Text: S05406 Text: S05408 Text: S05400 - S05499 Text: S Index Bills and Amendments: General Index Bill History: General Index
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 care plan requirements
2 3 regarding licensing and treatment plan review;
2 4 accepting a change in the treatment plan in lieu of
2 5 requiring the plan to be rewritten; and permitting the
2 6 provider to determine the author of the treatment
2 7 plan.
2 8 b. Revising and combining provider requirements
2 9 involving licensing, contracting, and certification so
2 10 that duplicative regulatory requirements are
2 11 eliminated or minimized while the department maintains
2 12 its quality assurance role to an appropriate degree.
2 13 The requirements addressed shall include but are not
2 14 limited to those involving documentation in records,
2 15 and treatment plan provisions involving reviews,
2 16 changes, and authors.
2 17 4. The department of human services may adopt
2 18 administrative rules under section 17A.4, subsection
2 19 2, and section 17A.5, subsection 2, paragraph "b", to
2 20 implement this section and the rules shall become
2 21 effective immediately upon filing, unless the
2 22 effective date is delayed by the administrative rules
2 23 review committee, notwithstanding section 17A.4,
2 24 subsection 5, and section 17A.8, subsection 9, or a
2 25 later effective date is specified in the rules. Any
2 26 rules adopted in accordance with this section shall
2 27 not take effect before the administrative rules review
2 28 committee reviews the rules. Any rules adopted in
2 29 accordance with this section shall also be published
2 30 as notice of intended action as provided in section
2 31 17A.4.
2 32 Sec. . EFFECTIVE DATE. This Act, being deemed
2 33 of immediate importance, takes effect upon enactment."
2 34 #2. Title page, line 2, by inserting after the
2 35 word "providers" the following: "and providing an
2 36 effective date".
2 37 #3. By renumbering as necessary.
2 38 SF 2280H
2 39 jp/es/25
Text: S05406 Text: S05408 Text: S05400 - S05499 Text: S Index Bills and Amendments: General Index Bill History: General Index
© 2002 Cornell College and League of Women Voters of Iowa
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