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Text: HF02351                           Text: HF02353
Text: HF02300 - HF02399                 Text: HF Index
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House File 2352

Partial Bill History

Bill Text

PAG LIN
  1  1    Section 1.  Section 225C.47, subsection 1, Code 1995, is
  1  2 amended by adding the following new paragraph before paragraph
  1  3 a and relettering the subsequent paragraphs:
  1  4    NEW PARAGRAPH.  a.  "Family" means a group of
  1  5 interdependent persons living in the same household.  A family
  1  6 consists of an individual with a disability and any of the
  1  7 following:
  1  8    (1)  The individual's parent.
  1  9    (2)  The individual's sibling.
  1 10    (3)  The individual's grandparent, aunt, or uncle.
  1 11    (4)  The individual's legal custodian.
  1 12    (5)  A person who is providing short-term foster care to
  1 13 the individual subject to a case permanency plan which
  1 14 provides for reunification between the individual and the
  1 15 individual's parent.
  1 16    "Family" does not include a person who is employed to
  1 17 provide services to an individual with a disability in an out-
  1 18 of-home setting, including but not limited to a hospital,
  1 19 nursing facility, personal care home, board and care home,
  1 20 group foster care home, or other institutional setting.
  1 21    Sec. 2.  Section 225C.47, subsection 2, Code 1995, is
  1 22 amended to read as follows:
  1 23    2.  A comprehensive family support program is created in
  1 24 the department of human services to provide a statewide system
  1 25 of services and support to eligible families.  The program
  1 26 shall be implemented in a manner which enables a family member
  1 27 of an individual with a disability to identify the services
  1 28 and support needed to enable the individual to reside with the
  1 29 individual's family, to function more independently, and to
  1 30 increase the individual's integration into the community.
  1 31    Sec. 3.  Section 225C.47, subsection 5, paragraphs a, b,
  1 32 and f, Code 1995, are amended to read as follows:
  1 33    a.  (1)  An application process incorporating the
  1 34 eligibility determination processes of other disability
  1 35 services programs to the extent possible.
  2  1    (2)  Eligible families maintain control of decisions which
  2  2 affect the families' children who are individuals with a
  2  3 disability.
  2  4    b.  (1)  Existing local agencies are utilized to provide
  2  5 facilities and a single entry point for comprehensive family
  2  6 support program applicants.
  2  7    (2)  Services and support are provided in a timely manner
  2  8 and emergency access to needed services and support is
  2  9 provided.
  2 10    f.  (1)  Identification of the services and support and
  2 11 service provider components included in the comprehensive
  2 12 family support program.
  2 13    (2)  Upon request by a family member, provision of
  2 14 assistance in locating a service provider.
  2 15    Sec. 4.  Section 225C.47, subsection 5, Code 1995, is
  2 16 amended by adding the following new paragraph:
  2 17    NEW PARAGRAPH.  i.  The utilization of a voucher system for
  2 18 payment provisions for the children-at-home component of the
  2 19 program under subsection 7.
  2 20    Sec. 5.  Section 225C.47, Code 1995, is amended by adding
  2 21 the following new subsection:
  2 22    NEW SUBSECTION.  7.  The comprehensive family support
  2 23 program shall include a children-at-home component developed
  2 24 by the department in accordance with this subsection.  A
  2 25 family eligible for the comprehensive family support program
  2 26 may choose the children-at-home component.  Under the
  2 27 children-at-home component, a family member of an individual
  2 28 with a disability shall be assisted by department staff in
  2 29 identifying the services and support to be provided to the
  2 30 family under the program.  The identification of services and
  2 31 support shall be based upon the specific needs of the
  2 32 individual and the individual's family which are not met by
  2 33 other service programs available to the individual and the
  2 34 individual's family.  Based upon the services and support
  2 35 identified, the department shall develop a contract for direct
  3  1 payment of the services and support provided to the family.
  3  2    Sec. 6.  Section 225C.48, Code 1995, is amended by adding
  3  3 the following new subsection:
  3  4    NEW SUBSECTION.  2A.  The council shall perform the
  3  5 following duties in consultation with the department and any
  3  6 department staff with duties associated with the personal
  3  7 assistance services and comprehensive family support programs:
  3  8    a.  Oversee the operations of the programs.
  3  9    b.  Coordinate with the department of education and
  3 10 programs administered by the department of education to
  3 11 individuals with a disability, in providing information to
  3 12 individuals and families eligible for the programs under
  3 13 sections 225C.46 and 225C.47.
  3 14    c.  Work with the department and counties regarding managed
  3 15 care provisions utilized by the department and counties for
  3 16 services to individuals with a disability to advocate the
  3 17 inclusion of personal assistance services and the
  3 18 comprehensive family support program as approved service
  3 19 provisions under managed care.
  3 20    d.  Develop and oversee implementation of evaluation
  3 21 processes for the programs.
  3 22    e.  Oversee statewide training of department staff
  3 23 regarding the two programs.
  3 24    f.  Oversee efforts to promote public awareness of the
  3 25 programs.
  3 26    Sec. 7.  NEW SECTION.  225C.49 DEPARTMENTAL DUTIES
  3 27 CONCERNING SERVICES TO INDIVIDUALS WITH A DISABILITY.
  3 28    1.  The department shall provide coordination of the
  3 29 programs administered by the department which serve
  3 30 individuals with a disability and the individuals' families,
  3 31 including but not limited to the following juvenile justice
  3 32 and child welfare services:  family-centered and intensive
  3 33 family preservation services described under section 232.102,
  3 34 decategorization of child welfare funding provided for under
  3 35 section 232.188, and foster care services paid under section
  4  1 234.35, subsection 3.  The department shall regularly review
  4  2 administrative rules associated with such programs and make
  4  3 recommendations to the council on human services, governor,
  4  4 and general assembly for revisions to remove barriers to the
  4  5 programs for individuals with a disability and the
  4  6 individuals' families including the following:
  4  7    a.  Eligibility prerequisites which require declaring the
  4  8 individual at risk of abuse, neglect, or out-of-home
  4  9 placement.
  4 10    b.  Time limits on services which restrict addressing
  4 11 ongoing needs of individuals with a disability and their
  4 12 families.
  4 13    2.  The department shall coordinate the department's
  4 14 programs and funding utilized by individuals with a disability
  4 15 and their families with other state and local programs and
  4 16 funding directed to individuals with a disability and their
  4 17 families.
  4 18    3.  In implementing the provisions of this section, the
  4 19 department shall do all of the following:
  4 20    a.  Compile information concerning services and other
  4 21 support available to individuals with a disability and their
  4 22 families.  Make the information available to individuals with
  4 23 a disability and their families and department staff.
  4 24    b.  Utilize internal training resources or contract for
  4 25 additional training of staff concerning the information under
  4 26 paragraph "a" and training of families and individuals as
  4 27 necessary to develop plans and contracts under sections
  4 28 225C.46 and 225C.47.
  4 29    4.  The department shall designate one individual whose
  4 30 sole duties are to provide central coordination of the
  4 31 programs under sections 225C.46 and 225C.47 and to work with
  4 32 the personal assistance and family support services council to
  4 33 oversee development and implementation of the programs.  
  4 34                           EXPLANATION
  4 35    This bill relates to programs available to individuals with
  5  1 disabilities which are administered by the department of human
  5  2 services.
  5  3    Section 225C.47, relating to the comprehensive family
  5  4 support program for individuals with a disability and their
  5  5 families, is amended by adding a definition of the term
  5  6 "family".
  5  7    Section 225C.47 is also amended to require that the support
  5  8 program be statewide and to specify the manner in which the
  5  9 program is to be implemented by the department.
  5 10    Section 225C.47, subsection 5, providing for administrative
  5 11 rules to be adopted by the department to implement the
  5 12 program, is amended.  The amendments require an application
  5 13 process coordinated with the eligibility processes used by
  5 14 other programs, require services and support to be provided in
  5 15 a timely manner with provision for emergency services, and
  5 16 require the department to assist eligible families in locating
  5 17 service providers and in identifying the components of service
  5 18 plans.
  5 19    Section 225C.47 is also amended to add provisions for a
  5 20 children-at-home component of the program.  Under this
  5 21 component a family member of an eligible family is assisted by
  5 22 the department in identifying services and support needed.
  5 23 The department is to develop a contract for direct payment
  5 24 utilizing vouchers for the services and other support provided
  5 25 to the family.
  5 26    Section 225C.48, relating to the personal assistance and
  5 27 family support services council, is amended to specify
  5 28 additional duties for the council involving the personal
  5 29 assistance and comprehensive family support services program.
  5 30 The council is to consult with the department in overseeing
  5 31 operations of the programs, coordinate with the department of
  5 32 education programs for individuals with a disability, work
  5 33 with the department of human services and the counties in
  5 34 advocating the inclusion of the programs as services available
  5 35 under managed care provisions, and oversee evaluation,
  6  1 training, and publicity efforts.
  6  2    New section 225C.49 requires the department of human
  6  3 services to coordinate its juvenile justice and child welfare
  6  4 programs applicable to individuals with a disability.  The
  6  5 department is to propose to the council on human services,
  6  6 governor, and general assembly changes to revise program
  6  7 eligibility requirements and time restrictions to accommodate
  6  8 the needs of individuals with a disability.  In addition, the
  6  9 department is to coordinate its programs and funding with
  6 10 other state and local programs and funding applicable to
  6 11 individuals with a disability.  The coordination requirement
  6 12 includes specific provision for compiling information and for
  6 13 training staff and eligible individuals and families.  The
  6 14 department is also required to designate an individual to act
  6 15 as central coordinator of the personal assistance and
  6 16 comprehensive family support programs and to work with the
  6 17 council associated with the programs.  
  6 18 LSB 4117HH 76
  6 19 jp/jj/8.1
     

Text: HF02351                           Text: HF02353
Text: HF02300 - HF02399                 Text: HF Index
Bills and Amendments: General Index     Bill History: General Index

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