Text: H01674 Text: H01676 Text: H01600 - H01699 Text: H Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Amend House File 727 as follows: 1 2 #1. Page 6, by inserting after line 6, the 1 3 following: 1 4 "DIVISION ___ 1 5 COUNTY BILLING RESPONSIBILITIES 1 6 Sec. . Section 222.2, Code 2001, is amended by 1 7 adding the following new subsection: 1 8 NEW SUBSECTION. 2A. "Department" means the 1 9 department of human services. 1 10 Sec. . Section 222.73, subsection 1, unnumbered 1 11 paragraph 1, Code 2001, is amended to read as follows: 1 12 The superintendent of each resource center and 1 13 special unit shall compute by February 1 the average 1 14 daily patient charge and outpatient treatment charges 1 15 for which each county will be billed for services 1 16 provided to patients chargeable to the county during 1 17 the fiscal year beginning the following July 1. The 1 18 department shall certify the amount of the chargesto1 19the director of revenue and financeand notify the 1 20 counties of the billing charges. 1 21 Sec. . Section 222.73, subsection 2, unnumbered 1 22 paragraph 1, Code 2001, is amended to read as follows: 1 23 The superintendent shall certify to thedirector of1 24revenue and financedepartment the billings to each 1 25 county for services provided to patients chargeable to 1 26 the county during the preceding calendar quarter. The 1 27 county billings shall be based on the average daily 1 28 patient charge and outpatient treatment charges 1 29 computed pursuant to subsection 1, and the number of 1 30 inpatient days and outpatient treatment service units 1 31 chargeable to the county. The billings to a county of 1 32 legal settlement are subject to adjustment for all of 1 33 the following circumstances: 1 34 Sec. . Section 222.73, subsection 4, Code 2001, 1 35 is amended to read as follows: 1 36 4. The department shall certify tothe director of1 37revenue and finance andthe counties by February 1 the 1 38 actual per-patient-per-day costs, as computed pursuant 1 39 to subsection 3, and the actual costs owed by each 1 40 county for the immediately preceding calendar year for 1 41 patients chargeable to the county. If the actual 1 42 costs owed by the county are greater than the charges 1 43 billed to the county pursuant to subsection 2, the 1 44director of revenue and financedepartment shall bill 1 45 the county for the difference with the billing for the 1 46 quarter ending June 30. If the actual costs owed by 1 47 the county are less than the charges billed to the 1 48 county pursuant to subsection 2, thedirector of1 49revenue and financedepartment shall credit the county 1 50 for the difference starting with the billing for the 2 1 quarter ending June 30. 2 2 Sec. . Section 222.74, Code 2001, is amended to 2 3 read as follows: 2 4 222.74 DUPLICATE TO COUNTY. 2 5 When certifying to thedirector of revenue and2 6financedepartment amounts to be charged against each 2 7 county as provided in section 222.73, the 2 8 superintendent shall send to the county auditor of 2 9 each county against which the superintendent has so 2 10 certified any amount, a duplicate of thecertificate2 11 certification statement. The county auditor upon 2 12 receipt of the duplicatecertificatecertification 2 13 statement shall enter it to the credit of the state in 2 14 the ledger of state accounts, and shall immediately 2 15 issue a notice to the county treasurer authorizing the 2 16 treasurer to transfer the amount from the county fund 2 17 to the general state revenue. The county treasurer 2 18 shall file the notice as authority for making the 2 19 transfer and shall include the amount transferred in 2 20 the next remittance of state taxes to the treasurer of 2 21 state, designating the fund to which the amount 2 22 belongs. 2 23 Sec. . Section 222.75, Code 2001, is amended to 2 24 read as follows: 2 25 222.75 DELINQUENT PAYMENTS – PENALTY. 2 26Should anyIf a countyfailfails to paythe bills2 27 a billed charge within forty-five days from the date 2 28 the county auditor received thecertificate2 29 certification statement from the superintendent 2 30 pursuant to section 222.74, thedirector of revenue2 31and financedepartment may charge the delinquent 2 32 county a penalty of not greater than one percent per 2 33 month on and after forty-five days from the date the 2 34 county auditor received thecertificatecertification 2 35 statement until paid. 2 36 Sec. . Section 222.79, Code 2001, is amended to 2 37 read as follows: 2 38 222.79 CERTIFICATION STATEMENT PRESUMED CORRECT. 2 39 In actions to enforce the liability imposed by 2 40 section 222.78, thecertificatecertification 2 41 statement sent from the superintendent to the county 2 42 auditor pursuant to section 222.74 stating the sums 2 43 charged in such cases shall be presumptively correct. 2 44 Sec. . Section 229.41, Code 2001, is amended to 2 45 read as follows: 2 46 229.41 VOLUNTARY ADMISSION. 2 47 Persons making application pursuant to section 2 48 229.2 on their own behalf or on behalf of another 2 49 person who is under eighteen years of age, if the 2 50 person whose admission is sought is received for 3 1 observation and treatment on the application, shall be 3 2 required to pay the costs of hospitalization at rates 3 3 established by the administrator. The costs may be 3 4 collected weekly in advance and shall be payable at 3 5 the business office of the hospital. The collections 3 6 shall be remitted to thedirector of revenue and3 7financedepartment of human services monthly to be 3 8 credited to the general fund of the state. 3 9 Sec. . Section 229.42, Code 2001, is amended to 3 10 read as follows: 3 11 229.42 COSTS PAID BY COUNTY. 3 12 If a person wishing to make application for 3 13 voluntary admission to a mental hospital established 3 14 by chapter 226 is unable to pay the costs of 3 15 hospitalization or those responsible for the person 3 16 are unable to pay the costs, application for 3 17 authorization of voluntary admission must be made 3 18 through a single entry point process before 3 19 application for admission is made to the hospital. 3 20 The person's county of legal settlement shall be 3 21 determined through the single entry point process and 3 22 if the admission is approved through the single entry 3 23 point process, the person's admission to a mental 3 24 health hospital shall be authorized as a voluntary 3 25 case. The authorization shall be issued on forms 3 26 provided by the administrator. The costs of the 3 27 hospitalization shall be paid by the county of legal 3 28 settlement to thedirector of revenue and finance3 29 department of human services and credited to the 3 30 general fund of the state, providing the mental health 3 31 hospital rendering the services has certified to the 3 32 county auditor of the county of legal settlement the 3 33 amount chargeable to the county and has sent a 3 34 duplicate statement of the charges to thedirector of3 35revenue and financedepartment of human services. A 3 36 county shall not be billed for the cost of a patient 3 37 unless the patient's admission is authorized through 3 38 the single entry point process. The mental health 3 39 institute and the county shall work together to locate 3 40 appropriate alternative placements and services, and 3 41 to educate patients and family members of patients 3 42 regarding such alternatives. 3 43 All the provisions of chapter 230 shall apply to 3 44 such voluntary patients so far as is applicable. 3 45 The provisions of this section and of section 3 46 229.41 shall apply to all voluntary inpatients or 3 47 outpatients either away from or at the institution 3 48heretofore or hereafterreceiving mental health 3 49 services. 3 50Should anyIf a countyfailfails to paythese4 1billsthe billed charges within forty-five days from 4 2 the date the county auditor received thecertificate4 3 certification statement from the superintendent, the 4 4director of revenue and financedepartment of human 4 5 services shall charge the delinquent county the 4 6 penalty of one percent per month on and after forty- 4 7 five days from the date the county received the 4 8certificatecertification statement until paid.Such4 9 The penalties received shall be credited to the 4 10 general fund of the state. 4 11 Sec. . Section 230.20, subsection 1, unnumbered 4 12 paragraph 1, Code 2001, is amended to read as follows: 4 13 The superintendent of each mental health institute 4 14 shall compute by February 1 the average daily patient 4 15 charges and other service charges for which each 4 16 county will be billed for services provided to 4 17 patients chargeable to the county during the fiscal 4 18 year beginning the following July 1. The department 4 19 shall certify the amount of the chargesto the4 20director of revenue and financeand notify the 4 21 counties of the billing charges. 4 22 Sec. . Section 230.20, subsection 2, paragraph 4 23 a, Code 2001, is amended to read as follows: 4 24 a. The superintendent shall certify to the 4 25director of revenue and financedepartment the 4 26 billings to each county for services provided to 4 27 patients chargeable to the county during the preceding 4 28 calendar quarter. The county billings shall be based 4 29 on the average daily patient charge and other service 4 30 charges computed pursuant to subsection 1, and the 4 31 number of inpatient days and other service units 4 32 chargeable to the county. However, a county billing 4 33 shall be decreased by an amount equal to reimbursement 4 34 by a third party payor or estimation of such 4 35 reimbursement from a claim submitted by the 4 36 superintendent to the third party payor for the 4 37 preceding calendar quarter. When the actual third 4 38 party payor reimbursement is greater or less than 4 39 estimated, the difference shall be reflected in the 4 40 county billing in the calendar quarter the actual 4 41 third party payor reimbursement is determined. 4 42 Sec. . Section 230.20, subsections 4 and 5, 4 43 Code 2001, are amended to read as follows: 4 44 4. The department shall certify to thedirector of4 45revenue and finance and thecounties by February 1 the 4 46 actual per-patient-per-day costs, as computed pursuant 4 47 to subsection 3, and the actual costs owed by each 4 48 county for the immediately preceding calendar year for 4 49 patients chargeable to the county. If the actual 4 50 costs owed by the county are greater than the charges 5 1 billed to the county pursuant to subsection 2, the 5 2director of revenue and financedepartment shall bill 5 3 the county for the difference with the billing for the 5 4 quarter ending June 30. If the actual costs owed by 5 5 the county are less than the charges billed to the 5 6 county pursuant to subsection 2, thedirector of5 7revenue and financedepartment shall credit the county 5 8 for the difference starting with the billing for the 5 9 quarter ending June 30. 5 10 5. An individual statement shall be prepared for a 5 11 patient on or before the fifteenth day of the month 5 12 following the month in which the patient leaves the 5 13 mental health institute, and a general statement shall 5 14 be prepared at least quarterly for each county to 5 15 which charges are made under this section. Except as 5 16 otherwise required by sections 125.33 and 125.34 the 5 17 general statement shall list the name of each patient 5 18 chargeable to that county who was served by the mental 5 19 health institute during the preceding month or 5 20 calendar quarter, the amount due on account of each 5 21 patient, and the specific dates for which any third 5 22 party payor reimbursement received by the state is 5 23 applied to the statement and billing, and the county 5 24 shall be billed for eighty percent of the stated 5 25 charge for each patient specified in this subsection. 5 26 The statement prepared for each county shall be 5 27 certified by the departmentto the director of revenue5 28and financeand a duplicate statement shall be mailed 5 29 to the auditor of that county. 5 30 Sec. . Section 230.22, Code 2001, is amended to 5 31 read as follows: 5 32 230.22 PENALTY. 5 33 Should any county fail to pay the amount billed by 5 34 a statement submitted pursuant to section 230.20 5 35 within forty-five days from the date the statement is 5 36 received by the county, thedirector of revenue and5 37financedepartment shall charge the delinquent county 5 38 the penalty of one percent per month on and after 5 39 forty-five days from the date the statement is 5 40 received by the county until paid. Provided, however, 5 41 that the penalty shall not be imposed if the county 5 42 has notified thedirector of revenue and finance5 43 department of error or questionable items in the 5 44 billing, in which event, thedirector of revenue and5 45financedepartment shall suspend the penalty only 5 46 during the period of negotiation. 5 47 Sec. . Section 230.34, Code 2001, is amended by 5 48 adding the following new subsection: 5 49 NEW SUBSECTION. 4. As used in this chapter, 5 50 unless the context otherwise requires, "department" 6 1 means the department of human services." 6 2 #2. By renumbering as necessary. 6 3 6 4 6 5 6 6 CARROLL of Poweshiek 6 7 HF 727.703 79 6 8 jp/cls
Text: H01674 Text: H01676 Text: H01600 - H01699 Text: H Index Bills and Amendments: General Index Bill History: General Index
© 2001 Cornell College and League of Women Voters of Iowa
Comments about this site or page?
webmaster@legis.iowa.gov.
Please remember that the person listed above does not vote on bills. Direct all comments concerning legislation to State Legislators.
Last update: Thu Apr 26 03:35:32 CDT 2001
URL: /DOCS/GA/79GA/Legislation/H/01600/H01675/010424.html
jhf