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House Journal: Page 1302: Tuesday, April 2, 1996

 3     1.  By striking everything after the enacting
 4   clause and inserting the following:
 5     "Section 1.  NEW SECTION.  231C.1  FINDINGS AND
 6   PURPOSE.
 7     1.  The general assembly finds that assisted living
 8   is an important part of the long-term care system in
 9   this state.  Assisted living emphasizes the
10   independence and dignity of the individual while
11   providing services in a cost-effective manner.
12     2.  The purposes of establishing an assisted living
13   program include all of the following:
14     a.  To encourage the establishment and maintenance
15   of a safe and homelike environment for individuals of
16   all income levels who require assistance to live
17   independently but who do not require the nursing care
18   on a twenty-four-hour per day basis.
19     b.  To establish standards for assisted living
20   programs that allow flexibility in design which
21   promotes a social model of service delivery by
22   focusing on individual independence, individual needs
23   and desires, and consumer-driven quality of service.
24     c.  To encourage general public participation in
25   the development of assisted living programs for
26   individuals of all income levels.
27     Sec. 2.  NEW SECTION.  231C.2  DEFINITIONS.
28     As used in this chapter, unless the context
29   otherwise requires:
30     1.  "Assisted living" means provision of housing
31   with services which may include but are not limited to
32   health-related care, personal care, and assistance
33   with instrumental activities of daily living to six or
34   more tenants in a physical structure which provides a
35   homelike environment.  "Assisted living" also includes
36   encouragement of family involvement, tenant self-
37   direction, and tenant participation in decisions that
38   emphasize choice, dignity, privacy, individuality,
39   shared risk, and independence.  "Assisted living" does
40   not include the provision of housing and assistance
41   with instrumental activities of daily living which
42   does not also include provision of personal care or
43   health-related care.
44     2.  "Department" means the department of elder
45   affairs created in chapter 231 or the department's
46   designee.
47     3.  "Health-related care" means services provided
48   by a registered nurse or a licensed practical nurse,
49   on a part-time or intermittent basis, and services
50   provided by other licensed health care professionals,

Page 2  

 1   on a part-time or intermittent basis, as defined by
 2   rule.

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