Text: HF00654 Text: HF00656 Text: HF00600 - HF00699 Text: HF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 DIVISION I 1 2 MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES COMMISSION 1 3 Section 1. Section 225C.4, subsection 1, paragraph p, Code 1 4 1999, is amended to read as follows: 1 5 p. Recommendand enforceto the commission minimum 1 6 accreditation standards for the maintenance and operation of 1 7 community mental health centers, services, and programs under 1 8 section 230A.16. The administrator's review and evaluation of 1 9 the centers, services, and programs for compliance with the 1 10 adopted standards shall be as provided in section 230A.17. 1 11 Sec. 2. Section 225C.4, subsection 1, Code 1999, is 1 12 amended by adding the following new paragraph: 1 13 NEW PARAGRAPH. pp. Recommend to the commission minimum 1 14 standards for supported community living services. The 1 15 administrator shall review and evaluate the services for 1 16 compliance with the adopted standards. 1 17 Sec. 3. Section 225C.6, subsection 1, paragraph c, Code 1 18 1999, is amended to read as follows: 1 19 c. Adopt standards for community mental health centers, 1 20 services, and programs as recommended under section 230A.16. 1 21 The commission shall determine whether to grant, deny, or 1 22 revoke the accreditation of the centers, services, and 1 23 programs. 1 24 Sec. 4. Section 225C.6, subsection 1, paragraph l, Code 1 25 1999, is amended to read as follows: 1 26 l. Establish standards for the provision under medical 1 27 assistance of individual case management services. The 1 28 commission shall determine whether to grant, deny, or revoke 1 29 the accreditation of the services. 1 30 Sec. 5. Section 225C.21, subsection 2, Code 1999, is 1 31 amended to read as follows: 1 32 2. Thedepartmentcommission shall adopt rules pursuant to 1 33 chapter 17A establishing minimum standards forthe programming1 34ofsupported community living services. Thedepartment1 35 commission shallapprove alldetermine whether to grant, deny, 2 1 or revoke approval for any supported community livingservices2 2which meet the minimum standardsservice. 2 3 DIVISION II 2 4 STATE-COUNTY MANAGEMENT COMMITTEE 2 5 Sec. 6. Section 331.438, subsection 4, paragraph b, 2 6 unnumbered paragraph 1, Code 1999, is amended to read as 2 7 follows: 2 8 The management committee shall consist ofnot more than2 9twelvethirteen voting members as follows: 2 10 Sec. 7. Section 331.438, subsection 4, paragraph b, 2 11 subparagraph (1), Code 1999, is amended to read as follows: 2 12 (1)An equal number of not more than nineFour members 2 13 shall be appointed by the director of human servicesand. 2 14 Four members shall be appointed by the Iowa state association 2 15 of countiesand one additional member shall be jointly2 16appointed by both entities. Members appointed by the Iowa 2 17 state association of counties shall be selected from a pool 2 18 nominated by the county supervisor affiliate of the 2 19 association with four members from the affiliate. The 2 20 affiliate shall select the nominees through a secret ballot 2 21 process. In addition, two members shall be appointed by the 2 22 community services affiliate of the Iowa state association of 2 23 counties. 2 24 Sec. 8. SERVICE SYSTEM ISSUES. The state-county 2 25 management committee shall create a task force to consider 2 26 issues and options regarding statewide eligibility standards, 2 27 identification of core or basic services to be made reasonably 2 28 available statewide, statewide equity and other considerations 2 29 associated with distributing state funding, implementation of 2 30 funding decategorization, changes in the membership 2 31 composition of the committee, legal settlement issues, 2 32 improved utilization of available funding streams, and the 2 33 allowed growth recommendation process. The committee shall 2 34 consider the task force report and incorporate the committee's 2 35 findings and recommendations on these topics in the 3 1 committee's annual report to the governor and general assembly 3 2 on January 1, 2000. 3 3 Sec. 9. STAGGERED TERMS. Effective July 1, 1999, the 3 4 appointing authorities for the state-county management 3 5 committee shall provide by mutual agreement for the staggering 3 6 of the terms of voting members of the committee so that the 3 7 terms of at least four members expire each year. Based on 3 8 this mutual agreement, the terms of individuals who are voting 3 9 members of the committee as of June 30, 1999, shall either 3 10 expire June 30, 1999, or be for one, two, or three years 3 11 beginning on July 1, 1999. The terms of the two 3 12 representatives of county single entry point process 3 13 administrators shall commence July 1, 1999. This section 3 14 takes effect June 30, 1999. 3 15 DIVISION III 3 16 COUNTY MANAGEMENT PLAN PROVISIONS 3 17 Sec. 10. Section 331.439, subsection 1, paragraph b, Code 3 18 1999, is amended to read as follows: 3 19 b. The county developed and implemented a county 3 20 management plan for the county's mental health, mental 3 21 retardation, and developmental disabilities services in 3 22 accordance with the provisions of this paragraph "b". The 3 23 plan shall comply with the administrative rules adopted for 3 24 this purpose by the council on human services and is subject 3 25 to the approval of the director of human services in 3 26 consultation with the state-county management committee 3 27 created in section 331.438. The plan shall include a 3 28 description of the county's service management provision for 3 29 mental health, mental retardation, and developmental 3 30 disabilities services. For mental retardation and 3 31 developmental disabilities service management, the plan shall 3 32 describe the county's development and implementation of a 3 33 managed system of cost-effective individualized services and 3 34 shall comply with the provisions of paragraph "d". The goal 3 35 of this part of the plan shall be to assist the individuals 4 1 served to be as independent, productive, and integrated into 4 2 the community as possible. The service management provisions 4 3 for mental health shall comply with the provisions of 4 4 paragraph "c". A county is subject to all of the following 4 5 provisions in regard to the county's management plan and 4 6 planning process: 4 7 (1) The county shall have in effect an approved policies 4 8 and procedures manual for the county's services fund. The 4 9 county management plan shall be defined in the manual. The 4 10 manual submitted by the county as part of the county's 4 11 management plan for the fiscal year beginning July 1, 1999, as 4 12 approved by the director of human services, shall remain in 4 13 effect, subject to amendment. An amendment to the manual 4 14 shall be submitted to the department of human services at 4 15 least forty-five days prior to the date of implementation. 4 16 Prior to implementation of any amendment to the manual, the 4 17 amendment must be approved by the director of human services 4 18 in consultation with the state-county management committee. 4 19 (2) For informational purposes, the county shall submit a 4 20 management plan review to the department of human services by 4 21 April 1 of each year. The annual review shall incorporate an 4 22 analysis of the data associated with the services managed 4 23 during the preceding fiscal year by the county or by a managed 4 24 care entity on behalf of the county. 4 25 (3) For informational purposes, every three years the 4 26 county shall submit to the department of human services a 4 27 three-year strategic plan. The strategic plan shall describe 4 28 how the county will proceed to attain the goals and objectives 4 29 contained in the strategic plan for the duration of the plan. 4 30 The three-year strategic plan shall be submitted by April 1, 4 31 2000, and by April 1 of every third year thereafter. 4 32 Sec. 11. Section 331.439, subsection 1, paragraph c, 4 33 subparagraph (1), Code 1999, is amended to read as follows: 4 34 (1) For mental health service management, the county may 4 35 either directly implement a system of service management and 5 1 contract with service providers, or contract with a private 5 2 entity to manage the system, provided all requirements of this 5 3 lettered paragraph are met by the private entity. The mental 5 4 health service management shall incorporate a single entry 5 5 point and clinical assessment process developed in accordance 5 6 with the provisions of section 331.440.The county shall5 7submit this part of the plan to the department of human5 8services for approval by April 1 for the succeeding year.5 9Initially, this part of the plan shall be submitted to the5 10department by April 1, 1996, and the county shall implement5 11the approved plan by July 1, 1996.5 12 Sec. 12. Section 331.439, subsection 1, paragraphs d and 5 13 e, Code 1999, are amended to read as follows: 5 14 d. For mental retardation and developmental disabilities 5 15 services management, the county must either develop and 5 16 implement a managed system of care which addresses a full 5 17 array of appropriate services and cost-effective delivery of 5 18 services or contract with a state-approved managed care 5 19 contractor or contractors. Any system or contract implemented 5 20 under this paragraph shall incorporate a single entry point 5 21 and clinical assessment process developed in accordance with 5 22 the provisions of section 331.440. The elements of the 5 23 managed system of care and the state-approved managed care 5 24 contract or contracts shall be specified in rules developed by 5 25 the department of human services in consultation with the 5 26 state-county management committee and adopted by the council 5 27 on human services.Initially, this part of the plan shall be5 28submitted to the department for approval on or before October5 291, 1996, and shall be implemented on or before January 1,5 301997. In fiscal years succeeding the fiscal year of initial5 31implementation, this part of the plan shall be submitted to5 32the department of human services for approval by April 1 for5 33the succeeding fiscal year.5 34e. Changes to the approved plan are submitted at least5 35sixty days prior to the proposed change and are not to be6 1implemented prior to the director of human services' approval.6 2 DIVISION IV 6 3 RESIDENTIAL CARE FACILITIES FOR PERSONS WITH MENTAL 6 4 RETARDATION 6 5 Sec. 13. Section 135C.6, subsection 8, paragraph b, Code 6 6 1999, is amended read as follows: 6 7 b. A total oftwentyforty residential care facilities for 6 8 persons with mental retardation which are licensed to serve no 6 9 more than five individuals may be authorized by the department 6 10 of human services to convert to operation as a residential 6 11 program under the provisions of a medical assistance home and 6 12 community-based services waiver for persons with mental 6 13 retardation. A converted residential program is subject to 6 14 the conditions stated in paragraph "a" except that the program 6 15 shall not serve more than five individuals.The department of6 16human services shall allocate conversion authorizations to6 17provide for four conversions in each of the department's five6 18service regions. If a conversion authorization allocated to a6 19region is not used for conversion by January 1, 1998, the6 20department of human services may reallocate the unused6 21conversion authorization to another region. The department of6 22human services shall study the cost effectiveness of the6 23conversions and provide an initial report to the general6 24assembly no later than January 2, 1998, and a final report no6 25later than December 15, 1998.6 26 EXPLANATION 6 27 This bill relates to mental health, mental retardation, and 6 28 developmental disabilities (MH/MR/DD) services and other 6 29 support. 6 30 Division I of the bill amends Code chapter 225C to provide 6 31 that the administrator of the division of mental health and 6 32 developmental disabilities recommends minimum standards for 6 33 community mental health centers and related services and 6 34 programs and evaluates compliance with the minimum standards. 6 35 However, the bill specifies that the responsibility for 7 1 approving, denying, or revoking an accreditation is a duty of 7 2 the mental health and developmental disabilities commission. 7 3 The bill includes similar provisions for supported community 7 4 living services. 7 5 Division II relates to the state-county management 7 6 committee. Code section 331.438, relating to the MH/MR/DD 7 7 service delivery system and the state-county management 7 8 committee, is amended to change the committee's membership 7 9 provisions. Current law sets a limit on the number of members 7 10 appointed by the department of human services and the 7 11 counties. The bill changes these limits to reflect the number 7 12 of members to be appointed. The member jointly appointed by 7 13 the director of human services and the Iowa state association 7 14 of counties is eliminated. The membership of the committee is 7 15 expanded by two members to be appointed by the community 7 16 services affiliate of the Iowa state association of counties. 7 17 The state-county management committee is directed to create 7 18 a task force to consider issues and options regarding 7 19 statewide eligibility standards, identification of core or 7 20 basic services to be made reasonably available statewide, and 7 21 a number of other issues. The committee is to include 7 22 findings and a recommendation in its annual report to the 7 23 governor and general assembly on January 1, 2000. 7 24 The bill includes transition authority for the members' 7 25 appointing authorities to stagger the terms of office of 7 26 members so that at least four members' terms expire each year. 7 27 The terms of the two members appointed by the single entry 7 28 point process administrators are to commence July 1, 1999. 7 29 This section of the bill is effective on June 30, 1999. 7 30 Division III amends Code section 331.439, relating to the 7 31 county management plans for MH/MR/DD services. The bill 7 32 provides that the policies and procedures manual submitted by 7 33 a county with the county management plan for the fiscal year 7 34 beginning July 1, 1999, and approved by the director of human 7 35 services shall remain in effect subject to amendment. The 8 1 policies and procedures manual defines the county's management 8 2 plan. Amendments to the policies and procedures manual are 8 3 subject to the director's approval in consultation with the 8 4 state-county management committee. 8 5 A county is also to submit, for informational purposes, an 8 6 annual management plan review of data concerning the services 8 7 provided under the management plan in the previous fiscal 8 8 year. In addition, a county is to submit, for informational 8 9 purposes, a three-year strategic plan which is based upon the 8 10 annual review. 8 11 This division also strikes provisions requiring management 8 12 plan submissions for mental health and for mental retardation 8 13 and developmental disabilities services to the department of 8 14 human services annually by April 1, and for changes to be 8 15 submitted to the director of human services for approval 60 8 16 days prior to implementation. 8 17 Division IV of the bill amends Code section 135C.6, 8 18 relating to exemptions from required licensing of health care 8 19 facilities. Current law exempts up to 20 residential care 8 20 facilities for persons with mental retardation (RCFMRs) each 8 21 serving five persons or fewer that are authorized by the 8 22 department of human services to convert to operation in 8 23 accordance with a federal home and community-based waiver for 8 24 persons with mental retardation under medical assistance 8 25 (Medicaid). The bill expands the conversion authorization to 8 26 40 facilities and strikes language requiring distribution 8 27 among the department's regions and for reports due by certain 8 28 dates. 8 29 LSB 2343HV 78 8 30 jp/sc/14
Text: HF00654 Text: HF00656 Text: HF00600 - HF00699 Text: HF Index Bills and Amendments: General Index Bill History: General Index
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