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
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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
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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:
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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
|
Mar.
20
|
Apr.
8
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May
13
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Aug.
10
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Feb.
6
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Feb.
25
|
Mar.
17
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Apr.
1
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Apr.
3
|
Apr.
22
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May
27
|
Aug.
24
|
Feb.
20
|
Mar.
11
|
Mar.
31
|
Apr.
15
|
Apr.
17
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May
6
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June
10
|
Sept.
7
|
Mar.
6
|
Mar.
25
|
Apr.
14
|
Apr.
29
|
May
1
|
May
20
|
June
24
|
Sept.
21
|
Mar.
20
|
Apr.
8
|
Apr.
28
|
May
13
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May
15
|
June
3
|
July
8
|
Oct.
5
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Apr.
3
|
Apr.
22
|
May
12
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May
27
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May
29
|
June
17
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July
22
|
Oct.
19
|
Apr.
17
|
May
6
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May
26
|
June
10
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June
12
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July
1
|
Aug.
5
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Nov.
2
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May
1
|
May
20
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June
9
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June
24
|
June
26
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July
15
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Aug.
19
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Nov.
16
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May
15
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June
3
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June
23
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July
8
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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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