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House Journal: Page 2032: Tuesday, April 30, 1996

2.  To the extent possible, use attrition to reduce the number
of positions filled.
3.  To the extent possible, not disproportionately affect a
single job classification.
4.  Not include in the reduction, the elimination of the 3.00
FTEs for managed care specialists in the medical services
division.
5.  Consider reductions in administration, overhead, and program
duplication.
The department shall submit the department's plan for
accomplishing the reductions to the chairpersons and ranking
members of the joint appropriations subcommittee on human
services, the department of management, and the legislative
fiscal bureau on or before June 15, 1996.
Sec. 28.  STATE INSTITUTIONS - CLOSINGS, REDUCTIONS, AND BILLING
PRACTICES.
1.  If a state institution administered by the department of
human services is to be closed or reduced in size, prior to the
closing or reduction the department shall initiate and
coordinate efforts in cooperation with the Iowa department of
economic development to develop new jobs in the area in which
the state institution is located.  In addition, the department
may take other actions to utilize any closed unit or other
facilities and services of an institution, including but not
limited to assisting public or private organizations in
utilizing the services and facilities.  The actions may also
include assisting an organization with remodeling and lease
costs by forgiving future rental or lease payments to the extent
necessary for a period not to exceed five years.  The department
of human services and the department of economic development
shall submit a joint report to the chairpersons and ranking
members of the joint appropriations subcommittee on human
services on or before January 2, 1997, regarding any efforts
made pursuant to this subsection.
2.  For purposes of this section, "state institution" means a
state mental health institute, a state hospital-school, the
state training school, and the Iowa juvenile home under the
authority of the department of human services listed in section
218.1.  If excess capacity exists at a state institution beyond
the capacity required for placements at the institution under
law, the department of human services may enter into a contract
with a managed care provider or an organized delivery system for
health care, to provide services during the fiscal year
beginning July 1, 1996, at the institution for the plan or
system.
3.  The department shall work with administrators of state
institutions and the department of management and the
legislative fiscal bureau in reviewing revenues and expenditures
attributable to state institutions, applicable fiscal
procedures, and other information as necessary to develop a
proposal to revise the manner of making appropriations to these
state institutions and of accounting for reimbursements and
expenditures so that in future fiscal years the amounts
appropriated reflect the net amount of state funds needed.  The
proposal shall be submitted to the general assembly on or before
December 16, 1996.  If deemed feasible by those performing the
review, the department of human services and the department of
management shall incorporate the proposed revisions in the
budget documents for the fiscal year beginning July 1, 1997.
4.  The superintendents of the state hospital-schools shall work
with the department's administrative staff in studying the
manner in which services and costs are combined for purposes of
billing for medical assistance reimbursement at the state
hospital-schools.  Following the study, the superintendents
shall submit a

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