House
File
697
H-1734
Amend
House
File
697
as
follows:
1
1.
Page
457,
after
line
6
by
inserting:
2
<
Sec.
___.
NEW
SECTION
.
7E.8
Implementation
of
3
federal
statute,
regulation,
or
policy.
4
1.
Except
as
otherwise
explicitly
authorized
by
5
state
law,
a
state
administrative
agency
charged
with
6
the
implementation
of
a
federal
statute,
regulation,
or
7
policy
shall
not
exceed
the
specific
requirements
of
8
that
statute,
regulation,
or
policy.
9
2.
Any
portion
of
a
state
administrative
agency
10
rule
or
policy
that
is
in
violation
of
subsection
1
is
11
void.
>
12
2.
Page
457,
after
line
6
by
inserting:
13
<
Sec.
___.
NEW
SECTION
.
9.8
Employee
14
classifications.
15
In
addition
to
public
employees
listed
in
section
16
20.4,
public
employees
of
the
secretary
of
state
who
17
hold
positions
that
are
classified
in
the
information
18
technology
specialist
series
and
administrative
19
assistant
series
are
excluded
from
chapter
20.
>
20
3.
Page
457,
after
line
6
by
inserting:
21
<
Sec.
___.
NEW
SECTION
.
274.3
Exercise
of
powers
22
——
construction.
23
1.
The
board
of
directors
of
a
school
district
24
shall
operate,
control,
and
supervise
all
public
25
schools
located
within
its
district
boundaries
and
may
26
exercise
any
broad
and
implied
power
related
to
the
27
operation,
control,
and
supervision
of
those
public
28
schools
except
as
expressly
prohibited
or
prescribed
by
29
the
Constitution
of
the
State
of
Iowa
or
by
statute.
30
2.
Notwithstanding
subsection
1,
the
board
of
31
directors
of
a
school
district
shall
not
have
power
to
32
levy
any
tax
unless
expressly
authorized
by
the
general
33
assembly.
34
3.
This
section
shall
not
apply
to
a
research
and
35
development
school
as
defined
in
section
256G.2
or
to
36
a
laboratory
school
as
defined
in
section
265.1.
The
37
board
of
directors
of
a
school
district
in
which
such
a
38
research
and
development
school
or
laboratory
school
39
is
located
shall
not
exercise
over
such
a
school
any
40
powers
granted
to
the
board
by
subsection
1.
41
4.
This
chapter,
chapter
257
and
chapters
275
42
through
301,
and
other
statutes
relating
to
the
43
boards
of
directors
of
school
districts
and
to
school
44
districts
shall
be
liberally
construed
to
effectuate
45
the
purposes
of
subsection
1.
>
46
4.
Page
457,
after
line
12
by
inserting:
47
<
Sec.
___.
Section
422.11P,
subsection
2,
paragraph
48
b,
Code
2011,
as
enacted
by
2011
Iowa
Acts,
Senate
File
49
531,
section
25,
is
amended
to
read
as
follows:
50
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tm/jp
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57
#1.
#2.
#3.
#4.
b.
The
tax
credit
shall
apply
to
biodiesel
blended
1
fuel
classified
as
provided
in
this
section
,
if
the
2
classification
meets
the
standards
provided
in
section
3
214A.2
.
In
ensuring
that
biodiesel
blended
fuel
meets
4
the
classification
requirements
of
this
section,
the
5
department
shall
take
into
account
reasonable
variances
6
due
to
testing
and
other
limitations.
>
7
5.
Page
457,
after
line
12
by
inserting:
8
<
Sec.
___.
Section
455A.6,
subsection
5,
Code
2011,
9
is
amended
by
striking
the
subsection
and
inserting
in
10
lieu
thereof
the
following:
11
5.
Six
members
of
the
commission
is
a
quorum,
and
a
12
majority
of
the
commission
membership
may
act
in
any
13
matter
within
the
jurisdiction
of
the
commission.
14
Sec.
___.
Section
455A.6,
subsection
6,
paragraph
15
a,
Code
2011,
is
amended
to
read
as
follows:
16
a.
Establish
policy
for
the
department
and
adopt
17
rules,
pursuant
to
chapter
17A,
necessary
to
provide
18
for
the
effective
administration
of
chapter
455B,
455C,
19
or
459.
The
commission
shall
have
only
that
authority
20
or
discretion
which
is
explicitly
delegated
to
or
21
conferred
upon
the
commission
by
chapter
455B,
455C,
or
22
459,
and
shall
not
expand
or
enlarge
on
that
authority
23
or
discretion.
>
24
6.
Page
475,
before
line
24
by
inserting:
25
<
DIVISION
___
26
HALLUCINOGENIC
SUBSTANCES
27
Sec.
___.
Section
124.204,
subsection
4,
Code
2011,
28
is
amended
by
adding
the
following
new
paragraph:
29
NEW
PARAGRAPH
.
ai.
(1)
Mephedrone,
also
known
as
30
4-methylmethcathinone,(RS)-2-methylamino-l-(4-methylphenyl)
31
propan-1-one.
32
(2)
Methylene-dioxypyrovalerone(MDPV)[(1-(1,3-
33
Benzodioxol-5-yl)-2-(1-pyrrolidinyl)-1-pentanone].
34
(3)
Salvia
divinorum.
35
(4)
Salvinorin
A.
36
(5)
Any
substance,
compound,
mixture
or
preparation
37
which
contains
any
quantity
of
any
synthetic
38
cannabinoid
that
is
not
approved
as
a
pharmaceutical,
39
including
but
not
limited
to
the
following:
40
(a)
CP
47,
497
and
homologues
2-[(1R,
3S)-3-
41
hydroxycyclohexyl]-5-(2-methyloctan-2-yl)phenol).
42
(b)
HU-210[(6aR,10aR)-9-(hydroxymethyl)-6,6-dimethyl-3-
43
(2-methyloctan-2-yl)-6a,7,10,10a-tetrahydrobenzo[c]
44
chromen-1-ol)].
45
(c)
HU-211(dexanabinol,
(6aS,10aS)-9-(hydroxymethyl)-6,6-
46
dimethyl-3-(2-methyloctan-2-yl)-6a,7,10,10a-tetrahydrobenzo[c]
47
chromen-1-ol).
48
(d)
JWH-018
1-Pentyl-3-(1-naphthoyl)indole.
49
(e)
JWH-073
1-Butyl-3-(1-naphthoyl)indole.
50
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#5.
#6.
(f)
JWH-200
[1-[2-(4-morpholinyl)ethyl]-1H-indol-3-yl]-1-
1
naphthalenyl-methanone.
2
Sec.
___.
Section
124.401,
subsection
1,
paragraph
3
c,
subparagraph
(8),
Code
2011,
is
amended
to
read
as
4
follows:
5
(8)
Any
other
controlled
substance,
counterfeit
6
substance,
or
simulated
controlled
substance
classified
7
in
schedule
I,
II,
or
III
,
except
as
provided
in
8
paragraph
“d”
.
9
Sec.
___.
Section
124.401,
subsection
1,
paragraph
10
d,
Code
2011,
is
amended
to
read
as
follows:
11
d.
(1)
Violation
of
this
subsection
,
with
respect
12
to
any
other
controlled
substances,
counterfeit
13
substances,
or
simulated
controlled
substances
14
classified
in
schedule
IV
or
V
is
an
aggravated
15
misdemeanor.
However,
16
(2)
A
violation
of
this
subsection
involving
fifty
17
any
of
the
following
is
a
class
“D”
felony:
18
(a)
Fifty
kilograms
or
less
of
marijuana
or
19
involving
flunitrazepam
is
a
class
“D”
felony
.
20
(b)
Flunitrazepam.
21
(c)
A
controlled
substance,
counterfeit
substance,
22
or
simulated
controlled
substance
classified
in
section
23
124.204,
subsection
4,
paragraph
“ai”
.
24
Sec.
___.
EFFECTIVE
UPON
ENACTMENT.
This
division
25
of
this
Act,
being
deemed
of
immediate
importance,
26
takes
effect
upon
enactment.
>
27
7.
Page
475,
before
line
24
by
inserting:
28
<
DIVISION
___
29
FIRE
EXTINGUISHING
AND
ALARM
SYSTEMS
CONTRACTORS
AND
30
INSTALLERS
——
ELECTRICIANS
AND
ELECTRICAL
CONTRACTORS
31
——
LICENSING
32
Sec.
___.
Section
100C.1,
subsection
13,
Code
2011,
33
is
amended
by
adding
the
following
new
paragraph:
34
NEW
PARAGRAPH
.
c.
For
a
telecommunications
35
company
that
has
been
issued
a
certificate
of
public
36
convenience
and
necessity
pursuant
to
section
476.29,
37
a
person
with
whom
the
telecommunications
company
38
contracts,
who
is
certified
by
the
national
institute
39
for
certification
in
engineering
technologies
as
40
required
in
paragraph
“a”
or
“b”
or
who
meets
any
other
41
criteria
established
by
rule.
42
Sec.
___.
Section
100C.2,
subsection
3,
Code
2011,
43
is
amended
by
adding
the
following
new
paragraph:
44
NEW
PARAGRAPH
.
d.
This
subsection
shall
not
45
apply
to
a
responsible
managing
employee
with
whom
a
46
telecommunications
company
contracts
as
provided
in
47
section
100C.1,
subsection
13,
paragraph
“c”
.
48
Sec.
___.
NEW
SECTION
.
103.1A
Term
“commercial”
“commercial”
“commercial”
49
applied.
50
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#7.
As
used
in
this
chapter:
1
1.
“Commercial”
refers
to
a
use,
installation,
2
structure,
or
premises
associated
with
a
place
of
3
business
where
goods,
wares,
services,
or
merchandise
4
is
stored
or
offered
for
sale
on
a
wholesale
or
retail
5
basis.
6
2.
“Commercial”
refers
to
a
residence
only
if
7
the
residence
is
also
used
as
a
place
of
business
as
8
provided
in
subsection
1.
9
3.
“Commercial”
does
not
refer
to
a
use,
10
installation,
structure,
or
premises
associated
with
11
any
of
the
following:
12
a.
A
farm.
13
b.
An
industrial
installation.
14
Sec.
___.
Section
103.22,
subsection
7,
Code
2011,
15
is
amended
to
read
as
follows:
16
7.
Prohibit
an
owner
of
property
from
performing
17
work
on
the
owner’s
principal
residence,
if
such
18
residence
is
an
existing
dwelling
rather
than
new
19
construction
and
is
not
an
apartment
that
is
attached
20
to
any
other
apartment
or
building,
as
those
terms
are
21
defined
in
section
499B.2
,
and
is
not
larger
than
a
22
single-family
dwelling,
or
farm
property,
excluding
23
commercial
or
industrial
installations
or
installations
24
in
public
use
buildings
or
facilities,
or
require
25
such
owner
to
be
licensed
under
this
chapter
.
In
26
order
to
qualify
for
inapplicability
pursuant
to
this
27
subsection
,
a
residence
shall
qualify
for
the
homestead
28
tax
exemption.
29
Sec.
___.
Section
103.22,
Code
2011,
is
amended
by
30
adding
the
following
new
subsection:
31
NEW
SUBSECTION
.
15.
Apply
to
a
person
performing
32
any
installation
on
a
farm,
if
the
person
is
associated
33
with
the
farm
as
a
holder
of
a
legal
or
equitable
34
interest,
a
relative
or
employee
of
the
holder,
or
35
an
operator
or
manager
of
the
farm.
The
provisions
36
of
this
chapter
do
not
require
such
person
to
be
37
licensed.
In
addition,
a
permit
is
not
required
for
an
38
installation
on
a
farm,
and
an
installation
on
a
farm
39
is
not
required
to
be
inspected.
In
order
for
a
farm
40
building
to
qualify
under
this
subsection,
the
farm
41
building
must
not
be
regularly
open
to
the
public
as
a
42
place
of
business
for
the
retail
sale
of
goods,
wares,
43
services,
or
merchandise.
>
44
8.
Page
475,
before
line
24
by
inserting:
45
<
DIVISION
___
46
CLASS
“A”
FELONIES
——
JUVENILES
47
Sec.
___.
Section
232.8,
subsection
3,
paragraph
a,
48
Code
2011,
is
amended
to
read
as
follows:
49
a.
The
juvenile
court,
after
a
hearing
and
in
50
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#8.
accordance
with
the
provisions
of
section
232.45
,
may
1
waive
jurisdiction
of
a
child
alleged
to
have
committed
2
a
public
offense
so
that
the
child
may
be
prosecuted
3
as
an
adult
or
youthful
offender
for
such
offense
in
4
another
court.
If
the
child
,
except
a
child
being
5
prosecuted
as
a
youthful
offender,
pleads
guilty
or
is
6
found
guilty
of
a
public
offense
other
than
a
class
“A”
7
felony
in
another
court
of
this
state,
that
court
may
8
suspend
the
sentence
or,
with
the
consent
of
the
child,
9
defer
judgment
and
without
regard
to
restrictions
10
placed
upon
deferred
judgments
for
adults,
place
the
11
child
on
probation
for
a
period
of
not
less
than
one
12
year
upon
such
conditions
as
it
may
require.
Upon
13
fulfillment
of
the
conditions
of
probation,
a
child
14
who
receives
a
deferred
judgment
shall
be
discharged
15
without
entry
of
judgment.
A
child
prosecuted
as
16
a
youthful
offender
shall
be
sentenced
pursuant
to
17
section
907.3A.
18
Sec.
___.
Section
232.50,
subsection
1,
Code
2011,
19
is
amended
to
read
as
follows:
20
1.
As
soon
as
practicable
following
the
entry
21
of
an
order
of
adjudication
pursuant
to
section
22
232.47
or
notification
that
the
child
has
received
a
23
youthful
offender
deferred
sentence
been
placed
on
24
youthful
offender
status
pursuant
to
section
907.3A
,
25
the
court
shall
hold
a
dispositional
hearing
in
order
26
to
determine
what
disposition
should
be
made
of
the
27
matter.
28
Sec.
___.
Section
232.52,
subsection
1,
Code
2011,
29
is
amended
to
read
as
follows:
30
1.
Pursuant
to
a
hearing
as
provided
in
section
31
232.50
,
the
court
shall
enter
the
least
restrictive
32
dispositional
order
appropriate
in
view
of
the
33
seriousness
of
the
delinquent
act,
the
child’s
34
culpability
as
indicated
by
the
circumstances
of
35
the
particular
case,
the
age
of
the
child,
the
36
child’s
prior
record,
or
the
fact
that
the
child
has
37
received
a
youthful
offender
deferred
sentence
been
38
placed
on
youthful
offender
status
under
section
39
907.3A
.
The
order
shall
specify
the
duration
and
40
the
nature
of
the
disposition,
including
the
type
of
41
residence
or
confinement
ordered
and
the
individual,
42
agency,
department
,
or
facility
in
whom
custody
is
43
vested.
In
the
case
of
a
child
who
has
received
a
44
youthful
offender
deferred
sentence
been
placed
on
45
youthful
offender
status
,
the
initial
duration
of
the
46
dispositional
order
shall
be
until
the
child
reaches
47
the
age
of
eighteen.
48
Sec.
___.
Section
232.54,
subsection
1,
paragraph
49
g,
Code
2011,
is
amended
to
read
as
follows:
50
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g.
With
respect
to
a
juvenile
court
dispositional
1
order
entered
regarding
a
child
who
has
received
a
2
youthful
offender
deferred
sentence
been
placed
on
3
youthful
offender
status
under
section
907.3A
,
the
4
dispositional
order
may
be
terminated
prior
to
the
5
child
reaching
the
age
of
eighteen
upon
motion
of
the
6
child,
the
person
or
agency
to
whom
custody
of
the
7
child
has
been
transferred,
or
the
county
attorney
8
following
a
hearing
before
the
juvenile
court
if
it
is
9
shown
by
clear
and
convincing
evidence
that
it
is
in
10
the
best
interests
of
the
child
and
the
community
to
11
terminate
the
order.
The
hearing
may
be
waived
if
all
12
parties
to
the
proceeding
agree.
The
dispositional
13
order
regarding
a
child
who
has
received
a
youthful
14
offender
deferred
sentence
been
placed
on
youthful
15
offender
status
may
also
be
terminated
prior
to
the
16
child
reaching
the
age
of
eighteen
upon
motion
of
the
17
county
attorney,
if
the
waiver
of
the
child
to
district
18
court
was
conditioned
upon
the
terms
of
an
agreement
19
between
the
county
attorney
and
the
child,
and
the
20
child
violates
the
terms
of
the
agreement
after
the
21
waiver
order
has
been
entered.
The
district
court
22
shall
discharge
the
child’s
youthful
offender
status
23
upon
receiving
a
termination
order
under
this
section
.
24
Sec.
___.
Section
232.54,
subsection
1,
paragraph
25
h,
unnumbered
paragraph
1,
Code
2011,
is
amended
to
26
read
as
follows:
27
With
respect
to
a
dispositional
order
entered
28
regarding
a
child
who
has
received
a
youthful
offender
29
deferred
sentence
been
placed
on
youthful
offender
30
status
under
section
907.3A
,
the
juvenile
court
may,
31
in
the
case
of
a
child
who
violates
the
terms
of
the
32
order,
modify
or
terminate
the
order
in
accordance
with
33
the
following:
34
Sec.
___.
Section
232.55,
subsection
3,
Code
2011,
35
is
amended
to
read
as
follows:
36
3.
This
section
does
not
apply
to
dispositional
37
orders
entered
regarding
a
child
who
has
received
a
38
youthful
offender
deferred
sentence
been
placed
on
39
youthful
offender
status
under
section
907.3A
who
40
is
not
discharged
from
probation
before
or
upon
the
41
child’s
eighteenth
birthday.
42
Sec.
___.
Section
232.56,
Code
2011,
is
amended
to
43
read
as
follows:
44
232.56
Youthful
offenders
——
transfer
to
district
45
court
supervision.
46
The
juvenile
court
shall
deliver
a
report,
which
47
includes
an
assessment
of
the
child
by
a
juvenile
court
48
officer
after
consulting
with
the
judicial
district
49
department
of
correctional
services,
to
the
district
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court
prior
to
the
eighteenth
birthday
of
a
child
who
1
has
received
a
youthful
offender
deferred
sentence
2
been
placed
on
youthful
offender
status
under
section
3
907.3A
.
A
hearing
shall
be
held
in
the
district
court
4
in
accordance
with
section
907.3A
to
determine
whether
5
the
child
should
be
discharged
from
youthful
offender
6
status
or
whether
the
child
shall
continue
under
the
7
supervision
of
the
district
court
after
the
child’s
8
eighteenth
birthday.
9
Sec.
___.
Section
654.4B,
subsection
2,
paragraph
10
b,
Code
2011,
is
amended
to
read
as
follows:
11
b.
This
subsection
is
repealed
July
1,
2011
2012
.
12
Sec.
___.
Section
902.1,
Code
2011,
is
amended
to
13
read
as
follows:
14
902.1
Class
“A”
felony.
15
1.
Upon
a
plea
of
guilty,
a
verdict
of
guilty,
or
16
a
special
verdict
upon
which
a
judgment
of
conviction
17
of
a
class
“A”
felony
may
be
rendered,
the
court
shall
18
enter
a
judgment
of
conviction
and
shall
commit
the
19
defendant
into
the
custody
of
the
director
of
the
20
Iowa
department
of
corrections
for
the
rest
of
the
21
defendant’s
life.
Nothing
in
the
Iowa
corrections
code
22
pertaining
to
deferred
judgment,
deferred
sentence,
23
suspended
sentence,
or
reconsideration
of
sentence
24
applies
to
a
class
“A”
felony,
and
a
person
convicted
25
of
a
class
“A”
felony
shall
not
be
released
on
parole
26
unless
the
governor
commutes
the
sentence
to
a
term
of
27
years.
28
2.
a.
Notwithstanding
subsection
1,
a
person
29
convicted
of
a
class
“A”
felony,
and
who
was
under
the
30
age
of
eighteen
at
the
time
the
offense
was
committed
31
shall
be
eligible
for
parole
after
serving
a
minimum
32
term
of
confinement
of
twenty-five
years.
33
b.
If
a
person
is
paroled
pursuant
to
this
34
subsection
the
person
shall
be
subject
to
the
same
set
35
of
procedures
set
out
in
chapters
901B,
905,
906,
and
36
chapter
908,
and
rules
adopted
under
those
chapters
for
37
persons
on
parole.
38
c.
A
person
convicted
of
murder
in
the
first
degree
39
in
violation
of
section
707.2
shall
not
be
eligible
for
40
parole
pursuant
to
this
subsection.
41
d.
A
person
convicted
of
murder
in
the
second
42
degree
in
violation
of
section
707.3
and
who
was
also
43
convicted
of
either
kidnapping
in
the
first
degree
44
in
violation
of
section
710.2
or
sexual
abuse
in
the
45
first
degree
in
violation
of
section
709.2,
which
46
conviction
arose
out
of
the
same
set
of
facts
as
the
47
murder-in-the-second-degree
conviction,
shall
not
be
48
eligible
for
parole
pursuant
to
this
subsection.
49
Sec.
___.
Section
907.3A,
Code
2011,
is
amended
to
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read
as
follows:
1
907.3A
Youthful
offender
deferred
sentence
——
2
youthful
offender
status.
3
1.
Notwithstanding
section
907.3
but
subject
to
any
4
conditions
of
the
waiver
order,
the
trial
court
shall,
5
upon
a
plea
of
guilty
or
a
verdict
of
guilty,
defer
6
sentence
of
a
youthful
offender
place
the
juvenile
7
over
whom
the
juvenile
court
has
waived
jurisdiction
8
pursuant
to
section
232.45,
subsection
7
,
and
place
9
the
juvenile
on
youthful
offender
status.
The
court
10
shall
transfer
supervision
of
the
youthful
offender
to
11
the
juvenile
court
for
disposition
in
accordance
with
12
section
232.52
.
An
adjudication
of
delinquency
entered
13
by
the
juvenile
court
for
a
public
offense
shall
not
14
be
deemed
a
conviction
and
shall
not
preclude
the
15
subsequent
entry
of
a
deferred
judgment,
conviction,
16
or
sentence
by
the
district
court.
The
court
shall
17
require
supervision
of
the
youthful
offender
in
18
accordance
with
section
232.54,
subsection
1
,
paragraph
19
“h”
,
or
subsection
2
of
this
section
.
Notwithstanding
20
section
901.2,
a
presentence
investigation
shall
not
be
21
ordered
by
the
court
subsequent
to
an
entry
of
a
plea
22
of
guilty
or
verdict
of
guilty
or
prior
to
deferral
of
23
sentence
of
a
youthful
offender
under
this
section.
24
2.
The
court
shall
hold
a
hearing
prior
to
a
25
youthful
offender’s
eighteenth
birthday
to
determine
26
whether
the
youthful
offender
shall
continue
on
27
youthful
offender
status
after
the
youthful
offender’s
28
eighteenth
birthday
under
the
supervision
of
the
29
court
or
be
discharged
.
Notwithstanding
section
30
901.2,
the
court
may
order
a
presentence
investigation
31
report
including
a
report
for
an
offense
classified
32
as
a
class
“A”
felony.
The
court
shall
review
the
33
report
of
the
juvenile
court
regarding
the
youthful
34
offender
and
prepared
pursuant
to
section
232.56,
35
and
any
presentence
investigation
report,
if
ordered
36
by
the
court.
The
court
shall
hear
evidence
by
or
37
on
behalf
of
the
youthful
offender,
by
the
county
38
attorney,
and
by
the
person
or
agency
to
whom
custody
39
of
the
youthful
offender
was
transferred.
The
court
40
shall
make
its
decision
,
pursuant
to
the
sentencing
41
options
available
in
subsection
3,
after
considering
42
the
services
available
to
the
youthful
offender,
the
43
evidence
presented,
the
juvenile
court’s
report,
the
44
presentence
investigation
report
if
ordered
by
the
45
court,
the
interests
of
the
youthful
offender,
and
46
interests
of
the
community.
47
3.
a.
Notwithstanding
any
provision
of
the
Code
48
which
prescribes
a
mandatory
minimum
sentence
for
the
49
offense
committed
by
the
youthful
offender,
following
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transfer
of
the
youthful
offender
from
the
juvenile
1
court
back
to
the
court
having
jurisdiction
over
the
2
criminal
proceedings
involving
the
youthful
offender,
3
the
court
may
continue
the
youthful
offender
deferred
4
sentence
or
enter
a
sentence,
which
may
be
a
suspended
5
sentence.
shall
order
one
of
the
following
sentencing
6
options:
7
(1)
Defer
judgment
and
place
the
youthful
offender
8
on
probation,
upon
the
consent
of
the
youthful
9
offender.
10
(2)
Defer
the
sentence
and
place
the
youthful
11
offender
on
probation
upon
such
terms
and
conditions
12
as
the
court
may
require.
13
(3)
Suspend
the
sentence
and
place
the
youthful
14
offender
on
probation
upon
such
terms
and
conditions
15
as
the
court
may
require.
16
(4)
A
term
of
confinement.
17
(5)
Discharge
the
youthful
offender
from
youthful
18
offender
status
and
terminate
the
sentence.
19
b.
Notwithstanding
anything
in
section
907.7
to
20
the
contrary,
if
the
district
court
either
grants
21
the
youthful
offender
a
deferred
judgment,
continues
22
the
youthful
offender
deferred
sentence
,
or
enters
a
23
sentence
,
and
suspends
the
sentence,
and
places
the
24
youthful
offender
on
probation,
the
term
of
formal
25
supervision
shall
commence
upon
entry
of
the
order
by
26
the
district
court
and
may
continue
for
a
period
not
27
to
exceed
five
years.
If
the
district
court
enters
a
28
sentence
of
confinement,
and
the
youthful
offender
was
29
previously
placed
in
secure
confinement
by
the
juvenile
30
court
under
the
terms
of
the
initial
disposition
order
31
or
any
modification
to
the
initial
disposition
order,
32
the
person
shall
receive
credit
for
any
time
spent
in
33
secure
confinement.
During
any
period
of
probation
34
imposed
by
the
district
court,
a
youthful
offender
who
35
violates
the
terms
of
probation
is
subject
to
section
36
908.11
.
37
Sec.
___.
Section
907.9,
subsection
4,
Code
2011,
38
is
amended
to
read
as
follows:
39
4.
At
the
expiration
of
the
period
of
probation
40
if
the
fees
imposed
under
section
905.14
and
court
41
debt
collected
pursuant
to
section
602.8107
have
been
42
paid,
the
court
shall
order
the
discharge
of
the
person
43
from
probation.
If
portions
of
the
court
debt
remain
44
unpaid,
the
person
shall
establish
a
payment
plan
with
45
the
clerk
of
the
district
court
or
the
county
attorney
46
prior
to
the
discharge.
The
court
shall
forward
to
the
47
governor
a
recommendation
for
or
against
restoration
48
of
citizenship
rights
to
that
person
upon
discharge.
49
A
person
who
has
been
discharged
from
probation
shall
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no
longer
be
held
to
answer
for
the
person’s
offense.
1
Upon
discharge
from
probation,
if
judgment
has
been
2
deferred
under
section
907.3
,
the
court’s
criminal
3
record
with
reference
to
the
deferred
judgment
and
any
4
counts
dismissed
by
the
court,
which
were
contained
in
5
the
indictment,
information,
or
complaint
that
resulted
6
in
the
deferred
judgement,
shall
be
expunged.
The
7
record
maintained
by
the
state
court
administrator
8
as
required
by
section
907.4
shall
not
be
expunged.
9
The
court’s
record
shall
not
be
expunged
in
any
other
10
circumstances.
11
Sec.
___.
EFFECTIVE
UPON
ENACTMENT.
The
section
12
of
this
division
of
this
Act
amending
section
654.4B,
13
being
deemed
of
immediate
importance,
takes
effect
upon
14
enactment.
>
15
9.
Page
475,
before
line
24
by
inserting:
16
<
DIVISION
___
17
STATE
EXPENDITURE
REQUIREMENTS
——
REVENUE
ESTIMATING
18
CONFERENCE
——
APPROPRIATION
TRANSFERS
19
Sec.
___.
Section
8.22A,
subsection
2,
Code
2011,
20
is
amended
to
read
as
follows:
21
2.
The
conference
shall
meet
as
often
as
deemed
22
necessary,
but
shall
meet
at
least
quarterly
three
23
times
per
year
.
The
conference
may
use
sources
of
24
information
deemed
appropriate.
At
each
meeting,
25
the
conference
shall
agree
to
estimates
for
the
26
current
and
the
following
fiscal
years
for
the
general
27
fund
of
the
state,
lottery
revenues
to
be
available
28
for
disbursement,
and
from
gambling
revenues
and
29
from
interest
earned
on
the
cash
reserve
fund
and
30
the
economic
emergency
fund
to
be
deposited
in
the
31
rebuild
Iowa
infrastructure
fund.
An
estimate
for
the
32
following
fiscal
year,
other
than
an
estimate
agreed
to
33
pursuant
to
subsection
3,
4,
or
5,
shall
be
considered
34
a
preliminary
estimate.
35
Sec.
___.
Section
8.39,
subsections
1
and
2,
Code
36
2011,
are
amended
to
read
as
follows:
37
1.
Except
as
otherwise
provided
by
law,
an
38
appropriation
or
any
part
of
it
shall
not
be
used
39
for
any
other
purpose
than
that
for
which
it
was
40
made.
However,
with
the
prior
written
consent
and
41
approval
of
the
governor
and
the
director
of
the
42
department
of
management,
the
governing
board
or
head
43
of
any
state
department,
institution,
or
agency
may,
44
at
any
time
during
the
fiscal
year,
make
a
whole
or
45
partial
intradepartmental
transfer
of
its
unexpended
46
appropriations
for
purposes
within
the
scope
of
such
47
department,
institution,
or
agency.
Such
transfer
48
shall
be
to
an
appropriation
made
from
the
same
49
funding
source
and
within
the
same
fiscal
year.
The
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#9.
amount
of
a
transfer
made
from
an
appropriation
under
1
this
subsection
shall
be
limited
to
not
more
than
2
one-twentieth
of
one
percent
of
the
total
of
all
3
appropriations
made
from
the
funding
source
of
the
4
transferred
appropriation
for
the
fiscal
year
in
which
5
the
transfer
is
made.
6
2.
If
the
appropriation
of
a
department,
7
institution,
or
agency
is
insufficient
to
properly
meet
8
the
legitimate
expenses
of
the
department,
institution,
9
or
agency,
the
director,
with
the
approval
of
the
10
governor,
may
make
an
interdepartmental
transfer
from
11
any
other
department,
institution,
or
agency
of
the
12
state
having
an
appropriation
in
excess
of
its
needs,
13
of
sufficient
funds
to
meet
that
deficiency.
Such
14
transfer
shall
be
to
an
appropriation
made
from
the
15
same
funding
source
and
within
the
same
fiscal
year.
16
The
amount
of
a
transfer
made
from
an
appropriation
17
under
this
subsection
shall
be
limited
to
not
more
18
than
one-twentieth
of
one
percent
of
the
total
of
all
19
appropriations
made
from
the
funding
source
of
the
20
transferred
appropriation
for
the
fiscal
year
in
which
21
the
transfer
is
made.
An
interdepartmental
transfer
22
to
an
appropriation
which
is
not
an
entitlement
23
appropriation
is
not
authorized
when
the
general
24
assembly
is
in
regular
session
and,
in
addition,
25
the
sum
of
interdepartmental
transfers
in
a
fiscal
26
year
to
an
appropriation
which
is
not
an
entitlement
27
appropriation
shall
not
exceed
fifty
percent
of
the
28
amount
of
the
appropriation
as
enacted
by
the
general
29
assembly.
For
the
purposes
of
this
subsection
,
an
30
entitlement
appropriation
is
a
line
item
appropriation
31
to
the
state
public
defender
for
indigent
defense
or
to
32
the
department
of
human
services
for
foster
care,
state
33
supplementary
assistance,
or
medical
assistance,
or
for
34
the
family
investment
program.
35
Sec.
___.
Section
8.39,
Code
2011,
is
amended
by
36
adding
the
following
new
subsection:
37
NEW
SUBSECTION
.
2A.
The
aggregate
amount
of
38
intradepartmental
and
interdepartmental
transfers
39
made
from
all
appropriations
for
a
fiscal
year
40
pursuant
to
this
section
is
limited
to
not
more
than
41
one-fourth
of
one
percent
of
the
total
amount
of
the
42
appropriations
made
from
the
general
fund
of
the
state
43
for
the
fiscal
year.
The
aggregate
amount
of
the
44
intradepartmental
and
interdepartmental
transfers
made
45
from
an
appropriation
for
a
fiscal
year
is
limited
to
46
fifty
percent
of
the
appropriation.
47
Sec.
___.
EFFECTIVE
UPON
ENACTMENT.
This
division
48
of
this
Act,
being
deemed
of
immediate
importance,
49
takes
effect
upon
enactment.
>
50
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10.
Page
475
before
line
24
by
inserting:
1
<
DIVISION
___
2
SCHOOL
DRESS
CODES
3
Sec.
___.
Section
279.58,
subsection
1,
Code
2011,
4
is
amended
by
striking
the
subsection.
5
Sec.
___.
Section
279.58,
subsection
2,
Code
2011,
6
is
amended
to
read
as
follows:
7
2.
The
board
of
directors
of
a
school
district
may
8
adopt,
for
the
district
or
for
an
individual
school
9
within
the
district,
a
dress
code
policy
that
prohibits
10
students
from
wearing
gang-related
or
other
specific
11
apparel
prescribes
standard
dress,
or
that
otherwise
12
imposes
limitations
on
student
dress
without
limiting
13
a
student’s
constitutional
rights
and
privileges,
14
if
the
board
determines
that
the
policy
is
necessary
15
for
would
improve
the
health,
safety,
or
positive
16
educational
environment
of
students
and
staff
in
the
17
school
environment
or
for
the
appropriate
discipline
18
and
operation
of
the
school.
19
3.
Adoption
and
enforcement
of
a
dress
code
policy
20
pursuant
to
this
section
is
not
a
violation
of
section
21
280.22
.
22
Sec.
___.
EFFECTIVE
UPON
ENACTMENT.
This
division
23
of
this
Act,
being
deemed
of
immediate
importance,
24
takes
effect
upon
enactment.
>
25
11.
Page
475,
before
line
24
by
inserting:
26
<
DIVISION
___
27
DAYS
OF
INSTRUCTION
28
Sec.
___.
Section
256.7,
subsection
19,
Code
2011,
29
is
amended
to
read
as
follows:
30
19.
Define
the
minimum
school
day
as
a
day
31
consisting
of
five
and
one-half
hours
of
instructional
32
time
for
grades
one
through
twelve.
The
minimum
33
hours
as
time
spent
with
a
licensed
teacher
that
shall
34
be
exclusive
of
the
lunch
period
and
parent-teacher
35
conferences
,
but
may
include
passing
time
between
36
classes.
Time
spent
on
parent-teacher
conferences
37
shall
be
considered
instructional
time.
A
school
or
38
school
district
may
record
a
day
of
school
with
less
39
than
the
minimum
instructional
hours
as
a
minimum
40
school
day
if
any
of
the
following
apply:
41
a.
If
emergency
health
or
safety
factors
require
42
the
late
arrival
or
early
dismissal
of
students
on
a
43
specific
day.
44
b.
If
the
total
hours
of
instructional
school
45
time
for
grades
one
through
twelve
for
any
five
46
consecutive
school
days
equal
a
minimum
of
twenty-seven
47
and
one-half
hours,
even
though
any
one
day
of
48
school
is
less
than
the
minimum
instructional
hours
49
because
of
a
staff
development
opportunity
provided
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#10.
#11.
for
the
professional
instructional
staff
or
because
1
parent-teacher
conferences
have
been
scheduled
2
beyond
the
regular
school
day.
Furthermore,
if
the
3
total
hours
of
instructional
time
for
the
first
four
4
consecutive
days
equal
at
least
twenty-seven
and
5
one-half
hours
because
parent-teacher
conferences
6
have
been
scheduled
beyond
the
regular
school
day,
a
7
school
or
school
district
may
record
zero
hours
of
8
instructional
time
on
the
fifth
consecutive
school
day
9
as
a
minimum
school
day.
10
Sec.
___.
Section
256F.4,
subsection
5,
Code
2011,
11
is
amended
to
read
as
follows:
12
5.
A
charter
school
or
innovation
zone
school
shall
13
provide
instruction
for
at
least
the
number
of
days
14
hours
required
by
section
279.10,
subsection
1
,
or
15
shall
provide
at
least
the
equivalent
number
of
total
16
hours
.
17
Sec.
___.
Section
279.10,
subsection
1,
Code
2011,
18
is
amended
to
read
as
follows:
19
1.
The
school
year
for
each
school
district
and
20
accredited
nonpublic
school
shall
begin
on
the
first
21
day
of
July
1
and
each
regularly
established
elementary
22
and
secondary
school
shall
begin
no
sooner
than
a
day
23
during
the
calendar
week
in
which
the
first
day
of
24
September
falls
but
no
later
than
the
first
Monday
25
in
December.
However,
if
the
first
day
of
September
26
falls
on
a
Sunday,
school
may
begin
on
a
day
during
the
27
calendar
week
which
immediately
precedes
the
first
day
28
of
September.
School
shall
continue
for
at
least
one
29
hundred
eighty
days,
except
as
provided
in
subsection
30
3
,
and
may
be
maintained
The
school
calendar
shall
31
include
not
less
than
one
thousand
eighty
hours
of
32
instruction
during
the
entire
calendar
year.
However,
33
if
The
board
of
directors
of
a
school
district
and
the
34
authorities
in
charge
of
an
accredited
nonpublic
school
35
shall
set
the
number
of
days
of
required
attendance
36
for
the
school
year
as
provided
in
section
299.1,
37
subsection
2,
but
the
board
of
directors
of
a
school
38
district
shall
hold
a
public
hearing
on
any
proposed
39
school
calendar
prior
to
adopting
the
school
calendar.
40
If
the
board
of
directors
of
a
district
or
the
41
authorities
in
charge
of
an
accredited
nonpublic
school
42
extends
the
school
calendar
because
inclement
weather
43
caused
the
school
district
or
accredited
nonpublic
44
school
to
temporarily
close
school
during
the
regular
45
school
calendar,
the
school
district
or
accredited
46
nonpublic
school
may
excuse
a
graduating
senior
who
47
has
met
district
or
school
requirements
for
graduation
48
from
attendance
during
the
extended
school
calendar.
A
49
school
corporation
may
begin
employment
of
personnel
50
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for
in-service
training
and
development
purposes
before
1
the
date
to
begin
elementary
and
secondary
school.
2
Sec.
___.
Section
279.10,
subsections
2
and
3,
Code
3
2011,
are
amended
by
striking
the
subsections.
4
Sec.
___.
Section
299.4,
subsection
1,
Code
2011,
5
is
amended
to
read
as
follows:
6
1.
The
parent,
guardian,
or
legal
custodian
of
a
7
child
who
is
of
compulsory
attendance
age,
who
places
8
the
child
under
competent
private
instruction
under
9
either
section
299A.2
or
299A.3
,
not
in
an
accredited
10
school
or
a
home
school
assistance
program
operated
11
by
a
school
district
or
accredited
nonpublic
school,
12
shall
furnish
a
report
in
duplicate
on
forms
provided
13
by
the
public
school
district,
to
the
district
by
the
14
earliest
starting
date
specified
in
section
279.10,
15
subsection
1
September
1
of
the
school
year
in
which
16
the
child
will
be
under
competent
private
instruction
.
17
The
secretary
shall
retain
and
file
one
copy
and
18
forward
the
other
copy
to
the
district’s
area
education
19
agency.
The
report
shall
state
the
name
and
age
of
the
20
child,
the
period
of
time
during
which
the
child
has
21
been
or
will
be
under
competent
private
instruction
22
for
the
year,
an
outline
of
the
course
of
study,
texts
23
used,
and
the
name
and
address
of
the
instructor.
The
24
parent,
guardian,
or
legal
custodian
of
a
child,
who
is
25
placing
the
child
under
competent
private
instruction
26
for
the
first
time,
shall
also
provide
the
district
27
with
evidence
that
the
child
has
had
the
immunizations
28
required
under
section
139A.8
,
and,
if
the
child
is
29
elementary
school
age,
a
blood
lead
test
in
accordance
30
with
section
135.105D
.
The
term
“outline
of
course
of
31
study”
shall
include
subjects
covered,
lesson
plans,
32
and
time
spent
on
the
areas
of
study.
33
Sec.
___.
REPEAL.
Section
256.22,
Code
2011,
is
34
repealed.
35
Sec.
___.
EFFECTIVE
DATE.
This
division
of
this
36
Act
takes
effect
July
1,
2012.
>
37
12.
Page
475,
before
line
24
by
inserting:
38
<
DIVISION
___
39
PRISON
INDUSTRIES
40
Sec.
___.
Section
904.805,
Code
2011,
is
amended
by
41
adding
the
following
new
subsection:
42
NEW
SUBSECTION
.
7.
a.
Report
semiannually
to
the
43
general
assembly’s
standing
committees
on
government
44
oversight
regarding
the
operations
of
Iowa
state
45
industries.
46
b.
Report
quarterly
and
annually
to
the
industries
47
board,
the
governor,
the
auditor
of
state,
and
the
48
general
assembly
a
full
and
complete
statement
of
49
Iowa
state
industries
revenues
and
expenses
for
the
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#12.
preceding
quarter,
and
with
respect
to
the
annual
1
report,
for
the
preceding
year.
2
Sec.
___.
Section
904.813,
Code
2011,
is
amended
by
3
adding
the
following
new
subsection:
4
NEW
SUBSECTION
.
3A.
A
capital
expenditure
in
5
an
amount
exceeding
two
hundred
fifty
thousand
6
dollars
shall
not
be
made
from
the
Iowa
state
7
industries
revolving
fund
without
authorization
by
a
8
constitutional
majority
of
each
house
of
the
general
9
assembly,
or
approval
by
the
legislative
council
if
the
10
general
assembly
is
not
in
session.
11
Sec.
___.
EFFECTIVE
UPON
ENACTMENT.
This
division
12
of
this
Act,
being
deemed
of
immediate
importance,
13
takes
effect
upon
enactment.
>
14
13.
Page
475,
before
line
24
by
inserting:
15
<
DIVISION
___
16
MEDICATION
THERAPY
MANAGEMENT
17
Sec.
___.
NEW
SECTION
.
8A.440
Medication
therapy
18
management.
19
1.
As
used
in
this
section,
unless
the
context
20
otherwise
requires:
21
a.
“Eligible
employee”
means
an
employee
of
the
22
state,
with
the
exception
of
an
employee
of
the
state
23
board
of
regents
or
institutions
under
the
state
board
24
of
regents,
for
whom
group
health
plans
are
established
25
pursuant
to
chapter
509A
providing
for
third-party
26
payment
or
prepayment
for
health
or
medical
expenses.
27
b.
“Medication
therapy
management”
means
a
28
systematic
process
performed
by
a
licensed
pharmacist,
29
designed
to
optimize
therapeutic
outcomes
through
30
improved
medication
use
and
reduced
risk
of
adverse
31
drug
events,
including
all
of
the
following
services:
32
(1)
A
medication
therapy
review
and
in-person
33
consultation
relating
to
all
medications,
vitamins,
and
34
herbal
supplements
currently
being
taken
by
an
eligible
35
individual.
36
(2)
A
medication
action
plan,
subject
to
the
37
limitations
specified
in
this
section,
communicated
38
to
the
individual
and
the
individual’s
primary
care
39
physician
or
other
appropriate
prescriber
to
address
40
safety
issues,
inconsistencies,
duplicative
therapy,
41
omissions,
and
medication
costs.
The
medication
action
42
plan
may
include
recommendations
to
the
prescriber
for
43
changes
in
drug
therapy.
44
(3)
Documentation
and
follow-up
to
ensure
45
consistent
levels
of
pharmacy
services
and
positive
46
outcomes.
47
2.
a.
The
department
shall
amend
the
contract
48
for
the
provision
of
medication
therapy
management
49
services
as
initially
required
pursuant
to
2010
Iowa
50
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#13.
Acts,
chapter
1193,
section
166,
to
provide
for
the
1
continuation
of
medication
therapy
management
services
2
for
eligible
employees
who
meet
any
of
the
following
3
criteria:
4
(1)
An
individual
who
takes
four
or
more
5
prescription
drugs
to
treat
or
prevent
two
or
more
6
chronic
medical
conditions.
7
(2)
An
individual
with
a
prescription
drug
therapy
8
problem
who
is
identified
by
the
prescribing
physician
9
or
other
appropriate
prescriber,
and
referred
to
a
10
pharmacist
for
medication
therapy
management
services.
11
(3)
An
individual
who
meets
other
criteria
12
established
by
the
third-party
payment
provider
13
contract,
policy,
or
plan.
14
b.
The
contract
shall
require
the
entity
to
provide
15
annual
reports
to
the
general
assembly
detailing
the
16
costs,
savings,
estimated
cost
avoidance
and
return
17
on
investment,
and
patient
outcomes
related
to
the
18
medication
therapy
management
services
provided.
The
19
entity
shall
guarantee
demonstrated
annual
savings,
20
including
any
savings
associated
with
cost
avoidance
at
21
least
equal
to
the
program’s
costs
with
any
shortfall
22
amount
refunded
to
the
state.
The
contract
shall
23
include
terms,
conditions,
and
applicable
measurement
24
standards
associated
with
the
demonstration
of
savings.
25
The
department
shall
verify
the
demonstrated
savings
26
reported
by
the
entity
was
achieved
in
accordance
with
27
the
agreed
upon
measurement
standards.
The
entity
28
shall
be
prohibited
from
using
the
entity’s
employees
29
to
provide
the
medication
therapy
management
services
30
and
shall
instead
be
required
to
contract
with
licensed
31
pharmacies,
pharmacists,
or
physicians.
32
c.
The
fees
for
pharmacist-delivered
medication
33
therapy
management
services
shall
be
separate
from
34
the
reimbursement
for
prescription
drug
product
or
35
dispensing
services;
shall
be
determined
by
each
36
third-party
payment
provider
contract,
policy,
or
plan;
37
and
must
be
reasonable
based
on
the
resources
and
time
38
required
to
provide
the
service.
39
d.
A
fee
shall
be
established
for
physician
40
reimbursement
for
services
delivered
for
medication
41
therapy
management
as
determined
by
each
third-party
42
payment
provider
contract,
policy,
or
plan,
and
must
be
43
reasonable
based
on
the
resources
and
time
required
to
44
provide
the
service.
45
e.
If
any
part
of
the
medication
therapy
management
46
plan
developed
by
a
pharmacist
incorporates
services
47
which
are
outside
the
pharmacist’s
independent
scope
48
of
practice
including
the
initiation
of
therapy,
49
modification
of
dosages,
therapeutic
interchange,
or
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57
changes
in
drug
therapy,
the
express
authorization
1
of
the
individual’s
physician
or
other
appropriate
2
prescriber
is
required.
3
f.
The
department
shall
utilize
the
services
of
the
4
college
of
pharmacy
at
a
state
university
to
validate
5
reported
drug
cost
savings.
6
g.
The
results
of
the
pilot
program
established
7
pursuant
to
2010
Iowa
Acts,
chapter
1193,
section
166,
8
for
the
period
beginning
July
1,
2010,
and
ending
9
December
31,
2011,
shall
be
submitted
to
the
general
10
assembly
no
later
than
March
1,
2012.
11
Sec.
___.
APPROPRIATION
——
DEPARTMENT
OF
12
ADMINISTRATIVE
SERVICES.
There
is
appropriated
from
13
the
fees
collected
by
the
board
of
pharmacy
pursuant
14
to
chapter
155A
and
retained
by
the
board
of
pharmacy
15
pursuant
to
the
authority
granted
in
section
147.82
16
to
the
department
of
administrative
services
for
the
17
fiscal
year
beginning
July
1,
2011,
and
ending
June
30,
18
2012,
the
following
amount
or
so
much
thereof
as
is
19
necessary,
to
be
used
for
the
purpose
specified:
20
For
the
medication
therapy
management
program
as
21
enacted
in
this
Act:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
510,000
23
Sec.
___.
REPEAL.
2010
Iowa
Acts,
chapter
1193,
24
section
166,
is
repealed.
25
Sec.
___.
EFFECTIVE
UPON
ENACTMENT.
This
division
26
of
this
Act,
being
deemed
of
immediate
importance,
27
takes
effect
upon
enactment.
>
28
14.
Page
475,
before
line
24
by
inserting:
29
<
DIVISION
___
30
NOTICE
OF
MORTGAGE
MEDIATION
ASSISTANCE
——
SUNSET
31
Sec.
___.
Section
654.4B,
subsection
2,
paragraph
32
b,
Code
2011,
is
amended
to
read
as
follows:
33
b.
This
subsection
is
repealed
July
1,
2011
2012
.
34
Sec.
___.
EFFECTIVE
UPON
ENACTMENT
AND
RETROACTIVE
35
APPLICABILITY.
This
division
of
this
Act,
being
deemed
36
of
immediate
importance,
takes
effect
upon
enactment
37
and,
if
approved
by
the
governor
on
or
after
July
1,
38
2011,
shall
apply
retroactively
to
June
30,
2011.
>
39
15.
Page
475,
before
line
24
by
inserting:
40
<
DIVISION
___
41
HOUSING
DEVELOPMENT
——
TAX
STATUS
42
Sec.
___.
Section
405.1,
Code
2011,
is
amended
to
43
read
as
follows:
44
405.1
Housing
development
——
tax
status
——
45
limitation.
46
1.
The
board
of
supervisors
of
a
county
with
a
47
population
of
less
than
twenty
thousand
may
adopt
48
an
ordinance
providing
that
property
acquired
and
49
subdivided
for
development
of
housing
shall
continue
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#14.
#15.
to
be
assessed
for
taxation
in
the
manner
that
it
was
1
prior
to
the
acquisition
for
housing.
Each
lot
shall
2
continue
to
be
taxed
in
the
manner
it
was
prior
to
3
its
acquisition
for
housing
until
the
lot
is
sold
for
4
construction
or
occupancy
of
housing
or
five
years
from
5
the
date
of
subdivision,
whichever
is
shorter.
Upon
6
the
sale
or
the
expiration
of
the
five-year
ten-year
7
period,
the
property
shall
be
assessed
for
taxation
8
as
residential
or
commercial
multifamily
property,
9
whichever
is
applicable.
10
2.
The
board
of
supervisors
of
a
county
with
11
a
population
of
twenty
thousand
or
more
may
adopt
12
an
ordinance
providing
that
property
acquired
and
13
subdivided
for
development
of
housing
shall
continue
14
to
be
assessed
for
taxation
in
the
manner
that
it
was
15
prior
to
the
acquisition
for
housing.
Each
lot
shall
16
continue
to
be
taxed
in
the
manner
it
was
prior
to
17
its
acquisition
for
housing
until
the
lot
is
sold
for
18
construction
or
occupancy
of
housing
or
three
years
19
from
the
date
of
subdivision,
whichever
is
shorter.
20
Upon
the
sale
or
the
expiration
of
the
three-year
21
period,
the
property
shall
be
assessed
for
taxation
22
as
residential
or
commercial
multifamily
property,
23
whichever
is
applicable.
24
Sec.
___.
Section
441.72,
Code
2011,
is
amended
to
25
read
as
follows:
26
441.72
Assessment
of
platted
lots.
27
When
a
subdivision
plat
is
recorded
pursuant
to
28
chapter
354
,
the
individual
lots
within
the
subdivision
29
plat
shall
not
be
assessed
in
excess
of
the
total
30
assessment
of
the
land
as
acreage
or
unimproved
31
property
for
three
ten
years
after
the
recording
of
32
the
plat
or
until
the
lot
is
actually
improved
with
33
permanent
construction,
whichever
occurs
first.
When
34
an
individual
lot
has
been
improved
with
permanent
35
construction,
the
lot
shall
be
assessed
for
taxation
36
purposes
as
provided
in
chapter
428
and
this
chapter
.
37
This
section
does
not
apply
to
special
assessment
38
levies.
39
Sec.
___.
EFFECTIVE
UPON
ENACTMENT
AND
RETROACTIVE
40
APPLICABILITY.
This
division
of
this
Act,
being
deemed
41
of
immediate
importance,
takes
effect
upon
enactment
42
and
applies
retroactively
to
assessment
years
beginning
43
on
or
after
January
1,
2011.
The
division
applies
44
to
subdivision
plats
recorded
on
or
after
January
1,
45
2004.
>
46
16.
Page
475,
before
line
24
by
inserting:
47
<
DIVISION
___
48
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REDESIGN
49
SERVICE
SYSTEM
REDESIGN
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#16.
Sec.
___.
ADULT
DISABILITY
SERVICES
SYSTEM
1
REDESIGN.
2
1.
For
the
purposes
of
this
section,
“disability
3
services”
means
services
and
other
support
available
4
to
a
person
with
mental
illness
or
an
intellectual
5
disability
or
other
developmental
disability.
6
2.
It
is
the
intent
of
the
general
assembly
to
7
redesign
the
system
for
adult
disability
services
to
8
implement
all
of
the
following:
9
a.
Shifting
the
funding
responsibility
for
the
10
nonfederal
share
of
adult
disability
services
paid
for
11
by
the
Medicaid
program,
including
but
not
limited
to
12
all
costs
for
the
state
resource
centers,
from
the
13
counties
to
the
state.
14
b.
Reorganizing
adult
disability
services
not
paid
15
for
by
the
Medicaid
program
into
a
system
administered
16
on
a
regional
basis
in
a
manner
that
provides
multiple
17
local
points
of
access
to
adult
disability
services
18
both
paid
for
by
the
Medicaid
program
and
not
paid
for
19
by
the
Medicaid
program.
20
c.
Replacing
legal
settlement
as
the
basis
for
21
determining
financial
responsibility
for
publicly
22
funded
disability
services
by
determining
such
23
responsibility
based
upon
residency.
24
3.
a.
The
legislative
council
is
requested
to
25
authorize
an
interim
committee
on
mental
health
and
26
disability
services
for
the
2011
legislative
interim
to
27
commence
as
soon
as
practicable.
The
purpose
of
the
28
interim
committee
is
to
closely
engage
with,
monitor,
29
and
make
recommendations
concerning
the
efforts
of
30
the
department
of
human
services
and
workgroups
of
31
stakeholders
and
experts
created
by
the
department
32
to
develop
detailed
proposals
for
the
redesign
of
33
disability
services
pursuant
to
this
Act,
particularly
34
with
regard
to
the
identification
of
core
services.
35
b.
(1)
It
is
intended
that
the
interim
committee
36
members
consist
of
equal
numbers
of
legislators
from
37
both
chambers
and
from
both
political
parties
and
38
for
staff
from
the
office
of
the
governor
and
the
39
departments
of
human
services
and
public
health
to
be
40
designated
to
serve
as
ex
officio,
nonvoting
members.
41
It
is
also
requested
that
legislators
serving
on
the
42
interim
committee
and
other
interested
legislators
43
be
authorized
to
participate
in
the
meetings
of
the
44
workgroups
and
subcommittees
addressed
in
this
Act.
45
(2)
In
addition
to
addressing
workgroup
46
recommendations,
it
is
intended
that
the
interim
47
committee
address
property
tax
issues,
devise
a
means
48
of
ensuring
the
state
maintains
its
funding
commitments
49
for
the
redesigned
services
system,
recommend
revisions
50
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in
the
requirements
for
mental
health
professionals
1
who
are
engaged
in
the
involuntary
commitment
and
2
examination
processes
under
chapter
229,
develop
3
proposed
legislation
for
amending
Code
references
to
4
mental
retardation
to
instead
refer
to
intellectual
5
disabilities,
and
consider
issues
posed
by
the
6
July
1,
2013,
repeals
of
county
disability
services
7
administration
and
funding
provisions
in
2011
Iowa
8
Acts,
Senate
File
209,
as
amended
by
this
Act.
In
9
addressing
the
repeal
provisions,
the
interim
committee
10
shall
include
options
for
further
revisions
to
the
11
repeal
date
amendments
enacted
by
this
Act.
12
(3)
It
is
intended
that
the
interim
committee
13
shall
receive
and
make
recommendations
concerning
the
14
detailed
and
final
proposals
submitted
by
workgroups
15
during
the
2011
legislative
interim
for
consideration
16
by
the
general
assembly
in
the
2012
legislative
17
session.
18
c.
(1)
The
department
of
human
services
shall
19
design
the
workgroup
process
to
facilitate
effective
20
decision
making
while
allowing
for
a
broad
array
of
21
input.
The
workgroup
process
shall
begin
as
soon
after
22
the
effective
date
of
this
Act
as
is
practicable.
The
23
membership
of
workgroups
and
subcommittees
involved
24
with
the
process
shall
include
consumers,
service
25
providers,
and
advocates
and
provide
for
adequate
26
representation
by
both
rural
and
urban
interests.
27
The
department
of
public
health
shall
be
represented
28
on
those
workgroups
and
subcommittees
with
a
focus
29
relevant
to
the
department.
30
(2)
The
detailed
and
final
proposals
developed
31
by
the
workgroups
during
the
2011
interim
shall
32
be
submitted
to
the
interim
committee
on
or
before
33
December
9,
2011.
34
d.
At
least
one
workgroup
shall
address
redesign
35
of
the
adult
mental
health
system
and
at
least
36
one
workgroup
shall
address
redesign
of
the
adult
37
intellectual
and
other
developmental
disability
system.
38
The
workgroup
process
shall
engage
separate
workgroups
39
and
subcommittees
enumerated
in
this
Act
and
may
40
involve
additional
bodies
in
the
process
as
determined
41
by
the
department.
42
e.
It
is
intended
that
interim
committee
members
43
be
engaged,
to
the
extent
possible,
in
workgroup
44
deliberations
and
begin
formal
discussions
of
45
preliminary
proposals
developed
by
the
workgroups
46
beginning
in
October.
47
4.
The
workgroup
process
implemented
by
the
48
department
of
human
services
pursuant
to
subsection
49
3
shall
result
in
the
submission
of
proposals
for
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redesign
of
adult
disability
services
that
include
but
1
are
not
limited
to
all
of
the
following:
2
a.
Identifying
clear
definitions
and
requirements
3
for
the
following:
4
(1)
Eligibility
criteria
for
the
individuals
to
be
5
served.
6
(2)
The
array
of
core
services
and
other
support
to
7
be
included
in
regional
adult
disability
services
plans
8
and
to
be
delivered
by
providers
based
on
individual
9
needs
and
medical
necessity
and
in
a
manner
that
10
promotes
cost-effectiveness,
uniformity,
accessibility,
11
and
best
practice
approaches.
The
array
shall
12
encompass
and
integrate
services
and
other
support
paid
13
for
by
both
the
Medicaid
program
and
other
sources.
14
(3)
Outcome
measures
that
focus
on
consumer
needs,
15
including
but
not
limited
to
measures
addressing
16
individual
choice,
empowerment,
and
community.
17
(4)
Quality
assurance
measures.
18
(5)
Provider
accreditation,
certification,
19
or
licensure
requirements
to
ensure
high
quality
20
services
while
avoiding
unreasonable
expectations
and
21
duplicative
surveys.
22
(6)
Input
in
regional
service
plans
and
delivery
23
provisions
by
consumer
and
provider
representatives.
24
The
input
process
shall
engage
local
consumers,
25
providers,
and
counties
in
developing
the
regional
26
provisions.
27
(7)
Provisions
for
representatives
of
the
regional
28
system
and
the
department
to
regularly
engage
in
29
discussions
to
resolve
Medicaid
and
non-Medicaid
30
issues
involving
documentation
requirements,
electronic
31
records,
reimbursement
methodologies,
cost
projections,
32
and
other
measures
to
improve
the
services
and
other
33
support
available
to
consumers.
34
b.
Incorporating
strategies
to
allow
individuals
35
to
receive
services
in
accordance
with
the
principles
36
established
in
Olmstead
v.
L.C.,
527
U.S.
581
(1999),
37
in
order
for
services
to
be
provided
in
the
most
38
community-based,
least
restrictive,
and
integrated
39
setting
appropriate
to
an
individual’s
needs.
40
c.
Continuing
the
department’s
leadership
role
41
in
the
Medicaid
program
in
defining
services
covered,
42
establishing
reimbursement
methodologies,
providing
43
other
administrative
functions,
and
engaging
in
federal
44
options
for
program
enhancements
that
are
beneficial
to
45
consumers
and
the
state
such
as
medical
or
behavioral
46
health
homes.
47
d.
Implementing
mental
health
crisis
response
48
services
statewide
in
a
manner
determined
to
be
most
49
appropriate
by
each
region.
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e.
Implementing
a
subacute
level
of
care
to
provide
1
short-term
mental
health
services
in
a
structured
2
residential
setting
that
supplies
a
less
intensive
3
level
of
care
than
is
supplied
by
acute
psychiatric
4
services.
5
f.
Reviewing
best
practices
and
programs
utilized
6
by
other
states
in
identifying
new
approaches
for
7
addressing
the
needs
for
publicly
funded
services
for
8
persons
with
brain
injury.
The
proposals
regarding
9
these
approaches
may
be
submitted
after
the
workgroup
10
submission
date
set
out
in
subsection
3.
11
g.
Developing
a
proposal
for
addressing
service
12
provider
shortages.
The
development
of
the
proposal
13
shall
incorporate
an
examination
of
scope
of
practice
14
limitations
and
barriers
to
recruiting
providers,
15
including
but
not
limited
to
variation
in
health
16
insurance
payment
provisions
for
the
services
provided
17
by
different
types
of
providers.
18
h.
Developing
a
proposal
for
service
providers
19
addressing
co-occurring
mental
health,
intellectual
20
disability,
brain
injury,
and
substance
abuse
21
disorders.
Each
workgroup
or
subcommittee
shall
22
address
co-occurring
disorders
as
appropriate
to
the
23
focus
of
the
workgroup
or
subcommittee.
The
overall
24
proposal
may
be
developed
by
a
body
consisting
of
25
members
from
other
workgroups
or
subcommittees.
The
26
proposal
shall
also
provide
options,
developed
in
27
coordination
with
the
judicial
branch
and
department
28
of
human
services
workgroup,
for
implementation
29
of
the
provision
of
advocates
to
patients
with
30
substance-related
disorders.
31
i.
Developing
a
proposal
for
redesign
of
publicly
32
funded
children’s
disability
services,
including
but
33
not
limited
to
the
needs
of
children
who
are
placed
34
out-of-state
due
to
the
lack
of
treatment
services
35
in
this
state.
The
proposal
shall
be
developed
by
a
36
separate
workgroup
or
subcommittee
and
in
addition
to
37
the
other
interests
and
representation
required
by
this
38
section,
the
membership
shall
include
education
system
39
and
juvenile
court
representatives.
The
preliminary
40
findings
and
recommendations,
and
the
initial
proposal
41
shall
be
submitted
by
the
October
and
December
2011
42
dates
required
for
other
workgroups
and
subcommittees.
43
The
initial
proposal
developed
during
the
2011
44
legislative
interim
shall
include
an
analysis
of
gaps
45
in
the
children’s
system
and
other
planning
provisions
46
necessary
to
complete
the
final
proposal
for
submission
47
on
or
before
December
10,
2012.
48
j.
Developing
a
proposal
for
adult
disability
49
services
not
paid
for
by
the
Medicaid
program
to
be
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administered
on
a
regional
basis
in
a
manner
that
1
provides
multiple
local
points
of
access
for
consumers
2
needing
adult
disability
services,
regardless
of
3
the
funding
sources
for
the
services.
The
proposal
4
shall
be
integrated
with
the
other
proposals
under
5
this
subsection
and
shall
be
developed
by
a
separate
6
workgroup
or
subcommittee
engaging
both
urban
and
rural
7
county
supervisors
and
central-point-of-coordination
8
administrators
and
other
experts.
The
considerations
9
for
inclusion
in
the
proposal
for
forming
regional
10
entities
shall
include
but
are
not
limited
to
all
of
11
the
following:
12
(1)
Modifying
the
relevant
provisions
of
chapter
13
28E
for
use
by
counties
in
forming
regional
entities
14
and
addressing
other
necessary
contracting
measures.
15
(2)
Providing
for
performance-based
contracting
16
between
the
department
of
human
services
and
regional
17
entities
to
ensure
the
existence
of
multiple,
local
18
points
of
access
for
adult
disability
services
19
eligibility,
intake,
and
authorization,
service
20
navigation
support,
and
case
coordination
or
case
21
management,
regardless
of
the
funding
sources
for
the
22
services.
23
(3)
Developing
a
three-year
service
plan
and
annual
24
update
to
meet
the
needs
of
consumers.
25
(4)
Providing
for
the
regional
entities
to
26
implement
performance-based
contracts,
uniform
cost
27
reports,
and
consistent
reimbursement
practices
and
28
payment
methodologies
with
local
providers
of
services
29
not
paid
for
by
the
Medicaid
program.
30
(5)
Providing
for
the
regional
entities
to
31
determine
the
Medicaid
program
targeted
case
managers
32
to
serve
the
regions.
33
(6)
Providing
for
the
regional
entities
and
the
34
department
of
human
services
to
regularly
coordinate
35
and
communicate
with
one
another
concerning
the
adult
36
disability
services
paid
for
by
the
Medicaid
program
so
37
that
services
paid
for
by
the
program
and
the
regional
38
entities
are
integrated
and
coordinated.
39
(7)
Identifying
sufficient
population
size
to
40
attain
economy
of
scale,
adequate
financial
resources,
41
and
appropriate
service
delivery.
42
(8)
Addressing
full
participation
in
regional
43
entities
by
counties.
44
(9)
Including
dispute
resolution
provisions
for
45
county-to-county
relationships,
county-to-region
46
relationships,
and
region-to-state
relationships.
47
(10)
Providing
for
a
consumer
appeal
process
that
48
is
clear,
impartial,
and
consistent,
with
consideration
49
of
an
option
that
appeals
beyond
the
regional
level
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should
be
to
a
state
administrative
law
judge.
1
(11)
Addressing
financial
management
provisions,
2
including
appropriate
financial
reserve
levels.
3
(12)
Proposing
other
criteria
for
forming
regional
4
entities.
The
other
criteria
considered
shall
include
5
but
are
not
limited
to
all
of
the
following:
6
(a)
Requiring
a
region
to
consist
of
contiguous
7
counties.
8
(b)
Evaluating
a
proposed
region’s
capacity
9
for
providing
core
services
and
performing
required
10
functions.
11
(c)
Requiring
a
region
to
encompass
at
least
12
one
community
mental
health
center
or
federally
13
qualified
health
center
with
providers
qualified
to
14
provide
psychiatric
services,
either
directly
or
with
15
assistance
from
psychiatric
consultants,
that
has
the
16
capacity
to
provide
outpatient
services
for
the
region
17
and
has
provided
evidence
of
a
commitment
to
provide
18
outpatient
services
for
the
region.
19
(d)
Requiring
a
region
to
encompass
or
have
20
reasonably
close
proximity
to
a
hospital
with
an
21
inpatient
psychiatric
unit
or
to
a
state
mental
health
22
institute,
that
has
the
capacity
to
provide
inpatient
23
services
for
the
region
and
has
provided
evidence
of
24
a
commitment
to
provide
inpatient
services
for
the
25
region.
26
(e)
Requiring
an
administrative
structure
utilized
27
by
a
region
to
have
clear
lines
of
accountability
and
28
to
serve
as
a
lead
agency
with
shared
county
staff
or
29
other
means
of
limiting
administrative
costs
to
not
30
more
than
five
percent
of
expenditures.
31
5.
The
target
date
for
full
implementation
of
32
the
plan
and
implementation
provisions
described
in
33
subsections
3
and
4
shall
be
July
1,
2013,
provided,
34
however,
that
any
expansion
of
services
is
subject
to
35
available
funding.
36
Sec.
___.
CONTINUATION
OF
WORKGROUP
BY
JUDICIAL
37
BRANCH
AND
DEPARTMENT
OF
HUMAN
SERVICES.
The
judicial
38
branch
and
department
of
human
services
shall
continue
39
the
workgroup
implemented
pursuant
to
2010
Iowa
Acts,
40
chapter
1192,
section
24,
subsection
2,
to
improve
41
the
processes
for
involuntary
commitment
for
chronic
42
substance
abuse
under
chapter
125
and
for
serious
43
mental
illness
under
chapter
229,
and
shall
coordinate
44
its
efforts
with
the
legislative
interim
committee
and
45
other
workgroups
initiated
pursuant
to
this
Act.
The
46
recommendations
issued
by
the
workgroup
shall
address
47
options
to
the
current
provision
of
transportation
48
by
the
county
sheriff;
to
the
role,
supervision,
49
and
funding
of
mental
health
patient
advocates
and
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substance-related
disorder
patient
advocates,
along
1
with
options
for
implementation
of
the
provision
of
2
advocates
to
patients
with
such
disorders;
for
revising
3
requirements
for
mental
health
professionals
who
are
4
engaged
in
the
involuntary
commitment
and
examination
5
processes
under
chapter
229;
for
authorizing
the
6
court
to
order
an
involuntary
hold
of
a
patient
under
7
section
229.10
for
not
more
than
twenty-three
hours
8
who
was
not
initially
taken
into
custody
but
declined
9
to
be
examined
pursuant
to
a
previous
court
order;
10
and
for
civil
commitment
prescreening.
Preliminary
11
recommendations
shall
be
submitted
to
the
legislative
12
interim
committee
in
October
2011,
as
specified
by
the
13
interim
committee.
Additional
stakeholders
shall
be
14
added
as
necessary
to
facilitate
the
workgroup
efforts.
15
The
workgroup
shall
complete
deliberations
and
submit
16
a
final
report
to
the
legislative
interim
committee
17
providing
findings
and
recommendations
on
or
before
18
December
9,
2011.
19
Sec.
___.
SERVICE
SYSTEM
DATA
AND
STATISTICAL
20
INFORMATION
INTEGRATION.
In
coordination
with
21
the
legislative
interim
committee
and
workgroups
22
initiated
pursuant
to
this
Act,
representatives
of
the
23
department
of
human
services,
department
of
public
24
health,
and
the
community
services
network
hosted
by
25
the
Iowa
state
association
of
counties
shall
develop
26
implementation
provisions
for
an
integrated
data
and
27
statistical
information
system
for
mental
health,
28
disability
services,
and
substance
abuse
services.
29
The
implementation
provisions
shall
incorporate
30
federal
data
and
statistical
information
requirements.
31
When
completed,
the
departments
and
affiliate
shall
32
report
on
the
integrated
system
to
the
governor,
33
the
joint
appropriations
subcommittee
on
health
and
34
human
services,
and
the
legislative
services
agency,
35
providing
their
findings
and
recommendations.
36
Sec.
___.
DEPARTMENT
OF
HUMAN
SERVICES.
There
is
37
appropriated
from
the
general
fund
of
the
state
to
38
the
department
of
human
services
for
the
fiscal
year
39
beginning
July
1,
2010,
and
ending
June
30,
2011,
the
40
following
amount,
or
so
much
thereof
as
is
necessary,
41
to
be
used
for
the
purposes
designated:
42
For
the
costs
of
planning
and
other
processes
43
associated
with
implementation
of
this
Act:
44
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
250,000
45
Notwithstanding
section
8.47
or
any
other
provision
46
of
law
to
the
contrary,
the
department
may
utilize
a
47
sole
source
approach
to
contract
to
support
planning
48
and
other
processes
associated
with
implementation
49
of
this
Act.
Notwithstanding
section
8.33,
moneys
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appropriated
in
this
section
that
remain
unencumbered
1
or
unobligated
at
the
close
of
the
fiscal
year
shall
2
not
revert
but
shall
remain
available
for
expenditure
3
for
the
purposes
designated
until
the
close
of
the
4
succeeding
fiscal
year.
5
Sec.
___.
EFFECTIVE
UPON
ENACTMENT.
This
division
6
of
this
Act,
being
deemed
of
immediate
importance,
7
takes
effect
upon
enactment
and,
unless
otherwise
8
provided
by
this
division
of
this
Act,
if
approved
by
9
the
governor
on
or
after
July
1,
2011,
shall
apply
10
retroactively
to
June
30,
2011.
11
DIVISION
___
12
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REDESIGN
13
CONFORMING
PROVISIONS
14
Sec.
___.
CONFORMING
PROVISIONS.
The
legislative
15
services
agency
shall
prepare
a
study
bill
for
16
consideration
by
the
committees
on
human
resources
of
17
the
senate
and
house
of
representatives
for
the
2012
18
legislative
session,
providing
any
necessary
conforming
19
Code
changes
for
implementation
of
the
mental
health
20
and
disabilities
services
redesign
divisions
contained
21
in
this
Act.
22
DIVISION
___
23
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REDESIGN
24
PSYCHIATRIC
MEDICAL
INSTITUTIONS
FOR
CHILDREN
25
Sec.
___.
Section
135H.3,
subsection
1,
Code
2011,
26
is
amended
to
read
as
follows:
27
1.
A
psychiatric
medical
institution
for
children
28
shall
utilize
a
team
of
professionals
to
direct
an
29
organized
program
of
diagnostic
services,
psychiatric
30
services,
nursing
care,
and
rehabilitative
services
31
to
meet
the
needs
of
residents
in
accordance
with
a
32
medical
care
plan
developed
for
each
resident.
The
33
membership
of
the
team
of
professionals
may
include
34
but
is
not
limited
to
an
advanced
registered
nurse
35
practitioner
or
a
physician
assistant.
Social
and
36
rehabilitative
services
shall
be
provided
under
the
37
direction
of
a
qualified
mental
health
professional.
38
Sec.
___.
Section
135H.6,
subsection
8,
Code
2011,
39
is
amended
to
read
as
follows:
40
8.
The
department
of
human
services
may
give
41
approval
to
conversion
of
beds
approved
under
42
subsection
6
,
to
beds
which
are
specialized
to
provide
43
substance
abuse
treatment.
However,
the
total
number
44
of
beds
approved
under
subsection
6
and
this
subsection
45
shall
not
exceed
four
hundred
thirty.
Conversion
of
46
beds
under
this
subsection
shall
not
require
a
revision
47
of
the
certificate
of
need
issued
for
the
psychiatric
48
institution
making
the
conversion.
Beds
for
children
49
who
do
not
reside
in
this
state
and
whose
service
costs
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are
not
paid
by
public
funds
in
this
state
are
not
1
subject
to
the
limitations
on
the
number
of
beds
and
2
certificate
of
need
requirements
otherwise
applicable
3
under
this
section.
4
Sec.
___.
PSYCHIATRIC
MEDICAL
INSTITUTIONS
FOR
5
CHILDREN
AND
RELATED
SERVICES
——
TRANSITION
COMMITTEE.
6
1.
For
the
purposes
of
this
section,
unless
the
7
context
otherwise
requires:
8
a.
“Iowa
plan”
means
the
contract
to
administer
the
9
behavioral
health
managed
care
plan
under
the
state’s
10
Medicaid
program.
11
b.
“PMIC”
means
a
psychiatric
medical
institution
12
for
children.
13
2.
It
is
the
intent
of
the
general
assembly
to
do
14
the
following
under
this
section:
15
a.
Improve
the
reimbursement,
expected
outcomes,
16
and
integration
of
PMIC
services
to
serve
the
best
17
interests
of
children
within
the
context
of
a
redesign
18
of
the
delivery
of
publicly
funded
children’s
mental
19
health
services
in
this
state.
20
b.
Support
the
development
of
specialized
programs
21
for
children
with
high
acuity
requirements
whose
needs
22
are
not
met
by
Iowa’s
current
system
and
must
be
served
23
in
out-of-state
placements.
24
c.
Transition
PMIC
services
while
providing
25
services
in
a
manner
that
applies
best
practices
and
is
26
cost-effective.
27
3.
The
department
of
human
services,
in
28
collaboration
with
PMIC
providers,
shall
develop
a
29
plan
for
transitioning
the
administration
of
PMIC
30
services
to
the
Iowa
plan.
The
transition
plan
31
shall
address
specific
strategies
for
appropriately
32
addressing
PMIC
lengths
of
stay
by
increasing
the
33
availability
of
less
intensive
levels
of
care,
34
establishing
vendor
performance
standards,
identifying
35
levels
of
PMIC
care,
providing
for
performance
and
36
quality
improvement
technical
assistance
to
providers,
37
identifying
methods
and
standards
for
credentialing
38
providers
of
specialized
programs,
using
innovative
39
reimbursement
incentives
to
improve
access
while
40
building
the
capacity
of
less
intensive
levels
of
care,
41
and
providing
implementation
guidelines.
42
4.
a.
The
transition
plan
shall
address
the
43
development
of
specialized
programs
to
address
the
44
needs
of
children
in
need
of
more
intensive
treatment
45
who
are
currently
underserved.
All
of
the
following
46
criteria
shall
be
used
for
such
programs:
47
(1)
Geographic
accessibility.
48
(2)
Expertise
needed
to
assure
appropriate
and
49
effective
treatment.
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(3)
Capability
to
define
and
provide
the
1
appropriate
array
of
services
and
report
on
2
standardized
outcome
measures.
3
(4)
Best
interests
of
the
child.
4
b.
The
transition
plan
shall
also
address
all
of
5
the
following:
6
(1)
Providing
navigation,
access,
and
care
7
coordination
for
children
and
families
in
need
of
8
services
from
the
children’s
mental
health
system.
9
(2)
Integrating
the
children’s
mental
health
10
waiver
services
under
the
Medicaid
program
with
11
other
services
addressed
by
the
transition
plan
as
a
12
means
for
supporting
the
transition
plan
and
ensuring
13
availability
of
choices
for
community
placements.
14
(3)
Identifying
admission
and
continued
stay
15
criteria
for
PMIC
providers.
16
(4)
Evaluating
changes
in
licensing
standards
for
17
PMICs
as
necessary
to
ensure
that
the
standards
are
18
aligned
with
overall
system
goals.
19
(5)
Evaluating
alternative
reimbursement
and
20
service
models
that
are
innovative
and
could
support
21
overall
system
goals.
The
models
may
include
but
are
22
not
limited
to
accountable
care
organizations,
medical
23
or
other
health
homes,
and
performance-based
payment
24
methods.
25
(6)
Evaluating
the
adequacy
of
reimbursement
at
all
26
levels
of
the
children’s
mental
health
system.
27
(7)
Developing
profiles
of
the
conditions
and
28
behaviors
that
result
in
a
child’s
involuntary
29
discharge
or
out-of-state
placement.
The
plan
shall
30
incorporate
provisions
for
developing
specialized
31
programs
that
are
designed
to
appropriately
meet
the
32
needs
identified
in
the
profiles.
33
(8)
Evaluating
and
defining
the
appropriate
array
34
of
less
intensive
services
for
a
child
leaving
a
35
hospital
or
PMIC
placement.
36
(9)
Evaluating
and
defining
the
standards
for
37
existing
and
new
PMIC
and
other
treatment
levels.
38
5.
a.
The
department
shall
establish
a
39
transition
committee
that
includes
departmental
40
staff
representatives
for
Medicaid,
child
welfare,
41
field,
and
mental
health
services,
the
director
of
42
the
Iowa
plan,
the
department
of
inspections
and
43
appeals,
a
representative
of
each
licensed
PMIC,
the
44
executive
director
of
the
coalition
of
family
and
45
children’s
services
in
Iowa,
a
person
with
knowledge
46
and
expertise
in
care
coordination
and
integration
47
of
PMIC
and
community-based
services,
two
persons
48
representing
families
affected
by
the
children’s
mental
49
health
system,
and
a
representative
of
juvenile
court
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officers.
1
b.
The
transition
committee
shall
develop
the
plan
2
and
manage
the
transition
if
the
plan
is
implemented.
3
The
plan
shall
be
developed
by
December
31,
2011,
4
and
shall
be
submitted
to
the
general
assembly
by
5
January
16,
2012.
The
submitted
plan
shall
include
6
an
independent
finding
by
the
director
of
human
7
services,
in
consultation
with
the
office
of
the
8
governor
and
the
chairpersons
and
ranking
members
of
9
the
joint
appropriations
subcommittee
on
health
and
10
human
services,
that
the
plan
meets
the
intent
of
the
11
general
assembly
under
this
section.
Unless
otherwise
12
directed
by
enactment
of
the
general
assembly
the
13
department
and
the
transition
committee
may
proceed
14
with
implementation
of
the
submitted
plan
on
or
before
15
July
1,
2012.
16
c.
The
transition
committee
shall
continue
to
meet
17
through
December
31,
2013,
to
oversee
transition
of
18
PMIC
services
to
the
Iowa
plan.
19
6.
The
director
of
the
Medicaid
enterprise
of
the
20
department
of
human
services
shall
annually
report
on
21
or
before
December
15
to
the
chairpersons
and
ranking
22
members
of
the
joint
appropriations
subcommittee
on
23
health
and
human
services
through
December
15,
2016,
24
regarding
the
implementation
of
this
section.
The
25
content
of
the
report
shall
include
but
is
not
limited
26
to
information
on
children
served
by
PMIC
providers,
27
the
types
of
locations
to
which
children
are
discharged
28
following
a
hospital
or
PMIC
placement
and
the
29
community-based
services
available
to
such
children,
30
and
the
incidence
of
readmission
to
a
PMIC
within
12
31
months
of
discharge.
The
report
shall
also
recommend
32
whether
or
not
to
continue
administration
of
PMIC
33
services
under
the
Iowa
plan
based
upon
the
quality
34
of
service
delivery,
the
value
of
utilizing
the
Iowa
35
plan
administration
rather
than
the
previous
approach
36
through
the
Medicaid
enterprise,
and
analysis
of
the
37
cost
and
benefits
of
utilizing
the
Iowa
plan
approach.
38
DIVISION
___
39
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REDESIGN
40
COMMUNITY
MENTAL
HEALTH
CENTERS
41
COMMUNITY
MENTAL
HEALTH
CENTERS
——
CATCHMENT
AREAS
42
Sec.
___.
NEW
SECTION
.
230A.101
Services
system
43
roles.
44
1.
The
role
of
the
department
of
human
services,
45
through
the
division
of
the
department
designated
as
46
the
state
mental
health
authority
with
responsibility
47
for
state
policy
concerning
mental
health
and
48
disability
services,
is
to
develop
and
maintain
49
policies
for
the
mental
health
and
disability
services
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system.
The
policies
shall
address
the
service
1
needs
of
individuals
of
all
ages
with
disabilities
2
in
this
state,
regardless
of
the
individuals’
places
3
of
residence
or
economic
circumstances,
and
shall
be
4
consistent
with
the
requirements
of
chapter
225C
and
5
other
applicable
law.
6
2.
The
role
of
community
mental
health
centers
in
7
the
mental
health
and
disability
services
system
is
8
to
provide
an
organized
set
of
services
in
order
to
9
adequately
meet
the
mental
health
needs
of
this
state’s
10
citizens
based
on
organized
catchment
areas.
11
Sec.
___.
NEW
SECTION
.
230A.102
Definitions.
12
As
used
in
this
chapter,
unless
the
context
13
otherwise
requires:
14
1.
“Administrator”
,
“commission”
,
“department”
,
15
“disability
services”
,
and
“division”
mean
the
same
as
16
defined
in
section
225C.2.
17
2.
“Catchment
area”
means
a
community
mental
health
18
center
catchment
area
identified
in
accordance
with
19
this
chapter.
20
3.
“Community
mental
health
center”
or
“center”
21
means
a
community
mental
health
center
designated
in
22
accordance
with
this
chapter.
23
Sec.
___.
NEW
SECTION
.
230A.103
Designation
of
24
community
mental
health
centers.
25
1.
The
division,
subject
to
agreement
by
any
26
community
mental
health
center
that
would
provide
27
services
for
the
catchment
area
and
approval
by
the
28
commission,
shall
designate
at
least
one
community
29
mental
health
center
under
this
chapter
to
serve
as
30
lead
agency
for
addressing
the
mental
health
needs
of
31
the
county
or
counties
comprising
the
catchment
area.
32
The
designation
process
shall
provide
for
the
input
33
of
potential
service
providers
regarding
designation
34
of
the
initial
catchment
area
or
a
change
in
the
35
designation.
36
2.
The
division
shall
utilize
objective
criteria
37
for
designating
a
community
mental
health
center
38
to
serve
a
catchment
area
and
for
withdrawing
such
39
designation.
The
commission
shall
adopt
rules
40
outlining
the
criteria.
The
criteria
shall
include
but
41
are
not
limited
to
provisions
for
meeting
all
of
the
42
following
requirements:
43
a.
An
appropriate
means
shall
be
used
for
44
determining
which
prospective
designee
is
best
able
to
45
serve
all
ages
of
the
targeted
population
within
the
46
catchment
area
with
minimal
or
no
service
denials.
47
b.
An
effective
means
shall
be
used
for
determining
48
the
relative
ability
of
a
prospective
designee
to
49
appropriately
provide
mental
health
services
and
other
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support
to
consumers
residing
within
a
catchment
area
1
as
well
as
consumers
residing
outside
the
catchment
2
area.
The
criteria
shall
address
the
duty
for
a
3
prospective
designee
to
arrange
placements
outside
the
4
catchment
area
when
such
placements
best
meet
consumer
5
needs
and
to
provide
services
within
the
catchment
area
6
to
consumers
who
reside
outside
the
catchment
area
when
7
the
services
are
necessary
and
appropriate.
8
3.
The
board
of
directors
for
a
designated
9
community
mental
health
center
shall
enter
into
10
an
agreement
with
the
division.
The
terms
of
the
11
agreement
shall
include
but
are
not
limited
to
all
of
12
the
following:
13
a.
The
period
of
time
the
agreement
will
be
in
14
force.
15
b.
The
services
and
other
support
the
center
will
16
offer
or
provide
for
the
residents
of
the
catchment
17
area.
18
c.
The
standards
to
be
followed
by
the
center
in
19
determining
whether
and
to
what
extent
the
persons
20
seeking
services
from
the
center
shall
be
considered
to
21
be
able
to
pay
the
costs
of
the
services.
22
d.
The
policies
regarding
availability
of
the
23
services
offered
by
the
center
to
the
residents
of
the
24
catchment
area
as
well
as
consumers
residing
outside
25
the
catchment
area.
26
e.
The
requirements
for
preparation
and
submission
27
to
the
division
of
annual
audits,
cost
reports,
program
28
reports,
performance
measures,
and
other
financial
and
29
service
accountability
information.
30
4.
This
section
does
not
limit
the
authority
of
31
the
board
or
the
boards
of
supervisors
of
any
county
32
or
group
of
counties
to
continue
to
expend
money
to
33
support
operation
of
a
center.
34
Sec.
___.
NEW
SECTION
.
230A.104
Catchment
areas.
35
1.
The
division
shall
collaborate
with
affected
36
counties
in
identifying
community
mental
health
center
37
catchment
areas
in
accordance
with
this
section.
38
2.
a.
Unless
the
division
has
determined
that
39
exceptional
circumstances
exist,
a
catchment
area
40
shall
be
served
by
one
community
mental
health
center.
41
The
purpose
of
this
general
limitation
is
to
clearly
42
designate
the
center
responsible
and
accountable
for
43
providing
core
mental
health
services
to
the
target
44
population
in
the
catchment
area
and
to
protect
the
45
financial
viability
of
the
centers
comprising
the
46
mental
health
services
system
in
the
state.
47
b.
A
formal
review
process
shall
be
used
in
48
determining
whether
exceptional
circumstances
exist
49
that
justify
designating
more
than
one
center
to
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serve
a
catchment
area.
The
criteria
for
the
review
1
process
shall
include
but
are
not
limited
to
a
means
2
of
determining
whether
the
catchment
area
can
support
3
more
than
one
center.
4
c.
Criteria
shall
be
provided
that
would
allow
5
the
designation
of
more
than
one
center
for
all
6
or
a
portion
of
a
catchment
area
if
designation
or
7
approval
for
more
than
one
center
was
provided
by
the
8
division
as
of
October
1,
2010.
The
criteria
shall
9
require
a
determination
that
all
such
centers
would
be
10
financially
viable
if
designation
is
provided
for
all.
11
Sec.
___.
NEW
SECTION
.
230A.105
Target
population
12
——
eligibility.
13
1.
The
target
population
residing
in
a
catchment
14
area
to
be
served
by
a
community
mental
health
15
center
shall
include
but
is
not
limited
to
all
of
the
16
following:
17
a.
Individuals
of
any
age
who
are
experiencing
a
18
mental
health
crisis.
19
b.
Individuals
of
any
age
who
have
a
mental
health
20
disorder.
21
c.
Adults
who
have
a
serious
mental
illness
or
22
chronic
mental
illness.
23
d.
Children
and
youth
who
are
experiencing
a
24
serious
emotional
disturbance.
25
e.
Individuals
described
in
paragraph
“a”
,
“b”
,
26
“c”
,
or
“d”
who
have
a
co-occurring
disorder,
including
27
but
not
limited
to
substance
abuse,
mental
retardation,
28
a
developmental
disability,
brain
injury,
autism
29
spectrum
disorder,
or
another
disability
or
special
30
health
care
need.
31
2.
Specific
eligibility
criteria
for
members
of
the
32
target
population
shall
be
identified
in
administrative
33
rules
adopted
by
the
commission.
The
eligibility
34
criteria
shall
address
both
clinical
and
financial
35
eligibility.
36
Sec.
___.
NEW
SECTION
.
230A.106
Services
offered.
37
1.
A
community
mental
health
center
designated
38
in
accordance
with
this
chapter
shall
offer
core
39
services
and
support
addressing
the
basic
mental
health
40
and
safety
needs
of
the
target
population
and
other
41
residents
of
the
catchment
area
served
by
the
center
42
and
may
offer
other
services
and
support.
The
core
43
services
shall
be
identified
in
administrative
rules
44
adopted
by
the
commission
for
this
purpose.
45
2.
The
initial
core
services
identified
shall
46
include
all
of
the
following:
47
a.
Outpatient
services.
Outpatient
services
shall
48
consist
of
evaluation
and
treatment
services
provided
49
on
an
ambulatory
basis
for
the
target
population.
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Outpatient
services
include
psychiatric
evaluations,
1
medication
management,
and
individual,
family,
and
2
group
therapy.
In
addition,
outpatient
services
shall
3
include
specialized
outpatient
services
directed
to
the
4
following
segments
of
the
target
population:
children,
5
elderly,
individuals
who
have
serious
and
persistent
6
mental
illness,
and
residents
of
the
service
area
7
who
have
been
discharged
from
inpatient
treatment
8
at
a
mental
health
facility.
Outpatient
services
9
shall
provide
elements
of
diagnosis,
treatment,
and
10
appropriate
follow-up.
The
provision
of
only
screening
11
and
referral
services
does
not
constitute
outpatient
12
services.
13
b.
Twenty-four-hour
emergency
services.
14
Twenty-four-hour
emergency
services
shall
be
15
provided
through
a
system
that
provides
access
to
a
16
clinician
and
appropriate
disposition
with
follow-up
17
documentation
of
the
emergency
service
provided.
18
A
patient
shall
have
access
to
evaluation
and
19
stabilization
services
after
normal
business
hours.
20
The
range
of
emergency
services
that
shall
be
available
21
to
a
patient
may
include
but
are
not
limited
to
direct
22
contact
with
a
clinician,
medication
evaluation,
23
and
hospitalization.
The
emergency
services
may
be
24
provided
directly
by
the
center
or
in
collaboration
25
or
affiliation
with
other
appropriately
accredited
26
providers.
27
c.
Day
treatment,
partial
hospitalization,
or
28
psychosocial
rehabilitation
services.
Such
services
29
shall
be
provided
as
structured
day
programs
in
30
segments
of
less
than
twenty-four
hours
using
a
31
multidisciplinary
team
approach
to
develop
treatment
32
plans
that
vary
in
intensity
of
services
and
the
33
frequency
and
duration
of
services
based
on
the
needs
34
of
the
patient.
These
services
may
be
provided
35
directly
by
the
center
or
in
collaboration
or
36
affiliation
with
other
appropriately
accredited
37
providers.
38
d.
Admission
screening
for
voluntary
patients.
39
Admission
screening
services
shall
be
available
for
40
patients
considered
for
voluntary
admission
to
a
state
41
mental
health
institute
to
determine
the
patient’s
42
appropriateness
for
admission.
43
e.
Community
support
services.
Community
support
44
services
shall
consist
of
support
and
treatment
45
services
focused
on
enhancing
independent
functioning
46
and
assisting
persons
in
the
target
population
who
47
have
a
serious
and
persistent
mental
illness
to
live
48
and
work
in
their
community
setting,
by
reducing
or
49
managing
mental
illness
symptoms
and
the
associated
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functional
disabilities
that
negatively
impact
such
1
persons’
community
integration
and
stability.
2
f.
Consultation
services.
Consultation
services
3
may
include
provision
of
professional
assistance
and
4
information
about
mental
health
and
mental
illness
to
5
individuals,
service
providers,
or
groups
to
increase
6
such
persons’
effectiveness
in
carrying
out
their
7
responsibilities
for
providing
services.
Consultations
8
may
be
case-specific
or
program-specific.
9
g.
Education
services.
Education
services
may
10
include
information
and
referral
services
regarding
11
available
resources
and
information
and
training
12
concerning
mental
health,
mental
illness,
availability
13
of
services
and
other
support,
the
promotion
14
of
mental
health,
and
the
prevention
of
mental
15
illness.
Education
services
may
be
made
available
to
16
individuals,
groups,
organizations,
and
the
community
17
in
general.
18
3.
A
community
mental
health
center
shall
be
19
responsible
for
coordinating
with
associated
services
20
provided
by
other
unaffiliated
agencies
to
members
21
of
the
target
population
in
the
catchment
area
and
22
to
integrate
services
in
the
community
with
services
23
provided
to
the
target
population
in
residential
or
24
inpatient
settings.
25
Sec.
___.
NEW
SECTION
.
230A.107
Form
of
26
organization.
27
1.
Except
as
authorized
in
subsection
2,
a
28
community
mental
health
center
designated
in
accordance
29
with
this
chapter
shall
be
organized
and
administered
30
as
a
nonprofit
corporation.
31
2.
A
for-profit
corporation,
nonprofit
corporation,
32
or
county
hospital
providing
mental
health
services
to
33
county
residents
pursuant
to
a
waiver
approved
under
34
section
225C.7,
subsection
3,
Code
2011,
as
of
October
35
1,
2010,
may
also
be
designated
as
a
community
mental
36
health
center.
37
Sec.
___.
NEW
SECTION
.
230A.108
Administrative,
38
diagnostic,
and
demographic
information.
39
Release
of
administrative
and
diagnostic
40
information,
as
defined
in
section
228.1,
and
41
demographic
information
necessary
for
aggregated
42
reporting
to
meet
the
data
requirements
established
by
43
the
division,
relating
to
an
individual
who
receives
44
services
from
a
community
mental
health
center,
may
45
be
made
a
condition
of
support
of
that
center
by
the
46
division.
47
Sec.
___.
NEW
SECTION
.
230A.109
Funding
——
48
legislative
intent.
49
1.
It
is
the
intent
of
the
general
assembly
that
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public
funding
for
community
mental
health
centers
1
designated
in
accordance
with
this
chapter
shall
be
2
provided
as
a
combination
of
federal
and
state
funding.
3
2.
It
is
the
intent
of
the
general
assembly
that
4
the
state
funding
provided
to
centers
be
a
sufficient
5
amount
for
the
core
services
and
support
addressing
the
6
basic
mental
health
and
safety
needs
of
the
residents
7
of
the
catchment
area
served
by
each
center
to
be
8
provided
regardless
of
individual
ability
to
pay
for
9
the
services
and
support.
10
3.
While
a
community
mental
health
center
must
11
comply
with
the
core
services
requirements
and
other
12
standards
associated
with
designation,
provision
of
13
services
is
subject
to
the
availability
of
a
payment
14
source
for
the
services.
15
Sec.
___.
NEW
SECTION
.
230A.110
Standards.
16
1.
The
division
shall
recommend
and
the
commission
17
shall
adopt
standards
for
designated
community
18
mental
health
centers
and
comprehensive
community
19
mental
health
programs,
with
the
overall
objective
of
20
ensuring
that
each
center
and
each
affiliate
providing
21
services
under
contract
with
a
center
furnishes
22
high-quality
mental
health
services
within
a
framework
23
of
accountability
to
the
community
it
serves.
The
24
standards
adopted
shall
conform
with
federal
standards
25
applicable
to
community
mental
health
centers
and
26
shall
be
in
substantial
conformity
with
the
applicable
27
behavioral
health
standards
adopted
by
the
joint
28
commission,
formerly
known
as
the
joint
commission
29
on
accreditation
of
health
care
organizations,
and
30
other
recognized
national
standards
for
evaluation
of
31
psychiatric
facilities
unless
in
the
judgment
of
the
32
division,
with
approval
of
the
commission,
there
are
33
sound
reasons
for
departing
from
the
standards.
34
2.
When
recommending
standards
under
this
section,
35
the
division
shall
designate
an
advisory
committee
36
representing
boards
of
directors
and
professional
37
staff
of
designated
community
mental
health
centers
to
38
assist
in
the
formulation
or
revision
of
standards.
39
The
membership
of
the
advisory
committee
shall
include
40
representatives
of
professional
and
nonprofessional
41
staff
and
other
appropriate
individuals.
42
3.
The
standards
recommended
under
this
section
43
shall
include
requirements
that
each
community
mental
44
health
center
designated
under
this
chapter
do
all
of
45
the
following:
46
a.
Maintain
and
make
available
to
the
public
a
47
written
statement
of
the
services
the
center
offers
48
to
residents
of
the
catchment
area
being
served.
The
49
center
shall
employ
or
contract
for
services
with
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affiliates
to
employ
staff
who
are
appropriately
1
credentialed
or
meet
other
qualifications
in
order
to
2
provide
services.
3
b.
If
organized
as
a
nonprofit
corporation,
be
4
governed
by
a
board
of
directors
which
adequately
5
represents
interested
professions,
consumers
of
6
the
center’s
services,
socioeconomic,
cultural,
and
7
age
groups,
and
various
geographical
areas
in
the
8
catchment
area
served
by
the
center.
If
organized
9
as
a
for-profit
corporation,
the
corporation’s
policy
10
structure
shall
incorporate
such
representation.
11
c.
Arrange
for
the
financial
condition
and
12
transactions
of
the
community
mental
health
center
to
13
be
audited
once
each
year
by
the
auditor
of
state.
14
However,
in
lieu
of
an
audit
by
state
accountants,
15
the
local
governing
body
of
a
community
mental
health
16
center
organized
under
this
chapter
may
contract
with
17
or
employ
certified
public
accountants
to
conduct
the
18
audit,
pursuant
to
the
applicable
terms
and
conditions
19
prescribed
by
sections
11.6
and
11.19
and
audit
format
20
prescribed
by
the
auditor
of
state.
Copies
of
each
21
audit
shall
be
furnished
by
the
accountant
to
the
22
administrator
of
the
division
of
mental
health
and
23
disability
services.
24
d.
Comply
with
the
accreditation
standards
25
applicable
to
the
center.
26
Sec.
___.
NEW
SECTION
.
230A.111
Review
and
27
evaluation.
28
1.
The
review
and
evaluation
of
designated
centers
29
shall
be
performed
through
a
formal
accreditation
30
review
process
as
recommended
by
the
division
and
31
approved
by
the
commission.
The
accreditation
process
32
shall
include
all
of
the
following:
33
a.
Specific
time
intervals
for
full
accreditation
34
reviews
based
upon
levels
of
accreditation.
35
b.
Use
of
random
or
complaint-specific,
on-site
36
limited
accreditation
reviews
in
the
interim
between
37
full
accreditation
reviews,
as
a
quality
review
38
approach.
The
results
of
such
reviews
shall
be
39
presented
to
the
commission.
40
c.
Use
of
center
accreditation
self-assessment
41
tools
to
gather
data
regarding
quality
of
care
and
42
outcomes,
whether
used
during
full
or
limited
reviews
43
or
at
other
times.
44
2.
The
accreditation
process
shall
include
but
is
45
not
limited
to
addressing
all
of
the
following:
46
a.
Measures
to
address
centers
that
do
not
meet
47
standards,
including
authority
to
revoke
accreditation.
48
b.
Measures
to
address
noncompliant
centers
that
49
do
not
develop
a
corrective
action
plan
or
fail
to
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implement
steps
included
in
a
corrective
action
plan
1
accepted
by
the
division.
2
c.
Measures
to
appropriately
recognize
centers
that
3
successfully
complete
a
corrective
action
plan.
4
d.
Criteria
to
determine
when
a
center’s
5
accreditation
should
be
denied,
revoked,
suspended,
or
6
made
provisional.
7
Sec.
___.
REPEAL.
Sections
230A.1
through
230A.18,
8
Code
2011,
are
repealed.
9
Sec.
___.
IMPLEMENTATION
——
EFFECTIVE
DATE.
10
1.
Community
mental
health
centers
operating
11
under
the
provisions
of
chapter
230A,
Code
2011,
and
12
associated
standards,
rules,
and
other
requirements
as
13
of
June
30,
2012,
may
continue
to
operate
under
such
14
requirements
until
the
department
of
human
services,
15
division
of
mental
health
and
disability
services,
and
16
the
mental
health
and
disability
services
commission
17
have
completed
the
rules
adoption
process
to
implement
18
the
amendments
to
chapter
230A
enacted
by
this
division
19
of
this
Act,
identified
catchment
areas,
and
completed
20
designations
of
centers.
21
2.
The
division
and
the
commission
shall
complete
22
the
rules
adoption
process
and
other
requirements
23
addressed
in
subsection
1
on
or
before
June
30,
2012.
24
3.
Except
for
this
section,
which
shall
take
effect
25
July
1,
2011,
this
division
of
this
Act
takes
effect
26
July
1,
2012.
27
DIVISION
___
28
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REDESIGN
29
PERSONS
WITH
SUBSTANCE-RELATED
DISORDERS
30
AND
PERSONS
WITH
MENTAL
ILLNESS
31
Sec.
___.
Section
125.1,
subsection
1,
Code
2011,
32
is
amended
to
read
as
follows:
33
1.
That
substance
abusers
and
persons
suffering
34
from
chemical
dependency
persons
with
substance-related
35
disorders
be
afforded
the
opportunity
to
receive
36
quality
treatment
and
directed
into
rehabilitation
37
services
which
will
help
them
resume
a
socially
38
acceptable
and
productive
role
in
society.
39
Sec.
___.
Section
125.2,
subsection
2,
Code
2011,
40
is
amended
by
striking
the
subsection.
41
Sec.
___.
Section
125.2,
subsection
5,
Code
2011,
42
is
amended
by
striking
the
subsection
and
inserting
in
43
lieu
thereof
the
following:
44
5.
“Substance-related
disorder”
means
a
diagnosable
45
substance
abuse
disorder
of
sufficient
duration
to
meet
46
diagnostic
criteria
specified
within
the
most
current
47
diagnostic
and
statistical
manual
of
mental
disorders
48
published
by
the
American
psychiatric
association
that
49
results
in
a
functional
impairment.
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Sec.
___.
Section
125.2,
subsection
9,
Code
2011,
1
is
amended
to
read
as
follows:
2
9.
“Facility”
means
an
institution,
a
3
detoxification
center,
or
an
installation
providing
4
care,
maintenance
and
treatment
for
substance
abusers
5
persons
with
substance-related
disorders
licensed
6
by
the
department
under
section
125.13
,
hospitals
7
licensed
under
chapter
135B
,
or
the
state
mental
health
8
institutes
designated
by
chapter
226
.
9
Sec.
___.
Section
125.2,
subsections
13,
17,
and
10
18,
Code
2011,
are
amended
by
striking
the
subsections.
11
Sec.
___.
Section
125.9,
subsections
2
and
4,
Code
12
2011,
are
amended
to
read
as
follows:
13
2.
Make
contracts
necessary
or
incidental
to
the
14
performance
of
the
duties
and
the
execution
of
the
15
powers
of
the
director,
including
contracts
with
public
16
and
private
agencies,
organizations
and
individuals
17
to
pay
them
for
services
rendered
or
furnished
to
18
substance
abusers,
chronic
substance
abusers,
or
19
intoxicated
persons
persons
with
substance-related
20
disorders
.
21
4.
Coordinate
the
activities
of
the
department
and
22
cooperate
with
substance
abuse
programs
in
this
and
23
other
states,
and
make
contracts
and
other
joint
or
24
cooperative
arrangements
with
state,
local
or
private
25
agencies
in
this
and
other
states
for
the
treatment
26
of
substance
abusers,
chronic
substance
abusers,
and
27
intoxicated
persons
persons
with
substance-related
28
disorders
and
for
the
common
advancement
of
substance
29
abuse
programs.
30
Sec.
___.
Section
125.10,
subsections
2,
3,
4,
5,
31
7,
8,
9,
11,
13,
15,
and
17,
Code
2011,
are
amended
to
32
read
as
follows:
33
2.
Develop,
encourage,
and
foster
statewide,
34
regional
and
local
plans
and
programs
for
the
35
prevention
of
substance
abuse
misuse
and
the
treatment
36
of
substance
abusers,
chronic
substance
abusers,
and
37
intoxicated
persons
persons
with
substance-related
38
disorders
in
cooperation
with
public
and
private
39
agencies,
organizations
and
individuals,
and
provide
40
technical
assistance
and
consultation
services
for
41
these
purposes.
42
3.
Coordinate
the
efforts
and
enlist
the
assistance
43
of
all
public
and
private
agencies,
organizations
and
44
individuals
interested
in
the
prevention
of
substance
45
abuse
and
the
treatment
of
substance
abusers,
chronic
46
substance
abusers,
and
intoxicated
persons
persons
with
47
substance-related
disorders
.
48
4.
Cooperate
with
the
department
of
human
49
services
and
the
Iowa
department
of
public
health
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in
establishing
and
conducting
programs
to
provide
1
treatment
for
substance
abusers,
chronic
substance
2
abusers,
and
intoxicated
persons
persons
with
3
substance-related
disorders
.
4
5.
Cooperate
with
the
department
of
education,
5
boards
of
education,
schools,
police
departments,
6
courts,
and
other
public
and
private
agencies,
7
organizations,
and
individuals
in
establishing
programs
8
for
the
prevention
of
substance
abuse
and
the
treatment
9
of
substance
abusers,
chronic
substance
abusers,
and
10
intoxicated
persons
persons
with
substance-related
11
disorders
,
and
in
preparing
relevant
curriculum
12
materials
for
use
at
all
levels
of
school
education.
13
7.
Develop
and
implement,
as
an
integral
part
14
of
treatment
programs,
an
educational
program
for
15
use
in
the
treatment
of
substance
abusers,
chronic
16
substance
abusers,
and
intoxicated
persons
persons
17
with
substance-related
disorders
,
which
program
shall
18
include
the
dissemination
of
information
concerning
the
19
nature
and
effects
of
chemical
substances.
20
8.
Organize
and
implement,
in
cooperation
with
21
local
treatment
programs,
training
programs
for
all
22
persons
engaged
in
treatment
of
substance
abusers,
23
chronic
substance
abusers,
and
intoxicated
persons
24
persons
with
substance-related
disorders
.
25
9.
Sponsor
and
implement
research
in
cooperation
26
with
local
treatment
programs
into
the
causes
and
27
nature
of
substance
abuse
misuse
and
treatment
of
28
substance
abusers,
chronic
substance
abusers,
and
29
intoxicated
persons
persons
with
substance-related
30
disorders
,
and
serve
as
a
clearing
house
for
31
information
relating
to
substance
abuse.
32
11.
Develop
and
implement,
with
the
counsel
and
33
approval
of
the
board,
the
comprehensive
plan
for
34
treatment
of
substance
abusers,
chronic
substance
35
abusers,
and
intoxicated
persons
persons
with
36
substance-related
disorders
in
accordance
with
this
37
chapter
.
38
13.
Utilize
the
support
and
assistance
of
39
interested
persons
in
the
community,
particularly
40
recovered
substance
abusers
and
chronic
substance
41
abusers,
persons
who
are
recovering
from
42
substance-related
disorders
to
encourage
substance
43
abusers
and
chronic
substance
abusers
persons
with
44
substance-related
disorders
to
voluntarily
undergo
45
treatment.
46
15.
Encourage
general
hospitals
and
other
47
appropriate
health
facilities
to
admit
without
48
discrimination
substance
abusers,
chronic
substance
49
abusers,
and
intoxicated
persons
persons
with
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substance-related
disorders
and
to
provide
them
with
1
adequate
and
appropriate
treatment.
The
director
may
2
negotiate
and
implement
contracts
with
hospitals
and
3
other
appropriate
health
facilities
with
adequate
4
detoxification
facilities.
5
17.
Review
all
state
health,
welfare,
education
and
6
treatment
proposals
to
be
submitted
for
federal
funding
7
under
federal
legislation,
and
advise
the
governor
on
8
provisions
to
be
included
relating
to
substance
abuse,
9
substance
abusers,
chronic
substance
abusers,
and
10
intoxicated
persons
and
persons
with
substance-related
11
disorders
.
12
Sec.
___.
Section
125.12,
subsections
1
and
3,
Code
13
2011,
are
amended
to
read
as
follows:
14
1.
The
board
shall
review
the
comprehensive
15
substance
abuse
program
implemented
by
the
department
16
for
the
treatment
of
substance
abusers,
chronic
17
substance
abusers,
intoxicated
persons
persons
with
18
substance-related
disorders
,
and
concerned
family
19
members.
Subject
to
the
review
of
the
board,
the
20
director
shall
divide
the
state
into
appropriate
21
regions
for
the
conduct
of
the
program
and
establish
22
standards
for
the
development
of
the
program
on
23
the
regional
level.
In
establishing
the
regions,
24
consideration
shall
be
given
to
city
and
county
lines,
25
population
concentrations,
and
existing
substance
abuse
26
treatment
services.
27
3.
The
director
shall
provide
for
adequate
and
28
appropriate
treatment
for
substance
abusers,
chronic
29
substance
abusers,
intoxicated
persons
persons
with
30
substance-related
disorders
,
and
concerned
family
31
members
admitted
under
sections
125.33
and
125.34
,
or
32
under
section
125.75
,
125.81
,
or
125.91
.
Treatment
33
shall
not
be
provided
at
a
correctional
institution
34
except
for
inmates.
35
Sec.
___.
Section
125.13,
subsection
1,
paragraph
36
a,
Code
2011,
is
amended
to
read
as
follows:
37
a.
Except
as
provided
in
subsection
2
,
a
person
38
shall
not
maintain
or
conduct
any
chemical
substitutes
39
or
antagonists
program,
residential
program,
or
40
nonresidential
outpatient
program,
the
primary
purpose
41
of
which
is
the
treatment
and
rehabilitation
of
42
substance
abusers
or
chronic
substance
abusers
persons
43
with
substance-related
disorders
without
having
first
44
obtained
a
written
license
for
the
program
from
the
45
department.
46
Sec.
___.
Section
125.13,
subsection
2,
paragraphs
47
a
and
c,
Code
2011,
are
amended
to
read
as
follows:
48
a.
A
hospital
providing
care
or
treatment
to
49
substance
abusers
or
chronic
substance
abusers
persons
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with
substance-related
disorders
licensed
under
chapter
1
135B
which
is
accredited
by
the
joint
commission
2
on
the
accreditation
of
health
care
organizations,
3
the
commission
on
accreditation
of
rehabilitation
4
facilities,
the
American
osteopathic
association,
or
5
another
recognized
organization
approved
by
the
board.
6
All
survey
reports
from
the
accrediting
or
licensing
7
body
must
be
sent
to
the
department.
8
c.
Private
institutions
conducted
by
and
9
for
persons
who
adhere
to
the
faith
of
any
well
10
recognized
church
or
religious
denomination
for
the
11
purpose
of
providing
care,
treatment,
counseling,
12
or
rehabilitation
to
substance
abusers
or
chronic
13
substance
abusers
persons
with
substance-related
14
disorders
and
who
rely
solely
on
prayer
or
other
15
spiritual
means
for
healing
in
the
practice
of
religion
16
of
such
church
or
denomination.
17
Sec.
___.
Section
125.15,
Code
2011,
is
amended
to
18
read
as
follows:
19
125.15
Inspections.
20
The
department
may
inspect
the
facilities
and
review
21
the
procedures
utilized
by
any
chemical
substitutes
22
or
antagonists
program,
residential
program,
or
23
nonresidential
outpatient
program
that
has
as
a
24
primary
purpose
the
treatment
and
rehabilitation
of
25
substance
abusers
or
chronic
substance
abusers
persons
26
with
substance-related
disorders
,
for
the
purpose
of
27
ensuring
compliance
with
this
chapter
and
the
rules
28
adopted
pursuant
to
this
chapter
.
The
examination
29
and
review
may
include
case
record
audits
and
30
interviews
with
staff
and
patients,
consistent
with
the
31
confidentiality
safeguards
of
state
and
federal
law.
32
Sec.
___.
Section
125.32,
unnumbered
paragraph
1,
33
Code
2011,
is
amended
to
read
as
follows:
34
The
department
shall
adopt
and
may
amend
and
repeal
35
rules
for
acceptance
of
persons
into
the
treatment
36
program,
subject
to
chapter
17A
,
considering
available
37
treatment
resources
and
facilities,
for
the
purpose
of
38
early
and
effective
treatment
of
substance
abusers,
39
chronic
substance
abusers,
intoxicated
persons,
persons
40
with
substance-related
disorders
and
concerned
family
41
members.
In
establishing
the
rules
the
department
42
shall
be
guided
by
the
following
standards:
43
Sec.
___.
Section
125.33,
subsections
1,
3,
and
4,
44
Code
2011,
are
amended
to
read
as
follows:
45
1.
A
substance
abuser
or
chronic
substance
abuser
46
person
with
a
substance-related
disorder
may
apply
47
for
voluntary
treatment
or
rehabilitation
services
48
directly
to
a
facility
or
to
a
licensed
physician
and
49
surgeon
or
osteopathic
physician
and
surgeon.
If
the
50
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proposed
patient
is
a
minor
or
an
incompetent
person,
a
1
parent,
a
legal
guardian
or
other
legal
representative
2
may
make
the
application.
The
licensed
physician
3
and
surgeon
or
osteopathic
physician
and
surgeon
or
4
any
employee
or
person
acting
under
the
direction
or
5
supervision
of
the
physician
and
surgeon
or
osteopathic
6
physician
and
surgeon,
or
the
facility
shall
not
7
report
or
disclose
the
name
of
the
person
or
the
fact
8
that
treatment
was
requested
or
has
been
undertaken
9
to
any
law
enforcement
officer
or
law
enforcement
10
agency;
nor
shall
such
information
be
admissible
as
11
evidence
in
any
court,
grand
jury,
or
administrative
12
proceeding
unless
authorized
by
the
person
seeking
13
treatment.
If
the
person
seeking
such
treatment
or
14
rehabilitation
is
a
minor
who
has
personally
made
15
application
for
treatment,
the
fact
that
the
minor
16
sought
treatment
or
rehabilitation
or
is
receiving
17
treatment
or
rehabilitation
services
shall
not
be
18
reported
or
disclosed
to
the
parents
or
legal
guardian
19
of
such
minor
without
the
minor’s
consent,
and
the
20
minor
may
give
legal
consent
to
receive
such
treatment
21
and
rehabilitation.
22
3.
A
substance
abuser
or
chronic
substance
abuser
23
person
with
a
substance-related
disorder
seeking
24
treatment
or
rehabilitation
and
who
is
either
addicted
25
or
dependent
on
a
chemical
substance
may
first
be
26
examined
and
evaluated
by
a
licensed
physician
and
27
surgeon
or
osteopathic
physician
and
surgeon
who
may
28
prescribe
a
proper
course
of
treatment
and
medication,
29
if
needed.
The
licensed
physician
and
surgeon
30
or
osteopathic
physician
and
surgeon
may
further
31
prescribe
a
course
of
treatment
or
rehabilitation
32
and
authorize
another
licensed
physician
and
surgeon
33
or
osteopathic
physician
and
surgeon
or
facility
to
34
provide
the
prescribed
treatment
or
rehabilitation
35
services.
Treatment
or
rehabilitation
services
may
36
be
provided
to
a
person
individually
or
in
a
group.
37
A
facility
providing
or
engaging
in
treatment
or
38
rehabilitation
shall
not
report
or
disclose
to
a
law
39
enforcement
officer
or
law
enforcement
agency
the
name
40
of
any
person
receiving
or
engaged
in
the
treatment
41
or
rehabilitation;
nor
shall
a
person
receiving
or
42
participating
in
treatment
or
rehabilitation
report
43
or
disclose
the
name
of
any
other
person
engaged
in
44
or
receiving
treatment
or
rehabilitation
or
that
the
45
program
is
in
existence,
to
a
law
enforcement
officer
46
or
law
enforcement
agency.
Such
information
shall
47
not
be
admitted
in
evidence
in
any
court,
grand
jury,
48
or
administrative
proceeding.
However,
a
person
49
engaged
in
or
receiving
treatment
or
rehabilitation
50
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may
authorize
the
disclosure
of
the
person’s
name
and
1
individual
participation.
2
4.
If
a
patient
receiving
inpatient
or
residential
3
care
leaves
a
facility,
the
patient
shall
be
encouraged
4
to
consent
to
appropriate
outpatient
or
halfway
house
5
treatment.
If
it
appears
to
the
administrator
in
6
charge
of
the
facility
that
the
patient
is
a
substance
7
abuser
or
chronic
substance
abuser
person
with
a
8
substance-related
disorder
who
requires
help,
the
9
director
may
arrange
for
assistance
in
obtaining
10
supportive
services.
11
Sec.
___.
Section
125.34,
Code
2011,
is
amended
to
12
read
as
follows:
13
125.34
Treatment
and
services
for
intoxicated
14
persons
and
persons
incapacitated
by
alcohol
persons
15
with
substance-related
disorders
due
to
intoxication
and
16
substance-induced
incapacitation
.
17
1.
An
intoxicated
A
person
with
a
substance-related
18
disorder
due
to
intoxication
or
substance-induced
19
incapacitation
may
come
voluntarily
to
a
facility
20
for
emergency
treatment.
A
person
who
appears
to
be
21
intoxicated
or
incapacitated
by
a
chemical
substance
22
in
a
public
place
and
in
need
of
help
may
be
taken
to
a
23
facility
by
a
peace
officer
under
section
125.91
.
If
24
the
person
refuses
the
proffered
help,
the
person
may
25
be
arrested
and
charged
with
intoxication
under
section
26
123.46
,
if
applicable.
27
2.
If
no
facility
is
readily
available
the
28
person
may
be
taken
to
an
emergency
medical
service
29
customarily
used
for
incapacitated
persons.
The
30
peace
officer
in
detaining
the
person
and
in
taking
31
the
person
to
a
facility
shall
make
every
reasonable
32
effort
to
protect
the
person’s
health
and
safety.
In
33
detaining
the
person
the
detaining
officer
may
take
34
reasonable
steps
for
self-protection.
Detaining
a
35
person
under
section
125.91
is
not
an
arrest
and
no
36
entry
or
other
record
shall
be
made
to
indicate
that
37
the
person
who
is
detained
has
been
arrested
or
charged
38
with
a
crime.
39
3.
A
person
who
arrives
at
a
facility
and
40
voluntarily
submits
to
examination
shall
be
examined
41
by
a
licensed
physician
as
soon
as
possible
after
the
42
person
arrives
at
the
facility.
The
person
may
then
43
be
admitted
as
a
patient
or
referred
to
another
health
44
facility.
The
referring
facility
shall
arrange
for
45
transportation.
46
4.
If
a
person
is
voluntarily
admitted
to
a
47
facility,
the
person’s
family
or
next
of
kin
shall
be
48
notified
as
promptly
as
possible.
If
an
adult
patient
49
who
is
not
incapacitated
requests
that
there
be
no
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notification,
the
request
shall
be
respected.
1
5.
A
peace
officer
who
acts
in
compliance
with
2
this
section
is
acting
in
the
course
of
the
officer’s
3
official
duty
and
is
not
criminally
or
civilly
liable
4
therefor,
unless
such
acts
constitute
willful
malice
5
or
abuse.
6
6.
If
the
physician
in
charge
of
the
facility
7
determines
it
is
for
the
patient’s
benefit,
the
patient
8
shall
be
encouraged
to
agree
to
further
diagnosis
and
9
appropriate
voluntary
treatment.
10
7.
A
licensed
physician
and
surgeon
or
osteopathic
11
physician
and
surgeon,
facility
administrator,
or
an
12
employee
or
a
person
acting
as
or
on
behalf
of
the
13
facility
administrator,
is
not
criminally
or
civilly
14
liable
for
acts
in
conformity
with
this
chapter
,
unless
15
the
acts
constitute
willful
malice
or
abuse.
16
Sec.
___.
Section
125.43,
Code
2011,
is
amended
to
17
read
as
follows:
18
125.43
Funding
at
mental
health
institutes.
19
Chapter
230
governs
the
determination
of
the
20
costs
and
payment
for
treatment
provided
to
substance
21
abusers
or
chronic
substance
abusers
persons
with
22
substance-related
disorders
in
a
mental
health
23
institute
under
the
department
of
human
services,
24
except
that
the
charges
are
not
a
lien
on
real
estate
25
owned
by
persons
legally
liable
for
support
of
the
26
substance
abuser
or
chronic
substance
abuser
person
27
with
a
substance-related
disorder
and
the
daily
per
28
diem
shall
be
billed
at
twenty-five
percent.
The
29
superintendent
of
a
state
hospital
shall
total
only
30
those
expenditures
which
can
be
attributed
to
the
31
cost
of
providing
inpatient
treatment
to
substance
32
abusers
or
chronic
substance
abusers
persons
with
33
substance-related
disorders
for
purposes
of
determining
34
the
daily
per
diem.
Section
125.44
governs
the
35
determination
of
who
is
legally
liable
for
the
cost
36
of
care,
maintenance,
and
treatment
of
a
substance
37
abuser
or
chronic
substance
abuser
person
with
a
38
substance-related
disorder
and
of
the
amount
for
which
39
the
person
is
liable.
40
Sec.
___.
Section
125.43A,
Code
2011,
is
amended
to
41
read
as
follows:
42
125.43A
Prescreening
——
exception.
43
Except
in
cases
of
medical
emergency
or
44
court-ordered
admissions,
a
person
shall
be
admitted
45
to
a
state
mental
health
institute
for
substance
46
abuse
treatment
only
after
a
preliminary
intake
and
47
assessment
by
a
department-licensed
treatment
facility
48
or
a
hospital
providing
care
or
treatment
for
substance
49
abusers
persons
with
substance-related
disorders
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licensed
under
chapter
135B
and
accredited
by
the
1
joint
commission
on
the
accreditation
of
health
care
2
organizations,
the
commission
on
accreditation
of
3
rehabilitation
facilities,
the
American
osteopathic
4
association,
or
another
recognized
organization
5
approved
by
the
board,
or
by
a
designee
of
a
6
department-licensed
treatment
facility
or
a
hospital
7
other
than
a
state
mental
health
institute,
which
8
confirms
that
the
admission
is
appropriate
to
the
9
person’s
substance
abuse
service
needs.
A
county
board
10
of
supervisors
may
seek
an
admission
of
a
patient
11
to
a
state
mental
health
institute
who
has
not
been
12
confirmed
for
appropriate
admission
and
the
county
13
shall
be
responsible
for
one
hundred
percent
of
the
14
cost
of
treatment
and
services
of
the
patient.
15
Sec.
___.
Section
125.44,
Code
2011,
is
amended
to
16
read
as
follows:
17
125.44
Agreements
with
facilities
——
liability
for
18
costs.
19
The
director
may,
consistent
with
the
comprehensive
20
substance
abuse
program,
enter
into
written
21
agreements
with
a
facility
as
defined
in
section
22
125.2
to
pay
for
one
hundred
percent
of
the
cost
of
23
the
care,
maintenance,
and
treatment
of
substance
24
abusers
and
chronic
substance
abusers
persons
with
25
substance-related
disorders
,
except
when
section
26
125.43A
applies.
All
payments
for
state
patients
shall
27
be
made
in
accordance
with
the
limitations
of
this
28
section
.
Such
contracts
shall
be
for
a
period
of
no
29
more
than
one
year.
30
The
contract
may
be
in
the
form
and
contain
31
provisions
as
agreed
upon
by
the
parties.
The
contract
32
shall
provide
that
the
facility
shall
admit
and
33
treat
substance
abusers
and
chronic
substance
abusers
34
persons
with
substance-related
disorders
regardless
35
of
where
they
have
residence.
If
one
payment
for
36
care,
maintenance,
and
treatment
is
not
made
by
the
37
patient
or
those
legally
liable
for
the
patient,
the
38
payment
shall
be
made
by
the
department
directly
to
39
the
facility.
Payments
shall
be
made
each
month
and
40
shall
be
based
upon
the
rate
of
payment
for
services
41
negotiated
between
the
department
and
the
contracting
42
facility.
If
a
facility
projects
a
temporary
cash
flow
43
deficit,
the
department
may
make
cash
advances
at
the
44
beginning
of
each
fiscal
year
to
the
facility.
The
45
repayment
schedule
for
advances
shall
be
part
of
the
46
contract
between
the
department
and
the
facility.
This
47
section
does
not
pertain
to
patients
treated
at
the
48
mental
health
institutes.
49
If
the
appropriation
to
the
department
is
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insufficient
to
meet
the
requirements
of
this
section
,
1
the
department
shall
request
a
transfer
of
funds
and
2
section
8.39
shall
apply.
3
The
substance
abuser
or
chronic
substance
abuser
4
person
with
a
substance-related
disorder
is
legally
5
liable
to
the
facility
for
the
total
amount
of
the
cost
6
of
providing
care,
maintenance,
and
treatment
for
the
7
substance
abuser
or
chronic
substance
abuser
person
8
with
a
substance-related
disorder
while
a
voluntary
or
9
committed
patient
in
a
facility.
This
section
does
not
10
prohibit
any
individual
from
paying
any
portion
of
the
11
cost
of
treatment.
12
The
department
is
liable
for
the
cost
of
13
care,
treatment,
and
maintenance
of
substance
14
abusers
and
chronic
substance
abusers
persons
with
15
substance-related
disorders
admitted
to
the
facility
16
voluntarily
or
pursuant
to
section
125.75
,
125.81
,
17
or
125.91
or
section
321J.3
or
124.409
only
to
those
18
facilities
that
have
a
contract
with
the
department
19
under
this
section
,
only
for
the
amount
computed
20
according
to
and
within
the
limits
of
liability
21
prescribed
by
this
section
,
and
only
when
the
substance
22
abuser
or
chronic
substance
abuser
person
with
a
23
substance-related
disorder
is
unable
to
pay
the
costs
24
and
there
is
no
other
person,
firm,
corporation,
or
25
insurance
company
bound
to
pay
the
costs.
26
The
department’s
maximum
liability
for
the
costs
27
of
care,
treatment,
and
maintenance
of
substance
28
abusers
and
chronic
substance
abusers
persons
with
29
substance-related
disorders
in
a
contracting
facility
30
is
limited
to
the
total
amount
agreed
upon
by
the
31
parties
and
specified
in
the
contract
under
this
32
section
.
33
Sec.
___.
Section
125.46,
Code
2011,
is
amended
to
34
read
as
follows:
35
125.46
County
of
residence
determined.
36
The
facility
shall,
when
a
substance
abuser
37
or
chronic
substance
abuser
person
with
a
38
substance-related
disorder
is
admitted,
or
as
39
soon
thereafter
as
it
receives
the
proper
information,
40
determine
and
enter
upon
its
records
the
Iowa
county
of
41
residence
of
the
substance
abuser
or
chronic
substance
42
abuser
person
with
a
substance-related
disorder
,
or
43
that
the
person
resides
in
some
other
state
or
country,
44
or
that
the
person
is
unclassified
with
respect
to
45
residence.
46
Sec.
___.
Section
125.75,
unnumbered
paragraph
1,
47
Code
2011,
is
amended
to
read
as
follows:
48
Proceedings
for
the
involuntary
commitment
or
49
treatment
of
a
chronic
substance
abuser
person
with
50
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a
substance-related
disorder
to
a
facility
may
be
1
commenced
by
the
county
attorney
or
an
interested
2
person
by
filing
a
verified
application
with
the
3
clerk
of
the
district
court
of
the
county
where
4
the
respondent
is
presently
located
or
which
is
5
the
respondent’s
place
of
residence.
The
clerk
or
6
the
clerk’s
designee
shall
assist
the
applicant
in
7
completing
the
application.
The
application
shall:
8
Sec.
___.
Section
125.75,
subsection
1,
Code
2011,
9
is
amended
to
read
as
follows:
10
1.
State
the
applicant’s
belief
that
the
11
respondent
is
a
chronic
substance
abuser
person
with
a
12
substance-related
disorder
.
13
Sec.
___.
Section
125.80,
subsections
3
and
4,
Code
14
2011,
are
amended
to
read
as
follows:
15
3.
If
the
report
of
a
court-designated
physician
16
is
to
the
effect
that
the
respondent
is
not
a
chronic
17
substance
abuser
person
with
a
substance-related
18
disorder
,
the
court,
without
taking
further
action,
may
19
terminate
the
proceeding
and
dismiss
the
application
on
20
its
own
motion
and
without
notice.
21
4.
If
the
report
of
a
court-designated
physician
22
is
to
the
effect
that
the
respondent
is
a
chronic
23
substance
abuser
person
with
a
substance-related
24
disorder
,
the
court
shall
schedule
a
commitment
25
hearing
as
soon
as
possible.
The
hearing
shall
be
26
held
not
more
than
forty-eight
hours
after
the
report
27
is
filed,
excluding
Saturdays,
Sundays,
and
holidays,
28
unless
an
extension
for
good
cause
is
requested
by
29
the
respondent,
or
as
soon
thereafter
as
possible
if
30
the
court
considers
that
sufficient
grounds
exist
for
31
delaying
the
hearing.
32
Sec.
___.
Section
125.81,
subsection
1,
Code
2011,
33
is
amended
to
read
as
follows:
34
1.
If
a
person
filing
an
application
requests
that
35
a
respondent
be
taken
into
immediate
custody,
and
the
36
court
upon
reviewing
the
application
and
accompanying
37
documentation,
finds
probable
cause
to
believe
that
the
38
respondent
is
a
chronic
substance
abuser
person
with
39
a
substance-related
disorder
who
is
likely
to
injure
40
the
person
or
other
persons
if
allowed
to
remain
at
41
liberty,
the
court
may
enter
a
written
order
directing
42
that
the
respondent
be
taken
into
immediate
custody
43
by
the
sheriff,
and
be
detained
until
the
commitment
44
hearing,
which
shall
be
held
no
more
than
five
days
45
after
the
date
of
the
order,
except
that
if
the
fifth
46
day
after
the
date
of
the
order
is
a
Saturday,
Sunday,
47
or
a
holiday,
the
hearing
may
be
held
on
the
next
48
business
day.
The
court
may
order
the
respondent
49
detained
for
the
period
of
time
until
the
hearing
is
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held,
and
no
longer
except
as
provided
in
section
1
125.88
,
in
accordance
with
subsection
2
,
paragraph
2
“a”
,
if
possible,
and
if
not,
then
in
accordance
with
3
subsection
2
,
paragraph
“b”
,
or,
only
if
neither
of
4
these
alternatives
is
available
in
accordance
with
5
subsection
2
,
paragraph
“c”
.
6
Sec.
___.
Section
125.82,
subsection
4,
Code
2011,
7
is
amended
to
read
as
follows:
8
4.
The
respondent’s
welfare
is
paramount,
and
the
9
hearing
shall
be
tried
as
a
civil
matter
and
conducted
10
in
as
informal
a
manner
as
is
consistent
with
orderly
11
procedure.
Discovery
as
permitted
under
the
Iowa
rules
12
of
civil
procedure
is
available
to
the
respondent.
The
13
court
shall
receive
all
relevant
and
material
evidence,
14
but
the
court
is
not
bound
by
the
rules
of
evidence.
15
A
presumption
in
favor
of
the
respondent
exists,
and
16
the
burden
of
evidence
and
support
of
the
contentions
17
made
in
the
application
shall
be
upon
the
person
who
18
filed
the
application.
If
upon
completion
of
the
19
hearing
the
court
finds
that
the
contention
that
the
20
respondent
is
a
chronic
substance
abuser
person
with
a
21
substance-related
disorder
has
not
been
sustained
by
22
clear
and
convincing
evidence,
the
court
shall
deny
the
23
application
and
terminate
the
proceeding.
24
Sec.
___.
Section
125.83,
Code
2011,
is
amended
to
25
read
as
follows:
26
125.83
Placement
for
evaluation.
27
If
upon
completion
of
the
commitment
hearing,
28
the
court
finds
that
the
contention
that
the
29
respondent
is
a
chronic
substance
abuser
person
with
30
a
substance-related
disorder
has
been
sustained
by
31
clear
and
convincing
evidence,
the
court
shall
order
32
the
respondent
placed
at
a
facility
or
under
the
33
care
of
a
suitable
facility
on
an
outpatient
basis
as
34
expeditiously
as
possible
for
a
complete
evaluation
35
and
appropriate
treatment.
The
court
shall
furnish
to
36
the
facility
at
the
time
of
admission
or
outpatient
37
placement,
a
written
statement
of
facts
setting
forth
38
the
evidence
on
which
the
finding
is
based.
The
39
administrator
of
the
facility
shall
report
to
the
court
40
no
more
than
fifteen
days
after
the
individual
is
41
admitted
to
or
placed
under
the
care
of
the
facility,
42
which
shall
include
the
chief
medical
officer’s
43
recommendation
concerning
substance
abuse
treatment.
44
An
extension
of
time
may
be
granted
for
a
period
not
45
to
exceed
seven
days
upon
a
showing
of
good
cause.
A
46
copy
of
the
report
shall
be
sent
to
the
respondent’s
47
attorney
who
may
contest
the
need
for
an
extension
of
48
time
if
one
is
requested.
If
the
request
is
contested,
49
the
court
shall
make
an
inquiry
as
it
deems
appropriate
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and
may
either
order
the
respondent
released
from
1
the
facility
or
grant
extension
of
time
for
further
2
evaluation.
If
the
administrator
fails
to
report
to
3
the
court
within
fifteen
days
after
the
individual
is
4
admitted
to
the
facility,
and
no
extension
of
time
has
5
been
requested,
the
administrator
is
guilty
of
contempt
6
and
shall
be
punished
under
chapter
665
.
The
court
7
shall
order
a
rehearing
on
the
application
to
determine
8
whether
the
respondent
should
continue
to
be
held
at
9
the
facility.
10
Sec.
___.
Section
125.83A,
subsection
1,
Code
2011,
11
is
amended
to
read
as
follows:
12
1.
If
upon
completion
of
the
commitment
hearing,
13
the
court
finds
that
the
contention
that
the
14
respondent
is
a
chronic
substance
abuser
person
with
a
15
substance-related
disorder
has
been
sustained
by
clear
16
and
convincing
evidence,
and
the
court
is
furnished
17
evidence
that
the
respondent
is
eligible
for
care
18
and
treatment
in
a
facility
operated
by
the
United
19
States
department
of
veterans
affairs
or
another
20
agency
of
the
United
States
government
and
that
the
21
facility
is
willing
to
receive
the
respondent,
the
22
court
may
so
order.
The
respondent,
when
so
placed
in
23
a
facility
operated
by
the
United
States
department
24
of
veterans
affairs
or
another
agency
of
the
United
25
States
government
within
or
outside
of
this
state,
26
shall
be
subject
to
the
rules
of
the
United
States
27
department
of
veterans
affairs
or
other
agency,
but
28
shall
not
lose
any
procedural
rights
afforded
the
29
respondent
by
this
chapter
.
The
chief
officer
of
the
30
facility
shall
have,
with
respect
to
the
respondent
31
so
placed,
the
same
powers
and
duties
as
the
chief
32
medical
officer
of
a
hospital
in
this
state
would
33
have
in
regard
to
submission
of
reports
to
the
court,
34
retention
of
custody,
transfer,
convalescent
leave,
or
35
discharge.
Jurisdiction
is
retained
in
the
court
to
36
maintain
surveillance
of
the
respondent’s
treatment
and
37
care,
and
at
any
time
to
inquire
into
the
respondent’s
38
condition
and
the
need
for
continued
care
and
custody.
39
Sec.
___.
Section
125.84,
subsections
2,
3,
and
4,
40
Code
2011,
are
amended
to
read
as
follows:
41
2.
That
the
respondent
is
a
chronic
substance
42
abuser
person
with
a
substance-related
disorder
who
43
is
in
need
of
full-time
custody,
care,
and
treatment
44
in
a
facility,
and
is
considered
likely
to
benefit
45
from
treatment.
If
the
report
so
states,
the
court
46
shall
enter
an
order
which
may
require
the
respondent’s
47
continued
placement
and
commitment
to
a
facility
for
48
appropriate
treatment.
49
3.
That
the
respondent
is
a
chronic
substance
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abuser
person
with
a
substance-related
disorder
who
is
1
in
need
of
treatment,
but
does
not
require
full-time
2
placement
in
a
facility.
If
the
report
so
states,
3
the
report
shall
include
the
chief
medical
officer’s
4
recommendation
for
treatment
of
the
respondent
on
an
5
outpatient
or
other
appropriate
basis,
and
the
court
6
shall
enter
an
order
which
may
direct
the
respondent
to
7
submit
to
the
recommended
treatment.
The
order
shall
8
provide
that
if
the
respondent
fails
or
refuses
to
9
submit
to
treatment,
as
directed
by
the
court’s
order,
10
the
court
may
order
that
the
respondent
be
taken
into
11
immediate
custody
as
provided
by
section
125.81
and,
12
following
notice
and
hearing
held
in
accordance
with
13
the
procedures
of
sections
125.77
and
125.82
,
may
order
14
the
respondent
treated
as
a
patient
requiring
full-time
15
custody,
care,
and
treatment
as
provided
in
subsection
16
2
,
and
may
order
the
respondent
involuntarily
committed
17
to
a
facility.
18
4.
That
the
respondent
is
a
chronic
substance
19
abuser
person
with
a
substance-related
disorder
who
is
20
in
need
of
treatment,
but
in
the
opinion
of
the
chief
21
medical
officer
is
not
responding
to
the
treatment
22
provided.
If
the
report
so
states,
the
report
shall
23
include
the
facility
administrator’s
recommendation
24
for
alternative
placement,
and
the
court
shall
enter
25
an
order
which
may
direct
the
respondent’s
transfer
26
to
the
recommended
placement
or
to
another
placement
27
after
consultation
with
respondent’s
attorney
and
the
28
facility
administrator
who
made
the
report
under
this
29
subsection
.
30
Sec.
___.
Section
125.91,
subsections
1,
2,
and
3,
31
Code
2011,
are
amended
to
read
as
follows:
32
1.
The
procedure
prescribed
by
this
section
33
shall
only
be
used
for
an
intoxicated
a
person
with
34
a
substance-related
disorder
due
to
intoxication
or
35
substance-induced
incapacitation
who
has
threatened,
36
attempted,
or
inflicted
physical
self-harm
or
harm
on
37
another,
and
is
likely
to
inflict
physical
self-harm
or
38
harm
on
another
unless
immediately
detained,
or
who
is
39
incapacitated
by
a
chemical
substance,
if
that
person
40
cannot
be
taken
into
immediate
custody
under
sections
41
125.75
and
125.81
because
immediate
access
to
the
court
42
is
not
possible.
43
2.
a.
A
peace
officer
who
has
reasonable
44
grounds
to
believe
that
the
circumstances
described
45
in
subsection
1
are
applicable
may,
without
a
46
warrant,
take
or
cause
that
person
to
be
taken
to
the
47
nearest
available
facility
referred
to
in
section
48
125.81,
subsection
2
,
paragraph
“b”
or
“c”
.
Such
49
an
intoxicated
or
incapacitated
a
person
with
a
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substance-related
disorder
due
to
intoxication
or
1
substance-induced
incapacitation
who
also
demonstrates
2
a
significant
degree
of
distress
or
dysfunction
may
3
also
be
delivered
to
a
facility
by
someone
other
than
4
a
peace
officer
upon
a
showing
of
reasonable
grounds.
5
Upon
delivery
of
the
person
to
a
facility
under
this
6
section
,
the
examining
physician
may
order
treatment
7
of
the
person,
but
only
to
the
extent
necessary
to
8
preserve
the
person’s
life
or
to
appropriately
control
9
the
person’s
behavior
if
the
behavior
is
likely
to
10
result
in
physical
injury
to
the
person
or
others
11
if
allowed
to
continue.
The
peace
officer
or
other
12
person
who
delivered
the
person
to
the
facility
13
shall
describe
the
circumstances
of
the
matter
to
14
the
examining
physician.
If
the
person
is
a
peace
15
officer,
the
peace
officer
may
do
so
either
in
person
16
or
by
written
report.
If
the
examining
physician
has
17
reasonable
grounds
to
believe
that
the
circumstances
in
18
subsection
1
are
applicable,
the
examining
physician
19
shall
at
once
communicate
with
the
nearest
available
20
magistrate
as
defined
in
section
801.4,
subsection
10
.
21
The
magistrate
shall,
based
upon
the
circumstances
22
described
by
the
examining
physician,
give
the
23
examining
physician
oral
instructions
either
directing
24
that
the
person
be
released
forthwith,
or
authorizing
25
the
person’s
detention
in
an
appropriate
facility.
26
The
magistrate
may
also
give
oral
instructions
and
27
order
that
the
detained
person
be
transported
to
an
28
appropriate
facility.
29
b.
If
the
magistrate
orders
that
the
person
be
30
detained,
the
magistrate
shall,
by
the
close
of
31
business
on
the
next
working
day,
file
a
written
order
32
with
the
clerk
in
the
county
where
it
is
anticipated
33
that
an
application
may
be
filed
under
section
125.75
.
34
The
order
may
be
filed
by
facsimile
if
necessary.
The
35
order
shall
state
the
circumstances
under
which
the
36
person
was
taken
into
custody
or
otherwise
brought
to
37
a
facility
and
the
grounds
supporting
the
finding
of
38
probable
cause
to
believe
that
the
person
is
a
chronic
39
substance
abuser
person
with
a
substance-related
40
disorder
likely
to
result
in
physical
injury
to
the
41
person
or
others
if
not
detained.
The
order
shall
42
confirm
the
oral
order
authorizing
the
person’s
43
detention
including
any
order
given
to
transport
the
44
person
to
an
appropriate
facility.
The
clerk
shall
45
provide
a
copy
of
that
order
to
the
chief
medical
46
officer
of
the
facility
attending
physician,
to
47
which
the
person
was
originally
taken,
any
subsequent
48
facility
to
which
the
person
was
transported,
and
49
to
any
law
enforcement
department
or
ambulance
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service
that
transported
the
person
pursuant
to
the
1
magistrate’s
order.
2
3.
The
chief
medical
officer
of
the
facility
3
attending
physician
shall
examine
and
may
detain
the
4
person
pursuant
to
the
magistrate’s
order
for
a
period
5
not
to
exceed
forty-eight
hours
from
the
time
the
order
6
is
dated,
excluding
Saturdays,
Sundays,
and
holidays,
7
unless
the
order
is
dismissed
by
a
magistrate.
The
8
facility
may
provide
treatment
which
is
necessary
to
9
preserve
the
person’s
life
or
to
appropriately
control
10
the
person’s
behavior
if
the
behavior
is
likely
to
11
result
in
physical
injury
to
the
person
or
others
if
12
allowed
to
continue
or
is
otherwise
deemed
medically
13
necessary
by
the
chief
medical
officer
attending
14
physician
,
but
shall
not
otherwise
provide
treatment
to
15
the
person
without
the
person’s
consent.
The
person
16
shall
be
discharged
from
the
facility
and
released
17
from
detention
no
later
than
the
expiration
of
the
18
forty-eight-hour
period,
unless
an
application
for
19
involuntary
commitment
is
filed
with
the
clerk
pursuant
20
to
section
125.75
.
The
detention
of
a
person
by
the
21
procedure
in
this
section
,
and
not
in
excess
of
the
22
period
of
time
prescribed
by
this
section
,
shall
not
23
render
the
peace
officer,
attending
physician,
or
24
facility
detaining
the
person
liable
in
a
criminal
or
25
civil
action
for
false
arrest
or
false
imprisonment
26
if
the
peace
officer,
physician,
or
facility
had
27
reasonable
grounds
to
believe
that
the
circumstances
28
described
in
subsection
1
were
applicable.
29
Sec.
___.
Section
226.9C,
subsection
2,
paragraph
30
c,
Code
2011,
is
amended
to
read
as
follows:
31
c.
(1)
Prior
to
an
individual’s
admission
for
dual
32
diagnosis
treatment,
the
individual
shall
have
been
33
prescreened.
The
person
performing
the
prescreening
34
shall
be
either
the
mental
health
professional,
as
35
defined
in
section
228.1,
who
is
contracting
with
the
36
county
central-point-of-coordination
process
to
provide
37
the
prescreening
or
a
mental
health
professional
38
with
the
requisite
qualifications.
A
mental
health
39
professional
with
the
requisite
qualifications
shall
40
meet
all
of
the
following
qualifications:
is
a
mental
41
health
professional
as
defined
in
section
228.1,
is
42
a
certified
alcohol
and
drug
counselor
certified
by
43
the
nongovernmental
Iowa
board
of
substance
abuse
44
certification,
and
is
employed
by
or
providing
services
45
for
a
facility,
as
defined
in
section
125.2.
46
(2)
Prior
to
an
individual’s
admission
for
dual
47
diagnosis
treatment,
the
individual
shall
have
48
been
screened
through
a
county’s
central
point
of
49
coordination
process
implemented
pursuant
to
section
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331.440
to
determine
the
appropriateness
of
the
1
treatment.
2
Sec.
___.
Section
229.1,
subsection
12,
Code
2011,
3
is
amended
to
read
as
follows:
4
12.
“Psychiatric
advanced
registered
nurse
5
practitioner”
means
an
individual
currently
licensed
as
6
a
registered
nurse
under
chapter
152
or
152E
who
holds
7
a
national
certification
in
psychiatric
mental
health
8
care
and
who
is
registered
with
the
board
of
nursing
as
9
an
advanced
registered
nurse
practitioner.
10
Sec.
___.
Section
229.15,
subsection
3,
paragraph
11
a,
Code
2011,
is
amended
to
read
as
follows:
12
a.
A
psychiatric
advanced
registered
nurse
13
practitioner
treating
a
patient
previously
hospitalized
14
under
this
chapter
may
complete
periodic
reports
15
pursuant
to
this
section
on
the
patient
if
the
patient
16
has
been
recommended
for
treatment
on
an
outpatient
or
17
other
appropriate
basis
pursuant
to
section
229.14,
18
subsection
1
,
paragraph
“c”
,
and
if
a
psychiatrist
19
licensed
pursuant
to
chapter
148
personally
evaluates
20
the
patient
on
at
least
an
annual
basis
.
21
Sec.
___.
Section
229.21,
subsection
2,
Code
2011,
22
is
amended
to
read
as
follows:
23
2.
When
an
application
for
involuntary
24
hospitalization
under
this
chapter
or
an
application
25
for
involuntary
commitment
or
treatment
of
chronic
26
substance
abusers
persons
with
substance-related
27
disorders
under
sections
125.75
to
125.94
is
filed
with
28
the
clerk
of
the
district
court
in
any
county
for
which
29
a
judicial
hospitalization
referee
has
been
appointed,
30
and
no
district
judge,
district
associate
judge,
or
31
magistrate
who
is
admitted
to
the
practice
of
law
in
32
this
state
is
accessible,
the
clerk
shall
immediately
33
notify
the
referee
in
the
manner
required
by
section
34
229.7
or
section
125.77
.
The
referee
shall
discharge
35
all
of
the
duties
imposed
upon
the
court
by
sections
36
229.7
to
229.22
or
sections
125.75
to
125.94
in
the
37
proceeding
so
initiated.
Subject
to
the
provisions
of
38
subsection
4
,
orders
issued
by
a
referee,
in
discharge
39
of
duties
imposed
under
this
section
,
shall
have
the
40
same
force
and
effect
as
if
ordered
by
a
district
41
judge.
However,
any
commitment
to
a
facility
regulated
42
and
operated
under
chapter
135C
,
shall
be
in
accordance
43
with
section
135C.23
.
44
Sec.
___.
Section
229.21,
subsection
3,
paragraphs
45
a
and
b,
Code
2011,
are
amended
to
read
as
follows:
46
a.
Any
respondent
with
respect
to
whom
the
47
magistrate
or
judicial
hospitalization
referee
has
48
found
the
contention
that
the
respondent
is
seriously
49
mentally
impaired
or
a
chronic
substance
abuser
person
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with
a
substance-related
disorder
sustained
by
clear
1
and
convincing
evidence
presented
at
a
hearing
held
2
under
section
229.12
or
section
125.82
,
may
appeal
from
3
the
magistrate’s
or
referee’s
finding
to
a
judge
of
the
4
district
court
by
giving
the
clerk
notice
in
writing,
5
within
ten
days
after
the
magistrate’s
or
referee’s
6
finding
is
made,
that
an
appeal
is
taken.
The
appeal
7
may
be
signed
by
the
respondent
or
by
the
respondent’s
8
next
friend,
guardian,
or
attorney.
9
b.
An
order
of
a
magistrate
or
judicial
10
hospitalization
referee
with
a
finding
that
the
11
respondent
is
seriously
mentally
impaired
or
a
chronic
12
substance
abuser
person
with
a
substance-related
13
disorder
shall
include
the
following
notice,
located
14
conspicuously
on
the
face
of
the
order:
15
NOTE:
The
respondent
may
appeal
from
this
order
to
a
16
judge
of
the
district
court
by
giving
written
notice
of
17
the
appeal
to
the
clerk
of
the
district
court
within
18
ten
days
after
the
date
of
this
order.
The
appeal
may
19
be
signed
by
the
respondent
or
by
the
respondent’s
next
20
friend,
guardian,
or
attorney.
For
a
more
complete
21
description
of
the
respondent’s
appeal
rights,
consult
22
section
229.21
of
the
Code
of
Iowa
or
an
attorney.
23
Sec.
___.
Section
229.21,
subsection
4,
Code
2011,
24
is
amended
to
read
as
follows:
25
4.
If
the
appellant
is
in
custody
under
the
26
jurisdiction
of
the
district
court
at
the
time
27
of
service
of
the
notice
of
appeal,
the
appellant
28
shall
be
discharged
from
custody
unless
an
order
29
that
the
appellant
be
taken
into
immediate
custody
30
has
previously
been
issued
under
section
229.11
or
31
section
125.81
,
in
which
case
the
appellant
shall
32
be
detained
as
provided
in
that
section
until
the
33
hospitalization
or
commitment
hearing
before
the
34
district
judge.
If
the
appellant
is
in
the
custody
of
35
a
hospital
or
facility
at
the
time
of
service
of
the
36
notice
of
appeal,
the
appellant
shall
be
discharged
37
from
custody
pending
disposition
of
the
appeal
unless
38
the
chief
medical
officer,
not
later
than
the
end
of
39
the
next
secular
day
on
which
the
office
of
the
clerk
40
is
open
and
which
follows
service
of
the
notice
of
41
appeal,
files
with
the
clerk
a
certification
that
in
42
the
chief
medical
officer’s
opinion
the
appellant
is
43
seriously
mentally
ill
or
a
substance
abuser
person
44
with
a
substance-related
disorder
.
In
that
case,
the
45
appellant
shall
remain
in
custody
of
the
hospital
46
or
facility
until
the
hospitalization
or
commitment
47
hearing
before
the
district
court.
48
Sec.
___.
Section
230.15,
unnumbered
paragraph
2,
49
Code
2011,
is
amended
to
read
as
follows:
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A
substance
abuser
or
chronic
substance
abuser
1
person
with
a
substance-related
disorder
is
legally
2
liable
for
the
total
amount
of
the
cost
of
providing
3
care,
maintenance,
and
treatment
for
the
substance
4
abuser
or
chronic
substance
abuser
person
with
a
5
substance-related
disorder
while
a
voluntary
or
6
committed
patient.
When
a
portion
of
the
cost
is
paid
7
by
a
county,
the
substance
abuser
or
chronic
substance
8
abuser
person
with
a
substance-related
disorder
is
9
legally
liable
to
the
county
for
the
amount
paid.
10
The
substance
abuser
or
chronic
substance
abuser
11
person
with
a
substance-related
disorder
shall
assign
12
any
claim
for
reimbursement
under
any
contract
of
13
indemnity,
by
insurance
or
otherwise,
providing
for
14
the
abuser’s
person’s
care,
maintenance,
and
treatment
15
in
a
state
hospital
to
the
state.
Any
payments
16
received
by
the
state
from
or
on
behalf
of
a
substance
17
abuser
or
chronic
substance
abuser
person
with
a
18
substance-related
disorder
shall
be
in
part
credited
19
to
the
county
in
proportion
to
the
share
of
the
costs
20
paid
by
the
county.
Nothing
in
this
section
shall
be
21
construed
to
prevent
a
relative
or
other
person
from
22
voluntarily
paying
the
full
actual
cost
or
any
portion
23
of
the
care
and
treatment
of
any
person
with
mental
24
illness
,
substance
abuser,
or
chronic
substance
abuser
25
or
a
substance-related
disorder
as
established
by
the
26
department
of
human
services.
27
Sec.
___.
Section
232.116,
subsection
1,
paragraph
28
l,
subparagraph
(2),
Code
2011,
is
amended
to
read
as
29
follows:
30
(2)
The
parent
has
a
severe
,
chronic
substance
31
abuse
problem,
substance-related
disorder
and
presents
32
a
danger
to
self
or
others
as
evidenced
by
prior
acts.
33
Sec.
___.
Section
600A.8,
subsection
8,
paragraph
34
a,
Code
2011,
is
amended
to
read
as
follows:
35
a.
The
parent
has
been
determined
to
be
a
chronic
36
substance
abuser
person
with
a
substance-related
37
disorder
as
defined
in
section
125.2
and
the
parent
has
38
committed
a
second
or
subsequent
domestic
abuse
assault
39
pursuant
to
section
708.2A
.
40
Sec.
___.
Section
602.4201,
subsection
3,
paragraph
41
h,
Code
2011,
is
amended
to
read
as
follows:
42
h.
Involuntary
commitment
or
treatment
of
substance
43
abusers
persons
with
a
substance-related
disorders
.
44
Sec.
___.
IMPLEMENTATION
OF
ACT.
Section
25B.2,
45
subsection
3,
shall
not
apply
to
this
division
of
this
46
Act.
47
Sec.
___.
EFFECTIVE
DATE.
This
division
of
this
48
Act
takes
effect
July
1,
2012.
>
49
17.
Page
475,
before
line
24
by
inserting:
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#17.
<
DIVISION
___
1
HEALTH
AND
HUMAN
SERVICES
STATUTORY
2
Sec.
___.
Section
153.14,
subsection
1,
Code
2011,
3
is
amended
to
read
as
follows:
4
1.
Students
of
dentistry
who
practice
dentistry
5
upon
patients
at
clinics
in
connection
with
their
6
regular
course
of
instruction
at
the
state
an
7
accredited
dental
college,
students
of
dental
8
hygiene
who
practice
upon
patients
at
clinics
in
9
connection
with
their
regular
course
of
instruction
10
at
state-approved
schools,
and
students
of
dental
11
assisting
who
practice
upon
patients
at
clinics
12
in
connection
with
a
regular
course
of
instruction
13
determined
by
the
board
pursuant
to
section
153.39
.
14
Sec.
___.
Section
154A.24,
subsection
3,
paragraph
15
s,
Code
2011,
is
amended
by
striking
the
paragraph.
16
Sec.
___.
Section
235B.19,
Code
2011,
is
amended
by
17
adding
the
following
new
subsection:
18
NEW
SUBSECTION
.
2A.
a.
The
department
shall
19
serve
a
copy
of
the
petition
and
any
order
authorizing
20
protective
services,
if
issued,
on
the
dependent
adult
21
and
on
persons
who
are
competent
adults
and
reasonably
22
ascertainable
at
the
time
the
petition
is
filed
in
23
accordance
with
the
following
priority:
24
(1)
An
attorney
in
fact
named
by
the
dependent
25
adult
in
a
durable
power
of
attorney
for
health
care
26
pursuant
to
chapter
144B.
27
(2)
The
dependent
adult’s
spouse.
28
(3)
The
dependent
adult’s
children.
29
(4)
The
dependent
adult’s
grandchildren.
30
(5)
The
dependent
adult’s
siblings.
31
(6)
The
dependent
adult’s
aunts
and
uncles.
32
(7)
The
dependent
adult’s
nieces
and
nephews.
33
(8)
The
dependent
adult’s
cousins.
34
b.
When
the
department
has
served
a
person
in
one
35
of
the
categories
specified
in
paragraph
“a”
,
the
36
department
shall
not
be
required
to
serve
a
person
in
37
any
other
category.
38
c.
The
department
shall
serve
the
dependent
adult’s
39
copy
of
the
petition
and
order
personally
upon
the
40
dependent
adult.
Service
of
the
petition
and
all
other
41
orders
and
notices
shall
be
in
a
sealed
envelope
with
42
the
proper
postage
on
the
envelope,
addressed
to
the
43
person
being
served
at
the
person’s
last
known
post
44
office
address,
and
deposited
in
a
mail
receptacle
45
provided
by
the
United
States
postal
service.
The
46
department
shall
serve
such
copies
of
emergency
orders
47
authorizing
protective
services
and
notices
within
48
three
days
after
filing
the
petition
and
receiving
such
49
orders.
50
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57
d.
The
department
and
all
persons
served
by
the
1
department
with
notices
under
this
subsection
shall
2
be
prohibited
from
all
of
the
following
without
prior
3
court
approval
after
the
department’s
petition
has
been
4
filed:
5
(1)
Selling,
removing,
or
otherwise
disposing
of
6
the
dependent
adult’s
personal
property.
7
(2)
Withdrawing
funds
from
any
bank,
savings
and
8
loan
association,
credit
union,
or
other
financial
9
institution,
or
from
an
account
containing
securities
10
in
which
the
dependent
adult
has
an
interest.
11
Sec.
___.
Section
237A.1,
subsection
3,
paragraph
12
n,
Code
2011,
is
amended
to
read
as
follows:
13
n.
A
program
offered
to
a
child
whose
parent,
14
guardian,
or
custodian
is
engaged
solely
in
a
15
recreational
or
social
activity,
remains
immediately
16
available
and
accessible
on
the
physical
premises
on
17
which
the
child’s
care
is
provided,
and
does
not
engage
18
in
employment
while
the
care
is
provided.
However,
19
if
the
recreational
or
social
activity
is
provided
in
20
a
fitness
center
or
on
the
premises
of
a
nonprofit
21
organization
the
parent,
guardian,
or
custodian
of
the
22
child
may
be
employed
to
teach
or
lead
the
activity.
>
23
18.
Page
475,
before
line
24
by
inserting:
24
<
DIVISION
___
25
PUBLIC
LIBRARIES
26
Sec.
___.
Section
256.51,
subsection
1,
Code
2011,
27
is
amended
by
adding
the
following
new
paragraph:
28
NEW
PARAGRAPH
.
l.
Allow
a
public
library
that
29
receives
state
assistance
under
section
256.57,
or
30
financial
support
from
a
city
or
county
pursuant
31
to
section
256.69,
to
dispose
of,
through
sale,
32
conveyance,
or
exchange,
any
library
materials
that
may
33
be
obsolete
or
worn
out
or
that
may
no
longer
be
needed
34
or
appropriate
to
the
mission
of
the
public
library.
35
These
materials
may
be
sold
by
the
public
library
36
directly
or
the
governing
body
of
the
public
library
37
may
sell
the
materials
by
consignment
to
a
public
38
agency
or
to
a
private
agency
organized
to
raise
funds
39
solely
for
support
of
the
public
library.
Proceeds
40
from
the
sale
of
the
library
materials
may
be
remitted
41
to
the
public
library
and
may
be
used
by
the
public
42
library
for
the
purchase
of
books
and
other
library
43
materials
or
equipment,
or
for
the
provision
of
library
44
services.
>
45
19.
By
renumbering
as
necessary.
46
______________________________
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of
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#18.
#19.