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Text: HF00408                           Text: HF00410
Text: HF00400 - HF00499                 Text: HF Index
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House File 409

Partial Bill History

Bill Text

PAG LIN
  1  1    Section 1.  IOWA CHILD DEATH REVIEW TEAM &endash; FINDINGS AND
  1  2 PURPOSE.
  1  3    1.  The general assembly finds the following:
  1  4    a.  Protection of the health and welfare of the children of
  1  5 this state is a goal of its people and the death of children
  1  6 is an important public health concern that requires
  1  7 legislative action.
  1  8    b.  Collecting accurate data on the cause and manner of
  1  9 deaths will better enable the state to identify preventable
  1 10 deaths, and thus help reduce the incidence of such deaths.
  1 11    c.  Multidisciplinary review of child deaths is a mechanism
  1 12 to assist the state in developing a greater understanding of
  1 13 the incidence and causes of child deaths and the methods for
  1 14 prevention of such deaths.
  1 15    2.  The purpose of the child death review team is to aid in
  1 16 the reduction of the incidence of serious injury and death to
  1 17 children by accurately identifying the cause and manner of
  1 18 death of children.
  1 19    Sec. 2.  NEW SECTION.  144D.1  IOWA CHILD DEATH REVIEW TEAM
  1 20 ESTABLISHED &endash; DUTIES.
  1 21    1.  An Iowa child death review team is established as an
  1 22 independent agency of state government.  The Iowa department
  1 23 of public health and the department of human services shall
  1 24 provide staffing and administrative support to the team.
  1 25    2.  The membership of the review team is subject to the
  1 26 provisions of sections 69.16 and 69.16A, relating to political
  1 27 affiliation and gender balance.  Review team members who are
  1 28 not designated by another appointing authority shall be
  1 29 appointed by the director of public health and the director of
  1 30 human services.  Membership terms shall be for three years.  A
  1 31 membership vacancy shall be filled in the same manner as the
  1 32 original appointment.  The review team shall elect a
  1 33 chairperson and other officers as deemed necessary by the
  1 34 review team.  The review team shall meet upon the call of the
  1 35 chairperson, upon the request of a state agency, or as
  2  1 determined by the review team.  The members of the team are
  2  2 eligible for reimbursement of actual and necessary expenses
  2  3 incurred in the performance of their official duties.
  2  4    The review team shall include the following:
  2  5    a.  The state medical examiner or the state medical
  2  6 examiner's designee.
  2  7    b.  A designee of the director of public health.
  2  8    c.  A designee of the director of human services.
  2  9    d.  A designee of the commissioner of public safety.
  2 10    e.  A designee of the administrator of the division of
  2 11 vital records of the Iowa department of public health.
  2 12    f.  A designee of the attorney general.
  2 13    g.  A designee of the director of transportation.
  2 14    h.  A designee of the director of the department of
  2 15 education.
  2 16    i.  A certified or licensed professional who is
  2 17 knowledgeable concerning sudden infant death syndrome.
  2 18    j.  Two pediatricians who are knowledgeable concerning
  2 19 deaths of children.
  2 20    k.  Two mental health professionals who are knowledgeable
  2 21 concerning deaths of children.
  2 22    l.  Two social workers who are knowledgeable concerning
  2 23 deaths of children.
  2 24    m.  A certified or licensed professional who is
  2 25 knowledgeable concerning domestic violence.
  2 26    n.  A professional who is knowledgeable concerning
  2 27 substance abuse.
  2 28    o.  A local law enforcement official.
  2 29    p.  A county attorney.
  2 30    q.  A nurse who is knowledgeable concerning the deaths of
  2 31 children.
  2 32    r.  A perinatal expert.
  2 33    s.  A representative of the health insurance industry.
  2 34    t.  Three others appointed at large.
  2 35    3.  The review team shall perform the following duties:
  3  1    a.  Collect, review, and analyze child death certificates
  3  2 and child death data, including patient records or other
  3  3 pertinent confidential information concerning the deaths of
  3  4 children age six or younger, and other information as the
  3  5 review team deems appropriate for use in preparing an annual
  3  6 report to the governor and the general assembly concerning the
  3  7 causes and manner of child deaths.  The report shall include
  3  8 analysis of factual information obtained through review and
  3  9 recommendations regarding prevention of child deaths.
  3 10    b.  Recommend to the governor and the general assembly
  3 11 interventions to prevent deaths of children based on an
  3 12 analysis of the cause and manner of such deaths.
  3 13    c.  Recommend to the agencies represented on the review
  3 14 team changes which may prevent child deaths.
  3 15    d.  Maintain the confidentiality of any patient records or
  3 16 other confidential information reviewed.
  3 17    e.  Review the conduct of any child abuse investigation
  3 18 upon the request of the department of human services,
  3 19 including but not limited to the case files, methodology, and
  3 20 conclusions.
  3 21    4.  The review team may establish subcommittees to which
  3 22 the team may delegate some or all of the team's
  3 23 responsibilities under subsection 3.
  3 24    5.  The Iowa department of public health and the department
  3 25 of human services shall adopt rules providing for disclosure
  3 26 of information which is confidential under chapter 22 or any
  3 27 other provision of state law, to the review team for purposes
  3 28 of performing its child death and child abuse review
  3 29 responsibilities.
  3 30    Sec. 3.  MULTIDISCIPLINARY CHILD ABUSE INTERVENTION AND
  3 31 PROSECUTION TEAMS.  The attorney general is requested to form
  3 32 a multidisciplinary committee to develop a proposal for the
  3 33 establishment of regional multidisciplinary teams to focus
  3 34 upon child abuse prosecution and intervention needs.  The
  3 35 attorney general is requested to submit a report of the
  4  1 committee findings to the governor and the general assembly
  4  2 prior to the 1996 legislative session.  The committee should
  4  3 consider other state statutory schemes for multidisciplinary
  4  4 teams, provide options for regional groupings, review options
  4  5 for special focus teams to concentrate on particular types of
  4  6 abuse such as sexual abuse, and recommend possible funding
  4  7 mechanisms.  
  4  8                           EXPLANATION
  4  9    This bill relates to provisions for review of child deaths
  4 10 and child abuse.
  4 11    New section 144D.1 constitutes a new chapter creating an
  4 12 Iowa child death review team as an independent agency of state
  4 13 government.  Legislative findings and purposes are outlined in
  4 14 a session law provision.  Administrative and staffing support
  4 15 for the team is to be provided by the Iowa department of
  4 16 public health and the department of human services.  The
  4 17 review team is to review information concerning the death of
  4 18 children age six and younger and to review child abuse
  4 19 investigations at the request of the department of human
  4 20 services.  The review team is to include representatives of
  4 21 various state agencies with most appointments made by the
  4 22 directors of public health and human services.  The review
  4 23 team is authorized to appoint subcommittees to which its
  4 24 responsibilities may be delegated.
  4 25    The attorney general is requested to establish a
  4 26 multidisciplinary committee to review and make recommendations
  4 27 concerning establishment of regional multidisciplinary teams
  4 28 to focus upon child abuse prosecution and intervention needs.
  4 29 If a committee is established, a report is to be submitted by
  4 30 the attorney general to the governor and the general assembly
  4 31 prior to the 1996 legislative session.  
  4 32 LSB 2526HH 76
  4 33 jp/jj/8
     

Text: HF00408                           Text: HF00410
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