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House Study Bill 317

Conference Committee Text

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 licensed psychologist or psychiatrist who is professionally
  1 31 trained to administer the tests required to assess
  1 32 intellectual functioning and to evaluate a person's adaptive
  1 33 skills.  
  1 34                           EXPLANATION
  1 35    This bill relates to payment of expenses for persons with
  2  1 mental retardation.  The bill amends section 222.60, relating
  2  2 to costs paid by a county of legal settlement or the state for
  2  3 expenses associated with admission or commitment, treatment,
  2  4 training, instruction, care, habilitation, support, and
  2  5 transportation of persons with mental retardation in state,
  2  6 public, or private facilities within or without the state.
  2  7 The amendment authorizes a county to require a diagnosis to
  2  8 determine if a person has mental retardation or an evaluation
  2  9 of a person's mental retardation service needs prior to
  2 10 approving the payment of the expenses.  In addition, following
  2 11 the initial approval for paying the expenses, the county may
  2 12 require an evaluation to be performed at reasonable time
  2 13 periods.  If a person is without legal settlement or the
  2 14 settlement is unknown the state may apply the same diagnosis
  2 15 and evaluation provisions.  The cost of an evaluation is to be
  2 16 paid by the county of legal settlement or the state.
  2 17    The bill also requires that a diagnosis of mental
  2 18 retardation is made only when the onset of the person's
  2 19 condition is prior to age 18 and is based on an assessment of
  2 20 the persons' intellectual functioning and level of adaptive
  2 21 skills.  The individual performing the diagnosis must be a
  2 22 licensed psychologist or psychiatrist who is professionally
  2 23 trained to administer the tests and evaluate skills.
  2 24    The bill specifies that a diagnosis or an evaluation can be
  2 25 performed as part of a county's single entry point process
  2 26 under section 331.440 provided that a diagnosis is performed
  2 27 by an individual qualified as provided in the bill.  The
  2 28 single entry point process under section 331.440 authorizes a
  2 29 clinical assessment to be performed by using a qualified
  2 30 mental retardation professional.  
  2 31 LSB 2538HC 76
  2 32 jp/jj/8
     

Text: HSB00316                          Text: HSB00318
Text: HSB00300 - HSB00399               Text: HSB Index
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