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PAG LIN 1 1 Section 1. Section 135.63, Code 1995, is amended by adding 1 2 the following new subsection: 1 3 NEW SUBSECTION. 4. For the period beginning July 1, 1995, 1 4 and ending June 30, 1997, the department shall not process 1 5 applications for and the council shall not consider a new or 1 6 changed institutional health service for an intermediate care 1 7 facility for the mentally retarded except as provided in this 1 8 subsection. 1 9 a. For the period beginning July 1, 1995, and ending June 1 10 30, 1997, the department and council shall process 1 11 applications and consider applications if either of the 1 12 following conditions are met: 1 13 (1) An institutional health facility is reducing the size 1 14 of the facility's intermediate care facility for the mentally 1 15 retarded program and wishes to convert an existing number of 1 16 the facility's approved beds in that program to smaller living 1 17 environments in accordance with state policies in effect 1 18 regarding the size and location of such facilities. 1 19 (2) An institutional health facility proposes to locate a 1 20 new intermediate care facility for the mentally retarded in an 1 21 area of the state identified by the department of human 1 22 services as underserved by intermediate care facility for the 1 23 mentally retarded beds. 1 24 b. Both of the following requirements shall apply to an 1 25 application considered under this section: 1 26 (1) The new or changed beds shall not result in an 1 27 increase in the total number of medical assistance certified 1 28 intermediate care facility for the mentally retarded beds in 1 29 the state as of July 1, 1994. 1 30 (2) A letter of support for the application is provided by 1 31 the director of human services and the county board of 1 32 supervisors, or the board's designee, in the county in which 1 33 the beds would be located. 1 34 Sec. 2. Section 228.1, subsection 1, Code 1995, is amended 1 35 to read as follows: 2 1 1. "Administrative information" means an individual's 2 2 name, identifying number, age, sex, address, dates and 2 3 character of professional services provided to the individual, 2 4 fees for the professional services, third-party payor name and 2 5 payor number of a patient, if known, name and location of the 2 6 facility where treatment is received, the date of the 2 7 individual's admission to the facility, and the name of the 2 8 individual's attending physician or attending mental health 2 9 professional. 2 10 Sec. 3. Section 229.24, Code 1995, is amended by adding 2 11 the following new subsection: 2 12 NEW SUBSECTION. 3. If all or part of the costs associated 2 13 with hospitalization of an individual under this chapter are 2 14 chargeable to a county of legal settlement, the county of 2 15 legal settlement and the county in which the hospitalization 2 16 order is entered shall have access to the following 2 17 information pertaining to the individual which would be 2 18 confidential under subsection 1: 2 19 a. Administrative information, as defined in section 2 20 228.1. 2 21 b. An evaluation order under this chapter and the location 2 22 of the individual's placement under the order. 2 23 c. A hospitalization or placement order under this chapter 2 24 and the location of the individual's placement under the 2 25 order. 2 26 d. The date, location, and disposition of any hearing 2 27 concerning the individual held under this chapter. 2 28 e. Any payment source available for the costs of the 2 29 individual's care. 2 30 Sec. 4. Section 230.20, Code 1995, is amended by adding 2 31 the following new subsection: 2 32 NEW SUBSECTION. 7. The department shall provide a county 2 33 with information, which is not otherwise confidential under 2 34 law, in the department's possession concerning a patient whose 2 35 cost of care is chargeable to the county, including but not 3 1 limited to the information specified in section 229.24, 3 2 subsection 3. 3 3 Sec. 5. Section 331.438, subsection 3, paragraph b, Code 3 4 1995, is amended to read as follows: 3 5 b. The management committee shall consist of not more than 3 6nineeleven voting members representing the state and 3 7 counties.as follows: 3 8 (1) An equal number ofthenot more than nine members 3 9 shall be appointed by the director of human services and the 3 10 Iowa state association of counties and one additional member 3 11 shall be jointly appointed by both entities. Members 3 12 appointed by the Iowa state association of counties shall be 3 13 selected from a pool nominated by the county supervisor 3 14 affiliate of the association with four members from the 3 15 affiliate. The affiliate shall select the nominees through a 3 16 secret ballot process. 3 17 (2)In addition, theThe committee shallalsoinclude one 3 18 member nominated by service providers and one member nominated 3 19 by service advocates and consumers, with both members 3 20 appointed by the governor. 3 21 (3) In addition, the committee shall include four members 3 22 of the general assembly with one each designated by the 3 23 majority leader and minority leader of the senate and the 3 24 speaker and minority leader of the house of representatives. 3 25 A legislative member serves in an ex officio, nonvoting 3 26 capacity and is eligible for per diem and expenses as provided 3 27 in section 2.10. 3 28 (4) A member who is not a legislator shall have expenses 3 29 and other costs paid by the state or the county entity that 3 30 the member represents. The committee shall establish terms 3 31 for its members, elect officers, adopt operating procedures, 3 32 and meet as deemed necessary by the committee. 3 33 Sec. 6. STATE-COUNTY MANAGEMENT COMMITTEE. The state- 3 34 county management committee's annual report to be submitted to 3 35 the governor and the general assembly no later than January 1, 4 1 1996, pursuant to section 331.438, subsection 3, paragraph 4 2 "c", subparagraph (13), shall include the following: 4 3 1. Proposed benchmarks for efficiency and quality in the 4 4 delivery of mental health and developmental disabilities 4 5 assistance by the state and counties. The committee shall 4 6 consider the following efficiency measures in developing the 4 7 benchmarks: 4 8 a. Consumer satisfaction and outcomes. 4 9 b. Relative number of acute care days used. 4 10 c. Net expenditures per capita for the same disability. 4 11 d. Number of persons served and number of persons unserved 4 12 or underserved. 4 13 e. Disability populations served and unserved. 4 14 f. Number of persons served in varying types of services 4 15 settings, from least restrictive to most restrictive. 4 16 g. Community-based service availability and number of 4 17 persons served outside the local area. 4 18 h. Equity with respect to local taxing ability. 4 19 2. Recommendations for the state and counties to provide 4 20 mental health and developmental disabilities assistance under 4 21 a fixed funding budget. The committee shall consider all of 4 22 the following in developing the recommendations: 4 23 a. The feasibility of requiring counties to expend a 4 24 certain portion of the budgeted moneys for implementing 4 25 community-based services innovations to reduce acute care 4 26 placements. 4 27 b. Modifying legal mandates for counties to serve 4 28 particular disability populations so that the legal 4 29 consequences are clarified if a county has insufficient 4 30 funding for an entire fiscal year and mandated services or 4 31 populations remain without assistance. 4 32 c. The effect of counties continuing to provide assistance 4 33 to persons with mental illness or a developmental disability 4 34 who received the assistance as of June 30, 1995, regardless of 4 35 whether the assistance is mandated. 5 1 d. Any statutory changes which would be necessary to allow 5 2 the placing of persons on a waiting list for assistance and 5 3 the feasibility of establishing crisis services to meet the 5 4 short-term needs of persons placed on a waiting list. 5 5 e. Creation of an appeal process for persons denied 5 6 assistance or denied access to the assistance desired. 5 7 f. Provisions to require the state and counties to 5 8 maintain their financial commitments under a fixed funding 5 9 budget. 5 10 3. Consideration and recommendations involving the 5 11 following intermediate care facility for the mentally retarded 5 12 issues: 5 13 a. Providing more authority for case managers, in 5 14 conjunction with the medical assistance review organization, 5 15 to review placement requests and participate in meetings to 5 16 consider treatment provided to a resident of an intermediate 5 17 care facility for the mentally retarded. 5 18 b. Determining the need for and methods for improving the 5 19 education level of intermediate care facilities for the 5 20 mentally retarded providers concerning levels of active 5 21 treatment provided to residents. 5 22 Sec. 7. APPLICABILITY. The provisions of section 5 of 5 23 this Act shall apply to appointments made on or after July 1, 5 24 1995, for expired terms and to fill vacancies in the 5 25 membership of the state-county management committee. 5 26 Sec. 8. EFFECTIVE DATE. Section 1 of this Act, being 5 27 deemed of immediate importance, takes effect upon enactment. 5 28 SF 315 5 29 jp/cc/26
Text: SF00314 Text: SF00316 Text: SF00300 - SF00399 Text: SF Index Bills and Amendments: General Index Bill History: General Index
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