Text: H05470 Text: H05472 Text: H05400 - H05499 Text: H Index Bills and Amendments: General Index Bill History: General Index
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PAG LIN 1 1 Amend House File 2427 as follows: 1 2 #1. Page 1, line 4, by striking the word 1 3 "subsection" and inserting the following: 1 4 "subsections". 1 5 #2. Page 1, by inserting after line 8 the 1 6 following: 1 7 "NEW SUBSECTION. 3A. "Single entry point process" 1 8 means the same as defined in section 331.440." 1 9 #3. By striking page 3, line 19, through page 4, 1 10 line 7 and inserting the following: 1 11 "Sec. . Section 222.31, subsection 1, Code 1 12 1995, is amended to read as follows: 1 13 1. Commit the person to the single entry point 1 14 process of the person's county of residence for 1 15 placement in any public or private facility within or 1 16 without the state, approved by the director of the 1 17 department of human services. If the person has not 1 18 been examined by a commission as appointed in section 1 19 222.28, the courtshallmay, prior to issuing an order 1 20 of commitment, appoint such a commission to examine 1 21 the person for the purpose of determining the mental 1 22 condition of the person.NoIf a commission is 1 23 appointed, an order of commitment shall not be issued 1 24 unless the commissionshall recommendrecommends that 1 25suchthe order be issued and the private institution 1 26 to which the person is to be committedshall advise1 27 advises the court and the single entry point process 1 28 thatitthe private institution is willing to receive 1 29 the person. 1 30 Sec. . Section 222.31, subsection 2, unnumbered 1 31 paragraph 1, Code 1995, is amended to read as follows: 1 32 Commit the person to the single entry point process 1 33 of the person's county of residence for a diagnostic 1 34 evaluation and referral to an appropriate placement or 1 35 service. The placement may be in the state hospital- 1 36 school designated by the administrator to serve the 1 37 county in which the hearing is being held, or to a 1 38 special unit.The court shall priorPrior to issuing 1 39 an order of commitment, the court may request that a 1 40 diagnostic evaluation of the person be made by the 1 41 superintendent of the hospital-school or the special 1 42 unit, or the superintendent's qualified designee.The1 43 If requested, the evaluation shall be conducted at a 1 44 place as the superintendent may direct. The cost of 1 45 the evaluation shall be defrayed by the county of 1 46 legal settlement unless otherwise ordered by the 1 47 court. The cost may be equal to but shall not exceed 1 48 the actual cost of the evaluation. Persons referred 1 49 by a court to a hospital-school or the special unit 1 50 for diagnostic evaluation shall be considered as 2 1 outpatients of the institution.NoIf an evaluation 2 2 is requested, an order of commitment shall not be 2 3 issued unless the superintendent of the institution 2 4 recommends that the order be issued, and advises the 2 5 court that adequate facilities for the care of the 2 6 person are available." 2 7 #4. Page 5, by striking lines 19 through 23 and 2 8 inserting the following: "made in the manner 2 9 prescribed by section 225.13. An order under this 2 10 section shall be for referral to the single entry 2 11 point process of the respondent's county of residence 2 12 for an evaluation and referral of the respondent to an 2 13 appropriate placement or service, which may include 2 14 the state psychiatric hospital for additional 2 15 evaluation or treatment. For purposes of this 2 16 chapter, "single entry point process" means the same 2 17 as defined in section 331.440." 2 18 #5. Page 6, by striking lines 9 through 11 and 2 19 inserting the following: "provided as determined by 2 20 the single entry point process of the respondent's 2 21 county of residence." 2 22 #6. Page 6, by striking lines 31 through 33 and 2 23 inserting the following: "county shall only be 2 24 provided as determined by the single entry point 2 25 process of the respondent's county of residence." 2 26 #7. Page 11, by striking lines 1 through 18. 2 27 #8. Page 12, line 7, by striking the word 2 28 "subsection" and inserting the following: 2 29 "subsections". 2 30 #9. Page 12, by inserting after line 11 the 2 31 following: 2 32 "NEW SUBSECTION. 15. "Single entry point process" 2 33 means the same as defined in section 331.440." 2 34 #10. Page 13, by striking lines 19 through 23 and 2 35 inserting the following: "under the care of the 2 36 facility. However, for a respondent whose expenses 2 37 are payable in whole or in part by a county, an order 2 38 under this section shall commit the respondent to the 2 39 single entry point process of the person's county of 2 40 residence for a diagnostic evaluation and referral for 2 41 appropriate treatment, placement, or service." 2 42 #11. Page 13, by striking lines 28 through 30 and 2 43 inserting the following: "section shall commit the 2 44 respondent to the single entry point process of the 2 45 respondent's county of residence for a diagnostic 2 46 evaluation and referral for appropriate treatment, 2 47 placement, or service." 2 48 #12. Page 14, line 26, by striking the words 2 49 "county board of supervisors" and inserting the 2 50 following: "county board of supervisorssingle entry 3 1 point process of the person's county of legal 3 2 settlement". 3 3 #13. Page 16, by striking lines 11 and 12 and 3 4 inserting the following: 3 5 "Release of information, in accordance with 3 6 administrative rules adopted for this purpose by the 3 7 council on human services pursuant to a recommendation 3 8 of the state-county management committee, which would 3 9 identify an individual who is". 3 10 #14. By striking page 17, line 31, through page 3 11 18, line 20, and inserting the following: 3 12 "NEW SUBSECTION. 5. a. The department shall take 3 13 the actions necessary to assist in the transition of 3 14 individuals being served as of June 30, 1996, in a 3 15 residential or intermediate care facility for the 3 16 mentally retarded to services funded under a medical 3 17 assistance waiver for home and community-based 3 18 services for persons with mental retardation. The 3 19 actions shall include but are not limited to both of 3 20 the following: 3 21 (1) Requesting a revision of the medical 3 22 assistance waiver for home and community-based 3 23 services for persons with mental retardation in effect 3 24 as of June 30, 1996, or applying for a new waiver to 3 25 allow for the conversion of residential and 3 26 intermediate care facilities for the mentally retarded 3 27 licensed under chapter 135C as of June 30, 1996, to 3 28 services funded under a medical assistance waiver for 3 29 home and community-based services for persons with 3 30 mental retardation. The waiver revision request or 3 31 new waiver shall provide that the waiver requirements 3 32 applicable to the number of persons served under the 3 33 waiver as of June 30, 1996, shall continue to apply to 3 34 the same number of persons under a revised or new 3 35 waiver so that the number of persons served by 3 36 converted facilities is an additional amount. 3 37 (2) Requesting a revision of the medical 3 38 assistance waiver for home and community-based 3 39 services for persons with mental retardation in effect 3 40 as of June 30, 1996, to allow for reimbursement under 3 41 the waiver for day program costs, including but not 3 42 limited to, activity, work activity, and supported 3 43 employment. 3 44 b. In implementing the provisions of this 3 45 subsection, the department of human services shall 3 46 consult with the department of inspections and appeals 3 47 and representatives of providers of residential and 3 48 intermediate care facility for the mentally retarded 3 49 services, service consumers, families of service 3 50 consumers, advocates, counties, and other 4 1 knowledgeable persons in developing the waiver 4 2 revision request or other action necessary to assist 4 3 in the transition of service provision from 4 4 residential and intermediate care facilities for the 4 5 mentally retarded to alternative programs that can 4 6 appropriately meet the needs of individuals at an 4 7 overall lower cost. The department shall work with 4 8 the same group in adopting rules for oversight of 4 9 facilities converted pursuant to this subsection. A 4 10 waiver revision request and the other actions 4 11 developed pursuant to this subsection shall be 4 12 completed on or before September 16, 1996. The 4 13 department shall report on September 16, 1996, to the 4 14 general assembly regarding its actions under this 4 15 subsection and any federal response, and shall submit 4 16 an update upon receiving a federal response to the 4 17 waiver request or other action taken which requires a 4 18 federal response. If implementation of the 4 19 requirements of this subsection does not require a 4 20 federal waiver, the department shall implement the 4 21 requirements on July 1, 1996." 4 22 #15. Page 18, line 25, by inserting before the 4 23 word "The" the following: "1." 4 24 #16. Page 18, line 26, by striking the words "cost 4 25 of services provided" and inserting the following: 4 26 "services paid for". 4 27 #17. Page 18, line 28, by striking the word "The". 4 28 #18. Page 18, by inserting after line 28 the 4 29 following: 4 30 "2. The". 4 31 #19. Page 19, line 2, by striking the word 4 32 "section" and inserting the following: "subsection". 4 33 #20. Page 20, line 9, by inserting after the word 4 34 "developed" the following: "for the state and 4 35 county". 4 36 #21. Page 20, line 17, by striking the words 4 37 "council on human services" and inserting the 4 38 following: "mental health and developmental 4 39 disabilities commission". 4 40 #22. Page 20, line 23, by striking the words 4 41 "council on human services" and inserting the 4 42 following: "mental health and developmental 4 43 disabilities commission". 4 44 #23. Page 20, by striking lines 27 through 35. 4 45 #24. Page 21, by striking line 1 and inserting the 4 46 following: 4 47 "NEW SUBPARAGRAPH. (17) Make recommendations to 4 48 the mental health and developmental disabilities 4 49 commission and counties for measuring". 4 50 #25. By renumbering as necessary. 5 1 5 2 5 3 5 4 HOUSER of Pottawattamie 5 5 HF 2427.301 76 5 6 jp/cf
Text: H05470 Text: H05472 Text: H05400 - H05499 Text: H Index Bills and Amendments: General Index Bill History: General Index
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