House Amendment 1454
PAG LIN
1 1 Amend the amendment, H=1417, to House File 841 as
1 2 follows:
1 3 #1. Page 2, by striking lines 40 through 42, and
1 4 inserting the following: <April 1, 2005.>
1 5 #2. Page 5, by inserting after line 47, the
1 6 following:
1 7 < . Notwithstanding the provision of section
1 8 347.16, subsection 2, requiring the provision of free
1 9 care and treatment to the persons described in that
1 10 subsection, the publicly owned acute care teaching
1 11 hospital described in subsection 1 may require any
1 12 sick or injured person seeking care or treatment at
1 13 that hospital to be subject to financial
1 14 participation, including but not limited to copayments
1 15 or premiums, and may deny nonemergent care or
1 16 treatment to any person who refuses to be subject to
1 17 such financial participation.>
1 18 #3. Page 6, by striking lines 44 through 48, and
1 19 inserting the following: <agree to exchange one
1 20 year's receipt of benefits under the expansion
1 21 population, to which the individual would otherwise be
1 22 entitled, for a credit to obtain any medical
1 23 assistance program covered service up to a specified
1 24 amount. The balance in the health care>.
1 25 #4. Page 8, line 29, by inserting after the word
1 26 <set> the following: <, section G, entitled "physical
1 27 functioning and structural problems">.
1 28 #5. Page 8, by striking lines 34 through 36.
1 29 #6. Page 8, by striking lines 44 through 48, and
1 30 inserting the following:
1 31 <a. Based on the minimum data set, the individual
1 32 requires supervision, or limited assistance, provided
1 33 on a daily basis by the physical assistance of at
1 34 least one person, for dressing and personal hygiene
1 35 activities of daily living as defined by the minimum
1 36 data set, section G, entitled "physical functioning
1 37 and structural problems".>
1 38 #7. Page 9, by inserting after line 21, the
1 39 following:
1 40 <4. The department shall develop a process to
1 41 allow individuals identified under subsection 3 to be
1 42 served under the home and community=based services
1 43 waiver at such time as appropriate home and community=
1 44 based services become available in the individual's
1 45 community.>
1 46 #8. Page 9, line 27, by inserting after the word
1 47 <providers,> the following: <the governor's
1 48 developmental disabilities council,>.
1 49 #9. Page 9, line 39, by inserting after the word
1 50 <providers,> the following: <the governor's
2 1 developmental disabilities council,>.
2 2 #10. Page 12, line 31, by striking the figure
2 3 <294A.4> and inserting the following: <249A.4>.
2 4 #11. Page 17, line 8, by striking the word <may>
2 5 and inserting the following: <shall>.
2 6 #12. Page 17, line 30, by inserting after the
2 7 figure <2005,> the following: <and annually by July
2 8 1, thereafter,>.
2 9 #13. Page 17, line 44, by inserting after the
2 10 figure <2005,> the following: <and annually by July
2 11 1, thereafter,>.
2 12 #14. Page 22, by inserting after line 34, the
2 13 following:
2 14 <Sec. . TRANSITION FROM INSTITUTIONAL SETTINGS
2 15 TO HOME AND COMMUNITY=BASED SERVICES. The department,
2 16 in consultation with provider and consumer
2 17 organizations, shall explore additional opportunities
2 18 under the medical assistance program to assist
2 19 individuals in transitioning from institutional
2 20 settings to home and community=based services. The
2 21 department shall report any opportunities identified
2 22 to the governor and the general assembly by December
2 23 31, 2005.>
2 24 #15. Page 24, by striking lines 4 through 20, and
2 25 inserting the following:
2 26 <1. A copayment of $1 for each covered
2 27 nonpreferred generic prescription drug.
2 28 2. A copayment of $1 for each covered preferred
2 29 brand=name or generic prescription drug.
2 30 3. A copayment of $1 for each covered nonpreferred
2 31 brand=name prescription drug for which the cost to the
2 32 state is up to and including $25.
2 33 4. A copayment of $2 for each covered nonpreferred
2 34 brand=name prescription drug for which the cost to the
2 35 state is more than $25 and up to and including $50.
2 36 5. A copayment of $3 for each covered nonpreferred
2 37 brand=name prescription drug for which the cost to the
2 38 state is more than $50.>
2 39 #16. Page 33, by striking line 43, and inserting
2 40 the following:
2 41 <Notwithstanding any provision of this Act to the
2 42 contrary, of the amount appropriated in this
2 43 subsection,>.
2 44 #17. Page 34, by striking lines 7 and 8, and
2 45 inserting the following:
2 46 <a. For the state mental health institute at
2 47 Cherokee, for salaries, support, maintenance, full=
2 48 time equivalent positions, and miscellaneous purposes
2 49 including services to>.
2 50 #18. Page 34, by striking lines 13 and 14, and
3 1 inserting the following:
3 2 <b. For the state mental health institute at
3 3 Clarinda, for salaries, support, maintenance, full=
3 4 time equivalent positions, and miscellaneous purposes
3 5 including services to>.
3 6 #19. Page 34, by striking lines 19 and 20, and
3 7 inserting the following:
3 8 <c. For the state mental health institute at
3 9 Independence, for salaries, support, maintenance,
3 10 full=time equivalent positions, and miscellaneous
3 11 purposes including services to>.
3 12 #20. Page 34, by striking lines 25 and 26, and
3 13 inserting the following:
3 14 <d. For the state mental health institute at Mount
3 15 Pleasant, for salaries, support, maintenance, full=
3 16 time equivalent positions, and miscellaneous purposes
3 17 including services to>.
3 18 #21. Page 35, line 32, by inserting after the word
3 19 <plan,> the following: <and the provisions relating
3 20 to execution of chapter 28E agreements in section
3 21 249J.23, as enacted in this Act,>.
3 22 #22. Page 36, lines 5 and 6, by striking the words
3 23 <and if this Act is enacted,>.
3 24 #23. Page 36, lines 32 and 33, by striking the
3 25 words <and if this Act is enacted,>.
3 26 #24. By renumbering as necessary.
3 27
3 28
3 29
3 30 CARROLL of Poweshiek
3 31 HF 841.313 81
3 32 pf/cf/1990
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