Text: S05386 Text: S05388 Text: S05300 - S05399 Text: S Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
1 1 Amend Senate File 2435, as amended, passed, and
1 2 reprinted by the Senate, as follows:
1 3 #1. Page 6, line 9, by inserting after the word
1 4 "costs." the following: "The grant requirements shall
1 5 include provision for local match in the form of cash,
1 6 in-kind services, or other support."
1 7 #2. Page 6, by inserting after line 27 the
1 8 following:
1 9 "e. The application for any of the grants
1 10 described in the lettered paragraphs of this
1 11 subsection shall not exceed two pages in length."
1 12 #3. Page 18, line 17, by striking the figure
1 13 "422,451,028" and inserting the following:
1 14 "422,129,000".
1 15 #4. Page 20, line 31, by inserting after the word
1 16 "disabilities," the following: "the department shall
1 17 aggressively pursue options to expand the waiver to
1 18 100 openings and in implementing the expanded waiver".
1 19 #5. Page 20, line 35, by striking the words "The
1 20 openings" and inserting the following: "Priority
1 21 shall be given to those persons who are no longer
1 22 eligible for the ill and handicapped waiver due to
1 23 becoming eligible for federal supplemental security
1 24 income, otherwise the openings".
1 25 #6. Page 21, by striking lines 34 and 35 and
1 26 inserting the following: "mental illness under the
1 27 medical assistance program, using county funding as a
1 28 match for the federal funding except for individuals
1 29 with state case status, for whom state funding shall
1 30 provide the match."
1 31 #7. Page 22, by striking lines 1 through 27.
1 32 #8. Page 23, by striking lines 3 through 20.
1 33 #9. Page 23, by inserting after line 27 the
1 34 following:
1 35 "___. The department shall aggressively pursue
1 36 options for providing medical assistance or other
1 37 assistance to individuals with special needs who
1 38 become ineligible to continue receiving services under
1 39 the early and periodic, screening, diagnosis, and
1 40 treatment program under the medical assistance program
1 41 due to becoming 21 years of age, who have been
1 42 approved for additional assistance through the
1 43 department's exception to policy provisions, but who
1 44 have health care needs in excess of the funding
1 45 available through the exception to policy process."
1 46 #10. Page 23, by inserting after line 27 the
1 47 following:
1 48 " . The department shall adopt emergency rules
1 49 providing for reimbursement under medical assistance
1 50 of a family or pediatric nurse practitioner's
2 1 employing provider for services provided by the nurse
2 2 practitioner, regardless of whether the nurse
2 3 practitioner is under the supervision of or associated
2 4 with a physician or other health care provider.
2 5 . Of the funds appropriated in this section,
2 6 $100,000 is allocated for development of a plan for
2 7 implementation of a personal assistance services
2 8 program as described in House File 2380, as introduced
2 9 in the Seventy-eighth General Assembly, 2000 Session.
2 10 The target date used in the plan for implementation of
2 11 the program shall be July 1, 2002.
2 12 The department, in consultation with the department
2 13 of elder affairs, the Iowa department of public
2 14 health, the department of workforce development, the
2 15 department of education, division of vocational
2 16 rehabilitation, the department of economic
2 17 development, the Iowa state association of counties,
2 18 Iowa creative employment options, the community
2 19 services affiliate of the Iowa state association of
2 20 counties, and the personal assistance and family
2 21 support services council, shall convene a planning
2 22 committee, which includes consumers and family
2 23 members, advocates of consumers, providers of services
2 24 to consumers, and the entities consulted with, to
2 25 assist in the development of a plan for a personal
2 26 assistance services program based on principles and
2 27 standards described in this chapter. The membership
2 28 of the planning committee shall be appointed in a
2 29 manner so there are relatively equal proportions of
2 30 members with involvement in service management,
2 31 purchasing or approval, and members with an interest
2 32 in or involvement as a service consumer or advocate.
2 33 The planning committee shall also include four members
2 34 of the general assembly to serve in an ex officio,
2 35 nonvoting capacity with one each appointed by the
2 36 following: senate majority leader, senate minority
2 37 leader, speaker of the house of representatives, and
2 38 minority leader of the house of representatives. The
2 39 department may contract for services to support the
2 40 planning committee. At a minimum, the plan shall
2 41 include options to accomplish all of the following:
2 42 a. Designate a lead agency to be responsible for
2 43 administering the personal assistance services
2 44 program.
2 45 b. Provide that the personal assistance and family
2 46 support services policy council assist in the design,
2 47 implementation, marketing, and evaluation of the
2 48 state's personal assistance services program.
2 49 c. Provide a consumer-level administrative
2 50 oversight and technical assistance mechanism relating
3 1 to the planning, administrative rules development, and
3 2 implementation of the personal assistance services
3 3 program.
3 4 d. Provide for a transition process, with action
3 5 steps and time lines, describing how the state will
3 6 make personal assistance services a viable option that
3 7 is more cost-effective and responsive to the needs and
3 8 preferences of consumers.
3 9 e. Describe a process for consolidating all
3 10 noninstitutional personal assistance services programs
3 11 funded through the medical assistance program.
3 12 f. Describe the type of personal assistance
3 13 services to be provided under the program.
3 14 g. Describe the method of delivery of personal
3 15 assistance services and how such services will be
3 16 delivered statewide.
3 17 h. Evaluate the feasibility of further reducing
3 18 costs and addressing consumer needs and preferences
3 19 through the provision of auxiliary services such as
3 20 assistive technology and home modifications.
3 21 i. Describe a program intake process that will be
3 22 uniform throughout the state.
3 23 j. Review and consolidate the eligibility
3 24 requirements, intake processes, assessment tools, and
3 25 other relevant processes of all existing personal
3 26 assistance services waiver and pilot programs into a
3 27 single, comprehensive system.
3 28 k. Describe the standards and mechanisms for
3 29 copayments or cost-sharing and the methods used to
3 30 determine income eligibility of persons with
3 31 disabilities.
3 32 l. Determine quality assurance outcomes and
3 33 safeguards against physical, emotional, or financial
3 34 abuse and exploitation.
3 35 m. Describe the appeal process.
3 36 n. Describe how the barriers and disincentives
3 37 that currently discourage people from becoming
3 38 personal assistants can be removed.
3 39 o. Address the issues of provider and consumer
3 40 liability.
3 41 p. Describe acceptable methods whereby independent
3 42 personal assistance services providers may pool
3 43 resources to ensure adequate coverage provisions for
3 44 health insurance, liability insurance, and workers'
3 45 compensation insurance.
3 46 q. Consult with the health care financing
3 47 administration of the United States department of
3 48 health and human services, in reviewing and completing
3 49 a plan for consolidation and coordination of funding
3 50 mechanisms and expenditures relative to health care
4 1 facility services, intermediate care facilities for
4 2 persons with mental retardation services, all covered
4 3 home and community-based services provided under
4 4 section 1915(c) of the federal Social Security Act,
4 5 services provided under the personal care option of
4 6 the medical assistance program, and frail elderly
4 7 program services. The plan shall provide for
4 8 consolidation and coordination of funding mechanisms
4 9 and expenditures in order to provide funding for the
4 10 personal assistance services described in this
4 11 subsection and shall address the costs and potential
4 12 cost offsets in implementing the personal care option
4 13 under the medical assistance program.
4 14 r. Develop options to capitalize on and leverage
4 15 federal funding to the maximum extent possible under
4 16 the federal Ticket to Work and Work Incentives
4 17 Improvement Act of 1999, Pub. L. No. 106-170 and the
4 18 federal Workforce Investment Act of 1998, Pub. L. No.
4 19 105-220.
4 20 Sec. . PHARMACEUTICAL CASE MANAGEMENT STUDY.
4 21 There is appropriated from the general fund of the
4 22 state to the department of human services for the
4 23 fiscal year beginning July 1, 2000, and ending June
4 24 30, 2001, the following amount or so much thereof as
4 25 is necessary, to be used for implementation of a
4 26 disease-specific pharmaceutical case management study
4 27 to measure the effects of case management for medical
4 28 assistance recipients identified by the department as
4 29 high risk for medication-related problems. The funds
4 30 shall be used to equally reimburse physician-
4 31 pharmacist teams who participate in the study. An
4 32 advisory committee whose membership consists of
4 33 representatives of the Iowa medical society, the Iowa
4 34 pharmacy association, and the department of human
4 35 services shall establish and implement the
4 36 pharmaceutical case management study. The university
4 37 of Iowa college of public health, in conjunction with
4 38 the colleges of medicine and pharmacy, shall perform
4 39 an evaluation of the study at no cost to the state and
4 40 shall submit a final report of the findings of the
4 41 evaluation and any recommendations to the general
4 42 assembly by December 15, 2002. The department shall
4 43 submit a progress report by December 15, 2001, and a
4 44 final report by December 15, 2002, to the general
4 45 assembly. The department shall adopt rules to
4 46 implement this section which comply with the notice of
4 47 intended action requirements of section 17A.4,
4 48 subsection 1, and which may be adopted as emergency
4 49 rules pursuant to section 17A.5, subsection 2, after
4 50 notice is provided. The rules shall be reevaluated by
5 1 the department of human services with input from the
5 2 Iowa medical society and the Iowa pharmacy
5 3 association, upon submission of the final report or by
5 4 December 15, 2002, whichever occurs first:
5 5 .................................................. $ 414,000"
5 6 #11. Page 24, line 23, by striking the words
5 7 "administrative contractor" and inserting the
5 8 following: "department".
5 9 #12. Page 24, by inserting after line 31, the
5 10 following:
5 11 "___. The department of human services shall seek
5 12 a waiver from the health care financing administration
5 13 of the United States department of health and human
5 14 services to permit families with children who are
5 15 eligible for medical assistance to elect to
5 16 participate under the HAWK-I program in lieu of
5 17 participation in the medical assistance program. If
5 18 the waiver is approved, the department shall implement
5 19 the provision."
5 20 #13. Page 25, line 5, by inserting after the word
5 21 "into" the following: "or extended".
5 22 #14. Page 25, line 7, by inserting after the word
5 23 "treatment" the following: "provided at the state
5 24 mental health institute at Mount Pleasant".
5 25 #15. Page 25, by inserting after line 10, the
5 26 following:
5 27 "Of the funds appropriated in this section, $50,000
5 28 shall be used to continue the recruitment and
5 29 retention strategies project to provide additional
5 30 training and support for certified nurse aides
5 31 employed by nursing facilities."
5 32 #16. By striking page 28, line 34 through page 29,
5 33 line 15.
5 34 #17. Page 29, line 23, by striking the figure
5 35 "6,296,956" and inserting the following: "6,305,133".
5 36 #18. Page 29, line 34, by striking the figure
5 37 "10,381,263" and inserting the following:
5 38 "10,405,336".
5 39 #19. Page 30, line 23, by striking the figure
5 40 "108,788,161" and inserting the following:
5 41 "108,780,000".
5 42 #20. Page 36, by striking lines 21 through 28, and
5 43 inserting the following:
5 44 " . Of the funds appropriated in this section,
5 45 the department shall use $687,876 for day treatment
5 46 and aftercare services for juvenile females with
5 47 provider selection made through a request for
5 48 proposals process. The goal of providing the services
5 49 is to ensure permanency, safety, and self-sufficiency
5 50 for juvenile females."
6 1 #21. Page 37, line 13, by striking the words "A
6 2 final".
6 3 #22. Page 37, by striking lines 14 through 18.
6 4 #23. Page 38, by inserting after line 2 the
6 5 following:
6 6 "___. Any unanticipated federal funding that is
6 7 received during the fiscal year due to improvements in
6 8 the hours counted by the judicial branch under the
6 9 claiming process for federal Title IV-E funding are
6 10 appropriated to the department to be used for
6 11 additional or expanded services and support for court-
6 12 ordered services pursuant to section 232.141.
6 13 Notwithstanding section 8.33, moneys appropriated in
6 14 this subsection that remain unencumbered or
6 15 unobligated at the close of the fiscal year shall not
6 16 revert but shall remain available for expenditure for
6 17 the purposes designated until the close of the
6 18 succeeding fiscal year."
6 19 #24. Page 39, line 30, by striking the figure
6 20 "7,219,958" and inserting the following: "7,220,487".
6 21 #25. Page 40, line 1, by striking the figure
6 22 "17,448,229" and inserting the following:
6 23 "17,497,584".
6 24 #26. Page 41, line 23, by striking the word
6 25 "voluntary".
6 26 #27. Page 42, line 4, by inserting after the word
6 27 "state" the following: "or a county".
6 28 #28. Page 42, by striking lines 23 and 24 and
6 29 inserting the following: "support, maintenance, and
6 30 miscellaneous purposes:"
6 31 #29. Page 42, by striking line 26.
6 32 #30. Page 42, by striking lines 28 and 29 and
6 33 inserting the following: "support, maintenance, and
6 34 miscellaneous purposes:"
6 35 #31. Page 42, line 30, by striking the figure
6 36 "1,708,814" and inserting the following: "1,709,949".
6 37 #32. Page 42, by striking line 31.
6 38 #33. Page 44, by inserting after line 16 the
6 39 following:
6 40 " . If the department's administration and the
6 41 department of management concur with a finding by a
6 42 state hospital-school's superintendent that projected
6 43 revenues can reasonably be expected to pay the salary
6 44 and support costs for a new employee position, or that
6 45 such costs for adding a particular number of new
6 46 positions for the fiscal year would be less than the
6 47 overtime costs if new positions would not be added,
6 48 the superintendent may add the new position or
6 49 positions. If the vacant positions available to a
6 50 hospital-school do not include the position
7 1 classification desired to be filled, the hospital-
7 2 school's superintendent may reclassify any vacant
7 3 position as necessary to fill the desired position.
7 4 The superintendents of the hospital-schools may, by
7 5 mutual agreement, pool vacant positions and position
7 6 classifications during the course of the fiscal year
7 7 in order to assist one another in filling necessary
7 8 positions."
7 9 #34. Page 45, line 18, by striking the word
7 10 "amount" and inserting the following: "amounts".
7 11 #35. Page 45, line 19, by striking the word
7 12 "purpose" and inserting the following: "purposes".
7 13 #36. Page 45, line 20, by striking the word "For"
7 14 and inserting the following:
7 15 "1. For".
7 16 #37. Page 45, line 24, by striking the figure
7 17 "$13,600,000" and inserting the following:
7 18 "$13,000,000".
7 19 #38. Page 45, by inserting after line 30 the
7 20 following:
7 21 "2. For transfer to the appropriation in this Act
7 22 for medical assistance to be used for payment of the
7 23 state portion of the nonfederal share of medical
7 24 assistance reimbursement for services provided to
7 25 eligible persons by certain qualified intermediate
7 26 care facilities for persons with mental retardation
7 27 (ICFMR) in accordance with this subsection:
7 28 .................................................. $ 300,000
7 29 For the purposes of this subsection, "eligible
7 30 persons" means persons with a brain or head injury who
7 31 are determined by the Iowa foundation for medical care
7 32 to meet entrance requirements for services at the
7 33 ICFMR level. The reimbursement rate for services
7 34 provided to eligible persons by those qualified ICFMRs
7 35 established and issued a certificate of need by the
7 36 health facilities council, on or before June 30, 1999,
7 37 for the primary purpose of serving persons with a head
7 38 or brain injury, shall be the facility's actual cost,
7 39 as determined from the annual actual cost reports
7 40 submitted to the department. The cost reports shall
7 41 be subject to annual audit by the department.
7 42 Responsibility for payment of the nonfederal share of
7 43 reimbursement paid for services provided to eligible
7 44 persons shall be as follows: the county of legal
7 45 settlement is responsible for an amount equal to the
7 46 nonfederal share of the 80th percentile of ICFMR
7 47 services and the state is responsible for the
7 48 remainder."
7 49 #39. Page 45, by inserting before line 31 the
7 50 following:
8 1 "3. For transfer to the department for the blind
8 2 to be used for establishment of statewide access to
8 3 the newsline for the blind furnished by the national
8 4 federation of the blind:
8 5 .................................................. $ 25,000
8 6 4. For transfer to the department for the blind to
8 7 be used to enable blind individuals to independently
8 8 access newspapers through the operations of the Iowa
8 9 radio reading information service:
8 10 .................................................. $ 25,000"
8 11 #40. Page 48, line 23, by striking the figure
8 12 "1,177,366" and inserting the following: "1,179,178".
8 13 #41. Page 48, by striking line 24, and inserting
8 14 the following:
8 15 ".............................................. FTEs 20.00"
8 16 #42. Page 49, line 4, by striking the figure
8 17 "44,222,546" and inserting the following:
8 18 "44,370,000".
8 19 #43. Page 49, by inserting after line 7 the
8 20 following:
8 21 "The amount appropriated in this section includes
8 22 increased funding of $147,454 to address staffing
8 23 issues in regard to child abuse assessment staff,
8 24 social workers, and support staff performing related
8 25 functions and for increased activities to improve
8 26 cooperation between field staff, law enforcement,
8 27 county attorneys, and mandatory reporters in
8 28 addressing reports of child abuse."
8 29 #44. Page 49, line 11, by striking the figure
8 30 "5,659,370" and inserting the following: "5,540,000".
8 31 #45. Page 49, line 21, by striking the figure
8 32 "13,623,100" and inserting the following:
8 33 "13,530,112".
8 34 #46. Page 49, line 22, by striking the figure
8 35 "358.13" and inserting the following: "359.13".
8 36 #47. Page 50, by striking lines 3 through 9 and
8 37 inserting the following:
8 38 "Sec. ___. STATE-COUNTY ASSISTANCE FUNCTIONS.
8 39 There is appropriated from the general fund of the
8 40 state to the department of human services for the
8 41 fiscal year beginning July 1, 2000, and ending June
8 42 30, 2001, the following amount, or so much thereof as
8 43 is necessary, to be used for the purposes designated:
8 44 For contracting with a statewide association
8 45 representing county elected and appointed officials to
8 46 perform the state-county assistance team functions and
8 47 provide support to the state-county management
8 48 committee:
8 49 .................................................. $ 209,664"
8 50 #48. Page 50, by inserting before line 10 the
9 1 following:
9 2 "___. The general assembly is supportive of the
9 3 department's stated purposes in its efforts to review
9 4 the services administered by the department and the
9 5 reimbursement methodologies for those services. The
9 6 general assembly anticipates the department continuing
9 7 its review and consultation activities during the 2000
9 8 legislative interim in order to submit recommendations
9 9 and proposals for legislative consideration during the
9 10 2001 legislative session and the department shall not
9 11 implement changes in the reimbursement methodologies
9 12 without legislative approval."
9 13 #49. Page 52, line 1, by inserting after the word
9 14 "system." the following: "In developing the case-mix
9 15 reimbursement methodology, the department shall work
9 16 with nursing facilities and patient advocates in
9 17 examining administrative costs."
9 18 #50. Page 52, by striking lines 4 through 7, and
9 19 inserting the following: "additional documentation as
9 20 required by rule.
9 21 c. The cost report required to be submitted by
9 22 rule by nursing facilities reimbursed under the
9 23 medical assistance program shall also include a line
9 24 itemization of expenses attributable to the home or
9 25 principal office or headquarters of the nursing
9 26 facility, including but not limited to home-office
9 27 costs and management fees, within the administrative
9 28 cost line item.
9 29 d. All nursing facilities reimbursed under the
9 30 medical assistance program that are under common
9 31 ownership, management, or control shall utilize the
9 32 same fiscal accounting period. All cost reports
9 33 submitted by such facilities shall comply with all
9 34 cost report requirements under this subsection and as
9 35 required by rule."
9 36 #51. Page 54, line 17, by striking the figure
9 37 "145.74" and inserting the following: "147.20".
9 38 #52. Page 59, by inserting after line 9 the
9 39 following:
9 40 "Sec. 100. 1991 Iowa Acts, chapter 169, section 9,
9 41 as amended by 1996 Iowa Acts, chapter 1071, section 1,
9 42 is repealed.
9 43 On or before December 15, 2000, the prevention of
9 44 disabilities policy council shall submit a report to
9 45 the governor and the general assembly providing
9 46 findings and recommendations regarding the activities
9 47 and duties of the commission and the need for its
9 48 continuation."
9 49 #53. Page 60, by inserting after line 1 the
9 50 following:
10 1 "Sec. 101. NEW SECTION. 225B.8 REPEAL.
10 2 This chapter is repealed June 30, 2001."
10 3 #54. Page 61, by inserting after line 13 the
10 4 following:
10 5 "3. The state training school shall name any other
10 6 newly constructed facilities to be dedicated at the
10 7 state training school during the fiscal year beginning
10 8 July 1, 1999, or July 1, 2000, as deemed appropriate
10 9 by the state training school administration to
10 10 properly recognize individuals who have made
10 11 significant contributions to the juvenile justice
10 12 system in general or the state training school in
10 13 particular."
10 14 #55. Page 62, by inserting after line 28 the
10 15 following:
10 16 " . Sections 100 and 101, repealing 1991 Iowa
10 17 Acts, chapter 169, section 9, as amended, and enacting
10 18 new Code section 225B.8."
10 19 #56. Page 62, by inserting before line 29 the
10 20 following:
10 21 " . Section 39, subsection 3, authorizing the
10 22 state training school administration to name certain
10 23 facilities to be dedicated during fiscal year 1999-
10 24 2000 or fiscal year 2000-2001."
10 25 #57. By renumbering, relettering, or redesignating
10 26 and correcting internal references as necessary.
10 27 SF 2435H
10 28 pf/jg/25
Text: S05386 Text: S05388 Text: S05300 - S05399 Text: S Index Bills and Amendments: General Index Bill History: General Index
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