Text: H01630 Text: H01632 Text: H01600 - H01699 Text: H Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Amend House File 664, as amended, passed, and 1 2 reprinted by the House, as follows: 1 3 #1. Page 1, by inserting before line 1 the 1 4 following: 1 5 "DIVISION I 1 6 ADULT MH/MR/DD SERVICES FUNDING PILOT PROJECT". 1 7 #2. Page 5, by striking line 24 and inserting the 1 8 following: "areas, designated by the governor." 1 9 #3. Page 8, by inserting after line 21 the 1 10 following: 1 11 "DIVISION 1 12 MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES 1 13 COMMISSION 1 14 Sec. . Section 225C.4, subsection 1, paragraph 1 15 p, Code 1999, is amended to read as follows: 1 16 p. Recommendand enforceto the commission minimum 1 17 accreditation standards for the maintenance and 1 18 operation of community mental health centers, 1 19 services, and programs under section 230A.16. The 1 20 administrator's review and evaluation of the centers, 1 21 services, and programs for compliance with the adopted 1 22 standards shall be as provided in section 230A.17. 1 23 Sec. . Section 225C.4, subsection 1, Code 1999, 1 24 is amended by adding the following new paragraph: 1 25 NEW PARAGRAPH. pp. Recommend to the commission 1 26 minimum standards for supported community living 1 27 services. The administrator shall review and evaluate 1 28 the services for compliance with the adopted 1 29 standards. 1 30 Sec. . Section 225C.6, subsection 1, paragraph 1 31 c, Code 1999, is amended to read as follows: 1 32 c. Adopt standards for community mental health 1 33 centers, services, and programs as recommended under 1 34 section 230A.16. The commission shall determine 1 35 whether to grant, deny, or revoke the accreditation of 1 36 the centers, services, and programs. 1 37 Sec. . Section 225C.6, subsection 1, paragraph 1 38 l, Code 1999, is amended to read as follows: 1 39 l. Establish standards for the provision under 1 40 medical assistance of individual case management 1 41 services. The commission shall determine whether to 1 42 grant, deny, or revoke the accreditation of the 1 43 services. 1 44 Sec. . Section 225C.21, subsection 2, Code 1 45 1999, is amended to read as follows: 1 46 2. Thedepartmentcommission shall adopt rules 1 47 pursuant to chapter 17A establishing minimum standards 1 48 forthe programming ofsupported community living 1 49 services. Thedepartmentcommission shallapprove all1 50 determine whether to grant, deny, or revoke approval 2 1 for any supported community livingservices which meet2 2the minimum standardsservice. 2 3 DIVISION 2 4 STATE-COUNTY MANAGEMENT COMMITTEE 2 5 Sec. . Section 331.438, subsection 4, paragraph 2 6 b, unnumbered paragraph 1, Code 1999, is amended to 2 7 read as follows: 2 8 The management committee shall consist ofnot more2 9than twelvefifteen voting members as follows: 2 10 Sec. . Section 331.438, subsection 4, paragraph 2 11 b, subparagraph (1), Code 1999, is amended to read as 2 12 follows: 2 13 (1)An equal number of not more than nineFour 2 14 members shall be appointed by the director of human 2 15 servicesand. Four members shall be appointed by the 2 16 Iowa state association of countiesand one additional2 17member shall be jointly appointed by both entities. 2 18 Members appointed by the Iowa state association of 2 19 counties shall be selected from a pool nominated by 2 20 the county supervisor affiliate of the association 2 21 with four members from the affiliate. The affiliate 2 22 shall select the nominees through a secret ballot 2 23 process. In addition, two members shall be appointed 2 24 by the community services affiliate of the Iowa state 2 25 association of counties. 2 26 Sec. . Section 331.438, subsection 4, paragraph 2 27 b, subparagraph (2), Code 1999, is amended to read as 2 28 follows: 2 29 (2) The committee shall includeone membertwo 2 30 members nominated by service providers, one member 2 31 nominated by service advocates,and consumersone 2 32 member who is a service consumer, and one member 2 33 nominated by the state's council of the association of 2 34 federal, state, county, and municipal employees, with 2 35 these members appointed by the governor. 2 36 Sec. . Section 331.438, subsection 4, paragraph 2 37 b, subparagraph (4), Code 1999, is amended to read as 2 38 follows: 2 39 (4) A member who is not a legislator shall have 2 40 expenses and other costs paid by the state or the 2 41 county entity that the member represents. The 2 42 committee shallestablish terms for its members,elect 2 43 officers, adopt operating procedures, and meet as 2 44 deemed necessary by the committee. Terms of office 2 45 for the appointed voting members of the committee are 2 46 three years and shall be staggered. A vacancy on the 2 47 committee shall be filled in the same manner as the 2 48 original appointment. 2 49 Sec. . SERVICE SYSTEM ISSUES. The state-county 2 50 management committee shall create a task force to 3 1 consider issues and options regarding statewide 3 2 eligibility standards, identification of core or basic 3 3 services to be made reasonably available statewide, 3 4 statewide equity and other considerations associated 3 5 with distributing state funding, implementation of 3 6 funding decategorization, changes in the membership 3 7 composition of the committee, legal settlement issues, 3 8 improved utilization of available funding streams, and 3 9 the allowed growth recommendation process. In 3 10 considering the allowed growth recommendation process, 3 11 the task force shall review the divergence between 3 12 unmet needs in the service delivery system and county 3 13 expenditure trends and shall make specific 3 14 recommendations as to how allowed growth funding can 3 15 best be distributed to address services that are not 3 16 adequately funded and population groups that are not 3 17 served or are underserved. The committee shall 3 18 consider the task force report and recommendations in 3 19 making the committee's report on these topics to the 3 20 governor and general assembly, which shall be 3 21 submitted on or before November 15, 1999. The 3 22 legislative council is requested to designate a 3 23 legislative interim committee to meet for two or more 3 24 days to consider the report on behalf of the general 3 25 assembly. 3 26 Sec. . STAGGERED TERMS. Effective July 1, 3 27 1999, the appointing authorities for the state-county 3 28 management committee shall provide by mutual agreement 3 29 for the staggering of the terms of voting members of 3 30 the committee so that the terms of at least five 3 31 members expire each year. Based on this mutual 3 32 agreement, the terms of individuals who are voting 3 33 members of the committee as of June 30, 1999, shall 3 34 either expire June 30, 1999, or be for one, two, or 3 35 three years beginning on July 1, 1999. The terms of 3 36 the two members appointed by the community services 3 37 affiliate of the Iowa state association of counties 3 38 shall commence July 1, 1999. This section takes 3 39 effect June 30, 1999. 3 40 DIVISION 3 41 COUNTY MANAGEMENT PLAN PROVISIONS 3 42 Sec. . Section 331.439, subsection 1, paragraph 3 43 b, Code 1999, is amended to read as follows: 3 44 b. The county developed and implemented a county 3 45 management plan for the county's mental health, mental 3 46 retardation, and developmental disabilities services 3 47 in accordance with the provisions of this paragraph 3 48 "b". The plan shall comply with the administrative 3 49 rules adopted for this purpose by the council on human 3 50 services and is subject to the approval of the 4 1 director of human services in consultation with the 4 2 state-county management committee created in section 4 3 331.438. The plan shall include a description of the 4 4 county's service management provision for mental 4 5 health, mental retardation, and developmental 4 6 disabilities services. For mental retardation and 4 7 developmental disabilities service management, the 4 8 plan shall describe the county's development and 4 9 implementation of a managed system of cost-effective 4 10 individualized services and shall comply with the 4 11 provisions of paragraph "d". The goal of this part of 4 12 the plan shall be to assist the individuals served to 4 13 be as independent, productive, and integrated into the 4 14 community as possible. The service management 4 15 provisions for mental health shall comply with the 4 16 provisions of paragraph "c". A county is subject to 4 17 all of the following provisions in regard to the 4 18 county's management plan and planning process: 4 19 (1) The county shall have in effect an approved 4 20 policies and procedures manual for the county's 4 21 services fund. The county management plan shall be 4 22 defined in the manual. The manual submitted by the 4 23 county as part of the county's management plan for the 4 24 fiscal year beginning July 1, 2000, as approved by the 4 25 director of human services, shall remain in effect, 4 26 subject to amendment. An amendment to the manual 4 27 shall be submitted to the department of human services 4 28 at least forty-five days prior to the date of 4 29 implementation. Prior to implementation of any 4 30 amendment to the manual, the amendment must be 4 31 approved by the director of human services in 4 32 consultation with the state-county management 4 33 committee. 4 34 (2) For informational purposes, the county shall 4 35 submit a management plan review to the department of 4 36 human services by April 1 of each year. The annual 4 37 review shall incorporate an analysis of the data 4 38 associated with the services managed during the 4 39 preceding fiscal year by the county or by a managed 4 40 care entity on behalf of the county. 4 41 (3) For informational purposes, every three years 4 42 the county shall submit to the department of human 4 43 services a three-year strategic plan. The strategic 4 44 plan shall describe how the county will proceed to 4 45 attain the goals and objectives contained in the 4 46 strategic plan for the duration of the plan. The 4 47 three-year strategic plan shall be submitted by April 4 48 1, 2000, and by April 1 of every third year 4 49 thereafter. 4 50 Sec. . Section 331.439, subsection 1, paragraph 5 1 c, subparagraph (1), Code 1999, is amended to read as 5 2 follows: 5 3 (1) For mental health service management, the 5 4 county may either directly implement a system of 5 5 service management and contract with service 5 6 providers, or contract with a private entity to manage 5 7 the system, provided all requirements of this lettered 5 8 paragraph are met by the private entity. The mental 5 9 health service management shall incorporate a single 5 10 entry point and clinical assessment process developed 5 11 in accordance with the provisions of section 331.440. 5 12The county shall submit this part of the plan to the5 13department of human services for approval by April 15 14for the succeeding year. Initially, this part of the5 15plan shall be submitted to the department by April 1,5 161996, and the county shall implement the approved plan5 17by July 1, 1996.5 18 Sec. . Section 331.439, subsection 1, 5 19 paragraphs d and e, Code 1999, are amended to read as 5 20 follows: 5 21 d. For mental retardation and developmental 5 22 disabilities services management, the county must 5 23 either develop and implement a managed system of care 5 24 which addresses a full array of appropriate services 5 25 and cost-effective delivery of services or contract 5 26 with a state-approved managed care contractor or 5 27 contractors. Any system or contract implemented under 5 28 this paragraph shall incorporate a single entry point 5 29 and clinical assessment process developed in 5 30 accordance with the provisions of section 331.440. 5 31 The elements of the managed system of care and the 5 32 state-approved managed care contract or contracts 5 33 shall be specified in rules developed by the 5 34 department of human services in consultation with the 5 35 state-county management committee and adopted by the 5 36 council on human services.Initially, this part of5 37the plan shall be submitted to the department for5 38approval on or before October 1, 1996, and shall be5 39implemented on or before January 1, 1997. In fiscal5 40years succeeding the fiscal year of initial5 41implementation, this part of the plan shall be5 42submitted to the department of human services for5 43approval by April 1 for the succeeding fiscal year.5 44e. Changes to the approved plan are submitted at5 45least sixty days prior to the proposed change and are5 46not to be implemented prior to the director of human5 47services' approval.5 48 Sec. . EFFECTIVE DATE – APPLICABILITY. This 5 49 division of this Act takes effect July 1, 2000, except 5 50 that the management plan and planning process 6 1 provisions under section 331.439, as amended by this 6 2 division of this Act, take effect upon enactment and 6 3 are applicable for purposes of preparation and 6 4 submission of the management plan by April 1, 2000, 6 5 for the fiscal year beginning July 1, 2000. 6 6 DIVISION 6 7 RESIDENTIAL CARE FACILITIES FOR PERSONS WITH MENTAL 6 8 RETARDATION 6 9 Sec. ___. Section 135C.6, subsection 8, paragraphs 6 10 a and b, Code 1999, are amended to read as follows: 6 11 a. A residential program which provides care to 6 12 not more than four individuals and receives moneys 6 13 appropriated to the department of human services under 6 14 provisions of a federally approved home and community- 6 15 based services waiver for persons with mental 6 16 retardation or other medical assistance program under 6 17 chapter 249A. In approving a residential program 6 18 under this paragraph, the department of human services 6 19 shall consider the geographic location of the program 6 20 so as to avoid an overconcentration of such programs 6 21 in an area. In order to be approved under this 6 22 paragraph, a residential program shall not be required 6 23 to involve the conversion of a licensed residential 6 24 care facility for persons with mental retardation. 6 25 b. A total oftwentyforty residential care 6 26 facilities for persons with mental retardation which 6 27 are licensed to serve no more than five individuals 6 28 may be authorized by the department of human services 6 29 to convert to operation as a residential program under 6 30 the provisions of a medical assistance home and 6 31 community-based services waiver for persons with 6 32 mental retardation. A converted residential program 6 33 is subject to the conditions stated in paragraph "a" 6 34 except that the program shall not serve more than five 6 35 individuals. The department of human services shall 6 36 allocate conversion authorizations to provide forfour6 37 eight conversions in each of the department's five 6 38 service regions.If a conversion authorization6 39allocated to a region is not used for conversion by6 40January 1, 1998, the department of human services may6 41reallocate the unused conversion authorization to6 42another region. The department of human services6 43shall study the cost effectiveness of the conversions6 44and provide an initial report to the general assembly6 45no later than January 2, 1998, and a final report no6 46later than December 15, 1998." 6 47 #4. Title page, by striking lines 1 through 3 and 6 48 inserting the following: "An Act relating to mental 6 49 health, mental retardation, and other developmental 6 50 disabilities and including effective date and 7 1 applicability provisions." 7 2 HF 664S 7 3 jp/cc/26
Text: H01630 Text: H01632 Text: H01600 - H01699 Text: H Index Bills and Amendments: General Index Bill History: General Index
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