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PAG LIN
1 1 SENATE FILE 526
1 2
1 3 AN ACT
1 4 PROVIDING FOR THE ESTABLISHMENT OF A HEALTHY OPPORTUNITIES
1 5 FOR PARENTS TO EXPERIENCE SUCCESS-HEALTHY FAMILIES IOWA
1 6 PROGRAM BY THE IOWA DEPARTMENT OF PUBLIC HEALTH.
1 7
1 8 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
1 9
1 10 Section 1. Section 135.106, Code 1997, is amended by
1 11 striking the section and inserting in lieu thereof the
1 12 following:
1 13 135.106 IOWA HEALTHY FAMILY PROGRAM – ESTABLISHED.
1 14 1. The Iowa department of public health shall establish a
1 15 healthy opportunities for parents to experience success
1 16 (HOPES)-healthy families Iowa (HFI) program to provide
1 17 services to families and children during the prenatal through
1 18 preschool years. The program shall be designed to do all of
1 19 the following:
1 20 a. Promote optimal child health and development.
1 21 b. Improve family coping skills and functioning.
1 22 c. Promote positive parenting skills and intrafamilial
1 23 interaction.
1 24 d. Prevent child abuse and neglect and infant mortality
1 25 and morbidity.
1 26 2. The HOPES program shall be developed by the Iowa
1 27 department of public health, and may be implemented, in whole
1 28 or in part, by contracting with a nonprofit child abuse
1 29 prevention organization, local nonprofit certified home health
1 30 program or other local nonprofit organizations, and shall
1 31 include, but is not limited to, all of the following
1 32 components:
1 33 a. Identification of barriers to positive birth outcomes,
1 34 encouragement of collaboration and cooperation among providers
1 35 of health care, social and human services, and other services
2 1 to pregnant women and infants, and encouragement of pregnant
2 2 women and women of childbearing age to seek health care and
2 3 other services which promote positive birth outcomes.
2 4 b. Provision of community-based home-visiting family
2 5 support to pregnant women and new parents who are identified
2 6 through a standardized screening process to be at high risk
2 7 for problems with successfully parenting their child.
2 8 c. Provision by family support workers of individual
2 9 guidance, information, and access to health care and other
2 10 services through care coordination and community outreach,
2 11 including transportation.
2 12 d. Provision of systematic screening, prenatally or upon
2 13 the birth of a child, to identify high-risk families.
2 14 e. Interviewing by a HOPES program worker or hospital
2 15 social worker of families identified as high risk and
2 16 encouragement of acceptance of family support services.
2 17 f. Provision of services including, but not limited to,
2 18 home visits, support services, and instruction in child care
2 19 and development.
2 20 g. Individualization of the intensity and scope of
2 21 services based upon the family's needs, goals, and level of
2 22 risk.
2 23 h. Assistance by a family support worker to participating
2 24 families in creating a link to a "medical home" in order to
2 25 promote preventive health care.
2 26 i. Evaluation and reporting on the program, including an
2 27 evaluation of the program's success in reducing participants'
2 28 risk factors and provision of services and recommendations for
2 29 changes in or expansion of the program.
2 30 j. Provision of continuous follow-up contact with a family
2 31 served by the program until identified children reach age
2 32 three or age four in cases of continued high need or until the
2 33 family attains its individualized goals for health,
2 34 functioning, and self-sufficiency.
2 35 k. Provision or employment of family support workers who
3 1 have experience as a parent, knowledge of health care
3 2 services, social and human services or related community
3 3 services and have participated in a structured training
3 4 program.
3 5 l. Provision of a training program that meets established
3 6 standards for the education of family support workers. The
3 7 structured training program shall include at a minimum the
3 8 fundamentals of child health and development, dynamics of
3 9 child abuse and neglect, and principles of effective parenting
3 10 and parenting education.
3 11 m. Provision of crisis child care through utilization of
3 12 existing child care services to participants in the program.
3 13 n. Program criteria shall include a required match of one
3 14 dollar provided by the organization contracting to deliver
3 15 services for each two dollars provided by the state grant.
3 16 This requirement shall not restrict the department from
3 17 providing unmatched grant funds to communities to plan new or
3 18 expanded programs for HOPES. The department shall establish a
3 19 limit on the amount of administrative costs that can be
3 20 supported with state funds.
3 21 o. Involvement with the community assessment and planning
3 22 process in the community served by HOPES programs to enhance
3 23 collaboration and integration of family support programs.
3 24 p. Collaboration, to the greatest extent possible, with
3 25 other family support programs funded or operated by the state.
3 26 q. Utilization of private party, third party, and medical
3 27 assistance for reimbursement to defray the costs of services
3 28 provided by the program to the extent possible.
3 29 3. It is the intent of the general assembly to provide
3 30 communities with the discretion and authority to redesign
3 31 existing local programs and services targeted at and assisting
3 32 families expecting babies and families with children who are
3 33 newborn through five years of age. The Iowa department of
3 34 public health, department of human services, department of
3 35 education, and other state agencies and programs, as
4 1 appropriate, shall provide technical assistance and support to
4 2 communities desiring to redesign their local programs and
4 3 shall facilitate the consolidation of existing state funding
4 4 appropriated and made available to the community for family
4 5 support services. Funds which are consolidated in accordance
4 6 with this subsection shall be used to support the redesigned
4 7 service delivery system. In redesigning services, communities
4 8 are encouraged to implement a single uniform family risk
4 9 assessment mechanism and shall demonstrate the potential for
4 10 improved outcomes for children and families. Requests by
4 11 local communities for the redesigning of services shall be
4 12 submitted to and subject to joint approval of the Iowa
4 13 department of public health, department of human services, and
4 14 department of education based on the innovation zones
4 15 principles established in section 8A.2.
4 16
4 17
4 18
4 19 MARY E. KRAMER
4 20 President of the Senate
4 21
4 22
4 23
4 24 RON J. CORBETT
4 25 Speaker of the House
4 26
4 27 I hereby certify that this bill originated in the Senate and
4 28 is known as Senate File 526, Seventy-seventh General Assembly.
4 29
4 30
4 31
4 32 MARY PAT GUNDERSON
4 33 Secretary of the Senate
4 34 Approved , 1997
4 35
5 1
5 2
5 3 TERRY E. BRANSTAD
5 4 Governor
Text: SF00525 Text: SF00527 Text: SF00500 - SF00599 Text: SF Index Bills and Amendments: General Index Bill History: General Index
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