998, the maximum nursing facility rate was set at $76.69 based on June 30, 1998, cost reports.
The Seventy-seventh General Assembly in 1997 Iowa Acts, chapter 208, section 28, subsection 1, paragraph "f," directed that if funds were available, the maximum reimbursement rate for nursing facilities should be adjusted effective January 1, 1998. It has now been determined that funding will be available to make this adjustment. The state cost for providing this increase for the last six months of state fiscal year 1998 is estimated at approximately $3.6 million (state share $1.3 million) based on the $73.21 maximum daily rate.
This amendment was previously Adopted and Filed Emergency and published in the September 9, 1998, Iowa Administrative Bulletin as ARC 8289A. Notice of Intended Action to solicit comments on that submission was published in the September 9, 1998, Iowa Administrative Bulletin as ARC 8288A.
This amendment is identical to that published under Notice of Intended Action.
The Council on Human Services adopted this amendment October 14, 1998.
This amendment is intended to implement Iowa Code section 249A.4 and 1997 Iowa Acts, chapter 208, section 28, subsection 1, paragraph "f."
This amendment shall become effective January 1, 1999, at which time the Adopted and Filed Emergency amendment is hereby rescinded.
The following amendment is adopted.
Amend subrule 81.6(16), paragraph "e," as follows:
e. Effective January 1, 1998, the basis for establishing the maximum reimbursement rate for non-state-owned nursing facilities shall be the seventieth percentile of participating facilities' per diem rates as calculated from the December 31, 1997, report of "unaudited compilation of various costs and statistical data."
Beginning July 1, 1998, the basis for establishing the maximum reimbursement rate for non-state-owned nursing facilities shall be the seventieth percentile of participating facilities' per diem rates as calculated from the June 30, 1998, report of "unaudited compilation of various costs and statistical data."
[Filed 10/14/98, effective 1/1/99]

[Published 11/4/98]

EDITOR'S NOTE: For replacement pages for IAC, see IAC Supplement 11/4/98.
ARC 8430A
HUMAN SERVICES DEPARTMENT[441]

Adopted and Filed

Pursuant to the authority of Iowa Code section 234.6, the Department of Human Services hereby amends Chapter 153, "Social Services Block Grant and Funding for Local Services," appearing in the Iowa Administrative Code.
The Council on Human Services adopted these amendments October 14, 1998. Notice of Intended Action regarding these amendments was published in the Iowa Administrative Bulletin on August 12, 1998, as ARC 8226A.
These amendments revise policy governing the State Payment Program as follows:

* Policy is revised to incorporate changes needed due to the inclusion of State Payment Program recipients with a primary diagnosis of mental illness in the Iowa Plan for Behavioral Health (Iowa Plan). See ARC 8219A in the August 12, 1998, Iowa Administrative Bulletin for rules implementing the Iowa Plan effective January 1, 1999. The Iowa Plan contractor shall manage and cover all services for these recipients which the State Payment Program would fund for the member if the person were not the responsibility of the Iowa Plan, i.e., the same services provided by the county to its residents in the county's last approved county management plan from the county mental health, mental retardation, and developmental disabilities fund.
The Iowa Plan contractor will also manage Medicaid-funded mental health and substance abuse services for these recipients if they are also Medicaid beneficiaries in eligibility groups included in the Iowa Plan. Payment for services which are the responsibility of the Iowa Plan contractor shall be made in accordance with the Iowa Plan's procedures and at the rate established by the contractor.
Decisions other than eligibility decisions made by the Iowa Plan contractor adversely affecting applicants or members shall be first reviewed pursuant to the contractor's review process and then, if not satisfactorily resolved, through the Department's appeal procedures.
The term "enrolled person" is changed to "member" to use the same terminology as used by the Iowa Plan for these recipients.

* Policy is clarified to provide that a person must be present in the state without legal settlement in an Iowa county to receive services under the State Payment Program. Out-of-state providers will not be paid.

* Policy is clarified to provide that eligibility for services and payment for services for a member shall be based on the eligibility guidelines and services provided in the last approved county management plan of the county in which the member is residing.

* Contracting requirements for providers without a purchase of service contract are clarified to help protect members and the Department.

* Policy is clarified regarding which costs are not covered by the State Payment Program.

* Policy is revised to clarify the effective date of an applicant's eligibility for the State Payment Program. The effective date shall be the date the Department's service worker receives a signed State Payment Program Eligibility Determination, Form 470-0604, or Application for All Social Services, Form 470-0615, unless referral is made through a central point of coordination. If referral is made through a central point of coordination, the central point of coordination application date may be used as the effective date if the application includes a properly completed legal settlement worksheet and is received in the Department's county office within 60 days of the central point of coordination application date. Retroactive payments will not be made prior to the effective date.

* Other minor changes are made clarifying operation of the program and the roles of various Department personnel.
Eight public hearings were held around the state. Thirty-three persons attended and written comments were received from 23 counties and organizations. The following revisions were made to the Notice of Intended Action in response to the public comments:
The Preamble to 441--Chapter 153, Division IV, was revised for clarity.
Rule 441--153.51(234), definition of "Iowa Plan," was revised to clarify which State Payment Program members will be the responsibility of the Iowa Plan contractor after the members are enrolled. Members whose primary diagnosis is mental retardation or developmental disability will not be included in the Iowa Plan. Members whose mental illness is secondary to a medical condition shall, for purposes of the State Payment Program, be considered to have a diagnosis of mental illness. The presence of a primary medical condition does not exclude a person from State Payment Program eligibility.
Rule 441--153.51(234), definition of "Provider," was revised to clarify that the Department is not establishing any new contracting authority. This language merely names the process that has been used ever since July 1, 1996, to enroll and pay providers without a purchase of service contract. The Department is not proposing to change anything about this process.
In this definition and in subrule 153.53(3), paragraph "f"; subrule 153.55(1), paragraph "a," subparagraph (1); subrule 153.57(2); subrule 153.57(3), paragraph "a"; and in rule 441--153.59(234), the term "special mental health provider agreement" was changed to "special mental health-mental retardation county contract agreement" to clarify that this means the Department agreements made via Form 470-3336 which are based on the counties' contracts with providers.
Subrule 153.53(3), introductory paragraph, was restructured to make it more clear that the new language does not change who is eligible for the State Payment Program. The new language merely adds licensed independent social workers and licensed master social workers to the list of professionals allowed by Iowa law to make a diagnosis, within the limitations of the law. This rule does not exclude persons whose mental illness is secondary to a medical condition. Paragraph "f" was revised to specify that providers who do not have a valid purchase of service contract or a valid special mental health-mental retardation county contract agreement for the services requested will be paid at the rate paid by the county in which the provider is located rather than the lowest of any rate the provider is paid.
Subrule 153.53(4) was revised to allow the Department to use the Central Point of Coordination (CPC) application date when the completed CPC application is received by the Department within 60 days rather than 35 days as previously proposed. Since most county management plans require the CPC to make a disposition on a case within 30 days, 60 days gives the CPC sufficient time to refer the case to the Department.
Subrule 153.55(1), introductory paragraph, was revised to add back in the language struck in the second and third sentence to clarify that nothing about social casework will change from the current system.
Subrule 153.55(1), paragraph "a," introductory paragraph, was revised for clarity and subparagraph (1) was revised to clarify that the Department is not establishing any new contracting authority.
Subrule 153.55(1), paragraph "a," subparagraph (4), was deleted and subparagraph (5) was renumbered to remove the requirement that residential providers be approved providers under the Department's State Supplementary Assistance program.
Subrule 153.55(1), paragraph "b," introductory paragraph and subparagraph (1), were revised to clarify that the service array of the Iowa Plan shall match the service array for all other State Payment Program members and that the Iowa Plan shall enroll any providers necessary to serve its members.
Subrule 153.55(2), paragraph "a," was revised to clarify that the paragraph does not apply to rent subsidy or rent assistance services. Paragraph "d" was revised to clarify that the Iowa Plan contractor's denial of payment for a service which is a state responsibility shall not create a payment responsibility for the county.
Subrule 153.56(2) was revised for clarity.
Subrule 153.56(3) was revised to remove language regarding denial of applications.
Subrule 153.57(1), paragraphs "a" through "c" and "e," and subrule 153.57(3), paragraph "b," were revised by changing the words "member whose case is being managed by the Department's service worker" to "member whose case is being overseen by the Department's service worker" to clarify that the Department is not proposing to change anything about the way social casework is currently done for the program. Subrule 153.57(1), paragraph "e," was further revised to clarify that the Iowa Plan contractor's denial of payment for a service which is a state responsibility shall not create a payment responsibility for the county.
Subrule 153.57(1), paragraph "f," was revised to replace the term "eligibility of" with the term "need for service for."
Subrule 153.57(1) was further revised by adding a new paragraph "l" to allow providers to terminate agreements established via Form 470-3336.
Subrule 153.57(2) was revised to make it congruent with paragraph 153.57(1)"l."
Subrule 153.57(3), paragraph "a" was revised to correct a billing procedure; paragraph "b" was revised to provide that if there is no purchase of service contract, payment to a provider for services to a member shall be made at the unit rate paid by the county in which the provider is located; paragraph "d" was revised by deleting the last paragraph as the Iowa Plan contractor does not have financial participation provisions.
Rule 441--153.58(234) was revised to correct procedure.
As used herein, CPC means central point of coordination.
These amendments are intended to implement Iowa Code section 234.6(6).
These amendments shall become effective January 1, 1999.
The following amendments are adopted.
ITEM 1. Amend 441--Chapter 153, Division IV, Preamble, first paragraph, as follows:
PREAMBLE

The state payment program for services to adults provides 100 percent state funds to pay for mental illness, mental retardation and developmental disabilities local services for eligible persons who have no legal settlement in Iowa. This ensures that each of the mental illness, mental retardation and developmental disabilities local services provided by an Iowa county to residents who have legal settlement is also available to residents of that county who do not have legal settlement. These services would otherwise be available to them from the county mental health, mental retardation and developmental disabilities services fund through the county central point of coordination.
ITEM 2. Amend rule 441--153.51(234) as follows:
Amend the definition of "Approved county management plan" as follows:
"Approved county management plan" means the county plan developed pursuant to Iowa Code Supplement section 331.439 that has been approved by the department's director.
Rescind the definition of "Enrolled person."
Adopt the following new definitions in alphabetical order:
"Application date" means the date a signed Form 470-0604, State Payment Program Eligibility Determination, is received in the county office. See subrule 153.53(4).
"Department's service worker" means the department's county service worker or the department's Title XIX case manager.
"Division administrator" means the administrator of the division of mental health and developmental disabilities of the department.
"Iowa Plan" means the Iowa Plan for Behavioral Health established by the department's division of medical services as the managed care plan to provide mental health and substance abuse services. The Iowa Plan shall manage behavioral health services to state payment program members with a primary diagnosis of mental illness or chronic mental illness (even if the member has a coexisting secondary or tertiary diagnosis of mental retardation or developmental disability).
"Member" means a person authorized by the division to receive benefits from the state payment program.
"Provider" means an Iowa provider of mental health, mental retardation, or developmental disability services who has a valid purchase of service contract for the service or a valid special mental health-mental retardation county contract agreement with the division for the service, or is a participating provider with the Iowa Plan for services to Iowa Plan members. The special mental health-mental retardation county contract agreement is established via Form 470-3336, State Payment Program Provider Enrollment Information, pursuant to the provider's contract with a county to provide services under a county management plan.
ITEM 3. Amend subrules 153.52(1) and 153.52(3) as follows:
153.52(1) Eligibility criteria. When residing in a county without an approved county management plan, meet the eligibility criteria established in rule 441--153.33(234) the last approved county management plan. When residing in a county with an approved county management plan, meet the eligibility criteria in the approved plan.
153.52(3) Residency. Be a resident of Iowa present in the state without legal settlement in an Iowa county.
ITEM 4. Amend rule 441--153.53(234) as follows:
441--153.53(234) Application procedure.
153.53(1) Application by service worker. It shall be the responsibility of the department's county office service workers to make application for the state payment program for any person they serve who may be eligible. An application for a person awaiting discharge from a state mental health institute or state hospital school shall be initiated by the institution's social worker and forwarded to the department's service worker for completion. Applications shall be made only with the knowledge and consent of the person or the person's legal or personal representative. An applicant residing in a county with an approved county management plan, with the consent of that county's central point of coordination, may be required to make application through the central point of coordination process.
153.53(2) Eligibility for services. Applicants for the state payment program must first be determined eligible for services following the application procedure in rule 441-- 130.2(234). An applicant residing in a county with an approved county management plan shall be determined eligible following based on the eligibility guidelines contained in the approved county management plan. An applicant residing in a county without an approved county management plan shall be determined eligible based on the eligibility guidelines of the last approved county management plan. The department's county office service worker is responsible for the decision made on eligibility based on the approved county management plan.
A person eligible for the state payment program as of June 30, 1996, shall remain eligible as long as the eligibility requirements in effect on June 30, 1996, are met.
153.53(3) Application requirements. Applications shall be made on Form SS-1106-0 470-0604, State Payment Program Eligibility Determination, and shall include: (1) a copy of the applicant's case plan; (2) a copy of a study or report signed by a licensed physician, psychiatrist, or psychologist, licensed social worker, or licensed master social worker which establishes a diagnosis of mental illness, mental retardation, or developmental disability in accordance with Iowa law; (3) Form RS-1120-0 470-0555, Services Reporting System, completed except for item 41 and the last two digits of item 40; and (4) additional narrative as follows:
a. to c. No change.
d. An explanation of the applicant's financial status, including Title XIX, Medicare, veteran and social security status and other entitlements.
e. A statement verifying that the services requested are in the approved county management plan of the applicant's county of residence and would be funded by the county for the applicant if the applicant had legal settlement in the county.
f. A statement that the provider identified either (1) has a valid purchase of service agreement for the services requested, or (2) has a valid special mental health-mental retardation county contract agreement for the service established by Form 470-3336, State Payment Provider Enrollment Information. If the provider does not have one of these agreements, Form 470-3336 completed by the provider and a copy of the provider's agreement with a county under an approved county management plan which specifies the unit of service and the unit rate paid by the county in which the provider is located shall be included with the application materials submitted to central office.
g. A statement that the provider is a participating provider with the Iowa Plan when the applicant's diagnosis is mental illness or chronic mental illness.
153.53(4) Application date. The date of application is the date a signed Form SS-1106-0 470-0604, State Payment Program Eligibility Determination, is received in the department's county office. For applications processed through a central point of coordination, the date of application is the date a signed county application is received in the office of the central point of coordination. The application date from a completed and signed Form SS-1120 470-0615, Application for Social Services, or a completed and signed central point of coordination (CPC) application form, may be transferred, as the effective date, to Form SS-1106-0 470-0604, State Payment Program Eligibility Determination, when the CPC application received by the department's county office contains a legal settlement worksheet completed in accordance with provisions of Iowa Code chapter 252 and other applicable laws and rulings of courts, and the CPC application is received in the department's county office within 60 days of the CPC application date.
153.53(5) Application submission. The application shall be completed by the department's service worker and submitted with materials required by subrule 153.53(3) to the division within 30 days of the application date the department's county office receives a signed Form 470-0604, or a signed Form 470-0615, or a signed CPC application form containing a legal settlement worksheet completed in accordance with provisions of Iowa Code chapter 252 and other applicable laws and rulings of courts.
ITEM 5. Amend rule 441--153.54(234) as follows:
441--153.54(234) Eligible services. Services eligible for reimbursement pursuant to this division of the rules are, for applicants residing in a county without an approved county management plan, the following mental illness, mental retardation, and developmental disabilities local services: adult day care, adult support, community supervised apartment living arrangements, adult residential services, sheltered work, supported employment, supported work training, transportation, and work activity services defined in the last approved county management plan where the applicant resides. For applicants residing in a county with an approved county management plan, the applicant is eligible for the services defined in the plan of the applicant's county of residence.
A person receiving a service under the state payment program as of June 30, 1996, which is not in the approved county management plan shall continue to remain eligible for that service as long as the eligibility requirements in effect on June 30, 1996, are met.
ITEM 6. Amend rule 441--153.55(234) as follows:
441--153.55(234) Service provision.
153.55(1) Purchased services. The state payment program provides payment for mental illness, mental retardation and developmental disabilities local services to enrolled persons as follows. Social casework as defined in rule 441-- 131.1(234) will be provided by the department, or with agreement, through a county central point of coordination process, during the period for which services are paid. Regardless of who provides the social casework, the department has final responsibility for any decisions that may be subject to appeal. The state payment program provides payment for mental illness, mental retardation and developmental disabilities local services to members as follows.
a. For enrolled persons with mental retardation members with a primary diagnosis of mental retardation or developmental disability, payment will be provided for services as long as the person is eligible and the following criteria are met:
(1) The provider and the department have has a valid purchase of service agreement for the service pursuant to 441--Chapter 150, or the provider has a contract with a county to provide services under an approved county management plan which specifies the unit of service and the unit rate to be paid by the county, and the provider has completed and signed Form 470-3336, State Payment Program Provider Enrollment Information division has accepted the provider for a special mental health-mental retardation county contract agreement.
(2) For an enrolled person a member residing in a county without an approved county management plan, the service is in the county's plan for mental illness, mental retardation, and developmental disabilities local purchase services last approved county management plan and payment for the service for other residents would be made from the county mental health, mental retardation and developmental disabilities services fund. For an enrolled person a member residing in a county with an approved county management plan, the service is provided under the approved plan and paid payment for the service for other residents would be made from the county mental health, mental retardation and developmental disabilities services fund.
(3) The service is provided or paid for by the enrolled person's member's county of residence to persons who have legal settlement there.
(4) Service providers shall access the other payment systems for which the member is eligible prior to billing the state payment program.
b. The Iowa Plan contractor shall fund, for its state payment program members, all the services that the program funds for other members. For enrolled persons members with a mental illness or a developmental disability chronic mental illness, payment for services will be provided made through the Iowa Plan as long as the person is eligible and the following criteria are met:
(1) The provider and the department have a valid purchase of service agreement for the service pursuant to 441--Chapter 150 or the provider has a contract with a county to provide services under an approved county management plan which specifies the unit of service and the unit rate to be paid by the county, and the provider has completed and signed Form 470-3336, State Payment Program Provider Enrollment Information is a participating provider with the Iowa Plan. The Iowa Plan contractor shall enroll any provider with a special mental health-mental retardation county contract agreement that is necessary to serve Iowa Plan members.
(2) For an enrolled person a member residing in a county without an approved county management plan, the service is in the county's plan for mental illness, mental retardation, and developmental disabilities local purchase services for the person's county of residence or the service is provided or paid for by the person's county of residence for persons who have legal settlement in the county Iowa Plan contractor has verified the member's state payment program eligibility with the department and the service is in the county's last approved plan and payment for the service is made for other residents from the county mental health, mental retardation and developmental disabilities services fund.
(3) For an enrolled person a member residing in a county with an approved county management plan, the Iowa Plan contractor has verified the person's state payment program eligibility with the department and the service is provided under the approved county management plan and paid payment for the service for other residents is made from the county mental health, mental retardation and developmental disabilities services fund.
153.55(2) Excluded costs. The following costs are excluded from payment by the state payment program:
a. The costs for an enrolled person's a member's maintenance (room and board), medical services and other needs are not paid by the state payment program when the person is eligible for Medicaid, social security or state supplementary assistance, except when the cost is included as an integral part in the mental illness, mental retardation, and developmental disabilities service received by the enrolled person and the cost cannot be separated from the rest of the service cost. The state payment program pays only the net service cost of a residential service. This paragraph does not apply to rent subsidy or rent assistance services.
b. Services received prior to the effective date.
c. The cost of local services which the member is eligible to have funded by private sources or by other state or federal programs or funds.
d. Service costs which are the responsibility of the Iowa Plan contractor. The Iowa Plan contractor shall cover all services which the state payment program would fund for the member if the member were not the responsibility of the Iowa Plan. For members funded through the Iowa Plan, the services covered by the Iowa Plan are services in full, and payment made by the Iowa Plan for the services is payment in full. The Iowa Plan contractor's denial of payment for a service which is a state responsibility shall not create a payment responsibility for the county.
e. Funeral and embalming, burial or cremation costs.
ITEM 7. Amend rule 441--153.56(234) as follows:
441--153.56(234) Eligibility determination.
153.56(1) Certification by central office. Following receipt of a completed Form SS-1106-0 470-0604 and required accompanying documentation from the county office or the county central point of coordination specified in subrule 153.53(3), central office staff of the department shall complete the determination of eligibility as follows:
a. Iowa counties, other states and counties, agencies, institutions, professional persons and other sources shall be contacted as necessary, and court records and other documents shall be reviewed as necessary to determine the applicant's eligibility for benefits.
b. The applicant's legal settlement status shall be ascertained in accordance with Iowa Code sections 252.16 and 252.17 and with other applicable laws, rulings of courts and opinions of the Iowa attorney general.
c. The applicant's eligibility for the state payment program shall be certified to the department's county office and, when applicable, the central point of coordination and the Iowa Plan contractor on Form SS-1106-0 470-0604 within 30 days of receipt in central office of the completed application and all verifications specified in subrule 153.53(3).
153.56(2) Notification of applicant.
a. Following certification by central office, central office the department's service worker shall notify the applicant of the decision in accordance with department requirements and procedures.
b. Notifications of service changes and terminations for members with a primary diagnosis of mental retardation or developmental disability are the responsibility of the department's county office using the department's notice of decision in accordance with department requirements and procedures.
c. Notifications of service changes and terminations for members with mental illness or chronic mental illness are the responsibility of the Iowa Plan contractor and shall include notification to the department's service worker for the member.
153.56(3) Effective date. An applicant's eligibility for the state payment program funding shall be effective from the date of application.
153.56(4) Redetermination. Redeterminations of eligibility for the state payment program shall be done when the enrolled person's member's eligibility for services is redetermined and also at the time a change in the enrolled person's member's legal settlement status has been calculated to occur or does occur.
ITEM 8. Amend rule 441--153.57(234) as follows:
441--153.57(234) Program administration.
153.57(1) Provider responsibilities.
a. For an enrolled person a member whose case is being managed overseen by department staff the department's service worker, in providing services to the person member, the provider shall follow the department's case plan and shall submit quarterly reports on the member's progress to the department department's service worker assigned responsibility for the case as required by 441--subparagraph 150.3(3)"j"(2).
b. For a member whose case is being overseen by the department's service worker and the Iowa Plan contractor, the provider shall follow the case plan designated by the Iowa Plan and shall submit reports as required by the Iowa Plan.
c. For an enrolled person a member whose case is being managed by overseen by the department's service worker and a county central point of coordination, the provider shall follow the central point of coordination's case plan and shall submit quarterly reports on the member's progress to the department department's service worker and central point of coordination as required by 441--subparagraph 150.3(3)"j"(2).
d. Providers furnishing services to enrolled persons members who are residents of a county without an approved county management plan shall furnish services in accordance with the provisions of the last approved county management plan, federal and state statutes and regulations, the department rules governing the mental illness, mental retardation and developmental disabilities local services being provided, and the rules of this chapter.
e. Providers furnishing services to members whose cases are being overseen by the department's service worker and the Iowa Plan contractor shall furnish services in accordance with the needs of the member and federal and state statutes and regulations and department rules and Iowa Plan criteria. The Iowa Plan contractor's denial of payment for a service which is a state responsibility shall not create a payment responsibility for the county.
f. Providers shall cooperate in furnishing the Iowa Plan contractor with any information the provider has that is necessary to determine the initial or continued need for service for a person for whom funding is sought through the Iowa Plan.
g. Providers shall cooperate in providing the department with any information the provider has that is necessary to determine the initial or continued eligibility of a person for whom funding is sought. Providers shall notify the department within 30 days of any change in a member's circumstances that would affect the member's eligibility or the member's cost of services.
h. Providers shall maintain in good standing all certifications, accreditation, licensure, or other applicable federal and state statutory and regulatory requirements; comply with all applicable federal and state confidentiality laws and applicable rules in the Iowa Administrative Code; and comply with all applicable federal and state requirements with respect to civil rights, equal employment opportunity, and affirmative action.
i. Providers shall notify the division administrator within 24 hours of any change in licensure, certification, accreditation, or other applicable statutory or regulatory standing. Providers shall maintain, for a period of five years from the date of service, clinical and financial records adequate to support the need for and provision of the services purchased by the department. The department or its authorized agent shall have access to these records to perform any clinical or fiscal audits the department deems necessary.
j. Providers shall comply with the rules of this chapter.
k. Providers under investigation by any federal or state statutory or regulatory authority may be prohibited from accepting for service any new applicants or members whom the providers did not already serve on the date the investigation was initiated. For the duration of the investigation, the provider shall not be prohibited from serving and receiving payment for services provided to members whom the provider served on the date the investigation was initiated.
l. Providers with a special mental health-mental retardation county contract agreement may terminate the agreement for any reason by giving 30 days' notice to the department and state payment program members they serve and making arrangements for the continuity of care of any state payment program member who would be affected by the termination.
153.57(2) Department responsibilities. The department as sponsoring agency shall be responsible for all contacts with governmental units as necessary, with in-state and out-of-state agencies as necessary, with the applicant or enrolled person's member's family and others in matters concerning the applicant or enrolled person's member's legal settlement and residency, entitlements from other sources and eligibility for the state payment program.
The department shall verify with the county central point of coordination the services and unit rates of providers applying for a special mental health-mental retardation county contract agreement by Form 470-3336.
The department reserves the right to terminate special mental health-mental retardation county contract agreements established via Form 470-3336 for any reason by giving 30 days' notice to the provider and to state payment program members the provider serves and making arrangements for the continuity of care of any state payment program member who would be affected by the termination. Failure by a provider to abide by the rules of this chapter may be cause for termination. Citations or sanctions against the provider by any federal or state statutory or regulatory authority may be cause for termination.
The department reserves the right not to enter into a special mental health-mental retardation county contract agreement with a provider who has been cited or sanctioned by a federal or state statutory or regulatory authority within two years of the provider's application for a special mental health-mental retardation county contract agreement via Form 470-3336, or who has failed to demonstrate that the provider meets the requirements for a special mental health-mental retardation county contract agreement as stated in this chapter.
153.57(3) Payment to providers. The following policies shall govern payment to providers for services furnished to enrolled persons members:
a. Payment for service shall be made in accordance with 441--Chapter 150 and departmental procedures. Form AA-2241-0 470-0020, Purchase of Service Provider Invoice, shall be used to bill for services covered by a purchase of service contract or authorized under an approved county management plan a special mental health-mental retardation county contract agreement for services actually provided to a member from the effective date of state payment program eligibility.
Payment for services which are the responsibility of the Iowa Plan contractor shall be made in accordance with the Iowa Plan's procedures and shall be submitted to the Iowa Plan contractor on Form 470-0020, Purchase of Service Provider Invoice, for payment.
Form 625-5297, Claim Order/Claim Voucher, shall be used for all other services.
b. Payment to a provider for services provided to an enrolled person a member shall be the lowest rate established for the service by a county with an approved county management plan including, but not limited to, rates established pursuant to 441--subrule 150.22(6) purchase of service rate, or, if there is no purchase of service contract, the unit rate paid by the county in which the provider is located. Payment to a provider for services to a member whose case is being overseen by the department's service worker and the Iowa Plan shall be at the rate established by the Iowa Plan contractor.
c. Rescinded IAB 7/2/97, effective 7/1/97.
d. Financial participation on the part of the enrolled person in the payment member for services and maintenance for persons members residing in and receiving services from the state payment program in a county without an approved county management plan shall be governed by the rules of the programs provided and where appropriate by rule 441--130.4(234) financial participation provisions of the last approved county management plan or under other applicable conditions as stated in the rules which apply to the services requested or received.
Financial participation on the part of the enrolled person in the payment for services for persons member residing and receiving services from the state payment program in a county with an approved county management plan shall be governed by the financial participation provisions of the approved county management plan.
e. Payment for outdated warrants and for invoices for services and claims over which there is dispute with the department shall be submitted to the state appeals board, in accordance with Iowa Code chapter 25. Payment for invoices for services and claims over which there is dispute with the Iowa Plan contractor shall be made according to the procedures established by the Iowa Plan contractor.
ITEM 9. Amend rule 441--153.58(234) as follows:
441--153.58(234) Reduction, denial or termination of benefits. For enrolled persons members residing in and receiving services from the state payment program in a county without an approved county management plan, the person's member's state payment program benefits may be denied, terminated or reduced according to rule 441--130.5(234) the provisions of the last approved county management plan or under other applicable conditions as stated in the rules which apply to the services requested or received.
For enrolled persons members residing and receiving services from the state payment program in a county with an approved county management plan, the person's member's state payment program benefits may be denied, terminated or reduced according to the provisions of the approved county management plan.
An Iowa Plan member's state payment program benefits may be denied, terminated or reduced according to the provisions of the Iowa Plan. The department shall at all times retain control over eligibility determination. The Iowa Plan contractor shall communicate with the department at least quarterly regarding the member's status and services.
An enrolled person's A member's state payment program benefits shall be terminated on the date the person member acquires legal settlement in a county of the state or the date the member ceases to be a resident of Iowa as defined in this chapter.
The department's service worker in the county office is responsible for completing notices of decision to the enrolled person member and sending copies to central office the state payment program manager and, where applicable, the Iowa Plan contractor regarding service changes and terminations.
ITEM 10. Amend rule 441--153.59(234) as follows:
441--153.59(234) Appeals. Decisions regarding eligibility of any applicant and decisions adversely affecting applicants or enrolled persons members who are not eligible for the Iowa Plan may be appealed pursuant to 441--Chapter 7.
Decisions (other than eligibility) adversely affecting applicants or members who are eligible for the Iowa Plan shall be first appealed pursuant to the Iowa Plan contractor's appeal provisions, and then, if not satisfactorily disposed, pursuant to 441--Chapter 7.
Decisions made by the Iowa Plan contractor adversely affecting service providers shall be reviewed pursuant to the Iowa Plan contractor's appeal provisions.
Decisions Department decisions adversely affecting service providers with a current purchase of service contract may be reviewed pursuant to 441--subrule 150.3(9).
Providers without a purchase of service contract with a special mental health-mental retardation county contract agreement who are adversely affected by a department decision may request a review. The procedure for this review is as follows:
a 1. The provider shall send a written request for review to the division administrator within 10 working days of receipt of the decision in question. This request shall document the specific area in question and the remedy desired. The division administrator shall provide a written response within 10 30 working days.
b 2. When dissatisfied with the division's division administrator's response, the provider may appeal this decision within 10 working days to the director of the department, who will issue the final department decision within 14 working days.
[Filed 10/14/98, effective 1/1/99]

[Published 11/4/98]

EDITOR'S NOTE: For replacement pages for IAC, see IAC Supplement 11/4/98.
ARC 8432A
HUMAN SERVICES DEPARTMENT[441]

Adopted and Filed

Pursuant to the authority of Iowa Code section 234.6, the Department of Human Services hereby amends Chapter 163, "Adolescent Pregnancy Prevention and Services to Pregnant and Parenting Adolescents Programs," appearing in the Iowa Administrative Code.
The Council on Human Services adopted these amendments October 14, 1998. Notice of Intended Action regarding these amendments was published in the Iowa Administrative Bulletin on August 26, 1998, as ARC 8250A.
These amendments revise the categories of Adolescent Pregnancy Prevention Grants as mandated by the General Assembly and the Governor. Two categories, Adolescent Pregnancy Prevention and Services to Pregnant and Parenting Adolescents, have been deleted. These services will now be provided under the Community Adolescent Pregnancy Prevention Program. A new category, State Coalition, has been added.
The category changes were mandated in 1997 Iowa Acts, chapter 208, section 14, subsections 1 and 2, to be effective by July 1, 1999. Individual agencies previously receiving funding for projects under the Adolescent Pregnancy Prevention and Services to Pregnant and Parenting Adolescents Programs will now have to apply as part of a community or regional application.
The establishment of a State Coalition Program will allow for a state coalition or network of individuals focusing on issues of adolescent pregnancy prevention, parenting, and coalition building to assist communities and regions with their adolescent pregnancy prevention efforts.
In addition, the following changes are made:

* The grantee match for the Adolescent Pregnancy Prevention and Services grants is lowered from 10 to 5 percent for each year of funding.

* The evaluation grantee is required to provide an annual written report to the Department.

* The list of services which may be provided by Community Adolescent Pregnancy Prevention programs is expanded to incorporate services previously provided under the two categories now deleted.

* The scoring criteria for awarding grants are revised.

* Grantees are required to submit quarterly reports.
These amendments are identical to those published under Notice of Intended Action.
These amendments are intended to implement Iowa Code section 234.6.
These amendments shall become effective January 1, 1999.
The following amendments are adopted.
ITEM 1. Amend 441--Chapter 163, Preamble, as follows:
PREAMBLE

These rules define and structure the grant programs for adolescent pregnancy prevention, services to pregnant and parenting adolescents, adolescent pregnancy preventionstatewide campaign, adolescent pregnancy evaluation, adolescent pregnancy state coalition, and community adolescent pregnancy prevention and services programs. The services are to be provided to adolescents and their parents for the purpose of preventing adolescent pregnancy, and; to adolescents who are either pregnant or parenting to prevent subsequent pregnancies, promote self-sufficiency and physical and emotional well-being; and to communities to assist them in addressing issues of adolescent pregnancy.
ITEM 2. Amend rule 441--163.1(234) as follows:
Amend the definition of "Grant designation committee" as follows:
"Grant designation committee" means the body which is composed of the director of human services, the director of the department of education, the director of the department of human rights and the director of the department of public health, or their designees, responsible for designating and awarding grants.
Add the following new definitions in alphabetical order:
"Community" means a defined service area no smaller than a neighborhood and no larger than a region of the state.
"Region" means one of the five department regions in the state.
ITEM 3. Amend rule 441--163.2(234) as follows:
441--163.2(234) Availability of grants for projects. In any year in which funds are available for adolescent pregnancy prevention services, services to pregnant or parenting adolescents, statewide campaign, evaluation, coalition or community teen pregnancy prevention and services programs, the department of human services shall administer grants to eligible applicants for projects that serve residents of Iowa. The amount of the money granted shall be contingent upon the funds available and shall be made on an annual basis. The allocation of funds shall be in compliance with legislation and approved by the grant designation committee and the administrator of the division of adult, children, and family services.
ITEM 4. Amend rule 441--163.3(234) as follows:
Amend subrules 163.3(1) and 163.3(6) as follows:
163.3(1) Grants will be awarded to eligible applicants for specifically designed projects. Preference in awarding adolescent pregnancy prevention and services to pregnant and parenting adolescents grants shall be given to projects which utilize a variety of community resources and agencies. Proj-ects selected for the adolescent pregnancy prevention, services to pregnant and parenting adolescents, adolescent pregnancy prevention statewide campaign, and adolescent pregnancy evaluation grants grant, and state coalition grants will be eligible for noncompetitive funding for up to three years, pending availability of funds and based upon satisfactory progress toward program goals. Projects which do not make satisfactory progress toward program goals shall be required to competitively bid for refunding. After three years, all projects must competitively bid for refunding.
Projects funded under the community adolescent pregnancy prevention and services grants are eligible for funding for up to nine years, pending availability of funds and based upon satisfactory progress toward program goals. An increasing grantee match will be required. A 10 5 percent grantee match will be required in year one. The match will increase by 10 5 percent each subsequent year a project receives funding. In-kind matches may be applied toward the grantee match. Projects which do not make satisfactory progress toward program goals shall be required to competitively bid for refunding.
163.3(6) Applications for the adolescent pregnancy prevention and services to pregnant and parenting adolescents programs will be accepted from public school corporations, adolescent service providers, maternal and child health centers, projects involving a state juvenile institution or the institutions themselves, and nonprofit organizations involved in adolescent issues. Eligible applicants for the statewide campaign are public or private agencies or individuals. Eligible applicants for the evaluation program are organizations or individuals affiliated with institutions under the authority of the state board of regents or other organizations or individuals experienced in evaluation techniques. Applications for the state coalition program will be accepted from groups or networks with statewide representation focusing on issues of adolescent pregnancy prevention, parenting and community collaboration. Applications for the community adolescent pregnancy prevention and services program will be accepted from community or regional boards or committees with broad-based representation or a single agency representing a broad-based group.
Rescind and reserve subrules 163.3(7) and 163.3(8).
Amend subrule 163.3(10) as follows:
163.3(10) An adolescent pregnancy prevention evaluation grant will be awarded to provide technical assistance to grantees in assessing their project and developing an evaluation tool for ongoing use. The evaluation grantee will provide an annual written report to the department.
Renumber subrule 163.3(11) as 163.3(12) and adopt the following new subrule 163.3(11):
163.3(11) A state coalition grant will be awarded to provide assistance to an existing coalition or network focusing on the issues of adolescent pregnancy prevention and services and coalition building in the state.
Amend renumbered subrule 163.3(12) as follows:
163.3(12) Community adolescent pregnancy prevention grants will be awarded to projects providing:
a. Broad-based representation from community or regional representatives including, but not limited to, schools, churches, human service-related organizations, and businesses.
b. Comprehensive programming focusing on the prevention of initial pregnancies during the adolescent years with emphasis on, but not limited to, abstinence, responsible decision making, management of peer and social pressures, development of self-esteem, the costs and responsibilities of parenting, and information regarding the alternative of adoption for placement of a child. Projects may provide one or more of the following services:
(1) Workshops and informational programs for adolescents and parents of adolescents to improve communication between children and parents regarding human sexuality issues.
(2) Programs that focus on the prevention of initial pregnancies through responsible decision making in relationships. These programs should be comprehensive with emphasis on, but not limited to, abstinence, risks associated with drug and alcohol use, contraceptives and associated failure rates, sexually transmitted diseases, and AIDS.
(3) Programs which use peer counseling or peer education techniques for the prevention of adolescent pregnancies.
(4) Development and distribution of informational material designed to discourage adolescent sexual activity, to provide information regarding acquired immune deficiency syndrome and sexually transmitted diseases, and to encourage male and female adolescents to assume responsibility for their sexual activity and parenting.
c. An evaluation and assessment component which includes evaluation of and recommendations for improvement of the program by the youth and parents involved. Services to pregnant and parenting adolescents. Not more than 25 percent of a community grant may be used for these services. Projects may provide one or more of the following services:
(1) Programs intended to prevent an additional pregnancy by a parent who is less than 19 years of age. Preference in grant awards will be given to programs providing incentives to clients for their program participation and success in avoiding a subsequent pregnancy.
(2) Programs for pregnant or parenting teens intended to educate adolescents concerning the risks associated with alcohol and other drug use during pregnancy, improve parenting skills, and plan for the future.
(3) Programs for young fathers.
(4) Development and distribution of informational material designed to encourage male and female adolescents to assume responsibility for their sexual activity and parenting.
ITEM 5. Amend subrule 163.4(2), paragraph "e," as follows:
e. Agency Community or regional background information and demonstrated effectiveness at collaboration.
ITEM 6. Amend rule 441--163.5(234) as follows:
Amend subrule 163.5(2), paragraph "c," as follows:
c. The general program structure including, but not limited to, how well goals can be met, how realistic the objectives are, services offered and likelihood of anticipated impact on the problem, experience serving similar populations, the administration of funds, stability of the organization requesting entity and the overall quality of the proposal in comparison to other proposals.
Further amend subrule 163.5(2) by rescinding and reserving paragraph "e."
Amend subrule 163.5(3), paragraphs "c," "d," "e," and "h," as follows:
c. Agency Community or regional background information and demonstrated effectiveness and letters of support with coalition building--15 10 points.
d. Project goals, objectives and methods--20 15 points.
e. Project monitoring and evaluation--15 10 points.
h. Project advisory committee--5 10 points.
Further amend subrule 163.5(3) by adding the following new paragraph "j."
j. Letters of support--10 points.
ITEM 7. Amend rule 441--163.8(234) as follows:
441--163.8(234) Evaluation. The department shall evaluate the provider at least once prior to the end of the contract year to determine how well the purposes and goals are being met and shall provide ongoing feedback to the provider. Funds are to be spent to meet program goals as provided in the contract. Providers may request and receive copies of any written evaluation published by the department.
Grantees shall be required to submit quarterly reports. All grantees shall cooperate with the statewide evaluation grantee and provide all requested information. The evaluation grantee shall provide a written yearly report to the department.
ITEM 8. Amend the implementation sentence following 441--Chapter 163 to read as follows:
These rules are intended to implement Iowa Code section 234.6 and 1994 Iowa Acts, Senate File 2313, section 11, subsections 1 and 2.
[Filed 10/14/98, effective 1/1/99]

[Published 11/4/98]

EDITOR'S NOTE: For replacement pages for IAC, see IAC Supplement 11/4/98.
ARC 8423A
LANDSCAPE ARCHITECTURAL EXAMINING BOARD[193D]

Adopted and Filed

Pursuant to the authority of Iowa Code section 544B.5, the Landscape Architectural Examining Board hereby adopts Chapter 7, "Waivers or Variances from Rules," Iowa Administrative Code.
Notice of Intended Action was published in the May 20, 1998, Iowa Administrative Bulletin, Volume XX, No. 24, as ARC 8009A. These rules are identical to those published as Notice of Intended Action.
This new chapter allows the Board to consider a waiver or variance from administrative rules, provides registrants with the procedures necessary to request a waiver or variance and outlines the Board's responsibilities when a request is submitted.
No comments were received regarding this amendment.
These rules shall become effective on December 9, 1998.
These rules are intended to implement Iowa Code chapter 544B.
The following chapter is adopted.
Adopt new 193D--Chapter 7 as follows:
CHAPTER 7

WAIVERS OR VARIANCES FROM RULES

193D--7.1(544B) Applicability. This chapter governs waivers or variances from board rules in the following circumstances: The board has exclusive rule-making authority to promulgate the rule from which the waiver or variance is requested or has final decision-making authority over a contested case in which the waiver or variance is requested; and no statute or rule otherwise controls the grant of a waiver or variance from the rule from which the waiver or variance is requested.
7.1(1) Board's authority. The board may grant a waiver of, or variance from, all or part of a rule, upon the criteria described in rule 7.2(544B).
7.1(2) Compliance with statute. No waiver or variance may be granted from a requirement which is imposed by statute. Any waiver or variance must be consistent with statute.
193D--7.2(544B) Criteria. A waiver or variance under this chapter may be granted only upon showing that:
1. Substantially equal protection of health, safety and welfare will be afforded by a means other than that prescript in the particular rule for which the variance or waiver is requested;
2. The waiver or variance will not harm other persons or will not adversely affect the public interest;
3. Because of the circumstances, either the requester is unable to comply with the particular rule without undue hardship or compliance with the particular rule would be unnecessarily and unreasonably costly and serve no public benefit; and
4. Provision of a waiver or variance under the circumstances would not adversely impact an overall goal of uniform treatment of all licensees.
193D--7.3(544B) Request. A request for a waiver or variance must be submitted in writing to the board as follows:
7.3(1) License application. If the request relates to a license application, the request shall be made in accordance with the filing requirements for the license in question.
7.3(2) Contested case. If the request relates to a pending contested case, the request shall be filed in the contested case proceeding.
7.3(3) Other. If the request does not relate to a license application or a pending contested case, the request may be submitted to the board's executive secretary.
193D--7.4(544B) Elements. A request for waiver or variance shall include the following information where applicable:
1. The name, address, and telephone number of the person requesting the waiver or variance and the person's representative, if any.
2. The specific rule from which a waiver or variance is requested.
3. The nature of the waiver or variance requested, including any alternative means or other proposed condition or modification proposed to achieve the purpose of the rule.
4. An explanation of the reason for the waiver or variance, including all material facts relevant to grant the waiver or variance in question.
5. A description of any prior contact between the board and the requester relating to the regulated activity or license affected by the proposed waiver or variance, including a description of each affected license held by the requester, any notices of violation, contested case hearings, or investigative reports relating to the regulated activity or license within the last five years.
6. The name, address, and telephone number of any public agency or political subdivision which also regulates the activity in question or which might be affected by a grant of waiver or variance.
7. Any information known to the requester regarding the board's treatment of similar cases.
8. The name, address, and telephone number of any person with knowledge of the relevant facts relating to the proposed waiver or variance.
9. Any necessary releases of information authorizing persons with knowledge to disclose relevant information to the board.
193D--7.5(544B) Ruling. The board shall respond in writing to all requests. The ruling shall include the reason for granting or denying the request and, if approved, the time period during which the waiver or variance is effective. The board may condition the grant of waiver or variance on such reasonable conditions as are appropriate to achieve the objectives of the particular rule in question through alternative means.
193D--7.6(544B) Public availability. All final rulings in response to requests for waivers or variances shall be indexed and available to members of the public at the board office.
193D--7.7(544B) Voiding or cancellation. A waiver or variance is void if the material facts upon which the request is based are not true or if material facts have been withheld. The board may at any time cancel a waiver or variance upon appropriate notice and hearing if the board finds that the facts as stated in the request are not true, material facts are withheld, the alternative means of compliance provided in the waiver or variance has failed to achieve the objectives of the statute, or the requester has failed to comply with conditions set forth in the waiver or variance approval.
193D--7.8(544B) Violations. Violation of conditions in the waiver or variance approval is the equivalent of violation of the particular rule for which the waiver or variance is granted and is subject to the same remedies or penalties.
193D--7.9(544B) Appeals. Any request for an appeal from a decision granting or denying a waiver or variance shall be in accordance with the procedures provided in Iowa Code chapter 17A and this chapter. An appeal shall be taken within 30 days of the issuance of the ruling in response to the request unless a contrary time is provided by rule or statute.
These rules are intended to implement Iowa Code chapter 544B.
[Filed 10/14/98, effective 12/9/98]

[Published 11/4/98]

EDITOR'S NOTE: For replacement pages for IAC, see IAC Supplement 11/4/98.
ARC 8433A
REVENUE AND FINANCE DEPARTMENT[701]

Adopted and Filed

Pursuant to the authority of Iowa Code sections 421.14, 422.68, and 423.23, the Iowa Department of Revenue and Finance hereby adopts amendments to Chapter 17, "Exempt Sales," Chapter 18, "Taxable and Exempt Sales Determined by Method of Transaction or Usage," Chapter 20, "Foods for Human Consumption, Prescription Drugs, Insulin, Hypodermic Syringes, Diabetic Testing Materials, Prosthetic, Orthotic or Orthopedic Devices," and Chapter 32, "Receipts Exempt from Use Tax," Iowa Administrative Code.
Notice of Intended Action was published in IAB, Volume XXI, Number 6, on September 9, 1998, page 512, as ARC 8308A.
The amendments are intended to implement 1998 Iowa Acts, House File 2374, House File 2513, House File 2541, House File 2560, and Senate File 2288.
The 1998 regular session of the Iowa Legislature enacted a number of changes in the sales and use tax laws. New exemptions were created for sales to statewide nonprofit organ procurement organizations and nonprofit hospitals licensed under Iowa Code chapter 135B. Sales of optional service or warranty contracts providing computer software maintenance or support were also exempted from tax either entirely or on 50 percent of gross receipts, depending on circumstances. The exemptions applicable to sales of aircraft, aircraft parts, and services performed on aircraft were also expanded. Finally, the definition of "Manufacturer" in the industrial machinery, equipment, and computer exemption was expanded to include certain activities of commercial enterprises engaged in quarrying and mining.
These amendments are identical to those published under Notice of Intended Action. These amendments will become
effective December 9, 1998, after filing with the Administrative Rules Coordinator and publication in the Iowa Administrative Bulletin.
These amendments are intended to implement 1998 Iowa Acts, House File 2374, House File 2513, House File 2541, House File 2560, and Senate File 2288.
EDITOR'S NOTE: Pursuant to recommendation of the Administrative Rules Review Committee published in the Iowa Administrative Bulletin, September 10, 1986, the text of these rules [amendments to Chs 17, 18, 20, 32] is being omitted. These rules are identical to those published under Notice as ARC 8308A, IAB 9/9/98.
[Filed 10/15/98, effective 12/9/98]
[Published 11/4/98]

[For replacement pages for IAC, see IAC Supplement 11/4/98.]
ARC 8434A
REVENUE AND FINANCE DEPARTMENT[701]

Adopted and Filed

Pursuant to the authority of Iowa Code sections 421.17, 422.53, and 422.68, the Iowa Department of Revenue and Finance hereby adopts Chapter 108, "Local Option School Infrastructure Sales and Service Tax," Iowa Administrative Code.
Notice of Intended Action was published in IAB, Volume XXI, Number 6, on September 9, 1998, page 515, as ARC 8309A.
The purpose of this new chapter is to implement 1998 Iowa Acts, House File 2282, which authorizes a county or a school district to impose a local option sales and service tax of up to 1 percent solely for school infrastructure needs.
These rules are identical to those published under Notice of Intended Action.
These rules will become effective December 9, 1998, after filing with the Administrative Rules Coordinator and publication in the Iowa Administrative Bulletin.
These rules are intended to implement 1998 Iowa Acts, House File 2282.
EDITOR'S NOTE: Pursuant to recommendation of the Administrative Rules Review Committee published in the Iowa Administrative Bulletin, September 10, 1986, the text of these rules [Ch 108] is being omitted. These rules are identical to those published under Notice as ARC 8309A, IAB 9/9/98.
[Filed 10/15/98, effective 12/9/98]
[Published 11/4/98]

[For replacement pages for IAC, see IAC Supplement 11/4/98.]


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