Text: HF00504 Text: HF00506 Text: HF00500 - HF00599 Text: HF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
1 1 Section 1. Section 222.60, Code 1995, is amended by adding
1 2 the following new unnumbered paragraphs:
1 3 NEW UNNUMBERED PARAGRAPH. Prior to a county of legal
1 4 settlement approving the payment of expenses for a person
1 5 under this section, the county may require that the person be
1 6 diagnosed to determine if the person has mental retardation or
1 7 that the person be evaluated to determine the appropriate
1 8 level of services required to meet the person's needs relating
1 9 to mental retardation. The diagnosis and the evaluation may
1 10 be performed concurrently and shall be performed by an
1 11 individual or individuals approved by the county who are
1 12 qualified to perform the diagnosis or the evaluation.
1 13 Following the initial approval for payment of expenses, the
1 14 county of legal settlement may require that an evaluation be
1 15 performed at reasonable time periods. The cost of a county-
1 16 required diagnosis and an evaluation is at the county's
1 17 expense. In the case of a person without legal settlement or
1 18 whose legal settlement is unknown, the state may apply the
1 19 diagnosis and evaluation provisions of this paragraph at the
1 20 state's expense. A diagnosis or an evaluation under this
1 21 section may be part of a county's single entry point process
1 22 under section 331.440, provided that a diagnosis is performed
1 23 only by an individual qualified as provided in this section.
1 24 NEW UNNUMBERED PARAGRAPH. A diagnosis of mental
1 25 retardation under this section shall be made only when the
1 26 onset of the person's condition was prior to the age of
1 27 eighteen years and shall be based on an assessment of the
1 28 person's intellectual functioning and level of adaptive
1 29 skills. The diagnosis shall be made by an individual who is a
1 30 psychologist or psychiatrist who is professionally trained to
1 31 administer the tests required to assess intellectual
1 32 functioning and to evaluate a person's adaptive skills.
1 33 NEW UNNUMBERED PARAGRAPH. A diagnosis of mental
1 34 retardation shall be made in accordance with the criteria
1 35 provided in the diagnostic and statistical manual of mental
2 1 disorders, fourth edition, published by the American
2 2 psychiatric association.
2 3 Sec. 2. SUPPLEMENTAL EXPENSE PAYMENT. If the amendments
2 4 adopted by the department of human services in 1993 through
2 5 1995 in 441 Iowa administrative code, rules 22.1 and 24.1,
2 6 which revise the definition of the term "persons with mental
2 7 retardation," have the result of increasing costs to a county
2 8 during the fiscal period beginning July 1, 1993, and ending
2 9 June 30, 1995, the county shall report the increased costs to
2 10 the department of human services. The department shall
2 11 compile the county reports of increased costs to develop a
2 12 total of the increased costs submitted by counties pursuant to
2 13 this section. The total increased costs shall be included in
2 14 a report submitted to the governor and the general assembly
2 15 for budget consideration during the 1996 legislative session.
2 16 If the total increased costs exceeds $2,000,000, the report
2 17 shall include a recommendation for a supplemental
2 18 appropriation for the amount in excess of $2,000,000 to be
2 19 used for a supplemental expense payment to counties. The
2 20 amount of a county's supplemental expense payment would be
2 21 equal to the amount of the county's proportion of the total of
2 22 the increased costs submitted applied to the amount of the
2 23 supplemental appropriation. The council on human services
2 24 shall adopt rules in consultation with the state-county
2 25 management committee to establish forms and other requirements
2 26 implementing the provisions of this section.
2 27 HF 505
2 28 jp/pk/25
Text: HF00504 Text: HF00506 Text: HF00500 - HF00599 Text: HF Index Bills and Amendments: General Index Bill History: General Index
Iowa General Assembly
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