Text: H08489                            Text: H08491
Text: H08400 - H08499                   Text: H Index
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House Amendment 8490

Amendment Text

PAG LIN
  1  1    Amend Senate File 2280, as amended, passed, and
  1  2 reprinted by the Senate, as follows:
  1  3    #1.  By striking everything after the enacting
  1  4 clause and inserting the following:
  1  5    "Section 1.  REHABILITATIVE TREATMENT CHILD WELFARE
  1  6 SERVICES PROVIDERS.
  1  7    1.  The department of human services may adopt
  1  8 rules utilizing the emergency procedures provided in
  1  9 subsection 4 as necessary to implement the high-
  1 10 priority recommendation items identified by the
  1 11 department's rehabilitative treatment services
  1 12 provider regulation and quality improvement work group
  1 13 listed in this section.  In order to implement a
  1 14 listed item, the department must determine that the
  1 15 item can be implemented without additional cost to the
  1 16 state and, if implementation of the item requires a
  1 17 state medical assistance program plan amendment, the
  1 18 item must be approved by the federal center for
  1 19 Medicare and Medicaid services.
  1 20    2.  Subject to the implementation conditions in
  1 21 subsection 1, the department shall adopt rules to take
  1 22 effect on or before April 1, 2003, or within sixty
  1 23 days after receiving the federal center's approval,
  1 24 whichever is later, to implement all of the following:
  1 25    a.  Permitting deemed status for those providers of
  1 26 services that are certified, or accredited to be in
  1 27 compliance with relevant standards by the joint
  1 28 commission on the accreditation of health care
  1 29 organizations or the council on accreditation of
  1 30 services for families and children and that make
  1 31 accreditation reports and records available to the
  1 32 department.
  1 33    b.  Amending rules to maintain the group care
  1 34 standard for a weekly average number of hours of
  1 35 therapy and counseling, but determine compliance by
  1 36 averaging the hours per week over the course of a
  1 37 month.  The recoupment for failure to comply shall be
  1 38 applied for a week at a time for noncompliance, not to
  1 39 exceed the number of days paid.  This standard shall
  1 40 not be applied to a highly structured juvenile group
  1 41 care program.
  1 42    c.  Expanding the set of qualifications accepted
  1 43 for rehabilitative treatment services staff positions.
  1 44    d.  Utilizing a weekly results summary for
  1 45 documentation of the group care requirement for daily
  1 46 provision of skills development.
  1 47    3.  Subject to the implementation conditions in
  1 48 subsection 1, the department shall adopt rules to take
  1 49 effect on or before December 31, 2003, or within sixty
  1 50 days after receiving the federal center's approval,
  2  1 whichever is later, to implement all of the following:
  2  2    a.  Eliminating the requirements that a case
  2  3 permanency plan be included in the provider's records,
  2  4 that the setting in which the service was provided be
  2  5 documented, and that correspondence with the referral
  2  6 worker be included in the provider's records.
  2  7    b.  Eliminating the care plan requirements
  2  8 regarding licensing and treatment plan review;
  2  9 accepting a change in the treatment plan in lieu of
  2 10 requiring the plan to be rewritten; and permitting the
  2 11 provider to determine the author of the treatment
  2 12 plan.
  2 13    c.  Eliminating staff supervision requirements from
  2 14 licensure rules.
  2 15    4.  The department of human services may adopt
  2 16 administrative rules under section 17A.4, subsection
  2 17 2, and section 17A.5, subsection 2, paragraph "b", to
  2 18 implement this section and the rules shall become
  2 19 effective immediately upon filing, unless the
  2 20 effective date is delayed by the administrative rules
  2 21 review committee, notwithstanding section 17A.4,
  2 22 subsection 5, and section 17A.8, subsection 9, or a
  2 23 later effective date is specified in the rules.  Any
  2 24 rules adopted in accordance with this section shall
  2 25 not take effect before the administrative rules review
  2 26 committee reviews the rules.  Any rules adopted in
  2 27 accordance with this section shall also be published
  2 28 as notice of intended action as provided in section
  2 29 17A.4.
  2 30    Sec.    .  EFFECTIVE DATE.  This Act, being deemed
  2 31 of immediate importance, takes effect upon enactment."
  2 32    #2.  Title page, line 2, by inserting after the
  2 33 word "providers" the following:  "and providing an
  2 34 effective date".
  2 35    #3.  By renumbering as necessary.  
  2 36 
  2 37 
  2 38                               
  2 39 TYMESON of Madison
  2 40 SF 2280.502 79
  2 41 jp/pj
     

Text: H08489                            Text: H08491
Text: H08400 - H08499                   Text: H Index
Bills and Amendments: General Index     Bill History: General Index

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