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House Journal: Page 2034: Tuesday, April 30, 1996

NEW SUBSECTION.  5A.  The department of human services may
give approval to conversion of beds specializing in substance
abuse treatment previously approved under subsection 5,
paragraph "b", to beds which are not specialized as referenced
in subsection 5, paragraph "a".  Beds converted under this
subsection shall be in addition to the number of beds authorized
under subsection 5, paragraph "a".  However, the total number of
beds approved under subsection 5 shall not exceed four hundred
thirty.  Conversion of beds under this subsection shall not
require a revision of the certificate of need issued for the
psychiatric institution making the conversion.
NEW SUBSECTION.  7.  A psychiatric institution licensed
prior to January 1, 1996, may exceed the number of beds
authorized under subsections 5 and 5A if the excess beds are
used to provide services funded from a source other than the
medical assistance program under chapter 249A.  Notwithstanding
subsections 4, 5, and 5A, the provision of services using such
excess beds does not require a certificate of need or a review
by the department of human services.
Sec. 33.  Section 228.5, subsection 1, Code 1995, is amended to
read as follows:
1.  An individual or an individual's legal representative shall
be informed that mental health information relating to the
individual may be disclosed to employees or agents of or for the
same mental health facility or to other providers of
professional services or their employees or agents if and to
the extent necessary to facilitate the provision of
administrative and professional services to the individual.
Sec. 34.  Section 228.5, Code 1995, is amended by adding the
following new subsection:
NEW SUBSECTION.  4.  Mental health information relating to
an individual may be disclosed to other providers of
professional services or their employees or agents if and to the
extent necessary to facilitate the provision of administrative
and professional services to the individual.
Sec. 35.  Section 232.143, Code Supplement 1995, is amended to
read as follows:
232.143  REGIONAL GROUP FOSTER CARE TARGET BUDGET
TARGETS.
1.  A statewide expenditure target for the average number
of for children in group foster care placements on any
day of in a fiscal year, which placements are a charge
upon or are paid for by the state, shall be established annually
in an appropriation bill by the general assembly.  The
department and the judicial department shall jointly develop a
formula for allocating a portion of the statewide
expenditure target established by the general assembly to
each of the department's regions.  The formula shall be based
upon the region's proportion of the state population of children
and of the statewide number of children placed in usage
of group foster care in the previous five completed fiscal
years and other indicators of need.  The number
expenditure amount determined in accordance with the formula
shall be the group foster care placement budget target
for that region.  A region may exceed its budget target for
group foster care by not more than five percent in a fiscal
year, provided the overall funding allocated by the department
for all child welfare services in the region is not exceeded.
2.  For each of the department's regions, representatives
appointed by the department and the juvenile court shall
establish a plan for containing the number 


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