IOWA ADMINISTRATIVEBULLETIN
Published Biweekly VOLUME XXII NUMBER 26 June 28,
2000 Pages 1957 to 2064
CONTENTS IN THIS ISSUE
Pages 1974 to 2063 include ARC 9890A to ARC
9947A
AGENDA
Administrative rules review committee 1962
AGRICULTURE AND LAND
STEWARDSHIP
DEPARTMENT[21]
Notice, Livestock movement—definitions and
permits,
66.1 ARC 9941A 1974
ALL AGENCIES
Schedule for rule making 1960
Publication procedures 1961
Administrative rules on CD–ROM 1961
Agency identification numbers 1971
BANKING DIVISION[187]
COMMERCE
DEPARTMENT[181]“umbrella”
Notice, Shareholder lists, 7.13(2)“f,”
7.15(8)
ARC 9895A 1974
CITATION OF ADMINISTRATIVE RULES 1965
CORRECTIONS DEPARTMENT[201]
Notice, Offender telephone commissions,
20.20 ARC
9918A 1975
Filed, Private sector employment projects,
37.5 ARC
9947A 2053
Filed, Utilization of offender labor in
construction and
maintenance projects,
37.6 ARC 9919A 2054
EDUCATIONAL EXAMINERS BOARD[282]
EDUCATION
DEPARTMENT[281]“umbrella”
Notice, One–year conditional license, 14.15
ARC
9927A 1975
Notice, Two–year conditional license, 14.16
ARC
9929A 1976
Notice, Elementary and secondary school
counselors, 14.20
ARC 9920A 1976
Notice, General science
endorsement,
14.21(17)“e” ARC 9928A 1980
Notice, Elementary and secondary principals,
14.23 ARC
9923A 1980
Notice, Two–year administrator exchange
license,
14.25 ARC 9921A 1982
Notice, Mentor endorsement, 14.34, 14.35
ARC
9930A 1982
Notice Terminated, Temporary one–year
classroom
monitor authorization, 14.35
ARC 9922A 1983
Filed, Special education endorsements,
15.1, 15.2 ARC
9926A 2055
Filed, Paraeducator certificates, ch 22
ARC
9925A 2056
EDUCATION DEPARTMENT[281]
Notice, Driver education—qualifications
for
instructors, 26.1 ARC 9936A 1983
Notice, Educational services—newly
established
juvenile homes, 63.3 ARC 9937A 1983
Notice, Access to school breakfast program,
69.14, 69.15
ARC 9938A 1984
Notice, Funding for approved programs, 83.5
ARC
9939A 1984
Notice, Local option sales and services tax
for school
infrastructure—capacity per pupil,
96.1, 96.2 ARC
9940A 1985
ELDER AFFAIRS DEPARTMENT[321]
Notice, Senior living coordinating unit,
16.1 to 16.5
ARC 9892A 1985
HUMAN SERVICES DEPARTMENT[441]
Notice, Termination of telemedicine pilot
program, 78.45
ARC 9899A 1986
Filed, Exclusion of census income, 41.27(7),
65.29(3),
75.57(7) ARC 9900A 2058
Filed Emergency After Notice,
Eligibility
guidelines—emergency food assistance
program,
73.4(3)“d” ARC 9901A 2008
Filed Emergency, Medicaid eligibility—pregnant
women
and infants, 75.1(28) ARC 9902A 2008
Filed Emergency After Notice, Statewide
average
costs—nursing facilities, 75.23(3),
75.24(3) ARC
9903A 2009
Filed, Elimination of genetic consultation clinic
provider
category, 77.25, 78.27, 79.1(2),
79.14(1), 80.2(2), 88.48(1) ARC
9904A 2059
HUMAN SERVICES DEPARTMENT[441](Cont’d)
Filed Emergency, Medicaid rates, amendments
to chs 77 to
79, 81, 83 ARC 9905A 2010
Filed, AEA services under
Medicaid;
chiropractors—Medicaid reimbursement
for X–rays,
78.8(3), 78.32 ARC 9906A 2059
Filed Emergency, Crediting of current and
delinquent
support, 95.1, 95.3 ARC 9907A 2033
Filed Emergency, Child care services, 130.3(1),
130.4(3),
170.4(7) ARC 9908A 2034
Filed Emergency, Rate increases for adoption,
independent
living, home studies, and shelter
care providers, 150.3(5),
150.22(7)
ARC 9909A 2036
Filed Emergency, Payment increases to foster
family and
adoptive homes, 156.6(1)
ARC 9910A 2037
Filed Emergency, Iowa senior living trust fund;
nursing
facility conversion and long–term care
services development grants, chs
161, 162
ARC 9911A 2038
Filed Emergency, Pregnancy prevention
programs, 163.1,
163.3(1), 163.4(2),
163.5(3) ARC 9912A 2044
Filed Emergency, Rehabilitative treatment
services
providers, 185.112(1) ARC 9913A 2045
INSPECTIONS AND APPEALS DEPARTMENT[481]
Notice, Student loan default/noncompliance
with agreement
for payment of obligation;
suspension or revocation of license, 8.2,
8.3
ARC 9896A 1987
Filed, Quality award for health care facilities,
ch 54
ARC 9942A 2060
MEDICAL EXAMINERS BOARD[653]
PUBLIC HEALTH
DEPARTMENT[641]“umbrella”
Notice Terminated, Uniform waiver and
variance, ch 3,
11.9(3) ARC 9933A 1988
Notice, Selling of goods or services by
members of the
board or impaired
physician review committee (IPRC),
10.11 ARC
9932A 1989
Notice, Licensure of acupuncturists,
amendments to ch 14
ARC 9924A 1990
NATURAL RESOURCE COMMISSION[571]
NATURAL RESOURCES
DEPARTMENT[561]“umbrella”
Notice, Wildlife refuges—Henderson and
Spring Run,
52.1(2)“a” ARC 9946A 1997
Filed, Volunteer safety/education instructor
certification,
15.9 to 15.12 ARC 9943A 2062
Filed, General dock permits, 16.1, 16.3
ARC
9944A 2062
Filed, Community forestry grant
program (CFGP), amendments
to ch 34
ARC 9945A 2063
NURSING BOARD[655]
PUBLIC HEALTH
DEPARTMENT[641]“umbrella”
Notice, Nurse licensure compact, 2.3(2), 2.6(2),
3.1, 3.2,
3.5(2), 3.6(1), 6.1, 6.5(5), 7.1, ch 16
ARC 9917A 1997
Filed Emergency, Nurse licensure compact,
2.3(2), 2.6(2),
3.1, 3.2, 3.5(2), 3.6(1), 6.1,
6.5(5), 7.1, ch 16 ARC
9915A 2045
Filed, Practice of LPNs—infusion pumps and
hypertonic
solutions, 6.5(4) ARC 9916A 2063
PAROLE BOARD[205]
CORRECTIONS
DEPARTMENT[201]“umbrella”
Notice, Commutation procedures for Class
“A”
felons, 14.2, 14.5(1), 14.6 ARC 9898A 1998
Filed Emergency, Commutation procedures
for Class
“A” felons, 14.2, 14.5(1), 14.6
ARC 9897A 2047
PROFESSIONAL LICENSURE DIVISION[645]
PUBLIC HEALTH
DEPARTMENT[641]“umbrella”
Notice, Massage therapists—license fees
and
discipline; continuing education,
130.1 to 130.4, 130.7 to 130.10,
131.1
to 131.5, 131.17 to 131.19, ch 132
ARC 9931A 1998
PUBLIC FUNDS—AVAILABILITY
Public Health Department[641]
PRIMECARRE loan repayment program 1973
PUBLIC HEALTH DEPARTMENT[641]
Notice of public funds availability 1973
PUBLIC HEARINGS
Summarized list 1966
REAL ESTATE COMMISSION[193E]
Professional Licensing and Regulation
Division[193]
COMMERCE
DEPARTMENT[181]“umbrella”
Filed Emergency, Referral or finder’s fee, 1.1,
1.41
ARC 9914A 2048
REVENUE AND FINANCE DEPARTMENT[701]
Notice, Return of defective vehicles;
notice of election
results, 28.1, 107.2(1),
108.2(5) ARC 9934A 2003
Notice, Application of tax payments, 104.7,
107.15, 108.4,
108.7 ARC 9935A 2004
SECRETARY OF STATE[721]
Notice, Electronic voting equipment, 22.261
ARC
9890A 2006
Notice, Pilot project—refund of fees, 40.4
ARC
9893A 2007
Filed Emergency, Electronic voting equipment,
22.261
ARC 9891A 2048
Filed Emergency, Pilot project—refund of fees,
40.4
ARC 9894A 2052
TREASURER OF STATE
Notice—Public funds interest rates 2007
PUBLISHED UNDER
AUTHORITY OF IOWA
CODE SECTIONS 2B.5 AND
17A.6
__________________________________
PREFACE
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Intended Action on rules, Filed and Filed Emergency rules by state agencies.
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PLEASE NOTE: Italics indicate new material
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2000
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FROM: Kathleen K. Bates, Iowa Administrative Code
Editor
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AGENDA
The Administrative Rules Review Committee will hold its
regular, statutory meeting on Tuesday, July 11, 2000, at 10 a.m. in House
Committee Room 1, State Capitol, Des Moines, Iowa. The following rules will be
reviewed:
Bulletin
AGRICULTURE AND LAND STEWARDSHIP
DEPARTMENT[21]
Livestock movement, ch 66 introductory note,
66.1, Notice ARC 9941A 6/28/00
BANKING DIVISION[187]
COMMERCE
DEPARTMENT[181]“umbrella”
Confidential records—shareholder lists,
7.13(2)“f,” 7.15(8), Notice ARC
9895A 6/28/00
CORRECTIONS DEPARTMENT[201]
Offender telephone commissions, 20.20,
Notice ARC 9918A 6/28/00
Newton correctional facility, ch 28,
Notice ARC 9879A 6/14/00
Fort Dodge correctional facility, ch 29,
Notice ARC 9880A 6/14/00
Private sector employment projects, 37.5,
Filed ARC 9947A 6/28/00
Utilization of offender labor in construction and
maintenance projects, 37.6, Filed ARC
9919A 6/28/00
EDUCATIONAL EXAMINERS BOARD[282]
EDUCATION
DEPARTMENT[281]“umbrella”
Requirements for a one–year conditional
license, 14.15, Notice ARC 9927A 6/28/00
Requirements for a two–year conditional
license, 14.16, Notice ARC 9929A 6/28/00
Elementary and secondary school counselor
competencies, 14.20(5), 14.20(6), Notice ARC
9920A 6/28/00
Reinstatement of general science endorsement,
14.21(17)“e,” Notice ARC
9928A 6/28/00
Administrative endorsements for elementary and
secondary school principals, 14.23(1) 14.23(2), Notice ARC
9923A 6/28/00
Two–year administrator exchange license,
14.25, Notice ARC 9921A 6/28/00
Mentor endorsement, 14.34, Notice
ARC 9930A 6/28/00
Temporary one–year classroom monitor
authorization pilot program,
14.35, Notice
ARC 9727A Terminated ARC
9922A 6/28/00
Special education endorsements, 15.1, 15.2(2),
15.2(3), 15.2(8), Filed ARC 9926A 6/28/00
Paraeducator certificates, ch 22, Filed
ARC 9925A 6/28/00
EDUCATION DEPARTMENT[281]
Qualifications for driver education instructors,
26.1, Notice ARC 9936A 6/28/00
Educational services for newly established
juvenile homes, 63.3, Notice ARC
9937A 6/28/00
Waiver of school breakfast program requirement,
69.14, 69.15, Notice ARC 9938A 6/28/00
Beginning teacher induction
program—distribution of funds, 83.5, Notice ARC
9939A 6/28/00
Calculation of sales tax capacity per pupil,
96.1, 96.2, Notice ARC 9940A 6/28/00
ELDER AFFAIRS DEPARTMENT[321]
Senior living coordinating unit, ch 16,
Notice ARC 9892A 6/28/00
Iowa senior living program—home– and
community–based services for seniors, ch 28,
Notice ARC 9884A, also Filed Emergency ARC
9864A 6/14/00
ENVIRONMENTAL PROTECTION COMMISSION[567]
NATURAL RESOURCES
DEPARTMENT[561]“umbrella”
Controlling pollution; emission standards for
contaminants; excess emission; measurement of
emissions,
22.1(2), 22.1(2) “g,”
“i” and “s,” 22.1(3)“b” and “d,”
22.3(1)“c,” 22.3(8), 22.4(1), 22.100,
22.106(1),
22.106(3)“a” and “b,”
23.1(4), 23.1(4)“be,” “bo” and “bv,”
23.1(5)“b”(4) to (6), (12) and (13),
23.2(3),
23.3(2)“a”(1), 24.1, 25.1(9), Notice ARC
9885A 6/14/00
Water supplies, 40.1, 40.2, 40.3(1),
41.2(1)“b,” 41.2(1)“c”(1)“2,”
41.2(1)“d”(5), 41.2(1)“e”(3), (5) and
(6),
41.2(3)“e,”
41.3(1)“c”(2)“4,”
41.3(1)“c”(7)“1,”
41.3(1)“c”(8)“3,” 41.3(1)“e”(1) and
(2),
41.4(1)“g”(1) and (2),
41.5(1)“a” and “b,” 41.5(1)“b”(1),
41.5(1)“c”(5)“2”,
41.5(1)“e”(1),
41.5(1)“f”(2),
41.6, 41.7, 41.9(2)“a”(1), 41.11(1)“c”(4),
41.11(1)“d”(2),
41.11(2)“a”(1)
41.11(2)“b,”
41.11(3), 42.1(1), 42.1(6), 42.2(6), 42.3(3)“b”(3) to (5),
42.3(3)“c,” 42.3(3)“c”(1)“4” and
“9,”
42.3(3)“c”(2) to (4),
42.3(3)“d”(1), 42.3(3)“g”(1) and (5),
42.3(4)“c,” 42.3(4)“d,”
42.4(2)“e”(2)“2,”
42.4(2)“f,”
42.4(3)“a”(1), 42.4(3)“a”(2)“3” and
“7,” 42.4(3)“c” and “d,”
42.5(1)“b” and “e,” ch 42 appendices A to
D,
43.1(3)“a,” 43.1(3)“d”(1),
43.1(5)“b,” 43.2(1), 43.2(5)“b,” 43.3(1),
43.3(5)“a,” 43.3(10)“b” to
“g,”
43.5(1)“a,”
43.5(2)“c” and “d,” 43.5(3) to 43.5(5), 43.6,
43.7(1)“b” and “c,” 43.7(2)“c”(4),
43.7(2)“h,”
43.7(3)“b”(2),
43.7(4)“d,” 43.9, ch 43 appendix A, 83.1(3), 83.2,
83.3(2)“c”(1)“1” and “8,”
83.6(4),
83.6(6)“a”(1),
83.6(7)“a,” 83.7(5)“d,” 83.7(6), Notice
ARC 9888A 6/14/00
Water quality certification—new and
modified NWPs, 61.2(2)“h,” Filed ARC
9887A 6/14/00
Operator certification: public water supply
systems and wastewater treatment
and collection systems,
ch 81, Notice ARC 9886A 6/14/00
HUMAN SERVICES DEPARTMENT[441]
Census income exemption for food stamp
recipients, 41.27(7)“ak,”
65.29(3),
75.57(7)“ah,” Filed
ARC 9900A 6/28/00
Emergency food assistance program—income
eligibility guidelines,
73.4(3)“d”(2),
Filed Emergency After
Notice ARC 9901A 6/28/00
Medicaid eligibility for pregnant women and
infants, 75.1(28)“a”(1), Notice ARC
9867A 6/14/00
Medicaid eligibility for pregnant women and
infants, 75.1(28)“a”(1), Filed Emergency ARC
9902A 6/28/00
Statewide average costs and charges for nursing
care, 75.23(3), 75.24(3)“b,” Filed Emergency After Notice
ARC 9903A 6/28/00
Medicaid program—elimination of genetic
consultation clinic provider category,
77.25, 78.27,
79.1(2), 79.14(1)“b”(14), 80.2(2)“y,”
88.48(1)“e,” Filed ARC
9904A 6/28/00
Skilled nursing and home health aide services;
home– and community–based services waivers, 77.30(5),
77.30(8),
77.33(6), 77.34(5), 77.37, 77.37(15),
77.37(22), 77.39, 77.39(14), 77.39(25), 78.9(3),
78.9(7)“c,”
78.34(5), 78.34(8), 78.37(6),
78.37(15)“c,” 78.38(5), 78.41(2), 78.41(9), 78.43(3), 78.43(14),
79.1(2),
79.1(15), 79.1(15)“b”(6) and (7),
79.1(15)“c” and “d,” 79.1(15)“d”(5),
79.1(15)“e” to “g,” 83.1,
83.2(1)“e,”
83.2(2)“c,” 83.6,
83.21, 83.22(2)“b,” 83.41, 83.60, 83.61(1)“i,”
83.61(2)“h,” 83.66, 83.81,
83.82(1)“j,”
83.82(2)“b,” 83.86,
Notice ARC 9881A 6/14/00
Medicaid reimbursement, 77.30(5), 77.30(8),
77.33(6), 77.34(5), 77.37, 77.37(15), 77.37(22),
77.39,
77.39(14), 77.39(25), 78.9(3), 78.9(7)“c,” 78.31(1),
78.31(5),78.34(5), 78.34(8), 78.37(6),
78.37(15)“c,”
78.38(5), 78.41(2), 78.41(9),
78.43(3), 78.43(14), 79.1(2), 79.1(8)“a,” 79.1(9)“j,”
79.1(15), 79.1(15)“b”(6) and
(7),
79.1(15)“c” and “d,”
79.1(15)“d”(5), 79.1(15)“e” to “g,” 81.1,
81.6(16)“c” and “e” to “h,” 81.6(17),
81.6(17)“c,”
81.13(9)“g,” 83.1,
83.2(1)“e,” 83.2(2)“c,” 83.6, 83.21,
83.22(2)“b,” 83.41, 83.60, 83.61(1)“i,”
83.61(2)“h,” 83.66,
83.81,
83.82(1)“j,” 83.82(2)“b,” 83.86, Filed
Emergency ARC 9905A 6/28/00
Medicaid reimbursement to chiropractors for
X–rays; Medicaid coverage of area education agency
services,
78.8(3), 78.32, Filed ARC
9906A 6/28/00
Medicaid reimbursement, 78.31(1), 78.31(5),
79.1(2), 79.1(8)“a,” 79.1(9)“j,” 81.1,
81.6(16)“c” and “e” to
“h,”
81.6(17), 81.6(17)“c,”
81.13(9)“g,” Notice ARC
9882A 6/14/00
Discontinuation of telemedicine pilot program,
78.45, Notice ARC 9899A 6/28/00
HAWK–I program income limits, 86.2(2),
Notice ARC 9868A, also Filed Emergency ARC
9869A 6/14/00
Credit for child support payment—use of
withholding date instead of receipt date, 95.1, 95.3, Notice ARC
9870A 6/14/00
Credit for child support payment—use of
withholding date instead of receipt date, 95.1, 95.3, Filed Emergency
ARC 9907A 6/28/00
Child care services—income guidelines and
fees, 130.3(1)“d”(2),
130.4(3),
170.4(7)“a,” tables I and II,
Notice ARC 9871A 6/14/00
Child care services—income guidelines and
fees, 130.3(1)“d”(2),
130.4(3),
170.4(7)“a,” tables I and II,
Filed Emergency ARC 9908A 6/28/00
Reimbursement rates for adoption, independent
living, home studies,
and shelter care providers,
150.3(5)“p”(1) and (2), 150.3(5)“p”(2)“1”
and “3” to
“5,”
150.22(7)“p”(1),
150.22(7)“p”(1)“1,” Notice ARC
9872A 6/14/00
Reimbursement rates for adoption, independent
living, home studies,
and shelter care providers,
150.3(5)“p”(1) and (2), 150.3(5)“p”(2)“1”
and “3” to
“5,”
150.22(7)“p”(1),
150.22(7)“p”(1)“1,” Filed Emergency ARC
9909A 6/28/00
Foster family care and adoption payment rates,
156.6(1), Notice ARC 9873A 6/14/00
Foster family care and adoption payment rates,
156.6(1), Filed Emergency ARC 9910A 6/28/00
Iowa senior living trust fund; nursing facility
conversion and long–term care services development
grants,
chs 161 and 162, Notice ARC
9883A 6/14/00
Iowa senior living trust fund; nursing facility
conversion and long–term care services development
grants,
chs 161 and 162, Filed Emergency
ARC 9911A 6/28/00
Pregnancy prevention programs, 163.1, 163.3(1),
163.4(2)“d,” 163.5(3), 163.5(3)“i” and “k,”
Notice ARC 9874A 6/14/00
Pregnancy prevention programs, 163.1, 163.3(1),
163.4(2)“d,” 163.5(3), 163.5(3)“i” and “k,”
Filed Emergency ARC 9912A 6/28/00
Rehabilitative treatment and support service
provider rates, 185.112(1)“k,” Notice ARC
9875A 6/14/00
Rehabilitative treatment and support service
provider rates, 185.112(1)“k,” Filed Emergency ARC
9913A 6/28/00
INSPECTIONS AND APPEALS DEPARTMENT[481]
Licensing sanctions for nonpayment of student
loans, ch 8 title, 8.2, 8.3, Notice ARC
9896A 6/28/00
Quality award for health care facilities, ch 54,
Filed ARC 9942A 6/28/00
INSURANCE DIVISION[191]
COMMERCE
DEPARTMENT[181]“umbrella”
Replacement of life insurance and annuities,
16.22, 16.23(1)“b” and “f,” 16.24(2),
16.25(4),
16.26(1)“d,”
16.28(2)“a,” 16.29(3), ch 16, division II, appendix A1, Filed
Emergency ARC 9863A 6/14/00
MEDICAL EXAMINERS BOARD[653]
PUBLIC HEALTH
DEPARTMENT[641]“umbrella”
Uniform waiver and variance; licensure
application waivers,
ch 3, 11.9(3), Notice
ARC 9605A Terminated ARC
9933A 6/28/00
Selling of goods or services by board or impaired
physician review committee members, 10.11, Notice ARC
9932A 6/28/00
Licensure of acupuncturists, ch 14,
Notice ARC 9924A 6/28/00
NATURAL RESOURCE COMMISSION[571]
NATURAL RESOURCES
DEPARTMENT[561]“umbrella”
Volunteer safety and education instructor
certification, 15.9 to 15.12, Filed ARC
9943A 6/28/00
General dock permit, 16.1, 16.3, Filed
ARC 9944A 6/28/00
Community forestry challenge grant program, ch
34, Filed ARC 9945A 6/28/00
Wildlife refuges—addition of Spring Run and
Henderson areas, 52.1(2)“a,” Notice ARC
9946A 6/28/00
NURSING BOARD[655]
PUBLIC HEALTH
DEPARTMENT[641]“umbrella”
Nurse licensure compact, 2.3(2)“a,”
2.6(2)“a,” 3.1, 3.2(1), 3.2(2)“a” to “e,”
3.5(2)“b”(5) and (6),
3.6(1), 6.1, 6.5(5),
7.1, ch 16, Notice ARC 9917A, also Filed Emergency
ARC 9915A 6/28/00
Infusion pump initiation and hypertonic solutions
administration by LPNs, 6.5(4)“b” to “e,” Filed
ARC 9916A 6/28/00
PAROLE BOARD[205]
CORRECTIONS
DEPARTMENT[201]“umbrella”
Commutation procedures for class “A”
felons, 14.2, 14.5(1), 14.6,
Notice ARC
9898A, also Filed Emergency ARC
9897A 6/28/00
PROFESSIONAL LICENSURE DIVISION[645]
PUBLIC HEALTH
DEPARTMENT[641]“umbrella”
Massage therapy examiners, 130.1 to 130.4, 130.7
to 130.10, ch 131 title, 131.1, 131.1(2)“k,” 131.2 to
131.5,
131.17 to 131.19, ch 132, Notice ARC
9931A 6/28/00
RACING AND GAMING COMMISSION[491]
INSPECTIONS AND APPEALS
DEPARTMENT[481]“umbrella”
General, ch 1, 4.6(5)“h,” chs 5 and
6, 7.2, 7.3(3)“e,” 7.9(7)“b,” 9.2(6)“d”(2),
9.2(7)“l,”
9.3(1)“a”(6),
10.2(6)“d”(2),
10.2(7)“l,” 10.3, 10.4(1)“b”(6), 13.2(5)“a,”
13.2(6), chs 20 and 21, 22.24, 24.13 to 24.15,
ch 25,
26.9, Notice ARC 9865A 6/14/00
REAL ESTATE COMMISSION[193E]
Professional Licensing and Regulation
Division[193]
COMMERCE
DEPARTMENT[181]“umbrella”
Business conduct, 1.1, 1.41, 1.41(3), 1.41(7)
Filed Emergency ARC 9914A 6/28/00
REVENUE AND FINANCE DEPARTMENT[701]
“Taxable use” defined; local option
sales and service tax, 28.1, 107.2(1), 108.2(5), Notice ARC
9934A 6/28/00
Hotel and motel tax; local option sales and
service tax, 104.7, 107.15, 108.4, 108.7, Notice ARC
9935A 6/28/00
SECRETARY OF STATE[721]
Competing nominations by nonparty political
organizations, 21.201, Filed ARC
9889A 6/14/00
Electronic voting equipment, 22.261,
Notice ARC 9890A, also Filed Emergency ARC
9891A 6/28/00
Pilot project for refund of corporate filing
fees, 40.4(4), 40.4(5),
Notice ARC 9893A,
also Filed Emergency ARC 9894A 6/28/00
TRANSPORTATION DEPARTMENT[761]
Dealer and used vehicle wholesaler
licensure—written evidence of compliance with zoning
requirements,
425.10(6), 425.52(1), Notice
ARC 9876A 6/14/00
Fees for driver’s licenses; pilot project
for waiver or refund of license fees,
602.3, 605.9,
605.10, 630.2(6), Notice ARC 9866A 6/14/00
UTILITIES DIVISION[199]
COMMERCE
DEPARTMENT[181]“umbrella”
Restoration of agricultural lands during and
after pipeline construction,
ch 9, Notice
ARC 9400A Terminated ARC 9877A, also Notice
ARC 9878A 6/14/00
ADMINISTRATIVE RULES REVIEW COMMITTEE
MEMBERS
Regular statutory meetings are held the second
Tuesday of each month at the seat of government as provided in Iowa Code section
17A.8. A special meeting may be called by the Chair at any place in the state
and at any time.
EDITOR’S NOTE: Terms ending April 30,
2003.
Senator H. Kay Hedge
3208 335th Street
Fremont, Iowa 52561
|
Representative Janet Metcalf
12954 Oak Brook Drive
Urbandale, Iowa 50323
|
Senator Merlin E. Bartz
2081 410th Street
Grafton, Iowa 50440
|
Representative Clyde Bradley
835 Blackhawk Lane
Camanche, Iowa 52730
|
Senator Patricia M. Harper
3336 Santa Maria Drive
Waterloo, Iowa 50702
|
Representative Danny Carroll
244 400th Avenue
Grinnell, Iowa 50112
|
Senator John P. Kibbie
P.O. Box 190
Emmetsburg, Iowa 50536
|
Representative Minnette Doderer
2008 Dunlap Court
Iowa City, Iowa 52245
|
Senator Sheldon Rittmer
3539 230th Street
DeWitt, Iowa 52742
|
Representative Geri Huser
213 7th Street NW
Altoona, Iowa 50009
|
Joseph A. Royce
Legal Counsel
Capitol, Room 116A
Des Moines, Iowa 50319
Telephone (515)281–3084
Fax (515)281–5995
|
Brian Gentry
Administrative Rules Coordinator
Governor’s Ex Officio Representative
Capitol, Room 11
Des Moines, Iowa 50319
|
|
|
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
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
|
BANKING DIVISION[187]
|
|
Confidential records—shareholder lists, 7.13(2),
7.15(8) IAB 6/28/00 ARC 9895A
|
Conference Room 200 E. Grand Ave. Des Moines,
Iowa
|
July 18, 2000 10 a.m.
|
CORRECTIONS DEPARTMENT[201]
|
|
Newton correctional facility, ch 28 IAB 6/14/00 ARC
9879A
|
Second Floor Conference Room 420 Keo Way Des Moines,
Iowa
|
July 5, 2000 11 a.m. to 1 p.m.
|
Fort Dodge correctional facility, ch 29 IAB 6/14/00
ARC 9880A
|
Second Floor Conference Room 420 Keo Way Des Moines,
Iowa
|
July 5, 2000 11 a.m. to 1 p.m.
|
EDUCATIONAL EXAMINERS BOARD[282]
|
|
One–year conditional license, 14.15 IAB 6/28/00
ARC 9927A
|
Conference Room 3 South Third Floor Grimes State Office
Bldg. Des Moines, Iowa
|
July 27, 2000 1 p.m.
|
Two–year conditional license, 14.16 IAB 6/28/00
ARC 9929A
|
Conference Room 3 South Third Floor Grimes State Office
Bldg. Des Moines, Iowa
|
July 27, 2000 2 p.m.
|
Elementary and secondary school counselor
competencies, 14.20 IAB 6/28/00 ARC 9920A
|
Conference Room 3 South Third Floor Grimes State Office
Bldg. Des Moines, Iowa
|
July 27, 2000 3:30 p.m.
|
General science endorsement, 14.21(17) IAB 6/28/00
ARC 9928A
|
Conference Room 3 South Third Floor Grimes State Office
Bldg. Des Moines, Iowa
|
July 27, 2000 3 p.m.
|
Administrative endorsements— elementary and secondary
school principals, 14.23 IAB 6/28/00 ARC 9923A
|
Conference Room 3 North Third Floor Grimes State Office
Bldg. Des Moines, Iowa
|
September 1, 2000 10 a.m.
|
|
Conference Room 3 North Third Floor Grimes State Office
Bldg. Des Moines, Iowa
|
September 6, 2000 1 p.m.
|
Two–year administrator exchange
license, 14.25 IAB 6/28/00 ARC 9921A
|
Conference Room 3 South Third Floor Grimes State Office
Bldg. Des Moines, Iowa
|
July 27, 2000 2:30 p.m.
|
EDUCATIONAL EXAMINERS BOARD[282]
(Cont’d)
|
|
Mentor endorsement, 14.34, 14.35 IAB 6/28/00 ARC
9930A
|
Conference Room 3 North Third Floor Grimes State Office
Bldg. Des Moines, Iowa
|
September 1, 2000 8 a.m.
|
ELDER AFFAIRS DEPARTMENT[321]
|
|
Senior living coordinating unit, 16.1 to 16.5 IAB
6/28/00 ARC 9892A
|
North Conference Room—3rd Floor Clemens Bldg. 200
Tenth St. Des Moines, Iowa
|
August 1, 2000 10 a.m.
|
Iowa senior living program—home– and
community–based services for seniors, ch 28 IAB 6/14/00 ARC
9884A (Also see ARC 9864A)
|
North Conference Room—3rd Floor Clemens Bldg. 200
Tenth St. Des Moines, Iowa
|
July 6, 2000 10 a.m.
|
ENVIRONMENTAL PROTECTION COMMISSION[567]
|
|
Air quality; emissions standards, 22.1, 22.3. 22.4(1),
22.100, 22.106, 23.1, 23.2(3), 23.3(2), 24.1, 25.1(9) IAB 6/14/00 ARC
9885A
|
Conference Rooms 5–8 Air Quality Bureau 7900
Hickman Rd. Urbandale, Iowa
|
July 20, 2000 1 p.m.
|
Drinking water standards; laboratory certification,
amendments to chs 40 to 43, 83 IAB 6/14/00 ARC 9888A
|
Auditorium Wallace State Office Bldg. Des Moines,
Iowa
|
July 6, 2000 10 a.m.
|
|
Muse–Norris Conference Center North Iowa Area
Community College 500 College Dr. Mason City, Iowa
|
July 7, 2000 10 a.m.
|
|
Helen Wilson Gallery Washington Public Library 120 E.
Main Washington, Iowa
|
July 14, 2000 10 a.m.
|
|
Municipal Utilities Conference Room 15 W. Third
St. Atlantic, Iowa
|
July 18, 2000 10 a.m.
|
|
Delaware County Community Center 200 E. Acres (at
fairgrounds) Manchester, Iowa
|
July 19, 2000 10 a.m.
|
|
Hansen Room, Siebens Forum Buena Vista University 4th
and Grand Ave. Storm Lake, Iowa
|
July 20, 2000 10 a.m.
|
Operator certification: public water supply systems and
wastewater treatment and collection systems, ch 81 IAB 6/14/00 ARC
9886A
|
Auditorium Wallace State Office Bldg. Des Moines,
Iowa
|
July 6, 2000 10 a.m.
|
ENVIRONMENTAL PROTECTION COMMISSION[567]
(Cont’d)
|
|
|
Muse–Norris Conference Center North Iowa Area
Community College 500 College Dr. Mason City, Iowa
|
July 7, 2000 10 a.m.
|
|
Helen Wilson Gallery Washington Public Library 120 E.
Main Washington, Iowa
|
July 14, 2000 10 a.m.
|
|
Municipal Utilities Conference Room 15 W. Third
St. Atlantic, Iowa
|
July 18, 2000 10 a.m.
|
|
Delaware County Community Center 200 E. Acres (at
fairgrounds) Manchester, Iowa
|
July 19, 2000 10 a.m.
|
|
Hansen Room, Siebens Forum Buena Vista University 4th
and Grand Ave. Storm Lake, Iowa
|
July 20, 2000 10 a.m.
|
HUMAN SERVICES DEPARTMENT[441]
|
|
Skilled nursing and home health aide services; HCBS
waivers, amendments to chs 77 to 79, 83 IAB 6/14/00 ARC
9881A
|
Conference Room—6th Floor Iowa Bldg., Suite
600 411 3rd St. SE Cedar Rapids, Iowa
|
July 11, 2000 9 a.m.
|
|
Administrative Conference Room 417 E. Kanesville
Blvd. Council Bluffs, Iowa
|
July 5, 2000 9 a.m.
|
|
Large Conference Room Bicentennial Bldg.—5th
Floor 428 Western Ave. Davenport, Iowa
|
July 10, 2000 9 a.m.
|
|
Conference Room 102 City View Plaza 1200
University Des Moines, Iowa
|
July 10, 2000 10 a.m.
|
|
Liberty Room Mohawk Square 22 N. Georgia Ave. Mason
City, Iowa
|
July 7, 2000 11 a.m.
|
|
Conference Room 3 120 E. Main Ottumwa, Iowa
|
July 6, 2000 10 a.m.
|
|
Fifth Floor 520 Nebraska St. Sioux City, Iowa
|
July 7, 2000 2:30 p.m.
|
|
Conference Room 213 Pinecrest Office Bldg. 1407
Independence Ave. Waterloo, Iowa
|
July 5, 2000 10 a.m.
|
HUMAN SERVICES DEPARTMENT[441]
(Cont’d)
|
|
Iowa senior living trust fund; facility conversion and
service development grants, chs 161, 162 IAB 6/14/00 ARC
9883A
|
Conference Room—6th Floor Iowa Bldg., Suite
600 411 3rd St. SE Cedar Rapids, Iowa
|
July 11, 2000 11 a.m.
|
|
CPI Conference Room 417 E. Kanesville Blvd. Council
Bluffs, Iowa
|
July 5, 2000 10 a.m.
|
|
Large Conference Room Bicentennial Bldg.—5th
Floor 428 Western Ave. Davenport, Iowa
|
July 10, 2000 11 a.m.
|
|
Conference Room 104 City View Plaza 1200
University Des Moines, Iowa
|
July 11, 2000 10 a.m.
|
|
Liberty Room Mohawk Square 22 N. Georgia Ave. Mason
City, Iowa
|
July 7, 2000 11 a.m.
|
|
Conference Room 3 120 E. Main Ottumwa, Iowa
|
July 6, 2000 11 a.m.
|
|
Fifth Floor 520 Nebraska St. Sioux City, Iowa
|
July 7, 2000 1:30 p.m.
|
|
Conference Room 402 Pinecrest Office Bldg. 1407
Independence Ave. Waterloo, Iowa
|
July 5, 2000 10 a.m.
|
MEDICAL EXAMINERS BOARD[653]
|
|
Selling of goods or services by members of the board or
IPRC, 10.11 IAB 6/28/00 ARC 9932A
|
Suite C 400 SW 8th St. Des Moines, Iowa
|
July 18, 2000 1 p.m.
|
Licensure of acupuncturists, 14.1 to 14.30 IAB 6/28/00
ARC 9924A
|
Suite C 400 SW 8th St. Des Moines, Iowa
|
July 18, 2000 10 a.m.
|
NATURAL RESOURCE COMMISSION[571]
|
|
Wildlife refuges—Spring Run and Henderson areas,
52.1(2) IAB 6/28/00 ARC 9946A
|
Conference Room—4th Floor Wallace State Office
Bldg. Des Moines, Iowa
|
July 19, 2000 10 a.m.
|
NURSING BOARD[655]
|
|
Nurse licensure compact, 2.3(2), 2.6(2), 3.1, 3.2, 3.5,
3.6(1), 6.1, 6.5(5), 7.1, ch 16 IAB 6/28/00 ARC
9917A (Also see ARC 9915A herein)
|
Ballroom Kirkwood Civic Center Hotel Fourth and
Walnut Des Moines, Iowa
|
September 7, 2000 5 p.m.
|
PROFESSIONAL LICENSURE DIVISION[645]
|
|
Massage therapy examiners, 130.1 to 130.4, 130.7 to 130.10,
131.1 to 131.5, 131.18, 131.19, ch 132 IAB 6/28/00 ARC
9931A
|
Board Conference Room—5th Floor Lucas State Office
Bldg. Des Moines, Iowa
|
July 18, 2000 9 to 11 a.m.
|
RACING AND GAMING COMMISSION[491]
|
|
General, adopt chs 1, 5; amend chs 4, 7, 9, 10, 13,
22, 24; rescind chs 6, 20, 21, 25, 26 IAB 6/14/00 ARC
9865A
|
Suite B 717 E. Court Des Moines, Iowa
|
July 10, 2000 9 a.m.
|
SECRETARY OF STATE[721]
|
|
Electronic voting equipment, 22.261 IAB 6/28/00 ARC
9890A (Also see ARC 9891A herein)
|
Second Floor Hoover State Office Bldg. Des Moines,
Iowa
|
July 18, 2000 1:30 p.m.
|
Refund of corporate filing fees— pilot
project, 40.4 IAB 6/28/00 ARC 9893A (Also see
ARC 9894A herein)
|
O’Connor Conference Room Second Floor Hoover State
Office Bldg. Des Moines, Iowa
|
July 18, 2000 10 a.m. (If
requested)
|
TRANSPORTATION DEPARTMENT[761]
|
|
Zoning—dealer’s or used vehicle wholesaler’s
license requirements, 425.10(6), 425.52(1) IAB 6/14/00 ARC
9876A
|
DOT Conference Room Park Fair Mall 100 Euclid
Ave. Des Moines, Iowa
|
July 7, 2000 1 p.m. (If
requested)
|
Fees for driver’s licenses; waiver or refund of license
fees—pilot project, 602.3, 605.9, 605.10, 630.2(6) IAB 6/14/00
ARC 9866A
|
DOT Conference Room Park Fair Mall 100 Euclid
Ave. Des Moines, Iowa
|
July 7, 2000 10 a.m. (If
requested)
|
UTILITIES DIVISION[199]
|
|
Restoration of agricultural lands during and after pipeline
construction, ch 9 IAB 6/14/00 ARC 9878A
|
Board Hearing Room 350 Maple St. Des Moines,
Iowa
|
July 19, 2000 10 a.m.
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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]
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 African–Americans, Division on
the[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]
TURKEY MARKETING COUNCIL,
IOWA[787]
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 9941A
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 sections 159.5(11) and
163.1, the Department of Agriculture and Land Stewardship gives Notice of
Intended Action to amend Chapter 66, “Livestock Movement,” Iowa
Administrative Code.
These proposed amendments are intended to clarify the
permitting requirements for a person engaged in the business of buying, selling,
or assembling livestock for resale. These individuals are currently permitted
as livestock dealers or livestock dealer’s agents. These proposed
amendments require that the licensee must maintain a bond and clarify other
requirements in the permitting process. The proposed amendments also add
domestically raised deer, elk, and moose to the definition of
livestock.
Any interested person may make written suggestions or comments
on the following proposed amendments prior to 4:30 p.m. on July 19, 2000. Such
written material should be directed to Dr. John Schiltz, State Veterinarian,
Animal Industry Bureau, Department of Agriculture and Land Stewardship, Wallace
State Office Building, Des Moines, Iowa 50319. Comments can also be submitted
by fax to (515) 281–4282 or by E–mail to
John.Schiltz@idals.state.ia.us.
The proposed amendments do not contain any waiver provisions
because the Department does not believe that waiver is appropriate for these
requirements. However, the proposed bonding requirement is waived, if the
licensee can show proof of a comparable bond provided to the United States
Packers and Stockyards Administration.
These proposed amendments are intended to implement Iowa Code
chapter 163.
The following amendments are proposed.
ITEM 1. Amend 21—Chapter 66
by rescinding the introductory note.
ITEM 2. Rescind rule 21—66.1(163)
and adopt in lieu thereof the following new rule:
21—66.1(163) Definitions and permits.
66.1(1) Definition. As used in this chapter,
the following term is defined to have the following meaning:
“Livestock” means cattle, horses, sheep, goats,
swine (other than feeder swine), or any other animals of the bovine, equine,
ovine, caprine or porcine species. “Livestock” also includes all
species of deer, elk, and moose raised under confinement or agricultural
conditions for the production of meat, the production of other agricultural
products, sport, or exhibition.
66.1(2) Livestock dealer permit required.
Any person engaged in the business of buying, selling or assembling
livestock by consignment for the purpose of resale, other than for resale
directly to slaughter, either interstate or intrastate, shall first obtain a
permit from the department to conduct business. A separate permit must be
obtained for each separate location even though operated under the same
management or person.
66.1(3) Livestock dealer’s agent permit
required. An individual working for a person holding a permit required by
subrule 66.1(2) shall obtain, in lieu of a livestock dealer permit, a permit as
a livestock dealer’s agent. A person shall not act as an agent for more
than one dealer at the same time. A person shall not act as an agent for a
dealer and also hold a livestock dealer permit in the person’s own
name.
66.1(4) Permitting period. A livestock dealer
permit and a livestock dealer’s agent permit shall be issued for a time
period commencing on July 1 and ending June 30 of the following year.
66.1(5) Fee for permit. The following
nonrefundable fee shall accompany each application for a permit or the renewal
of a permit:
1. Livestock dealer permit—$50
2. Livestock dealer’s agent permit—$10
66.1(6) Bonding requirement. An applicant for a
livestock dealer permit shall submit a bond to the department with the secretary
of agriculture named as trustee. The bond shall be payable for the use and
benefit of any person damaged as a result of a violation of this chapter. The
amount of the bond shall be calculated in the same manner and contain the same
condition clauses as required by the United States Packers and Stockyards
Administration as adopted in Sections 201.30 and 201.31 of Title 9, Chapter II,
of the Code of Federal Regulations, revised as of May 1, 2000. However, a
person applying for a permit is exempt from providing a bond if the person can
show that the person has a valid bond on file and maintained with the United
States Packers and Stockyards Administration in an amount equivalent to or
greater than that required by federal regulations by this rule.
66.1(7) Information required. An applicant for
a livestock dealer permit or a livestock dealer’s agent permit or a
renewal of a permit shall provide the department with information required on
the permit application including, but not limited to, the name, address, and
telephone number of the applicant; a listing of any state, country, or province
in which the applicant is licensed or permitted to engage in a similar business;
and any past or pending legal or administrative action or investigation
conducted or ongoing regarding that license or permit.
ARC 9895A
BANKING DIVISION[187]
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 sections 17A.3 and
524.213, the Banking Division of the Commerce Department hereby gives Notice of
Intended Action to amend Chapter 7, “Public Records and Fair Information
Practices,” Iowa Administrative Code.
The amendments provide that shareholder lists forwarded to the
Superintendent pursuant to Iowa Code section 524.541 are to be treated as
reports relating to the supervision and regulation of a state bank under Iowa
Code section 524.215 and the reports shall not be public records and shall not
be open for examination or copying by the public or for examination or
publication by the news media.
Interested persons may make written comments on the proposed
amendments on or before July 18, 2000. Such written material should be directed
to the Superintendent of Banking, Banking Division, Department of Commerce, 200
East Grand Avenue, Suite 300, Des Moines, Iowa 50309. Persons who want to
convey their views orally should contact the Superintendent of Banking,
Department of Commerce, at (515)281–4014 or at 200 East Grand Avenue,
Suite 300.
Also, a public hearing will be held on Tuesday, July 18, 2000,
at 10 a.m. in the Banking Division Conference Room at 200 East Grand Avenue.
Persons may present their views at this public hearing either orally or in
writing. Persons who wish to make oral presentations at the public hearing
should contact the Superintendent of Banking at least one day prior to the date
of the public hearing.
These amendments are intended to implement Iowa Code sections
524.215 and 524.541.
The following amendments are proposed.
ITEM 1. Amend paragraph
7.13(2)“f” as follows:
f. All papers, documents, reports (including shareholder
lists furnished to the superintendent pursuant to Iowa Code section
524.541), reports of examinations and other writings relating specifically
to the supervision and regulation of any state bank or other person by the
superintendent pursuant to the laws of this state (Iowa Code section
524.215).
ITEM 2. Amend subrule 7.15(8) as
follows:
7.15(8) Officers, and
directors and shareholders. Lists of officers and
directors filed with the superintendent pursuant to the provisions of Iowa
Code section 524.515 524.541. These reports are
considered open records.
ARC 9918A
CORRECTIONS
DEPARTMENT[201]
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 904.508A, the
Department of Corrections hereby gives Notice of Intended Action to amend
Chapter 20, “Institutions Administration,” Iowa Administrative
Code.
This amendment authorizes a central office account and
establishes standards for the review and expenditure of revenues received from
the Department’s inmate telephone system.
This amendment modifies the expenditure process and creates an
approval process for institutional expenditures by the appropriate Regional
Deputy Director and the Corrections Board.
Written comments may be submitted to the Office of Policy and
Legal Services, 420 Keo Way, Des Moines, Iowa 50309, on or before July 18,
2000.
This amendment was approved by the Department of Corrections
on June 8, 2000.
This amendment is intended to implement Iowa Code section
904.508A.
The following amendment is proposed.
Rescind rule 201—20.20(904) and adopt the following
new rule in lieu thereof:
201—20.20(904) Offender telephone
commissions.
20.20(1) Definitions.
“Corrections board” means the department of
corrections board.
“Deputy director of administration” means the
person responsible for budgeting and planning.
“Director” means the chief executive officer of
the department of corrections.
“Regional deputy director” means the person
responsible for regional operation of both institution and community corrections
services in either the eastern or western portions of Iowa.
“Warden/superintendent” means the chief executive
officer of the institution or correctional facility.
20.20(2) Deposit of funds. The department of
corrections shall deposit and account for all telephone commissions in a
separate account within central office.
20.20(3) Request for funds. Each
warden/superintendent will determine recurring needs and special projects and
submit a written proposal to the respective regional deputy director of
institutions for all expenditures and encumbrances.
20.20(4) Review and approval of expenditures. The
regional deputy director of operations and the deputy director of administration
will review the proposals for a quarterly presentation by the director to the
corrections board for approval. All expenditures and encumbrances shall require
prior approval from the corrections board and the respective regional deputy
director of operations. Institutions shall not be allowed to encumber or expend
funds without approval. Revenues generated by telephone commissions at each
institution shall be used to determine the availability of funds for each
project.
20.20(5) Permitted expenditures. The director shall
advance to the corrections board for approval only projects that benefit
offenders. Expenditures may include, but are not limited to, projects that
provide educational, vocational or recreational services or projects, or work or
treatment programs for offenders. Expenditures may also be used to initiate new
programs, services, or projects. Institutions shall give spending priority to
programs, services, and projects that promote the health and welfare of
offenders.
This rule is intended to implement Iowa Code section
904.508A.
ARC 9927A
EDUCATIONAL EXAMINERS
BOARD[282]
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 272.2, the
Board of Educational Examiners hereby gives Notice of Intended Action to amend
Chapter 14, “Issuance of Practitioner’s Licenses and
Endorsements,” Iowa Administrative Code.
The proposed amendment clarifies that a one–year
conditional license is available only to those individuals who have completed a
practitioner preparation program and who qualify under specific
conditions.
There will be a public hearing on the proposed amendment at 1
p.m., Thursday, July 27, 2000, in Conference Room 3 South, Third Floor, Grimes
State Office Building, East 14th and Grand Avenue, Des Moines, Iowa. Persons
may present their views at the public hearing orally or in writing. Persons who
wish to make oral presentations at the public hearing may contact the Executive
Director, Board of Educational Examiners, Grimes State Office Building, East
14th and Grand Avenue, Des Moines, Iowa 50319–0147, telephone
(515)281–5849, prior to the date of the public hearing.
Any interested person may make written comments or suggestions
on the proposed amendment before 4:30 p.m., Friday, July 28, 2000. Written
comments and suggestions should be addressed to Dr. Anne E. Kruse, Executive
Director, Board of Educational Examiners, at the above address.
This amendment is intended to implement Iowa Code chapter
272.
The following amendment is proposed.
Amend rule 282—14.15(272), introductory paragraph, as
follows:
282—14.15(272) Requirements for a one–year
conditional license. A conditional license valid for one year may be issued
to an individual who has completed a practitioner preparation program
under the following conditions:
ARC 9929A
EDUCATIONAL EXAMINERS
BOARD[282]
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 272.2, the
Board of Educational Examiners hereby gives Notice of Intended Action to amend
Chapter 14, “Issuance of Practitioner’s Licenses and
Endorsements,” Iowa Administrative Code.
The proposed amendment eliminates the requirement for an
individual to teach one hour per day for 160 days if the individual does not
meet the required teaching experience. The amendment also reduces the number of
years of teaching experience to become a principal from five years to three
years. The amendment clarifies that three years of teaching experience and
three years of experience as a building principal or other PK–12
districtwide or intermediate agency experience are acceptable for becoming a
superintendent.
There will be a public hearing on the proposed amendment at 2
p.m., July 27, 2000, Conference Room 3 South, Third Floor, Grimes State
Office Building, East 14th and Grand Avenue, Des Moines, Iowa. Persons may
present their views at the public hearing orally or in writing. Persons who
wish to make oral presentations at the public hearing may contact the Executive
Director, Board of Educational Examiners, Grimes State Office Building, East
14th and Grand Avenue, Des Moines, Iowa 50319–0147; or at (515)
281–5849, prior to the date of the public hearing.
Any interested person may make written comments or suggestions
on the proposed amendment before 4:30 p.m., July 28, 2000. Written comments and
suggestions should be addressed to Dr. Anne E. Kruse, Executive Director, Board
of Educational Examiners, at the above address.
This amendment is intended to implement Iowa Code chapter
272.
The following amendment is proposed.
Amend rule 282—14.16(272) as follows:
282—14.16(272) Requirements for a two–year
conditional license. A conditional license valid for two years may be
issued to an individual under the following conditions:
If a person is the holder of a valid license and is the holder
of one or more endorsements, but is seeking to obtain some other endorsement, a
two–year conditional license may be issued if requested by an employer and
the individual seeking this endorsement has completed at least two–thirds
of the content requirements or one–half of the content requirements in a
state–designated shortage area, leading to completion of all requirements
for that endorsement.
If teaching experience is a requirement of the
endorsement sought, a maximum of one year of teaching experience may be earned
within the term of the conditional license by teaching a minimum of one hour per
day for a minimum of 160 days per year in a classroom for which the applicant
holds the proper endorsement. For the principal’s
endorsement, three years of teaching experience must have been met prior to
applying for the conditional license. For the superintendent’s
endorsement, all experience requirements three years of
teaching experience and three years as a building principal or other PK–12
districtwide or intermediate agency experience are acceptable for becoming a
superintendent, and must have been met prior to applying for the
conditional license.
A school district administrator may file a written request
with the board for an exception to the minimum content requirements on the basis
of documented need and benefit to the instructional program. The board will
review the request and provide a written decision either approving or denying
the request.
This license is not renewable.
ARC 9920A
EDUCATIONAL EXAMINERS
BOARD[282]
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 272.2, the
Board of Educational Examiners hereby gives Notice of Intended Action to amend
Chapter 14, “Issuance of Practitioner’s Licenses and
Endorsements,” Iowa Administrative Code.
These proposed amendments revise the elementary and secondary
school counselor competencies in subrules 14.20(5) and 14.20(6).
There will be a public hearing on the proposed amendments at
3:30 p.m., July 27, 2000, in Conference Room 3 South, Third Floor, Grimes State
Office Building, East 14th and Grand Avenue, Des Moines, Iowa. Persons may
present their views at the public hearing orally or in writing. Persons who
wish to make an oral presentation at the public hearing may contact the
Executive Director, Board of Educational Examiners, Grimes State Office
Building, East 14th and Grand Avenue, Des Moines, Iowa 50319–0147, or at
(515) 281–5849, prior to the date of the public hearing.
Any interested person may make written comments or suggestions
on the proposed amendments before 4:30 p.m. on July 28, 2000. Written comments
and suggestions should be addressed to Dr. Anne E. Kruse, Executive Director,
Board of Educational Examiners, at the above address.
If approved, these amendments are expected to become effective
August 31, 2002.
These amendments are intended to implement Iowa Code chapter
272.
The following amendments are proposed.
ITEM 1. Amend subrule 14.20(5) as
follows:
14.20(5) Elementary counselor.
a. Authorization. The holder of this endorsement is
authorized to serve as a school guidance counselor in kindergarten and
grades one through six.
b. Program requirements.
(1) Degree—master’s.
(2) Content. Completion of a sequence of courses and
experiences which may have been a part of, or in addition to, the degree
requirements. This sequence is to be at least 27 semester hours to include the
following:
1. Human development (career, personal and social
development of children and youth).
2. Elementary school guidance.
3. Theory of counseling.
4. Individual and group appraisal.
5. Group methods in guidance and
counseling.
6. Educational psychology/learning theory/elementary
curriculum.
7. Social, philosophical, or psychological
foundations.
8. Child developmental studies.
9. Practicum in elementary school
counseling.
c. Other.
(1) Have had one year of successful teaching
experience.
(2) Be the holder of or eligible for one other
teaching endorsement listed in 14.18(272).
(1) Master’s degree from an accredited institution of
higher education.
(2) Completion of an approved human relations
component.
(3) Completion of an approved exceptional learner
component.
c. Content. Completion of a sequence of
courses and experiences which may have been a part of, or in addition to, the
degree requirements to include the following:
(1) Nature and needs of individuals at all developmental
levels.
1. Develop strategies for facilitating development through
the transition from childhood to adolescence and from adolescence to young
adult.
2. Apply knowledge of learning and personality development
to assist students in developing their full potential.
(2) Social and cultural foundations.
1. Demonstrate awareness of and sensitivity to the unique
social, cultural, and economic circumstances of students and their
racial/ethnic, gender, age, physical, and learning differences.
2. Demonstrate sensitivity to the nature and the
functioning of the student within the family, school and community
contexts.
3. Demonstrate the counseling and consultation skills
needed to facilitate informed and appropriate action in response to the needs of
students.
(3) Fostering of relationships.
1. Employ effective counseling and consultation skills with
students, parents, colleagues, administrators, and others.
2. Communicate effectively with parents, colleagues,
students and administrators.
3. Counsel students in the areas of personal, social,
academic, and career development.
4. Assist families in helping their children address the
personal, social, and emotional concerns and problems that may impede
educational progress.
5. Implement developmentally appropriate counseling
interventions with children and adolescents.
6. Demonstrate the ability to negotiate and move
individuals and groups toward consensus or conflict resolution or
both.
7. Refer students for specialized help when
appropriate.
8. Value the well–being of the students as paramount
in the counseling relationship.
(4) Group work.
1. Implement developmentally appropriate interventions
involving group dynamics, counseling theories, group counseling methods and
skills, and other group work approaches.
2. Apply knowledge of group counseling in implementing
appropriate group processes for elementary, middle school, and secondary
students.
(5) Career development, education, and postsecondary
planning.
1. Assist students in the assessment of their individual
strengths, weaknesses, and differences, including those that relate to academic
achievement and future plans.
2. Apply knowledge of career assessment and career choice
programs.
3. Implement occupational and educational placement,
follow–up and evaluation.
4. Develop a counseling network and provide resources for
use by students in personalizing the exploration of postsecondary educational
opportunities.
(6) Assessment and evaluation.
1. Demonstrate individual and group approaches to
assessment and evaluation.
2. Demonstrate an understanding of the proper
administration and uses of standardized tests.
3. Apply knowledge of test administration, scoring, and
measurement concerns.
4. Apply evaluation procedures for monitoring student
achievement.
5. Apply assessment information in program design and
program modifications to address students’ needs.
6. Apply knowledge of legal and ethical issues related to
assessment and student records.
(7) Professional orientation.
1. Apply knowledge of history, roles, organizational
structures, ethics, standards, and credentialing.
2. Maintain a high level of professional knowledge and
skills.
3. Apply knowledge of professional and ethical standards to
the practice of school counseling.
4. Articulate the counselor role to school personnel,
parents, community, and students.
(8) School counseling skills.
1. Design, implement, and evaluate a comprehensive,
developmental school guidance program.
2. Implement and evaluate specific strategies designed to
meet program goals and objectives.
3. Consult and coordinate efforts with resource persons,
specialists, businesses, and agencies outside the school to promote program
objectives.
4. Provide information appropriate to the particular
educational transition and assist students in understanding the relationship
that their curricular experiences and academic achievements will have on
subsequent educational opportunities.
5. Assist parents and families in order to provide a
supportive environment in which students can become effective learners and
achieve success in pursuit of appropriate educational goals.
6. Provide training, orientation, and consultation
assistance to faculty, administrators, staff, and school officials to assist
them in responding to the social, emotional, and educational development of all
students.
7. Collaborate with teachers, administrators, and other
educators in ensuring that appropriate educational experiences are provided that
allow all students to achieve success.
8. Assist in the process of identifying and addressing the
needs of the exceptional student.
9. Apply knowledge of legal and ethical issues related to
child abuse and mandatory reporting.
10. Advocate for the educational needs of students and work
to ensure that these needs are addressed at every level of the school
experience.
11. Promote use of counseling and guidance activities and
programs involving the total school community to provide a positive school
climate.
(9) Classroom management.
1. Apply effective classroom management strategies as
demonstrated in classroom guidance and large group guidance
lessons.
2. Consult with teachers and parents about effective
classroom management and behavior management strategies.
(10) Curriculum.
1. Write classroom lessons including objectives, learning
activities, and discussion questions.
2. Utilize various methods of evaluating what students have
learned in classroom lessons.
3. Demonstrate competency in conducting classroom and other
large group activities, utilizing an effective lesson plan design, engaging
students in the learning process, and employing age–appropriate classroom
management strategies.
4. Design a classroom unit of developmentally appropriate
learning experiences.
5. Demonstrate knowledge in writing standards and
benchmarks for curriculum.
(11) Learning theory.
1. Identify and consult with teachers about how to create a
positive learning environment utilizing such factors as effective classroom
management strategies, building a sense of community in the classroom, and
cooperative learning experiences.
2. Identify and consult with teachers regarding teaching
strategies designed to motivate students using small group learning activities,
experiential learning activities, student mentoring programs, and shared
decision–making opportunities.
3. Demonstrate knowledge of child and adolescent
development and identify developmentally appropriate teaching and learning
strategies.
(12) Teaching and counseling practicum. The school
counselor demonstrates competency in conducting classroom sessions with
elementary and middle school students. The practicum consisting of a minimum of
500 contact hours provides opportunities for the prospective counselor, under
the supervision of a licensed professional school counselor, to engage in a
variety of activities in which a regularly employed school counselor would be
expected to participate including, but not limited to, individual counseling,
group counseling, developmental classroom guidance, and
consultation.
ITEM 2. Amend subrule 14.20(6) as
follows:
14.20(6) Secondary counselor.
a. Authorization. The holder of this endorsement is
authorized to serve as a school guidance counselor in grades seven
through twelve.
b. Program requirements.
(1) Degree—master’s.
(2) Content. Completion of a sequence of courses and
experiences which may have been a part of, or in addition to, the degree
requirements. This sequence is to be at least 27 semester hours to include the
following:
1. Human development (career, personal and social
development of children and youth).
2. Secondary school guidance.
3. Theory of counseling.
4. Individual and group appraisal.
5. Group methods in guidance and
counseling.
6. Educational psychology/learning theory/secondary
curriculum.
7. Social, philosophical, or psychological
foundations.
8. Adolescent developmental
studies.
9. Practicum in secondary school
counseling.
c. Other.
(1) Have had one year of successful teaching
experience.
(2) Be the holder of or eligible for one other
teaching endorsement listed in 14.18(272).
(1) Master’s degree from an accredited institution of
higher education.
(2) Completion of an approved human relations
component.
(3) Completion of an approved exceptional learner
component.
c. Content. Completion of a sequence of courses and
experiences which may have been a part of, or in addition to, the degree
requirements to include the following:
(1) Nature and needs of individuals at all developmental
levels.
1. Develop strategies for facilitating development through
the transition from childhood to adolescence and from adolescence to young
adult.
2. Apply knowledge of learning and personality development
to assist students in developing their full potential.
(2) Social and cultural foundations.
1. Demonstrate awareness of and sensitivity to the unique
social, cultural, and economic circumstances of students and their
racial/ethnic, gender, age, physical, and learning differences.
2. Demonstrate sensitivity to the nature and the
functioning of the student within the family, school and community
contexts.
3. Demonstrate the counseling and consultation skills
needed to facilitate informed and appropriate action in response to the needs of
students.
(3) Fostering of relationships.
1. Employ effective counseling and consultation skills with
students, parents, colleagues, administrators, and others.
2. Communicate effectively with parents, colleagues,
students and administrators.
3. Counsel students in the areas of personal, social,
academic, and career development.
4. Assist families in helping their children address the
personal, social, and emotional concerns and problems that may impede
educational progress.
5. Implement developmentally appropriate counseling
interventions with children and adolescents.
6. Demonstrate the ability to negotiate and move
individuals and groups toward consensus or conflict resolution or
both.
7. Refer students for specialized help when
appropriate.
8. Value the well–being of the students as paramount
in the counseling relationship.
(4) Group work.
1. Implement developmentally appropriate interventions
involving group dynamics, counseling theories, group counseling methods and
skills, and other group work approaches.
2. Apply knowledge of group counseling in implementing
appropriate group processes for elementary, middle school, and secondary
students.
(5) Career development, education, and postsecondary
planning.
1. Assist students in the assessment of their individual
strengths, weaknesses, and differences, including those that relate to academic
achievement and future plans.
2. Apply knowledge of career assessment and career choice
programs.
3. Implement occupational and educational placement,
follow–up and evaluation.
4. Develop a counseling network and provide resources for
use by students in personalizing the exploration of postsecondary educational
opportunities.
(6) Assessment and evaluation.
1. Demonstrate individual and group approaches to
assessment and evaluation.
2. Demonstrate an understanding of the proper
administration and uses of standardized tests.
3. Apply knowledge of test administration, scoring, and
measurement concerns.
4. Apply evaluation procedures for monitoring student
achievement.
5. Apply assessment information in program design and
program modifications to address students’ needs.
6. Apply knowledge of legal and ethical issues related to
assessment and student records.
(7) Professional orientation.
1. Apply knowledge of history, roles, organizational
structures, ethics, standards, and credentialing.
2. Maintain a high level of professional knowledge and
skills.
3. Apply knowledge of professional and ethical standards to
the practice of school counseling.
4. Articulate the counselor role to school personnel,
parents, community, and students.
(8) School counseling skills.
1. Design, implement, and evaluate a comprehensive,
developmental school guidance program.
2. Implement and evaluate specific strategies designed to
meet program goals and objectives.
3. Consult and coordinate efforts with resource persons,
specialists, businesses, and agencies outside the school to promote program
objectives.
4. Provide information appropriate to the particular
educational transition and assist students in understanding the relationship
that their curricular experiences and academic achievements will have on
subsequent educational opportunities.
5. Assist parents and families in order to provide a
supportive environment in which students can become effective learners and
achieve success in pursuit of appropriate educational goals.
6. Provide training, orientation, and consultation
assistance to faculty, administrators, staff, and school officials to assist
them in responding to the social, emotional, and educational development of all
students.
7. Collaborate with teachers, administrators, and other
educators in ensuring that appropriate educational experiences are provided that
allow all students to achieve success.
8. Assist in the process of identifying and addressing the
needs of the exceptional student.
9. Apply knowledge of legal and ethical issues related to
child abuse and mandatory reporting.
10. Advocate for the educational needs of students and work
to ensure that these needs are addressed at every level of the school
experience.
11. Promote use of counseling and guidance activities and
programs involving the total school community to provide a positive school
climate.
(9) Classroom management.
1. Apply effective classroom management strategies as
demonstrated in classroom guidance and large group guidance
lessons.
2. Consult with teachers and parents about effective
classroom management and behavior management strategies.
(10) Curriculum.
1. Write classroom lessons including objectives, learning
activities, and discussion questions.
2. Utilize various methods of evaluating what students have
learned in classroom lessons.
3. Demonstrate competency in conducting classroom and other
large group activities, utilizing an effective lesson plan design, engaging
students in the learning process, and employing age–appropriate classroom
management strategies.
4. Design a classroom unit of developmentally appropriate
learning experiences.
5. Demonstrate knowledge in writing standards and
benchmarks for curriculum.
(11) Learning theory.
1. Identify and consult with teachers about how to create a
positive learning environment utilizing such factors as effective classroom
management strategies, building a sense of community in the classroom, and
cooperative learning experiences.
2. Identify and consult with teachers regarding teaching
strategies designed to motivate students using small group learning activities,
experiential learning activities, student mentoring programs, and shared
decision–making opportunities.
3. Demonstrate knowledge of child and adolescent
development and identify developmentally appropriate teaching and learning
strategies.
(12) Teaching and counseling practicum. The school
counselor demonstrates competency in conducting classroom sessions with middle
and secondary school students. The practicum consisting of a minimum of 500
contact hours provides opportunities for the prospective counselor, under the
supervision of a licensed professional school counselor, to engage in a variety
of activities in which a regularly employed school counselor would be expected
to participate including, but not limited to, individual counseling, group work,
developmental classroom guidance and consultation.
ARC 9928A
EDUCATIONAL EXAMINERS
BOARD[282]
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 272.2, the
Board of Educational Examiners hereby gives Notice of Intended Action to amend
Chapter 14, “Issuance of Practitioner’s Licenses and
Endorsements,” Iowa Administrative Code.
The proposed amendment reinstates the general science
endorsement currently issued by the Board of Educational Examiners which is
scheduled to be rescinded July 1, 2000.
There will be a public hearing on the proposed amendment on
July 27, 2000, at 3 p.m. in Conference Room 3 South, Third Floor, Grimes State
Office Building, East 14th and Grand Avenue, Des Moines, Iowa. Persons may
present their views at the public hearing orally or in writing. Persons who
wish to make oral presentations at the public hearing may contact the Executive
Director, Board of Educational Examiners, Grimes State Office Building, East
14th and Grand Avenue, Des Moines, Iowa 50319–0147, or at (515)
281–5849, prior to the date of the public hearing.
Any interested person may make written comments or suggestions
on the proposed amendment before 4:30 p.m., July 28, 2000. Written comments and
suggestions should be addressed to Dr. Anne E. Kruse, Executive Director, Board
of Educational Examiners, at the above address.
This amendment is intended to implement Iowa Code chapter
272.
The following amendment is proposed.
Amend paragraph 14.21(17)“e” as
follows:
e. General Science. 7–12. Rescinded IAB
4/7/99, effective 7/1/00. Completion of 24 semester hours in
science to include coursework in biological science, chemistry, and
physics.
ARC 9923A
EDUCATIONAL EXAMINERS
BOARD[282]
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 272.2, the
Board of Educational Examiners hereby gives Notice of Intended Action to amend
Chapter 14, “Issuance of Practitioner’s Licenses and
Endorsements,” Iowa Administrative Code.
The proposed amendments incorporate national standards for
elementary and secondary principals along with Iowa requirements. These
amendments modify the licensure requirements for principals from a total
course–based system to a combination of courses and competencies. The
rule change also reduces the required number of years of teaching experience
from five years to three years.
If approved, the amendments will become effective September 1,
2002.
There will be two public hearings on the proposed amendments
at 10 a.m., Friday, September 1, 2000, and at 1 p.m. on Wednesday, September 6,
2000. Each public hearing will be in Conference Room 3 North, Third Floor,
Grimes State Office Building, East 14th and Grand Avenue, Des Moines, Iowa.
Persons may present their views at the public hearings orally or in writing.
Persons who wish to make oral presentation at the public hearing may contact the
Executive Director, Board of Educational Examiners, Grimes State Office
Building, East 14th and Grand Avenue, Des Moines, Iowa 50319–0147,
telephone (515)281–5849, prior to the date of the public
hearing.
Any interested person may make written comments or suggestions
on the proposed amendments before 4:30 p.m., September 7, 2000. Written
comments and suggestions should be addressed to Dr. Anne E. Kruse, Executive
Director, Board of Educational Examiners, at the above address.
These amendments are intended to implement Iowa Code chapter
272.
The following amendments are proposed.
Amend subrules 14.23(1) and 14.23(2) as follows:
14.23(1) Elementary principal.
a. Authorization. The holder of this endorsement is
authorized to serve as a principal of programs serving children from birth
through grade six.
b. Program requirements.
(1) Degree—master’s.
(2) Content: Completion of a sequence of courses and
experiences which may have been a part of, or in addition to, the degree
requirements. This sequence is to be at least 27 semester hours to include the
following:
1. Early childhood, elementary and early adolescent
level administration.
2. Early childhood, elementary and early adolescent
level supervision and evaluation.
3. Knowledge and skill related to early childhood,
elementary, early adolescent level curriculum development.
4. Knowledge of current strategies and developmentally
appropriate practices of early childhood and elementary education, including an
observation practicum.
5. Knowledge of home–school–community
relationships and interactions designed to promote parent education, family
involvement, and interagency collaboration.
6. Knowledge of child growth and development from
birth through early adolescence.
7. School law and legislative and public policy issues
affecting children and families.
8. Historical, social, philosophical, and
psychological foundations related to early childhood, elementary and early
adolescence.
9. Knowledge of family support systems, factors which
place families at risk, and child care issues.
10. Planned field experiences in early childhood and
in elementary or early adolescent school administration.
11. Evaluator approval component.
(2) Content: Completion of a sequence of courses and
experiences which may have been a part of, or in addition to, the degree
requirements.
1. Knowledge of early childhood, elementary, and early
adolescent level administration, supervision, and evaluation.
2. Knowledge and skill related to early childhood,
elementary, and early adolescent level curriculum development.
3. Knowledge of child growth and development from birth
through early adolescence and developmentally appropriate strategies and
practices of early childhood, elementary, and early adolescence, to include an
observation practicum.
4. Knowledge of family support systems, factors which place
families at risk, child care issues, and home–school community
relationships and interactions designed to promote parent education, family
involvement, and interagency collaboration.
5. Knowledge of school law and legislative and public
policy issues affecting children and families.
6. Planned field experiences in early childhood and
elementary or early adolescent school administration.
7. Evaluator approval component.
(3) Competencies: Completion of a sequence of courses and
experiences which may have been a part of, or in addition to, the degree
requirements. A school administrator is an educational leader who promotes the
success of all students by accomplishing the following
competencies.
1. Facilitates the development, articulation,
implementation, and stewardship of a vision of learning that is shared and
supported by the school community.
2. Advocates, nurtures, and sustains a school culture and
instructional program conducive to student learning and staff professional
growth.
3. Ensures management of the organization, operations, and
resources for a safe, efficient, and effective learning
environment.
4. Collaborates with families and community members,
responds to diverse community interests and needs, and mobilizes community
resources.
5. Acts with integrity, fairness, and in an ethical
manner.
6. Understands, responds to, and influences the larger
political, social, economic, legal, and cultural context.
c. Other.
(1) Have had five three years of
teaching experience, three years of which must have been at the
early childhood through grade six level.
(2) Graduates from institutions in other states who are
seeking initial Iowa licensure and the elementary principal’s endorsement
must meet the requirements for the educational license in addition to the
experience requirements.
14.23(2) Secondary principal.
a. Authorization. The holder of this endorsement is
authorized to serve as a principal in grades seven through twelve.
b. Program requirements.
(1) Degree—master’s.
(2) Content: Completion of a sequence of courses and
experiences which may have been a part of, or in addition to, the degree
requirements. This sequence is to be at least 27 semester hours to include the
following:
1. Secondary level administration and
supervision.
2. Early adolescent level administration and
supervision.
3. Secondary curriculum: Knowledge and skill related
to secondary level curriculum development.
4. Knowledge of early adolescent curriculum
development.
5. Knowledge of school—community
relationships.
6. Early adolescent developmental studies or early
adolescent psychology.
7. School law.
8. Social, philosophical, or psychological
foundations.
9. Planned field experience in secondary school
administration.
10. Evaluator approval component.
(2) Content: Completion of a sequence of courses and
experiences which may have been a part of, or in addition to, the degree
requirements.
1. Knowledge of early adolescent and secondary level
administration, supervision, and evaluation.
2. Knowledge and skill related to early adolescent and
secondary level curriculum development.
3. Knowledge of human growth and development from early
adolescence through early adult development, to include an observation
practicum.
4. Knowledge of family support systems, factors which place
families at risk, child care issues, and home–school community
relationships and interactions designed to promote parent education, family
involvement, and interagency collaboration.
5. Knowledge of school law and legislative and public
policy issues affecting children and families.
6. Planned field experiences in early adolescence or early
adult school administration.
7. Evaluator approval component.
(3) Competencies: Completion of a sequence of courses and
experiences which may have been a part of, or in addition to, the degree
requirements. A school administrator is an educational leader who promotes the
success of all students by accomplishing the following
competencies.
1. Facilitates the development, articulation,
implementation, and stewardship of a vision of learning that is shared and
supported by the school community.
2. Advocates, nurtures, and sustains a school culture and
instructional program conducive to student learning and staff professional
growth.
3. Ensures management of the organization, operations, and
resources for a safe, efficient, and effective learning
environment.
4. Collaborates with families and community members,
responds to diverse community interests and needs, and mobilizes community
resources.
5. Acts with integrity, fairness, and in an ethical
manner.
6. Understands, responds to, and influences the larger
political, social, economic, legal, and cultural context.
c. Other.
(1) Have had five three years of
teaching experience, three years of which must have been at the
secondary level (7–12).
(2) Graduates from institutions in other states who are
seeking initial Iowa licensure and the secondary principal’s endorsement
must meet the requirements for the educational license in addition to the
experience requirements.
ARC 9921A
EDUCATIONAL EXAMINERS
BOARD[282]
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 272.2, the
Board of Educational Examiners hereby gives Notice of Intended Action to amend
Chapter 14, “Issuance of Practitioner’s Licenses and
Endorsements,” Iowa Administrative Code.
The proposed amendments modify the two–year
administrator exchange license.
There will be a public hearing on the proposed amendments at
2:30 p.m. on July 27, 2000, in Conference Room 3 South, Third Floor, Grimes
State Office Building, East 14th and Grand Avenue, Des Moines, Iowa.
Persons may present their views at the public hearing orally
or in writing. Persons who wish to make an oral presentation at the public
hearing may contact the Executive Director, Board of Educational Examiners,
Grimes State Office Building, East 14th and Grand Avenue, Des Moines, Iowa
50319–0147, or at (515)281–5849, prior to the date of the public
hearing. Fax communication may be sent to (515) 281–7669.
Any interested person may make written comments or suggestions
on the proposed amendments before 4:30 p.m. on July 28, 2000. Written comments
and suggestions should be addressed to Dr. Anne E. Kruse, Executive Director,
Board of Educational Examiners, at the above address.
These amendments are intended to implement Iowa Code chapter
272.
The following amendments are proposed.
Amend rule 282—14.25(272) as follows:
282—14.25(272) Two–year administrator exchange
license.
14.25(1) A two–year nonrenewable exchange
license may be issued to an individual under the following conditions. The
individual:
a. Has completed a state–approved teacher education
program in a college or university approved by the state board of education or
the state board of educational examiners in the individual’s home
state preparation state.
b. Has completed a state–approved administrator
education program in a college or university approved by the state board of
education or the state board of educational examiners in the individual’s
home state preparation state.
c. Holds a valid regular administrative certificate or
license.
d. Is not subject to any pending disciplinary proceedings in
any state.
e. Meets the experience requirements for the administrative
endorsements. Verified successful completion of five three
years of full–time teaching and administrative
experience in other states, on a valid license, shall be considered equivalent
experience necessary for the principal endorsement. Verified successful
completion of eight six years of full–time
teaching and administrative experience in other states, on a valid license,
shall be considered equivalent experience for the superintendent endorsement
provided that at least three years were as a teacher and at least three
years were as a building principal or other PK–12 districtwide or
area education agency administrator.
14.25(2) Each exchange license shall be limited to the
area(s) and level(s) of administration as determined by an analysis of the
application, the transcripts, and the license or certificate held in the state
in which the basic preparation for the administrative licensure was
completed.
14.25(3) Each individual receiving the two–year
exchange license will have to complete any identified licensure deficiencies in
order to be eligible for a regular educational and administrative license in
Iowa.
ARC 9930A
EDUCATIONAL EXAMINERS
BOARD[282]
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 272.2, the
Board of Educational Examiners hereby gives Notice of Intended Action to amend
Chapter 14, “Issuance of Practitioner’s Licenses and
Endorsements,” Iowa Administrative Code.
The proposed rule relates to the creation of a mentor
endorsement for education personnel in grades PK–12.
There will be a public hearing on the proposed amendment at 8
a.m. on September 1, 2000, in Conference Room 3 North, Third Floor, Grimes State
Office Building, East 14th and Grand Avenue, Des Moines, Iowa.
Persons may present their views at the public hearing either
orally or in writing. Persons who wish to make oral presentations at the public
hearing may contact the Executive Director, Board of Educational Examiners,
Grimes State Office Building, East 14th and Grand Avenue, Des Moines, Iowa
50319–0147; telephone (515)281–5849, prior to the date of the public
hearing.
Any interested person may make written comments or suggestions
on the proposed rule before 4:30 p.m. on September 5, 2000. Written comments
and suggestions should be addressed to Dr. Anne E. Kruse, Executive Director,
Board of Educational Examiners, at the above address.
This rule is intended to implement Iowa Code chapter
272.
The following amendment is proposed.
Renumber rule 282—14.34(272) as
282—14.35(272) and adopt the following new rule
282—14.34(272).
282—14.34(272) Mentor endorsement.
14.34(1) Authorization. The holder of this
endorsement is authorized to serve as a mentor for education personnel in grades
PK through 12.
14.34(2) Program requirements.
a. Hold a valid Iowa educational or professional
teacher’s license.
b. Have completed five years of verified teaching
experience.
c. Have completed a state board of education–approved
mentor training course of at least 40 clock hours to include the
following:
(1) Adult teacher development;
(2) Styles of mentoring;
(3) Coaching techniques;
(4) Observation data gathering techniques;
(5) Training that allows a mentor to assist a beginning
teacher in meeting the requirements for successful teaching pursuant to
282—14.12(272).
ARC 9922A
EDUCATIONAL EXAMINERS
BOARD[282]
Notice of Termination
Pursuant to the authority of Iowa Code section 272.2, the
Board of Educational Examiners hereby terminates the rule making initiated by
its Notice of Intended Action published in the Iowa Administrative Bulletin on
March 8, 2000, as ARC 9727A, amending Chapter 14, “Issuance of
Practitioner’s Licenses and Endorsements,” Iowa Administrative
Code.
The Notice proposed to adopt new rule 282—14.35(272), a
temporary one–year classroom monitor authorization, as a pilot program to
see if the use of such monitors would have any impact on the availability of
individuals who could monitor a teacher’s classroom during the
teacher’s absence. Participation by districts was to have been
voluntary.
Public hearings were held on March 28, 2000, March 30, 2000,
and April 3, 2000. The majority both of the written comments and those received
at time of hearing were opposed to the creation of this license, and the Board
was divided in its support for such an authorization. The Board is therefore
terminating the rule making commenced in ARC 9727A.
ARC 9936A
EDUCATION
DEPARTMENT[281]
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 256.7(5), the
State Board of Education hereby gives Notice of Intended Action to amend Chapter
26, “Driver Education,” Iowa Administrative Code.
This amendment clarifies that street or highway driving
instruction may be provided by a person holding a teaching license at the
elementary or secondary level or by a person certified by the Department of
Transportation and authorized by the Board of Educational Examiners. The final
field test for a student driver must, however, be administered by the licensed
teacher.
Interested persons may comment on the proposed amendment on or
before July 18, 2000. Written or oral comments should be directed to Ann
McCarthy, Policy Consultant, Department of Education, Grimes State Office
Building, Des Moines, Iowa 50319;
ann.mccarthy@ed.state.ia.us; telephone
(515)281–3399.
This amendment is intended to implement 2000 Iowa Acts, Senate
File 2313.
The following amendment is proposed.
Amend rule 281—26.1(256) as follows:
281—26.1(256) Licensure and
approval Qualifications for instructors. To be qualified as
a classroom or laboratory driver education instructor, a person
shall have satisfied the educational requirements for a teaching license at the
elementary or secondary level and hold a valid license to teach driver education
in the public schools of this state. Street or highway driving instruction may
be provided by a person qualified as a classroom driver education instructor or
a person certified by the department of transportation and authorized by the
board of educational examiners. A final field test prior to a student’s
completion of an approved course shall be administered by a person qualified as
a classroom driver education instructor.
ARC 9937A
EDUCATION
DEPARTMENT[281]
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 256.7(5), the
State Board of Education hereby gives Notice of Intended Action to amend Chapter
63, “Educational Programs and Services for Pupils in Juvenile
Homes,” Iowa Administrative Code.
This amendment increases flexibility for newly established
juvenile homes requesting educational services from Area Education Agencies.
Under current Iowa law, new and existing juvenile homes must file a request for
educational services by December 1 of the school year prior to the year services
are desired. 2000 Iowa Acts, Senate File 2294, allows newly established
juvenile homes to request educational services 90 days prior to the requested
delivery of the educational services.
Interested persons may comment on the proposed amendment on or
before July 18, 2000. Written or oral comments should be directed to Ann
McCarthy, Policy Consultant, Department of Education, Grimes State Office
Building, Des Moines, Iowa 50319; ann.mccarthy@ed.state.ia.us; telephone
(515)281–3399.
This amendment is intended to implement Iowa Code section
282.30 as amended by 2000 Iowa Acts, Senate File 2294.
The following amendment is proposed.
Amend rule 281—63.3(282) as follows:
281—63.3(282) Forms.
63.3(1) The department of education
shall provide forms to area education agencies (AEAs) for submitting program and
budget proposals and for submitting claims. The annual dates for filing forms
with the department of education are January 1 of the prior fiscal year for AEAs
to submit program and budget proposals, and August 1 of the subsequent fiscal
year for AEAs to file claims. The department of education shall notify the AEA
by February 1.
63.3(2) The department of education shall also
provide forms to AEAs for use by the juvenile homes requesting educational
services. These forms must be filed with the AEA annually by December 1 of the
fiscal year prior to the school year for which the services are being requested
or 90 days prior to the beginning of the time for which the services are
being requested if the facility is a newly established facility. An AEA shall
file a budget amendment for a newly established juvenile home requesting
educational services 90 days prior to the initial delivery of the educational
services.
ARC 9938A
EDUCATION
DEPARTMENT[281]
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 256.7(5), the
State Board of Education hereby gives Notice of Intended Action to amend Chapter
69, “Waiver of School Breakfast Program Requirement,” Iowa
Administrative Code.
These amendments increase flexibility for school district
breakfast programs by allowing districts to offer the breakfast program at a
site other than a school building.
Interested persons may comment on the proposed amendments on
or before July 18, 2000. Written or oral comments should be directed to Ann
McCarthy, Policy Consultant, Department of Education, Grimes State Office
Building, Des Moines, Iowa 50319;
ann.mccarthy@ed.state.ia.us; telephone
(515)281–3399.
These amendments are intended to implement 2000 Iowa Acts,
House File 2549.
The following amendments are proposed.
ITEM 1. Amend rule
281—69.14(78GA,ch147), intro–ductory paragraph, as
follows:
281—69.14(78GA,ch147) Criteria for a plan to provide
safe, reasonable student access to a school breakfast program. A school
board that wishes to provide safe, reasonable student access to a school
breakfast program, rather than operate or provide for the operation of a school
breakfast program at a specific attendance center within the district,
shall develop an alternative site plan to operate the school breakfast
program at another attendance center or other site within the school
district and shall annually certify to the department that the plan meets the
following criteria:
ITEM 2. Amend rule
281—69.15(78GA,ch147) as follows:
281—69.15(78GA,ch147) Notification requirements.
The school board that wishes to provide access to a school breakfast program in
accordance with this provision shall notify the parent, guardian, or legal or
actual custodian of a child enrolled in the school district of the school
district’s intention to develop and implement a plan to provide school
breakfast programs only in certain attendance centers or other sites. At
any time in which the school district proposes to make substantive changes to a
plan certified with the department, the notification requirements of this rule
shall apply.
ARC 9939A
EDUCATION
DEPARTMENT[281]
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 256.7(5), the
State Board of Education hereby gives Notice of Intended Action to amend Chapter
83, “Beginning Teacher Induction Program,” Iowa Administrative
Code.
This amendment eliminates the requirement that grant funds be
distributed based upon the geographic location of the applicant school districts
when available funds are insufficient to meet the grant requests. Grants will
continue to be awarded based upon school district population.
Interested persons may comment on the proposed amendment on or
before July 18, 2000. Written or oral comments should be directed to Ann
McCarthy, Policy Consultant, Department of Education, Grimes State Office
Building, Des Moines, Iowa 50319; ann.mccarthy@ed.state.ia.us; telephone
(515)281–3399.
This amendment is intended to implement 2000 Iowa Acts, Senate
File 2452.
The following amendment is proposed.
Amend 281—83.5(78GA,SF464) as follows:
281—83.5(78GA,SF464) Funding for approved
programs. The process to be followed in determining the amount of funds to
be approved for this competitive program grant will be described in the grant
application. The review criteria and point allocation for each criterion will
also be described in the grant application material. The membership of the
funding review committee shall be determined by the appropriate division
administrator. Members shall, at minimum, include representatives from local
school districts, area education agencies, and institutions of higher education.
The review committee members shall allocate points per review criterion in rule
83.3(78GA,SF464). In the event the number of approved programs exceeds
available funding, the department will award grants based on the
geographic and district population of the school districts with
approved plans. A district may receive funding for subsequent years if it has
an approved plan on file with the department and also submits any additional
program improvements or updates that have been implemented by the
district.
ARC 9940A
EDUCATION
DEPARTMENT[281]
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 256.7(5), the
State Board of Education hereby gives Notice of Intended Action to amend Chapter
96, “Local Option Sales and Services Tax for School Infrastructure,”
Iowa Administrative Code.
These amendments will allow the Department to calculate the
sales tax capacity per pupil for each school district as required under 2000
Iowa Acts, Senate File 2447. The sales tax capacity per pupil is one factor
used to determine the local match a school district would be required to provide
if applying to the Department for a grant under the School Infrastructure
Program established in 2000 Iowa Acts, Senate File 2447.
Interested persons may comment on the proposed amendments on
or before July 18, 2000. Written or oral comments should be directed to Ann
McCarthy, Policy Consultant, Department of Education, Grimes State Office
Building, Des Moines, Iowa 50319;
ann.mccarthy@ed.state.ia.us; telephone
(515)281–3399.
These amendments are intended to implement 2000 Iowa Acts,
Senate File 2447.
The following amendments are proposed.
ITEM 1. Amend rule
281—96.1(77GA,ch1130), definition of “combined actual
enrollment,” as follows:
“Combined actual enrollment” means the sum of the
students in each school district located in whole or in part in a county
imposing a sales tax who are residents of that county as
determined by rule 96.2(77GA,ch1130).
ITEM 2. Amend rule
281—96.2(77GA,ch1130) as follows:
281—96.2(77GA,ch1130) Reports to the department.
Each school district located in whole or in part in a county where a
sales tax has been imposed shall report the following to the department
on forms and in the manner prescribed by the department.
96.2(1) First year of taxation in fiscal year
2000–2001. Within ten days after an election in a county where a
sales tax has been adopted which is effective on January 1, 2001, each
school district within the county shall report to the department the actual
enrollment of the school district in the year prior to the base
year September 1999 by county of residency. The department
shall forward the actual enrollment to the department of management within 15
days of receipt.
96.2(2) Second year and subsequent years of
taxation Reporting by county of residency. In the
second year and subsequent years of taxation, each Each school
district shall, by October 1, annually report the school district’s actual
enrollment by the student’s county of residency according to the
following:
a. to c. No change.
ARC 9892A
ELDER AFFAIRS
DEPARTMENT[321]
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 231.58, the
Department of Elder Affairs hereby gives Notice of Intended Action to amend
Chapter 16, “Long–Term Care Coordinating Unit,” Iowa
Administrative Code.
These amendments incorporate the “senior living
coordinating unit” name change and provide for the addition of four
legislative members and inclusion of responsibilities relating to the Senior
Living Trust Fund Act as passed by the 78th General Assembly in 2000 Iowa Acts,
Senate File 2193.
Any interested person may make written suggestions or comments
on the proposed amendments on or before August 1, 2000. Written comments should
be directed to Dr. Judith A. Conlin, Director, Department of Elder Affairs,
Clemens Building, Third Floor, 200 Tenth Street, Des Moines, Iowa
50309–3609.
Oral or written comments may be submitted at a public hearing
to be held at 10 a.m. on Tuesday, August 1, 2000, in the North Conference Room,
Department of Elder Affairs. 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 these amendments.
Anyone who wishes to attend the hearing and has special
requirements such as hearing, vision, mobility impairments, or other special
needs should notify the Department of Elder Affairs no later than 4 p.m. on
Friday, July 28, 2000. Notice may be in writing or by telephone to
(515)242–3325.
These amendments are intended to implement 2000 Iowa Acts,
Senate File 2193.
The following amendments are proposed.
Amend 321—Chapter 16 as follows:
CHAPTER 16
LONG–TERM CARE SENIOR
LIVING
COORDINATING UNIT
321—16.1(231) Purpose. The
long–term care senior living coordinating unit
shall develop mechanisms and procedures to improve long–term care in Iowa.
In furthering this purpose, the long–term care senior
living coordinating unit shall develop procedures, plans, rules and reports
as identified in Iowa Code section 231.58, and shall provide direction and
oversight for disbursement of moneys from the senior living trust fund
established by 2000 Iowa Acts, Senate File 2193, section 4.
321—16.2(231) Organization. The
long–term care senior living coordinating unit is
created within the department of elder affairs.
16.2(1) Membership. The membership of the
coordinating unit consists of:
a. The director of the department of human services;
b. The executive director of the department
of elder affairs;
c. The director of the department of public health;
d. The director of the department of inspections and appeals;
and
e. Two members appointed by the governor to terms of three
years beginning July 1 and ending June 30. ;
and
f. Four members of the general assembly, as ex officio,
nonvoting members.
16.2(2) Legislative members. The
legislative members of the unit shall be appointed by the majority leader of the
senate, after consultation with the president of the senate and the minority
leader of the senate, and by the speaker of the house, after consultation with
the majority leader and the minority leader of the house of
representatives.
16.2(3) Expenses. Nonlegislative members
shall receive actual expenses incurred while serving in their official capacity
and, if the holder of the position has an income level of 150 percent or less of
the United States poverty level as defined in the most recently revised poverty
income guidelines published by the United States Department of Health and Human
Services, may also request to receive compensation of $50 per diem as provided
in Iowa Code section 7E.6. Legislative members shall receive compensation
pursuant to Iowa Code section 2.12.
16.2(2) 16.2(4)
Chairperson and vice–chairperson duties. The chairperson of the unit is
chosen from among the voting members on an annual, rotating basis.
a. Rotation is alphabetical by department name.
b. The chairperson’s duties include:
(1) Convening and chairing unit meetings;
(2) Ensuring that unit proceedings are recorded;
(3) Ensuring that minutes of meetings are prepared and
distributed;
(4) Ensuring that tentative meeting agendas are prepared and
distributed; and
(5) Ensuring that all notices required by Iowa Code section
28A.4 21.4 are given.
c. The vice–chairperson of the unit is chosen from the
voting members on an annual basis. The vice–chairperson shall assume the
chairperson’s duties in the chairperson’s absence.
16.2(3) 16.2(5) Quorum
and action.
a. A majority of the voting members of the unit constitutes a
quorum.
b. Action of the unit is not taken except upon the affirmative
vote of a majority of the members of the unit. Other materials considered are
made a part of the unit’s minutes by reference.
c. In cases not covered by these rules, Robert’s Rules
of Order, as amended, shall govern.
321—16.3(231) Meetings. The unit shall meet at
least once during each calendar quarter. Meeting dates shall be set by members
of the unit at the end of each meeting or by call of the chairperson upon
five days’ notice.
321—16.4(231) Operation.
16.4(1) The technical and administrative
functions of the unit shall be apportioned among the departments of elder
affairs, human services, public health, and inspections and appeals and other
entities included in the CBAS committee by memorandum of agreement.
16.4(2) The unit shall establish an advisory
work group to review and make recommendations to the unit regarding the awarding
of grants under 2000 Iowa Acts, Senate File 2193, section 6.
a. The advisory work group shall consist of representatives
from the member departments and other individuals with the knowledge and skills
necessary to review grant applications, including a representative from the
state fire marshal’s office and the securities bureau of the department of
commerce.
b. The advisory work group shall review all complete
applications as provided in 441—Chapter 162 and make recommendations to
the unit regarding the awarding of grants.
16.4(3) The unit shall consider the
recommendations of the advisory work group in relation to the purpose of the
senior living trust fund Act and make recommendations to the department of human
services regarding the awarding of grants under 2000 Iowa Acts, Senate File
2193, section 6.
321—16.5(231) Communications. Communications to
the unit shall be addressed to the department of elder affairs at the address
identified in 321—subrule 2.1(2) of these rules unless otherwise
specified.
These rules are intended to implement Iowa Code chapter 231
and 2000 Iowa Acts, Senate File 2193.
ARC 9899A
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 78, “Amount,
Duration and Scope of Medical and Remedial Services,” appearing in the
Iowa Administrative Code.
The Seventy–seventh General Assembly directed the
Department to implement a three–year telemedicine pilot project effective
July 1, 1997. Under this pilot, payment was made to physicians participating in
a federally funded telemedicine waiver program for consultations done using the
electronic transfer of medical information by interactive audiovisuals and to
hospitals participating in a federally funded telemedicine waiver program for
costs associated with the provision of the teleconsultive medical
services.
The Seventy–eighth General Assembly directed the
Department to discontinue the telemedicine pilot program on July 1, 2000. This
amendment removes the rule governing the telemedicine pilot program.
This amendment does not provide for waiver in specified
situations because the General Assembly directed the Department to implement
this change, with no provisions for exceptions.
Consideration will be given to all written data, views, and
arguments thereto received by the Office of Policy Analysis, Department of Human
Services, Hoover State Office Building, Des Moines, Iowa 50319–0114, on or
before July 19, 2000.
This amendment is intended to implement Iowa Code section
249A.4 and 2000 Iowa Acts, Senate File 2435, section 8, subsection 10, paragraph
“a.”
The following amendment is proposed.
Rescind and reserve rule
441—78.45(249A).
ARC 9896A
INSPECTIONS AND APPEALS
DEPARTMENT[481]
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 261.126(2), the
Department of Inspections and Appeals hereby gives Notice of Intended Action to
amend Chapter 8, “Licensing Actions for Nonpayment of Child
Support,” Iowa Administrative Code.
The proposed amendments are intended to implement Iowa Code
section 261.121 and relate to licensing sanctions against individuals who
default on debt owed to or collected by the College Student Aid Commission. In
addition to other grounds for suspension, revocation, or denial of issuance or
renewal of a license, the Department of Inspections and Appeals will also
include the receipt of a certification of noncompliance from the College Student
Aid Commission.
Interested persons may make written comments or suggestions on
the proposed amendments on or before July 18, 2000. Written materials should be
addressed to the Director, Department of Inspections and Appeals, Lucas State
Office Building, East 12th and Grand Avenue, Des Moines, Iowa 50319–0083;
or faxed to (515)242–6863. E–mail may be sent to
jkomos@dia.state.ia.us.
The proposed amendments are not subject to waiver because the
sanctions are specifically mandated by statute.
These amendments are intended to implement Iowa Code section
261.126.
The following amendments are proposed.
ITEM 1. Amend 481—Chapter 8,
title, as follows:
LICENSING ACTIONS FOR NONPAYMENT OF CHILD SUPPORT AND
STUDENT LOAN DEFAULT/NONCOMPLIANCE WITH AGREEMENT FOR PAYMENT OF
OBLIGATION
ITEM 2. Adopt the following
new rules:
481—8.2(261) Student loan default/noncompliance with
agreement for payment of obligation.
8.2(1) Definitions. For the purposes of these rules,
the following definitions shall apply.
“Certificate of noncompliance” means written
certification from the college student aid commission to the licensing authority
certifying that the licensee has defaulted on an obligation owed to or collected
by the commission.
“Commission” means the college student aid
commission.
“Department” means department of inspections and
appeals.
“Licensing authority” means the department of
inspections and appeals.
8.2(2) Denial of issuance or renewal of a license.
The department shall deny the issuance or renewal of a license upon receipt of a
certificate of noncompliance from the college student aid commission according
to the procedures set forth in Iowa Code sections 261.121 to 261.127. In
addition to the procedures contained in those sections, the following shall
apply:
a. In order to process the certificate of noncompliance
received by the department, the department will maintainrecords of licensees by
name, current known address and social security number.
b. Upon receipt of a certificate of noncompliance duly issued
by the commission, the department shall initiate procedures for denial of
issuance or renewal of a license.
c. The notice required by Iowa Code section 261.126(4) 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 licensee may accept service personally or through authorized
counsel.
d. The department’s notice referred to in Iowa Code
section 261.126(4) shall state all of the following:
(1) The licensing authority intends to deny issuance or
renewal of an applicant/licensee’s license due to the receipt of a
certificate of noncompliance from the commission.
(2) The applicant/licensee must contact the commission to
schedule a conference or to otherwise obtain a withdrawal of a certificate of
noncompliance.
(3) Unless the commission furnishes a withdrawal ofa
certificate of noncompliance to the licensing authority within 30 days of the
issuance of the notice under 8.2(2)“c,” the
applicant/licensee’s license or application shall be denied.
e. The applicant or licensee served with a notice under
8.2(2)“c” shall not have a right to a hearing before the department
but may request a court hearing pursuant to Iowa Code section 261.127. Such
court hearing must be requested within 30 days of providing notice.
f. The effective date of the denial of the issuance or renewal
of a license, as specified in the notice under 8.2(2)“c” and
required by Iowa Code section 261.126(4), shall be 60 days following service of
the notice upon the applicant or licensee.
g. The department is authorized to prepare and serve the
notice required by Iowa Code section 261.126(4) upon the applicant or
licensee.
h. All department fees required for application, license
renewal, or license reinstatement must be paid by an applicant or licensee, and
all continuing education requirements must be met before a license will be
issued, renewed, or reinstated after the department has denied the issuance or
renewal of a license pursuant to Iowa Code sections 261.121 to
261.127.
i. In the event an applicant or licensee timely files a
district court action following service of a department notice pursuant to Iowa
Code section 261.126(4), the department 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 department to
proceed.
j. Upon the filing of a district court action, the applicant
or licensee shall promptly file with the department a copy of the petition filed
with the district court. In addition, the applicant or licensee shall provide
the department with copies of all court orders and rulings entered in such
action, including copies of any order entered dismissing the action, and shall
provide such copies to the department within seven days of the action taken by
the district court.
k. For purposes of determining the effective date of the
denial of the issuance or renewal of a license, the department 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.
481—8.3(261) Suspension or revocation of a
license. The department shall suspend or revoke a license upon receipt of a
certificate of noncompliance from the college student aid commission according
to the procedures set forth in Iowa Code sections 261.121 to 261.127. In
addition to the provisions contained in those sections, the following shall
apply:
8.3(1) In order to process the certificate of
noncompliance received by the department, the department will maintain records
of licensees by name, current known address and social security
number.
8.3(2) Upon receipt of a certificate of noncompliance
duly issued by the commission, the department shall initiate procedures for
suspension or revocation of a license.
8.3(3) The notice required by Iowa Code section
261.126(4) shall be served by restricted certified mail, return receipt
requested, or by personal service in accordance with Iowa Rules of Civil
Procedure. Alternatively, the applicant or licensee may accept service
personally or through authorized counsel.
8.3(4) The department’s notice referred to in
Iowa Code section 261.126(4) shall state all of the following:
a. The licensing authority intends to suspend or revoke an
applicant/licensee’s license due to the receipt of a certificate of
noncompliance from the commission.
b. The applicant/licensee must contact the commission to
schedule a conference or to otherwise obtain a withdrawal of a certificate of
noncompliance.
c. Unless the commission furnishes a withdrawal of a
certificate of noncompliance to the licensing authority within 30 days of the
issuance of the notice under subrule 8.3(3), the applicant/licensee’s
license shall be revoked or suspended.
8.3(5) The applicant or licensee served with a notice
under 8.3(3) shall not have a right to a hearing before the department but may
request a court hearing pursuant to Iowa Code section 261.127. Such court
hearing must be requested within 30 days of providing notice.
8.3(6) The effective date of suspension or revocation
of the license, as specified in the notice required under 8.3(3) and required by
Iowa Code section 261.126(4), shall be 60 days following service of the notice
upon the applicant or licensee.
8.3(7) The department is authorized to prepare and
serve the notice required by Iowa Code section 261.126(4) upon the
licensee.
8.3(8) All department fees required for application,
license renewal, or license reinstatement must be paid by the applicant or
licensee and all continuing education requirements must be met before a licensee
will be issued, renewed, or reinstated after the department has revoked or
suspended a license pursuant to Iowa Code sections 261.121 to 261.127.
8.3(9) In the event an applicant or licensee timely
files a district court action following service of a department notice pursuant
to Iowa Code section 261.126(4), the department 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 department to
proceed.
8.3(10) Upon the filing of a district court action,
the applicant or licensee shall promptly file with the department a copy of the
petition filed with the district court. In addition, the applicant or licensee
shall provide the department with copies of all court orders and rulings entered
in such action, including copies of any order entered dismissing the action, and
shall provide such copies to the department within seven days of the action
taken by the district court.
8.3(11) For purposes of determining the effective date
of the denial of the issuance or renewal of a license, the department 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.
ITEM 3. Amend 481—Chapter 8,
implementation clause, as follows:
These rules are intended to implement Iowa Code
Supplement chapter 252J and Iowa Code sections 261.121 to
261.127.
ARC 9933A
MEDICAL EXAMINERS
BOARD[653]
Notice of Termination
Pursuant to the authority of Iowa Code sections 147.76 and
272C.3, the Board of Medical Examiners hereby terminates rule making initiated
by its Notice of Intended Action published in the Iowa Administrative Bulletin
on January 12, 2000, as ARC 9605A, proposing to adopt new Chapter 3,
“Uniform Waiver and Variance,” and to amend Chapter 11,
“Licensure Requirements,” Iowa Administrative Code.
The Notice proposed to adopt new Chapter 3 which would address
uniform waivers and variances of the Board’s rules and to amend Chapter
11. The Board voted on June 1, 2000, to terminate the rule making since it was
unable to amend the noticed rules during the 180–day Notice
period.
The Board is terminating the rule making commenced in ARC
9605A and will renotice the proposed rules on uniform waivers and variances
at a later date.
ARC 9932A
MEDICAL EXAMINERS
BOARD[653]
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 sections 272C.3 and
68B.4, the Board of Medical Examiners hereby gives Notice of Intended Action to
amend Chapter 10, “Medical Examiners,” Iowa Administrative
Code.
The Board approved the amendment to Chapter 10 during its
regularly held meeting on June 1, 2000.
The proposed amendment to Chapter 10 establishes a rule that
identifies the conditions under which board members may sell, either directly or
indirectly, any goods or services to individuals, associations, or corporations
that are subject to the regulatory authority of the Department of Public Health.
The rule specifies the conditions for a proper sale including what can be
authorized for sale and the required application process, as well as the
limitations of the consent.
Any interested person may present written comments on the
proposed rule not later than 4 p.m. on July 18, 2000. Such written materials
should be sent to Ann E. Mowery, Executive Director, Board of Medical Examiners,
400 S.W. 8th Street, Suite C, Des Moines, Iowa 50309–4686.
There will be a public hearing on July 18, 2000, at 1 p.m. in
the Board office, at which time persons may present their views either orally or
in writing. The Board of Medical Examiners office is located at 400 S.W. 8th
Street, Suite C, Des Moines, Iowa.
This amendment is intended to implement Iowa Code section
68B.4.
The following amendment is proposed.
Adopt the following new rule:
653—10.11(68B) Selling of goods or services by
members of the board or impaired physician review committee
(IPRC).
10.11(1) Application of the rule. The board members
and members of the IPRC shall not sell, either directly or indirectly, any goods
or services to individuals, associations, or corporations that are subject to
the regulatory authority of the department except as authorized by this
rule.
10.11(2) Consent. Consent shall be given by a
majority of the members of the board. Consent shall not be given to an official
to sell goods or services to an individual, association, or corporation
regulated by the department unless all of the following conditions are
met:
a. The official requesting consent does not have authority to
determine whether consent should be given.
b. The official’s duties or functions are not related to
the department’s regulatory authority over the individual, association or
corporation to whom the goods and services are being sold, or the selling of the
good or service does not affect the official’s duties or
functions.
c. The selling of the good or service does not include acting
as an advocate on behalf of the individual, association, or corporation to the
department.
d. The selling of the good or service does not result in the
official’s selling a good or service to the department on behalf of the
individual, association, or corporation.
10.11(3) Authorized sales. Sales may be authorized
under the following conditions:
a. A member of the board or IPRC may sell goods or services to
any individual, association, or corporation regulated by any division within the
department, other than the board or committee on which that official serves.
This consent is granted because the sale of such goods or services does not
affect the member’s duties or functions on the board or IPRC.
b. A member of the board may sell goods or services to any
individual, association, or corporation regulated by the board if those goods or
services are routinely provided to the public as part of that person’s
regular professional practice. This consent is granted because the sale of such
goods or services does not affect the board or IPRC member’s duties or
functions on the board or IPRC, respectively. In the event an individual,
association, or corporation regulated by the board, to whom a board or IPRC
member sells goods or services is directly involved in any matter pending before
the board, including a disciplinary matter, that board or IPRC member shall not
participate in any deliberation or decision concerning that matter. In the
event a complaint is filed with the board concerning the services provided by
the board or IPRC member to a member of the public, that board or IPRC member is
otherwise prohibited by law from participating in any discussion or decision by
the licensing board in that case.
c. Individual application and approval are not required for
the sales authorized by this rule unless there are unique facts surrounding a
particular sale which would cause the sale to affect the seller’s duties
or functions, would give the buyer an advantage in dealing with the board or
IPRC, or would otherwise present a conflict of interest.
10.11(4) Application for consent. Prior to selling a
good or service to an individual, association, or corporation subject to the
regulatory authority of the department, an official must obtain prior written
consent unless the sale is specifically allowed in subrule 10.11(3). The
request for consent must be in writing and signed by the official requesting
consent. The application must provide a clear statement of all relevant facts
concerning the sale. The application should identify the parties to the sale
and the amount of compensation. The application should also explain why the
sale should be allowed.
10.11(5) Limitation of consent. Consent shall be in
writing and shall be valid only for the activities and the time period
specifically described in the consent. Consent can be revoked at any time by a
majority vote of the members of the board upon written notice to the board. A
consent provided under this chapter does not constitute authorization for any
activity which is a conflict of interest under common law or which would violate
any other statute or rule. It is the responsibility of the official requesting
consent to ensure compliance with all other applicable laws and rules.
This rule is intended to implement Iowa Code section
68B.4.
ARC 9924A
MEDICAL EXAMINERS
BOARD[653]
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 sections 147.76 and
272C.4, the Board of Medical Examiners hereby gives Notice of Intended Action to
amend Chapter 14, “Registration of Acupuncturists,” Iowa
Administrative Code.
This proposed rule making amends the current chapter to comply
with 2000 Iowa Acts, Senate File 182, which will become effective on July 1,
2000. The changes are described here:
• The new legislation
eliminates registration and replaces it with licensure. This change is present
throughout the proposed amendments. The proposed amendments provide a mechanism
for transitioning those who have been registered to being licensed, as well as
licensing those not formerly registered.
• The new legislation sets
the licensure period as two years. The proposed amendments reflect this change,
and the fees have been revised accordingly. In addition, the proposed
amendments provide a mechanism to transition those registered annually by birth
month to biennially on a date that is the same for everyone. Procedures for
biennial license renewal are also included in the proposed amendments.
• The new legislation
changes the definitions of “acupuncture” and “practice of
acupuncture” and no longer requires physician referral. All of these
changes are reflected in the proposed amendments.
• The new legislation
changes the qualifications for acupuncture licensure and provides an alternate
method for qualifying until July 1, 2001. The proposed amendments include the
new qualifications and a mechanism by which individuals can meet the alternate
method and receive Board approval and licensure by July 1, 2001.
In addition, the Board is extending continuing education to
mean an array of professional development activities approved by a national
organization rather than just classroom continuing education hours.
The Board approved the proposed amendments during its
regularly held meeting on June 1, 2000.
Any interested person may present written comments on the
proposed amendments not later than 4 p.m. on July 18, 2000. Such written
materials should be sent to Ann E. Mowery, Executive Director, Board of Medical
Examiners, 400 S.W. 8th Street, Suite C, Des Moines, Iowa
50309–4686.
There will be a public hearing on July 18, 2000, at 10 a.m. in
the Board office, at which time persons may present their views either orally or
in writing. The Board of Medical Examiners office is located at 400 S.W. 8th
Street, Suite C, Des Moines, Iowa.
These amendments are intended to implement Iowa Code sections
147.1, 147.2, 147.74, and 147.80 as amended by 2000 Iowa Acts, Senate File 182,
Iowa Code chapter 148E as amended by 2000 Iowa Acts, Senate File 182, and Iowa
Code section 272C.3.
The following amendments are proposed.
Amend 653—Chapter 14 as follows:
CHAPTER 14
REGISTRATION LICENSURE
OF ACUPUNCTURISTS
653—14.1(148E) Purpose. The
registration licensure of acupuncturists is established
to ensure that practitioners are qualified to provide Iowans with safe and
healthful care. The provisions of Iowa Code chapters 147, 148E and 272C
authorize the board of medical examiners to establish examination requirements
for registration licensure; evaluate the credentials of
applicants for registration licensure (147.2, 148E.3);
grant certificates of registration licenses to qualified
applicants (148E.2); institute continuing education requirements (272C.2);
investigate complaints and reports alleging registrants that
licensed acupuncturists violated statutes and rules governing the practice
of acupuncture (147.55, 148E.6); and discipline registrants
licensed acupuncturists found guilty of infractions as provided in state
law and board rules (147.55, 148E.6).
653—14.2(148E) Scope Licensure
exceptions. In accordance with Iowa Code section
148E.8 148E.3, the following rules govern those persons
engaged in the practice of acupuncture not otherwise licensed by the state to
practice medicine and surgery, osteopathy, osteopathic medicine and surgery,
chiropractic, podiatry, or dentistry. A student practicing acupuncture under
the direct supervision of a licensed acupuncturist as part of a course of study
approved by the board is not required to obtain a license.
653—14.3(148E) Definitions.
“AAAOM” is the American Association of
Acupuncture and Oriental Medicine.
“Acupuncture” is promoting, maintaining,
or restoring health based on traditional oriental medical concepts of treating
specific areas of the human body, known as acupuncture points or meridians, by
performing any of the following practices:
1. Inserting acupuncture needles.
2. Moxibustion.
3. Applying manual, conductive thermal, or electrical
stimulation through the use of acupuncture needles or any other secondary
therapeutic technique, except for the use of electromagnetic or ultrasound
energy sources.
“Acupuncture” means a form of health care
developed from traditional and modern oriental medical concepts that employs
oriental medical diagnosis and treatment, and adjunctive therapies and
diagnostic techniques, for the promotion, maintenance, and restoration of health
and the prevention of disease.
“Applicant” is means a
person not otherwise authorized to practice acupuncture under Iowa Code section
148E.8 148E.3 who applies to the board for a
certificate of registration license.
“Board” is means the board
of medical examiners established in Iowa Code chapter 147.
“CCAOM” is the Council of Colleges of
Acupuncture and Oriental Medicine.
“Certificate of registration” is a
certificate issued by the board pursuant to Iowa Code section
148E.3.
“Certified” is a person deemed qualified
to practice acupuncture by the NCCA by passing the written, practical
examination of point location skills (PEPLS) and clean needle technique (CNT)
portions of the NCCA acupuncture examination.
“Committee” is means the
allied health license and examination committee of the
board with oversight responsibility for administration of the
registration licensure of acupuncturists.
“Current registrant” means a person who is
registered to practice in Iowa and who submits an application for licensure
within 60 days of receiving an application from the board by certified mail. A
current registrant may practice acupuncture in Iowa until the board issues or
denies a license.
“Department” is means the
Iowa department of public health.
“Disclosure sheet” is
means the written information registered licensed
acupuncturists must provide to patients on initial contact.
“Disposable needles” means presterilized needles
that are discarded after initial use pursuant to Iowa Code section
148E.5.
“English proficiency” is
means sufficient knowledge of the English language as evidenced by
achieving a passing score on one of the following examinations:
1. TOEFL, is the Test of English as a
Foreign Language administered by the Educational Testing Service.
2. TOEIC, is the Test of English for
International Communication administered by the Educational Testing
Service.
3. TSE, is the Test of Spoken English
administered by the Educational Testing Service.
“Former registrant” means a person whose
acupuncture registration has lapsed or a person who did not apply for licensure
within 60 days of receiving an application from the board by certified mail. A
former registrant is not in good standing to practice acupuncture in
Iowa.
“License” means a license issued by the board
pursuant to Iowa Code section 148E.2.
“Licensed acupuncturist” or
“licensee” means a person holding a license to practice acupuncture
granted by the board under the provisions of Iowa Code chapter
148E.
“Medical evaluator” is a person licensed
by the state to practice medicine and surgery, osteopathy, osteopathic medicine
and surgery, chiropractic, podiatry, or dentistry who evaluates a
patient’s condition and makes a written referral to the registered
acupuncturist within one year of the initial acupuncture
treatment.
“National commission for the certification of
acupuncturists” means the National Certification Commission for
Acupuncture and Oriental Medicine (NCCAOM).
“NCCA” is the National Commission for the
Certification of Acupuncturists.
“Practice of acupuncture” means the insertion
of acupuncture needles and the application of moxibustion to specific areas of
the human body based upon oriental medical diagnosis as a primary mode of
therapy. Adjunctive therapies within the scope of acupuncture may include
manual, mechanical, thermal, electrical, and electromagnetic treatment, and the
recommendation of dietary guidelines and therapeutic exercise based on
traditional oriental medicine concepts.
“Professional development activity (PDA)” means
any activity for the purpose of continuing a person’s education that is
defined and approved by NCCAOM. One PDA point equals one hour of continuing
education.
“Registered acupuncturist” or
“registrant” is a person holding a certificate of registration to
practice acupuncture granted by the board under the provisions of Iowa Code
chapter 148E.
653—14. 4 5(147,148E)
Application requirements.
14.5(1) Application required. All
registered acupuncturists shall apply for a license within 60 days of receiving
an application by certified mail. Failure to apply for licensure in that time
frame shall deem the registration invalid and the individual no longer qualified
to practice acupuncture in Iowa.
14.4(1) 14.5(2)
Applicant qualifications Application for
licensure. To apply for a certificate of registration
license to practice acupuncture, an applicant shall:
a. Submit the completed application form provided by the
board, including required credentials and documents; and
b. Pay a nonrefundable initial application fee of
$300.
(1) For current registrants, the fee to become licensed is
prorated based on the expiration date of the individual’s registration.
The board shall notify each registrant of the nonrefundable application fee when
the board sends the application by certified mail.
(2) For former registrants, the fee to become licensed is a
nonrefundable application fee of $300.
14.4(2) 14.5(3)
Contents of the application form. Each applicant, other than current
registrants, shall submit the following information on the application form
provided by the board:
a. The applicant’s name, date and place of birth, and
home address, mailing address and principal business address;
b. A photograph of the applicant suitable for positive
identification;
c. The other jurisdictions in the United States or other
nations or territories in which the applicant is authorized to practice
acupuncture, including license, certificate of registration or certification
numbers, date of issuance, and an explanation indicating the basis upon which
authorization to practice acupuncture was received;
d. Full disclosure of the applicant’s involvement in
civil litigation related to the practice of acupuncture in any jurisdiction of
the United States, other nations or territories;
e. Full disclosure of any disciplinary action taken
against the applicant by, but not limited to, a regulatory authority,
educational institution, or health facility in any jurisdiction of the United
States, other nations or territories;
f. A certified statement indicating the results of any
acupuncture examination the applicant has taken in any jurisdiction of the
United States, other nations or territories; The NCCAOM score report
verification form submitted directly to the board by the NCCAOM;
g. An official statement from NCCAOM that the applicant
holds active status as a diplomate in NCCAOM;
h. An official statement showing successful completion of a
course in clean needle technique approved by the NCCAOM;
g i. A statement of the
applicant’s physical and mental health, including full disclosure and a
written explanation of any dysfunction or impairment which may affect the
ability of the applicant to engage in the practice of acupuncture and provide
patients with safe and healthful care;
h j. A description of the
applicant’s clinical acupuncture training, work experience and, where
applicable, supporting documentation;
i k. An official transcript sent
directly from the institution of higher education or acupuncture school attended
by the applicant and, if necessary, an English translation of the official
transcript; and
j l. Proof of the applicant’s
proficiency in the English language, when deemed appropriate by the
board or committee. the applicant has not passed the English version
of the NCCAOM written and practical examinations; and
m. A copy of the disclosure sheet to be used in practice,
as described in 14.5(5).
14.5(4) Contents of the application form for
current registrants. Each current registrant shall submit the following
information on the application form provided by the board:
a. The applicant’s name, home address, mailing
address and principal business address;
b. Full disclosure of the applicant’s involvement in
civil litigation related to the practice of acupuncture in any jurisdiction of
the United States, other nations or territories;
c. Full disclosure of any disciplinary action taken against
the applicant by, but not limited to, a regulatory authority, educational
institution, or health facility in any jurisdiction of the United States, other
nations or territories;
d. An official statement from NCCAOM that the registrant
holds active status as a diplomate in NCCAOM;
e. An official statement showing successful completion of a
course in clean needle technique approved by the NCCAOM;
f. A statement of the applicant’s physical and mental
health, including full disclosure and a written explanation of any dysfunction
or impairment which may affect the ability of the applicant to engage in the
practice of acupuncture and provide patients with safe and healthful
care;
g. A description of the applicant’s work experience
in the past five years and, where applicable, supporting documentation;
and
h. A copy of the disclosure sheet used in practice, as
described in 14.5(5).
14.4(3) 14.5(5) Disclosure
sheet. Pursuant to Iowa Code section 148E.4 148E.6,
applicants shall also provide a copy of the disclosure sheet to be given to each
patient that includes the following information:
a. The name, business address and business telephone number of
the acupuncturist;
b. A fee schedule;
c. A listing of the acupuncturist’s education,
experience, degrees, certificates, or other credentials related to acupuncture
awarded by professional acupuncture organizations, the length of time required
to obtain degrees or credentials, and experience;
d. A statement indicating any license, certificate, or
registration in a health care occupation which was revoked by any local, state,
or national health care agency;
e. A statement that the acupuncturist is complying with
statutes and with rules adopted by the department or the
board, including a statement that only presterilized, disposable needles are
used by the acupuncturist; and
f. A statement that the practice of acupuncture is regulated
by the department board; and
g. A statement indicating that a license to practice
acupuncture does not authorize a person to practice medicine and surgery in this
state, and that the services of an acupuncturist must not be regarded as
diagnosis and treatment by a person licensed to practice medicine and must not
be regarded as medical opinion or advice.
14.4(4) 14.5(6) Application
cycle. Applications for initial certificate of registration
licensure, except for current registrants, shall be open for 120 days
from the date the application form is received in the board’s
office.
a. After the 120 days, applicants shall update credentials and
submit a nonrefundable reactivation of application fee of $100 unless granted an
extension in writing by the committee or the board. The period for requesting
reactivation of the application is limited to one year (365
days) from the date the application form is received by the
board.
b. Once the application reactivation period is expired,
applicants must reapply and submit a new, nonrefundable initial application fee
of $300.
14.4(5) 14.5(7) Applicant
responsibilities. An applicant for certificate of registration
licensure to practice acupuncture bears full responsibility for each of
the following:
a. Paying all fees charged by regulatory authorities, national
testing or credentialing organizations, health facilities, and educational
institutions providing the information specified in 14.4(2)
14.5(3);
b. Reimbursing the board for any reasonable costs
associated with handling incomplete or improperly prepared
applications;
c b. Providing accurate,
up–to–date, and truthful information on the application form
including, but not limited to, that specified under 14.4(2)
14.5(3) and 14.4(3) 14.5(4) related to prior
professional experience, education, training, examination scores, diplomate
status, licensure or registration, and disciplinary history; and
d c. Submitting English translations
of documents in foreign languages bearing the affidavit of the translator
certifying that the translation is a true and complete translation of the
foreign language original. The applicant shall bear the expense of the
translation.
14.5(8) Board responsibilities. The board
staff shall review new applications within two weeks of submission of all
requested materials. If the individual clearly meets all of the requirements,
staff may issue the license. If staff has any concern about the application, it
shall be referred to committee at its next meeting. If the committee resolves
the concern, staff may issue the license. If the committee recommends denial,
the application will be referred to the board.
14.4(6) 14.5(9) Grounds for
denial of application. The board, on the recommendation of the committee, may
deny an application for registration licensure for any
of the following reasons:
a. Failure to meet the requirements for
registration licensure specified in rule
653—l4.5 4(147,148E) as authorized by Iowa Code
section 148E.3 148E.2; or of this
chapter of the board’s rules.
b. Pursuant to Iowa Code section 147.4, upon any of the
grounds for which registration licensure may be revoked
or suspended as specified in Iowa Code sections 147.55 and
148E.6 148E.8 or in rule
653—14.12(147,148E,272C).
653—14.5 4(147,148E)
Eligibility for a certificate of registration
licensure.
14.5(1) 14.4(1) Eligibility
requirements for those who apply after July 1, 2001. To be
registered and issued a certificate of registration
licensed to practice acupuncture by the board, a person shall meet all of
the following requirements:
a. Fulfill all the application requirements, as
specified in 14. 4 5(147,148E).
b. Hold and provide documented evidence of NCCA
certification by examination based upon a passing score on the following
components of the NCCA written and practical acupuncture examination:
current active status as a diplomate in NCCAOM.
(1) Comprehensive written examination including the
acupuncture theory and clean needle technique (CNT) portions;
and
(2) Point location practical examination
(PEPLS).
c. Demonstrate sufficient knowledge of the English
language to understand and be understood by patients, medical
evaluators, and board and committee members.
(1) An applicant who passed the NCCA
NCCAOM written and practical examination components in English may
be presumed to have sufficient proficiency in English.
(2) The board may, at the recommendation of the allied
health committee, choose any of the following examinations to test the
English proficiency of any other applicant:
the TOEFL, TOEIC, or TSE administered by the
Educational Testing Service.
d. Successfully complete and provide documented
evidence of:
(1) A minimum of 60 semester hours of postsecondary
education with at least 30 semester hours from an accredited institution of
higher education other than acupuncture school. Of the 60 semester hours, 12
shall be in the biosciences. Acceptable bioscience courses are those covering
human anatomy, physiology, and general or advanced biology;
and
(2) A minimum of two years of education and training
in acupuncture theory and practice from an acupuncture school accredited by the
National Accreditation Commission for Schools and Colleges of Acupuncture and
Oriental Medicine or approved by the board.
d. Successfully complete a three–year postsecondary
training program or acupuncture college program which is accredited by, in
candidacy for accreditation by, or which meets the standards of, the National
Accreditation Commission for Schools and Colleges of Acupuncture and Oriental
Medicine.
e. Successfully complete a course in clean needle technique
approved by the NCCAOM.
14.4(2) Eligibility requirements for current
registrants. To continue practicing and to be licensed to practice acupuncture
by the board, a registrant shall meet all of the following requirements within
60 days of receiving the application by certified mail:
a. Fulfill all the application requirements, as
specified in 14.5(147,148E).
b. Hold documented evidence of current active status as a
diplomate in NCCAOM.
c. Successfully complete a course in clean needle technique
approved by NCCAOM.
14.4(3) Eligibility requirements for former
registrants who apply before July 1, 2001. To be licensed to practice
acupuncture by the board, a former registrant shall meet all of the following
requirements by July 1, 2001:
a. Fulfill all the application requirements, as specified
in 14.5(147,148E).
b. Provide documented evidence of current active status as
a diplomate in NCCAOM.
c. Refrain from practice until a license is
issued.
d. Successfully complete a course in clean needle technique
approved by NCCAOM.
14.4(4) Eligibility requirements for
individuals who apply before July 1, 2001, and who have not been registrants.
To be licensed to practice acupuncture by the board, a person shall meet all of
the following requirements:
a. Fulfill all the application requirements, as specified
in 14.5(147,148E).
b. Hold current active status as a diplomate in
NCCAOM.
c. Successfully complete an acupuncture degree program
approved by the board or an apprenticeship or tutorial program approved by the
board.
d. Demonstrate sufficient knowledge of the English
language to understand and be understood by patients and board and committee
members.
(1) An applicant who passed the NCCAOM written and
practical examination components in English may be presumed to have
sufficient proficiency in English.
(2) The board may, at the recommendation of the committee,
choose any of the following examinations to test the English proficiency of any
applicant: TOEFL, TOEIC, or TSE.
e. Successfully complete a course in clean needle technique
approved by the NCCAOM.
14.4(5) Eligibility time limits.
Registrants have a limited time in which to become licensees.
a. Current registrants shall submit a completed application
showing compliance with these eligibility requirements within 60 days of
receiving the application by certified mail in order to continue
practicing.
(1) The board shall determine within 30 days of receiving
an application for licensure if the current registrant meets the requirements in
14.4(147,148E) and 14.5(147,148E).
(2) If the current registrant meets the requirements in
14.4(147,148E) and 14.5(147,148E), the board shall issue a license that will
expire October 31, 2002, and the registration is no longer valid.
(3) If the current registrant does not meet the
requirements in 14.4(147,148E) and 14.5(147,148E), the board shall deny a
license and shall invalidate the acupuncture registration. The individual may
no longer practice acupuncture in Iowa.
(4) Current registrants who do not apply in the
60–day period must discontinue practice until they submit an application
and the board approves them for licensure.
b. Former registrants shall be eligible for licensure if
they submit a completed application showing compliance with 14.4(147,148E) and
14.5(147,148E) by July 1, 2001.
(1) Former registrants shall not practice acupuncture until
the board issues an acupuncture license.
(2) The board shall determine within 30 days of receiving
an application for licensure if the former registrant meets the requirements in
14.4(147,148E) and 14.5(147,148E). If so, the board shall issue the license to
practice acupuncture.
(3) If the former registrant does not meet the requirements
in 14.4(147,148E) and 14.5(147,148E), the board shall deny the
license.
c. A registrant who does not qualify for licensure by July
1, 2001, shall meet the new requirements for licensure.
14.5(2) Avenues for
eligibility deemed unacceptable. The board shall not deem a person eligible for
registration to practice acupuncture under this rule based upon the
following:
a. NCCA certification through credentials
documentation review; and
b. Reciprocal agreements between this state and any
other state or national authority pursuant to Iowa Code sections 147.46 and
147.47.
653—14.6(147,148E) Disclosure
Display of license and disclosure of information to
patients.
14.6(1) Display of
certificate license. Registered
Licensed acupuncturists shall display the certificate of
registration license issued by the board in a conspicuous place
in their primary place of business.
14.6(2) Approval of the disclosure sheet and time
limit for revisions. Pursuant to Iowa Code section 148E.4
148E.6, upon issuing a certificate of registration
license, the board shall provide notification to the
registrant licensee of the approval or rejection of the
disclosure sheet to be provided to patients on initial contact submitted
subsequent to 14.4(3). 14.5(4)“m.”
a. The If rejected, the board shall
provide the registrant licensee with a written statement
explaining the reasons for rejecting the disclosure sheet submitted and
indicating the necessary amendments or revisions.
b. Any revisions in the information required in
14.4(3) shall be made by the registrant in the mandatory disclosure sheet within
five days of the date of notification by the board. Upon receiving
the rejection, the licensee shall submit within 14 days a revised mandatory
disclosure sheet to the board for its approval.
14.6(3) Distribution and retention of disclosure
sheet. The registrant licensee shall distribute the
disclosure sheet on initial contact with patients and retain a copy, signed and
dated by the patient, for a period of at least three
five years after termination of the treatment.
653—14.7(147,148E,272C) Annual
Biennial renewal of registration license
required. Pursuant to Iowa Code section 148E.2,
registration a license is renewed
annually every two years on November 1 for a fee of
$150 $300 with documented evidence that the
registrant licensee has completed the
15 30 hours of continuing education required by the
board. Renewal shall require evidence of current active status as a
diplomate in the National Commission for the Certification of
Acupuncturists.
14.7(1) Expiration date. Certificates of
registration licensure to practice acupuncture shall
expire annually on the first day of the birth month of registrant and
may be renewed by the board without examination upon written request
on October 31 in even years. Those who are granted a license prior to
October 31, 2000, shall receive a license that expires October 31,
2002.
14.7(2) Prorated fees. The renewal fee for a
certificate of registration license issued
during a calendar year shall be prorated on a monthly basis according
to the date of issue and the registrant’s month and year of
birth.
14.7(3) Renewal requirements and penalties for late
renewal. Each registrant licensee shall be sent a
renewal notice at least 60 days prior to the expiration date.
a. Pursuant to Iowa Code section 147.10, application for
renewal shall be made in writing to the board accompanied by the required fee at
least 30 days prior to the expiration date.
b. Every renewal shall be displayed in connection with the
original certificate of registration
licensure.
c. A penalty of $50 per calendar month shall be
assessed by the board after the expiration date for failure to renew in a timely
manner. A $50 penalty shall be assessed for renewal in the grace
period, a period up until January 1 when the license lapses if not
renewed.
14.7(4) Lapsed registration
license. Failure of a registrant licensee to
renew within three months of the expiration date by January
1 will result in invalidation of the certificate of
registration license and lapsed registration
the license will become lapsed. Registrants are prohibited from
engaging in the practice of acupuncture once registration is
lapsed.
a. Licensees are prohibited from engaging in the practice
of acupuncture once the license is lapsed.
b. Having an acupuncturist license in lapsed status does
not preclude the board from taking disciplinary actions authorized in Iowa Code
section 147.55 or 148E.8.
653—14.8(147,272C) Reinstatement of a lapsed
registration license. Application for
reinstatement of lapsed registration does not preclude the board from taking
disciplinary actions otherwise authorized in Iowa Code section 147.55 or
148E.6.
14.8(1) Reinstatement requirements.
Registrants Licensees who allow their
registration licenses to lapse by failing to renew may
apply for reinstatement of registration a license.
Pursuant to Iowa Code section 147.11, applicants for reinstatement
shall:
a. Submit a completed application for reinstatement of
registration a license to practice
acupuncture; that includes:
(1) The applicant’s name, home address, mailing
address, and principal business address.
(2) Full disclosure of the applicant’s involvement in
civil litigation related to the practice of acupuncture in any jurisdiction of
the United States, other nations or territories.
(3) Full disclosure of any disciplinary action taken
against the applicant by, but not limited to, a regulatory authority,
educational institution, or health facility in any jurisdiction of the United
States, other nations or territories.
(4) A practice history for the period of the lapsed
license.
b. Pay all penalties and delinquent renewal fees
determined by the board in addition to a reinstatement fee of $150
$400; and.
c. Provide documented evidence of successful
completion of the required number of continuing education course
hours 60 PDA points.
d. Provide an official statement from NCCAOM that the
applicant holds current active status as a diplomate of NCCAOM.
e. Meet any new requirements instituted since the license
lapsed.
14.8(2) Reinstatement restrictions. Pursuant to Iowa
Code section 272C.3(2)“d,” the allied health
committee may require a registrant licensee who fails to
renew for a period of three years from the expiration date to meet any or all of
the following requirements prior to reinstatement of a lapsed
registration license:
a. Submit documented evidence of NCCA recertification
and retake and pass any or all components of the NCCA examination including the
NCCA comprehensive written acupuncture examination and PEPLS practical
examination;
b a. Provide a written statement
explaining the reasons for failing to renew;
c b. Successfully complete continuing
education or retraining programs in areas directly related to the safe and
healthful practice of acupuncture deemed appropriate by the board or
committee;
d c. Appear before the committee or
board for an interview.
653—14.9(272C) Continuing education
requirements—course approval. Pursuant to Iowa Code section 272C.2, a
person registered and issued a certificate of registration
licensed to practice acupuncture shall complete 15 hours of
continuing education 30 PDA points to qualify for
registration license renewal. Continuing
education courses shall be certified by the AAAOM, a national organization
representing state authorities that regulate acupuncturists, a professional
health care association, or a medical education institution deemed appropriate
by the committee or board.
1. A licensee may earn from 1 to 15 extra PDAs in a license
period that may be carried over for credit in the next license period. A
licensee desiring to obtain credit for carryover hours shall report the
carryover credit on the renewal application when the credit was
earned.
2. It is the responsibility of each licensee to finance the
costs of the licensee’s PDAs.
653—14.10(148E) Evaluation and referral by
medical evaluator required. A registrant shall not
commence acupuncture treatment on a patient unless a medical evaluator licensed
to practice medicine and surgery, osteopathy, osteopathic medicine and surgery,
chiropractic, podiatry, or dentistry has performed a medical evaluation of the
patient and referred the patient to the registrant as specified in this rule.
The medical evaluation and referral for acupuncture treatment are restricted to
areas within the licensed evaluator’s scope of
practice.
14.10(1) Medical evaluation
requirements. The medical evaluation shall be conducted within 90 days of the
patient’s initial contact with the registrant for acupuncture treatment
and shall include:
a. A diagnostic examination of the patient;
and
b. An assessment of the patient’s medical
history with specific reference to any ailment or condition within the medical
evaluator’s scope of practice.
14.10(2) Medical
evaluator’s responsibilities to the patient. Upon fulfilling the
evaluation requirements, the medical evaluator shall advise the patient of the
following:
a. The findings of the medical
evaluation;
b. The specific ailment or condition to be treated by
acupuncture and any alternative courses of treatment;
c. Any restrictions on the course of
acupuncture treatment the patient’s condition requires as a matter of
sound medical practice; and
d. If acupuncture treatment is indicated, the patient
is to consult with the medical evaluator if the ailment or condition worsens or
changes unexpectedly or if a new ailment or condition develops during the course
of acupuncture treatment.
14.10(3) Referral for
acupuncture treatment requirements. Within 90 days of the date of the medical
evaluation and before initial acupuncture treatment commences, the medical
evaluator shall provide the registrant with a written referral that includes the
following:
a. The findings of the medical
evaluation;
b. The specific ailment or condition within the
medical evaluator’s scope of practice to be treated by
acupuncture;
c. Any restrictions on the course of acupuncture
treatment the patient’s condition requires as a matter of sound medical
practice; and
d. Notice to the registrant to promptly consult with
the medical evaluator making the referral if the ailment or condition identified
for acupuncture treatment worsens or changes unexpectedly or if a new ailment or
condition develops during the course of acupuncture treatment. If the patient
develops a condition or ailment outside the medical evaluator’s scope of
practice, the medical evaluator shall refer the patient to the appropriate
professional licensed to practice medicine and surgery, osteopathy, osteopathic
medicine and surgery, chiropractic, podiatry, or dentistry.
14.10(4) Registrant’s
restrictions and obligations to the patient. The registrant shall comply with
the following:
a. The scope of acupuncture treatment shall be limited
to the condition or ailment in the medical evaluator’s scope of practice
identified in the written referral as specified in paragraph
14.10(3)“b.”
b. The registrant shall strictly comply with any
conditions or restrictions placed on the course of acupuncture treatment
specified by the medical evaluator in the referral in accordance with paragraph
14.10(3)“c.”
c. The registrant shall promptly consult with the
medical evaluator making the referral if the ailment or condition identified for
acupuncture treatment worsens or changes unexpectedly or if a new ailment or
condition develops during the course of acupuncture treatment. The registrant
shall cease performing acupuncture treatment until the patient’s condition
is reexamined and reassessed by a medical evaluator in accordance with the
requirements of this subrule.
d. The registrant shall maintain the medical
evaluator’s written referral for initial acupuncture treatment as part of
the patient’s permanent record.
653—14.11 10(147,148E,272C)
General provisions.
14.11(1) 14.10(1) Use and
disposal of needles. A registrant licensee shall use
only presterilized, disposable needles and shall provide for the disposal of
used needles in accordance with the requirements of the department.
14.11(2) 14.10(2) Standard of
care. A registrant licensee shall be held to the same
standard of care as persons licensed to practice medicine and surgery,
osteopathy, and osteopathic medicine and surgery. Pursuant to Iowa Code section
272C.3, any error or omission, unreasonable lack of skill, or failure to
maintain a reasonable standard of care in the practice of acupuncture
constitutes malpractice and is grounds for the revocation or suspension of
registration a license to practice acupuncture in this
state.
14.11(3) 14.10(3) Title. An
acupuncturist registered licensed under this title may
use the words “registered licensed
acupuncturist” or “R.A.”
“L.Ac.” to connote professional standing after the
registrant’s licensee’s name in accordance
with Iowa Code section 147.74(18).
14.11(4) 14.10(4) Change of
residence. In accordance with Iowa Code section 147.9,
registrants licensees shall notify the board of changes
in residence and place of practice within 14 days of moving.
14.11(5) 14.10(5) Delegation
of responsibilities prohibited. The registrant licensee
shall perform all aspects of acupuncture treatment on a patient. Delegation of
responsibility for acupuncture treatment is strictly prohibited.
653—14.12 11(147,148E,272C)
General disciplinary provisions. The board of medical
examiners is authorized to take disciplinary action against any
registrant licensee who violates the provisions set
forth in state law and administrative rules pertaining to the safe and healthful
practice of acupuncture.
14.12(1) 14.11(1) Methods of
discipline. The board may impose any of the following disciplinary
sanctions:
a. Revocation of registration a
license;
b. Suspension of registration a
license until further order of the board;
c. Nonrenewal of registration a
license;
d. Restrict permanently or temporarily the performance of
specific procedures, methods, acts or techniques;
e. Probation;
f. Additional or remedial education or training;
g. Reexamination;
h. Medical or physical evaluation, or alcohol or drug
screening within a specific time frame at a facility or by a practitioner of the
board’s choice;
i. Civil penalties not to exceed $1,000;
j. Citations and warnings as necessary; and
k. Other sanctions allowed by law as deemed
appropriate.
14.12(2) 14.11(2) Discretion
of the board. The board may consider the following factors when determining the
nature and severity of the disciplinary sanction to be imposed:
a. The relative seriousness of the violation as it relates to
assuring the citizens of Iowa a high standard of professional care.
b. The facts of the particular violation.
c. Any extenuating circumstances or other countervailing
considerations.
d. Number of prior violations or complaints.
e. Seriousness of prior violations or complaints.
f. Whether remedial action has been taken.
g. Such other factors as may reflect upon the competency,
ethical standards and professional conduct of the registrant
licensee.
653—14.13 12(147,148E,272C)
Grounds for discipline. The board may impose any of the disciplinary
sanctions set forth in 14.12(1) 14.11(1) upon
determining that a registrant licensee is guilty of any
of the following acts or offenses:
14.13(1) 14.12(1) Fraud in
procuring registration a li–cense. Fraud in
procuring registration a license is the deliberate
distortion of facts or use of deceptive tactics in the application for
registration licensure to practice acupuncture
including, but not limited to:
a. Making false or misleading statements in obtaining or
seeking to obtain registration licensure;
b. Failing to disclose by deliberate omission or concealment
any information the board deems relevant to the safe and healthful practice of
acupuncture pursuant to Iowa Code chapters 147 and 148E;
c. Misrepresenting any fact or deed to meet the application or
eligibility requirements established by this rule
chapter; or
d. Filing or attempting to file a false, forged or altered
diploma, certificate, affidavit, translated or other official or certified
document, including the application form, attesting to the applicant’s
eligibility for registration licensure to practice
acupuncture in Iowa.
14.13(2) 14.12(2) Professional
incompetence. Professional incompetence includes, but is not limited
to:
a. Substantial lack of knowledge or ability to discharge
professional obligations within the scope of the acupuncturist’s
practice;
b. Substantial deviation by the registrant
licensee from the standards of learning or skill ordinarily possessed and
applied by other acupuncturists when acting in the same or similar
circumstances;
c. Failure by an acupuncturist to exercise in a substantial
respect the degree of care which is ordinarily exercised by the average
acupuncturist when acting in the same or similar circumstances;
or
d. Willful or repeated departure from or the failure to
conform to the minimal standard of acceptable and prevailing practice of
acupuncture; or.
e. Failure to fulfill the responsibilities and
obligations to the patient as specified in 14.10(4).
14.13(3) 14.12(3) Fraud in the
practice of acupuncture. Fraud in the practice of acupuncture includes, but is
not limited to, any misleading, deceptive, untrue or fraudulent representation
in the practice of acupuncture, made orally or in writing, that is contrary to
the acupuncturist’s legal or equitable duty, trust or confidence and is
deemed by the board to be contrary to good conscience, prejudicial to the public
welfare, and potentially injurious to another. Proof of actual injury need not
be established.
14.13(4) 14.12(4) Unethical
conduct. Unethical conduct in the practice of acupuncture includes, but is not
limited to:
a. Failing to provide patients with the information required
in Iowa Code section 148E.4 148E.6 or providing false
information to patients;
b. Accepting remuneration for referral of patients to other
health care professionals;
c. Offering or providing remuneration for the referral of
patients, excluding paid advertisements or marketing services;
d. Engaging in sexual activity or genital contact with a
patient while acting or purporting to act within the scope of the acupuncture
practice, whether or not the patient consented to the sexual activity or genital
contact;
e. Disclosing confidential information about a patient without
proper authorization; or
f. Abrogating the boundaries of acceptable conduct in the
practice of acupuncture established by the profession that the board deems
appropriate for ensuring that acupuncturists provide Iowans with safe and
healthful care.
14.13(5) 14.12(5) Practice
harmful to the public. Practice harmful or detrimental to the public in the
practice of acupuncture includes, but is not limited to:
a. Failing to possess and exercise the degree of skill,
learning and care expected of a reasonable, prudent acupuncturist acting in the
same or similar circumstances;
b. Practicing acupuncture without reasonable skill and safety
as the result of a mental or physical impairment, chemical abuse or chemical
dependency;
c. Prescribing, dispensing or administering any controlled
substance or prescription medication for human use; or
d. Performing any treatment or healing procedure not
authorized in Iowa Code section 148E.1 or subrule 14.10(4)
chapter 148E or this chapter.
14.13(6) 14.12(6) Habitual
intoxication or addiction. Habitual intoxication or addiction to the use of
drugs includes, but is not limited to, the inability to practice acupuncture
with reasonable skill and safety as a result of the excessive use of alcohol,
drugs, narcotics, chemicals or other substances on a continuing basis, or the
excessive use of the same in a way which may impair the ability to practice
acupuncture with reasonable skill and safety.
14.13(7) 14.12(7) Felony
conviction. A felony conviction related to the practice of acupuncture or that
affects the ability to practice the profession includes, but is not limited
to:
a. Any conviction for any public offense directly related to
or associated with the practice of acupuncture that is classified as a felony
under the statutes of any jurisdiction of the United States, the United States
government, or another nation or its political subdivisions; or
b. Any conviction for a public offense affecting the ability
to practice acupuncture that is classified as a felony under the statutes of any
jurisdiction of the United States, the United States government, or another
nation or its political subdivisions and that involves moral turpitude,
civility, honesty, or morals.
A copy of the record of conviction or plea of guilty or nolo
contendere shall be conclusive evidence of the felony conviction.
14.13(8) 14.12(8)
Misrepresentation of scope of practice by registrants
licensees. Misrepresentation of a registrant’s
licensee’s scope of practice includes, but is not limited to,
misleading, deceptive or untrue representations about competency, education,
training or skill as a registered licensed acupuncturist
or the ability to perform services not authorized under the scope of
this rule or subrule 14.10(4) this chapter.
14.13(9) 14.12(9) False
advertising. False advertising is the use of fraudulent, deceptive or
improbable statements in information provided to the public. False advertising
includes, but is not limited to:
a. Unsubstantiated claims about the
registrant’s licensee’s skills or abilities,
the healing properties of acupuncture or specific techniques or treatments
therein;
b. Presenting words, phrases, or figures which are misleading
or likely to be misunderstood by the average person; or
c. Claiming extraordinary skills that are not recognized by
the acupuncture profession.
14.13(10) 14.12(10) General
grounds. The board may also take disciplinary action against an acupuncturist
for any of the following reasons:
a. Failure to comply with the provisions of Iowa Code chapter
148E or the applicable provisions of Iowa Code chapter 147, or the failure of an
acupuncturist to comply with rules adopted by the board pursuant to Iowa Code
chapter 148E;
b. Failure to notify the board of any adverse judgment or
settlement of a malpractice claim or action within 30 days of the date of the
judgment or settlement;
c. Failure to report to the board any acts or omissions of
another acupuncturist authorized to practice in Iowa that would constitute
grounds for discipline under 14.13(3)
14.12(147,148E,272C) within 30 days of the date the acupuncturist
initially became aware of the information;
d. Failure to comply with a subpoena issued by the
board;
e. Knowingly submitting a false report of continuing education
or failing to submit a required continuing education report;
f. Failure to adhere to the disciplinary sanctions imposed
upon the acupuncturist by the board; or
g. Violating any of the grounds for revocation or suspension
of registration licensure listed in Iowa Code chapter
147 or 148E.
653—14.14 13(272C) Procedure
for peer review. Rules Rule
653—12.5 7(272C) to
12.8(272C) shall apply to peer review procedures in matters related to
registered licensed acupuncturists.
653—14.15 14(272C) Reporting
duties and investigation of reports. Rules 653—12.9(272C) to
12.12(272C) 12.1 (272C) to 12.3(272C) and 12.5(272C) shall apply
to certain reporting responsibilities of registered
licensed acupuncturists and the investigation of malpractice cases
involving registered licensed acupuncturists.
653—14.16 15(272C)
Immunities Complaints, immunities and privileged
communications. Rules Rule
653—12.13(272C) and 12.14(272C) 12.5(17A,147,148,
272C) shall apply to matters relating to registered
licensed acupuncturists.
653—14.17 16(272C)
Confidentiality of investigative files. Rule
653—12.15 10(272C) shall apply to investigative
files relating to registered licensed
acupuncturists.
Rules 14.1(148E) to 14.17(272C) are intended to
implement Iowa Code sections 147.55, 148E.6, 272C.3, 272C.4, 272C.6, 272C.8 and
272C.9.
653—14.18 17 to
14.29 28 Reserved.
653—14.30
29(17A,147,148E,272C) Disciplinary procedures.
Rule Rules
653—12.50(17A,147,148,272C) 12.11 (17A) to
12.43(272C), subrules 12.50(1) to 12.50(37), shall apply to
disciplinary actions against registered licensed
acupuncturists.
This rule is These rules are intended
to implement Iowa Code sections 17A.10 to 17A.20, 147.55, 148E.6, and
272C.5 272C.3 to 272C.6, 272C.8 and 272C.9 and Iowa Code chapter
148E as amended by 2000 Iowa Acts, Senate File 182.
ARC 9946A
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,” Iowa Administrative Code.
This amendment adds the Spring Run and Henderson areas in
Dickinson County to the list of wildlife refuges.
Any interested person may make written suggestions or comments
on the proposed amendment on or before July 19, 2000. Such written materials
should be directed to the Wildlife Bureau Chief, 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 Wildlife Bureau at (515)281–6156 or at the Bureau offices on
the fourth floor of the Wallace State Office Building.
There will be a public hearing on July 19, 2000, 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 amendment.
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.
This amendment is intended to implement Iowa Code sections
456A.24 and 481A.6.
The following amendment is proposed.
Amend subrule 52.1(2), paragraph
“a,” by adding the following new areas to the
list of wildlife refuges:
Henderson Dickinson
Spring Run Dickinson
ARC 9917A
NURSING BOARD[655]
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 sections 17A.3 and
147.76, the Board of Nursing hereby gives Notice of Intended Action to amend
Chapter 2, “Nursing Education Programs,” Chapter 3, “Licensure
to Practice – Registered Nurse/Licensed Practical Nurse,” Chapter 6,
“Nursing Practice for Registered Nurses/Licensed Practical Nurses,”
Chapter 7, “Advanced Registered Nurse Practitioners,” and adopt new
Chapter 16, “Nurse Licensure Compact,” Iowa Administrative
Code.
These amendments implement 2000 Iowa Acts, House File 2105,
Nurse Licensure Compact. Amendments expand the definition of licensure to
include licensure in another party state when that state is the home state. The
new chapter enacts the model rules used by compact states to further define
licensure in home state and multistate practice privilege and the Board’s
authority to regulate.
Any interested person may make written comments or suggestions
on or before September 7, 2000. Such written materials should be directed to
the Executive Director, Board of Nursing, RiverPoint Business Park, 400 S.W. 8th
Street, Suite B, Des Moines, Iowa 50309–4685. Persons who want to convey
their views orally should contact the Executive Director at (515)281–3256,
or in the Board office at 400 S.W. 8th Street, by appointment.
There will be a public hearing on September 7, 2000, at5 p.m.
in the Ballroom, Kirkwood Civic Center Hotel, Fourth and Walnut, Des Moines,
Iowa. Persons may present their views at the public hearing 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
proposed amendments.
These amendments are intended to implement 2000 Iowa Acts,
House File 2105.
These amendments were also Adopted and Filed Emergency and are
published herein as ARC 9915A. The content of that submission is
incorporated by reference.
ARC 9898A
PAROLE BOARD[205]
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 sections 904A.4(2) and
906.3, the Board of Parole hereby gives Notice of Intended Action to amend
Chapter 14, “Executive Clemency,” Iowa Administrative
Code.
There have been substantial changes in the Iowa Code regarding
commutation procedures for Class “A” felons since the Board’s
present rules became effective on March 29, 1989. These amendments establish a
new uniform procedure for the commutation procedures for Class “A”
felons.
Any interested person may submit written comments on or before
July 20, 2000, addressed to James C. Twedt, Senior Administrative Parole and
Probation Judge, Board of Parole, Holmes Murphy Building, 420 Keo Way, Des
Moines, Iowa 50309.
These amendments were also Adopted and File Emergency and are
published herein as ARC 9897A. The content of that submission is
incorporated by reference.
These amendments are intended to implement Iowa Code chapters
17A and 902.
ARC 9931A
PROFESSIONAL LICENSURE
DIVISION[645]
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 147.76, the
Board of Examiners for Massage Therapy hereby gives Notice of Intended Action to
amend Chapter 130, “Massage Therapists,” and Chapter 131,
“Continuing Education and Disciplinary Procedures,” and adopt new
Chapter 132, “Continuing Education,” Iowa Administrative
Code.
The proposed amendments rescind the current continuing
education rules; adopt a new chapter for continuing education; renumber the
rules regarding license fees and discipline; amend cross references to rules;
and adopt rules implementing 2000 Iowa Acts, Senate File 2113.
Any interested person may make written comments on the
proposed amendments no later than July 18, 2000, addressed to Rosalie Steele,
Professional Licensure Division, Department of Public Health, Lucas State Office
Building, Des Moines, Iowa 50319–0075.
The Division revised these rules according to Executive Order
Number 8. The Division sent letters to the public for comment and six letters
were received in return. Division staff also had input on these rules. The
comments received were discussed by the Board and decisions were based on need,
clarity, intent and statutory authority, cost and fairness.
A public hearing will be held on July 18, 2000, from 9 to 11
a.m. in the Fifth Floor Board Conference Room, Lucas 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 proposed
amendments.
These amendments are intended to implement Iowa Code section
147.76, chapter 152C as amended by 2000 Iowa Acts, Senate File 2113, and chapter
272C.
The following amendments are proposed.
ITEM 1. Rescind rules
645—130.1(152C), 645— 130.3(152C) and
645—130.4(152C) and adopt new rules
645—130.1(152C) to 645—130.4(152C) as follows:
645—130.1(152C) Definitions. For the purpose of
these rules, the following definitions apply:
“Board” means the board of examiners for massage
therapy.
“Department” means the department of public
health.
“Massage therapist” means a person licensed to
practice the health care service of the healing art of massage
therapy.
“Massage therapy” means performance for
compensation of massage, myotherapy, massotherapy, bodywork, bodywork therapy,
superficial hot and cold applications, vibration and topical applications, or
other therapy which involves manipulation of the muscle and connective tissue of
the body, excluding osseous tissue, to treat the muscle tonus system for the
purpose of enhancing health, providing muscle relaxation, increasing range of
motion, reducing stress, relieving pain, or improving circulation.
“Reciprocal license,” for purposes of this
chapter, means that an applicant has been licensed under laws of another
jurisdiction and has applied for a license from the state of Iowa.
645—130.2(152C) Description and organization of the
board.
130.2(1) The board is composed of seven persons
appointed by the governor as follows:
a. Four members shall be massage therapists.
b. Three members who are not licensed massage therapists shall
be representatives of the general public.
130.2(2) The board shall have the duties and
responsibilities as outlined in Iowa Code chapters 130, 272C, 17A, 21, 22, 68B,
and section 69.15.
130.2(3) Organization. Annually, the board shall
elect a chairperson, vice–chairperson and secretary and establish standing
committees as needed from its membership.
130.2(4) Meetings. The board shall:
a. Hold special meetings called by the chairperson or upon the
request by four members of the board to the chairperson or board administrator.
Special meetings may be held by electronic means in accordance with Iowa Code
section 21.8.
b. Make available to the public the date, time, and location
of board meetings. Specific information may be obtained from the Board
Administrator, Professional Licensure Division, Department of Public Health,
Lucas State Office Building, Des Moines, Iowa 50319–0075.
c. Make available to the public the date that board materials
are due in the board office for the agenda of regularly scheduled meetings.
Materials received two weeks prior to a scheduled board meeting shall be placed
on the agenda. Materials from emergency or unusual circumstances may be added
to the agenda with the chairperson’s approval.
d. Hold meetings that are open to the public.
(1) Anyone who has submitted materials for the agenda or who
has requested to be present shall be given the opportunity to address the
board.
(2) At every regularly scheduled board meeting, time shall be
designated for public comment.
(3) Anyone who has not asked to address the board during
public comment may be recognized by the chairperson. Acknowledgment and an
opportunity to speak shall be at the discretion of the chairperson.
e. Conduct meetings following Robert’s Rules of
Order.
f. Conduct business only if a quorum is present. A majority
of this board shall constitute a quorum.
645—130.3(152C) Availability of forms. Copies
of all forms and information may be obtained by writing to the Iowa Board of
Massage Therapy Examiners, Department of Public Health, Lucas State Office
Building, Des Moines, Iowa 50319–0075.
645—130.4(152C) Requirements for licensure. All
persons acting or serving in the capacity of a massage therapist shall hold a
massage therapist’s license issued by the board.
130.4(1) All applications must be made on forms
supplied by the Massage Therapy Office, Professional Licensure Division,
Department of Public Health, Lucas State Office Building, Des Moines, Iowa
50319–0075.
130.4(2) Application requirements are as
follows:
a. Initial licensure. Applicants shall submit all of the
following:
(1) A completed application form and the certificate of
diploma from a board–approved school;
(2) The required license fee as stated in rule
130.7(152C);
(3) An official transcript sent directly from the school(s) to
the board office; and
(4) Proof of passing the National Certification Examination
for Therapeutic Massage and Bodywork administered by the testing service
contracting with the National Certification Board for Therapeutic Massage and
Bodywork. Proof of passing must be sent directly from the testing service to
the division of professional licensure. The passing score on the written
examination shall be the passing point criterion established by the national
testing authority at the time the test was administered.
b. Licensure by reciprocity. An individual from another state
seeking a license to practice massage therapy in Iowa will be considered on an
individual basis. The applicant shall submit:
(1) An official copy of the license with the
application;
(2) Verification of the license to practice massage therapy
issued by the other state(s);
(3) A statement from the licensing board(s) of the other
state(s) outlining the licensure requirements of that state;
(4) A certified copy of scores from the appropriate
professional examination to be sent to the board, if applicable; and
(5) The required fee as stated in rule 130.7(152C).
c. Temporary license by reciprocity. The requirements for
licensees of states with license requirements less stringent than those of Iowa
shall submit:
(1) An official copy of the license with the
application;
(2) Verification of the license to practice massage therapy
issued by the other state(s);
(3) A statement from the licensing board(s) of the other
state(s) outlining the licensure requirements of that state;
(4) A certified copy of scores from the appropriate
professional examination to be sent to the board, if applicable;
(5) The required fee as stated in rule 130.7(152C).
The individual shall receive a temporary license by
reciprocity that shall be valid for a period of up to one year and may not be
renewed.
d. The board may consider applications on a
case–by–case basis which do not appear on their face to meet
requirements if the requirements may be alternatively satisfied by demonstrated
equivalency. The burden shall be on the applicant to document that the
applicant’s education and experience are substantially equivalent to the
requirements which may be alternatively satisfied.
ITEM 2. Rescind rule
645—130.7(152C) and renumber 645—130.10(152C) as
645—130.7(152C).
ITEM 3. Rescind rule
645—130.8(152C) and adopt the following new rule in lieu
thereof:
645—130.8(152C) Transition provisions. Prior to
July 1, 2002, an applicant shall complete the following for:
130.8(1) Initial licensure.
a. Be required to pass the board–approved national
certification examination;
b. Pay the applicable licensing fee; and
c. Not be required to meet the completion of curriculum of
massage therapy requirements contained in Iowa Code section 152C.3, subsection
1, paragraph “a.”
130.8(2) Lapsed license.
a. Applicants with a license that has lapsed prior to July 1,
2000, who apply for reinstatement prior to July 1, 2002, shall be required to
complete a reinstatement application and pay a renewal fee and reinstatement fee
pursuant to Iowa Code section 147.11 and section 147.80, subsection 26. Penalty
fees otherwise incurred pursuant to Iowa Code section 147.10, and continuing
education requirements applicable to the period prior to licensure
reinstatement, shall be waived by the board; or
b. Applicants with a license that has lapsed prior to July 1,
2000, who do not apply for reinstatement prior to July 1, 2002, shall be
required to apply for reinstatement in accordance with lapsed license
reinstatement provisions established by rule 645—132.6(152C).
ITEM 4. Rescind and reserve rule
645—130.9(152C).
ITEM 5. Amend 645—Chapter
131, title, as follows:
CHAPTER 131
CONTINUING EDUCATION
AND
DISCIPLINARY PROCEDURES
ITEM 6. Rescind rule
645—131.1(152C) and renumber 645—131.17(152C) as
645—131.1(152C).
ITEM 7. Amend renumbered paragraph
131.1(2)“k” as follows:
k. Failure to pay any civil penalties assessed pursuant to
rule 131.18(152C) or 131.19(152C) the rules.
ITEM 8. Rescind rule
645—131.2(152C) and adopt the following new rule in
lieu thereof:
645—131.2(152C) Civil penalties.
131.2(1) Civil penalties may be imposed upon a person
or business that employs an individual who is not licensed as a massage
therapist. Civil penalties may be imposed upon a person or business that
employs an individual who uses the initials “L.M.T.” or the words
“licensed massage therapist,” “massage therapist,”
“masseur,” or “masseuse,” or any other words or titles
which imply or represent that the employed person practices massage therapy but
is not licensed as a massage therapist. Failure to follow the above may result
in:
a. A civil penalty not to exceed $1000 on a person or business
that violates this rule:
(1) Each violation is a separate offense.
(2) Each day a continued violation occurs after citation by
the board is a separate offense with the maximum penalty not to exceed
$10,000;
b. The board’s inspection of any facility which
advertises or offers services purporting to be delivered by massage
therapists;
c. A citation being sent to the alleged violator by certified
mail, return receipt requested; and
d. The board’s consideration of the following in
determining civil penalties:
(1) Whether the amount imposed will be a substantial economic
deterrent to the violation.
(2) The circumstances leading to or resulting in the
violation.
(3) The severity of the violation and the risk of harm to the
public.
(4) The economic benefits gained by the violator as a result
of noncompliance.
(5) The welfare or best interest of the public.
131.2(2) Civil penalties may be imposed upon a person
who is practicing as a massage therapist without a license. Civil penalties may
be imposed upon a person who practices as an individual and uses the initials
“L.M.T.” or the words “licensed massage therapist,”
“massage therapist,” “masseur,” or
“masseuse,” or any other words or titles which imply or represent
that the person practices massage therapy but is not licensed as a massage
therapist. A person must be licensed as a massage therapist to practice in this
state as a massage therapist. Failure to follow the above may result
in:
a. A civil penalty not to exceed $1000 on a person who
violates this rule:
(1) Each violation is a separate offense.
(2) Each day a continued violation occurs after citation by
the board is a separate offense with the maximum penalty not to exceed
$10,000;
b. The board’s inspection of any facility which
advertises or offers services purporting to be delivered by massage
therapists;
c. A citation being sent to the alleged violator by certified
mail, return receipt requested;
d. The board’s consideration of the following in
determining civil penalties:
(1) Whether the amount imposed will be a substantial economic
deterrent to the violation.
(2) The circumstances leading to or resulting in the
violation.
(3) The severity of the violation and the risk of harm to the
public.
(4) The economic benefits gained by the violator as a result
of noncompliance.
(5) The welfare or best interest of the public.
131.2(3) Issuing an order or citation.
a. The board shall provide a written notice and the
opportunity to request a hearing on the record.
b. The hearing must be requested within 30 days of the
issuance of the notice and shall be conducted according to Iowa Code chapter
17A.
c. The board may, in connection with a proceeding under this
subrule, issue subpoenas to require the attendance and testimony of witnesses
and the disclosure of evidence and may request the attorney general to bring an
action to enforce the subpoena.
131.2(4) Judicial review.
a. A person aggrieved by the imposition of a civil penalty
under this rule may seek a judicial review in accordance with Iowa Code section
17A.19.
b. The board shall notify the attorney general of the failure
to pay a civil penalty within 30 days after entry of an order or within 10 days
following final judgment in favor of the board if an order has been stayed
pending appeal.
c. The attorney general may commence an action to recover the
amount of the penalty, including reasonable attorney fees and costs.
d. An action to enforce an order under this rule may be joined
with an action for an injunction.
131.2(5) A person is not in violation of the statute
or rules if that person practices massage therapy for compensation while in
attendance at a school offering a curriculum meeting the requirements of rule
645—130.5(152C) and is under the supervision of a member of the
school’s faculty.
ITEM 9. Rescind and reserve rules
645—131.3(152C) to 645—131.5(152C),
645—131.18(152C) and 645— 131.19(152C).
ITEM 10. Adopt new
645—Chapter 132 as follows:
CHAPTER 132
CONTINUING EDUCATION
645—132.1(152C) Definitions. For the purpose of
these rules, the following definitions shall apply:
“Active license” means the license of a person who
is acting, functioning, and working in compliance with license
requirements.
“Administrator” means the administrator of the
board of examiners for massage therapy.
“Approved program/activity” means a continuing
education program/activity meeting the standards set forth in these rules, which
has received advance approval by the board pursuant to these rules.
“Approved sponsor” means a person or an
organization sponsoring continuing education activities that has been approved
by the board as a sponsor pursuant to these rules. During the time an
organization, educational institution, or person is an approved sponsor, all
continuing education activities of such organization, educational institution,
or person may be deemed automatically approved.
“Audit” means the selection of licensees
for verification of satisfactory completion of continuing education requirements
during a specified time period or the selection of providers for verification of
adherence to continuing provider requirements during a specified time
period.
“Board” means the board of examiners for massage
therapy.
“Continuing education” means planned, organized
learning acts acquired during initial licensure designed to maintain, improve,
or expand a licensee’s knowledge and skills in order for the licensee to
develop new knowledge and skills relevant to the enhancement of practice,
education, or theory development to improve the safety and welfare of the
public.
“Hour of continuing education” means a clock hour
spent by a licensee in actual attendance at and completion of an approved
continuing education activity.
“Inactive license” means the license of a person
who is not engaged in practice in the state of Iowa.
“Lapsed license” means a license that a person has
failed to renew as required, or the license of a person who has failed to meet
stated obligations for renewal within a stated time.
“License” means license to practice.
“Licensee” means any person licensed to
practice as a massage therapist in the state of Iowa.
645—132.2(152C) Continuing education
requirements.
132.2(1) The biennial continuing education compliance
period shall be run concurrently with each renewal period. Each biennium, each
person who is licensed to practice as a licensee in this state shall be required
to complete a minimum of 12 hours of continuing education approved by the
board.
132.2(2) Requirements of new licensees. Those persons
licensed for the first time shall not be required to complete continuing
education as a prerequisite for the first renewal of their licenses. Continuing
education hours acquired anytime from the initial licensing until the second
license renewal may be used. The new licensee will be required to complete a
minimum of 12 hours of continuing education per biennium for each subsequent
license renewal.
132.2(3) Hours of continuing education credit may be
obtained by attending and participating in a continuing education activity.
These hours must be approved by the board or otherwise meet the requirements
herein and be approved by the board pursuant to statutory provisions and the
rules that implement them.
132.2(4) No hours of continuing education shall be
carried over into the next biennium.
132.2(5) It is the responsibility of each licensee to
finance the cost of continuing education.
645—132.3(152C) Standards for
approval.
132.3(1) General criteria. A continuing education
activity which meets all of the following criteria is appropriate for continuing
education credit if it is determined by the board that the continuing education
activity:
a. Constitutes an organized program of learning which
contributes directly to the professional competency of the licensee;
b. Pertains to subject matters which integrally relate to the
practice of the profession;
c. Is conducted by individuals who have specialized education,
training and experience by reason of which said individuals should be considered
qualified concerning the subject matter of the program. The application must be
accompanied by a paper, manual or outline which substantively pertains to the
subject matter of the program and reflects program schedule, goals and
objectives. The board may request the qualifications of presenters;
d. Fulfills stated program goals, objectives, or both;
and
e. Provides proof of attendance to licensees in attendance
including:
(1) Date, place, course title, presenter(s);
(2) Numbers of program contact hours. (One contact hour
equals one hour of continuing education credit.); and
(3) Official signature or verification by program
sponsor.
132.3(2) Specific criteria.
a. Continuing education hours of credit may be obtained by
attending:
(1) Programs listed but not limited to: hydrotherapy;
superficial hot and cold applications; vibration and topical applications;
contraindications; pathology; HIV/AIDS education. Also included is therapy
which involves manipulation of the muscle and connective tissue of the body to
treat the muscle tonus system for the purpose of enhancing health, providing
muscle relaxation, increasing range of motion, reducing stress, relieving pain,
or improving circulation.
(2) Courses on herbology, aromatherapy, homeopathy and other
similar areas are eligible for approval only if they specifically teach topical
application techniques for professional practitioners. Only the number of hours
spent on teaching, explaining or demonstrating topical application are eligible
for continuing education credit and must be specifically described and scheduled
in the continuing education program application.
(3) Continuing education activities of an approved
sponsor.
b. The maximum number of hours in each category in each
biennium is as follows:
(1) Two hours of credit per biennium may be granted for each
of the following topics: professional ethics; CPR/first aid.
(2) Six hours of credit per biennium may be granted for home
study courses, which include written and electronically transmitted material or
video, if the following criteria are met:
1. There is an approved sponsoring person, group or
agency;
2. The program meets all the criteria set forth in standards
for approval of continuing education;
3. The program is accompanied by a certificate of postcourse
testing which includes the participant’s examination score and the passing
examination score; and
4. The program is accompanied by a certificate of completion
which includes:
• Course title;
• Date of
completion;
• Number of program hours;
and
• Verification that the
course was conducted by home study delivery.
c. Unacceptable subject matter may include but is not limited
to: meditation, feng shui, personal development, practice management,
communication, government regulation, insurance, collective bargaining,
community service presentations or courses that do not deal with manipulation.
Courses about energy–based techniques performed without physical
manipulation of tissue are not eligible for approval.
645—132.4(152C) Approval of sponsors, programs, and
activities for continuing education.
132.4(1) Approval of sponsors. An applicant who
desires approval as a sponsor of courses, programs, or other continuing
education activities shall, unless exempted elsewhere in these rules, apply for
approval to the board on the form designated by the board stating the
applicant’s educational history for the preceding two years or proposed
plan for the next two years.
a. The form shall include the following:
(1) Date(s), location, course title(s) offered and program
description;
(2) Total hours of instruction presented;
(3) Names and qualifications of instructors including
résumés or vitae; and
(4) Evaluation form(s).
b. Records shall be retained by the sponsor for four
years.
c. Attendance record report. The person or organization
sponsoring an approved continuing education activity shall provide a certificate
of attendance or verification to the licensee providing the following
information:
(1) Program date(s);
(2) Course title and presenter;
(3) Location;
(4) Number of clock hours attended and continuing education
hours earned;
(5) Name of sponsor and sponsor number;
(6) Licensee’s name; and
(7) Method of presentation.
d. All approved sponsors shall maintain a copy of the
following:
(1) The continuing education activity;
(2) List of enrolled licensees’ names and license
numbers; and
(3) Number of continuing education clock hours awarded for a
minimum of four years from the date of the continuing education
activity.
The sponsor shall submit a report of all continuing education
programs conducted in the previous year during the assigned month for reporting
designated by the board. The reportshall include a summary of the evaluations
completed by thelicensees.
132.4(2) Prior approval of programs/activities. An
organization or person other than an approved sponsor that desires prior
approval of a course, program or other educational activity or that desires to
establish approval of such activity prior to attendance shall apply for approval
to the board on a form provided by the board at least 60 days in advance of the
commencement of the activity. The board shall approve or deny such application
in writing within 30 days of receipt of such application. The application shall
state:
a. The date(s);
b. Course(s) offered;
c. Program itinerary;
d. Total hours of instruction; and
e. Names and qualifications of speakers and other pertinent
information.
The organization or person shall be notified of approval or
denial by ordinary mail.
132.4(3) Review of programs. Continuing
educationprograms/activities shall be reported every year at the designated time
assigned by the board. The board may at any time reevaluate an approved sponsor
or program. If, after reevaluation, the board finds there is cause for
revocation of the approval of an approved sponsor, the board shall give notice
of the revocation to that sponsor by certified mail. The sponsor shall have the
right to hearing regarding the revocation. The request for hearing must be sent
within 20 days after the receipt of the notice of revocation. The hearing shall
be held within 90 days after the receipt of the request for hearing. The board
shall give notice by certified mail to the sponsor of the date set for the
hearing at least 30 days prior to the hearing. The board shall conduct the
hearing in compliance with rule 645—11.9(17A).
132.4(4) Postapproval of activities. A licensee
seeking credit for attendance and participation in an educational activity which
was not conducted by an approved sponsor or otherwise approved shall submit to
the board, within 60 days after completion of such activity, the
following:
a. The date(s);
b. Course(s) offered;
c. Program description;
d. Total hours of instruction and credit hours
requested;
e. Names and qualifications of speakers and other pertinent
information;
f. Request for credit which includes a brief summary of the
activity; and
g. Certificate of attendance or verification.
Within 90 days after receipt of such application, the board
shall advise the licensee in writing by ordinary mail whether the activity is
approved and the number of hours allowed. A licensee not complying with the
requirements of this subrule may be denied credit for such activity.
132.4(5) Voluntary relinquishment. The approved
sponsor may voluntarily relinquish sponsorship by notifying the board office in
writing.
645—132.5(152C) Reporting continuing education by
licensee. At the time of license renewal, each licensee shall be required
to submit a report on continuing education to the board on a
board–approved form.
132.5(1) The information on the form shall
include:
a. Title of continuing education activity;
b. Date(s);
c. Sponsor of the activity;
d. Board–approved sponsor number;
e. Number of continuing education hours earned; and
f. Teaching method used.
132.5(2) Audit of continuing education report. After
each educational biennium, the board will audit a percentage of the continuing
education reports before granting the renewal of licenses to those being
audited.
a. The board will select licensees to be audited.
b. The licensee shall make available to the board for auditing
purposes a copy of the certificate of attendance or verification for all
reported activities that includes the following information:
(1) Date, location, course title, schedule (brochure,
pamphlet, program, presenter(s)), and method of presentation;
(2) Number of contact hours for program attended;
and
(3) Certificate of attendance or verification indicating
successful completion of course.
c. For auditing purposes, the licensee must retain the above
information for two years after the biennium has end–ed.
d. Submission of a false report of continuing education or
failure to meet continuing education requirements may cause the license to lapse
and may result in formal disciplinary action.
e. All renewal license applications that are submitted late
(after the end of the compliance period) may be subject to audit of the
continuing education report.
f. Failure to receive the renewal application shall not
relieve the licensee of responsibility of meeting continuing education
requirements and submitting the renewal fee by the end of the compliance
period.
645—132.6(152C) Reinstatement of lapsed license.
Failure of the licensee to renew within 30 days after expiration date shall
cause the license to lapse. A person who allows the license to lapse cannot
engage in practice in Iowa without first complying with all regulations
governing reinstatement as outlined in the board rules. A person who allows the
license to lapse may apply to the board for reinstatement of the license.
Reinstatement of the lapsed license may be granted by the board if the
applicant:
1. Submits a written application for reinstatement to the
board;
2. Pays all of the renewal fees then due;
3. Pays all penalty fees which have been assessed by the board
for failure to renew;
4. Pays reinstatement fee;
5. Provides evidence of satisfactory completion of continuing
education requirements during the period since the license lapsed. The total
number of continuing education hours required for license reinstatement is
computed by multiplying 12 by the number of bienniums since the license lapsed
to a maximum of five bienniums or 60 continuing education hours; and
6. Completes the National Certification Examination for
Therapeutic Massage and Bodywork successfully within one year immediately prior
to the submission of such application for reinstatement.
645—132.7(152C,272C) Continuing education waiver for
active practitioners. A massage therapist licensed to practice massage
therapy shall be deemed to have complied with the continuing education
requirements of this state during the period that the licensee serves honorably
on active duty in the military services or as a government employee outside the
United States as a practicing massage therapist.
645—132.8(152C,272C) Continuing education exemptions
for inactive practitioners. A licensee who is not engaged in practice in
the state of Iowa may be granted a waiver of continuing education compliance and
obtain a certificate of waiver upon written application to the board. The
application shall contain a statement that the applicant will not engage in the
practice of massage therapy in Iowa without first complying with all regulations
governing reinstatement after waiver. The application for a certificate of
waiver shall be submitted upon forms provided by the board.
645—132.9(152C,272C) Continuing education waiver for
disability or illness. The board may, in individual cases involving
disability or illness, grant waivers of the minimum education requirements or
extension of time within which to fulfill the same or make the required reports.
No waiver or extension of time shall be granted unless written application
therefor shall be made on forms provided by the board and signed by the licensee
and appropriate licensed health care practitioners. The board may grant waiver
of the minimum educational requirements for any period of time not to exceed one
calendar year from the onset of disability or illness. In the event that the
disability or illness upon which a waiver has been granted continues beyond the
period of waiver, the licensee must reapply for an extension of the waiver. The
board may, as a condition of any waiver granted, require the applicant to make
up a certain portion or all of the minimum educational requirements waived by
such methods as may be prescribed by the board.
645—132.10(152C,272C) Reinstatement of inactive
practitioners. Inactive practitioners who have been granted a waiver of
compliance with these rules and obtained a certificate of waiver shall, prior to
engaging in the practice of massage therapy in the state of Iowa, satisfy the
following requirements for reinstatement.
132.10(1) Submit written application for reinstatement
to the board upon forms provided by the board with appropriate reinstatement
fee; and
132.10(2) Furnish in the application evidence of one
of the following:
a. Satisfactory completion of continuing education
requirements during the period since the license became inactive. The total
number of continuing education hours required for license reinstatement is
computed by multiplying 12 by the number of bienniums since the license lapsed
to a maximum of five bienniums or 60 continuing education hours.
b. Successful completion of the National Certification
Examination for Therapeutic Massage and Bodywork within one year immediately
prior to the submission of such application for reinstatement.
645—132.11(272C) Hearings. In the event of
denial, in whole or part, of any application for approval of a continuing
education program or credit for continuing education activity, the applicant,
licensee or program provider shall have the right within 20 days after the
sending of the notification of denial by ordinary mail to request a hearing
which shall be held within 90 days after receipt of the request for hearing.
The hearing shall be conducted by the board or an administrative law judge
designated by the board, in substantial compliance with the hearing procedure
set forth in rule 645—11.9(17A).
These rules are intended to implement Iowa Code section
272C.2, chapter 152C as amended by 2000 Iowa Acts, Senate File 2113, and chapter
272C.
ARC 9934A
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 sections 421.14 and
422.68, the Department of Revenue and Finance hereby gives Notice of Intended
Action to amend Chapter 28, “Definitions,” Chapter 107, “Local
Option Sales and Service Tax,” and Chapter 108, “Local Option School
Infrastructure Sales and Service Tax,” Iowa Administrative Code.
Item 1 amends 701—28.1(423) to implement a new provision
found in 2000 Iowa Acts, Senate File 2315, section 3, which states that a return
of a vehicle to a manufacturer under Iowa’s lemon law provisions is not a
“use” in Iowa. Items 2 and 3 implement 2000 Iowa Acts, House File
2136, by amending 701—107.2(422B) and 108.2(5), respectively, to require
that the notice by the county auditor to the director regarding the imposition,
repeal, or change in the rate of the tax be made by providing the director a
copy of the abstract of votes.
The proposed amendments will not necessitate additional
expenditures by political subdivisions or agencies and entities which contract
with political subdivisions.
Any person who believes that the application of the
discretionary provisions of these amendments would result in hardship or
injustice to that person may petition the Department for a waiver of the
discretionary provisions, if any.
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 Supplement section 17A.4A. The Department will issue a
regulatory analysis as provided in Iowa Code Supplement section 17A.4A if a
written request is filed by delivery or by mailing postmarked no later than July
31, 2000, 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
Administrative Rules Coordinator, at least 25 persons signing that request who
qualify as a small business, or an organization representing at least 25 such
persons.
Any interested person may make written suggestions or comments
on these proposed amendments on or before July 28, 2000. 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 convey their views orally 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 July 21,
2000.
These amendments are intended to implement Iowa Code section
322G.12 as amended by 2000 Iowa Acts, Senate File 2315, section 3, Iowa Code
section 422B.1(6) and section 422E.2(4) as amended by 2000 Iowa Acts, House File
2136, sections 36 and 37.
The following amendments are proposed.
ITEM 1. Amend rule
701—28.1(423) by adopting the following new second
unnumbered paragraph:
Laws governing the return of defective vehicles by a
purchaser, commonly known as “lemon laws,” are found in Iowa Code
chapter 322G. Under Iowa Code chapter 322G, the return of a qualifying
defective vehicle to a manufacturer is not a taxable “use.”
Consequently, the transfer of the vehicle from a purchaser to a manufacturer
pursuant to Iowa Code chapter 322G and the titling and registration of that
vehicle by the manufacturer are not subject to Iowa use tax. For refund of use
tax paid by a purchaser of a vehicle that is returned under Iowa Code chapter
322G, see 701—34.3(423).
ITEM 2. Amend 701—107.2(422B) as
follows:
Amend subrule 107.2(1) by adopting the following
new second unnumbered paragraph:
Within ten days of the election at which a majority of those
voting in favor of the question of imposition, repeal, or change in the rate of
tax, the county auditor must give notice of the election results to the director
in the form of a copy of the abstract of votes.
Amend the implementation clause as follows:
This rule is intended to implement Iowa Code
sections section 422B.1 as amended by 2000 Iowa Acts,
House File 2136, section 36, and Iowa Code Supplement
section 422B.8 as amended by 1999 Iowa Acts, chapter 151, section
31, and Iowa Code section 422B.9 as amended by 1999 Iowa Acts, chapter
156.
ITEM 3. Amend rule 701—108.2(422E)
as follows:
Amend subrule 108.2(5) as follows:
108.2(5) Notice of election results. The county
auditor must give written notice by certified mail to the director of the
results of an election in which a majority of those voting on the question
favors the imposition, repeal, or change in the rate of the tax, within ten days
of the date of the election. This written notice must consist of a copy of the
abstract of ballot votes from the favorable election.
For the purposes of this rule, “abstract of ballot” means
abstract of votes as set forth in 721—21.803(4). For a
definition of “abstract of votes” see
721—21.803(4).
Amend the implementation clause as follows:
This rule is intended to implement Iowa Code Supplement
section 422E.2 as amended by 1999 Iowa Acts, chapters 151 and
156 2000 Iowa Acts, House File 2136, section 37.
ARC 9935A
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 sections 421.17(19) and
422.68, the Department of Revenue and Finance hereby gives Notice of Intended
Action to amend Chapter 104, “Hotel and Motel—Filing Returns,
Payment of Tax, Penalty, and Interest,” Chapter 107, “Local Option
Sales and Service Tax,” and Chapter 108, “Local Option School
Infrastructure Sales and Service Tax,” Iowa Administrative Code.
Item 1 amends rule 701—104.7(422A) to implement
application of payments based on a ratio formula for payments of tax received on
a combined state sales and hotel and motel tax return. Items 2 and 3 amend
chapters 107 and 108 to add new rule 701—107.15(422B) and amend existing
rule 701— 108.4(422E), respectively, to implement application of payments
received based on a ratio formula for payments of tax received on a combined
state sales and local option return. Item 4 amends rule 701—108.7(422E)
to provide that the enrollment numbers for the distribution formula for local
option school infrastructure sales and service tax are based on the actual
enrollments reported for the previous fiscal year from the date of
implementation of the tax.
The proposed amendments will not necessitate additional
expenditures by political subdivisions or agencies and entities which contract
with political subdivisions.
Any person who believes that the application of the
discretionary provisions of these amendments would result in hardship or
injustice to that person may petition the Department for a waiver of the
discretionary provisions.
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.4A [1998 Iowa Acts, chapter 1202, section 10].
The Department will issue a regulatory analysis as provided in Iowa Code section
17A.4A [1998 Iowa Acts, chapter 1202, section 10] if a written request is filed
by delivery or by mailing postmarked no later than July 31, 2000, 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 Administrative Rules
Coordinator, at least 25 persons signing that request who each qualify as a
small business or an organization representing at least 25 such
persons.
Any interested person may make written suggestions or comments
on these proposed amendments on or before July 28, 2000. 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 convey their views orally 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 July 21,
2000.
These amendments are intended to implement Iowa Code chapters
422A, 422B, and 422E.
The following amendments are proposed.
ITEM 1. Amend rule 701—104.7(422A)
as follows:
701—104.7(422A) Application of payments.
Since a combined hotel and motel tax and quarterly sales tax return is
utilized by the department, all payments received will be first applied to
satisfy hotel and motel tax liabilities. Since a combined hotel and
motel tax and quarterly state sales tax return is utilized by the department,
all payments received with the return will be applied to satisfy state sales tax
and hotel and motel tax liabilities, which include penalty and interest.
Application of partial payments received with the tax return and any subsequent
partial payment received for that tax period will be applied based on a ratio
formula, unless properly designated by the taxpayer as provided in Iowa Code
section 421.60(2)“d.” The denominator in the ratio shall be the
total of the hotel and motel tax due and the state sales tax due less any
monthly sales tax deposits. The numerators in the ratio formula shall be the
amounts of hotel and motel tax due and the net state sales tax
due.
EXAMPLE: XYZ hotel owes
a total of $1,000 in net state sales tax and hotel and motel tax for the
quarter. Of the $1,000 owed, $600 is for hotel and motel tax and $400 is for
state sales tax. XYZ files its quarterly sales tax return accompanied by a $500
partial payment. The $500 partial payment would be applied based on the
following computation:
600
|
?
|
500
|
=
|
$300
|
Hotel and motel tax
|
1000
|
|
|
|
|
|
400
|
?
|
500
|
=
|
$200
|
State sales tax
|
1000
|
|
|
|
|
|
All revenues received under Iowa Code chapter 422A are to be
credited to the “local transient guest tax fund.” Revenues include
all interest and penalties applicable to any hotel and motel tax report or
remittance, whether resulting from delinquencies or audits. All revenues
received or moneys refunded 180 days after the date on which a city or county
terminates its local hotel and motel tax shall be deposited in or withdrawn from
the state general fund. The 180–day limitation applies to actual receipts
or disbursements and not to accrued but unpaid tax liabilities or potential
refunds.
This rule is intended to implement Iowa Code section
422A.1.
ITEM 2. Amend 701—Chapter 107 by
adopting new rule 701—107.15(422B) as follows:
701—107.15(422B) Application of payments. Since
a combined state sales and local option return is utilized by the department,
all payments received will be applied to satisfy state sales tax and local
option sales and service tax, which include tax, penalty and interest.
Application of payments received with the tax return and any subsequent payments
received will be applied based on a ratio formula, unless properly designated by
the taxpayer as provided in Iowa Code section 421.60(2)“d.” The
ratio for applying all payments received with the return and all subsequent
payments for the given tax period will be based upon the calculated total of
state sales and local option sales and service tax due for the given tax period
in relation to combined total payment of sales and local option sales and
service tax actually received for that tax period.
This rule is intended to implement Iowa Code Supplement
section 422B.10.
ITEM 3. Amend rule 701—108.4(422E)
as follows:
701—108.4(422E) Similarities to the local option
sales and service tax imposed in Iowa Code chapter 422B and 701—Chapter
107. The administration of the tax imposed under this chapter is similar to
the local option tax imposed under Iowa Code chapter 422B and 701—Chapter
107. As a result, a few of the rules set forth in 701—Chapter 107 arealso
applicable and govern the local option sales and service school infrastructure
tax as well. Accordingly, the following rules are incorporated by reference
into this chapter and will govern their respective topics in relation to the
local option sales and service school infrastructure tax:
1. 701—107.7(422B) Special rules regarding utility
payments.
2. 701—107.8(422B) Contacts with county necessary to
impose collection obligation upon a retailer.
3. 701—107.12(422B) Computation of local option tax due
from mixed sales on excursion boats.
4. 701—107.13(421,422B) Officers and partners, personal
liability for unpaid tax.
5. 701—107.15(422B) Application of
payments.
This rule is intended to implement Iowa Code section
422E.3.
ITEM 4. Amend rule 701—108.7(422E)
as follows:
701—108.7(422E) Local option school infrastructure
sales and service tax payments to school districts. The director of
revenue and finance within 15 days of the beginning of each fiscal year shall
send to each school district where the local option school infrastructure
sales and service tax is imposed an estimate of the tax moneys each
school district will receive for the year and for each month of the year. At
the end of each month, the director may revise the estimates for the year and
remaining months. The director shall remit 95 percent of the estimated monthly
tax receipts for the school district to the school district on or before August
31 of the fiscal year and the last day of each month thereafter. The director
shall remit a final payment of the remainder of tax money due for the fiscal
year before November 10 of the next fiscal year. If an overpayment has resulted
during the previous fiscal year, the first payment of the new fiscal year shall
be adjusted to reflect any overpayment. Effective on or after May 20, 1999, an
adjustment for an overpayment that has resulted during the previous fiscal year
will be reflected beginning with the November payment.
If more than one school district or a portion of a school
district is located within the county, tax receipts shall be remitted to each
school district or portion of a school district in which the county tax is
imposed in a pro–rata share based upon the ratio which the percentage of
actual enrollment for the school district that attends school in the county
bears to the percentage of the total combined actual enrollments for all school
districts that attend school in the county. A student’s enrollment is
based on the residency of the student. The formula to compute this ratio is the
following:
actual enrollment for the school district at issue
|
actual combined actual enrollment
for the county
|
The combined actual enrollment for the county, for purposes of
this tax, shall be determined for each county imposing the tax under this rule
by the Iowa department of management based on the actual enrollment figures
reported by October 1 of each year to the department of management by the
department of education pursuant to Iowa Code section 257.6(1). Enrollment
figures to be used for the purpose of this formula are the enrollment figures
reported by the department of education for the fiscal year preceding the
favorable vote by a county to implement date of
implementation of the local option school infrastructure sales and
service tax.
EXAMPLE: In November of
1998 1999, Polk County holds a valid election that
results in a favorable vote to impose the local option school infrastructure
sales and service tax. The tax will be implemented in Polk County on
July 1, 2000. The fiscal year preceding the implementation of the tax is July
1, 1999, through June 30, 2000. To determine the proper ratio of funds to
be distributed to the multiple school districts located in Polk County, the
enrollment figures reported by the department of education to the department of
management by October of 1997 1999 must be obtained to
compute the formula as set forth.
For additional information regarding the formula for tax
revenues to be distributed to the school districts, see the department of
education’s rules regarding this tax under 281— Chapter 96, Iowa
Administrative Code.
This rule is intended to implement Iowa Code Supplement
section 422E.3 as amended by 1999 Iowa Acts, chapter 156, section
19.
ARC 9890A
SECRETARY OF STATE[721]
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 52.5, the
Secretary of State hereby gives Notice of Intended Action to amend Chapter 22,
“Alternative Voting Systems,” Iowa Administrative Code.
Iowa Code section 52.5 requires that before actual use by a
county of a particular electronic voting system which has been approved for use
in this state, the state commissioner shall formulate, with the advice and
assistance of the examiners, and adopt rules governing the development of vote
counting programs and all procedures used in actual counting of votes by means
of that system. These proposed amendments reflect changes made to the AIS 100
precinct ballot counter and approved for use in Iowa by the Iowa Board of
Examiners for Voting Machines and Electronic Voting Systems on May 12,
2000.
Due to a change in the ownership of the vendor, this voting
equipment is now called “ES&S Model 100.” The proposed
amendments to rule 22.261(52) reflect technical additions, changes and deletions
made by the vendor to messages that are displayed on the machine. Instructions
to the precinct election officials have also been revised to provide guidance in
responding to the messages. The most significant change is the addition of the
“unidentified mark” error message. If the ballot scanner detects a
mark within a voting target that is not dark enough to meet the technical
standard to be considered and counted as a vote, the machine will return the
ballot to the voter so the voter can decide whether the mark should be darkened,
or whether the mark was unintended and the ballot should be replaced and
remarked.
Any interested person may make written suggestions or comments
on the proposed amendments on or before Tuesday, July 18, 2000. Written
comments should be sent to the Elections Division, Office of the Secretary of
State, Second Floor, Hoover State Office Building, Des Moines, Iowa
50319–0138, fax (515)242–5953. Anyone who wishes to comment orally
may telephone the Elections Division at (515)281–5823 or visit the office
on the second floor of the Hoover Building.
There will be a public hearing on Tuesday, July 18, 2000, at
1:30 p.m. at the office of the Secretary of State, Second Floor, Hoover State
Office Building. People may comment orally or in writing. Persons who speak at
the hearing will be asked to give their names and addresses for the record and
to confine their remarks to the subject of the rule. Persons planning to attend
the hearing shall notify the Director of Elections by telephone at
(515)281–5823 or by fax at (515) 242–5953 no later than 4:30 p.m. on
Monday, July 17, 2000.
These amendments are intended to implement Iowa Code section
52.5.
These amendments were also Adopted and Filed Emergency and are
published herein as ARC 9891A. The content of that submission is
incorporated by reference.
ARC 9893A
SECRETARY OF STATE[721]
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 sections 17A.3,
490.135 and 504A.91, the Secretary of State hereby gives Notice of Intended
Action to amend Chapter 40, “Corporations,” Iowa Administrative
Code.
The amendments are proposed in response to new legislation
contained in 2000 Iowa Acts, House File 2545, section 32, which authorizes the
Secretary of State to conduct a pilot project permitting the refund of fees
notwithstanding Iowa Code section 490.122, subsection 1, paragraphs
“a” and “s,” and Iowa Code section 504A.85, subsections
1 and 9. In conducting the pilot project, the Secretary may refund fees for
certain corporate filings if the Secretary determines that the service standard
for timely filing has not been met. The service standard is set by
rule.
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 Secretary of State’s Office,
Business Services Division, Attn: Rob Berntsen, Hoover Building, 2nd Floor, Des
Moines, Iowa 50319; Internet E–mail address
rberntsen@sos.state.ia.us.
5. Be received by the Business Services Division no later than
July 18, 2000.
A meeting to hear requested oral presentations is scheduled
for July 18, 2000, at 10 a.m. in the O’Connor Conference Room, Hoover
Building, Second Floor, Des Moines, Iowa 50319.
The meeting will be canceled without further notice if no oral
presentation is requested.
These amendments were also Adopted and Filed Emergency and are
published herein as ARC 9894A. The content of that submission is
incorporated by reference.
These amendments are intended to implement 2000 Iowa Acts,
House File 2545, section 32.
NOTICE—PUBLIC FUNDS INTEREST
RATES
In compliance with Iowa Code chapter 74A and section 12C.6,
the committee composed of Treasurer of StateMichael L. Fitzgerald,
Superintendent of Credit Unions James E. Forney, Superintendent of Banking
Holmes Foster, and Auditor of State Richard D. Johnson have established today
the following rates of interest for public obligations and special assessments.
The usury rate for June is 8.00%.
INTEREST RATES FOR PUBLIC
OBLIGATIONS AND ASSESSMENTS
74A.2 Unpaid Warrants Maximum 6.0%
74A.4 Special Assessments Maximum 9.0%
RECOMMENDED for 74A.3 and 74A.7: A rate equal to 75%
of the Federal Reserve monthly published indices for U.S. Government securities
of comparable maturities.
The rate of interest has been determined by a committee of the
state of Iowa to be the minimum interest rate that shall be paid on public funds
deposited in approved financial institutions. To be eligible to accept deposits
of public funds of the state of Iowa, a financial institution shall demonstrate
a commitment to serve the needs of the local community in which it is chartered
to do business. These needs include credit services as well as deposit
services. All such financial institutions are required to provide the committee
with a written description of their commitment to provide credit services in the
community. This statement is available for examination by citizens.
New official state interest rates, effective June 10, 2000,
setting the minimums that may be paid by Iowa depositories on public funds are
listed below.
TIME DEPOSITS
7–31 days Minimum 5.60%
32–89 days Minimum 5.80%
90–179 days Minimum 6.20%
180–364 days Minimum 6.20%
One year Minimum 6.20%
More than one year Minimum 6.50%
These are minimum rates only. The one year and less are
four–tenths of a percent below average rates. Public body treasurers and
their depositories may negotiate a higher rate according to money market rates
and conditions.
Inquiries may be sent to Michael L. Fitzgerald, Treasurer of
State, State Capitol, Des Moines, Iowa 50319.
FILED EMERGENCY
ARC 9901A
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 73, “Commodity
Distribution Programs,” appearing in the Iowa Administrative
Code.
The Council on Human Services adopted this amendment June 8,
2000. Notice of Intended Action regarding this amendment was published in the
Iowa Administrative Bulletin on April 19, 2000, as ARC 9780A.
This amendment increases the income eligibility guidelines for
the Emergency Food Assistance Program.
Income eligibility guidelines for the Emergency Food
Assistance Program in Iowa are based on the income guidelines for the reduced
price meals in the National School Lunch Program. These guidelines are set at
185 percent of the federal poverty guidelines and are normally revised effective
July 1 of each year. Revised federal poverty guidelines have been received by
the Department.
This amendment does not provide for waiver in specified
situations because it confers a benefit by allowing the Department of Human
Services to serve more needy individuals under the Emergency Food Assistance
Program.
The Department finds that this amendment confers a benefit on
persons applying for or receiving emergency food by increasing the income limits
and making more persons eligible. 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
234.12.
This amendment shall become effective July 1, 2000.
The following amendment is adopted.
Amend subrule 73.4(3), paragraph
“d,” subparagraph (2), as follows:
(2) Income eligible status. The gross income according to
family size is no more than the following amounts:
Household Size
|
Yearly Income
|
Monthly Income
|
Weekly Income
|
1
|
$15,244
$15,448
|
$1,271
$1,288
|
$ 294
$ 298
|
2
|
20,461
20,813
|
1,706
1,735
|
394
401
|
3
|
25,678
26,178
|
2,140
2,182
|
494
504
|
4
|
30,895
31,543
|
2,575
2,629
|
595
607
|
5
|
36,112
36,908
|
3,010
3,076
|
695
710
|
6
|
41,329
42,273
|
3,445
3,523
|
795
813
|
7
|
46,546
47,638
|
3,879
3,970
|
896
917
|
8
|
51,763
53,003
|
4,314
4,417
|
996
1,020
|
For each additional household member add:
|
$ 5,217
$ 5,365
|
$ 435
$ 448
|
$ 101
$ 104
|
[Filed Emergency After Notice 6/8/00, effective
7/1/00]
[Published 6/28/00]
EDITOR’S NOTE:
For replacement pages for IAC, see IAC Supplement 6/28/00.
ARC 9902A
HUMAN SERVICES
DEPARTMENT[441]
Adopted and Filed Emergency
Pursuant to the authority of Iowa Code section 249A.4, the
Department of Human Services hereby amends Chapter 75, “Conditions of
Eligibility,” appearing in the Iowa Administrative Code.
The Seventy–eighth General Assembly directed the
Department to increase the medical assistance eligibility income limit for
pregnant women and infants under the Mothers and Children Program to 200 percent
of the federal poverty level, effective July 1, 2000. Federal law does not
allow an increase in the current eligibility income limit of 185 percent of the
federal poverty level, but does allow additional deductions.
This amendment allows pregnant women and infants Medicaid
eligibility up to 200 percent of the federal poverty level by providing a
deduction equal to 15 percent of the federal poverty level for the family
size.
This amendment does not provide for waiver in specified
situations because it confers a benefit by allowing the Department of Human
Services to provide for coverage of medical services for more pregnant women and
infants under the Mothers and Children Program.
The Department of Human Services finds that notice and public
participation are impracticable and unnecessary because of the legislative
directive and because there is not time to allow for notice and public
participation prior to the effective date of July 1, 2000. Therefore, this
amendment is filed pursuant to Iowa Code section 17A.4(2).
The Department finds that this amendment confers a benefit by
providing medical coverage to more pregnant women and infants. Therefore, this
amendment is filed pursuant to Iowa Code section
17A.5(2)“b”(2).
This amendment was also published under Notice of Intended
Action in the Iowa Administrative Bulletin on June 14, 2000, as ARC 9867A
to allow for public comment.
The Council on Human Services adopted this amendment June 8,
2000.
This amendment is intended to implement 2000 Iowa Acts, Senate
File 2435, section 8, subsection 12, and Iowa Code section
249A.3(1)“k” as amended by 2000 Iowa Acts, Senate File 2435, section
41.
This amendment shall become effective July 1, 2000.
The following amendment is adopted.
Amend subrule 75.1(28), paragraph
“a,” subparagraph (1), as follows:
(1) Family income shall not exceed 185 percent of the federal
poverty level for pregnant women when establishing initial eligibility under
these provisions and for infants (under one year of age) when establishing
initial and ongoing eligibility. Family income shall not exceed 133 percent of
the federal poverty level for children who have attained one year of age but who
have not attained 19 years of age. Income to be considered in determining
eligibility for pregnant women, infants, and children shall be determined
according to family medical assistance program (FMAP) methodologies except that
the three–step process for determining initial eligibility and the
two–step process for determining ongoing eligibility, as described at rule
441—75.57(249A), shall not apply. Family income is the income remaining
after disregards and deductions have been applied in accordance with the
provisions of rule 441—75.57(249A).
In determining eligibility for pregnant women and infants,
after the aforementioned disregards and deductions have been applied, an
additional disregard equal to 15 percent of the applicable federal poverty level
shall be applied to the family’s income.
[Filed Emergency 6/8/00, effective 7/1/00]
[Published 6/28/00]
EDITOR’S NOTE:
For replacement pages for IAC, see IAC Supplement 6/28/00.
ARC 9903A
HUMAN SERVICES
DEPARTMENT[441]
Adopted and Filed Emergency After Notice
Pursuant to the authority of Iowa Code section 249A.4, the
Department of Human Services hereby amends Chapter 75, “Conditions of
Eligibility,” appearing in the Iowa Administrative Code.
The Council on Human Services adopted these amendments June 8,
2000.
Notice of Intended Action regarding these amendments was
published in the Iowa Administrative Bulletin on April 19, 2000, as ARC
9781A.
These amendments revise the statewide average cost to a
private pay person for nursing care in Iowa and the average charges for nursing
facility care, hospital–based skilled nursing care,
non–hospital–based skilled nursing care, intermediate care facility
for the mentally retarded (ICF/MR) care, mental health institute (MHI) care, and
psychiatric medical institution for children (PMIC) care. The statewide average
cost is used to determine the period of ineligibility when an applicant or
recipient has transferred assets for less than fair market value. The statewide
average charge is used to determine whether a person who has established a
medical assistance income trust qualifies for Medicaid.
A person who transfers assets for less than fair market value
in order to become eligible for Medicaid becomes ineligible for Medicaid for
nursing facility services or home– and community–based waiver
services for a period of time determined by dividing the uncompensated value of
the transferred assets by the statewide average cost for nursing facility
services to a private pay person.
Any person is allowed to establish a medical assistance income
trust under Iowa Code section 633.709. For persons whose income exceeds 300
percent of the Supplemental Security Income (SSI) benefit for one person
(currently $1,536) but whose income is below the statewide average charge or the
average Medicaid reimbursement rate for nursing facility services or a higher
level of care if the person so requires, a medical assistance income trust may
be used to establish Medicaid eligibility.
The Department is required to update these average statewide
costs and charges annually. The statewide average cost used to determine the
period of ineligibility for a personwho transfers assets for less than fair
market value is a cost determined using all types of nursing facilities,
including hospital–based and non–hospital–based skilled
care.
The average private pay cost increased from $2,673 per month
to $2,933. The average charge to a private pay resident of nursing facility
care increased from $2,723 to $2,758. The average charge for
hospital–based skilled care increased from $8,013 per month to $9,836.
The average charge for non–hospital–based skilled care increased
from $4,097 to $4,523. The average charges for ICF/MR and psychiatric medical
institution for children care remained the same. The average statewide charge
to a resident of a mental health institute decreased from $11,924 per month to
$9,962.
These amendments do not provide for waivers in specified
situations because everyone should be subject to the same amounts set by these
amendments. Individuals may request a waiver under the Department’s
general rule on exceptions at rule 441—1.8(217).
The Department finds that these amendments confer a benefit on
persons applying for Medicaid by establishing a more equitable period of
ineligibility and raising the income level for persons needing to establish a
Medicaid qualifying trust to become eligible for some type of facility care.
Therefore, these amendments are filed pursuant to Iowa Code section
17A.5(2)“b”(2).
These amendments are identical to those published under Notice
of Intended Action.
These amendments are intended to implement Iowa Code section
249A.4.
These amendments shall become effective July 1,
2000.
The following amendments are adopted.
ITEM 1. Amend subrule 75.23(3) as
follows:
75.23(3) Period of ineligibility. The number of
months of ineligibility shall be equal to the total cumulative uncompensated
value of all assets transferred by the individual (or the individual’s
spouse) on or after the look–back date specified in 75.23(2), divided by
the statewide average private pay rate for nursing facility services at the time
of application. The average statewide cost to a private pay resident shall be
determined by the department and updated annually for nursing facilities. For
the period from July 1, 1999 2000, through June 30,
2000 2001, this average statewide cost shall be
$2,673 $2,933 per month or $87.87
$96.43 per day.
ITEM 2. Amend subrule 75.24(3),
paragraph “b,” as follows:
b. A trust established for the benefit of an individual if the
trust is composed only of pension, social security, and other income to the
individual (and accumulated income of the trust), and the state will receive all
amounts remaining in the trust upon the death of the individual up to the amount
equal to the total medical assistance paid on behalf of the
individual.
For disposition of trust amounts pursuant to Iowa Code
sections 633.707 to 633.711, the average statewide charges and Medicaid rates
for the period from December July 1,
1999 2000, to June 30, 2000
2001, shall be as follows:
(1) The average statewide charge to a private pay resident of
a nursing facility is $2,723 $2,758 per month.
(2) The average statewide charge to a private pay resident of
a hospital–based skilled nursing facility is $8,013
$9,836 per month.
(3) The average statewide charge to a private pay resident of
a non–hospital–based skilled nursing facility is
$4,097 $4,523 per month.
(4) No change.
(5) The average statewide charge to a resident of a mental
health institute is $11,924 $9,962 per month.
(6) and (7) No change.
[Filed Emergency After Notice 6/8/00, effective
7/1/00]
[Published 6/28/00]
EDITOR’S NOTE:
For replacement pages for IAC, see IAC Supplement 6/28/00.
ARC 9905A
HUMAN SERVICES
DEPARTMENT[441]
Adopted and Filed Emergency
Pursuant to the authority of Iowa Code section 249A.4 and 2000
Iowa Acts, House File 2555, sections 1(1) and 11; Senate File 2193, section 21;
and Senate File 2435, sections 8(16), 31(15), and 44, the Department of Human
Services hereby amends 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,”
Chapter 81, “Nursing Facilities,” and Chapter 83, “Medicaid
Waiver Services,” appearing in the Iowa Administrative Code.
These amendments implement the following changes to the
Medicaid program as mandated by the General Assembly:
1. Policy is revised to allow for Medicaid reimbursement for
family and pediatric nurse practitioners who are employed by a hospital and are
providing services in ahospital–owned facility or in another location that
is not on or part of the hospital’s licensed premises.
Currently, hospitals employing family and pediatric nurse
practitioners are not reimbursed for services provided by these practitioners,
when the practitioners are providing services in a satellite location (i.e., not
on the licensed premises of the hospital). This amendment allows hospitals
employing family and pediatric nurse practitioners to receive reimbursement for
the practitioners’ services when these practitioners are providing
services in a setting in which the hospital cannot receive reimbursement for
“outpatient hospital services” (e.g., a satellite clinic) and when
these practitioners are not able to bill for their services
“incident–to” their supervising physician (i.e., because they
are not employed by that physician and because “incident–to”
billing is a function of an employment relationship between a physician and
auxiliary practitioner, such as a nurse practitioner, not an employment
relationship between a hospital and an auxiliary practitioner).
2. All of the reimbursement rates for the following
noninstitutional providers are increased by 7/10 of 1 percent (hereinafter
referred to as “0.7 percent” or “0.7%”): ambulances;
area education agencies; birth centers; certified registered nurse anesthetists;
community mental health centers; durable medical equipment, prosthetic devices
and medical supply dealers; family planning clinics; hearing aid dealers; lead
inspection agencies; maternal health centers; opticians; orthopedic shoe
dealers; rehabilitation agencies; and screening centers.
3. The reimbursement rate for dentists is increased to 75
percent of the “usual and customary rate.”
4. The dispensing fee for pharmacists is increased by 0.7
percent.
5. The reimbursement rate for community mental health centers
is increased by 16.63 percent and the 0.7 percent increase provided above for
noninstitutional providers, for a total of 17.33 percent.
6. Home health agency providers shall be paid the maximum
Medicare rate.
7. The reimbursement rate for psychiatric medical institutions
for children is increased to rates based on actual costs on June 30, 2000, not
to exceed a maximum of $147.20 per day.
8. The reimbursement rate for hospitals is increased by 3
percent.
9. The maximum reimbursement rate for nursing facilities is
increased by changing the maximum from the seventieth percentile of facility
costs based on 1999 cost reports to the same percentile based on June 30, 2000,
cost reports. It is estimated the maximum Medicaid nursing facility rate will
increase from $85.93 to $87.86 effective July 1, 2000.
10. Nursing facilities are required to include expenses
attributable to the home or principal office or headquarters in their cost
reports. They are also required to conduct prior to admission a resident
assessment of all persons seeking nursing facility placement. The assessment
information shall be similar to the data in the minimum data set (MDS) resident
assessment tool.
11. A case–mix add–on factor is added for nursing
facilities providing intermediate and skilled care. Participating nursing
facilities with higher than average patient care service expenses and higher
than average aggregate care needs of residents will receive an add–on of
$5.20 per day to their reimbursement rate. Participating nursing facilities with
lower than average patient care service expenses and higher than average
aggregate care needs of residents will receive an add–on of $2.60 per day
to their reimbursement rate. Freestanding nursing facilities providing skilled
care that exceeds the Iowa case–mix nursing facility average will receive
an add–on of $5.20 per day to their reimbursement rate.
The current reimbursement system for Iowa nursing facilities
provides a facility rate and maximum rate based only on costs. Many states,
with federal encouragement, have adopted reimbursement systems which factor in
the care needs of residents, providing a higher rate of reimbursement to
facilities that care for residents with greater care needs. The Department,
with the support of the Iowa nursing home industry, plans to begin moving the
Iowa reimbursement system in this direction.
It is believed this change will encourage facilities to accept
and retain more difficult–to–care–for residents. A consultant
has been hired on contract to make recommendations for further changes in the
reimbursement system. Additional changes to the reimbursement system will likely
be sought for the next fiscal year.
12. The following changes are made to policy governing skilled
nursing and home health aide services and to the Home– and
Community–Based Services waivers as mandated by the Seventy–eighth
General Assembly:
• The definitions of skilled
nursing and home health aide services that meet the intermittent guidelines for
payment under Medicaid are being expanded.
Daily skilled nursing visits or multiple daily visits for
wound care or insulin injections are covered when ordered by a physician and
included in the plan of care.
Home health aide services provided for four to seven days per
week, not to exceed 28 hours per week when ordered by a physician and included
in a plan of care, are allowed as intermittent services under certain
conditions.
• An interim medical
monitoring and treatment service is added to the ill and handicapped, mental
retardation, and brain injury waivers.
Interim medical monitoring and treatment services are
monitoring and treatment of a medical nature requiring specially trained
caregivers. The services allow the consumer’s usual caregivers to be
employed. Interim medical monitoring and treatment services may also be
provided for a limited period of time for academic or vocational training of a
usual caregiver; due to the hospitalization, treatment for physical or mental
illness, or death of a usual caregiver; or during a search for employment by a
usual caregiver.
Interim medical monitoring and treatment services provide
experiences for each consumer’s social, emotional, intellectual, and
physical development, include comprehensive developmental care and any special
services for a consumer with special needs, and include medical assessment,
medical monitoring, and medical intervention as needed on a regular or emergency
basis. Services may include transportation to and from school.
A maximum of 12 one–hour units of service is available
per day. Interim medical monitoring and treatment services may not duplicate any
regular Medicaid or waiver services provided under the state plan. They may be
provided only in the consumer’s home, in a registered group child care
home, in a registered family child care home, in a licensed child care center,
or during transportation to and from school. The staff–to–consumer
ratio shall not be less than one to six.
The following providers may provide interim medical monitoring
and treatment services: licensed child care centers, registered group and family
child care homes, and home health agencies certified to participate in the
Medicare program.
Staff members providing interim medical monitoring and
treatment services to consumers are to meet all of the following requirements:
be at least 18 years of age, not be the spouse of the consumer or a parent or
stepparent of the consumer if the consumer is aged 17 or under, not be a usual
caregiver of the consumer, and be qualified by training or experience, as
determined by the usual caregivers and a licensed medical professional on the
consumer’s interdisciplinary team, to provide medical intervention or
intervention in a medical emergency necessary to carry out the consumer’s
plan of care.
• Assisted living programs
certified or voluntarily accredited by the Iowa Department of Elder Affairs are
clearly identified as an agency provider of consumer–directed attendant
care in the elderly waiver program and a separate unit of service is identified.
When provided by an assisted living program, a unit of
consumer–directed attendant care service is one calendar month. If
services are provided by an assisted living program for less than one full
calendar month, the monthly reimbursement rate shall be prorated based on the
number of days service is provided.
• The aggregate monthly cost
limit in the elderly waiver program for a person needing the nursing facility
level of care is increased from $852 to $1,052.
• Respite services available
under the HCBS waiver programs are expanded by adding medical respite, expanding
potential providers, and increasing rates for all providers. In addition,
criteria are added to require safety procedures during the provision of respite
care.
Respite is a basic service that gives the caregiver of a
person with a disability or an elderly person a necessary break from care.
Respite is available under all of the HCBS waivers with the exception of the
physical disability waiver.
Respite services provided by home health agencies, home care
agencies, and other nonfacility providers are divided into specialized respite,
group respite, and basic individual respite, with separate rates of payment.
“Specialized respite” means respite provided on a
staff–to–consumer ratio of one to one or higher to individuals with
specialized medical needs requiring the care, monitoring or supervision of a
licensed registered nurse or licensed practical nurse. “Group
respite” is respite provided on a staff–to–consumer ratio of
less than one to one and “basic individual respite” means respite
provided on a staff–to–consumer ratio of one to one or higher to
individuals without specialized needs requiring the care of a licensed
registered nurse or licensed practical nurse.
• The reimbursement rates
for the following providers are increased by 7/10 of 1 percent (hereinafter
referred to as “0.7 percent” or “0.7%”): HCBS AIDS/HIV
waiver counseling, homemaker, nursing, home–delivered meals, adult day
care, and consumer–directed attendant care providers; HCBS Brain Injury
waiver personal emergency response, adult day care, case management,
consumer–directed attendant care, behavioral programming, family
counseling and training, and prevocational services providers; HCBS Elderly
waiver adult day care, emergency response, homemaker, nursing, chore,
home–delivered meals, nutritional counseling, assistive devices, senior
companion, and consumer–directed attendant care providers; HCBS Ill and
Handicapped waiver homemaker, adult day care, nursing care, counseling, and
consumer–directed attendant care providers; HCBS MR waiver personal
emergency response and consumer–directed attendant care providers; and
HCBS Physical Disability waiver consumer–directed attendant care and
personal emergency response providers.
• Home– and
Community–Based Services (HCBS) waiver home health providers shall be paid
the maximum Medicare rate.
The amendments explained in numbers 1 to 11 above do not
provide for waiver in specified situations because they confer a benefit on
providers by allowing additional Medicaid reimbursement for family and pediatric
nurse practitioners and increasing reimbursement to affected providers. The
General Assembly directed the Department to implement these changes with no
provisions for exceptions. All providers of the same category should be
reimbursed on the same basis.
The amendments explained in number 12 above do not provide for
waivers because the legislature directed these changes and they confer a
benefit. Exceptions to the amended limits and from particular requirements
regarding these services can be requested under the Department’s general
rule on exceptions at rule 441—1.8(17A).
In compliance with Iowa Code section 17A.4(2), the Department
of Human Services finds that notice and public participation are unnecessary
because these amendments implement 2000 Iowa Acts, House File 2555, sections 1
and 11; Senate File 2193, section 21; and Senate File 2435, sections 8(16),
31(15), and 44, which authorize the Department to adopt rules without notice and
public participation.
The Department also finds, pursuant to Iowa Code section
17A.5(2)“b”(1), that the normal effective date of these amendments
should be waived and these amendments made effective July 1, 2000, as authorized
by 2000 Iowa Acts, House File 2555, sections 1 and 11; Senate File 2193, section
21; and Senate File 2435, sections 8(16), 31(15), and 44.
These amendments were also published under Notice of Intended
Action in the Iowa Administrative Bulletin on June 14, 2000, as ARC 9882A
(numbers 1 through 11) and ARC 9881A (number 12) to allow for public
comment.
The Council on Human Services adopted these amendments June 8,
2000.
These amendments are intended to implement Iowa Code section
249A.4 and 2000 Iowa Acts, House File 2555, section 1, subsection 1, paragraphs
“b,” “e,” “f,” “h,”
“i,” and “j”; Senate File 2193, sections 12 and 20(3);
and Senate File 2435, sections 8(16), 31(1)“h,”
31(2)“c,” and 31(13), and 39.
These amendments shall become effective July 1,
2000.
The following amendments are adopted.
ITEM 1. Amend rule 441—77.30(249A)
as follows:
Amend subrule 77.30(5) as follows:
77.30(5) Respite care providers.
a. The following providers
agencies may provide respite care
services:
a. (1) Home health agencies
which meet the conditions of participation set forth in 77.30(2)
above that are certified to participate in the Medicare
program.
b. (2) Respite providers certified
under the HCBS MR waiver.
c. (3) Nursing facilities,
intermediate care facilities for the mentally retarded, and hospitals
certified to participate enrolled as providers in the
Iowa Medicaid program.
d. (4) Child Group
living foster care facilities for children licensed by the department
according to 441—Chapters 112 and 114 to 116 and child care
centers licensed according to 441—Chapter 109.
e. (5) Camps
accredited certified by the American Camping
Association.
f. (6) Home care agencies
which that meet the conditions of participation set
forth in subrule 77.30(1).
g. (7) Adult day care providers
which that meet the conditions of participation set
forth in subrule 77.30(3).
(8) Residential care facilities for persons with mental
retardation (RCF/PMR) licensed by the department of inspections and
appeals.
b. Respite providers shall meet the following
conditions:
(1) Providers shall maintain the following information that
shall be updated at least annually:
1. The consumer’s name, birth date, age, and address
and the telephone number of each parent, guardian, or primary
caregiver.
2. An emergency medical care release.
3. Emergency contact telephone numbers such as the number
of the consumer’s physician and the parents, guardian, or primary
caregiver.
4. The consumer’s medical issues, including
allergies.
5. The consumer’s daily schedule which includes the
consumer’s preferences in activities or foods or any other special
concerns.
(2) Procedures shall be developed for the dispensing,
storage, authorization, and recording of all prescription and nonprescription
medications administered. Home health agencies must follow Medicare regulations
for medication dispensing.
All medications shall be stored in their original
containers, with the accompanying physician’s or pharmacist’s
directions and label intact. Medications shall be stored so they are
inaccessible to consumers and the public. Nonprescription medications shall be
labeled with the consumer’s name.
In the case of medications that are administered on an
ongoing, long–term basis, authorization shall be obtained for a period not
to exceed the duration of the prescription.
(3) Policies shall be developed for:
1. Notifying the parent, guardian, or primary caregiver of
any injuries or illnesses that occur during respite provision. A
parent’s, guardian’s, or primary caregiver’s signature is
required to verify receipt of notification.
2. Requiring the parent, guardian, or primary caregiver to
notify the respite provider of any injuries or illnesses that occurred prior to
respite provision.
3. Documenting activities and times of respite. This
documentation shall be made available to the parent, guardian, or primary
caregiver upon request.
4. Ensuring the safety and privacy of the individual.
Policies shall at a minimum address threat of fire, tornado, and flood and bomb
threats.
c. A facility providing respite under this subrule shall
not exceed the facility’s licensed capacity, and services shall be
provided in locations consistent with licensure.
d. Respite provided outside the consumer’s home or
the facility covered by the licensure, certification, accreditation, or contract
must be approved by the parent, guardian, or primary caregiver and the
interdisciplinary team and must be consistent with the way the location is used
by the general public. Respite in these locations shall not exceed 72
continuous hours.
Adopt the following new subrule:
77.30(8) Interim medical monitoring and treatment
providers.
a. The following providers may provide interim medical
monitoring and treatment services:
(1) Licensed child care centers.
(2) Registered group child care homes.
(3) Registered family child care homes.
(4) Home health agencies certified to participate in the
Medicare program.
b. Staff requirements. Staff members providing interim
medical monitoring and treatment services to consumers shall meet all of the
following requirements:
(1) Be at least 18 years of age.
(2) Not be the spouse of the consumer or a parent or
stepparent of the consumer if the consumer is aged 17 or under.
(3) Not be a usual caregiver of the consumer.
(4) Be qualified by training or experience, as determined by
the usual caregivers and a licensed medical professional on the consumer’s
interdisciplinary team and documented in the service plan, to provide medical
intervention or intervention in a medical emergency necessary to carry out the
consumer’s plan of care.
ITEM 2. Amend subrule 77.33(6) as
follows:
77.33(6) Respite care providers.
a. The following providers
agencies may provide respite care
services:
a. (1) Home health agencies
certified by Medicare that are certified to participate in
the Medicare program.
b. (2) Nursing facilities and
hospitals certified to participate enrolled as providers
in the Iowa Medicaid program.
c. (3) Camps
accredited certified by the American Camping
Association.
d. (4) Respite providers certified
under the HCBS MR waiver.
e. (5) Home care agencies
which that meet the conditions of participation set
forth in subrule 77.33(4).
f. (6) Adult day care providers
which that meet the conditions set forth in subrule
77.33(1).
b. Respite providers shall meet the following conditions:
(1) Providers shall maintain the following information that
shall be updated at least annually:
1. The consumer’s name, birth date, age, and address
and the telephone number of the spouse, guardian, or primary
caregiver.
2. An emergency medical care release.
3. Emergency contact telephone numbers such as the number
of the consumer’s physician and the spouse, guardian, or primary
caregiver.
4. The consumer’s medical issues, including
allergies.
5. The consumer’s daily schedule which includes the
consumer’s preferences in activities or foods or any other special
concerns.
(2) Procedures shall be developed for the dispensing,
storage, authorization, and recording of all prescription and nonprescription
medications administered. Home health agencies must follow Medicare regulations
for medication dispensing.
All medications shall be stored in their original
containers, with the accompanying physician’s or pharmacist’s
directions and label intact. Medications shall be stored so they are
inaccessible to consumers and the public. Nonprescription medications shall be
labeled with the consumer’s name.
In the case of medications that are administered on an
ongoing, long–term basis, authorization shall be obtained for a period not
to exceed the duration of the prescription.
(3) Policies shall be developed for:
1. Notifying the spouse, guardian, or primary caregiver of
any injuries or illnesses that occur during respite provision. A
spouse’s, guardian’s, or primary caregiver’s signature is
required to verify receipt of notification.
2. Requiring the spouse, guardian, or primary caregiver to
notify the respite provider of any injuries or illnesses that occurred prior to
respite provision.
3. Documenting activities and times of respite. This
documentation shall be made available to the spouse, guardian, or primary
caregiver upon request.
4. Ensuring the safety and privacy of the individual.
Policies shall at a minimum address threat of fire, tornado, and flood and bomb
threats.
c. A facility providing respite under this subrule shall
not exceed the facility’s licensed capacity, and services shall be
provided in locations consistent with licensure.
d. Respite provided outside the consumer’s home or
the facility covered by the licensure, certification, accreditation, or contract
must be approved by the spouse, guardian, or primary caregiver and the
interdisciplinary team and must be consistent with the way the location is used
by the general public. Respite in these locations shall not exceed 72
continuous hours.
ITEM 3. Amend subrule 77.34(5) as
follows:
77.34(5) Respite care providers. Respite care
providers shall be:
a. The following agencies may provide respite
services:
a. (1) Home health agencies
which meet the conditions of participation set forth in
77.34(2) that are certified to participate in the Medicare
program.
b. (2) Nursing facilities,
intermediate care facilities for the mentally retarded, or hospitals
certified to participate enrolled as providers in the
Iowa Medicaid program.
c. (3) Respite providers certified
under the HCBS MR waiver.
d. (4) Child Group
living foster care facilities for children licensed by the department
according to 441—Chapters 112 and 114 to 116 and child care
centers licensed according to 441—Chapter 109.
e. (5) Camps
accredited certified by the American Camping
Association.
f. (6) Home care agencies
which that meet the conditions of participation set
forth in subrule 77.34(3).
g. (7) Adult day care providers
which that meet the conditions of participation set
forth in subrule 77.34(7).
b. Respite providers shall meet the following conditions:
(1) Providers shall maintain the following information that
shall be updated at least annually:
1. The consumer’s name, birth date, age, and address
and the telephone number of each parent, guardian, or primary
caregiver.
2. An emergency medical care release.
3. Emergency contact telephone numbers such as the number
of the consumer’s physician and the parents, guardian, or primary
caregiver.
4. The consumer’s medical issues, including
allergies.
5. The consumer’s daily schedule which includes the
consumer’s preferences in activities or foods or any other special
concerns.
(2) Procedures shall be developed for the dispensing,
storage, authorization, and recording of all prescription and nonprescription
medications administered. Home health agencies must follow Medicare regulations
for medication dispensing.
All medications shall be stored in their original
containers, with the accompanying physician’s or pharmacist’s
directions and label intact. Medications shall be stored so they are
inaccessible to consumers and the public. Nonprescription medications shall be
labeled with the consumer’s name.
In the case of medications that are administered on an
ongoing, long–term basis, authorization shall be obtained for a period not
to exceed the duration of the prescription.
(3) Policies shall be developed for:
1. Notifying the parent, guardian, or primary caregiver of
any injuries or illnesses that occur during respite provision. A
parent’s, guardian’s, or primary caregiver’s signature is
required to verify receipt of notification.
2. Requiring the parent, guardian, or primary caregiver to
notify the respite provider of any injuries or illnesses that occurred prior to
respite provision.
3. Documenting activities and times of respite. This
documentation shall be made available to the parent, guardian, or primary
caregiver upon request.
4. Ensuring the safety and privacy of the individual.
Policies shall at a minimum address threat of fire, tornado, and flood and bomb
threats.
c. A facility providing respite under this subrule shall
not exceed the facility’s licensed capacity, and services shall be
provided in locations consistent with licensure.
d. Respite provided outside the consumer’s home or
the facility covered by the licensure, certification, accreditation, or contract
must be approved by the parent, guardian, or primary caregiver and the
interdisciplinary team and must be consistent with the way the location is used
by the general public. Respite in these locations shall not exceed 72
continuous hours.
ITEM 4. Amend rule 441—77.37(249A)
as follows:
Amend the introductory paragraph as follows:
441—77.37(249A) HCBS MR waiver service providers.
Supported community living and supported employment providers shall be
eligible to participate as approved HCBS MR service providers in the Medicaid
program based on theoutcome–based standards set forth below in subrules
77.37(1) and 77.37(2) evaluated according to subrules 77.37(10) to 77.37(12),
the requirements of subrules 77.37(3) to 77.37(9), and the applicable subrules
pertaining to the individual service. Respite providers shall meet the
conditions set forth in subrules 77.37(1) and 77.37(15). Home and vehicle
modification shall meet the conditions set forth in subrule 77.37(17). Personal
emergency response system providers shall meet the conditions set forth in
subrule 77.37(18). Nursing providers shall meet the conditionsset forth in
subrule 77.37(19). Home health aide providers shall meet the conditions set
forth in subrule 77.37(20).Consumer–directed attendant care providers
shall meet the conditions set forth in subrule 77.37(21). Interim medical
monitoring and treatment providers shall meet the conditions set forth in
subrule 77.37(22).
Amend subrule 77.37(15) as follows:
77.37(15) Respite care providers. The
department will contract only with public or private agencies to provide respite
services. The department does not recognize individuals as service providers
under the respite program.
a. The following agencies may provide HCBS
MR res–pite services:
a. (1) Providers of services
meeting the definition of foster care or day care licensed according to
applicable 441— Chapters 108, 109, 112, 114, 115, and 116.
Group living foster care facilities for children licensed by the department
according to 441—Chapters 112 and 114 to 116 and child care centers
licensed according to 441—Chapter 109.
Providers of services may employ or contract with
individuals meeting the definition of foster family homes or family or group day
care homes to provide respite services. These individuals shall be licensed
according to applicable 441—Chapters 110, 112, and 113.
b. (2) Nursing facilities,
intermediate care facilities for the mentally retarded, and hospitals
certified to participate enrolled as providers in the
Iowa Medicaid program.
c. (3) RCF/MR facilities
certified Residential care facilities for persons with mental
retardation (RCF/PMR) licensed by the department of inspections and
appeals.
d. (4) Home health agencies
provided they that are certified to participate in the
Medicare program (Title XVIII of the Social Security
Act).
e. (5) Day camps provided they
are Camps certified by the American Camping
Association.
f. (6) Adult day health services
accredited by the Joint Commission on Accreditation of Healthcare Organizations
(JCAHO) or the Commission on Accreditation of Rehabilitation Facilities
(CARF).
(7) Home care agencies that meet the home care standards
and requirements set forth in department of public health rules
641—80.5(135) through 641— 80.7(135).
(8) Agencies certified by the department to provide
res–pite services in the consumer’s home that meet the requirements
of 77.37(1) and 77.37(3) through 77.37(9).
b. Respite providers shall meet the following conditions:
(1) Providers shall maintain the following information that
shall be updated at least annually:
1. The consumer’s name, birth date, age, and address
and the telephone number of each parent, guardian, or primary
caregiver.
2. An emergency medical care release.
3. Emergency contact telephone numbers such as the number
of the consumer’s physician and the parents, guardian, or primary
caregiver.
4. The consumer’s medical issues, including
allergies.
5. The consumer’s daily schedule which includes the
consumer’s preferences in activities or foods or any other special
concerns.
(2) Procedures shall be developed for the dispensing,
storage, authorization, and recording of all prescription and nonprescription
medications administered. Home health agencies must follow Medicare regulations
for medication dispensing.
All medications shall be stored in their original
containers, with the accompanying physician’s or pharmacist’s
directions and label intact. Medications shall be stored so they are
inaccessible to consumers and the public. Nonprescription medications shall be
labeled with the consumer’s name.
In the case of medications that are administered on an
ongoing, long–term basis, authorization shall be obtained for a period not
to exceed the duration of the prescription.
(3) Policies shall be developed for:
1. Notifying the parent, guardian, or primary caregiver of
any injuries or illnesses that occur during respite provision. A
parent’s, guardian’s, or primary caregiver’s signature is
required to verify receipt of notification.
2. Requiring the parent, guardian, or primary caregiver to
notify the respite provider of any injuries or illnesses that occurred prior to
respite provision.
3. Documenting activities and times of respite. This
documentation shall be made available to the parent, guardian, or primary
caregiver upon request.
4. Ensuring the safety and privacy of the individual.
Policies shall at a minimum address threat of fire, tornado, and flood and bomb
threats.
c. A facility providing respite under this subrule shall
not exceed the facility’s licensed capacity, and services shall be
provided in locations consistent with licensure.
d. Respite provided outside the consumer’s home or
the facility covered by the licensure, certification, accreditation, or contract
must be approved by the parent, guardian, or primary caregiver and the
interdisciplinary team and must be consistent with the way the location is used
by the general public. Respite in these locations shall not exceed 72
continuous hours.
Adopt the following new subrule:
77.37(22) Interim medical monitoring and treatment
providers.
a. The following providers may provide interim medical
monitoring and treatment services:
(1) Licensed child care centers.
(2) Registered group child care homes.
(3) Registered family child care homes.
(4) Home health agencies certified to participate in the
Medicare program.
b. Staff requirements. Staff members providing interim
medical monitoring and treatment services to consumers shall meet all of the
following requirements:
(1) Be at least 18 years of age.
(2) Not be the spouse of the consumer or a parent or
stepparent of the consumer if the consumer is aged 17 or under.
(3) Not be a usual caregiver of the consumer.
(4) Be qualified by training or experience, as determined by
the usual caregivers and a licensed medical professional on the consumer’s
interdisciplinary team and documented in the service plan, to provide medical
intervention or intervention in a medical emergency necessary to carry out the
consumer’s plan of care.
ITEM 5. Amend rule 441—77.39(249A)
as follows:
Amend the introductory paragraph as follows:
441—77.39(249A) HCBS brain injury waiver service
providers. Adult day care, behavioral programming, case management,
consumer–directed attendant care, family counseling and training, home and
vehicle modification, interim medical monitoring and treatment, personal
emergency response, prevocational service, respite, specialized medical
equipment, supported community living, supported employment, and transportation
providers shall be eligible to participate as approved brain injury waiver
service providers in the Medicaid program based on the applicable subrules
pertaining to the individual service and provided that they and each of their
staff involved in direct consumer service have training regarding or experience
with consumers who have a brain injury. In addition, behavioral programming,
supported community living, and supported employment providers shall meet the
outcome–based standards set forth below in subrules 77.39(1) and 77.39(2)
evaluated according to subrules 77.39(8) to 77.39(10), and the requirements of
subrules 77.39(3) to 77.39(7). Respite providers shall also meet the standards
in subrule 77.39(1).
Amend subrule 77.39(14) as follows:
77.39(14) Respite service providers. The
department shall enter into a formal agreement only with public or private
agencies to provide respite services. The department does not recognize
individuals as service providers under the respite program. The
following Respite providers are eligible to be providers of
respite service in the HCBS brain injury waiver if they have documented training
or experience with persons with a brain injury.
a. The following agencies may provide respite
services:
a. (1) Respite providers certified
under the HCBS mental retardation waiver.
b. (2) Providers of respite
services which have been approved as a Medicaid vendor may provide in–home
home health aid respite services or out–of–home medical facility
respite services. Adult day health service providers accredited by
the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) or the
Commission on Accreditation of Rehabilitation Facilities (CARF).
c. (3) Child Group
living foster care facilities for children licensed by the department
according to 441—Chapters 112 and 114 to 116 and child care
centers licensed according to 441—Chapter 109.
d. (4) Camps
accredited certified by the American Camping
Association.
e. (5) Home care providers
meeting agencies that meet the conditions of participation set
forth in subrule 77.30(1).
f. Providers of services meeting the definition of
foster care or day care shall also be licensed according to applicable standards
of 441—Chapters 108, 109, 112, 114, 115, and 116.
g. Providers of services may employ or contract with
individuals meeting the definition of foster family homes or family or group day
care homes to provide respite services. These individuals shall be licensed
according to applicable 441—Chapters 110, 112, and 113.
h. (6) Nursing facilities,
intermediate care facilities for the mentally retarded, and hospitals
certified to participate enrolled as providers in the
Iowa Medicaid program.
i. (7) RCF/MR
Residential care facilities for persons with mental retardation
(RCF/PMR) certified licensed by the department of
inspections and appeals.
j. (8) Home health agencies
provided they that are certified to participate in the
Medicare program (Title XVIII of the Social Security
Act).
(9) Agencies certified by the department to provide
res–pite services in the consumer’s home that meet the requirements
of subrules 77.39(1) and 77.39(3) through 77.39(7).
b. Respite providers shall meet the following
conditions:
(1) Providers shall maintain the following information that
shall be updated at least annually:
1. The consumer’s name, birth date, age, and address
and the telephone number of each parent, guardian, or primary
caregiver.
2. An emergency medical care release.
3. Emergency contact telephone numbers such as the number
of the consumer’s physician and the parents, guardian, or primary
caregiver.
4. The consumer’s medical issues, including
allergies.
5. The consumer’s daily schedule which includes the
consumer’s preferences in activities or foods or any other special
concerns.
(2) Procedures shall be developed for the dispensing,
storage, authorization, and recording of all prescription and nonprescription
medications administered. Home health agencies must follow Medicare regulations
for medication dispensing.
All medications shall be stored in their original
containers, with the accompanying physician’s or pharmacist’s
directions and label intact. Medications shall be stored so they are
inaccessible to consumers and the public. Nonprescription medications shall be
labeled with the consumer’s name.
In the case of medications that are administered on an
ongoing, long–term basis, authorization shall be obtained for a period not
to exceed the duration of the prescription.
(3) Policies shall be developed for:
1. Notifying the parent, guardian, or primary caregiver of
any injuries or illnesses that occur during respite provision. A
parent’s, guardian’s, or primary caregiver’s signature is
required to verify receipt of notification.
2. Requiring the parent, guardian, or primary caregiver to
notify the respite provider of any injuries or illnesses that occurred prior to
respite provision.
3. Documenting activities and times of respite. This
documentation shall be made available to the parent, guardian, or primary
caregiver upon request.
4. Ensuring the safety and privacy of the individual.
Policies shall at a minimum address threat of fire, tornado, and flood and bomb
threats.
c. A facility providing respite under this subrule shall
not exceed the facility’s licensed capacity, and services shall be
provided in locations consistent with licensure.
d. Respite provided outside the consumer’s home or
the facility covered by the licensure, certification, accreditation, or contract
must be approved by the parent, guardian, or primary caregiver and the
interdisciplinary team and must be consistent with the way the location is used
by the general public. Respite in these locations shall not exceed 72
continuous hours.
Adopt the following new subrule:
77.39(25) Interim medical monitoring and treatment
providers.
a. The following providers may provide interim medical
monitoring and treatment services:
(1) Licensed child care centers.
(2) Registered group child care homes.
(3) Registered family child care homes.
(4) Home health agencies certified to participate in the
Medicare program.
b. Staff requirements. Staff members providing interim
medical monitoring and treatment services to consumers shall meet all of the
following requirements:
(1) Be at least 18 years of age.
(2) Not be the spouse of the consumer or a parent or
stepparent of the consumer if the consumer is aged 17 or under.
(3) Not be a usual caregiver of the consumer.
(4) Be qualified by training or experience, as determined by
the usual caregivers and a licensed medical professional on the consumer’s
interdisciplinary team and documented in the service plan, to provide medical
intervention or intervention in a medical emergency necessary to carry out the
consumer’s plan of care.
ITEM 6. Amend rule 441—78.9(249A)
as follows:
Amend subrule 78.9(3), introductory paragraph, as
follows:
78.9(3) Skilled nursing services. Skilled nursing
services are services that when performed by a home health agency require a
licensed registered nurse or licensed practical nurse to perform. Situations
when a service can be safely performed by the recipient or other nonskilled
person who has received the proper training or instruction or when there is no
one else to perform the service are not considered a “skilled nursing
service.” Skilled nursing services shall be available only on an
intermittent basis. Intermittent services for skilled nursing services shall be
defined as a medically predictable recurring need requiring a skilled nursing
service at least once every 60 days, not to exceed five days per week (except
as provided below), with an attempt to have a predictable end. Daily visits
(six or seven days per week) that are reasonable and necessary and show
an attempt to have a predictable end shall be covered for up to three weeks.
Coverage of additional daily visits beyond the initial anticipated time frame
may be appropriate for a short period of time, based on the medical necessity of
service. Medical documentation shall be submitted justifying the need for
continued visits, including the physician’s estimate of the length of time
that additional visits will be necessary. Daily skilled nursing visits or
multiple daily visits for wound care or insulin injections shall be covered when
ordered by a physician and included in the plan of care.
Daily Other daily skilled nursing visits which are
ordered for an indefinite period of time and designated as daily skilled nursing
care do not meet the intermittent definition and shall be denied.
Amend subrule 78.9(7), paragraph
“c,” introductory paragraph, as follows:
c. Services shall be provided on an intermittent basis.
“Intermittent basis” for home health agency services is defined as
services that are usually two to three times a week for two to three hours at a
time. Services provided for four to seven days per week, not to exceed 28
hours per week, when ordered by a physician and included in a plan of care shall
be allowed as intermittent services. Increased services provided when
medically necessary due to unusual circumstances on a short–term basis of
two to three weeks may also be allowed as intermittent services when the home
health agency documents the need for the excessive time required for home health
aide services.
ITEM 7. Amend rule 441—78.31(249A)
as follows:
Amend subrule 78.31(1), introductory paragraph, as
follows:
78.31(1) Covered hospital outpatient services.
Payment will be approved only for the following outpatient hospital services and
medical services when provided on the licensed premises of the hospital or
pursuant to subrule 78.31(5). Hospitals with alternate sites approved by
the department of inspections and appeals are acceptable sites. All outpatient
services listed in paragraphs “g” to “m” are subject to
a random sample retrospective review for medical necessity by the Iowa
Foundation for Medical Care. All services may also be subject to a more
intensive retrospective review if abuse is suspected. Services in paragraphs
“a” to “f” shall be provided in hospitals on an
outpatient basis and are subject to no further limitations except medical
necessity of the service.
Adopt the following new subrule:
78.31(5) Services rendered by family or pediatric
nurse practitioners employed by a hospital. Hospitals may be reimbursed for
services rendered by family or pediatric nurse practitioners who are employed by
the hospital and providing services in a facility or other location that is
owned by the hospital, but is not on or part of the hospital’s licensed
premises, if reimbursement is not otherwise available for the services rendered
by these employed nurse practitioners. As a condition of reimbursement,
employed family and pediatric nurse practitioners rendering these services must
enroll with the Medicaid program, receive a provider number, and designate the
employing hospital to receive payment. Claims for services shall be submitted
by the employed family or pediatric nurse practitioner. Payment shall be at the
same fee–schedule rates as those in effect for independently practicing
family or pediatric nurse practitioners under 441—subrule
79.1(2).
ITEM 8. Amend rule 441—78.34(249A)
as follows:
Amend subrule 78.34(5) as follows:
78.34(5) Respite care services. Respite care services
are temporary care to a client to provide relief to the usual informal
caregiver and provide all the care the usual caregiver would provide
services provided to the consumer that give temporary relief to the usual
caregiver and provide all the necessary care that the usual caregiver would
provide during that time period. The purpose of respite care is to
enable the consumer to remain in the consumer’s current living
situation.
a. If the respite care is provided in the
client’s home, only the cost of care is reimbursed. Services
provided outside the consumer’s home shall not be reimbursable if the
living unit where respite is provided is reserved for another person on a
temporary leave of absence.
b. If the respite care is provided outside of the
client’s home, charges may include room and board.
Staff–to–consumer ratios shall be appropriate to the individual
needs of the consumer as determined by the consumer’s interdisciplinary
team.
c. A unit of service is either one 24–hour day
for out–of–home respite care provided by a facility or camp, one
4– to 8–hour period of time for in–home respite care provided
by a home health agency, or one hour for respite care provided by an adult day
care provider, HCBS MR waiver provider, home care agency, day camp, or home
health agency when the home health agency provides one to three hours of respite
service one hour.
d. Respite care is not to be provided to persons aged
17 or under during the hours in which the usual caregiver is employed
except when the provider is a camp providing a 24–hour
service.
e. The interdisciplinary team shall determine if the
consumer will receive basic individual respite, specialized res–pite, or
group respite as defined in rule 441—83.1(249A).
f. A maximum of 14 consecutive days of 24–hour
respite care may be reimbursed.
g. Respite services provided for a period exceeding 24
consecutive hours to three or more individuals who require nursing care because
of a mental or physical condition must be provided by a health care facility
licensed as described in Iowa Code chapter 135C.
Adopt the following new subrule:
78.34(8) Interim medical monitoring and treatment
services. Interim medical monitoring and treatment services are monitoring and
treatment of a medical nature requiring specially trained caregivers beyond what
is normally available in a day care setting. The services must be needed to
allow the consumer’s usual caregivers to be employed or, for a limited
period of time, for academic or vocational training of a usual caregiver; due to
the hospitalization, treatment for physical or mental illness, or death of a
usual caregiver; or during a search for employment by a usual
caregiver.
a. Service requirements. Interim medical monitoring and
treatment services shall:
(1) Provide experiences for each consumer’s social,
emotional, intellectual, and physical development;
(2) Include comprehensive developmental care and any special
services for a consumer with special needs; and
(3) Include medical assessment, medical monitoring, and
medical intervention as needed on a regular or emergency basis.
b. Interim medical monitoring and treatment services may
include supervision to and from school.
c. Limitations.
(1) A maximum of 12 one–hour units of service is
available per day.
(2) Covered services do not include a complete nutritional
regimen.
(3) Interim medical monitoring and treatment services may not
duplicate any regular Medicaid or waiver services provided under the state
plan.
(4) Interim medical monitoring and treatment services may be
provided only in the consumer’s home, in a registered group child care
home, in a registered family child care home, in a licensed child care center,
or during transportation to and from school.
(5) The staff–to–consumer ratio shall not be less
than one to six.
d. A unit of service is one hour.
ITEM 9. Amend rule 441—78.37(249A)
as follows:
Amend subrule 78.37(6) as follows:
78.37(6) Respite care services. Respite care services
are temporary care to a client to provide relief to the usual informal
caregiver and provide all the care the usual caregiver would provide
services provided to the consumer that give temporary relief to the usual
caregiver and provide all the necessary care that the usual caregiver would
provide during that time period. The purpose of respite care is to
enable the consumer to remain in the consumer’s current living
situation.
a. If the respite care is provided in the
client’s home, only the cost of care is reimbursed. Services
provided outside the consumer’s home shall not be reimbursable if the
living unit where respite is provided is reserved for another person on a
temporary leave of absence.
b. If the respite care is provided outside of the
client’s home, charges may include room and board.
Staff–to–consumer ratios shall be appropriate to the individual
needs of the consumer as determined by the consumer’s interdisciplinary
team.
c. A unit of service is either one 24–hour day
for out–of–home respite care provided by a facility or camp, one
4– to 8–hour period of time for in–home respite care provided
by a home health agency, or one hour for respite care provided by an adult day
care provider, HCBS MR waiver provider, home care agency, day camp, or home
health agency when the home health agency provides one to three hours of respite
service one hour.
d. Rescinded IAB 3/30/94, effective 6/1/94.
The interdisciplinary team shall determine if the consumer will receive basic
individual respite, specialized respite or group respite as defined in rule
441—83.21(249A).
e. When respite care is provided, the provision of, or payment
for, other duplicative services under the waiver is precluded.
f. A maximum of 14 consecutive days of 24–hour
respite care may be reimbursed.
g. Respite services provided for a period exceeding 24
consecutive hours to three or more individuals who require nursing care because
of a mental or physical condition must be provided by a health care facility
licensed as described in Iowa Code chapter 135C.
h. Respite care is not to be provided to persons during the
hours in which the usual caregiver is employed except when the provider is a
camp.
Amend subrule 78.37(15), paragraph
“c,” as follows:
c. A unit of service provided by an individual or an
agency, other than an assisted living program, is 1 hour, or one 8– to
24–hour day provided by an individual or an agency.
When provided by an assisted living program, a unit of service is one
calendar month. If services are provided by an assisted living program for less
than one full calendar month, the monthly reimbursement rate shall be prorated
based on the number of days service is provided. Each
Except for services provided by an assisted living program, each service
shall be billed in whole units.
ITEM 10. Amend subrule 78.38(5) as
follows:
78.38(5) Respite care services. Respite care services
are temporary care to a client to provide relief to the usual informal
caregiver and provide all the care the usual caregiver would provide
services provided to the consumer that give temporary relief to the usual
caregiver and provide all the necessary care that the usual caregiver would
provide during that time period. The purpose of respite care is to
enable the consumer to remain in the consumer’s current living
situation.
a. If the respite care is provided in the
client’s home, only the cost of care is reimbursed. Services
provided outside the consumer’s home shall not be reimbursable if the
living unit where respite is provided is otherwise reserved for another person
on a temporary leave of absence.
b. If the respite care is provided outside of the
client’s home, charges may include room and board.
Staff–to–consumer ratios shall be appropriate to the individual
needs of the consumer as determined by the consumer’s interdisciplinary
team.
c. A unit of service is either one 24–hour day
for out–of–home respite care provided by a facility or camp, one
4– to 8–hour period of time for in–home respite care provided
by a home health agency, or one hour for respite care provided by an adult day
care provider, HCBS MR waiver provider, home care agency, day camp, or home
health agency when the home health agency provides one to three hours of respite
service one hour.
d. Rescinded IAB 3/30/94, effective 6/1/94.
The interdisciplinary team shall determine if the consumer will receive basic
individual respite, specialized respite or group respite as defined in rule
441—83.41(249A).
e. When respite care is provided, the
provision of, or payment for, other duplicative services under the waiver is
precluded.
f. A maximum of 14 consecutive days of 24–hour
respite care may be reimbursed.
g. Respite services provided for a period exceeding 24
consecutive hours to three or more individuals who require nursing care because
of a mental or physical condition must be provided by a health care facility
licensed as described in Iowa Code chapter 135C.
h. Respite care is not to be provided to persons during the
hours in which the usual caregiver is employed except when the provider is a
camp.
ITEM 11. Amend rule 441—78.41(249A)
as follows:
Amend subrule 78.41(2) as follows:
78.41(2) Respite services. Respite services
are those services provided to consumers who are unable to care for themselves
living with persons manually providing their care. Respite is short–term
relief provided in the absence of the family or legal representative normally
providing the care. Service activities shall be documented in the consumer
record. Respite care services are services provided to the consumer
that give temporary relief to the usual caregiver and provide all the necessary
care that the usual caregiver would provide during that time period. The
purpose of respite care is to enable the consumer to remain in the
consumer’s current living situation.
a. Services provided outside the consumer’s home
shall not be reimbursable if the living unit where the respite is
provided is otherwise reserved for persons
another person on a temporary leave of absence.
b. For respite services provided in the
consumer’s home, only the cost of care is reimbursed. Room and board is
excluded from reimbursement. Staff–to–consumer ratios
shall be appropriate to the individual needs of the consumer as determined by
the consumer’s interdisciplinary team.
c. For respite services provided out of the home,
charges may include room and board.
d c. A unit of service is one hour
for nonfacility care or one day for facility care. One
day equals 24 hours.
e d. A maximum of 576 hours
are available per 12–month period. A maximum of 336 hours may be used in
any calendar month. One unit of nonfacility care counts as one hour. One unit
of facility care counts as 24 hours. Payment for res–pite
services shall not exceed $7,050 per the consumer’s waiver
year.
f e. The service shall be identified
in the consumer’s individual comprehensive plan.
g f. Respite services shall not be
simultaneously reimbursed with other residential or respite services, HCBS MR
waiver supported community living services, Medicaid or HCBS MR nursing, or
Medicaid or HCBS MR home health aide services.
g. Respite care is not to be provided to persons during the
hours in which the usual caregiver is employed except when the provider is a
camp.
h. The interdisciplinary team shall determine if the
consumer will receive basic individual respite, specialized res–pite or
group respite as defined in rule 441—83.60(249A).
i. A maximum of 14 consecutive days of 24–hour
respite care may be reimbursed.
j. Respite services provided for a period exceeding 24
consecutive hours to three or more individuals who require nursing care because
of a mental or physical condition must be provided by a health care facility
licensed as described in Iowa Code chapter 135C.
Adopt the following new subrule:
78.41(9) Interim medical monitoring and treatment
services. Interim medical monitoring and treatment services are monitoring and
treatment of a medical nature requiring specially trained caregivers beyond what
is normally available in a day care setting. The services must be needed to
allow the consumer’s usual caregivers to be employed or, for a limited
period of time, for academic or vocational training of a usual caregiver; due to
the hospitalization, treatment for physical or mental illness, or death of a
usual caregiver; or during a search for employment by a usual
caregiver.
a. Service requirements. Interim medical monitoring and
treatment services shall:
(1) Provide experiences for each consumer’s social,
emotional, intellectual, and physical development;
(2) Include comprehensive developmental care and any special
services for a consumer with special needs; and
(3) Include medical assessment, medical monitoring, and
medical intervention as needed on a regular or emergency basis.
b. Interim medical monitoring and treatment services may
include supervision to and from school.
c. Limitations.
(1) A maximum of 12 one–hour units of service is
available per day.
(2) Covered services do not include a complete nutritional
regimen.
(3) Interim medical monitoring and treatment services may not
duplicate any regular Medicaid or waiver services provided under the state
plan.
(4) Interim medical monitoring and treatment services may be
provided only in the consumer’s home, in a registered group child care
home, in a registered family child care home, in a licensed child care center,
or during transportation to and from school.
(5) The staff–to–consumer ratio shall not be less
than one to six.
d. A unit of service is one hour.
ITEM 12. Amend rule 441—78.43(249A)
as follows:
Amend subrule 78.43(3) as follows:
78.43(3) Respite services. Respite services
are those services provided to consumers who are unable to care for themselves
living with their family or legal representative. Respite is short–term
relief provided in the absence of the family or legal representative normally
providing the care. Service activities shall be documented in the consumer
record. Respite care services are services provided to the consumer
that give temporary relief to the usual caregiver and provide all the necessary
care that the usual caregiver would provide during that time period. The
purpose of respite care is to enable the consumer to remain in the
consumer’s current living situation.
a. Rescinded IAB 12/3/97, effective 2/1/98.
Services provided outside the consumer’s home shall not be reimbursable
if the living unit where respite is provided is reserved for another person on a
temporary leave of absence.
b. If the respite care is provided in the
consumer’s home, only the cost of care is reimbursed.
Staff–to–consumer ratios shall be appropriate to the individual
needs of the consumer as determined by the consumer’s interdisciplinary
team.
c. If the respite care is provided outside of the
consumer’s home, charges may include room and board.
d c. A unit of service is
either one 24–hour day for out–of–home respite care
provided by a facility or camp, one 4– to 8–hour day for
in–home respite care provided by a home health aid
agency, or one hour for respite care provided by an HCBS MR or HCBS brain injury
waiver provider, homemaker agency, or camp one hour.
e d. Respite care is not to be
provided to persons aged 17 or under during the hours in which
the usual caregiver is employed except when the provider is a camp
providing a 24–hour service.
f e. Respite services shall not be
simultaneously reimbursed with other residential or respite services, HCBS brain
injury waiver supported community living services, Medicaid nursing, or Medicaid
home health aide services.
g f. For respite services
provided through in–home health or through an out–of–home
medical facility, the consumer must have medical needs, meet skilled level of
care criteria, or be technologically dependent. The
interdisciplinary team shall determine if the consumer will receive basic
individual respite, specialized respite or group respite as defined in rule
441—83.81(249A).
g. A maximum of 14 consecutive days of 24–hour
respite care may be reimbursed.
h. Respite services provided for a period exceeding 24
consecutive hours to three or more individuals who require nursing care because
of a mental or physical condition must be provided by a health care facility
licensed as described in Iowa Code chapter 135C.
Adopt the following new subrule:
78.43(14) Interim medical monitoring and treatment
services. Interim medical monitoring and treatment services are monitoring and
treatment of a medical nature requiring specially trained caregivers beyond what
is normally available in a day care setting. The services must be needed to
allow the consumer’s usual caregivers to be employed or, for a limited
period of time, for academic or vocational training of a usual caregiver; due to
the hospitalization, treatment for physical or mental illness, or death of a
usual caregiver; or during a search for employment by a usual
caregiver.
a. Service requirements. Interim medical monitoring and
treatment services shall:
(1) Provide experiences for each consumer’s social,
emotional, intellectual, and physical development;
(2) Include comprehensive developmental care and any special
services for a consumer with special needs; and
(3) Include medical assessment, medical monitoring, and
medical intervention as needed on a regular or emergency basis.
b. Interim medical monitoring and treatment services may
include supervision to and from school.
c. Limitations.
(1) A maximum of 12 one–hour units of service is
available per day.
(2) Covered services do not include a complete nutritional
regimen.
(3) Interim medical monitoring and treatment services may not
duplicate any regular Medicaid or waiver services provided under the state
plan.
(4) Interim medical monitoring and treatment services may be
provided only in the consumer’s home, in a registered group child care
home, in a registered family child care home, in a licensed child care center,
or during transportation to and from school.
(5) The staff–to–consumer ratio shall not be less
than one to six.
d. A unit of service is one hour.
ITEM 13. Amend rule 441—79.1(249A)
as follows:
Amend subrule 79.1(2), Basis of reimbursement provider
categories “Ambulance,” “Area education agencies,”
“Birth centers,” “Certified registered nurse
anesthetists,” “Clinics,” “Community mental health
centers,” “Dentists,” “Durable medical equipment,
prosthetic devices and medical supply dealers,” “Family planning
clinics,” “HCBS AIDS/HIV waiver service providers,”
“HCBS brain injury waiver service providers,” “HCBS elderly
waiver service providers,” “HCBS ill and handicapped waiver service
providers,” “HCBS MR waiver service providers,” and
“HCBS physical disability waiver service providers,” “Hearing
aid dealers,” “Home health agencies,” “Hospitals
(Inpatient),” “Hospitals (Outpatient),” “Intermediate
care facilities for the mentally retarded,” “Lead inspection
agency,” “Maternal health centers,” “Nursing
facilities,” “Orthopedic shoe dealers,” “Prescribed
drugs,” “Psychiatric medical institutions for children,”
“Rehabilitation agencies,” and “Screening centers,” as
follows:
Provider category
|
Basis of reimbursement
|
Upper limit
|
Ambulance
|
Fee schedule
|
Ground ambulance: Fee schedule in effect
6/30/99 6/30/00 plus 2% 0.7%.
Air ambulance: A base rate of $208.08
$209.54 plus $7.80 $7.85 per mile for each mile the
patient is carried.
|
Area education agencies
|
Fee schedule
|
Fee schedule in effect 6/30/99 6/30/00
plus 2% 0.7%
|
Birth centers
|
Fee schedule
|
Fee schedule in effect 6/30/99 6/30/00
plus 2% 0.7%
|
Certified registered nurse anesthetists
|
Fee schedule
|
Fee schedule in effect 6/30/99 6/30/00
plus 2% 0.7%
|
Clinics
|
Fee schedule
|
Fees as determined by the physician fee
schedule
- Maximum physician reimbursement
rate |
Community mental health centers
|
Fee schedule
|
Reimbursement rate for center in effect
6/30/99 6/30/00 plus 5
17.33%
|
Dentists
|
Fee schedule
|
Fee schedule in effect 6/30/99 plus 2%
75% of usual and customary rate
|
Durable medical equipment, prosthetic devices and medical
supply dealers
|
Fee schedule.
See 79.1(4)
|
Fee schedule in effect 6/30/99 6/30/00
plus 2% 0.7%
|
|
|
|
Family planning clinics
|
Fee schedule
|
Fees in effect 6/30/99 6/30/00 plus
2% 0.7%
|
HCBS AIDS/HIV waiver service providers, including:
|
|
|
1. Counseling
|
|
|
Individual:
|
Fee schedule
|
$10 $10.07 per unit
|
Group:
|
Fee schedule
|
$39.98 $40.26 per hour
|
2. Home health aide
|
Retrospective cost–related
|
Maximum Medicaid Medicare rate
in effect on 6/30/99 plus 2%
|
3. Homemaker
|
Fee schedule
|
$18.36 $18.49 per hour
|
4. Nursing care
|
Agency’s financial and statistical cost report and
Medicare percentage rate per visit
|
Cannot exceed $74.25 $74.77 per
visit
|
5. Respite care providers, including:
|
|
|
In–home:
|
|
|
Home health agency
|
Fee schedule
|
$106.08 per 4– to 8–hour
unit
|
Out–of–home:
|
|
|
Nursing facility, or intermediate care facility for
the mentally retarded
|
Prospective reimbursement
|
Limit for nursing facility level of
care
|
Hospital or skilled nursing
facility
|
Prospective reimbursement
|
Limit for skilled nursing facility level of
care
|
Foster group care
|
Prospective reimbursement
|
P.O.S. contract rate
|
Foster family care
|
Fee schedule
|
(See 441—subrule 156.11(2))
|
Camps
|
Fee schedule
|
$117.30 per day
|
Hourly rate providers:
|
|
|
Adult day care
|
Fee schedule
|
$12.24 per hour
|
HCBS MR waiver
|
Fee schedule
See
79.1(15)
|
$12.24 per hour
|
Home care agency
|
Fee schedule
|
$12.24 per hour
|
Home health agency
|
Fee schedule
|
$12.24 per hour
|
Day camp
|
Fee schedule
|
$12.24 per hour
|
Home health agency:
|
|
|
Specialized respite
|
Rate for nursing services provided by a home health agency
(encounter services–intermittent services)
|
Maximum Medicare rate converted to an hourly rate not to
exceed $294 per day
|
Basic individual respite
|
Rate for home health aide services provided by a home
health agency (encounter services–intermittent services)
|
Maximum Medicare rate converted to an hourly rate not to
exceed $294 per day
|
Group respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$12.24 per hour not to exceed $294 per day
|
Home care agency:
|
|
|
Specialized respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$31.50 per hour not to exceed $294 per day
|
Basic individual respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$16.80 per hour not to exceed $294 per day
|
Group respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$12.24 per hour not to exceed $294 per day
|
Nonfacility care:
|
|
|
Specialized respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$31.50 per hour not to exceed $294 per day
|
Basic individual respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$16.80 per hour not to exceed $294 per day
|
Group respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$12.24 per hour not to exceed $294 per day
|
Facility care:
|
|
|
Hospital or nursing facility providing skilled
care
|
$12.24 per hour
|
$12.24 per hour not to exceed daily per diem for skilled
nursing facility level of care
|
Nursing facility
|
$12.24 per hour
|
$12.24 per hour not to exceed daily per diem for nursing
facility level of care
|
Intermediate care facility for the mentally
retarded
|
$12.24 per hour
|
$12.24 per hour not to exceed daily per diem for ICF/MR
level of care
|
Foster group care
|
$12.24 per hour
|
$12.24 per hour not to exceed daily per diem rate for
rehabilitative treatment and supportive services
|
Camps
|
Retrospectively limited prospective rates. See
79.1(15)
|
$12.24 per hour not to exceed $294 per day
|
Adult day care
|
$12.24 per hour
|
$12.24 per hour not to exceed rate for regular adult day
care services
|
Child care facilities
|
$12.24 per hour
|
$12.24 per hour not to exceed contractual daily per
diem
|
6. Home–delivered meal providers
|
Fee schedule
|
$7.14 $7.19 per meal. Maximum of 14
meals per week
|
7. Adult day care
|
Fee schedule
|
Veterans administration contract rate or
$20.40 $20.54 per half day, $40.80
$41.09 per full day, or $61.20 $61.63 per
extended day if no veterans administration contract.
|
8. Consumer–directed attendant care:
|
|
|
Agency provider
|
Fee agreed upon by consumer and provider
|
$18.36 $18.49 per hour
$106.08 $106.82 per day
|
Individual provider
|
Fee agreed upon by consumer and provider
|
$12.24 $12.33 per hour
$71.40 $71.90 per day
|
HCBS brain injury waiver service providers,
including:
|
|
|
1. Supported community living
|
No change
|
|
2. Respite care providers, including:
|
|
|
Nonfacility care:
|
Retrospectively limited prospective rates. See
79.1(15)
|
$12.24 per hour. $106.08 per 4– to 8–hour
day
|
Facility care:
|
|
|
Hospital or skilled nursing
facility
|
Prospective reimbursement
|
Limit for skilled nursing facility level of
care
|
Nursing facility, or intermediate care facility for
the mentally retarded
|
Prospective reimbursement
|
Limit for nursing facility level of
care
|
Foster group care
|
Prospective reimbursement. See
441—185.106(234)
|
Rehabilitative treatment and supportive services
rate
|
Home health agency:
|
|
|
Specialized respite
|
Rate for nursing services provided by a home health agency
(encounter services–intermittent services)
|
Maximum Medicare rate converted to an hourly rate not to
exceed $294 per day
|
Basic individual respite
|
Rate for home health aide services provided by a home
health agency (encounter services–intermittent services)
|
Maximum Medicare rate converted to an hourly rate not to
exceed $294 per day
|
Group respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$12.24 per hour not to exceed $294 per day
|
Home care agency:
|
|
|
Specialized respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$31.50 per hour not to exceed $294 per day
|
Basic individual respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$16.80 per hour not to exceed $294 per day
|
Group respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$12.24 per hour not to exceed $294 per day
|
Nonfacility care:
|
|
|
Specialized respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$31.50 per hour not to exceed $294 per day
|
Basic individual respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$16.80 per hour not to exceed $294 per day
|
Group respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$12.24 per hour not to exceed $294 per day
|
Facility care:
|
|
|
Hospital or nursing facility providing skilled
care
|
$12.24 per hour
|
$12.24 per hour not to exceed daily per diem for skilled
nursing facility level of care
|
Nursing facility
|
$12.24 per hour
|
$12.24 per hour not to exceed daily per diem for nursing
facility level of care
|
Intermediate care facility for the mentally
retarded
|
$12.24 per hour
|
$12.24 per hour not to exceed daily per diem for ICF/MR
level of care
|
Residential care facilities for persons with mental
retardation
|
$12.24 per hour
|
$12.24 per hour not to exceed contractual daily per
diem
|
Foster group care
|
$12.24 per hour
|
$12.24 per hour not to exceed daily per diem rate for
rehabilitative treatment and supportive services
|
Camps
|
Retrospectively limited prospective rates. See
79.1(15)
|
$12.24 per hour not to exceed $294 per day
|
Adult day care
|
$12.24 per hour
|
$12.24 per hour not to exceed rate for regular adult day
care services
|
Child care facilities
|
$12.24 per hour
|
$12.24 per hour not to exceed contractual daily per
diem
|
3. Personal emergency response system
|
Fee schedule
|
Initial one–time fee of $45.90
$46.22. Ongoing monthly fee of $35.70
$35.95.
|
4. Case management
|
Fee schedule
|
$571.49 $575.49 per month
|
5. Supported employment
|
No change
|
|
6. Transportation
|
No change
|
|
7. Adult day care
|
Fee schedule
|
$20.40 $20.54 per half day,
$40.80 $41.09 per full day, or $61.20
$61.63 per extended day
|
8. Consumer–directed attendant care:
|
|
|
Agency provider
|
Fee agreed upon by consumer and provider
|
$18.36 $18.49 per hour
$106.08 $106.82 per day
|
Individual provider
|
Fee agreed upon by consumer and provider
|
$12.24 $12.33 per hour
$71.40 $71.90 per day
|
9. Home and vehicle modification
|
No change
|
|
10. Specialized medical equipment
|
No change
|
|
11. Behavioral programming
|
Fee schedule
|
$10 $10.07 per 15 minutes
|
12. Family counseling and training
|
Fee schedule
|
$39.98 $40.26 per hour
|
13. Prevocational services
|
Fee schedule.
See 79.1(17)
|
$34.70 $34.94 per day
|
14. Interim medical monitoring and
treatment:
|
|
|
Home health agency:
|
|
|
Provided by home health aide
|
Rate for home health aide services provided by a home
health agency (encounter services–intermittent services)
|
Maximum Medicare rate converted to an hourly
rate
|
Provided by nurse
|
Rate for nursing services provided by a home health agency
(encounter services–intermittent services)
|
Maximum Medicare rate converted to an hourly
rate
|
Provided by a registered group child care home, registered
family child care home, or licensed child care center
|
Contractual rate.
See 441—subrule 170.4(7)
|
$12.24 per hour
|
HCBS elderly waiver service providers, including:
|
|
|
1. Adult day care
|
Fee schedule
|
Veterans administration contract rate or
$20.40 $20.54 per half day, $40.80
$41.09 per full day, or $61.20 $61.63 per
extended day if no veterans administration contract.
|
2. Emergency response system
|
Fee schedule
|
Initial one–time fee $45.90
$46.22. Ongoing monthly fee $35.70
$35.95.
|
3. Home health aides
|
Retrospective cost–related
|
Maximum Medicaid Medicare rate
in effect on 6/30/99 plus 2%
|
4. Homemakers
|
Fee schedule
|
Maximum of $18.36 $18.49 per
hour
|
5. Nursing care
|
Fee schedule as determined by Medicare
|
$74.25 $74.77 per visit
|
6. Respite care providers, including:
|
|
|
In–home:
|
|
|
Home health agency
|
Fee schedule
|
$106.08 per 4– to 8–hour
unit
|
Out–of–home:
|
|
|
Nursing facility
|
Prospective reimbursement
|
Limit for nursing facility level of
care
|
Hospital or skilled nursing
facility
|
Prospective reimbursement
|
Limit for skilled nursing facility level of
care
|
Hourly rate providers:
|
|
|
Adult day care
|
Fee schedule
|
$12.24 per hour
|
Day camp
|
Fee schedule
|
$12.24 per hour
|
Home care agency
|
Fee schedule
|
$12.24 per hour
|
Home health agency
|
Fee schedule
|
$12.24 per hour
|
HCBS MR waiver
|
Fee schedule. See 79.1(15)
|
$12.24 per hour
|
Home health agency:
|
|
|
Specialized respite
|
Rate for nursing services provided by a home health agency
(encounter services–intermittent services)
|
Maximum Medicare rate converted to an hourly rate not to
exceed $294 per day
|
Basic individual respite
|
Rate for home health aide services provided by a home
health agency (encounter services–intermittent services)
|
Maximum Medicare rate converted to an hourly rate not to
exceed $294 per day
|
Group respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$12.24 per hour not to exceed $294 per day
|
Home care agency:
|
|
|
Specialized respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$31.50 per hour not to exceed $294 per day
|
Basic individual respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$16.80 per hour not to exceed $294 per day
|
Group respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$12.24 per hour not to exceed $294 per day
|
Nonfacility care:
|
|
|
Specialized respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$31.50 per hour not to exceed $294 per day
|
Basic individual respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$16.80 per hour not to exceed $294 per day
|
Group respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$12.24 per hour not to exceed $294 per day
|
Facility care:
|
|
|
Hospital or nursing facility providing skilled
care
|
$12.24 per hour
|
$12.24 per hour not to exceed daily per diem for skilled
nursing facility level of care
|
Nursing facility
|
$12.24 per hour
|
$12.24 per hour not to exceed daily per diem for nursing
facility level of care
|
Camps
|
Retrospectively limited prospective rates. See
79.1(15)
|
$12.24 per hour not to exceed $294 per day
|
Adult day care
|
$12.24 per hour
|
$12.24 per hour not to exceed rate for regular adult day
care services
|
7. Chore providers
|
Fee schedule
|
$7.14 $7.19 per half hour
|
8. Home–delivered meal providers
|
Fee schedule
|
$7.14 $7.19 per meal. Maximum of 14
meals per week.
|
9. Home and vehicle modification providers
|
No change
|
|
10. Mental health outreach providers
|
No change
|
|
11. Transportation providers
|
No change
|
|
12. Nutritional counseling
|
Fee schedule
|
$7.65 $7.70 per quarter hour
|
13. Assistive devices
|
Fee schedule
|
$102 $102.71 per unit
|
14. Senior companion
|
Fee schedule
|
$6.12 $6.16 per hour
|
15. Consumer–directed attendant care:
|
|
|
Agency provider other than an assisted living program
|
Fee agreed upon by consumer and provider
|
$18.36 $18.49 per hour
$106.08 $106.82 per day
|
Assisted living provider
|
Fee agreed upon by consumer and provider
|
$1,052 per calendar month. Rate must be prorated per day
for a partial month, at a rate not to exceed $34.60 per day.
|
Individual provider
|
Fee agreed upon by consumer and provider
|
$12.24 $12.33 per hour
$71.40 $71.90 per day
|
HCBS ill and handicapped waiver service providers, including:
|
|
|
1. Homemakers
|
Fee schedule
|
Maximum of $18.36 $18.49 per
hour
|
2. Home health aides
|
Retrospective cost–related
|
Maximum Medicaid Medicare rate
in effect on 6/30/99 plus 2%
|
3. Adult day care
|
Fee schedule
|
Veterans administration contract rate or
$20.40 $20.54 per half day, $40.80
$41.09 per full day, or $60.20 $61.63 per
extended day if no veterans administration contract.
|
4. Respite care providers, including:
|
|
|
In–home:
|
|
|
Home health agency
|
Fee schedule
|
$106.08 per 4– to 8–hour
unit
|
Out–of–home:
|
|
|
Hospital or skilled nursing
facility
|
Prospective reimbursement
|
Limit for skilled nursing facility level of
care
|
Nursing facility, or intermediate care facility for
the mentally retarded
|
Prospective reimbursement
|
Limit for nursing facility level of
care
|
Foster group care
|
Prospective reimbursement. See
441—185.106(234)
|
Rehabilitative treatment and supportive services
rate
|
Foster family home
|
Fee schedule
|
Emergency care rate (See 441—subrule
156.11(2))
|
Camps
|
Fee schedule
|
$117.30 per day
|
Hourly rate providers:
|
|
|
Adult day care
|
Fee schedule
|
$12.24 per hour
|
HCBS MR waiver
|
Fee schedule. See 79.1(15)
|
$12.24 per hour
|
Home care agency
|
Fee schedule
|
$12.24 per hour
|
Home health agency
|
Fee schedule
|
$12.24 per hour
|
Day camp
|
Fee schedule
|
$12.24 per hour
|
Home health agency:
|
|
|
Specialized respite
|
Rate for nursing services provided by a home health agency
(encounter services–intermittent services)
|
Maximum Medicare rate converted to an hourly rate not to
exceed $294 per day
|
Basic individual respite
|
Rate for home health aide services provided by a home
health agency (encounter services–intermittent services)
|
Maximum Medicare rate converted to an hourly rate not to
exceed $294 per day
|
Group respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$12.24 per hour not to exceed $294 per day
|
Home care agency:
|
|
|
Specialized respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$31.50 per hour not to exceed $294 per day
|
Basic individual respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$16.80 per hour not to exceed $294 per day
|
Group respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$12.24 per hour not to exceed $294 per day
|
Nonfacility care:
|
|
|
Specialized respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$31.50 per hour not to exceed $294 per day
|
Basic individual respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$16.80 per hour not to exceed $294 per day
|
Group respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$12.24 per hour not to exceed $294 per day
|
Facility care:
|
|
|
Hospital or nursing facility providing skilled
care
|
$12.24 per hour
|
$12.24 per hour not to exceed daily per diem for skilled
nursing facility level of care
|
Nursing facility
|
$12.24 per hour
|
$12.24 per hour not to exceed daily per diem for nursing
facility level of care
|
Intermediate care facility for the mentally
retarded
|
$12.24 per hour
|
$12.24 per hour not to exceed daily per diem for ICF/MR
level of care
|
Residential care facilities for persons with mental
retardation
|
$12.24 per hour
|
$12.24 per hour not to exceed contractual daily per
diem
|
Foster group care
|
$12.24 per hour
|
$12.24 per hour not to exceed daily per diem rate for
rehabilitative treatment and supportive services
|
Camps
|
Retrospectively limited prospective rates. See
79.1(15)
|
$12.24 per hour not to exceed $294 per day
|
Adult day care
|
$12.24 per hour
|
$12.24 per hour not to exceed rate for regular adult day
care services
|
Child care facilities
|
$12.24 per hour
|
$12.24 per hour not to exceed contractual daily per
diem
|
5. Nursing care
|
Agency’s financial and statistical cost report and
Medicare percentage rate per visit
|
Cannot exceed $74.25 $74.77 per
visit
|
6. Counseling
|
|
|
Individual:
|
Fee schedule
|
$10 $10.07 per unit
|
Group:
|
Fee schedule
|
$39.98 $40.26 per hour
|
7. Consumer–directed attendant care:
|
|
|
Agency provider
|
Fee agreed upon by consumer and provider
|
$18.36 $18.49 per hour
$106.08 $106.82 per day
|
Individual provider
|
Fee agreed upon by consumer and provider
|
$12.24 $12.33 per hour
$71.40 $71.90 per day
|
8. Interim medical monitoring and treatment:
|
|
|
Home health agency:
|
|
|
Provided by home health aide
|
Rate for home health aide services provided by a home
health agency (encounter services–intermittent services)
|
Maximum Medicare rate converted to an hourly
rate
|
Provided by nurse
|
Rate for nursing services provided by a home health agency
(encounter services–intermittent services)
|
Maximum Medicare rate converted to an hourly
rate
|
Provided by a registered group child care home, registered
family child care home, or licensed child care center
|
Contractual rate.
See 441—subrule 170.4(7)
|
$12.24 per hour
|
HCBS MR waiver service providers, including:
|
|
|
1. Supported community living
|
No change
|
|
2. Respite care providers, including:
|
|
|
Nonfacility care:
|
Retrospectively limited prospective rates. See
79.1(15)
|
$12.24 per hour
|
Facility care:
|
|
|
Hospital or skilled nursing
facility
|
Prospective reimbursement
|
Limit for skilled nursing facility level of
care
|
Nursing facility, or intermediate care facility for
the mentally retarded
|
Prospective reimbursement
|
Limit for nursing facility level of
care
|
Foster group care
|
Prospective reimbursement. See
441—185.106(234)
|
Rehabilitative treatment and supportive services
rate
|
Home health agency:
|
|
|
Specialized respite
|
Rate for nursing services provided by a home health agency
(encounter services–intermittent services)
|
Maximum Medicare rate converted to an hourly rate not to
exceed $294 per day
|
Basic individual respite
|
Rate for home health aide services provided by a home
health agency (encounter services–intermittent services)
|
Maximum Medicare rate converted to an hourly rate not to
exceed $294 per day
|
Group respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$12.24 per hour not to exceed $294 per day
|
Home care agency:
|
|
|
Specialized respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$31.50 per hour not to exceed $294 per day
|
Basic individual respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$16.80 per hour not to exceed $294 per day
|
Group respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$12.24 per hour not to exceed $294 per day
|
Nonfacility care:
|
|
|
Specialized respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$31.50 per hour not to exceed $294 per day
|
Basic individual respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$16.80 per hour not to exceed $294 per day
|
Group respite
|
Retrospectively limited prospective rates. See
79.1(15)
|
$12.24 per hour not to exceed $294 per day
|
Facility care:
|
|
|
Hospital or nursing facility providing skilled
care
|
$12.24 per hour
|
$12.24 per hour not to exceed daily per diem for skilled
nursing facility level of care
|
Nursing facility
|
$12.24 per hour
|
$12.24 per hour not to exceed daily per diem for nursing
facility level of care
|
Intermediate care facility for the mentally
retarded
|
$12.24 per hour
|
$12.24 per hour not to exceed daily per diem for ICF/MR
level of care
|
Residential care facilities for persons with mental
retardation
|
$12.24 per hour
|
$12.24 per hour not to exceed contractual daily per
diem
|
Foster group care
|
$12.24 per hour
|
$12.24 per hour not to exceed daily per diem rate for
rehabilitative treatment and supportive services
|
Camps
|
Retrospectively limited prospective rates. See
79.1(15)
|
$12.24 per hour not to exceed $294 per day
|
Adult day care
|
$12.24 per hour
|
$12.24 per hour not to exceed rate for regular adult day
care services
|
Child care facilities
|
$12.24 per hour
|
$12.24 per hour not to exceed contractual daily per
diem
|
3. Supported employment
|
No change
|
|
4. Nursing
|
Fee schedule as determined by Medicare
|
Maximum Medicare rate converted to an hourly
rate
|
5. Home health aides
|
Retrospective cost–related
|
Maximum Medicaid Medicare rate
in effect on 6/30/99 plus 2% converted to an hourly
rate
|
6. Personal emergency response system
|
Fee schedule
|
Initial one–time fee of $38.15
$38.42
Ongoing monthly fee of $26.01
$26.19
|
7. Home and vehicle modifications
|
No change
|
|
8. Consumer–directed attendant care:
|
|
|
Agency provider
|
Fee agreed upon by consumer and provider
|
$18.36 $18.49 per hour
$106.08 $106.82 per day
|
Individual provider
|
Fee agreed upon by consumer and provider
|
$12.24 $12.33 per hour
$71.40 $71.90 per day
|
9. Interim medical monitoring and treatment:
|
|
|
Home health agency:
|
|
|
Provided by home health aide
|
Rate for home health aide services provided by a home
health agency (encounter services–intermittent services)
|
Maximum Medicare rate converted to an hourly rate not to
exceed the maximum daily per diem for ICF/MR level of care
|
Provided by nurse
|
Rate for nursing services provided by a home health agency
(encounter services–intermittent services)
|
Maximum Medicare rate converted to an hourly rate not to
exceed the maximum daily per diem for ICF/MR level of care
|
Provided by a registered group child care home, registered
family child care home, or licensed child care center
|
Contractual rate.
See 441—subrule 170.4(7)
|
$12.24 per hour not to exceed the maximum daily per diem
for ICF/MR level of care
|
HCBS physical disability waiver service providers,
including:
|
|
|
1. Consumer–directed attendant care:
|
|
|
Agency provider
|
Fee agreed upon by consumer and provider
|
$18.36 $18.49 per hour
$106.08 $106.82 per day
|
Individual provider
|
Fee agreed upon by consumer and provider
|
$12.24 $12.33 per hour
$71.40 $71.90 per day
|
2. Home and vehicle modification providers
|
No change
|
|
3. Personal emergency response system
|
Fee schedule
|
Initial one–time fee of $45.90
$46.22. Ongoing monthly fee of $35.70
$35.95.
|
4. Specialized medical equipment
|
No change
|
|
5. Transportation
|
No change
|
|
Hearing aid dealers
|
Fee schedule plus product acquisition cost
|
Fee schedule in effect 6/30/99
6/30/00 plus 2% 0.7%
|
Home health agencies
|
|
|
(Encounter services–intermittent services)
|
Retrospective cost–related
|
Maximum Medicaid Medicare rate
in effect on 6/30/99 plus 2%
|
(Private duty nursing or personal care and VFC vaccine
administration for persons aged 20 and under)
|
Interim fee schedule with retrospective cost settling based on
Medicaid Medicare methodology
|
Retrospective cost settling according to
Medicaid Medicare methodology not to exceed the
rate in effect on 6/30/99 plus 2%
|
Hospitals (Inpatient)
|
Prospective reimbursement. See 79.1(5)
|
Reimbursement rate in effect 6/30/99
6/30/00 increased by 2% 3%
|
Hospitals (Outpatient)
|
Prospective reimbursement for providers listed at
441—paragraphs 78.31(1)“a” to “f.”
See 79.1(16)
|
Ambulatory patient group rate (plus an evaluation rate) and
assessment payment rate in effect on 6/30/99 6/30/00
increased by 2% 3%
|
|
Fee schedule for providers listed at 441—paragraphs
78.31(1)“g” to “n.” See 79.1(16)
|
Rates in effect on 6/30/99 6/30/00
increased by 2% 3%
|
Intermediate care facilities for the mentally
retarded
|
Prospective reimbursement. See
441—82.5(249A)
|
Eightieth percentile of facility costs as calculated from
12/31/98 12/31/99 cost reports
|
Lead inspection agency
|
Fee schedule
|
Fee schedule in effect 6/30/99
6/30/00 plus 2% 0.7%
|
Maternal health centers
|
Reasonable cost per procedure on a prospective basis as
determined by the department based on financial and statistical data submitted
annually by the provider group
|
Fee schedule in effect 6/30/99
6/30/00 plus 2% 0.7%
|
Nursing facilities
|
|
|
1. Nursing facility care
|
Prospective reimbursement. See 441—subrule 81.10(1)
and 441—81.6(249A)
|
Seventieth percentile of facility costs as calculated from all
6/30/99 6/30/00 cost reports
|
2. Skilled nursing care
|
No change
|
|
|
|
|
Opticians
|
Fee schedule. Fixed fee for lenses and frames; other optical
materials at product acquisition cost
|
Reimbursement rate for provider in effect
6/30/99 6/30/00 plus 2%
0.7%
|
Orthopedic shoe dealers
|
Fee schedule
|
Reimbursement rate for provider in effect
6/30/99 6/30/00 plus 2%
0.7%
|
Prescribed drugs
|
See 79.1(8)
|
$4.10 $4.13 or $6.38
$6.42 dispensing fee (See 79.1(8)“a” and
“e”)
|
Psychiatric medical institutions for children
|
|
|
(Inpatient)
|
Prospective reimbursement
|
Reimbursement rate for provider based on per diem rates for
actual costs on 6/30/99 6/30/00, not to exceed a maximum
of $145.74 $147.20 per day
|
(Outpatient day treatment)
|
Fee schedule
|
Fee schedule in effect 6/30/99 6/30/00
plus 2% 0.7%
|
Rehabilitation agencies
|
Retrospective cost–related
|
Reimbursement rate for agency in effect
6/30/99 6/30/00 plus 2%
0.7%
|
Screening centers
|
Fee schedule
|
Reimbursement rate for center in effect
6/30/99 6/30/00 plus 2%
0.7%
|
Amend subrule 79.1(8), paragraph
“a,” second and third unnumbered paragraphs, as
follows:
The basis of payment for prescribed drugs for which the MAC
has been established shall be the lesser of the MAC plus a professional
dispensing fee of $4.10 $4.13 or the pharmacist’s
usual and customary charge to the general public.
The basis of payment for drugs for which the MAC has not been
established shall be the lesser of the EAC plus a professional dispensing fee of
$6.38 $6.42 or the pharmacist’s usual and
customary charge to the general public.
Amend subrule 79.1(9) by adopting the following
new paragraph:
j. Freestanding skilled facilities with a case–mix index
above the statewide average for the previous reporting period shall receive a
case–mix adjustment of $5.20 added to their daily rate for a
six–month period. The case–mix index of each facility and the
statewide average case–mix index are calculated by the United States
Health Care Financing Administration from the minimum data set (MDS) report
submitted by each facility pursuant to 441—subrule 81.13(9).
Amend subrule 79.1(15) as follows:
Amend the catchwords as follows:
79.1(15) Reimbursement for HCBS MR and BI supported
community living, respite, and supported employment and HCBS
AIDS/HIV, BI, elderly, ill and handicapped, and MR respite when basis of
reimbursement is retrospectively limited prospective rate. This includes
home health agencies providing group respite; nonfacility providers of
specialized, basic individual, and group respite; camps; and home care agencies
providing specialized, basic individual, and group respite.
Amend paragraph “b,” by adopting the
following new subparagraphs:
(6) For respite care provided in the consumer’s home,
only the cost of care is reimbursed.
(7) For respite care provided outside the consumer’s
home, charges may include room and board.
Amend paragraph “c,” catchwords, as
follows:
c. Prospective rates for new providers other than
respite.
Amend paragraph “d,” catchwords, and
subparagraph (5), as follows:
d. Prospective rates for established providers other than
respite.
(5) Prospective rates for services other than respite
shall be subject to retrospective adjustment as provided in paragraph
“e f.”
Reletter paragraphs “e” and
“f” as “f” and “g” and
adopt the following new paragraph
“e”:
e. Prospective rates for respite. Prospective rates for
respite shall be agreed upon between the consumer, interdisciplinary team and
the provider up to the maximum, subject to retrospective adjustment as provided
in paragraph “f.”
ITEM 14. Amend rule
441—81.1(249A) by adopting the following new
definitions in alphabetical order:
“Case–mix add–on” means additional
Medicaid reimbursement based on the acuity and care need level of residents of a
nursing facility.
“Minimum data set” or “MDS” refers to
a federally required resident assessment tool. Information from the MDS is used
by the federal Health Care Financing Administration to determine the
facility’s case–mix index for purposes of the case–mix
add–on provided by paragraph 81.6(16)“f.” MDS is described in
subrule 81.13(9).
ITEM 15. Amend rule 441—81.6(249A)
as follows:
Amend subrule 81.6(16), paragraphs
“c” and “e,” as follows:
c. For non–state–owned nursing facilities, the
reimbursement rate shall be established by determining, on a per diem basis, the
allowable cost plus the established inflation factor plus
and the established incentive factor, subject to the maximum allowable
cost ceiling, plus any applicable case–mix add–on.
e. Effective January 1, 1999 July 1,
2000, 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, 1998 June 30, 2000, report of
“unaudited compilation of various costs and statistical
data.”
Beginning July 1, 1999, 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, 1999, report of “unaudited
compilation of various costs and statistical data” submitted by each
facility on medical assistance cost reports. A facility which does not have a
current cost report on file with the department as of June 30, 1999, shall
continue to receive the per diem rate in effect for that facility on June 30,
1999, until the facility’s costs are above that rate or until June 30,
2000, whichever is earlier.
Further amend subrule 81.6(16) by relettering
paragraphs “f” and “g” as
“g” and “h,” respectively, and adopting
the following new paragraph “f”:
f. Notwithstanding paragraph “e,” a semiannual
case–mix factor shall be calculated and applied to the payment rates for
certain facilities as follows:
(1) A case–mix index for each facility and the statewide
average case–mix index are calculated by the United States Health Care
Financing Administration from the minimum data set (MDS) report submitted by
each facility pursuant to 441—subrule 81.13(9). A patient care cost per
patient day is calculated by the department from the facility’s most
recent financial and statistical cost report by dividing the facility’s
patient care costs by patient days. This is compared to the statewide average
for patient care costs computed as of every June 30 and December 31.
(2) Facilities with a case–mix index derived from MDS
reports that exceeds the Iowa nursing facility average and with a patient care
service cost that exceeds the average for all participating nursing facilities
for the previous reporting period shall receive an addition of $5.20 to their
payment rate for a six–month period.
(3) Facilities with a case–mix index that exceeds the
Iowa nursing facility average and with a patient care service cost that is less
than the average for all participating facilities for the previous reporting
period shall receive an addition of $2.60 to their payment rate for a
six–month period.
Amend subrule 81.6(17), introductory paragraph, as
follows:
81.6(17) Cost report documentation. Beginning
July 1, 1999, all All nursing facilities shall submit semiannual
cost reports based on the closing date of the facility’s fiscal year and
the midpoint of the facility’s fiscal year, that incorporate
additional documentation as set forth below.
Initially, the additional documentation shall provide baseline
information by describing the status of the facility with reference to the
information requested as of July 1, 1999, and subsequently the additional
documentation shall describe the status of the facility for the period of the
cost report. The additional documentation to
be incorporated in the cost reports shall include all of the following
information:
Further amend subrule 81.6(17) by adopting the
following new paragraph:
c. An itemization of expenses attributable to the home or
principal office or headquarters of the nursing facility included in the
administrative cost line item.
ITEM 16. Amend subrule 81.13(9) by
adopting the following new paragraph:
g. Preadmission resident assessment. The facility shall
conduct prior to admission a resident assessment of all persons seeking nursing
facility placement. The assessment information gathered shall be similar to the
data in the minimum data set (MDS) resident assessment tool.
ITEM 17. Amend rule
441—83.1(249A) by adopting the following new
definitions in alphabetical order:
“Basic individual respite” means respite provided
on a staff–to–consumer ratio of one to one or higher to individuals
without specialized needs requiring the care of a licensed registered nurse or
licensed practical nurse.
“Group respite” is respite provided on a
staff–to–consumer ratio of less than one to one.
“Medical assessment” means a visual and physical
inspection of the consumer, noting deviations from the norm, and a statement of
the consumer’s mental and physical condition that can be amendable to or
resolved by appropriate actions of the provider.
“Medical intervention” means consumer care in the
areas of hygiene, mental and physical comfort, assistance in feeding and
elimination, and control of the consumer’s care and treatment to meet the
physical and mental needs of the consumer in compliance with the plan of care in
areas of health, prevention, restoration, and maintenance.
“Medical monitoring” means observation for the
purpose of assessing, preventing, maintaining, and treating disease or illness
based on the consumer’s plan of care.
“Specialized respite” means respite provided on a
staff–to–consumer ratio of one to one or higher to individuals with
specialized medical needs requiring the care, monitoring or supervision of a
licensed registered nurse or licensed practical nurse.
“Usual caregiver” means a person or persons who
reside with the consumer and are available on a
24–hour–per–day basis to assume responsibility for the care of
the consumer.
ITEM 18. Amend rule 441—83.2(249A)
as follows:
Amend subrule 83.2(1) by adopting the following
new paragraph “e”:
e. To be eligible for interim medical monitoring and treatment
services the consumer must be:
(1) Under the age of 21;
(2) Currently receiving home health agency services under rule
441—78.9(249A) and require medical assessment, medical monitoring, and
regular medical intervention or intervention in a medical emergency during those
services. (The home health aide services for which the consumer is eligible
must be maximized before the consumer accesses interim medical monitoring and
treatment.);
(3) Residing in the consumer’s family home or foster
family home; and
(4) In need of interim medical monitoring and treatment as
ordered by a physician.
Amend subrule 83.2(2) by adopting the following
new paragraph “c”:
c. Interim medical monitoring and treatment services must be
needed because all usual caregivers are unavailable to provide care due to one
of the following circumstances:
(1) Employment. Interim medical monitoring and treatment
services are to be received only during hours of employment.
(2) Academic or vocational training. Interim medical
monitoring and treatment services provided while a usual caregiver participates
in postsecondary education or vocational training shall be limited to 24 periods
of no more than 30 days each per caregiver as documented by the service worker.
Time spent in high school completion, adult basic education, GED, or English as
a second language does not count toward the limit.
(3) Absence from the home due to hospitalization, treatment
for physical or mental illness, or death of the usual caregiver. Interim
medical monitoring and treatment services under this subparagraph are limited to
a maximum of 30 days.
(4) Search for employment.
1. Care during job search shall be limited to only those hours
the usual caregiver is actually looking for employment, including travel
time.
2. Interim medical monitoring and treatment services may be
provided under this paragraph only during the execution of one job search plan
of up to 30 working days in a 12–month period, approved by the department
service worker or targeted case manager pursuant to 441—subparagraph
170.2(2)“b”(5).
3. Documentation of job search contacts shall be furnished to
the department service worker or targeted case manager.
ITEM 19. Amend rule 441—83.6(249A)
as follows:
441—83.6(249A) Allowable services. Services
allowable under the ill and handicapped waiver are homemaker services, home
health services, adult day care services, respite care services, nursing
services, counseling services, andconsumer–directed
attendant care services, and interim medical monitoring and treatment
services as set forth in rule 441—78.34(249A).
ITEM 20. Amend rule
441—83.21(249A) by adopting the following new
definitions in alphabetical order:
“Basic individual respite” means respite provided
on a staff–to–consumer ratio of one to one or higher to individuals
without specialized needs requiring the care of a licensed registered nurse or
licensed practical nurse.
“Group respite” is respite provided on a
staff–to–consumer ratio of less than one to one.
“Specialized respite” means respite provided on a
staff–to–consumer ratio of one to one or higher to individuals with
specialized medical needs requiring the care, monitoring or supervision of a
licensed registered nurse or licensed practical nurse.
“Usual caregiver” means a person or persons who
reside with the consumer and are available on a
24–hour–per–day basis to assume responsibility for the care of
the consumer.
ITEM 21. Amend subrule 83.22(2),
paragraph “b,” as follows:
b. The total monthly cost of the elderly waiver services shall
not exceed the established monthly cost of the level of care. Aggregate monthly
costs are limited as follows:
Skilled level of care
|
Nursing level of care
|
$2,480
|
$852 $1,052
|
ITEM 22. Amend rule
441—83.41(249A) by adopting the following new
definitions in alphabetical order:
“Basic individual respite” means respite provided
on a staff–to–consumer ratio of one to one or higher to individuals
without specialized needs requiring the care of a licensed registered nurse or
licensed practical nurse.
“Group respite” is respite provided on a
staff–to–consumer ratio of less than one to one.
“Specialized respite” means respite provided on a
staff–to–consumer ratio of one to one or higher to individuals with
specialized medical needs requiring the care, monitoring or supervision of a
licensed registered nurse or licensed practical nurse.
“Usual caregiver” means a person or persons who
reside with the consumer and are available on a
24–hour–per–day basis to assume responsibility for the care of
the consumer.
ITEM 23. Amend rule
441—83.60(249A) by adopting the following new
definitions in alphabetical order:
“Basic individual respite” means respite provided
on a staff–to–consumer ratio of one to one or higher to individuals
without specialized needs requiring the care of a licensed registered nurse or
licensed practical nurse.
“Group respite” is respite provided on a
staff–to–consumer ratio of less than one to one.
“Medical assessment” means a visual and physical
inspection of the consumer, noting deviations from the norm, and a statement of
the consumer’s mental and physical condition that can be amendable to or
resolved by appropriate actions of the provider.
“Medical intervention” means consumer care in the
areas of hygiene, mental and physical comfort, assistance in feeding and
elimination, and control of the consumer’s care and treatment to meet the
physical and mental needs of the consumer in compliance with the plan of care in
areas of health, prevention, restoration, and maintenance.
“Medical monitoring” means observation for the
purpose of assessing, preventing, maintaining, and treating disease or illness
based on the consumer’s plan of care.
“Specialized respite” means respite provided on a
staff–to–consumer ratio of one to one or higher to individuals with
specialized medical needs requiring the care, monitoring or supervision of a
licensed registered nurse or licensed practical nurse.
“Usual caregiver” means a person or persons who
reside with the consumer and are available on a
24–hour–per–day basis to assume responsibility for the care of
the consumer.
ITEM 24. Amend rule 441—83.61(249A)
as follows:
Amend subrule 83.61(1) by adopting the following
new paragraph “i”:
i. To be eligible for interim medical monitoring and treatment
services the consumer must be:
(1) Under the age of 21;
(2) Currently receiving home health agency services under rule
441—78.9(249A) and require medical assessment, medical monitoring, and
regular medical intervention or intervention in a medical emergency during those
services. (The home health aide services for which the consumer is eligible
must be maximized before the consumer accesses interim medical monitoring and
treatment.);
(3) Residing in the consumer’s family home or foster
family home; and
(4) In need of interim medical monitoring and treatment as
ordered by a physician.
Amend subrule 83.61(2) by adopting the following
new paragraph “h”:
h. Interim medical monitoring and treatment services must be
needed because all usual caregivers are unavailable to provide care due to one
of the following circumstances:
(1) Employment. Interim medical monitoring and treatment
services are to be received only during hours of employment.
(2) Academic or vocational training. Interim medical
monitoring and treatment services provided while a usual caregiver participates
in postsecondary education or vocational training shall be limited to 24 periods
of no more than 30 days each per caregiver as documented by the service worker.
Time spent in high school completion, adult basic education, GED, or English as
a second language does not count toward the limit.
(3) Absence from the home due to hospitalization, treatment
for physical or mental illness, or death of the usual caregiver. Interim
medical monitoring and treatment services under this subparagraph are limited to
a maximum of 30 days.
(4) Search for employment.
1. Care during job search shall be limited to only those hours
the usual caregiver is actually looking for employment, including travel
time.
2. Interim medical monitoring and treatment services may be
provided under this paragraph only during the execution of one job search plan
of up to 30 working days in a 12–month period, approved by the department
service worker or targeted case manager pursuant to 441—subparagraph
170.2(2)“b”(5).
3. Documentation of job search contacts shall be furnished to
the department service worker or targeted case manager.
ITEM 25. Amend rule 441—83.66(249A)
as follows:
441—83.66(249A) Allowable services. Services
allowable under the HCBS MR waiver are supported community living, respite,
personal emergency response system, nursing, home health aide, home and vehicle
modifications, supported employment, and
consumer–directed attendant care services, and interim medical
monitoring and treatment services as set forth in rule
441—78.41(249A).
ITEM 26. Amend rule
441—83.81(249A) by adopting the following new
definitions in alphabetical order:
“Basic individual respite” means respite provided
on a staff–to–consumer ratio of one to one or higher to individuals
without specialized needs requiring the care of a licensed registered nurse or
licensed practical nurse.
“Group respite” is respite provided on a
staff–to–consumer ratio of less than one to one.
“Medical assessment” means a visual and physical
inspection of the consumer, noting deviations from the norm, and a statement of
the consumer’s mental and physical condition that can be amendable to or
resolved by appropriate actions of the provider.
“Medical intervention” means consumer care in the
areas of hygiene, mental and physical comfort, assistance in feeding and
elimination, and control of the consumer’s care and treatment to meet the
physical and mental needs of the consumer in compliance with the plan of care in
areas of health, prevention, restoration, and maintenance.
“Medical monitoring” means observation for the
purpose of assessing, preventing, maintaining, and treating disease or illness
based on the consumer’s plan of care.
“Specialized respite” means respite provided on a
staff–to–consumer ratio of one to one or higher to individuals with
specialized medical needs requiring the care, monitoring or supervision of a
licensed registered nurse or licensed practical nurse.
“Usual caregiver” means a person or persons who
reside with the consumer and are available on a
24–hour–per–day basis to assume responsibility for the care of
the consumer.
ITEM 27. Amend rule 441—83.82(249A)
as follows:
Amend subrule 83.82(1) by adopting the following
new paragraph “j”:
j. To be eligible for interim medical monitoring and treatment
services the consumer must be:
(1) Under the age of 21;
(2) Currently receiving home health agency services under rule
441—78.9(249A) and require medical assessment, medical monitoring, and
regular medical intervention or intervention in a medical emergency during those
services. (The home health aide services for which the consumer is eligible
must be maximized before the consumer accesses interim medical monitoring and
treatment.);
(3) Residing in the consumer’s family home or foster
family home; and
(4) In need of interim medical monitoring and treatment as
ordered by a physician.
Amend subrule 83.82(2) by adopting the following
new paragraph “b”:
b. Interim medical monitoring and treatment services must be
needed because all usual caregivers are unavailable to provide care due to one
of the following circumstances:
(1) Employment. Interim medical monitoring and treatment
services are to be received only during hours of employment.
(2) Academic or vocational training. Interim medical
monitoring and treatment services provided while a usual caregiver participates
in postsecondary education or vocational training shall be limited to 24 periods
of no more than 30 days each per caregiver as documented by the service worker.
Time spent in high school completion, adult basic education, GED, or English as
a second language does not count toward the limit.
(3) Absence from the home due to hospitalization, treatment
for physical or mental illness, or death of the usual caregiver. Interim
medical monitoring and treatment services under this subparagraph are limited to
a maximum of 30 days.
(4) Search for employment.
1. Care during job search shall be limited to only those hours
the usual caregiver is actually looking for employment, including travel
time.
2. Interim medical monitoring and treatment services may be
provided under this paragraph only during the execution of one job search plan
of up to 30 working days in a 12–month period, approved by the department
service worker or targeted case manager pursuant to 441—subparagraph
170.2(2)“b”(5).
3. Documentation of job search contacts shall be furnished to
the department service worker or targeted case manager.
ITEM 28. Amend rule 441—83.86(249A)
as follows:
441—83.86(249A) Allowable services. Services
allowable under the brain injury waiver are case management, respite, personal
emergency response, supported community living, behavioral programming, family
counseling and training, home and vehicle modification, specialized medical
equipment, prevocational services, transportation, supported employment
services, adult day care, and consumer–directed attendant
care services, and interim medical monitoring and treatment services as
set forth in rule 441—78.43(249A).
[Filed Emergency 6/8/00, effective 7/1/00]
[Published 6/28/00]
EDITOR’S NOTE:
For replacement pages for IAC, see IAC Supplement 6/28/00.
ARC 9907A
HUMAN SERVICES
DEPARTMENT[441]
Adopted and Filed Emergency
Pursuant to the authority of Iowa Code section 252D.22 and
2000 Iowa Acts, House File 2135, section 3, the Department of Human Services
hereby amends Chapter 95, “Collections,” appearing in the Iowa
Administrative Code.
These amendments require the Collection Services Center (CSC)
to use the date of withholding, e.g., the employee’s payday, rather than
the day CSC receives the payment when crediting a support payment made by income
withholding. These changes conform the rules to a recent amendment to state
statute.
1998 Iowa Acts, chapter 1170, section 8, amended the income
withholding statute to remove, as of October 1, 1999, the requirement that a
payor of income (e.g., the employer) report the payday to CSC when the payment
of income was submitted to CSC. In 1999, the Department adopted a rule change
to implement that 1998 change in state statute. The rule would have used the
date CSC received the support payment rather than the date the employer withheld
the support from the wages as the date of the payment. However, the
Administrative Rules Review Committee (ARRC) disagreed with the change and
decided to delay implementation ofthe change until the legislature could revisit
the issue. The Seventy–eighth General Assembly agreed with ARRC and
adopted 2000 Iowa Acts, House File 2135, to continue the policy of using the
obligor employee’s payday to credit a payment made by income withholding.
House File 2135 also directed the Department to rescind any rules in conflict
with House File 2135 and provided that the Act’s changes would be
effective upon enactment. House File 2135 was enacted on April 20, 2000.
With two exceptions, these amendments replace the rescinded
rules with the same language in effect before the 1999 rule change. The
exceptions are that (1) these rules no longer refer to rebates since the $50
rebate payments to families in the Family Investment Program were removed from
state law in July 1998, and (2) these rules retain an exception for payments
received at the end of the month from payors of income as well as
obligors.
These amendments do not provide for waiver in specified
situations because they confer a benefit on obligors. By requiring the CSC to
use the date of withholding, the obligor will receive credit as of the date the
obligor is paid and loses control of the funds.
The Department of Human Services finds that notice and public
participation are impracticable and unnecessary because there is not time to
allow for notice and public participation prior to the effective date of the
amended statute (April 20, 2000) and these amendments make Department’s
rules consistent with state statute. Therefore, these amendments are filed
pursuant to Iowa Code section 17A.4(2).
The Department finds that these amendments confer a benefit by
giving the obligor credit for payment of child support as of the date the
obligor is paid and loses control of the funds. Therefore, these amendments are
filed pursuant to Iowa Code section 17A.5(2)“b”(2) and are effective
upon filing with the Administrative Rules Coordinator on June 8, 2000.
These amendments were published under Notice of Intended
Action in the Iowa Administrative Bulletin on June 14, 2000, as ARC 9870A
to allow for public comment.
The Council on Human Services adopted these amendments June 8,
2000.
These amendments are intended to implement Iowa Code sections
252B.15 and 252D.17 as amended by 2000 Iowa Acts, House File 2135, section
2.
These amendments became effective June 8, 2000.
The following amendments are adopted.
ITEM 1. Amend rule
441—95.1(252B), definition of “date of collection,” as
follows:
“Date of collection” shall mean the date that a
support payment is received by the unit department or the
legal entity of any state or political subdivision actually making the
collection, or the date that a support payment is withheld from the income of a
responsible person by an employer or other income provider, whichever is
earlier.
ITEM 2. Rescind rule 441—95.3(252B)
and adopt the following new rule in lieu thereof:
441—95.3(252B) Crediting of current and delinquent
support. The amounts received as support from the obligor shall be credited
as the required support obligation for the month in which they are collected.
Any excess shall be credited as delinquent payments and shall be applied to the
immediately preceding month, and then to the next immediately preceding month
until all excess has been applied. Funds received as a result of federal tax
offsets shall be credited according to rule 441—95.7(252B).
The date of collection shall be determined as
follows:
95.3(1) Payments from income withholding. Payments
collected as the result of income withholding are considered collected in the
month in which the income was withheld by the income provider. The date of
collection shall be the date on which the income was withheld.
a. For the purpose of reporting the date the income was
withheld, the department shall notify income providers of the requirement to
report the date income was withheld and shall provide Form 470–3221,
“Income Withholding Return Document,” to those income providers who
manually remit payments. When reported on this form or through other electronic
means or multiple account listings, the date of collection shall be used to
determine support distributions. When the date of collection is not reported,
support distributions shall initially be issued based on the date of the check.
If proof of the date of collection is subsequently provided, any additional
payments due the recipient shall be issued.
b. When the collection services center (CSC) is notified or
otherwise becomes aware that a payment received from an income provider pursuant
to 441—Chapter 98, Division II, includes payment amounts such as vacation
pay or severance pay, these amounts are considered irrevocably withheld in the
months documented by the income provider.
95.3(2) Payments from state or political subdivisions.
Payments collected from any state or political subdivision are considered
collected in the same month the payments were actually received by that legal
entity or the month withheld by an income provider, whichever is earlier. Any
state or political subdivision transmitting payments to the department shall be
responsible for reporting the date the payments were collected. When the date
of collection is not reported, support distributions shall be initially issued
based on the date of the state’s or political subdivision’s check.
If proof of the date of collection is subsequently provided, any additional
payments due the recipient shall be issued.
95.3(3) Additional payments. An additional payment in
the month which is received within five calendar days prior to the end of the
month shall be considered collected in the next month if:
a. CSC is notified or otherwise becomes aware that the payment
is for the next month, and
b. Support for the current month is fully paid.
This rule is intended to implement Iowa Code section 252B.15
and section 252D.17 as amended by 2000 Iowa Acts, House File 2135, section
2.
[Filed Emergency 6/8/00, effective 6/8/00]
[Published 6/28/00]
EDITOR’S NOTE:
For replacement pages for IAC, see IAC Supplement 6/28/00.
ARC 9908A
HUMAN SERVICES
DEPARTMENT[441]
Adopted and Filed Emergency
Pursuant to the authority of Iowa Code section 217.6 and 2000
Iowa Acts, Senate File 2435, section 31, subsection 15, and section 44, the
Department of Human Services hereby amends Chapter 130, “General
Provisions,” and Chapter 170, “Child Care Services,” appearing
in the Iowa Administrative Code.
These amendments update income guidelines and the fees parents
pay for child care services based on their monthly gross income to be consistent
with the federal poverty guidelines for 2000 and implement new provider rate
ceilings, except for nonregistered family day care homes.
The Seventy–eighth General Assembly directed the
Department to set provider reimbursement rates based on the rate reimbursement
survey completed in December 1998, and to set rates in a manner so as to provide
incentives for a nonregistered provider to become registered.
These amendments do not provide for any waivers in specific
situations because these changes confer a benefit on consumers, by providing an
increase in the income eligibility guidelines, and on providers, by increasing
reimbursement rates. In addition, these changes were mandated by the
legislature, with no provisions for exceptions.
In compliance with Iowa Code section 17A.4(2), the Department
of Human Services finds that notice and public participation on the amendments
implementing the increase in provider rates are unnecessary because these
amendments implement 2000 Iowa Acts, Senate File 2435, section 31, subsection
15, and section 44, which authorize the Department to adopt rules without notice
and public participation.
The Department also finds, pursuant to Iowa Code section
17A.5(2)“b”(1), that the normal effective date of the amendments
implementing the increase in provider rates should be waived and these
amendments made effective July 1, 2000, as authorized by 2000 Iowa Acts, Senate
File 2435, section 31, subsection 15, and section 44.
The Department of Human Services finds that notice and public
participation on the amendments updating the income guidelines and fee schedules
are unnecessary and impracticable because the increase is mandated by 2000 Iowa
Acts, Senate File 2435, section 14, and there is not time to obtain public
comment and have these changes effective July 1, 2000. Therefore, these
amendments are filed pursuant to Iowa Code section 17A.4(2).
The Department finds that the amendments updating the income
guidelines and fee schedules confer a benefit on consumers by increasing the
income guidelines and making more persons eligible for the services. Therefore,
these amendments are filed pursuant to Iowa Code section
17A.5(2)“b”(2).
These amendments were also published under Notice of Intended
Action in the Iowa Administrative Bulletin on June 14, 2000, as ARC 9871A
to allow for public comment.
The Council on Human Services adopted these amendments June 8,
2000.
These amendments are intended to implement Iowa Code section
234.6, Iowa Code section 237A.1 as amended by 2000 Iowa Acts, Senate File 2344,
section 14, and 2000 Iowa Acts, Senate File 2435, section 31, subsection
12.
These amendments shall become effective July 1,
2000.
The following amendments are adopted.
ITEM 1. Amend subrule 130.3(1),
paragraph “d,” subparagraph (2), as follows:
(2) Income eligible status. The monthly gross income
according to family size is no more than the following amounts:
Family Size
|
For Child Care Monthly Gross Income
|
All Other Services Monthly Gross Income Below
|
|
A
|
B
|
C
|
|
1 Members
|
$ 687
|
$ 696
|
$ 961
|
$ 974
|
$1,202
|
$1,219
|
$ 583
|
2 Members
|
922
|
938
|
1,290
|
1,313
|
1,613
|
1,641
|
762
|
3 Members
|
1,157
|
1,179
|
1,619
|
1,651
|
2,024
|
2,064
|
942
|
4 Members
|
1,392
|
1,421
|
1,948
|
1,989
|
2,435
|
2,486
|
1,121
|
5 Members
|
1,627
|
1,663
|
2,277
|
2,328
|
2,847
|
2,910
|
1,299
|
6 Members
|
1,862
|
1,904
|
2,606
|
2,666
|
3,258
|
3,332
|
1,478
|
7 Members
|
2,097
|
2,146
|
2,935
|
3,004
|
3,669
|
3,755
|
1,510
|
8 Members
|
2,332
|
2,388
|
3,264
|
3,343
|
3,766
|
4,178
|
1,546
|
9 Members
|
2,567
|
2,629
|
3,593
|
3,681
|
3,863
|
4,601
|
1,581
|
10 Members
|
2,802
|
2,871
|
3,922
|
4,019
|
3,960
|
4,701
|
1,612
|
For child care, Column A, add $235
$242 for each additional person over 10 members. For child care, Column
B, add $329 $338 for each additional person over 10
members. For child care, Column C, add $97 $100 for each
additional person over 10 members. For other services, add $33 for each
additional person over 10 members.
Column A is used to determine income eligibility when funds
are insufficient to serve additional families beyond those already receiving
services or requiring protective child care and applications are being taken
from families who are at or below 100 percent of the federal poverty guidelines
and in which the parents are employed at least 28 hours per week or are under
the age of 21 and participating in an educational program leading to a high
school diploma or equivalent or from parents under the age of 21 with a family
income at or below 100 percent of the federal poverty guidelines who are
participating, at a satisfactory level, in an approved training or education
program. (See 441—paragraphs 170.2(3)“a” and
“c.”)
Column B is used to determine income eligibility when funds
are insufficient to serve additional families beyond those already receiving
services or requiring protective child care and applications are being taken
from families with an income of more than 100 percent but not more than 140
percent of the federal poverty level whose members are employed at least 28
hours per week (see 441—paragraph 170.2(3)“d”) or when there
is adequate funding and no waiting lists and applications are being taken from
families applying for services, with the exception of families with children
with special needs.
Column C is used to determine income eligibility for families
with children with special needs.
ITEM 2. Amend subrule 130.4(3),
introductory paragraph, and “Monthly Income Increment Levels According to
Family Size” table, as follows:
130.4(3) Child care services. The monthly income
chart and fee schedule for child care services in a licensed child care center,
an exempt facility, a registered family or group child care home, a
nonregistered family child care home, or in–home care, or
relative care are shown in the following table:
Monthly Income Increment Levels According to Family
Size
|
Income Increment Levels
|
|
|
|
|
|
|
|
|
|
|
|
1
|
2
|
3
|
4
|
5
|
6
|
7
|
8
|
9
|
10
|
Half–Day Fee
|
A
|
653
661
|
877
891
|
1100
1120
|
1323
1350
|
1546
1579
|
1770
1809
|
1993
2039
|
2216
2268
|
2440
2498
|
2663
2727
|
.00
|
B
|
688
696
|
923
938
|
1158
1179
|
1393
1421
|
1628
1663
|
1863
1904
|
2098
2146
|
2333
2388
|
2568
2629
|
2803
2871
|
.50
|
C
|
726
735
|
974
990
|
1222
1245
|
1471
1500
|
1719
1756
|
1967
2011
|
2215
2266
|
2464
2521
|
2712
2776
|
2960
3032
|
1.00
|
D
|
767
776
|
1029
1045
|
1291
1315
|
1553
1584
|
1815
1854
|
2077
2123
|
2340
2393
|
2602
2662
|
2864
2932
|
3126
3201
|
1.50
|
E
|
810
819
|
1087
1104
|
1363
1389
|
1640
1673
|
1917
1958
|
2193
2242
|
2471
2527
|
2747
2811
|
3024
3096
|
3301
3381
|
2.00
|
F
|
855
865
|
1147
1166
|
1440
1466
|
1732
1767
|
2024
2067
|
2316
2368
|
2609
2668
|
2901
2969
|
3193
3269
|
3486
3570
|
2.50
|
G
|
903
914
|
1212
1231
|
1520
1548
|
1829
1866
|
2137
2183
|
2446
2500
|
2755
2818
|
3064
3135
|
3372
3453
|
3681
3770
|
3.00
|
H
|
954
965
|
1279
1300
|
1605
1635
|
1931
1970
|
2257
2305
|
2583
2641
|
2909
2976
|
3235
3311
|
3561
3646
|
3887
3981
|
3.50
|
I
|
1007
1019
|
1351
1373
|
1695
1727
|
2039
2081
|
2383
2434
|
2728
2788
|
3072
3142
|
3416
3496
|
3760
3850
|
4105
4204
|
4.00
|
J
|
1063
1076
|
1427
1450
|
1790
1823
|
2154
2197
|
2517
2571
|
2880
2945
|
3244
3318
|
3608
3692
|
3971
4066
|
4334
4439
|
4.50
|
K
|
1123
1136
|
1507
1531
|
1890
1926
|
2274
2320
|
2658
2715
|
3042
3109
|
3426
3504
|
3810
3899
|
4193
4293
|
4577
4688
|
5.00
|
L
|
1186
1200
|
1591
1617
|
1996
2033
|
2402
2450
|
2807
2867
|
3212
3284
|
3618
3700
|
4023
4117
|
4428
4534
|
4834
4950
|
5.50
|
M
|
1252
1267
|
1680
1707
|
2108
2147
|
2536
2587
|
2964
3027
|
3392
3467
|
3820
3908
|
4248
4348
|
4676
4788
|
5104
5228
|
6.00
|
ITEM 3. Amend subrule 170.4(7),
paragraph “a,” Table I and Table II, as follows:
Table I Half–Day Rate Ceilings for Basic
Care
|
Age Group
|
Day Care Center
|
Registered Family Home
|
Registered Group Home
|
Nonregistered Family Home
|
Infant and Toddler
|
$11.50 $12.45
|
$9.00 $10.00
|
$8.50 $9.00
|
$8.19
|
Preschool
|
$9.50 $10.50
|
$9.00
|
$7.88 $8.55
|
$7.19
|
School Age
|
$8.50 $9.00
|
$9.00
|
$7.88 $8.33
|
$7.36
|
Table II Half–Day Rate Ceilings for Special Needs
Care
|
Age Group
|
Day Care Center
|
Registered Family Home
|
Registered Group Home
|
Nonregistered Family Home
|
Infant and Toddler
|
$28.13 $48.00
|
$11.25 $15.75
|
$11.00 $12.38
|
$10.24
|
Preschool
|
$28.55 $28.13
|
$9.72 $14.63
|
$10.28 $12.38
|
$8.99
|
School Age
|
$29.93 $28.04
|
$13.50
|
$11.47 $11.25
|
$9.20
|
[Filed Emergency 6/8/00, effective 7/1/00]
[Published 6/28/00]
EDITOR’S NOTE:
For replacement pages for IAC, see IAC Supplement 6/28/00.
ARC 9909A
HUMAN SERVICES
DEPARTMENT[441]
Adopted and Filed Emergency
Pursuant to the authority of Iowa Code section 234.6 and 2000
Iowa Acts, Senate File 2435, section 31, subsection 15, and section 44; and
House File 2555, section 1, subsection 1, and section 11, the Department of
Human Services hereby amends Chapter 150, “Purchase of Service,”
appearing in the Iowa Administrative Code.
These amendments update fiscal year changes and rate increases
mandated by the Seventy–eighth General Assembly. Adoption, independent
living, home studies, and shelter care providers are given a
cost–of–living adjustment of 5 percent.
All current shelter care providers are currently reimbursed by
the Department at the maximum rate of $79.70 per day. In order for the current
shelter care providers to realize the full 5 percent increase, it is necessary
to apply the 5 percent increase to:
• The current maximum
reimbursement per diem rate of $79.70, raising the maximum to $83.69.
• Each per diem (combined
service and maintenance) provider rate currently reimbursed by the Department,
resulting in a per diem increase of $3.99.
• The provider’s
actual and allowable unit cost plus inflation based on the most recently
submitted and audited financial and statistical report, increasing the cost by
$3.99.
• The statewide average
actual and allowable unit cost plus inflation based upon the most recently
submitted and audited financial and statistical reports as of May 15, 2000,
increasing the rate by $3.99.
These amendments do not provide for a waiver in specific
situations because they confer a benefit by increasing reimbursement rates. All
independent living, shelter care, and adoption providers should be reimbursed on
the same basis.
In compliance with Iowa Code section 17A.4(2), the Department
of Human Services finds that notice and public participation on these amendments
are unnecessary because these amendments implement 2000 Iowa Acts, Senate File
2435, section 31, subsection 15, and section 44; and House File 2555, section 1,
subsection 1, and section 11, which authorize the Department to adopt rules
without notice and public participation.
The Department also finds, pursuant to Iowa Code section
17A.5(2)“b”(1), that the normal effective date of these amendments
should be waived and these amendments made effective July 1, 2000, as authorized
by 2000 Iowa Acts, Senate File 2435, section 31, subsection 15, and section 44;
and House File 2555, section 1, subsection 1, and section 11.
These amendments were also published under Notice of Intended
Action in the Iowa Administrative Bulletin on June 14, 2000, as ARC 9872A
to allow for public comment.
The Council on Human Services adopted these amendments June 8,
2000.
These amendments will become effective on July 1,
2000.
These amendments are intended to implement Iowa Code section
234.6 and 2000 Iowa Acts, House File 2555, section 1, subsection 1, paragraph
“d,” and Senate File 2435, section 31, subsections 7 and
14.
The following amendments are adopted.
ITEM 1. Amend subrule 150.3(5),
paragraph “p,” as follows:
Amend subparagraph (1) as follows:
(1) Unless otherwise provided for in 441—Chapter 156,
rates for shelter care shall not exceed $79.70 83.69 per
day based on a 365–day year.
Amend subparagraph (2), introductory paragraph, and
numbered paragraph “1,” introductory paragraph, as
follows:
(2) For the fiscal year beginning July 1,
1999 2000, the maximum reimbursement rates for services
provided under a purchase of social service agency contract (adoption; local
purchase services including adult day care, adult support, adult residential,
community supervised apartment living arrangement, sheltered work, work
activity, and transportation; shelter care; family planning; and independent
living) shall be the same as the rates in effect on June 30,
1999 2000, except under any of the following
circumstances:
1. If a new service was added after June 30,
1999 2000, the initial reimbursement rate for the
service shall be based upon actual and allowable costs. A new service does not
include a new building or location or other changes in method of service
delivery for a service currently provided under the contract.
Further amend subparagraph (2), numbered paragraph
“3,” as follows:
3. For the fiscal year beginning July 1, 1999
2000, the combined service and maintenance reimbursement rate paid to a
shelter care provider shall be based on the financial and statistical report
submitted to the department. The maximum reimbursement rate shall be
$79.70 83.69 per day. If the department reimburses the
provider at less than the maximum rate, but the provider’s cost report
justifies a rate of at least $79.70 83.69, the
department shall readjust the provider’s reimbursement rate to the actual
and allowable cost plus the inflation factor or $79.70
83.69, whichever is less.
Further amend subparagraph (2) by adopting the
following new numbered paragraph “4” and
rescinding numbered paragraph “5”:
4. For the fiscal year beginning July 1, 2000, the purchase of
service reimbursement rate for adoption, independent living services, and
shelter care shall be increased by 5 percent of the rates in effect on June 30,
2000. The 5 percent increase in shelter care rates results in a per diem
increase of $3.99. The shelter care providers actual and allowable cost plus
inflation shall be increased by $3.99. For state fiscal year 2001 beginning
July 1, 2000, the established statewide average actual and allowable rate shall
be increased by $3.99.
ITEM 2. Amend the implementation clause
following 441—Chapter 150, Division I, to read as
follows:
These rules are intended to implement Iowa Code section 234.6
and 1999 Iowa Acts, House File 760, section 33, subsections 6, 8, and
9 2000 Iowa Acts, House File 2555, section 1, subsection 1,
paragraph “d,” and Senate File 2435, section 31, subsection
7.
ITEM 3. Amend subrule 150.22(7),
paragraph “p,” as follows:
Amend subparagraph (1), introductory paragraph, and
numbered paragraph “1,” introductory paragraph, as
follows:
(1) For the fiscal year beginning July 1,
1999 2000, the maximum reimbursement rates for local
purchase services, including adult day care, adult support, adult residential,
community supervised apartment living arrangement, sheltered work, work
activity, and transportation shall be the same as the rates in effect on June
30, 1999 2000, except under any of the following
circumstances:
1. If a new service was added after June 30,
1999 2000, the initial reimbursement rate for the
service shall be based upon actual and allowable costs. A new service does not
include a new building or location or other changes in method of service
delivery for a service currently provided under the contract.
ITEM 4. Amend the implementation clause
following 441—Chapter 150, Division II, to read as
follows:
These rules are intended to implement Iowa Code section 234.6
and 1999 Iowa Acts, House File 760, section 33, subsection 6
2000 Iowa Acts, Senate File 2435, section 31, subsection 7.
[Filed Emergency 6/8/00, effective 7/1/00]
[Published 6/28/00]
EDITOR’S NOTE:
For replacement pages for IAC, see IAC Supplement 6/28/00.
ARC 9910A
HUMAN SERVICES
DEPARTMENT[441]
Adopted and Filed Emergency
Pursuant to the authority of Iowa Code section 234.6 and 2000
Iowa Acts, Senate File 2435, section 31, subsection 15, and section 44, the
Department of Human Services hereby amends Chapter 156, “Payments for
Foster Care and Foster Parent Training,” and Chapter 201,
“Subsidized Adoptions,” appearing in the Iowa Administrative
Code.
These amendments implement the increases to foster family
homes and adoptive homes mandated by the Seventy–eighth General
Assembly.
The daily foster family care and adoption payment rates are
increased as follows: for a child aged 0 through 5 from $13.79 to $14.00, for a
child aged 6 through 11 from $14.54 to $14.78, for a child aged 12 through 15
from $16.28 to $16.53, and for a child aged 16 and over from $16.32 to
$16.53.
The maximum foster family basic monthly maintenance rate and
the maximum adoption subsidy rate for children remain at 70 percent of the
United States Department of Agriculture’s estimate of the cost to raise a
child in the Midwest with a cost–of–living increase added for Fiscal
Year 2001.
These amendments do not provide for any waivers inspecified
situations because these changes confer a benefit on foster parents and adoptive
parents by increasing the foster family daily maintenance rate and the maximum
adoption subsidy rate.
In compliance with Iowa Code section 17A.4(2), the Department
of Human Services finds that notice and public participation on these amendments
are unnecessary because these amendments implement 2000 Iowa Acts, Senate File
2435, section 31, subsection 15, and section 44, which authorizes the Department
to adopt rules without notice and public participation.
The Department also finds, pursuant to Iowa Code section
17A.5(2)“b”(1), that the normal effective date of these amendments
should be waived and these amendments made effective July 1, 2000, as authorized
by 2000 Iowa Acts, Senate File 2435, section 31, subsection 15, and section
44.
These amendments were also published under Notice of Intended
Action in the Iowa Administrative Bulletin on June 14, 2000, as ARC 9873A
to allow for public comment.
The Council on Human Services adopted these amendments June 8,
2000.
These amendments are intended to implement Iowa Code section
234.6 and 2000 Iowa Acts, Senate File 2435, section 31, subsection 6.
These amendments shall become effective July 1,
2000.
The following amendments are adopted.
ITEM 1. Amend rule 441—156.6(234)
as follows:
Amend subrule 156.6(1) as follows:
156.6(1) Basic rate. A monthly payment for care in a
foster family home licensed in Iowa shall be made to the foster family based on
the following schedule:
Age of child
|
|
Daily rate
|
0 through 5
|
|
$13.79 $14.00
|
6 through 11
|
|
14.54 14.78
|
12 through 15
|
|
16.28 16.53
|
16 and over
|
|
16.32 16.53
|
Further amend rule 441—156.6(234), implementation
clause, to read as follows:
This rule is intended to implement Iowa Code section 234.38
and 1999 Iowa Acts, House File 760, section 33, subsection 5
2000 Iowa Acts, Senate File 2435, section 31, subsection 6.
ITEM 2. Amend 441—Chapter
201, implementation clause, to read as follows:
These rules are intended to implement Iowa Code sections
600.17 to 600.21 and 600.23; and 1999 Iowa Acts, House File 760, section
33, subsection 5 2000 Iowa Acts, Senate File 2435, section 31,
subsection 6.
[Filed Emergency 6/8/00, effective 7/1/00]
[Published 6/28/00]
EDITOR’S NOTE:
For replacement pages for IAC, see IAC Supplement 6/28/00.
ARC 9911A
HUMAN SERVICES
DEPARTMENT[441]
Adopted and Filed Emergency
Pursuant to the authority of 2000 Iowa Acts, Senate File 2193,
sections 4(5), 6(3) and (4), and 21, the Department of Human Services hereby
adopts Chapter 161, “Iowa Senior Living Trust Fund,” and Chapter
162, “Nursing Facility Conversion and Long–Term Care Services
Development Grants,” Iowa Administrative Code.
These rules implement provisions of 2000 Iowa Acts, Senate
File 2193, the Iowa Senior Living Program Act. The goal of the Iowa Senior
Living Program Act is to create a comprehensive long–term care system that
is consumer–directed, provides a balance between the alternatives of
institutionally and noninstitutionally provided services, and contributes to the
quality of the lives of persons who are elderly or adults with disabilities in
Iowa.
These rules implement the Iowa Senior Living Trust Fund
created in the state treasury under the authority of the Department of Human
Services and define and structure nursing facility conversion grants and
long–term care services development grants to be made from the Iowa Senior
Living Trust Fund by the Department.
The Iowa Senior Living Trust Fund is funded by receipt of
federal revenue from public nursing facilities participating in the medical
assistance program. The Department shall provide increased reimbursement to the
participating public facilities for nursing facility services provided under the
Medicaid program. The facilities shall retain $5,000 of additional reimbursement
received per agreement as a processing payment and shall refund the remainder of
the additional reimbursement through intergovernmental transfer to the
Department. The Department shall deposit the federal share of the refund (less
the $5,000 retained by the nursing facility) in the Iowa Senior Living Trust
Fund and shall credit the nonfederal share of the refund to the
Department’s medical assistance appropriation.
Under these rules, Iowa nursing facilities will be eligible to
apply for grants for capital or other one–time expenditure costs to assist
with the cost of converting all or a portion of the facility to an assisted
living facility or other alternatives to nursing facility care, and providers of
long–term care services and nursing homes will be eligible to apply for
grants to develop additional needed long–term care alternatives other than
assisted living. These alternatives can then be funded through a Medicaid
Home– and Community–Based Services (HCBS) waiver.
The rules establish criteria for awarding grants and set
limits on funding. The General Assembly appropriated $20 million from the
Senior Living Trust Fund for state fiscal year 2001 to provide these grants.
Conversion grants are limited to $1 million per facility, with
an additional $100,000 if the provider agrees to also provide adult day care,
child care for children with special needs, safe shelter for victims of
dependent adult abuse, or respite care. The maximum conversion grant per
assisted living unit is $45,000. Service development grants are limited to
$150,000 for HCBS waiver services. These rules also provide for an
architectural and financial feasibility study allowance for conversion or
service development grants of up to $15,000.
These rules do not provide for any waivers in specific
situations because creation of the trust fund and awarding of grants will confer
a benefit on providers and consumers. Participation by public nursing
facilities in the creation of the trust fund is voluntary. All participants in
the creation of the fund and all grant applicants should be subject to the same
rules.
In compliance with Iowa Code section 17A.4(2), the Department
of Human Services finds that notice and public participation are unnecessary
because these rules implement 2000 Iowa Acts, Senate File 2193, section 21,
which authorizes the Department to adopt rules without notice and public
participation.
The Department also finds, pursuant to Iowa Code section
17A.5(2)“b”(1), that the normal effective date of these rules should
be waived and these rules made effective July 1, 2000, as authorized by 2000
Iowa Acts, Senate File 2193, section 21.
These rules were also published under Notice of Intended
Action in the Iowa Administrative Bulletin on June 14, 2000, as ARC 9883A
to allow for public comment.
The Council on Human Services adopted these rules June 8,
2000.
These rules are intended to implement 2000 Iowa Acts, Senate
File 2193, sections 4, 5, and 6.
These rules shall become effective July 1, 2000.
The following amendments are adopted.
ITEM 1. Adopt the following
new chapter:
CHAPTER 161
IOWA SENIOR LIVING TRUST FUND
PREAMBLE
These rules describe the Iowa senior living trust fund created
by 2000 Iowa Acts, Senate File 2193, and explain how public nursing facilities
can participate in a program for funding of the senior living trust
fund.
441—161.1(78GA,SF2193) Definitions.
“Department” means the Iowa department of human
services.
“Senior living coordinating unit” means the senior
living coordinating unit created within the Iowa department of elder affairs
pursuant to Iowa Code section 231.58 as amended by 2000 Iowa Acts, Senate File
2193, section 13.
“Senior living program” means the Iowa senior
living program established by 2000 Iowa Acts, Senate File 2193.
“Senior living trust fund” or “trust
fund” means the Iowa senior living trust fund created by 2000 Iowa Acts,
Senate File 2193, section 4, in the state treasury under the authority of the
department.
441—161.2(78GA,SF2193) Funding and operation of
trust fund.
161.2(1) Moneys from intergovernmental agreements and
other sources. Moneys received by the department through intergovernmental
agreements for the senior living program and moneys received by the department
from other sources for the senior living trust fund, including grants,
contributions, and participant payments, shall be deposited in the senior living
trust fund.
161.2(2) Use of moneys. Moneys deposited in the trust
fund shall be used only for the purposes of the senior living program as
specified in 2000 Iowa Acts, Senate File 2193, and in rule
441—161.3(78GA,SF2193).
441—161.3(78GA,SF2193) Allocations from the senior
living trust fund. Moneys deposited in the senior living trust fund shall
be used only as provided in appropriations from the trust fund to the department
of human services and the department of elder affairs and for purposes,
including the awarding of grants, as specified in 2000 Iowa Acts, Senate File
2193, section 6, and in 441—Chapter 162.
441—161.4(78GA,SF2193) Participation by
government– owned nursing facilities.
161.4(1) Participation agreement. Iowa
government–owned nursing facilities participating in the Iowa Medicaid
program and wishing to participate in the funding of the senior living trust
fund shall contact the Department of Human Services, Division of Medical
Services, Fifth Floor, 1305 E. Walnut, Des Moines, Iowa 50319–0114, for
information regarding the conditions of participation. Upon acceptance of the
conditions of participation, the facility shall sign Form 470–3763,
Participation Agreement.
161.4(2) Reimbursement. Upon acceptance of the
participation agreement, the department shall authorize increased reimbursement
to the participating facility for nursing facilities services provided under the
Medicaid program. The facility shall retain $5,000 of the additional
reimbursement received per agreement as a processing payment and shall refund
the remainder of the additional reimbursement through intergovernmental transfer
to the department for deposit of the federal share (less the $5,000 retained by
the facility) in the Iowa senior living trust fund and the nonfederal share of
money in the medical assistance appropriation.
These rules are intended to implement 2000 Iowa Acts, Senate
File 2193, sections 4 and 5.
ITEM 2. Adopt the following
new chapter:
CHAPTER 162
NURSING FACILITY CONVERSION
AND
LONG–TERM CARE SERVICES
DEVELOPMENT GRANTS
PREAMBLE
These rules define and structure grants to be made from the
Iowa senior living trust fund, hereafter referred to as the trust
fund.
Grants are available to nursing facilities for capital or
other one–time expenditure costs incurred for conversion of all or a
portion of the facility to an assisted living facility or other alternatives to
nursing facility care, and to noninstitutional providers of long–term care
for development of other needed long–term care alternatives.
These rules implement provisions of 2000 Iowa Acts, Senate
File 2193, which establishes an overall goal of moving toward a balanced,
comprehensive, affordable, high quality long–term care system.
441—162.1(78GA,SF2193) Definitions.
“Adult day care” means structured social,
habilitation, and health activities provided in a congregate setting to
alleviate deteriorating effects of isolation; to aid in transition from one
living arrangement to another; to provide a supervised environment while the
regular caregiver is working or otherwise unavailable; or to provide a setting
for receipt of multiple health services in a coordinated setting.
“Affordable” means rates for payment of services
that do not exceed the rates established for providers of medical and health
services under the medical assistance program. In relation to services provided
by a home– and community–based waiver services provider,
“affordable” means that the total monthly cost of the home–
and community–based waiver services provided do not exceed the maximum
cost for that level of care as established by rule by the department.
In relation to assisted living, “affordable” means
rates for the costs not paid by medical assistance are less than or equal to 110
percent of the maximum prevailing fair market rent for the same size apartment
under guidelines of the applicable United States Department of Housing and Urban
Development (HUD) low–rent housing program in the area where the assisted
living program is located, plus 185 percent of the maximum federal supplemental
security income benefit for an individual or couple (as applicable). Rates for
the costs paid by medical assistance may not exceed the rates established for
payment under the medical assistance home– and community–based
services (HCBS) elderly waiver program.
“Assisted living program” means an assisted living
program certified or voluntarily accredited by the Iowa department of elder
affairs under Iowa Code chapter 231C as amended by 2000 Iowa Acts, Senate File
2193, section 14.
“Child care for children with special needs” means
physical, emotional, and social care delivered up to ten hours a day to children
under the age of 18 by a service provider approved for participation in the
medical assistance waivers in lieu of care by the parent or legal
guardian.
“Department” means the Iowa department of human
services.
“Director” means the director of the Iowa
department of human services.
“Distinct portion of a nursing facility” means a
clearly identifiable area or section within a nursing facility, consisting of at
least a living unit, wing, floor, or building containing contiguous
rooms.
“Efficient and economical care” means services
provided within the reimbursement limits for the services under
441—subrule 79.1(2) for Medicaid home– and community–based
services (HCBS) waivers and for less than the cost of comparable services
provided in a nursing facility.
“Grantee” means the recipient of a
grant.
“HCBS waivers” means Medicaid home–
andcommunity–based services waivers under 441—Chapter 83, which
provide service funding for specific eligible consumer populations in
Iowa.
“Long–term care alternatives” means those
services specified under HCBS waivers as available services for elderly persons
or adults with disabilities; elder group homes certified under Iowa Code chapter
231B; assisted living programs certified or voluntarily accredited under Iowa
Code chapter 231C as amended by 2000 Iowa Acts, Senate File 2193, section 14;
and the PACE program. These are services other than nursing facility care
provided to the elderly and persons with disabilities.
“Long–term care service development” means
either of the following:
1. The remodeling of existing space and, if necessary, the
construction of additional space required to accommodate development of
long–term care alternatives, excluding the development of assisted living
programs or elder group home alternatives.
2. New construction for long–term care alternatives,
excluding new construction of assisted living programs or elder group homes, if
the senior living coordinating unit determines that new construction is more
cost–effective for the grant program than the conversion of existing
space.
“Medical assistance program” means the program
established in Iowa Code chapter 249A and otherwise referred to as Medicaid or
Title XIX.
“Nursing facility” means a licensed nursing
facility as defined in Iowa Code section 135C.1 or a licensed hospital as
defined in Iowa Code section 135B.1, a distinct part of which provides
long–term care nursing facility beds.
“Nursing facility conversion” means either of the
following:
1. The remodeling of nursing facility space existing on July
1, 1999, and certified for medical assistance nursing facility reimbursement
and, if necessary, the construction of additional space required to accommodate
an assisted living program.
2. New construction of an assisted living program if existing
nursing facility beds are no longer licensed and the senior living coordinating
unit determines that new construction is more cost–effective for the grant
program than the conversion of existing space.
“PACE program” means a program of
all–inclusive care for the elderly established pursuant to 42 U.S.C.
Section 1396u–4 that provides delivery of comprehensive health and social
services to seniors by integrating acute and long–term care services, and
that is operated by a public, private, nonprofit, or proprietary entity.
“Pre–PACE program” means a PACE program in the initial
start–up phase that provides the same scope of services as a PACE
program.
“Persons with disabilities” means persons 18 years
of age or older with disabilities as disability is defined in Iowa Code section
225B.2.
“Respite care” means temporary care of an aged
adult, or an adult or child with disabilities, to relieve the usual caregiver
from continuous support and care responsibilities. Components of respite care
services are supervision, tasks related to the individual’s physical
needs, tasks related to the individual’s psychological needs, and social
and recreational activities. A facility providing respite care must provide
some respite care in the facility, but may also provide in–home
respite.
“Safe shelter for victims of dependent adult
abuse” means board, room, and services provided to persons identified by a
department dependent adult abuse investigator as victims of dependent adult
abuse.
“Senior” means elder as defined in Iowa Code
section 231.4.
“Senior living coordinating unit” means the
planning group established in Iowa Code section 231.58 as amended by 2000 Iowa
Acts, Senate File 2193, section 13, or its designee.
“Senior living program” means the senior living
program created by 2000 Iowa Acts, Senate File 2193, to provide for
long–term care alternatives, long–term care service development, and
nursing facility conversion.
“Trust fund” means the Iowa long–term care
trust fund established by 2000 Iowa Acts, Senate File 2193, section 4.
“Underserved area” means a county in which the
number of currently licensed nursing facility beds and certified or accredited
assisted living units is less than or equal to 4.4 percent of the number of
individuals 65 years of age or older according to the most current census data.
In addition, the department, in determining if a county is underserved, may
consider additional information gathered through its own research or submitted
by an applicant including, but not limited to, any of the following:
1. Availability of and access to long–term care
alternatives relative to individuals eligible for medical assistance.
2. The current number of seniors and persons with disabilities
and the projected number of these individuals.
3. The current number of seniors and persons with disabilities
requiring professional nursing care and the projected number of these
individuals.
4. The current availability of long–term care
alternatives and any anticipated changes in the availability of these
alternatives.
441—162.2(78GA,SF2193) Availability of grants.
In any year in which funds are available for new nursing facility conversion or
long–term care services development grants, the department shall issue a
request for applications for grants. The amount of money granted shall be
contingent upon the funds available. The use of funds appropriated to award
grants shall be in compliance with legislation and at the direction of the
senior living coordinating unit.
There is no entitlement to any funds available for grants
awarded pursuant to this chapter. The department may award grants to the extent
funds are available and, within its discretion, to the extent that applications
are approved.
441—162.3(78GA,SF2193) Grant
eligibility.
162.3(1) Eligible applicants. A grant applicant shall
be:
a. A licensed nursing facility that has been an approved
provider under the medical assistance program under the same ownership for the
three–year period prior to application for the grant.
b. A provider of long–term care services, including one
not covered by the medical assistance program, that has been in business for at
least three years under the same owner.
162.3(2) Types and amounts of grants.
a. Architectural and financial feasibility study
allow–ance. An architectural and financial feasibility study allowance
may be awarded solely for costs directly attributable to development of the
architectural and financial review documentation associated with conversion or
service development. Architectural and financial feasibility study allowances
for conversion or service development grants are limited to $15,000, not to
exceed actual costs for each project.
b. Conversion grants. A conversion grant may be awarded to
convert all or a portion of a licensed nursing facility to affordable certified
assisted living units (limited to $45,000 per unit) and for capital or
one–time expenditures including, but not limited to, start–up
expenses, training expenses, and operating losses for the first year of
operation following conversion.
Conversion grants are limited to a total of $1,000,000 per
facility, with an additional $100,000 if the provider agrees to also provide
adult day care, child care for children with special needs, safe shelter for
victims of dependent adult abuse, or respite care.
A grant application which expands resident capacity of an
existing nursing facility shall not be considered. A grant that requires
additional space to accommodate supportive services related to the functioning
of the long–term care alternative, such as dining rooms, kitchen and
recreation areas, or other community–use areas, may be
considered.
c. Long–term care services development grant. A
long–term care services development grant may be awarded for capital or
one–time expenditures to develop needed long–term care services
covered under a Medicaid HCBS waiver or to develop a PACE program. Expenditures
may include, but are not limited to, start–up expenses, training expenses,
and operating losses for the first year of operation. Service development
grants are limited to $1,000,000 per PACE program, and $150,000 for HCBS waiver
services.
162.3(3) Criteria for grant applicants. A grant shall
be awarded only to an applicant meeting all of the following criteria:
a. The applicant is located in an area determined by the
senior living coordinating unit to be underserved with respect to a particular
long–term care alternative service.
b. The applicant is able to provide a minimum matching
contribution of 20 percent of the total cost of any conversion, remodeling, or
construction. Costs used by grantees to match grant funds shall be directly
attributable to the costs of conversion or service development.
c. Grants applications from nursing facilities shall be
considered only from facilities with an established history of providing quality
long–term care services. Facilities shall be in substantial compliance
with federal Medicaid participation requirements as evidenced at a minimum by
all of the following:
(1) No identified deficiencies which pose a significant risk
to resident health and safety at the time of application.
(2) No more than one isolated event resulting in actual harm
to residents during the current Medicaid certification period.
(3) No citations for a pattern of events resulting in actual
harm to residents for three years prior to application.
d. Grants to applicants other than nursing facilities shall be
considered from applicants only when:
(1) There is substantial compliance with Medicare and Medicaid
participation requirements or other applicable provider certification
requirements at the time of application.
(2) Compliance exists with Medicare and Medicaid requirements,
if applicable, for a three–year period prior to application.
(3) Compliance exists with the criminal background check
system, if applicable.
e. The applicant agrees to do all of the following as
applicable to the type of grant:
(1) Participate in the medical assistance program and maintain
a medical assistance client participation rate of at least 40 percent, subject
to the demand for participation by persons eligible for medical assistance.
Applicants shall also agree that persons able to pay the costs of assisted
living shall not be discharged from their living unit due to a change in payment
source.
(2) Provide a service delivery package that is affordable for
those persons eligible for services under the medical assistance home– and
community–based services waiver program.
(3) Provide a refund of the grant to the senior living trust
fund on a prorated basis if the applicant or the applicant’s successor in
interest: ceases to operate an affordable long–term care alternative
within the first ten–year period of operation following the awarding of
the grant; fails to maintain a participation rate of 40 percent in accordance
with subparagraph (1) within the first ten–year period of operation
following the awarding of the grant; or discharges persons able to pay the costs
of assisted living from their living unit due to a change in payment
source.
f. The applicant must demonstrate that the proposed method of
construction, whether new or remodeling, is the most cost–effective for
the grant program and, when developing assisted living units, must agree that a
specified number of existing nursing facility beds will not continue to be
licensed.
162.3(4) Allowable and nonallowable costs.
a. Examples of allowable costs include:
(1) Professional fees incurred specifically for conversion of
facility or service development, including architectural, financial, legal,
human resources, research, and marketing fees.
(2) Construction costs for the remodeling of existing space
and, if necessary, the construction of additional space required to accommodate
assisted living program services or other alternatives to nursing facility care
or new construction of an assisted living facility or other alternative to
nursing facility care if existing nursing facility beds are no longer licensed
and the department determines that new construction is more cost–effective
for the grant program than the conversion of existing space.
(3) Start–up and training expenses and operating losses
for the first year.
b. Examples of nonallowable costs include:
(1) Costs of travel, personal benefits, and other facility
programs or investments.
(2) Construction costs to remodel nursing facility space that
will remain in use for nursing facility care.
(3) Any costs associated with operation and maintenance of a
non–grant–related facility or service.
(4) Any costs incurred above per–unit grant
amounts.
441—162.4(78GA,SF2193) Grant application
process.
162.4(1) Public notice of grant availability. When
funds are available for new grants, the department shall announce through public
notice the opening of a competitive application period. The announcement shall
include information on how agencies may obtain an application package and the
deadlines for submitting an application.
162.4(2) Request for applications. The department
shall distribute grant application packages for nursing facility conversion and
long–term care service development grants upon request. Applicants
desiring to apply for a grant shall submit Form 470–3759, Application for
Nursing Facility Conversion Grant, or Form 470–3760, Application for
Long–Term Care Service Development Grant, with accompanying documentation
to the department by the date established in the application package. If an
application does not include the information specified in the grant application
package or if it is late, it will be disapproved.
The application must be submitted by the legal owner of the
nursing facility or long–term care provider. In cases in which the
provider licensee does not hold title to the real property in which the service
is operated, both the licensee and the owner of the real property must submit a
joint application. Form 470–3759 or Form 470–3760 must be signed by
an individual authorized to bind the applicant to perform legal obligations.
The title of the individual must be stated.
162.4(3) Application requirements.
a. Prior to submission of an application, the applicant must
arrange and conduct a community assessment and solicit public comment on the
plans proposed in the grant application. In soliciting public comment the
applicant must at a minimum:
(1) Publish an announcement in a local or regional newspaper
of the date, time, and location of a public meeting regarding the proposed
project, with a brief description of the proposed project.
(2) Post notice of the meeting at the nursing facility or
applicant’s offices and at other prominent civic locations.
(3) Notify potentially affected clients and their families of
the proposed project, of the potential impact on them, and of the public meeting
at least two weeks prior to the public meeting.
(4) Advise the department of the public meeting date at least
two weeks before the scheduled meeting.
(5) Address the following topics at the public meeting: a
summary of the proposed project, the rationale for the project, and resident
retention and relocation issues.
(6) Receive written and oral comments at the meeting and
provide for a seven–day written comment period following the
meeting.
(7) Summarize all comments received at the meeting or within
the seven–day written comment period and submit the summary to the
department as part of the application package.
b. Grant applications shall contain, at a minimum, the
following information:
(1) Applicant identification and a description of the agency
and its resources, which will demonstrate the ability of the applicant to carry
out the proposed plan.
(2) Information to indicate the nursing facility
applicant’s extent of conversion of all or a portion of its facility to an
assisted living program or development of other long–term care
alternatives. Current and proposed bed capacity shall be given as well as the
number of beds to be used for special services. Nursing facility and
noninstitutional providers shall describe outpatient services they wish to
develop.
(3) A request for an architectural and financial feasibility
study allowance, if desired.
(4) Demonstration at a minimum of the following:
1. Public support for the proposal exists. Evidence of public
support shall include, but not be limited to, the following: the summary of all
comments received at the public meeting or within the seven–day written
comment period and letters of support from the area agency on aging; the local
board of health; local provider or consumer organizations such as the local case
management program for frail elders, resident advocate committee or
Alzheimer’s chapter; and consumers eligible to receive services from the
developed long–term care alternative.
2. The proposed conversion or service development will have a
positive impact on the overall goal of moving toward a balanced, comprehensive,
high–quality, long–term care system.
3. Conversion of the nursing facility or a distinct portion of
the nursing facility to an assisted living program or development of an
alternative service will offer efficient and economical long–term care
services in the service area described by the applicant.
4. The assisted living program or other alternative services
are otherwise not likely to be available in the service area described by the
applicant for individuals eligible for services under the medical assistance
program.
5. If applicable, a resulting reduction in the availability of
nursing facility services will not cause undue hardship to those individuals
requiring nursing facility services for a period of at least ten
years.
6. Conversion to an assisted living program or development of
other alternative services will result in a lower per–client reimbursement
to the grant applicant under the medical assistance program.
7. The service delivery package will be affordable for
individuals eligible for services under the medical assistance home– and
community–based services waiver program.
8. Long–term care alternatives will be available and
accessible to individuals eligible for medical assistance and other individuals
with low or moderate income.
9. Long–term care alternative services are needed based
on the current and projected numbers of seniors and persons with disabilities,
including those requiring assistance with activities of daily living in the
service area described by the applicant.
10. Long–term care alternatives in the service area are
needed based on the community needs assessment and upon current availability and
any anticipated changes in availability.
162.4(4) Selection of grantees. All applications
received by the department within the designated time frames and meeting the
criteria set forth in rule 441—162.3(78GA, SF2193) and subrule 162.4(3)
shall be reviewed by the department under the direction of the senior living
coordinating unit.
If grant applications that meet the minimum criteria exceed
the amount of available funds, scoring criteria shall be used to determine which
applicants shall receive a grant. Scoring shall be based on the
following:
1. The degree to which the county or counties in the service
area described by the grant applicant are underserved – up to 20 points.
If more than one county is in the service area, a weighted average shall be
used.
2. The level of community support as identified by the
community–based assessment, public meeting comments, and letters of
support and the degree of collaboration among local service providers – up
to 20 points.
3. For conversion grants, the number of licensed beds
eliminated or converted to special needs beds, with evidence that the resulting
reduction in licensed beds will not cause a hardship for persons requiring
nursing services – up to 20 points.
4. The number of added services to fill a service need gap
– up to 20 points.
5. Evidence of an adequate plan to carry out the requirements
of this chapter and regulations pertaining to the long–term care
alternative service – up to 20 points.
6. Costs of long–term care alternative services to
consumers – up to 30 points.
7. Evidence of the ability and commitment to make proposed
alternatives accessible to low– and moderate–income persons –
up to 20 points.
162.4(5) Notification of applicants. Applicants shall
be notified whether the grant proposal is approved or denied. Denial of an
application in one year does not preclude submission of an application in a
subsequent year.
441—162.5(78GA,SF2193) Grant dispersal stages.
Following approval of an applicant’s grant proposal by the department, the
grant process shall proceed through the following stages:
162.5(1) Completion of architectural and financial
feasibility study.
a. An architectural and financial feasibility study shall be
completed pursuant to the guidelines included in the applicable grant
application package and applicable service regulations.
(1) For facility conversion, construction, or remodeling, the
architectural plan shall provide schematic drawings at a minimum of
one–eighth scale consisting of the building site plan, foundation plan,
floor plan, cross section, wall sections, and exterior elevations.
(2) The grantee shall comply with all local, state and
national codes pertaining to construction; and certification, licensure, or
accreditation requirements applicable to the long–term care
alternative.
(3) Construction documents, budget cost estimates, and related
services must be rendered by a professional architect or engineer registered in
Iowa.
b. Payment of up to $15,000 may be issued to each approved
applicant to proceed with the architectural and financial feasibility study if
requested in the original application. By making a request for an architectural
and financial feasibility study allowance, the applicant agrees that the funds
will be used solely for costs directly attributable to development of the
architectural and financial review documentation associated with conversion or
service development.
c. All grantees must submit the completed study documents
within the time frame identified in the request for application together with an
itemized accounting of the expenditure of any allowance funds. Any unexpended
architectural and financial review allowance funds shall be returned to the
department.
162.5(2) Review of architectural and financial
feasibility study. The department shall review the architectural and financial
feasibility study materials and shall grant or deny approval to develop or
obtain final budget estimates for the proposed project. Approval to proceed
shall be granted only if the architectural and financial feasibility study
supports the ability of the grantee to meet the minimum grant criteria and to
complete the proposed project as set forth in the original
application.
162.5(3) Completion of final budget estimate.
Grantees approved to proceed with the final budget estimate shall submit the
final budget estimates, any revisions to previously submitted materials, and a
request for a grant in a specific amount. The matching fund amount to be paid
by the grantee must be stated in the request.
162.5(4) Review of final budget estimate. The
department shall review the final budget estimate and issue a notice of award
for a grant in a specific amount if the final budget estimate supports the
ability of the grantee to meet the minimum grant criteria and to complete the
proposed project as set forth in the original application.
441—162.6(78GA,SF2193) Project contracts. The
funds for approved applications shall be awarded through a contract entered into
by the department and the applicant.
441—162.7(78GA,SF2193) Grantee
responsibilities.
162.7(1) Records and reports.
a. The grantee shall maintain the following records:
(1) Consumer participation records that identify persons by
payment source.
(2) Complete and separate records regarding the expenditure of
senior living trust funds for the grant amounts received.
b. Recipients of grants shall submit a bimonthly progress
report to the department and senior living coordinating unit beginning the
second month following project approval through project completion.
c. Recipients shall submit annual cost reports to the
department, in conformance with policies and procedures established by the
department, regarding the project for a period of ten years after the date the
grantee begins operation of its facility as an assisted living facility or other
long–term care alternative.
162.7(2) Reasonable access. The grantee shall allow
access to records at reasonable times by duly authorized representatives of the
department for the purpose of conducting audits and examinations and for
preparing excerpts and transcripts. This access to records shall continue for a
period of ten years from the date the grantee begins operation as an assisted
living facility or other long–term care alternative.
162.7(3) Relinquishment of license. The grantee shall
relinquish the nursing facility bed license for any facility space converted to
assisted living or alternatives to nursing facility care for a ten–year
period.
162.7(4) Acceptance of financial responsibility. The
grantee shall accept financial responsibility for all costs over and above the
grant amount which are related to project completion.
162.7(5) Participation in the medical assistance
program. The grantee shall participate in the medical assistance program as a
provider of nursing facility services if the grantee continues to provide any
nursing facility services.
162.7(6) Segregation of medical assistance residents
forbidden. The grantee shall not segregate medical assistance residents in an
area, section, or portion of an assisted living program or long–term care
alternative service. Grantees shall allow a resident who is converting from
private–pay to medical assistance to remain in the resident’s living
unit if the resident is able to pay the rate and shall not relocate the resident
solely due to a change in payment source.
441—162.8(78GA,SF2193) Offset. The department
may deduct the amount of any refund due from a grantee from any money owed by
the department to the grantee or the grantee’s successor in
interest.
441—162.9(78GA,SF2193) Appeals. Applicants
dissatisfied with the department’s actions regarding applications for
grants and grantees dissatisfied with actions regarding a grant may file an
appeal with the director. The letter of appeal must be received by the director
within five working days of the date of the notice and must include a request
for the director to review the action and the reasons for dissatisfaction.
Within ten working days of the receipt of the appeal, the director shall review
the appeal request and issue a final decision.
No disbursements shall be made to any applicant for a period
of five working days following the notice awarding the original grants. If an
appeal is filed within the five days, all disbursements shall be held pending a
final decision on the appeal.
These rules are intended to implement 2000 Iowa Acts, Senate
File 2193, section 6.
[Filed Emergency 6/8/00, effective 7/1/00]
[Published 6/28/00]
EDITOR’S NOTE:
For replacement pages for IAC, see IAC Supplement 6/28/00.
ARC 9912A
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 163, “Adolescent
Pregnancy Prevention and Services to Pregnant and Parenting Adolescents
Programs,” appearing in the Iowa Administrative Code.
These amendments provide that grants to pregnancy prevention
programs that are developed after July 1, 2000, shall be awarded to programs
which are comprehensive in scope and which are based on existing models that
have demonstrated positive outcomes. Priority in the awarding of grants shall
be given to programs that serve areas of the state which demonstrate the highest
percentage of unplanned pregnancies of females aged 13 or older but younger than
the age of 18 within the geographic area to be served by the grant.
These amendments do not provide for waivers in specified
situations because these changes were mandated by theSeventy–eighth
General Assembly.
The Department of Human Services finds that notice and public
participation are unnecessary and impracticable because the changes are mandated
by 2000 Iowa Acts, Senate File 2435, section 3, subsection 11, and there is not
time to obtain public comment and have these changes effective July 1, 2000.
Therefore, these amendments are filed pursuant to Iowa Code section
17A.4(2).
The Department finds that the amendments confer a benefit on
the public by targeting for assistance pregnancy programs that serve areas of
the state which demonstrate the highest percentage of unplanned pregnancies of
females aged 13 or older but younger than the age of 18. Therefore, these
amendments are filed pursuant to Iowa Code section
17A.5(2)“b”(2).
These amendments were also published under Notice of Intended
Action in the Iowa Administrative Bulletin on June 14, 2000, as ARC 9874A
to allow for public comment.
The Council on Human Services adopted these amendments June 8,
2000.
These amendments are intended to implement Iowa Code section
234.6 and 2000 Iowa Acts, Senate File 2435, section 3, subsection 11.
These amendments shall become effective July 1,
2000.
The following amendments are adopted.
ITEM 1. Amend rule
441—163.1(234) by adopting the following new
definition in alphabetical order:
“Percentage of pregnancies” means the total number
of births to mothers aged 13 years of age and older but younger than 18 years of
age in the service area for the most recent year for which data is available
divided by the total number of births statewide for the same age group and the
same year.
ITEM 2. Amend subrule 163.3(1) as
follows:
163.3(1) Grants will be awarded to eligible applicants
for specifically designed projects. Preference in awarding grants shall be
given to projects which utilize use a variety of
community resources and agencies. Priority in awarding of points for
community grants shall be given to programs that serve areas of the state which
demonstrate the highest percentage of pregnancies of females aged 13 years of
age or older but younger than the age of 18 within the geographic area to be
served by the grant. Projects selected for the adolescent pregnancy
prevention statewide campaign, adolescent pregnancy evaluation 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 prior to July 2000 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 if the programs are
comprehensive in scope and have demonstrated positive outcomes. Grants awarded
after July 2000 must be for projects that are comprehensive in scope and based
on existing models that have demonstrated positive outcomes.
An increasing grantee match will be required. A 5 percent
grantee match will be required in year one. The match will increase by 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.
ITEM 3. Amend subrule 163.4(2),
paragraph “d,” as follows:
d. Statement of problem and need, including information
demonstrating the percentage of pregnancies of females aged 13 years of age or
older but younger than the age of 18 within the geographic area to be
served.
ITEM 4. Amend subrule 163.5(3),
introductory paragraph, and paragraph “i,” as
follows:
163.5(3) A weighted Weighted
scoring criteria will be used to determine grant awards. The maximum
amount number of points possible is 110
125. Determination of final point awards will be based on the
following:
i. Overall quality and impact of program and
consideration of legislative preference areas—10
points.
Further amend subrule 163.5(3) by adding the following
new paragraph “k”:
k. Consideration of legislative priority area—15
points.
[Filed Emergency 6/8/00, effective 7/1/00]
[Published 6/28/00]
EDITOR’S NOTE:
For replacement pages for IAC, see IAC Supplement 6/28/00.
ARC 9913A
HUMAN SERVICES
DEPARTMENT[441]
Adopted and Filed Emergency
Pursuant to the authority of Iowa Code section 217.6 and 2000
Iowa Acts, House File 2555, section 1, subsection 1, and section 11, and Senate
File 2435, section 31, subsection 15, and section 44, the Department of Human
Services hereby amends Chapter 185, “Rehabilitative Treatment
Services,” appearing in the Iowa Administrative Code.
This amendment discontinues during state fiscal year 2001 the
practice of allowing individual rehabilitative treatment and supportive service
(RTSS) rates to be renegotiated and implements a rate increase, both as mandated
by the General Assembly. RTSS providers will receive a 5 percent
across–the–board cost–of–living adjustment that shall be
applied to each individual provider’s state negotiated rate.
This amendment does not provide for any waivers in specific
situations because these changes were mandated by the legislature, with no
provisions for exceptions.
In compliance with Iowa Code section 17A.4(2), the Department
of Human Services finds that notice and public participation are unnecessary
because this amendment implements 2000 Iowa Acts, House File 2555, section 1,
subsection 1, and section 11, and Senate File 2435, section 31, subsection 15,
and section 44, which authorize the Department to adopt rules without notice and
public participation.
The Department also finds, pursuant to Iowa Code section
17A.5(2)“b”(1), that the normal effective date of this amendment
should be waived and this amendment made effective July 1, 2000, as authorized
by 2000 Iowa Acts, House File 2555, section 1, subsection 1, and section 11, and
Senate File 2435, section 31, subsection 15, and section 44.
This amendment was also published under Notice of Intended
Action in the Iowa Administrative Bulletin on June 14, 2000, as ARC 9875A
to allow for public comment.
The Council on Human Services adopted this amendment June 8,
2000.
This amendment is intended to implement Iowa Code section
234.6 and 2000 Iowa Acts, House File 2555, section 1, subsection 1, paragraph
“c,” and Senate File 2435, section 31, subsections 9 and
14.
This amendment shall become effective July 1, 2000.
The following amendment is adopted.
Amend subrule 185.112(1), paragraph
“k,” as follows:
k. Once a negotiated rate is established based on the
provisions of this subrule, it shall not be changed or renegotiated
during the time period of this rule except in the following
circumstances:
(1) By mutual consent of the provider and the regional
administrator of the host region based upon the factors delineated at paragraph
185.112(1)“f.,” except that rates shall
not be changed or renegotiated for the period of July 1, 2000, through June 30,
2001.
(2) In accordance with paragraph
185.112(6)“b.,” except that rates shall
not be changed or renegotiated for services not assumed by a new provider for
the period of July 1, 2000, through June 30, 2001.
(3) When Rates may be changed when
funds are appropriated for an across–the–board increase. Effective
July 1, 1999 2000, a 2 5 percent
across–the–board increase
cost–of–living adjustment will be applied.
[Filed Emergency 6/8/00, effective 7/1/00]
[Published 6/28/00]
EDITOR’S NOTE:
For replacement pages for IAC, see IAC Supplement 6/28/00.
ARC 9915A
NURSING BOARD[655]
Adopted and Filed Emergency
Pursuant to the authority of Iowa Code sections 17A.3 and
147.76, the Board of Nursing hereby adopts amendments to Chapter 2,
“Nursing Education Programs,” Chapter 3, “Licensure to
Practice – Registered Nurse/Licensed Practical Nurse,” Chapter 6,
“Nursing Practice for Registered Nurses/Licensed Practical Nurses,”
Chapter 7, “Advanced Registered Nurse Practitioners,” and adopts a
new Chapter 16, “Nurse Licensure Compact,” Iowa Administrative
Code.
These amendments implement 2000 Iowa Acts, House File 2105,
Nurse Licensure Compact. Amendments expand the definition of licensure to
include licensure in another party state when that state is the home state. The
new chapter enacts the model rules used by compact states to further define
licensure in home state and multistate practice privilege and the Board’s
authority to regulate.
In compliance with Iowa Code section 17A.4(2), the Board finds
that notice and public participation are unnecessary because the amendments
confer a benefit on licensed nurses by making provision for practicing nursing
in other compact states based on a home state license.
The Board also 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 June 30, 2000, as
they confer a benefit on the licensed nurses.
The Board of Nursing adopted these amendments on June 8,
2000.
These amendments are also published herein under Notice of
Intended Action as ARC 9917A to allow for public comment.
These amendments will become effective on June 30,
2000.
These amendments are intended to implement 2000 Iowa Acts,
House File 2105.
The following amendments are adopted.
ITEM 1. Amend subrule 2.3(2),
paragraph “a,” as follows:
a. Current licensure Currently
licensed as a registered nurse in Iowa, including persons licensed in
another state and recognized for licensure in Iowa pursuant to the nurse
licensure compact contained in 2000 Iowa Acts, House File 2105, section
8.
ITEM 2. Amend subrule 2.6(2),
paragraph “a,” as follows:
a. Current licensure as a registered nurse in Iowa.
Individuals are currently licensed when licensed in another state and
recognized for licensure in this state, pursuant to the nurse licensure compact
contained in 2000 Iowa Acts, House File 2105, section 8.
ITEM 3. Amend rule
655—3.1(17A,147,152,272C), definition of “Fees,”
numbered paragraph “4,” as follows:
4. For a license registration as an advanced
registered nurse practitioner, $21 per year, or any portion thereof.
ITEM 4. Amend subrule 3.2(1),
introductory paragraph, as follows:
3.2(1) A person who practices nursing in the state of
Iowa as defined in Iowa Code section 152.1, outside of one’s family, shall
have a current Iowa license, whether or not the employer is in Iowa and whether
or not the person receives compensation. The nurse shall maintain a copy of
the license and shall be have it
available for public inspection when engaged in the practice
of nursing in Iowa.
ITEM 5. Amend subrule 3.2(2), by
adopting the following new paragraph “a” and
relettering paragraphs “a” to “d” as
“b” to “e.”
a. A nurse who resides in another state is recognized for
licensure in this state pursuant to the nurse licensure compact contained in
2000 Iowa Acts, House File 2105, section 8. The nurse shall maintain a copy of
the license and shall have it available for inspection when engaged in the
practice of nursing in Iowa.
ITEM 6. Amend subrule 3.5(2),
paragraph “b,” by adopting the following new
subparagraph (5) and renumbering subparagraph (5) as
(6).
(5) Submission of evidence attesting that Iowa is the primary
state of residence if the applicant is changing primary state of residence from
another party state as outlined in rule 655—16.2(152).
ITEM 7. Amend subrule 3.6(1),
introductory paragraphs, as follows:
3.6(1) Special licensure by endorsement. A
short–term special license may be granted by the board on an individual
basis. The intent of the special license is to allow nurses licensed in
another a nonparty state to be licensed and to practice
in Iowa for a fixed period of time and only under certain conditions. The
purpose of the license is to allow those nurses not previously licensed in Iowa
to provide care in a specialty area, to provide consultation or teaching where
care is directed, or to obtain clinically based continuing education.
The application process for those currently licensed in
another a nonparty state who are eligible for
endorsement is as follows:
ITEM 8. Amend rule
655—6.1(152), definition of “Advanced registered nurse
practitioner (ARNP),” as follows:
“Advanced registered nurse practitioner (ARNP)”
means a nurse with current licensure as a registered nurse in Iowa or who
is licensed in another state and recognized for licensure in this state
pursuant to the nurse licensure compact contained in 2000 Iowa Acts, House File
2105, section 8, and is also registered in Iowa to practice in an advanced
role. The ARNP is prepared for an advanced role by virtue of additional
knowledge and skills gained through an organized postbasic a
formal advanced practice education program of nursing in a specialty area
approved by the board. In the advanced role, the nurse practices nursing
assessment, intervention, and management within the boundaries of the
nurse–client relationship. Advanced nursing practice occurs in a variety
of settings, within an interdisciplinary health care team, which provide for
consultation, collaborative management, or referral. The ARNP may perform
selected medically delegated functions when a collaborative practice agreement
exists.
ITEM 9. Amend subrule 6.5(5) as
follows:
6.5(5) To be eligible for intravenous therapy
certification, the licensee shall hold a current unrestricted Iowa license and
documentation of 2080 hours of practice as a licensed practical nurse and
shall hold a current unrestricted Iowa license or an unrestricted license in
another state recognized for licensure in this state pursuant to the nurse
licensure compact contained in 2000 Iowa Acts, House File 2105, section
8.
ITEM 10. Amend rule
655—7.1(152), definition of “Advanced registered nurse
practitioner (ARNP),” as follows:
“Advanced registered nurse practitioner (ARNP)”
is means a nurse with current licensure as a registered
nurse in Iowa or who is licensed in another state and recognized for
licensure in this state pursuant to the nurse licensure compact contained in
2000 Iowa Acts, House File 2105, section 8, and is also registered in Iowa
to practice in an advanced role. The ARNP is prepared for an advanced role by
virtue of additional knowledge and skills gained through a formal advanced
practice education program of nursing in a specialty area approved by the board.
In the advanced role, the nurse practices nursing assessment, intervention, and
management within the boundaries of the nurse–client relationship.
Advanced nursing practice occurs in a variety of settings, within an
interdisciplinary health care team, which provide for consultation,
collaborative management, or referral. The ARNP may perform selected medically
delegated functions when a collaborative practice agreement exists.
ITEM 11. Adopt the following
new Chapter 16:
CHAPTER 16
NURSE LICENSURE COMPACT
655—16.1(152E) Definitions.
“Board” means a party state’s regulatory
body responsible for issuing nurse licenses.
“Information system” means the coordinated
licensure information system.
“Primary state of residence” means the state of a
person’s declared fixed permanent and principal home for legal purposes;
domicile.
“Public” means any individual or entity other than
designated staff or representatives of party state boards or the National
Council of State Boards of Nursing, Inc.
655—16.2(152E) Issuance of a license by a compact
party state.
16.2(1) A nurse applying for a license in a home party
state shall produce evidence of the nurse’s primary state of residence.
Such evidence shall include a declaration signed by the licensee. Further
evidence that may be requested may include, but is not limited to:
a. A driver’s license with a home address;
b. Voter registration card displaying a home address;
or
c. Federal income tax return declaring the primary state of
residence.
16.2(2) A nurse changing primary state of residence,
from one party state to another party state, may continue to practice under the
former home state license and multistate licensure privilege during the
processing of the nurse’s licensure application in the new home state for
a period not to exceed 30 days.
16.2(3) The licensure application in the new home
state of a nurse under pending investigation by the former home state shall be
held in abeyance and the 30–day period set out in 16.2(2) of this rule
shall be stayed until resolution of the pending investigation.
16.2(4) The former home state license shall no longer
be valid upon the issuance of a new home state license.
16.2(5) If a decision is made by the new home state
denying licensure, the new home state shall notify the former home state within
ten business days, and the former home state may take action in accordance with
that state’s laws and rules.
655—16.3(152E) Limitations on multistate licensure
privilege. All home state board disciplinary orders, agreed or otherwise,
which limit the scope of the licensee’s practice or require monitoring of
the licensee as a condition of the order shall include the requirement that the
licensee will limit the licensee’s practice to the home state during the
pendency of the order. This requirement may allow the licensee to practice in
other party states with prior written authorization from both the home state and
party state boards.
655—16.4(152E) Information system.
16.4(1) Levels of access.
a. The public shall have access to nurse licensure information
limited to:
(1) The nurse’s name.
(2) Jurisdiction(s) of licensure.
(3) License expiration date(s).
(4) Licensure classification(s) and status(es).
(5) Public emergency and final disciplinary actions, as
defined by contributing state authority.
(6) The status of multistate licensure privileges.
b. Nonparty state boards shall have access to all information
system data except current significant investigative information and other
information as limited by contributing party state authority.
c. Party state boards shall have access to all information
system data contributed by the party states and other information as limited by
contributing nonparty state authority.
16.4(2) The licensee may request in writing to the
home state board review of the data relating to the licensee in the information
system. In the event a licensee asserts that any data relating to the licensee
is inaccurate, the burden of proof shall be upon the licensee to provide
evidence that substantiates such claim. The board shall verify and within ten
business days correct inaccurate data in the information system.
16.4(3) The board shall report to the information
system within ten business days, a disciplinary action, agreement or order which
requires participation in alternative programs or which limits practice or
requires monitoring (except agreements and orders relating to participation in
alternative programs required to remain nonpublic by contributing state
authority), dismissal of complaint, and changes in status of disciplinary
action, or licensure encumbrance.
16.4(4) Current significant investigative information
shall be deleted from the information system within ten business days upon
report of disciplinary action, agreement or order requiring participation in
alternative programs or agreements which limit practice or require monitoring or
dismissal of a complaint.
16.4(5) Changes to licensure information in the
information system shall be completed within ten business days upon notification
by the board.
These rules are intended to implement 2000 Iowa Acts, House
File 2105.
[Filed Emergency 6/9/00, effective 6/30/00]
[Published 6/28/00]
EDITOR’S NOTE:
For replacement pages for IAC, see IAC Supplement 6/28/00.
ARC 9897A
PAROLE BOARD[205]
Adopted and Filed Emergency
Pursuant to the authority of Iowa Code sections 904A.4(2) and
906.3, the Board of Parole hereby amends Chapter 14, “Executive
Clemency,” Iowa Administrative Code.
The amendments rescind current rule 14.2(902) and subrule
14.5(1) and add a new rule 14.6(902) which implements changes in policy
governing the system of uniform procedures for commutation of Class
“A” felons.
In compliance with Iowa Code section 17A.4(2), the Board finds
that notice and public participation are impracticable because of the immediate
need to implement changes in Iowa Code chapter 902.
The Board also finds, pursuant to Iowa Code section
17A.5(2)“b”(2), that the normal effective date of these amendments
should be waived and these amendments should be made effective upon filing with
the Administrative Rules Coordinator on June 8, 2000, as they confer a benefit
upon Class “A” felons.
The Board of Parole adopted these amendments on June 8,
2000.
These amendments are also published herein under Notice of
Intended Action as ARC 9898A to allow for public comment.
These amendments are intended to implement Iowa Code section
902.2.
These amendments became effective June 8, 2000.
The following amendments are adopted.
ITEM 1. Rescind and reserve rule
205—14.2(902).
ITEM 2. Rescind and reserve subrule
14.5(1).
ITEM 3. Adopt the following
new rule:
205—14.6(902) Commutation procedure for class
“A” felons.
14.6(1) Initial review. The board of parole, or its
designee, will initially review an application for commutation to determine
whether the inmate is eligible for a commutation pursuant to Iowa Code section
902.2. If the inmate is not eligible to apply for commutation pursuant to Iowa
Code section 902.2, the board shall return the application to the governor and
notify the governor of the reasons.
14.6(2) Parole board commutation investigation
process.
a. If the applicant is eligible to apply for commutation
pursuant to Iowa Code section 902.2, the board shall conduct an investigation
pursuant to that section and subrule 14.6(2).
b. The board may consider any documents the board deems
appropriate including, but not limited to, the application and attached
documents, transcripts of judicial proceedings, corrections information, and
written recommendations, statements, and interviews of public officials,
victims, and witnesses.
c. The board shall interview the applicant, pursuant to Iowa
Code section 902.2, prior to submitting its recommendation to the governor. The
board may interview any other person the board deems appropriate including, but
not limited to, public officials, victims, and witnesses. The board may conduct
any interview, including the interview of the applicant, through electronic
means.
d. The board shall attempt to provide notice of the
commutation investigation to any individual who would qualify as a victim under
Iowa’s victim’s notification law. Notice shall be by regular mail
to the last–known address. The notice shall provide a specified amount of
time for the victim to provide a statement to the board regarding the
application for commutation.
e. The board may utilize the resources of the department of
public safety for assistance with any part of its investigation.
f. The board may hold a public hearing to receive comments
from the general public on an application for commutation. The determination to
hold a public hearing to receive public comments is solely at the discretion of
the board.
14.6(3) Recommendation and report.
a. The board shall vote on a recommendation regarding the
application. Any decision to recommend commutation shall be by unanimous vote.
The board may continue the matter until such time as the board may determine by
majority vote.
b. The board may consider any factor it deems appropriate when
considering commutation including, but not limited to, the nature and
circumstances of the crime, the number of years the applicant has served, the
applicant’s previous criminal record, the applicant’s conduct while
confined, the impact on the victim, and the public interest.
c. The board shall prepare a written report of its findings
and recommendations and forward its report to the governor.
14.6(4) Board consideration following commutation.
The board shall consider the parole and work release prospects of any inmate
whose life sentence has been commuted by the governor. The grant of commutation
does not require the board to grant parole or work release. The board shall
consider parole or work release pursuant to the standards in 205—Chapter
8.
[Filed Emergency 6/8/00, effective 6/8/00]
[Published 6/28/00]
EDITOR’S NOTE:
For replacement pages for IAC, see IAC Supplement 6/28/00.
ARC 9914A
REAL ESTATE
COMMISSION[193E]
Adopted and Filed Emergency
Pursuant to the authority of Iowa Code sections 543B.9 and
543B.18, the Real Estate Commission hereby amends Chapter 1, “Business
Conduct,” Iowa Administrative Code.
The amendments to Chapter 1 rescind the definition of
“referral fee” or “finder’s fee” in rule
1.1(543B), delete the introductory paragraph of rule 1.41(543B), and rescind
subrules 1.41(3) and 1.41(7).
In compliance with Iowa Code section 17A.4(2), the Commission
finds that notice and public participation are impracticable because the
professional trade association has determined that the rules are
unacceptable.
The Real Estate Commission also finds, pursuant to Iowa Code
section 17A.5(2)“b”(2), that the normal effective date of these
rules should be waived and the rules should be made effective June 9, 2000, as
this rescission confers a benefit to the public by removing controversial
language from the regulations.
These amendments were published January 12, 2000, under Notice
of Intended Action as ARC 9600A and March 22, 2000, and Adopted and Filed
as ARC 9739A. On April 7, 2000, the Administrative Rules Review
Committee imposed a 70–day delay on these specific amendments.
These amendments are intended to implement Iowa Code sections
543B.9 and 543B.18.
These amendments became effective June 9, 2000.
The following amendments are adopted.
ITEM 1. Amend rule
193E—1.1(543B) by rescinding the definition of “Referral
fee” or “finder’s fee.”
ITEM 2. Amend rule 193E—1.41(543B),
introductory paragraph, as follows:
193E—1.41(543B) Rebates and inducements.
With proper written disclosure, rebates and inducements may be paid to a
party to the transaction, consistent with Iowa Code sections 543B.6 and
543B.34(9a), provided such party does not engage in any activity that requires a
real estate license. A rebate or inducement shall not be made without the
required written disclosures to the parties as provided in
193E—1.42(543B).
ITEM 3. Rescind and reserve subrules
1.41(3) and 1.41(7).
[Filed Emergency 6/8/00, effective 6/9/00]
[Published 6/28/00]
EDITOR’S NOTE:
For replacement pages for IAC, see IAC Supplement 6/28/00.
ARC 9891A
SECRETARY OF STATE[721]
Adopted and Filed Emergency
Pursuant to the authority of Iowa Code section 52.5, the
Secretary of State hereby amends Chapter 22, “Alternative Voting
Systems,” Iowa Administrative Code.
Iowa Code section 52.5 requires that, before actual use by a
county of a particular electronic voting system which has been approved for use
in this state, the state commissioner shall formulate, with the advice and
assistance of the examiners, and adopt rules governing the development of vote
counting programs and all procedures used in actual counting of votes by means
of that system. These amendments reflect changes made to the AIS 100 precinct
ballot counter and approved for use in Iowa by the Iowa Board of Examiners for
Voting Machines and Electronic Voting Systems on May 12, 2000.
Due to a change in the ownership of the vendor, this voting
equipment is now called “ES&S Model 100.” The amendments to
rule 22.261(52) reflect technical additions, changes and deletions made by the
vendor to messages that are displayed on the machine. Instructions to the
precinct election officials have also been revised to provide guidance in
responding to the messages. The most significant change is the addition of the
“unidentified mark” error message. If the ballot scanner detects a
mark within a voting target that is not dark enough to meet the technical
standard to be considered and counted as a vote, the machine will return the
ballot to the voter so the voter can decide whether the mark should be darkened,
or whether the mark was unintended and the ballot should be replaced and
remarked.
In compliance with Iowa Code section 17A.4(2), the Secretary
of State finds that notice and public participation are impracticable due to the
brief period of time between the approval of the changes to this system and the
date of the primary election. One county in the state plans to use the upgraded
Model 100 in the primary election. The county auditor and the board of
examiners have been consulted and have commented upon these
amendments.
These amendments are also published herein under Notice of
Intended Action as ARC 9890A to provide an opportunity for additional
comments.
The Secretary of State also 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 upon the public by having this voting system
available for use in the June 6, 2000, primary election.
These amendments became effective June 5, 2000.
These amendments are intended to implement Iowa Code section
52.5.
The following amendments are adopted.
721—22.261(52) AIS ES&S
Model 100—system messages and solution codes. The numbers in the
right–hand column of this chart correspond to solution codes printed after
the chart. Precinct election officials and others working with this system
shall be provided with the appropriate information from the chart.
System Message
|
When to expect this message
|
What to do
|
Accept blank ballot
|
Polls open: reading ballots
|
1
|
Audit log full
|
Polls open: reading ballots
|
4
|
Counter block failed CRC
|
Preelection testing and setup
|
6
|
Counters are full
|
Polls open: reading ballots
|
4
|
Counters are in overflow
|
Polls open: reading ballots
|
4
|
Counters cannot hold next count
|
Polls open: reading ballots
|
4
|
Counters cleared
|
Election day start–up
|
0
|
DRAM counter space bad
|
Polls open: reading ballots
|
4
|
Election definition failed CRC
|
Preelection testing and setup
|
4
|
Erroneous arithmetic operation
|
Any time
|
4
|
Error accessing NVRAM
|
Polls open: reading ballots
|
4
|
Error getting machine ID
|
Election day start–up
|
4
|
Error in initializing modem
|
Modem transmission of results
|
5
|
Error in opening modem
|
Modem transmission of results
|
5
|
Error in receiving command request
|
Modem transmission of results
|
5
|
Error in receiving login request
|
Modem transmission of results
|
5
|
Error in receiving password request
|
Modem transmission of results
|
5
|
Error reading PCMCIA card
|
Polls open: reading ballots
|
4
|
Error reading system audit log
|
Polls open: reading ballots
|
4
|
Error seeking on PCMCIA card
|
Preelection testing and setup
|
6
|
Error setting line parameters
|
Preelection testing and setup
|
6
|
Error setting real time clock
|
Preelection testing and setup
|
6
|
Error writing PCMCIA card
|
Polls open: reading ballots
|
4
|
Error writing system audit log
|
Polls open: reading ballots
|
4
|
Event log failed CRC
|
Preelection testing and setup
|
6
|
Host rejects password
|
Modem transmission of results
|
5
|
Incompatible PCMCIA card format
|
Preelection testing and setup
|
6
|
Incompatible system log format
|
Preelection testing and setup
|
6
|
Invalid instruction
|
Polls open: reading ballots
|
4
|
Invalid memory reference
|
Polls open: reading ballots
|
4
|
Invalid Seq– Type–Split
|
Polls open: reading ballots
|
3
|
Memory parity error
|
Polls open: reading ballots
|
4
|
Missing precinct counter scanner
block
|
Polls open: reading ballots
|
4
|
No ballots scanned
|
Preelection testing and setup
|
6
|
Overvote on race XXXXX
|
Polls open: reading ballots
|
2
|
Party preference race missing
|
Preelection testing and setup
|
6
|
PCMCIA card not inserted
|
Polls open: reading ballots
|
4
|
PCMCIA driver missing
|
Polls open: reading ballots
|
4
|
PCMCIA header section failed CRC
|
Polls open: reading ballots
|
6
|
Printer time–out
|
Polls open: reading ballots
|
4
|
Race results cross–check fail
|
Polls open: reading ballots
|
4
|
Reset to factory settings
|
Preelection testing and setup
|
0
|
Results sent successfully
|
Modem transmission of results
|
0
|
Status results cross–check fail
|
Polls open: reading ballots
|
4
|
Successfully scanned ballot
|
Polls open: reading ballots
|
0
|
System audit log failed CRC
|
Polls open: reading ballots
|
4
|
Test deck has not been processed
|
Election day start–up
|
run test
|
Unable to initialize diverter
|
Election day start–up
|
4
|
Unable to initialize scanning system
|
Election day start–up
|
4
|
Unable to load signal handlers
|
Election day start–up
|
4
|
Unable to update counters
|
Polls open: reading ballots
|
4
|
Unload election definition
|
|
4
|
UNKNOWN ERROR, CODE: XXX
|
Polls open: reading ballots
|
4
|
Voltage too low
|
Any time
|
check plug, then 4
|
100–Could not detect Missed
orientation marks
|
Polls open: reading ballots
|
3
|
101–Paper jam Missed timing
marks
|
Polls open: reading ballots
|
7 3
|
102–Missed orientation marks
|
Polls open: reading ballots
|
3
|
103–Paper not detected under sensor
No data found
|
Polls open: reading ballots
|
3 or 4
|
104–No data on bottom sensor Missed
back side data mark
|
Polls open: reading ballots
|
4
|
105–Time out error on data interrupt
Scanner interrupted
|
Polls open: reading ballots
|
3
|
106–Error skipping black checks on
start Skipped orientation mark
|
Polls open: reading ballots
|
4
|
107–Did not detect enough No
timing marks found
|
Polls open: reading ballots
|
3
|
108–Inaccurate read
|
Polls open: reading ballots
|
3
|
109–Unable to set priority
Inaccurate read
|
Election day start–up
|
4
|
110–Inaccurate read
|
Polls open: reading ballots
|
3
|
111–Unable to find leading timing bands
Missed orientation marks
|
Polls open: reading ballots
|
3
|
112–Did not find the minimum number of
rows Missed timing marks
|
Polls open: reading ballots
|
3
|
113–Invalid code mark
|
Polls open: reading ballots
|
3
|
114–Invalid code type
|
Polls open: reading ballots
|
3
|
115–Invalid code mark
|
Polls open: reading ballots
|
3
|
116–Unable to attach to data interrupt
proxy Inaccurate read
|
Preelection testing and setup
|
6
|
117–Unable to attach to hardware
interrupt Scanner interrupted
|
Preelection testing and setup
|
6
|
118–Unable to attach to set clock
resolution Scanner interrupted
|
Preelection testing and setup
|
6
|
119–Unable to create watchdog timer
Scanner interrupted
|
Preelection testing and setup
|
6
|
120–Unable to set signal handler
Scanner interrupted
|
Preelection testing and setup
|
6
|
121–Bottom side not found Missed
back orientation mark
|
Polls open: reading ballots
|
3
|
123–Cache buffer overflow Scanner
interrupted
|
Polls open: reading ballots
|
3 then 4
|
124–Scanner board failure
interrupted
|
Polls open: reading ballots
|
4
|
125–Checksum failure Error
reading CMOS memory ballot
|
Preelection testing and setup
|
0
|
126–Error reading ballot
|
Polls open: reading ballots
|
3
|
127–Double paper detected Multiple
ballots detected
|
Polls open: reading ballots
|
3
|
128–Diverter not initialized
|
Polls open: reading ballots
|
4
|
129–Diverter run on detection
error
|
Polls open: reading ballots
|
4
|
130–Diverter not detected
error
|
Polls open: reading ballots
|
4
|
131–Ballot skewed
|
Polls open: reading ballots
|
3
|
132–Ballot dragged
|
Polls open: reading ballots
|
3 then 4
|
Unknown error code: XXX
|
Polls open: reading ballots
|
3 then 4
|
???–Unknown error on decode
|
Polls open: reading ballots
|
3 and 4
|
Unidentified mark – check your ballot
|
Polls open: reading ballots
|
7
|
Solution Codes
0. This is okay—you don’t need to do
anything.
1. Ballot decision—BLANK BALLOT: See Solution Code
2.
2. Ballot decision—OVERVOTED BALLOT:
If the voter is still there, offer the voter the opportunity
to mark the ballot using the proper pen or pencil. If the voter declines the
offer, press “yes accept” and reinsert the
ballot. If the voter wants to correct the ballot press
“no reject.” Mark the unreadable ballot or
overvoted ballot “SPOILED” and keep it with other spoiled ballots.
If the voter asks to use the original ballot as a guide to marking the new
ballot, be sure the voter returns the unreadable ballot to you before placing
the new ballot in the counter. If the voter has left the polling place,
press “accept” and reinsert the ballot.
3. Ballot decision—Ballot not read by counter.
First ask the voter to reinsert the ballot. If the message
repeats, take the voter aside to allow other voters to insert their ballots into
the counter. With the permission of the voter, a precinct official shall
inspect the ballot by comparing it with another of the same ballot type. Assure
the voter that you will not reveal to anyone how the ballot was marked. There
are several possible reasons for this message to appear.
• The ballot is flawed or
misprinted. Solution: Replace ballot. Mark the unreadable ballot
“SPOILED.” Keep it with other spoiled ballots. If the voter asks
to use the original ballot as a guide to marking the new ballot, be sure the
voter returns the unreadable ballot to you before placing the new ballot in the
counter.
• The wrong ballots were
provided to the precinct officials. Check other ballot packages to see if all
ballots are wrong. If all of the offices and candidates are the same and only
coding or rotation is different, allow voters to use the ballots on hand.
Notify the auditor’s office for replacement ballots. Follow the
procedures for Solution Code 4 until the correct ballots are
delivered.
• The voter has attempted to
use a ballot other than the one provided by the precinct officials. This voter
shall be challenged for using an illegal ballot. Place the ballot in the
special ballot envelope.
• The wrong memory card is
loaded in the machine. See Solution Code 4.
4. Equipment problem.
Call the auditor’s office, report the message and ask
for a new memory card or counter. Until a replacement arrives, place all
ballots in a sealed ballot box. When the new memory card or counter has been
installed, two precinct officials of different parties shall feed all ballots
into the counter, including all previously counted ballots and ballots received
while the counter was not working.
5. Modem transmission problem.
Try again to send election results. If the error message
repeats, be prepared to read the election results over the telephone. Call the
auditor’s office to report the problem.
6. Precinct election officials do not need instructions for
this message.
7. Paper jam problem.
Ask voter to try ballot again. If the error message
repeats, follow the instructions in Solution Code 4. Faint mark in
voting target.
If the voter is present, ask the voter to re–mark or
darken the marks on the ballot. If the voter finds faint marks thatthe voter
did not intend as votes, the voter should be given a new ballot. Replace
ballot. Mark the unreadable ballot “SPOILED.” Keep it with other
spoiled ballots. If the voter asks to use the original ballot as a guide to
marking the new ballot, be sure the voter returns the unreadable ballot to you
before placing the new ballot in the counter. If the voter has left the polling
place, try to reinsert the ballot. If the message repeats, open the emergency
ballot box and store the ballot until after the polls are closed, but before the
results are printed. Any ballots in the emergency ballot box shall be fed into
the ballot reader by two precinct officials of different parties. All ballots
rejected with the error code “faint mark in voting target” shall be
duplicated by two precinct officials of different parties and substituted for
the defective ballot. Using a red pen, duplicate ballots shall be clearly
labeled as such, and shall bear a serial number which shall also be recorded on
the defective ballot. The original, defective ballot shall be enclosed in the
envelope designated for the return of disputed ballots.
[Filed Emergency 6/5/00, effective 6/5/00]
[Published 6/28/00]
EDITOR’S NOTE:
For replacement pages for IAC, see IAC Supplement 6/28/00.
ARC 9894A
SECRETARY OF STATE[721]
Adopted and Filed Emergency
Pursuant to the authority of Iowa Code sections 17A.3,
490.135 and 504A.91, the Secretary of State hereby amends Chapter 40,
“Corporations,” Iowa Administrative Code.
The amendments are the result of new legislation in 2000 Iowa
Acts, House File 2545, section 32, which authorizes the Secretary of State to
conduct a pilot project permitting the refund of fees notwithstanding Iowa Code
section 490.122, subsection 1, paragraphs “a” and “s,”
and Iowa Code section 504A.85, subsections 1 and 9. In conducting the pilot
project, the Secretary may refund fees for certain corporate filings if the
Secretary determines that the service standard for timely filing has not been
met. The service standard is set by rule.
In compliance with Iowa Code section 17A.4(2), the Secretary
finds that notice and public participation are impracticable because of the
immediate need for and the benefit conferred by the amendments.
The Secretary also finds, pursuant to Iowa Code section
17A.5(2)“b”(2), that the normal effective date of these amendments
should be waived and the amendments should be made effective upon publication on
June 28, 2000, as they confer a benefit to all corporate entities formed and on
members of the public who experience service that does not meet the standard
established by the amendments.
These amendments are also published herein under Notice of
Intended Action as ARC 9893A to allow for public comment.
These amendments are intended to implement 2000 Iowa Acts,
House File 2545, section 32.
These amendments become effective June 28, 2000.
The following amendments are adopted:
ITEM 1. Amend rule
721—40.4(491,496A,499,504A, 548), parenthetical implementation, as
follows:
721—40.4(490,491,496A,496C,497,498,499,504A,548)
Payment and refund of fees.
ITEM 2. Amend rule
721—40.4(490,491,496C,497,498, 499,504A) by adding the following
new subrules:
40.4(4) This subrule implements the pilot project
authorized by 2000 Iowa Acts, House File 2545, section 32, for fees required by
Iowa Code section 490.122, subsection 1, paragraphs “a” and
“s.”
a. The secretary of state may refund payment of the corporate
filing fees required pursuant to the provisions of Iowa Code section 490.122,
subsection 1, paragraphs “a” and “s,” if, within five
business days from the time the corporate filing is received and date stamped,
the entity has not been entered on the records of the secretary of
state.
b. To receive a refund under this subrule, the corporate
entity must make a written request with the business services division of the
secretary of state’s office. The written request must specify the
reason(s) for the refund and provide evidence of entitlement to the
refund.
c. The filing fee shall not be refunded if the corporate
filing fails to satisfy all of the filing requirements of Iowa Code chapter
490.
d. The decision of the secretary of state not to issue a
refund under this subrule is final and not subject to review pursuant to the
provisions of the Iowa administrative procedures Act.
40.4(5) This subrule implements the pilot project
authorized by 2000 Iowa Acts, House File 2545, section 32, for fees required by
Iowa Code section 504A.85, subsections 1 and 9.
a. The secretary of state may refund payment of the corporate
filing fees required pursuant to the provisions of Iowa Code section 504A.85,
subsections 1 and 9, if, within five business days from the time the corporate
filing is received and date stamped, the entity has not been entered on the
rec–ords of the secretary of state.
b. To receive a refund under this subrule, the corporate
entity must make a written request with the business services division of the
secretary of state’s office. The written request must specify the
reason(s) for the refund and provide evidence of entitlement to the
refund.
c. The filing fee shall not be refunded if the corporate
filing fails to satisfy all of the filing requirements of Iowa Code chapter
504A.
d. The decision of the secretary of state not to issue a
refund under this subrule is final and not subject to review pursuant to the
provisions of the Iowa administrative procedures Act.
[Filed Emergency 6/8/00, effective 6/28/00]
[Published 6/28/00]
EDITOR’S NOTE:
For replacement pages for IAC, see IAC Supplement 6/28/00.
FILED
ARC 9947A
CORRECTIONS
DEPARTMENT[201]
Adopted and Filed
Pursuant to the authority of Iowa Code section 904.804, the
Department of Corrections adopts amendments to Chapter 37, “Iowa State
Industries,” Iowa Administrative Code.
New rule 37.5(904) outlines the application and approval
processes for private sector employment projects and provides for Iowa Workforce
Development to address and resolve disputes received from anyone who believes
that the private sector work program established by the deputy director of
prison industries has displaced employed workers, applies to skills, crafts, or
trades in which there is a local surplus of labor, or impairs existing contracts
for employment or services.
Notice of Intended Action was published in the Iowa
Administrative Bulletin as ARC 9775A on April 5, 2000. The
Administrative Rules Review Committee requested that subrule 37.5(2) be changed
to clarify that an employer’s 30–day job listing shall contain the
prevailing wage determined by Workforce Development. The Committee also
requested that subrule 37.5(9) be changed to clarify that the recommendation by
Workforce Development in resolving a dispute will be binding on all parties.
These changes have been incorporated. No other changes were made to the Notice
of Intended Action.
A public hearing was held on April 25, 2000. No one attended
the hearing, and no written or oral comments were received.
The Board of Corrections adopted this amendment on June 2,
2000.
This amendment will become effective on August 2,
2000.
This amendment is intended to implement Iowa Code section
904.809.
The following amendment is adopted.
Amend 201—Chapter 37 by adopting the following
new rule:
201—37.5(904) Private sector employment
projects.
37.5(1) Definitions.
“Advisory board” means the prison industries
advisory board.
“Deputy director of prison industries” means the
department of corrections deputy director responsible for the
day–to–day operations of prison industries including private sector
individuals.
“Director” means the chief executive officer of
the department of corrections.
“Workforce development board” means the state
workforce development board.
“Workforce development director” means the chief
executive officer of the department of workforce development.
37.5(2) Preapplication requirement. Prior to
submitting an application to the deputy director of prison industries for a
private sector employment project, the employer shall place a job order with a
duration of at least 30 days with the nearest workforce development center. The
job order will contain the prevailing wage determined by workforce development.
The job order shall be listed statewide in all centers and on the department of
workforce development’s jobs Internet site.
37.5(3) Employer application.
a. Private sector employers requesting offender labor must
submit the following to the deputy director of prison industries:
1. Work program, including job description;
2. Proposed wage rate;
3. Description of job site;
4. Duration of the work; and
5. Copy of the job order listing with workforce
development.
b. Upon receiving a written proposal to use offenders in a
private sector work program, the deputy director of prison industries shall
provide a copy of the private sector work proposal including job descriptions
and proposed wages to the workforce development director.
c. The deputy director of prison industries shall send a
letter to the department of workforce development requesting verification of the
employer’s 30–day job listing, the average wage rate for the job(s)
the offenders will perform, the current unemployment rate in the county where
the employer is located, and the current employment level of the company that
will employ the offenders.
d. The deputy director of prison industries and
thewarden/superintendent at the proposed institution shall review the proposed
projects with the board of supervisors and the sheriff in the county where the
project will be located.
37.5(4) Verification. The workforce development
director shall verify the employment levels and prevailing wages paid for
similar jobs in the area and provide to the deputy director of prison industries
in writing:
1. Verification of the employer’s 30–day job
listing;
2. The number of qualified applicant referrals and hires made
as a result of the job order;
3. The average wage rate for the proposed job(s);
4. The wage range;
5. The current unemployment rate for the county where the
employer is located; and
6. The current employment levels of the company that will
employ the offenders based upon the most recent quarter for which data is
available.
37.5(5) Prevailing wages. The deputy director of
prison industries shall obtain employment levels in the locale of the proposed
job(s) and the prevailing wages for the job(s) in question from the department
of workforce development prior to authorizing any private sector work program.
The deputy director of prison industries will consider the average wage rate and
wage range from the department of workforce development for the appropriate
geographic area for which occupational wage information is available. The
appropriate geographic area may be statewide.
To reduce possible displacement of civilian workers, the
deputy director of prison industries shall advise prospective employers and
eligible offenders of the following requirements:
1. Offenders shall not be eligible for unemployment
compensation while incarcerated.
2. Before the employer initiates work utilizing offender
labor, the deputy director of prison industries shall provide the baseline
number of jobs as established by the department of workforce
development.
3. In January and July of each year, the deputy director of
prison industries shall receive from the department of workforce development the
actual number of civilian workers by employer and shall compile a
side–by–side comparison for each employer. A copy of the
side–by–side comparison will be provided to the advisory board and
workforce development director semiannually.
37.5(6) Ineligible projects. The deputy director of
prison industries shall evaluate the information from the department of
workforce development to verify nondisplacement of civilian workers. Employment
of offenders in private industry shall not displace employed workers, apply to
skills, crafts, or trades in which there is a local surplus of labor, or impair
existing contracts for employment or services.
37.5(7) Notification. The deputy director of prison
industries shall provide a copy of the private sector work proposal and the
department of workforce development review of the private sector work proposal
to the following:
1. Governor’s office;
2. Speaker of the house;
3. President of the senate;
4. Warden/superintendent at the proposed work site;
5. Local labor organization(s);
6. Director of workforce development; and
7. Department of Justice, Washington, DC.
Within 14 calendar days of receiving the department of
workforce development review, the deputy director of prison industries will
consolidate the recommendations for review and approval by the director of
corrections.
37.5(8) Prison industries advisory board review.
Following approval by the director of corrections, the deputy director of prison
industries shall forward the final proposal to the prison industries advisory
board with the recommendation to approve or disapprove the work program,
including all correspondence from the department of workforce development, the
Department of Justice, and any local official who has offered
comments.
The deputy director of prison industries shall provide written
documentation to the prison industries advisory board confirming that the
proposed work project will not displace civilian workers. If displacement
occurs, the deputy director of prison industries shall advise the private
employer that the employer will be given 30 days to become compliant or the
department of corrections will terminate the use of offender labor.
37.5(9) Disputes. Anyone who believes that the
private sector work program violates this rule shall advise the department of
workforce development. A written complaint may be filed in accordance with
workforce development board rule 877—1.5(84A). The workforce development
director shall consult with the deputy director of prison industries before the
workforce development board makes a final recommendation(s) to resolve any
complaint.
The deputy director of prison industries will assist the
department of workforce development in compiling all information necessary to
resolve the dispute. The workforce development board shall notify the deputy
director of prison industries and interested parties in writing of the
recommended action to resolve a complaint, which will be binding on all
parties.
This rule is intended to implement Iowa Code section
904.809.
[Filed 6/9/00, effective 8/2/00]
[Published 6/28/00]
EDITOR’S NOTE:
For replacement pages for IAC, see IAC Supplement 6/28/00.
ARC 9919A
CORRECTIONS
DEPARTMENT[201]
Adopted and Filed
Pursuant to the authority of Iowa Code section 904.701, the
Department of Corrections adopts amendments to Chapter 37, “Iowa State
Industries,” Iowa Administrative Code.
New rule 37.6(904) establishes application procedures for
employers wishing to use offender labor in construction or maintenance projects.
This rule provides that the Workforce Development Department shall address and
resolve disputes from anyone who believes that employers utilizing offender
labor while working under contract with the state of Iowa have displaced
employed workers, employed offenders in skills, crafts, or trades in which there
is a local surplus of labor, or impaired existing contracts for employment or
services.
Notice of Intended Action was published in the Iowa
Administrative Bulletin as ARC 9776A on April 5, 2000. The
Administrative Rules Review Committee requested that subrule 37.6(3) be changed
to clarify that an employer’s 30–day job listing shall contain the
prevailing wage determined by Workforce Development. The Committee also
requested that subrule 37.6(7) be changed to clarify that the corrective action
plan recommended by Workforce Development in resolving a dispute will be binding
on all parties. These changes have been incorporated. No other changes were
made to the Notice of Intended Action.
A public hearing was held on April 25, 2000. No one attended
the hearing, and no written or oral comments were received.
The Board of Corrections adopted this amendment on June 2,
2000.
This amendment will become effective on August 2,
2000.
This amendment is intended to implement Iowa Code section
904.701.
The following amendment is adopted.
Amend 201—Chapter 37 by adopting the following
new rule:
201—37.6(904) Utilization of offender labor in
construction and maintenance projects.
37.6(1) Definitions.
“Director” means the chief executive officer of
the department of corrections.
“Employer” means a contractor or subcontractor
providing maintenance or construction services under contract to the department
of corrections or under the department of general services.
“Workforce development director” means the chief
executive officer of the department of workforce development.
37.6(2) Scope. Utilization of offender labor applies
only to contractors or subcontractors providing construction or maintenance
services to the department of corrections. The contract authority for providing
construction or maintenance services may be the department of general
services.
37.6(3) Employer application. Employers working under
contract with the state of Iowa may submit an application to the department of
corrections to employ offenders. Requests for such labor shall not include work
release offenders assigned to community–based corrections under Iowa Code
chapter 905.
a. Prior to submitting an application, the employer shall
place with the nearest workforce development center a job order with a duration
of at least 30 days. The job order will contain the prevailing wage determined
by the department of workforce development. The job order shall be listed
statewide in all centers and on the department of workforce development’s
jobs Internet site.
b. The employer’s application shall include:
1. Scope of work, including type of work and required number
of workers;
2. Proposed wage rate;
3. Location;
4. Duration; and
5. Reason for utilizing offender labor.
c. The department of corrections shall verify through the
department of workforce development the employer’s 30–day job
listing, the average wage rate for the job(s) the offenders will perform, the
current unemployment rate in the county where the employer is located, and the
current employment level of the employer that will employ the
offenders.
37.6(4) Verification. The director of workforce
development shall verify the employment levels and prevailing wages paid for
similar jobs in the area and provide to the director, in writing:
1. Verification of the employer’s 30–day job
listing;
2. The number of qualified applicant referrals and hires made
as a result of the job order;
3. The average wage rate for the proposed job(s);
4. The wage range;
5. The prevailing wage as determined by the U.S. Department of
Labor;
6. The current unemployment rate for the county where the
employer is located;
7. The current employment levels of the employer that will
employ the offenders based upon the most recent quarter for which data is
available.
37.6(5) Safety training. The employer shall document
that all offenders employed in construction and maintenance projects receive a
10–hour OSHA safety course provided free of charge by the department of
workforce development.
37.6(6) Prevailing wages. The director will not
authorize an employer to employ offenders in hard labor programs without
obtaining from the department of workforce development employment levels in the
locale of the proposed jobs and the prevailing wages for the jobs in question.
The average wage rate and wage range from the department of workforce
development will be based on the appropriate geographic area for which
occupational wage information is available. The appropriate geographic area may
be statewide.
To reduce any potential displacement of civilian workers, the
director shall advise prospective employers and eligible offenders of the
following requirements:
1. Offenders will not be eligible for unemployment
compensation while incarcerated.
2. Before the employer initiates work utilizing offender
labor, the director shall provide the baseline number of jobs as established by
the department of workforce development.
3. If the contract to employ offender labor exceeds six
months, the director shall request and receive from the workforce development
director the average wage rates and wage ranges for jobs currently held by
offenders and current employment levels of employers employing offenders and
shall compile a side–by–side comparison of each employer.
37.6(7) Disputes. Anyone who believes that the
employer’s application violates this rule shall present concerns in
writing to the workforce development board. A written complaint may be filed
with the workforce development board for any dispute arising from the
implementation of the employer’s application in accordance with the
workforce development board’s rule 877—1.6(84A). The workforce
development board shall consult with the director prior to making
recommendations. The director will assist the workforce development board in
compiling all information necessary to resolve the dispute. The workforce
development board shall notify the director and interested parties in writing of
the corrective action plan to resolve the dispute, which will be binding on all
parties.
This rule is intended to implement Iowa Code section
904.701.
[Filed 6/9/00, effective 8/2/00]
[Published 6/28/00]
EDITOR’S NOTE:
For replacement pages for IAC, see IAC Supplement 6/28/00.
ARC 9926A
EDUCATIONAL EXAMINERS
BOARD[282]
Adopted and Filed
Pursuant to the authority of Iowa Code section 272.2, the
Board of Educational Examiners hereby adopts amendments to Chapter 15,
“Requirements for Special Education Endorsements,” Iowa
Administrative Code.
The purpose of these amendments is to clarify the educational
requirements for student teaching in special education endorsement programs,
thereby providing more options for the acceptance of out–of–state
preparation experience; to modify the student teaching or practicum requirements
for adding an instructional special education endorsement to an existing
license, thereby eliminating the requirement for multiple student teaching or
practicum experiences at the same instructional level; to eliminate the dual
student teaching experience required for the “mild/moderate mental
disabilities” endorsement; to clarify the name of the endorsement for
those serving “severe and profound” students; and to provide another
option for the issuance of the “multicategorical”
endorsement.
The Board has documented the need for these amendments through
its practical work with applicants from out–of–state institutions
and with current classroom teachers of special education seeking to add new
endorsements to their existing licenses.
Notice of Intended Action was published in the Iowa
Administrative Bulletin on April 5, 2000, as ARC 9766A. A public hearing
on the proposed amendments was held, and no one attended the hearing. No
written comments were received. These amendments are identical to those
published under Notice of Intended Action.
These amendments will become effective on August 2,
2000.
These amendments are intended to implement Iowa Code chapter
272.
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 amendments [15.1, 15.2(2), 15.2(3), 15.2(8)] is being omitted. These
amendments are identical to those published under Notice as ARC 9766A,
IAB 4/5/00.
[Filed 6/9/00, effective 8/2/00]
[Published
6/28/00]
[For replacement pages for IAC, see IAC Supplement
6/28/00.]
ARC 9925A
EDUCATIONAL EXAMINERS
BOARD[282]
Adopted and Filed
Pursuant to the authority of Iowa Code section 272.2, the
Board of Educational Examiners hereby adopts a new Chapter 22,
“Paraeducator Certificates,” Iowa Administrative Code.
This new chapter is intended to implement Iowa Code section
272.6 which requires the Board of Educational Examiners to adopt rules pursuant
to Iowa Code chapter 17A relating to a multi–level voluntary licensing
system ranging from paraeducator generalist to paraeducator
specialist.
These rules were published under Notice of Intended Action on
April 5, 2000, in the Iowa Administrative Bulletin as ARC 9765A. A
public hearing on these proposed new rules was held. No one presented oral or
written comments. There is one change from the Notice. The age of applicants
has been changed from 21 to 18 to comply with 2000 Iowa Acts, House File 2549,
section 31.
These rules are intended to implement Iowa Code section 272.6
as amended by 2000 Iowa Acts, House File 2146, section 4, and section 272.12 as
amended by 2000 Iowa Acts, House File 2549, section 31.
These rules will become effective August 2, 2000.
The following new chapter is adopted:
CHAPTER 22
PARAEDUCATOR CERTIFICATES
282—22.1(272) Paraeducator certificates. Iowa
paraeducator certificates are issued upon application filed on a form provided
by the board of educational examiners.
282—22.2(272) Approved paraeducator certificate
programs. An applicant for an initial paraeducator certificate who
completes the paraeducator preparation program from a recognized Iowa
paraeducator approved program shall have the recommendation from the designated
certifying official at the recognized area education agency, local education
agency, community college, or institution of higher education where the
preparation was completed. A recognized Iowa paraeducator approved program is
one which has its program of preparation approved by the state board of
education according to standards established by the board.
282—22.3(272) Issue date on original
certificate. A certificate is valid only from and after the date of
issuance.
282—22.4(272) Validity. The paraeducator
certificate shall be valid for five years.
282—22.5(272) Certificate fee.
22.5(1) Issuance of certificates. The fee for the
issuance of the paraeducator certificate shall be $25.
22.5(2) Adding areas of concentration. The fee for
the addition of each area of concentration to a paraeducator certificate,
following the issuance of the initial paraeducator certificate and any area(s)
of concentration, shall be $10.
282—22.6(272) Prekindergarten through grade 12
para–educator generalist certificate.
22.6(1) Applicants must possess a minimum of a high
school diploma or a graduate equivalent diploma.
22.6(2) Applicants shall be disqualified for any of
the following reasons:
a. The applicant is less than 18 years of age.
b. The applicant has been convicted of child abuse or sexual
abuse of a child.
c. The applicant has been convicted of a felony.
d. The applicant’s application is fraudulent.
e. The applicant’s certification from another state is
suspended or revoked.
f. The applicant fails to meet board standards for application
for an initial or renewed certificate.
22.6(3) Qualifications or criteria for the granting or
revocation of a certificate or the determination of an individual’s
professional standing shall not include membership or nonmembership in any
teacher or paraeducator organization.
22.6(4) Applicants shall have successfully completed
at least 90 clock hours of training in the areas of behavior management,
exceptional child and at–risk child behavior, collaboration skills,
interpersonal relations skills, child and youth development, technology, and
ethical responsibilities and behavior.
22.6(5) Applicants shall have successfully completed
the following list of competencies so that, under the direction and supervision
of a qualified classroom teacher, the para–educator will be able
to:
a. Support a safe, positive teaching and learning environment
including the following competencies:
(1) Follow prescribed health, safety, and emergency school and
classroom policy and procedures.
(2) As directed, prepare and organize materials to support
teaching and learning.
(3) Use strategies and techniques for facilitating the
integration of individuals with diverse learning needs in various
settings.
(4) Assist with special health services.
(5) Assist in adapting instructional strategies and materials
according to the needs of the learner.
(6) Assist in gathering and recording data about the
performance and behavior of individuals.
(7) Assist in maintaining a motivational
environment.
(8) Assist in various instructional arrangements (e.g., large
group, small group, tutoring).
b. Assist in the development of physical and intellectual
development including the following competencies:
(1) Assist with the activities and opportunities that
encourage curiosity, exploration, and problem solving that are appropriate to
the development levels and needs of all children.
(2) Actively communicate with children and provide
opportunities and support for children to understand, acquire, and use verbal
and nonverbal means of communicating thoughts and feelings.
(3) Actively communicate and support high expectations that
are shared, clearly defined and appropriate.
(4) Make and document observations appropriate to the
individual with specific learning needs.
(5) Use strategies that promote the learner’s
independence.
(6) Assist in monitoring progress and providing feedback to
the appropriate person.
c. Support social, emotional, and behavioral development
including the following competencies:
(1) Provide a supportive environment in which all children,
including children with disabilities and children at risk of school failure, can
begin to learn and practice appropriate and acceptable behaviors as individuals
and groups.
(2) Assist in developing and teaching specific behaviors and
procedures that facilitate safety and learning in each unique school
setting.
(3) Assist in the implementation of individualized behavior
management plans, including behavior intervention plans for students with
disabilities.
(4) Model and assist in teaching appropriate behaviors as a
response to inappropriate behaviors.
(5) Use appropriate strategies and techniques in a variety of
settings to assist in the development of social skills.
(6) Assist in modifying the learning environment to manage
behavior.
d. Establish positive and productive relations including the
following competencies:
(1) Demonstrate a commitment to a team approach to
interventions.
(2) Maintain an open, friendly, and cooperative relationship
with each child’s family, sharing information in a positive and productive
manner.
(3) Communicate with colleagues, follow instructions and use
problem–solving skills that will facilitate working as an effective member
of the school team.
(4) Foster respectful and beneficial relationships between
families and other school and community personnel.
(5) Function in a manner that demonstrates a positive regard
for the distinctions among roles and responsibilities of paraprofessionals,
professionals, and other support personnel.
e. Integrate effectively the technology to support student
learning including the following competencies:
(1) Establish an environment for the successful use of
educational technology.
(2) Support and strengthen technology planning and
integration.
(3) Improve support systems for technical
integration.
(4) Operate computers and use technology
effectively.
f. Practice ethical and professional standards of conduct on
an ongoing basis including the following competencies:
(1) Demonstrate a commitment to share information in a
confidential manner.
(2) Demonstrate a willingness to participate in ongoing staff
development and self–evaluation, and apply constructive
feedback.
(3) Abide by the criteria of professional practice and rules
of the board of educational examiners.
22.6(6) An applicant for a certificate under these
rules shall demonstrate that the requirements of the certificate have been met,
and the burden of proof shall be on the applicant.
282—22.7(272) Paraeducator area of
concentration. An area of concentration is not required but optional.
Applicants must currently hold or have previously held an Iowa paraeducator
generalist certificate. Applicants may complete one or more areas of
concentration but must complete at least 45 clock hours in each area of
concentration.
22.7(1) Early childhood—prekindergarten through
grade 3. The paraeducator shall successfully complete the following list of
competencies so that under the direction and supervision of a qualified
classroom teacher, the paraeducator will be able to:
a. Reinforce skills, strategies, and activities involving
individuals or small groups.
b. Participate as a member of the team responsible for
developing service plans and educational objectives for parents and their
children.
c. Listen to and communicate with parents in order to gather
information for the service delivery team.
d. Demonstrate knowledge of services provided by health care
providers, social services, education agencies, and other support systems
available to support parents and provide them with the strategies required to
gain access to these services.
e. Demonstrate effective strategies and techniques to
stimulate cognitive, physical, social, and language development in the
student.
f. Gather information as instructed by the classroom teacher
about the performance of individual children and their behaviors, including
observing, recording, and charting, and share information with professional
colleagues.
g. Communicate and work effectively with parents and other
primary caregivers.
22.7(2) Special needs—prekindergarten through
grade 12. The paraeducator shall successfully complete the following list of
competencies so that under the direction and supervision of a qualified
classroom teacher, the paraeducator will be able to:
a. Understand and implement the goals and objectives in an
individualized education plan (IEP).
b. Demonstrate an understanding of the value of serving
children and youth with disabilities and special needs in inclusive
settings.
c. Assist in the instruction of students in academic subjects
using lesson plans and instructional strategies developed by teachers and other
professional support staff.
d. Gather and maintain data about the performance and behavior
of individual students and confer with special and general education
practitioners about student schedules, instructional goals, progress, and
performance.
e. Use appropriate instructional procedures and reinforcement
techniques.
f. Operate computers, use assistive technology and adaptive
equipment that will enable students with special needs to participate more fully
in general education.
22.7(3) English as a second
language—prekindergarten through grade 12. The paraeducator shall
successfully complete the following list of competencies so that, under the
direction and supervision of a qualified classroom teacher, the paraeducator
will be able to:
a. Operate computers and use technology that will enable
students to participate effectively in the classroom.
b. Work with the classroom teacher as collaborative
partners.
c. Demonstrate knowledge of the role and use of primary
language of instruction in accessing English for academic purposes.
d. Demonstrate knowledge of instructional methodologies for
second language acquisition.
e. Communicate and work effectively with parents or guardians
of English as a second language students in their primary language.
f. Demonstrate knowledge of appropriate translation and
interpretation procedures.
22.7(4) Career and transitional programs—grades
5 through 12. The paraeducator shall successfully complete the following list
of competencies so that, under the direction and supervision of a qualified
classroom teacher, the para–educator will be able to:
a. Assist in the implementation of career and transitional
programs.
b. Assist in the implementation of appropriate behavior
management strategies for career and transitional students and those students
who may have special needs.
c. Assist in the implementation of assigned performance and
behavior assessments including observation, recording, and charting for career
and transitional students and those students who may have special
needs.
d. Provide training at job sites using appropriate
instructional interventions.
e. Participate in preemployment, employment, or transitional
training in classrooms or at off–campus sites.
f. Communicate effectively with employers and employees at
work sites and with personnel or members of the public in other transitional
learning environments.
282—22.8 to 22.11 Reserved.
282—22.12(272) Prekindergarten through grade 12
advanced paraeducator certificate. Applicants for the prekindergarten
through grade 12 advanced paraeducator certificate shall have met the following
requirements:
22.12(1) Currently hold or have previously held an
Iowa paraeducator generalist certificate.
22.12(2) Possess an associate’s degree or have
earned 62 semester hours of college coursework from a regionally accredited
institution of higher education.
22.12(3) Complete a minimum of two semester hours of
coursework involving at least 100 clock hours of a supervised practicum with
children and youth. These two semester hours of practicum may be part of an
associate degree or part of the earned 62 semester hours of college
coursework.
282—22.13(272) Renewal requirements. The
paraeducator certificate may be renewed upon application, a $25 renewal fee, and
verification of successful completion of coursework totaling three units in any
combination listed below.
1. One unit may be earned through a planned staff development
renewal course related to paraeducators in accordance with guidelines approved
by the board of educational examiners.
2. One unit may be earned for each semester hour of college
credit.
These rules are intended to implement Iowa Code sections 272.6
and 272.12.
[Filed 6/9/00, effective 8/2/00]
[Published 6/28/00]
EDITOR’S NOTE:
For replacement pages for IAC, see IAC Supplement 6/28/00.
ARC 9900A
HUMAN SERVICES
DEPARTMENT[441]
Adopted and Filed
Pursuant to the authority of Iowa Code sections 234.6,
239B.4(4), and 249A.4, the Department of Human Services hereby amends Chapter
41, “Granting Assistance,” Chapter 65, “Administration,”
and Chapter 75, “ Conditions of Eligibility,” appearing in the Iowa
Administrative Code.
The United States Department of Agriculture has notified the
Department of Human Services that the Department has the option of exempting,
for food stamp purposes, the earnings of persons who are temporarily employed by
the Bureau of the Census during the period from April 1, 2000, through January
31, 2001. The United States Department of Agriculture is allowing this
exemption at the request of the Bureau of the Census as an incentive for persons
to take census employment. The Department of Human Services has decided to take
this option and exempt census income for food stamp recipients.
The Department has made the decision to also exempt the census
income for the Family Investment Program, the Family Medical Assistance Program,
and for FMAP–related Medicaid programs to match food stamp
policy.
These amendments do not provide for waiver in specified
situations because federal food stamp law does not allow for any waivers and
these amendments only provide additional benefits.
These amendments were previously Adopted and Filed Emergency
and published in the April 5, 2000, Iowa Administrative Bulletin as ARC
9751A. Notice of Intended Action to solicit comments on that submission was
published in the April 5, 2000, Iowa Administrative Bulletin as ARC
9750A.
The Council on Human Services adopted these amendments June 8,
2000.
These amendments are identical to those published under Notice
of Intended Action.
These amendments are intended to implement Iowa Code sections
234.12, 239B.2(2), 239B.7, and 249A.4.
These amendments shall become effective September 1, 2000, at
which time the Adopted and Filed Emergency rules are hereby rescinded.
The following amendments are adopted.
ITEM 1. Amend subrule 41.27(7) by
adopting the following new paragraph
“ak”:
ak. All census earnings received by temporary workers from the
Bureau of the Census for Census 2000 during the period of April 1, 2000, through
January 31, 2001.
ITEM 2. Amend subrule 65.29(3) as
follows:
65.29(3) Exclusion of income from
1990 2000 census employment. Any
compensation All earnings received from the United
States Department of Commerce resulting from employment in the 1990 Decennial
Census by temporary workers from the Bureau of the Census for Census
2000 during the period of April 1, 2000, through January 31, 2001, shall be
excluded from income.
ITEM 3. Amend subrule 75.57(7) by
adopting the following new paragraph
“ah”:
ah. All census earnings received by temporary workers from the
Bureau of the Census for Census 2000 during the period of April 1, 2000, through
January 31, 2001.
[Filed 6/8/00, effective 9/1/00]
[Published 6/28/00]
EDITOR’S NOTE:
For replacement pages for IAC, see IAC Supplement 6/28/00.
ARC 9904A
HUMAN SERVICES
DEPARTMENT[441]
Adopted and Filed
Pursuant to the authority of Iowa Code section 249A.4, the
Department of Human Services hereby amends 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,” Chapter 80, “Procedure and Method of Payment,” and
Chapter 88, “Managed Health Care Providers,” appearing in the Iowa
Administrative Code.
The Council on Human Services adopted these amendments June 8,
2000. Notice of Intended Action regarding these amendments was published in the
Iowa Administrative Bulletin on April 19, 2000, as ARC 9782A.
These amendments eliminate the genetic consultation clinic
provider category from the Medicaid program. There has not been a provider
enrolled as a genetic consultation clinic in at least five years.
It was determined as a part of the statewide rules review
process that this was an obsolete provider category.
These amendments do not provide for waivers in specified
situations because elimination of this provider category does not affect any
current providers.
These amendments are identical to those published under Notice
of Intended Action.
These amendments are intended to implement Iowa Code section
249A.4.
These amendments shall become effective August 2,
2000.
The following amendments are adopted.
ITEM 1. Rescind and reserve rule
441—77.25(249A).
ITEM 2. Rescind and reserve rule
441—78.27(249A).
ITEM 3. Amend subrule 79.1(2) by
rescinding the provider category “genetic consultation
clinics.”
ITEM 4. Amend subrule 79.14(1),
paragraph “b,” by rescinding and reserving subparagraph
(14).
ITEM 5. Amend subrule 80.2(2) by
rescinding and reserving paragraph “y.”
ITEM 6. Amend subrule 88.48(1),
paragraph “e,” as follows:
e. Clinic (rural health clinic, federally qualified health
center, maternal health center, ambulatory surgical center, genetic
consultation center, birthing center).
[Filed 6/8/00, effective 8/2/00]
[Published 6/28/00]
EDITOR’S NOTE:
For replacement pages for IAC, see IAC Supplement 6/28/00.
ARC 9906A
HUMAN SERVICES
DEPARTMENT[441]
Adopted and Filed
Pursuant to the authority of Iowa Code section 249A.4, the
Department of Human Services hereby amends Chapter 78, “Amount, Duration
and Scope of Medical and Remedial Services,” appearing in the Iowa
Administrative Code.
The Council on Human Services adopted these amendments June 8,
2000. These amendments combine two Notices of Intended Action. Notices of
Intended Action regarding these amendments were published in the Iowa
Administrative Bulletin on January 26, 2000, as ARC 9613A and on April
19, 2000, as ARC 9784A. An amended Notice to schedule oral presentations
on ARC 9613A was published on March 22, 2000, as ARC
9738A.
The amendment published under Notice as ARC 9784A
revises Medicaid payment policy to allow chiropractors to be reimbursed for
X–rays that they are currently required to have in the patient’s
file. Current policy does not allow them to be reimbursed for the
X–rays.
The Iowa Chiropractic Society has requested action by the
Department, relative to a January 1, 2000, change in the Medicare program. The
Medicare change eliminated the requirement that an X–ray be done to
demonstrate the presence of a subluxation of the spine. Current Medicaid policy
requires that an X–ray demonstrating the subluxation of the spine be in
the patient’s medical records.
Current Iowa Medicaid chiropractic services policy states that
“[p]ayment will be made for the same chiropractic procedures
payable” under the Medicare program. The Department has interpreted this
to mean Iowa Medicaid shall reimburse chiropractors for the same services
payable under Medicare. The Department has further interpreted this policy to
not extend to following Medicare policy regarding documentation requirements.
Therefore, the Department believes Medicare’s new policy eliminating the
X–ray requirement is not binding upon the Department, relative to the
Medicaid program.
The Department has determined that this requirement should not
be eliminated for the Medicaid program. Instead, the Department believes that
this requirement should be retained, but that chiropractors should be reimbursed
at the current physician fee schedule rate for selected X–ray procedure
codes. Payable X–ray procedure codes shall be limited to those Current
Procedural Terminology (CPT) procedure codes that are appropriate to determine
the presence of a subluxation of the spine. Criteria used to determine payable
X–ray CPT codes may include, but would not be limited to, the X–ray
CPT codes for which major commercial payors reimburse chiropractors.
The Department believes it is important to retain a valid
subluxation documentation function. Retention of the X–ray requirement
will ensure that only claims for covered services are paid, i.e., demonstrated
cases of subluxation of the spine. Without the X–ray requirement, it is
anticipated that there would be an increase in both the use of chiropractic
services and expenditures therefor. This conclusion is based on a determination
by the Health Care Financing Administration’s Office of the Inspector
General that there will be an increase in Medicare use of, and expenditures for,
chiropractic services over the next three federal fiscal years, with the
elimination of the Medicare X–ray requirement.
The Department believes that providing reimbursement to
chiropractors for X–rays is reasonable for the following
reasons:
• Chiropractors already
perform in–office X–rays and are reimbursed for X–rays by
other payors.
• Based on the current
requirement that an X–ray be done, the Medicaid program is already paying
a physician or outpatient hospital claim for an X–ray. Paying a
chiropractor for an X–ray would mean that these other claims would not be
occurring.
• From the chiropractic
perspective, it is reasonable to conclude that chiropractors will want to have
an objective subluxation documentation tool to protect them in any
post–payment audit process.
The amendment published under Notice as ARC 9613A
expands the coverage of area education agency services under Medicaid to include
social work, nursing, and vision services. This change was requested by the
area education agencies.
The amendment noticed as ARC 9784A does not provide for
waivers in specified situations because the amendment confers a benefit by
providing for payment of these services by chiropractors. The amendment noticed
as ARC 9613A does not provide for waivers in specified situations because
the amendment only provides additional benefits.
The amendment to 78.8(3) regarding reimbursement to
chiropractors for X–rays is identical to that published under Notice of
Intended Action.
Eight public hearings were held around the state regarding the
amendment to rule 441—78.32(249A) on area education agencies. One person
attended. The following revision was made to the Notice of Intended Action as a
result of the comments received:
Rule 441—78.32(249A) was revised to keep the word
“psychotherapy” in the rule. It was the Department’s belief
that coverage of therapy and counseling would allow coverage for the situations
identified in the comments, but the language restating coverage areas should not
be a problem. The Department of Education agrees.
These amendments are intended to implement Iowa Code section
249A.4.
These amendments shall become effective September 1,
2000.
The following amendments are adopted.
ITEM 1. Amend subrule 78.8(3) as
follows:
78.8(3) Documenting X–ray. An X–ray must
document the primary regions of subluxation being treated by CMT.
a. The documenting X–ray must be taken at a time
reasonably proximate to the initiation of CMT. An X–ray is considered to
be reasonably proximate if it was taken no more than 12 months prior to or 3
months following the initiation of CMT. X–rays need not be repeated
unless there is a new condition and no payment shall be made for subsequent
X–rays, absent a new condition, consistent with paragraph “c”
of this subrule. No X–ray is required for pregnant women and for
children aged 18 and under.
b. The X–ray films shall be labeled with the
patient’s name and date the X–rays were taken and shall be marked
right or left. The X–ray shall be made available to the department or its
duly authorized representative when requested. A written and dated X–ray
report, including interpretation and diagnosis, shall be present in the
patient’s clinical record.
c. Chiropractors shall be reimbursed for documenting
X–rays at the physician fee schedule rate. Payable X–rays shall be
limited to those Current Procedural Terminology (CPT) procedure codes that are
appropriate to determine the presence of a subluxation of the spine. Criteria
used to determine payable X–ray CPT codes may include, but are not limited
to, the X–ray CPT codes for which major commercial payors reimburse
chiropractors. The Iowa Medicaid fiscal agent shall publish in the Chiropractic
Services Provider Manual the current list of payable X–ray CPT codes.
Consistent with CPT, chiropractors may bill the professional, technical, or
professional and technical components for X–rays, as appropriate. Payment
for documenting X–rays shall be further limited to one per condition,
consistent with the provisions of paragraph “a” of this subrule. A
claim for a documenting X–ray related to the onset of a new condition is
only payable if the X–ray is reasonably proximate to the initiation of CMT
for the new condition, as defined in paragraph “a” of this subrule.
A chiropractor is also authorized to order a documenting X–ray whether or
not the chiropractor owns or possesses X–ray equipment in the
chiropractor’s office. Any X–rays so ordered shall be payable to
the X–ray provider, consistent with the provisions in this
paragraph.
ITEM 2. Amend rule 441—78.32(249A)
as follows:
441—78.32(249A) Area education agencies.
Payment will be made for physical therapy, occupational therapy, psychological
evaluations and counseling, psychotherapy, speech–language therapy,
and audiological, nursing, and vision services provided by an area
education agency (AEA). These services shall be provided by personnel who meet
standards as set forth in department of education rules 281—
41.8(256B,34CFR300) and to
281—41.9(256B,273,34CFR 300) 41.10(256B) to the
extent that their certification or license allows them to provide these
services. Services shall be provided directly by the AEA or through contractual
arrangement with the AEA.
This rule is intended to implement Iowa Code section
249A.4.
[Filed 6/8/00, effective 9/1/00]
[Published 6/28/00]
EDITOR’S NOTE:
For replacement pages for IAC, see IAC Supplement 6/28/00.
ARC 9942A
INSPECTIONS AND APPEALS
DEPARTMENT[481]
Adopted and Filed
Pursuant to the authority of Iowa Code section 135C.14, the
Department of Inspections and Appeals hereby adopts Chapter 54, “Quality
Award for Health Care Facilities,” Iowa Administrative Code.
The adopted chapter implements Iowa Code Supplement section
135C.20B, which established an annual Governor’s Quality Care Award for a
health care facility that demonstrates a high quality of care and commitment to
its residents. These rules establish the guidelines by which health care
facilities applying for the quality award will be evaluated.
Notice of Intended Action was published in the Iowa
Administrative Bulletin as ARC 9610A on January 12, 2000. A public
hearing was held on February 8, 2000. Written comment was filed by ABCM
Corporation and Nursing Care Management, Ltd., requesting clarification on the
deadline for submission of nominations and applicant eligibility. These changes
have been incorporated. At the February 4, 2000, meeting of the Administrative
Rules Review Committee, revision was requested to expand the number of
recipients of the Governor’s Quality Award for Health Care Facilities.
The adopted rules expand the number of recipients to include no more than two
facilities from each Iowa congressional district. In addition, the chapter
title, “Quality Award for Nursing Facilities,” has been changed to
“Quality Award for Health Care Facilities.” The new title more
appropriately encompasses the various types of facilities eligible for
consideration.
A waiver provision has not been included in this new chapter.
A waiver provision is not applicable to the Governor’s Quality Care Award
because a facility’s participation is completely voluntary.
These rules will become effective on August 2, 2000.
These rules are intended to implement Iowa Code Supplement
section 135C.20B.
The following new chapter is adopted.
CHAPTER 54
QUALITY AWARD FOR HEALTH CARE
FACILITIES
481—54.1(135C) Purpose. This program is
intended to recognize quality health care services being provided to facility
residents by Iowa long–term care facilities, residential care facilities,
and intermediate care facilities for the mentally retarded or persons with
mental illness. The specific objective of the program is to establish a
governor’s award for quality care to recognize health care facilities in
the state which demonstrate provision of the highest quality care to
residents.
481—54.2(135C) Definitions.
“Advisory council” means the council appointed by
the director to review all nominations received by the department. Members of
the council shall include the director, or the director’s designee, and
members selected to represent the general public, health care providers,
resident advocates, the long–term care ombudsman’s office,
residents, and other groups as deemed necessary by the director. When making
appointments to the advisory council, the director may consult with the Iowa
Partners for Resident Care or other groups representing the nursing home
associations and resident advocates that oversee operation of a facility or
group of facilities. No member of the advisory council shall be a provider of
services to a facility or under contract to provide services to a
facility.
“Community living training services” means those
activities provided to assist a person to acquire or sustain the knowledge and
skills essential to independent functioning to the person’s maximum
potential in the physical and social environment.
“Department” means the department of inspections
and appeals.
“Director” means the director of the department of
inspections and appeals, or the director’s designee.
“Health care facility” or “facility”
means a residential care facility, a nursing facility, an intermediate care
facility for persons with mental illness, or an intermediate care facility for
persons with mental retardation.
“Nursing care” means those services which can be
provided only under the direction of a registered nurse or a licensed practical
nurse.
“Nursing facility” means an institution or a
distinct part of an institution housing three or more individuals not related to
the administrator or owner within the third degree of consanguinity, which is
primarily engaged in providing health–related care and services including,
but not limited to, rehabilitative services, personal care, or community living
training services for a period exceeding 24 consecutive hours for individuals
who, because of a mental or physical condition, require nursing care and other
services in addition to room and board.
“Personal care” means assistance with the
activities of daily living which the recipient can perform only with difficulty.
Examples are help in getting in and out of bed, assistance with personal hygiene
and bathing, help with dressing and feeding, and supervision over medications
which can be self–administered.
“Rehabilitative services” means services to
encourage and assist restoration of optimum mental and physical capabilities of
the individual resident of a health care facility.
“Resident” means an individual admitted to a
health care facility in the manner prescribed by Iowa Code section 135C.23.
“Social services” means services relating to the
psychological and social needs of the individual in adjusting to living in a
health care facility, and minimizing stress arising from that circumstance.
481—54.3(135C) Nomination. The director will
prepare and make available a nomination application no later than June 30 of
each year.
481—54.4(135C) Deadline for submission of
nominations. Nominations will be taken during the first quarter of each
fiscal year. The deadline for receipt of nominations is September 30 of each
year.
481—54.5(135C) Applicant eligibility. Eligible
nominations shall be made by a resident, family member of a resident, member of
a resident advocacy committee, or another health care facility. A health care
facility cannot nominate itself for the award; however, this prohibition shall
not apply to facilities with common ownership. Only health care facilities
licensed pursuant to Iowa Code chapter 135C shall be eligible for
nomination.
481—54.6(135C) Administration. The quality
awards program shall be administered by the director or the
director’sdesignee.
481—54.7(135C) Priority. All nominations
submitted to the department and received on or before the deadline for receipt
of nominations shall be given consideration.
481—54.8(135C) Nomination. Applications for the
governor’s quality award shall include but not be limited to the following
information:
54.8(1) The reasons that the nominated facility should
be considered.
54.8(2) Any unique or special care or services
provided by the facility to its residents. Care or services include any unique
or special nursing care, personal care, rehabilitative services, social
services, or community living training services provided by the facility for its
residents, or involvement with the local community.
54.8(3) Activities conducted by the facility to
enhance the highest quality of life for its residents.
481—54.9(135C) Evaluation. The director shall
appoint an advisory council to review all nominations received by the
department. The members shall review all nominations and select finalists based
upon the material(s) provided in the nomination forms. The council shall also
consider the following factors in making its selections:
54.9(1) The facility report card completed pursuant to
Iowa Code section 135C.20A.
54.9(2) Any unique services provided by a facility to
its residents to improve the quality of care in the facility.
54.9(3) Any information submitted by resident advocacy
committee members, residents, a resident’s family members, or facility
staff with regard to the quality of care provided by the facility to its
residents.
54.9(4) Whether the facility accepts residents for
whom costs are paid under Iowa Code chapter 249A.
481—54.10(135C) Selection of finalists. When
reviewing the nominations, the advisory committee shall rank all facilities
according to the above criteria. The ranked list of facilities shall be
provided to the director for further review and consideration. When making the
final selection, no more than two facilities from each congressional district
shall be recognized as an award winner.
481—54.11(135C) Awarding of certificate. Prior
to the final selection of facilities, representatives from the department and
the governor’s office will tour all finalists to determine the winners.
The department will select the winners of the governor’s quality award
from the facilities recommended by the advisory council. The winners will
receive a framed certificate in recognition of their designation as a quality
health care provider of the year. The certificate shall be awarded by the
governor or the governor’s designee to the facility administrator in a
recognition ceremony held at the facility’s place of business.
These rules are intended to implement Iowa Code Supplement
section 135C.20B.
[Filed 6/9/00, effective 8/2/00]
[Published 6/28/00]
EDITOR’S NOTE:
For replacement pages for IAC, see IAC Supplement 6/28/00.
ARC 9943A
NATURAL RESOURCE
COMMISSION[571]
Adopted and Filed
Pursuant to the authority of Iowa Code subsection 455A.5(6),
the Natural Resource Commission hereby amends Chapter 15, “General License
Regulations,” Iowa Administrative Code.
This amendment combines two rules dealing with volunteer
safety/education instructor certification for bow and fur harvester, snowmobile
and all–terrain vehicle, boating safety and hunter education. This will
serve to simplify and provide more uniformity to the overall instructor
certification process.
Notice of Intended Action was published in the Iowa
Administrative Bulletin on April 5, 2000, as ARC 9769A. No comments were
received during the comment period or at the public hearing held April 25, 2000.
There are no changes from the Notice of Intended Action.
These amendments are intended to implement Iowa Code section
483A.27.
These amendments will become effective August 2,
2000.
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 amendments [15.9 to 15.12] is being omitted. These amendments are
identical to those published under Notice as ARC 9769A, IAB
4/5/00.
[Filed 6/9/00, effective 8/2/00]
[Published
6/28/00]
[For replacement pages for IAC, see IAC Supplement
6/28/00.
ARC 9944A
NATURAL RESOURCE
COMMISSION[571]
Adopted and Filed
Pursuant to the authority of Iowa Code subsection 455A.5(6),
the Natural Resource Commission hereby amends Chapter 16, “Public,
Commercial, Private Docks and Dock Management Areas,” Iowa Administrative
Code.
These amendments extend the current “general dock
permit” expiration date from March 1, 1999, to March 1, 2005, for private
docks in compliance with rule 16.3(461A) and set the term length for general
permits at five years by definition. These amendments will not change the
current private dock standards or required specifications.
Notice of Intended Action was published in the Iowa
Administrative Bulletin on April 5, 2000, as ARC 9768A. No comments were
received during the comment period or at the public hearing held April 25, 2000.
There are no changes from the Notice of Intended Action.
These amendments are intended to implement Iowa Code section
461A.4.
These amendments will become effective August 2,
2000.
The following amendments are adopted.
ITEM 1. Amend rule
571—16.1(461A), definition of “general permit,” as
follows:
“General permit” means a permit issued as a rule
of this chapter to authorize maintenance of an eligible class of private docks.
The owner of a private dock that is eligible for coverage under a general permit
need not file an individual dock permit application. Unless otherwise
specified, a general permit is valid for five years.
ITEM 2. Amend rule 571—16.3(461A),
introductory paragraph, as follows:
571—16.3(461A) General permit for certain private
docks on lakes. This rule constitutes a general permit for certain private
docks on lakes as defined in 571—16.1(461A).
This general permit expires March 1, 1999
2005. This general permit authorizes maintenance of private docks
conforming to the standard conditions set forth in 571—16.5(461A) and the
following additional criteria:
[Filed 6/9/00, effective 8/2/00]
[Published 6/28/00]
EDITOR’S NOTE:
For replacement pages for IAC, see IAC Supplement 6/28/00.
ARC 9945A
NATURAL RESOURCE
COMMISSION[571]
Adopted and Filed
Pursuant to the authority of Iowa Code subsection 455A.5(6),
the Natural Resource Commission hereby amends Chapter 34, “Community
Forestry Challenge Grant Program (CFCGP),” Iowa Administrative
Code.
This amendment clarifies the rules for community tree planting
grants and expands sources of funding.
This amendment was previously Adopted and Filed Emergency and
published in the April 5, 2000, Iowa Administrative Bulletin as ARC
9771A. Notice of Intended Action to solicit comments on that submission was
published in the Iowa Administrative Bulletin on April 5, 2000, as ARC
9770A. A public hearing on the proposed amendment was held April 25, 2000.
There are no changes from the Notice of Intended Action.
This amendment is intended to implement Iowa Code sections
456A.20 and 461A.2.
This amendment will become effective August 2, 2000, at which
time the Adopted and Filed Emergency rules are hereby rescinded.
EDITOR’S NOTE:
Pursuant to recommendation of the Administrative Rules Review Committee
published in the Iowa Administrative Bulletin, September 10, 1986, the text of
this amendment [Ch 34] is being omitted. This amendment is identical to that
published under Notice as ARC 9770A, IAB 4/5/00.
[Filed 6/9/00, effective 8/2/00]
[Published 6/28/00]
[For replacement pages for IAC, see IAC Supplement
6/28/00.]
ARC 9916A
NURSING BOARD[655]
Adopted and Filed
Pursuant to the authority of Iowa Code sections 17A.3 and
147.76, the Board of Nursing hereby adopts amendments to Chapter 6,
“Nursing Practice for Registered Nurses/Licensed Practical Nurses,”
Iowa Administrative Code.
These amendments rescind a subrule prohibiting the initiation
of infusion pumps by the LPN and amend a subrule regarding the hanging of
hypertonic solutions by the LPN.
Notice of Intended Action regarding these amendments was
published in the Iowa Administrative Bulletin on April 5, 2000, as ARC
9762A. These amendments are identical to those published under
Notice.
These amendments will become effective August 2,
2000.
These amendments are intended to implement Iowa Code section
152.1.
The following amendments are adopted.
ITEM 1. Amend subrule 6.5(4),
paragraph “b,” as follows:
b. Administration of blood and blood products; vasodilators,
vasopressors, oxytoxics, chemotherapy, colloid therapy, total parenteral
nutrition, hypertonic solutions, anticoagulants,
antiarrhythmics, and thrombolytics and solutions with a
total osmolarity of 600 or greater.
ITEM 2. Rescind subrule 6.5(4),
paragraph “c,” and reletter paragraphs “d”
and “e” as “c” and
“d.”
[Filed 6/9/00, effective 8/2/00]
[Published 6/28/00]
EDITOR’S NOTE:
For replacement pages for IAC, see IAC Supplement 6/28/00.
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