Text: HSB00599 Text: HSB00601 Text: HSB00600 - HSB00699 Text: HSB Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Section 1. Section 125.39, subsection 1, Code 1997, is 1 2 amended to read as follows: 1 3 1. In addition to other requirements established by this 1 4 chapter, a facility shall not be licensed pursuant to section 1 5 125.13 unless it is either a political subdivision, a licensed 1 6 hospital, a licensed health maintenance organization, a 1 7 corporation organized under chapter 490 or 496C, or a 1 8 community mental health center operating under chapter 230A, 1 9 or it is organized under the Iowa nonprofit corporation Act 1 10 appearing as chapter 504A. In the latter case, one-third of 1 11 the membership of the board of directors shall be 1 12 representatives of such government units providing funds to 1 13 the facility for treatment of substance abuse. 1 14 Sec. 2. Section 135.22, Code 1997, is amended to read as 1 15 follows: 1 16 135.22 CENTRAL REGISTRY FOR BRAIN OR SPINAL CORD INJURIES. 1 17 1. As used in this section, "brain: 1 18 a. "Brain injury" meansclinically evident brain damage or1 19spinal cord injury resulting from trauma or anoxia, which1 20temporarily or permanently impairs a person's physical or1 21cognitive functionsthe occurrence of injury to the head that 1 22 is documented in a medical record with one or more of the 1 23 following conditions attributed to the head injury: observed 1 24 or self-reported decreased level of consciousness, amnesia, 1 25 skull fracture, objective neurological or neuropsychological 1 26 abnormality, or a diagnosed intracranial lesion. 1 27 b. "Spinal cord injury" means the occurrence of an acute 1 28 traumatic lesion of neural elements in the spinal canal 1 29 including the spinal cord and cauda equina, resulting in 1 30 temporary or permanent sensory deficit, motor deficit, or 1 31 bladder or bowel dysfunction. 1 32 2. The director shall establish and maintain a central 1 33 registry of persons with brain or spinal cord injuries in 1 34 order to facilitate prevention strategies and the provision of 1 35 appropriate rehabilitative services to the persons by the 2 1 department and other state agencies. Hospitals shall report 2 2 patients who are admitted with a brain or spinal cord injury 2 3 and their diagnoses to the director no later than forty-five 2 4 days after the close of a quarter in which the patient was 2 5 discharged. The report shall contain the name, age, and 2 6 residence of the person, the date, type, and cause of the 2 7 brain or spinal cord injury, and additional information as the 2 8 director requires, except that where available, hospitals 2 9 shall report theGlascowGlasgow coma scale. The director 2 10 shall consult with health care providers concerning the 2 11 availability of additional relevant information. The 2 12 department shall maintain the confidentiality of all 2 13 information which would identify any person named in a report. 2 14 However, the identifying information may be released for bona 2 15 fide research purposes if the confidentiality of the 2 16 identifying information is maintained by the researchers, or 2 17 the identifying information may be released by the person with 2 18 the brain or spinal cord injury or by the person's guardian 2 19 or, if the person is a minor, by the person's parent or 2 20 guardian. 2 21 Sec. 3. Section 135.22A, subsection 1, paragraphs a and b, 2 22 Code Supplement 1997, are amended to read as follows: 2 23a. "Council" means the advisory council on head injuries.2 24ba."Head"Brain injury" means"brain injury"an injury 2 25 to the brain as defined in section225C.23135.22. 2 26 b. "Council" means the advisory council on brain injuries. 2 27 Sec. 4. Section 135.22A, subsection 2, unnumbered 2 28 paragraph 1, Code Supplement 1997, is amended to read as 2 29 follows: 2 30 The advisory council onheadbrain injuries is established. 2 31 The following persons or their designees shall serve as ex 2 32 officio, nonvoting members of the council: 2 33 Sec. 5. Section 135.22A, subsection 3, Code Supplement 2 34 1997, is amended to read as follows: 2 35 3. The council shall be composed of a minimum of nine 3 1 members appointed by the governor in addition to the ex 3 2 officio members, and the governor may appoint additional 3 3 members. Insofar as practicable, the council shall include 3 4 persons withheadbrain injuries, family members of persons 3 5 withheadbrain injuries, representatives of industry, labor, 3 6 business, and agriculture, representatives of federal, state, 3 7 and local government, and representatives of religious, 3 8 charitable, fraternal, civic, educational, medical, legal, 3 9 veteran, welfare, and other professional groups and 3 10 organizations. Members shall be appointed representing every 3 11 geographic and employment area of the state and shall include 3 12 members of both sexes. 3 13 Sec. 6. Section 135.22A, subsection 6, paragraphs a, b, c, 3 14 and d, Code Supplement 1997, are amended to read as follows: 3 15 a. Promote meetings and programs for the discussion of 3 16 methods to reduce the debilitating effects ofheadbrain 3 17 injuries, and disseminate information in cooperation with any 3 18 other department, agency, or entity on the prevention, 3 19 evaluation, care, treatment, and rehabilitation of persons 3 20 affected byheadbrain injuries. 3 21 b. Study and review current prevention, evaluation, care, 3 22 treatment, and rehabilitation technologies and recommend 3 23 appropriate preparation, training, retraining, and 3 24 distribution of manpower and resources in the provision of 3 25 services to persons withheadbrain injuries through private 3 26 and public residential facilities, day programs, and other 3 27 specialized services. 3 28 c. Participate in developing and disseminating criteria 3 29 and standards which may be required for future funding or 3 30 licensing of facilities, day programs, and other specialized 3 31 services for persons withheadbrain injuries in this state. 3 32 d. Make recommendations to the governor for developing and 3 33 administering a state plan to provide services for persons 3 34 withheadbrain injuries. 3 35 Sec. 7. Section 136C.3, subsection 2, unnumbered paragraph 4 1 2, Code 1997, is amended to read as follows: 4 2 The department shall establish a technical advisory 4 3 committee made up oftwo radiologic technologists, twofour 4 4 technologists, one of whom shall be a limited radiography 4 5 instructor, one of whom shall represent nuclear medicine 4 6 technologists, one of whom shall represent radiation 4 7 therapists, and one of whom shall represent diagnostic 4 8 radiographers; four physicians, including one radiologist, one 4 9 chiropractor, one physician representing either radiation 4 10 therapy or nuclear medicine, and one private practitioner,; 4 11 and a representative of the department. The advisory 4 12 committee shall assist the department in developing and 4 13 establishing criteria forcontinuing education and4 14examinationsthe administration of this subsection. 4 15 Sec. 8. Section 156.4, subsections 4 and 5, Code 1997, are 4 16 amended to read as follows: 4 17 4. Writtenand oralexaminations for a funeral director's 4 18 license shall be held at least once a year at a time and place 4 19 to be designated by the board. The examination shall include 4 20 the subjects of funeral directing, burial or other disposition 4 21 of dead human bodies, sanitary science, embalming, restorative 4 22 art, anatomy, public health, transportation, business ethics, 4 23 and such other subjects as the board may designate. 4 24 5. After the applicant shall have completed satisfactorily 4 25 the course of instruction in mortuary science in an accredited 4 26 school approved by the board, the applicant must pass the 4 27 examination prescribed by the board as provided in section 4 28 147.34. The applicant may then receive an internship 4 29 certificate and shall then complete a minimum one-year 4 30 internship as determined by the board.After completion of4 31the internship, the applicant shall demonstrate proficiency as4 32directed by the board.4 33 Sec. 9. Section 157.11, unnumbered paragraph 2, Code 1997, 4 34 is amended to read as follows: 4 35 The application shall be accompanied by theannualbiennial 5 1 license fee determined pursuant to section 147.80. The 5 2 license is valid forone yeartwo years and may be renewed. 5 3 Sec. 10. Section 225C.23, Code 1997, is amended to read as 5 4 follows: 5 5 225C.23 BRAIN INJURY RECOGNIZED AS DISABILITY. 5 6 The department of human services, the Iowa department of 5 7 public health, the department of education and its divisions 5 8 of special education and vocational rehabilitation services, 5 9 the department of human rights and its division for persons 5 10 with disabilities, the department for the blind, and all other 5 11 state agencies which serve persons with brain injuries, shall 5 12 recognize brain injury as a distinct disability and shall 5 13 identify those persons with brain injuries among the persons 5 14 served by the state agency. For the purposes of this section 5 15 and section 135.22A, "brain injury" meansclinically evident5 16brain damage or spinal cord injury resulting directly or5 17indirectly from trauma, infection, anoxia, or vascular lesions5 18not primarily related to degenerative or aging processes,5 19which temporarily or permanently impairs a person's physical5 20or cognitive functionsthe occurrence of injury to the head 5 21 that is documented in a medical record with one or more of the 5 22 following conditions attributed to the head injury: observed 5 23 or self-reported decreased level of consciousness, amnesia, 5 24 skull fracture, objective neurological or neurophychological 5 25 abnormality, or a diagnosed intracranial lesion. 5 26 Sec. 11. Section 235C.2, subsections 2, 3, 4, 5, and 8, 5 27 Code 1997, are amended to read as follows: 5 28 2. The directorof the departmentof human services or the 5 29 director's designeeas a nonvoting ex officio member. 5 30 3. Thedepartment coordinatordirector of the department 5 31 of human rights or thecoordinator'sdirector's designeeas a5 32nonvoting ex officio member. 5 33 4. The director of the department of education or the 5 34 director's designeeas a nonvoting ex officio member. 5 35 5. The director of the department of corrections or the 6 1 director's designee, as a nonvoting ex officio member. 6 2 8. A hospital administrator selected by the board of the 6 3Iowa hospitalassociation of Iowa hospitals and health systems 6 4 or the administrator's designee. 6 5 Sec. 12. Section 235C.2, Code 1997, is amended by adding 6 6 the following new subsection: 6 7 NEW SUBSECTION. 18. Two consumer representatives selected 6 8 by the governor, one of whom shall be a parent and one of whom 6 9 shall be a nonparent family member. 6 10 Sec. 13. Section 235C.3, subsection 2, paragraph b, Code 6 11 Supplement 1997, is amended to read as follows: 6 12 b. A health professional training campaign, including 6 13 recommendations concerning the curriculum offered at the 6 14 college of medicine at the state university of Iowa and the 6 15 university of osteopathic medicine and health sciences, 6 16 providing assistance in the identification of women at risk of 6 17 substance abuse during pregnancy and strategies to be employed 6 18 in assisting those women to maintain healthy lifestyles during 6 19 pregnancy.Included in thisThis education campaign shallbe6 20guidelinesoffer information to health professionalsoffering6 21informationon assessment, laboratory testing,medication use,6 22 and referrals. 6 23 Sec. 14. Section 235C.3, subsection 5, unnumbered 6 24 paragraph 2, Code Supplement 1997, is amended by striking the 6 25 unnumbered paragraph. 6 26 Sec. 15. Section 331.802, subsection 2, Code 1997, is 6 27 amended to read as follows: 6 28 2. If a person's death affects the public interest, the 6 29 county medical examiner shall conduct a preliminary 6 30 investigation of the cause and manner of death, prepare a 6 31 written report of the findings, promptly submit the full 6 32 report to the state medical examiner on forms prescribed for 6 33 that purpose, and submit a copy of the report to the county 6 34 attorney. For each preliminary investigation and the 6 35 preparation and submission of the required reports, the county 7 1 medical examiner shall receive a fee determined by the board 7 2 plus the examiner's actual expenses. The fee and expenses 7 3 shall be paid by the county of the person's residence. 7 4 However, if the person's death is caused by a defendant for 7 5 whom a judgment of conviction and sentence is rendered under 7 6 section 707.2, 707.3, 707.4, 707.5, or 707.6A, the county of 7 7 the person's residence may recover from the defendant the fee 7 8 and expenses. The fee and expenses of the county medical 7 9 examiner who performs an autopsy or conducts an investigation 7 10 of a person who dies after being brought into this state for 7 11 emergency medical treatment by or at the direction of an out- 7 12 of-state law enforcement officer or public authority shall be 7 13 paid by the state. A claim for payment shall be filed with 7 14 the Iowa department of public health. However, if any 7 15 appropriation provided to the Iowa department of public health 7 16 for the payment of autopsies pursuant to this subsection has 7 17 been exhausted, such payment claims shall be forwarded to the 7 18 state appeal board and if authorized, shall be paid out of any 7 19 money in the state treasury not otherwise appropriated. 7 20 Sec. 16. Section 151.7, Code 1997, is repealed. 7 21 EXPLANATION 7 22 This bill provides for several technical and corrective 7 23 changes related to the administration of the Iowa department 7 24 of public health. 7 25 The bill adds entities incorporated under the Iowa 7 26 Professional Corporation Act to the list of entities eligible 7 27 for licensure as a substance abuse treatment facility in Code 7 28 section 125.39. 7 29 The bill provides separate definitions in Code section 7 30 135.22 for the terms "brain injury" and "spinal cord injury" 7 31 for the purposes of determining hospital admissions reportable 7 32 to the Iowa department of public health, applies the new brain 7 33 injury term and definition to the duties and activities of the 7 34 advisory council on brain injuries, and modifies the 7 35 definition of brain injury and deletes usage of the term 8 1 "spinal cord injury" contained in Code section 225C.23. 8 2 The bill modifies membership of the department's technical 8 3 advisory committee for operators of radiation machines and 8 4 users of radioactive materials by adding two additional 8 5 technologists and two additional physicians. 8 6 The bill eliminates the advertising prohibition currently 8 7 imposed on licensed chiropractors, eliminates oral examination 8 8 and demonstrated proficiency requirements for licensing as a 8 9 funeral director, and extends the licensure period for 8 10 cosmetology salons from the existing one-year license to a 8 11 two-year license. 8 12 The bill provides that state agency directors or their 8 13 designees extended voting privileges and consumer 8 14 representatives are added to the list of council members 8 15 regarding the council on chemically exposed infants and 8 16 children in Code section 235C.2, adds to the council's duties 8 17 curriculum recommendations by the university of osteopathic 8 18 medicine and health sciences, and removes the council's 8 19 responsibility to monitor discrimination against pregnant 8 20 women by substance abuse treatment providers and physicians. 8 21 The bill additionally provides that when agency funding has 8 22 been expended for autopsy expense claims made by counties 8 23 pursuant to Code section 331.802, any future claims shall be 8 24 forwarded to the state appeal board to be paid, if authorized 8 25 by the board, out of funds in the state treasury not otherwise 8 26 appropriated. 8 27 LSB 3299DP 77 8 28 rn/jw/5
Text: HSB00599 Text: HSB00601 Text: HSB00600 - HSB00699 Text: HSB Index Bills and Amendments: General Index Bill History: General Index
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