Text: HF00385 Text: HF00387 Text: HF00300 - HF00399 Text: HF Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 HOUSE FILE 386 1 2 1 3 AN ACT 1 4 RELATING TO THE DEPARTMENT OF ELDER AFFAIRS INCLUDING 1 5 PROVISIONS RELATING TO THE ELDER IOWANS ACT. 1 6 1 7 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 1 8 1 9 Section 1. Section 231.3, subsections 1, 3, and 4, Code 1 10 2003, are amended to read as follows: 1 11 1. An adequate incomein retirement. 1 12 3. Suitable housing, appropriate to the specialthat 1 13 reflects the needs of older people. 1 14 4. Full restorative services for those who require 1 15 institutional care, and a comprehensive array of community- 1 16 based, long-term care services adequate to sustain older 1 17 people in their communities and, whenever possible, in their 1 18 homes, including support for caregivers. 1 19 Sec. 2. Section 231.4, Code 2003, is amended to read as 1 20 follows: 1 21 231.4 DEFINITIONS. 1 22 For purposes of this chapter, unless the context otherwise 1 23 requires: 1 24 1. "Administrative action" means an action or decision 1 25 made by an owner, employee, or agent of a long-term care 1 26 facility, or by a governmental agency, which affects the 1 27 service provided to residents covered in this chapter. 1 28 2. "Commission" means the commission of elder affairs. 1 293. "Comprehensive and coordinated system" means a system1 30for providing all necessary supportive services, including1 31nutrition services, in a manner designed to:1 32a. Facilitate accessibility to, and utilization of, all1 33supportive services and nutrition services provided within the1 34geographic area served by the system by any public or private1 35agency or organization.2 1b. Develop and make the most efficient use of supportive2 2services and nutrition services in meeting the needs of2 3elders.2 4c. Use available resources efficiently and with a minimum2 5of duplication.2 64.3. "Department" means the department of elder affairs. 2 75.4. "Director" means the director of the department of 2 8 elder affairs. 2 96.5. "Elder" means an individual who is sixty years of 2 10 age or older. "Elderly" means individuals sixty years of age 2 11 or older. 2 127.6. "Equivalent support" means in-kind contributions of 2 13 services, goods, volunteer support time, administrative 2 14 support, or other support reasonably determined by the 2 15commissiondepartment as equivalent to a dollar amount. 2 168.7. "Federal Act" means the Older Americans Act of 1965, 2 17 42 U.S.C. } 3001 et seq., as amendedto and including February2 181, 1986. 2 199. "Focal point" means a facility established to encourage2 20the maximum collocation and coordination of services for2 21elders.2 2210. "Greatest economic need" means the need resulting from2 23an income level at or below the poverty threshold established2 24by the bureau of the census.2 2511. "Greatest social need" means the need caused by2 26noneconomic factors which include physical and mental2 27disabilities, language barriers, and cultural or social2 28isolation including that caused by racial or ethnic status2 29which restricts an individual's ability to perform normal2 30daily tasks or which threatens the elder's capacity to live2 31independently.2 3212. "Information and referral source" means a location2 33where a department of elder affairs or any public or private2 34agency or organization:2 35a. Maintains current information with respect to the3 1opportunities and services available to elders, and develops3 2current lists of elders in need of services and opportunities.3 3b. Employs, where feasible, a specially trained staff to3 4assess the needs and capacities of elders, and to inform3 5elders of the opportunities and services.3 613. "Legal assistance" means legal advice and3 7representation by an attorney including, but not limited to,3 8counseling or other appropriate assistance by a paralegal or3 9law student under the supervision of an attorney, and includes3 10counseling or representation by a person who does not possess3 11a juris doctorate, where permitted by law, of elders with3 12economic or social needs.3 1314.8. "Long-term care facility" means a long-term care 3 14 unit of a hospital, a licensed hospice program, a foster group3 15home, a group living arrangement,or a facility licensed under 3 16 section 135C.1 whether the facility is public or private. 3 1715. "Multipurpose senior center" means a community3 18facility for the organization and provision of a broad3 19spectrum of services, which shall include, but not be limited3 20to, health, social, nutritional, and educational services and3 21the provision of facilities for recreational activities for3 22elders.3 2316.9. "Resident's advocate program" means the state long- 3 24 term care resident's advocate program operated by the 3 25commissiondepartment of elder affairs and administered by the 3 26 long-term care resident's advocate. 3 27 10. "Unit of general purpose local government" means a 3 28 political subdivision of the state whose authority is general 3 29 and not limited to one function or combination of related 3 30 functions. 3 31 For the purposes of this chapter, "focal point", "greatest 3 32 economic need", and "greatest social need" mean as those terms 3 33 are defined in the federal Act. 3 34 Sec. 3. Section 231.13, Code 2003, is amended to read as 3 35 follows: 4 1 231.13 MEETINGS OFFICERS. 4 2 Members of the commission shall elect from the commission's 4 3 membership a chairperson, and other officers as commission 4 4 members deem necessary, who shall serve for a period of two 4 5 years. The commission shall meet at regular intervals at 4 6 leastsixfour times each year and may hold special meetings 4 7 at the call of the chairperson or at the request of a majority 4 8 of the commission membership. The commission shall meet at 4 9 the seat of government or such other place as the commission 4 10 may designate. Members shall be paid a per diem as specified 4 11 in section 7E.6 and shall receive reimbursement for actual 4 12 expenses for their official duties. 4 13 Sec. 4. Section 231.14, unnumbered paragraph 1, and 4 14 subsections 6, 7, 8, and 10, Code 2003, are amended to read as 4 15 follows: 4 16 The commission is the policymaking body of the sole state 4 17 agency responsible for administration of theOlder Americans4 18 federal Actof 1965, as amended. The commission shall: 4 19 6. Adopt policies to assure that the department will take 4 20 into account the views ofrecipients of supportive services or4 21nutrition services, oreldersusing multipurpose senior4 22centersin the development of policy. 4 23 7. Adopt a formula for the distribution of federalOlder4 24AmericansAct, state elderly services, and senior living 4 25 program funds taking into account, to the maximum extent 4 26 feasible, the best available data on the geographic 4 27 distribution of elders in the state, and publish the formula 4 28 for review and comment. 4 29 8. Adopt policies and measures to assure that preference 4 30 will be given to providing services to elders with the 4 31 greatest economic or social needs, with particular attention 4 32 to low-income minority elders, and include methods of carrying4 33out the preference in the state plan. 4 3410. Adopt policies by which eligibility for federal,4 35state, and local funding is established at age sixty, with5 1preference in service delivery given to elders age seventy-5 2five or older.5 3 Sec. 5. Section 231.23, subsection 4, Code 2003, is 5 4 amended to read as follows: 5 5 4. Advocate for elders by reviewing and commenting upon 5 6 all state plans, budgets, laws, rules, regulations, and 5 7 policies which affect elders and by providing technical 5 8 assistance to any agency, organization, association, or 5 9 individual representing the needs of the elders. 5 10 Sec. 6. NEW SECTION. 231.23A PROGRAMS AND SERVICES. 5 11 The department of elder affairs shall provide or 5 12 administer, but is not limited to providing or administering, 5 13 all of the following programs and services: 5 14 1. Elderly services including but not limited to home and 5 15 community-based services such as adult day services, 5 16 assessment and intervention, transportation, chore services, 5 17 counseling, homemaker services, material aid, personal care, 5 18 reassurance, respite services, visitation, caregiver support, 5 19 emergency response system services, mental health outreach, 5 20 and home repair. 5 21 2. The senior internship program. 5 22 3. The retired senior volunteer program. 5 23 4. The case management program for the frail elderly. 5 24 5. Administration relating to the long-term care 5 25 resident's advocate program and training for resident advocate 5 26 committees. 5 27 6. Administration relating to the area agencies on aging. 5 28 7. Other programs and services authorized by law. 5 29 Sec. 7. Section 231.31, Code 2003, is amended by striking 5 30 the section and inserting in lieu thereof the following: 5 31 231.31 STATE PLAN ON AGING. 5 32 The department of elder affairs shall develop, and submit 5 33 to the commission of elder affairs for approval, a multiyear 5 34 state plan on aging. The state plan on aging shall meet all 5 35 applicable federal requirements. 6 1 Sec. 8. Section 231.32, Code 2003, is amended to read as 6 2 follows: 6 3 231.32 CRITERIA FOR DESIGNATION OF AREA AGENCIES ON AGING. 6 4 1. The commission shall designate thirteen area agencies 6 5 on aging, the same of which existed on July 1, 1985. The 6 6 commission shall continue the designation until an area agency 6 7 on aging's designation is removed for cause as determined by 6 8 the commission or until the agency voluntarily withdraws as an 6 9 area agency on aging. In that event, the commission shall 6 10thenproceed in accordance with subsections 2 and 3. 6 11 Designated area agencies on aging shall comply with the 6 12 requirements of the federal Act. 6 13 2. The commission shall designate an area agency to serve 6 14 each planning and service area, after consideration of the 6 15 views offered bythe political subdivisions in the areaunits 6 16 of general purpose local government. An area agency may be: 6 17 a. An established office of aging which is operating 6 18 within a planning and service area designated by the 6 19 commission. 6 20 b. Any office or agency of a unit ofa political6 21subdivisiongeneral purpose local government, which is 6 22 designated for the purpose of serving as an area agency by the 6 23 chief elected official of such unit. 6 24 c. Any office or agency designated by the appropriate 6 25 chief elected officials of any combination ofpolitical6 26subdivisionsunits of general purpose local government to act 6 27 on behalf of the combination for such purpose. 6 28 d. Any public or nonprofit private agency in a planning 6 29 and service area or any separate organizational unit within 6 30 such agency which is under the supervision or direction for 6 31 this purpose of the department of elder affairs and which can 6 32 engage in the planning or provision of a broad range of 6 33 supportive services or nutrition services within the planning 6 34 and service area. 6 35 Each area agency shall provide assurance, determined 7 1 adequate by the commission, that the area agency has the 7 2 ability to develop an area plan and to carry out, directly or 7 3 through contractual or other arrangements, a program in 7 4 accordance with the plan within the planning and service area. 7 5 In designating an area agency on aging within the planning and 7 6 service area, the commission shall give preference to an 7 7 established office of aging, unless the commission finds that 7 8 no such office within the planning and service area has the 7 9 capacity to carry out the area plan. 7 10 3. When the commission designates a new area agency on 7 11 aging the commission shall give the right of first refusal to 7 12 apolitical subdivisionunit of general purpose local 7 13 government if: 7 14 a. Such unit can meet the requirements of subsection 1. 7 15 b. The boundaries of such a unit and the boundaries of the 7 16 area are reasonably contiguous. 7 17 Sec. 9. Section 231.33, Code 2003, is amended to read as 7 18 follows: 7 19 231.33 AREA AGENCIES ON AGING DUTIES. 7 20 Each area agency on aging shall: 7 21 1. Develop and administer an area plan on aging. 7 22 2. Assess the types and levels of services needed by older 7 23 persons in the planning and service area, and the 7 24 effectiveness of other public or private programs serving 7 25 those needs. 7 26 3. Enter into subgrants or contracts to provideall7 27 services under the plan. 7 28 4. Provide technical assistance as needed, prepare written 7 29 monitoring reports at least quarterly, and provide a written 7 30 report of an annual on-site assessment of all service 7 31 providers funded by the area agency. 7 32 5. Coordinate the administration of its plan with federal 7 33 programs and with other federal, state, and local resources in 7 34 order to develop a comprehensive and coordinated service 7 35 system. 8 1 6. Establish an advisory council. 8 2 7. Give preference in the delivery of services under the 8 3 area plan to elders with the greatest economic or social need. 8 4 8. Assure that elders in the planning and service area 8 5 have reasonably convenient access to information and referral 8 6 services. 8 7 9. Provide adequate and effective opportunities for elders 8 8 to express their views to the area agency on policy 8 9 development and program implementation under the area plan. 8 10 10. Designate community focal points. 8 11 11. Contact outreach efforts, with special emphasis on the 8 12 rural elderly, to identify elders with greatest economic or 8 13 social needs and inform them of the availability of services 8 14 under the area plan. 8 15 12. Develop and publish the methods that the agency uses 8 16 to establish preferences and priorities for services. 8 1713. Attempt to involve the area lawyers in legal8 18assistance activities.8 1914.13. Submit all fiscal and performance reports in 8 20 accordance with the policies of the commission. 8 2115.14. Monitor, evaluate, and comment on laws, rules, 8 22 regulations, policies, programs, hearings, levies, and 8 23 community actions which significantly affect the lives of 8 24 elders. 8 2516.15. Conduct public hearings on the needs of elders. 8 2617.16. Represent the interests of elders to public 8 27 officials, public and private agencies, or organizations. 8 2818.17. Coordinate activities in support of the statewide 8 29 long-term care resident's advocate program. 8 3019.18. Coordinate planning with other agencies and 8 31 organizations to promote new or expanded benefits and 8 32 opportunities for elders. 8 3320.19. Coordinate planning with other agencies for 8 34 assuring the safety of elders in a natural disaster or other 8 35 safety threatening situation. 9 121. Submit a report to the department of elder affairs9 2every six months, of the name of each health care facility in9 3its area for which the resident advocate committee has failed9 4to submit the report required by rules adopted pursuant to9 5section 231.44.9 6 Sec. 10. Section 231.41, Code 2003, is amended to read as 9 7 follows: 9 8 231.41 PURPOSE. 9 9 The purpose of this subchapter is to establish the long- 9 10 term care resident's advocate program operated by the Iowa 9 11 commission of elder affairs in accordance with the 9 12 requirements of theOlder Americansfederal Actof 1965, and 9 13 to adopt the supporting federal regulations and guidelines for 9 14 its implementation. In accordance with chapter 17A, the 9 15 commission of elder affairs shall adopt and enforce rules for 9 16 the implementation of this subchapter. 9 17 Sec. 11. Section 231.42, unnumbered paragraph 1, and 9 18 subsections 1, 3, and 5, Code 2003, are amended to read as 9 19 follows: 9 20 The Iowa commission of elder affairs, in accordance with 9 21 section 3027(a)(12) of the federal Act, shall establish the 9 22 office of long-term care resident's advocate within the 9 23commissiondepartment. The long-term care resident's advocate 9 24 shall: 9 25 1. Investigate and resolve complaints about administrative 9 26 actions that may adversely affect the health, safety, welfare, 9 27 or rights ofelderlyresidents in long-term care facilities, 9 28 excluding facilities licensed primarily to serve persons with 9 29 mental retardation or mental illness. 9 30 3. Provide information to other agencies and to the public 9 31 about the problems ofelderlyresidents in long-term care 9 32 facilities, excluding facilities licensed primarily to serve 9 33 persons with mental retardation or mental illness. 9 34 5. Carry out other activities consistent with the 9 35resident's advocatestate long-term care ombudsman program 10 1 provisions of the federal Act. 10 2 Sec. 12. Section 231.44, subsections 2, 3, and 4, Code 10 3 2003, are amended to read as follows: 10 4 2. The responsibilities of the resident advocate committee 10 5 are in accordance with the rules adopted by the commission 10 6 pursuant to chapter 17A. When adopting the rules, the 10 7 commission shall consider the needs of residents of elder 10 8 group homes as defined in section 231B.1 and each category of 10 9 licensed health care facility as defined in section 135C.1, 10 10 subsection 6, and the services each facility may render. The 10 11 commission shall coordinate the development of rules with the 10 12 mental health and developmental disabilities commission 10 13 created in section 225C.5 to the extent the rules would apply 10 14 to a facility primarily serving persons with mental illness, 10 15 mental retardation, or a developmental disability. The 10 16 commission shall coordinate the development of appropriate 10 17 rules with other state agencies. 10 18 3. Ahealthlong-term care facility shall disclose the 10 19 names, addresses, and phone numbers of a resident's family 10 20 members, if requested, to a resident advocate committee 10 21 member, unless permission for this disclosure is refused in 10 22 writing by a family member. 10 23 4.Neither theThe state,norany resident advocate 10 24 committee memberis, any resident advocate coordinator, and 10 25 any sponsoring area agency on aging are not liable for an 10 26 action undertaken by a resident advocate committee member or a 10 27 resident advocate committee coordinator in the performance of 10 28 duty, if the action is undertaken and carried out reasonably 10 29 and in good faith. 10 30 Sec. 13. Section 231.57, Code 2003, is amended to read as 10 31 follows: 10 32 231.57 COORDINATION OF ADVOCACY. 10 33 The department shall establish a program for the 10 34 coordination of information and assistance provided within the 10 35 state to assist elders in obtaining and protecting their 11 1 rights and benefits.The insurance division of the department11 2of commerce, office of the attorney general, the citizens'11 3aide, and other stateState and local agencies providing 11 4 information and assistance to elders in seeking their rights 11 5 and benefits shall cooperate with the department in developing 11 6 and implementing this program.The program shall include11 7review of health insurance policies marketed to elders and11 8other health-related written material distributed to elders11 9for marketing purposes.11 10 Sec. 14. Section 231.58, subsection 4, paragraph a, Code 11 11 2003, is amended to read as follows: 11 12 a. Develop, for legislative review, the mechanisms and 11 13 procedures necessary to implement, utilizing current11 14personnel,a case-managed system of long-term care based on a 11 15 uniform comprehensive assessment tool. 11 16 Sec. 15. Section 514D.5, subsections 3 and 4, Code 2003, 11 17 are amended to read as follows: 11 18 3. The commissionerafter consultation with the commission11 19of elder affairsshall prescribe disclosure rules formedicare11 20 Medicare supplement coverage which are determined to be in the 11 21 public interest and which are designed to adequately inform 11 22 the prospective insured of the need for and extent of coverage 11 23 offered asmedicareMedicare supplement coverage. For 11 24medicareMedicare supplement coverage, the outline of coverage 11 25 required by subsection 2 shall be furnished to the prospective 11 26 insured with the application form. 11 27 4. The commissionerafter consultation with the commission11 28of elder affairsshall further prescribe by rule a standard 11 29 form for and the contents of an informational brochure for 11 30 persons eligible formedicareMedicare by reason of age, which 11 31 is intended to improve the buyer's ability to select the most 11 32 appropriate coverage and to improve the buyer's understanding 11 33 ofmedicareMedicare. Except in the case of direct response 11 34 insurance policies, the commissioner may require by rule that 11 35 this informational brochure be provided to prospective 12 1 insureds eligible formedicareMedicare concurrently with 12 2 delivery of the outline of coverage. With respect to direct 12 3 response insurance policies, the commissioner may require by 12 4 rule that this brochure must be provided to prospective 12 5 insureds eligible formedicareMedicare by reason of age upon 12 6 request, but not later than at the time of delivery of the 12 7 policy or contract.The commissioner shall provide the12 8information received from insurers pursuant to subsection 312 9and this subsection and information relating to section 231.5912 10to the director of the department of elder affairs.12 11 Sec. 16. Sections 231.24, 231.54, 231.59, and 231.60, Code 12 12 2003, are repealed. 12 13 12 14 12 15 12 16 CHRISTOPHER C. RANTS 12 17 Speaker of the House 12 18 12 19 12 20 12 21 MARY E. KRAMER 12 22 President of the Senate 12 23 12 24 I hereby certify that this bill originated in the House and 12 25 is known as House File 386, Eightieth General Assembly. 12 26 12 27 12 28 12 29 MARGARET THOMSON 12 30 Chief Clerk of the House 12 31 Approved , 2003 12 32 12 33 12 34 12 35 THOMAS J. VILSACK 13 1 Governor
Text: HF00385 Text: HF00387 Text: HF00300 - HF00399 Text: HF Index Bills and Amendments: General Index Bill History: General Index
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