Senate File 525 S-3349 Amend the amendment, S-3335, to Senate File 525, 1 as amended, passed, and reprinted by the Senate, as 2 follows: 3 1. Page 1, after line 30 by inserting: 4 < d. Meeting the needs of consumers for disability 5 services in a responsive and cost-effective manner. > 6 2. Page 1, by striking lines 36 through 41 and 7 inserting < and propose legislation concerning the 8 recommendations and proposals developed by the 9 workgroups and other bodies addressed by this Act, 10 particularly with regard to the identification of core 11 services. > 12 3. Page 1, line 46, after < health > by inserting 13 < and a representative of the Iowa state association of 14 counties > 15 4. Page 2, line 9, after < 229, > by inserting 16 < recommend revisions to the chapter 230A amendments 17 contained in this Act as necessary to conform with the 18 system redesign proposed by the interim committee, > 19 5. Page 2, by striking lines 15 through 18 and 20 inserting < Acts, Senate File 209. In addressing the 21 repeal provisions, the interim committee shall provide 22 options for replacing the county authority to levy for 23 adult disability services with levy authority that is 24 adequate and fair and for revising the repeal dates 25 and making other statutory revisions as necessary to 26 be consistent with the system redesign proposed by the 27 interim committee. > 28 6. Page 2, line 32, after < providers, > by inserting 29 < county representatives, > 30 7. Page 4, by striking lines 18 through 22 and 31 inserting: 32 < g. Developing a proposal for addressing service 33 provider and other workforce shortages. The 34 development of the proposal shall incorporate an 35 examination of scope of practice limitations and 36 barriers to recruiting providers and maintaining the 37 workforce, including but not limited to engagement 38 of minorities and other cross-cultural diversity 39 considerations for the workforce in general and for 40 accrediting professional level providers, evaluating 41 the impact of inadequate reimbursement, identifying the 42 appropriate state role in providing the resources to 43 ensure an appropriately trained workforce is available, 44 and an examination of the variation in health > 45 8. Page 4, line 43, after < subcommittee > by 46 inserting < led by the department of human services, in 47 consultation with the department of public health, > 48 9. Page 4, by striking lines 45 and 46 and 49 inserting < section, the membership shall include 50 -1- S3335.3278 (2) 84 jp/sc 1/ 3 #1. #2. #3. #4. #5. #6. #7. #8.

the department of human services staff involved with 1 child welfare, children’s mental health, and Medicaid 2 services, and education system and juvenile court 3 representatives. The proposal shall be integrated 4 with the transition plan developed pursuant to this 5 Act for transitioning psychiatric medical institution 6 for children services into the Iowa plan contract for 7 administering behavioral health services under the 8 Medicaid program. The preliminary > 9 10. Page 6, after line 37 by inserting: 10 < k. Incorporating into proposals any necessary 11 changes to the chapter 230A amendments contained in 12 this Act. 13 l. Providing cost estimates for the proposals. > 14 11. Page 7, line 16, after < order; > by inserting 15 < for implementing jail diversion programs, 16 comprehensive training of law enforcement in dealing 17 with individuals who are experiencing a mental health 18 crisis, mental health courts, and other promising 19 reforms involving mental health and the criminal 20 justice system; > 21 12. Page 8, after line 11 by inserting: 22 < Sec. ___. 2010 Iowa Acts, chapter 1193, section 23 99, is amended to read as follows: 24 SEC. 99. MH/MR/DD SERVICES FUND 25 TRANSFER. Notwithstanding section 331.424A, subsection 26 5 , and section 331.432, subsection 3 , for the 27 fiscal year beginning July 1, 2010, and ending June 28 30, 2011, a county may transfer moneys from other 29 funds of the county to the county’s mental health, 30 mental retardation, and developmental disabilities 31 services fund created in section 331.424A . A county 32 transferring moneys from other funds of the county to 33 the county’s services fund pursuant to this section 34 shall submit a report detailing the transfers made and 35 funds affected. The county shall submit the report 36 along with the county expenditure and information 37 report submitted by December 1, 2010 2011 , in 38 accordance with section 331.439 . > 39 13. Page 9, line 42, after < guidelines. > by 40 inserting < The transition plan shall be integrated with 41 the proposal for redesign of publicly funded disability 42 services developed by the workgroup implemented by the 43 department pursuant to division I of this Act. > 44 14. Page 11, by striking lines 4 through 6 and 45 inserting < A preliminary plan shall be provided to 46 the legislative interim committee authorized pursuant 47 to division I of this Act for consideration by the 48 committee in October 2011. The completed plan shall be 49 provided to the interim committee by December 9, 2011, 50 -2- S3335.3278 (2) 84 jp/sc 2/ 3 #10. #11. #12. #13.

and any revisions to address concerns identified by the 1 interim committee shall be incorporated into a final 2 plan developed by December 31, 2011, which shall be 3 submitted to the general assembly by January 16, 2012. 4 The submitted plan shall include > 5 15. Page 11, after line 41 by inserting: 6 < Sec. ___. IMPLEMENTATION OF DIVISION —— 7 LEGISLATIVE INTENT. It is the intent of the general 8 assembly that the statutory amendments contained in 9 this division shall receive further consideration 10 in the disability services system redesign process 11 implemented pursuant to division I of this Act and 12 by the general assembly during the 2012 legislative 13 session. The purpose of the further consideration is 14 to ensure that the statutory amendments are integrated 15 with the system redesign provisions, including but not 16 limited to the provisions involving meeting the needs 17 of consumers, connecting the regional administration 18 of the overall system with the catchment areas for 19 community mental health services, involvement of 20 counties, terminology utilized, matching core services 21 for centers with the core services for the overall 22 system redesign, and matching accreditation standards, 23 financing provisions, and accountability measures. > 24 16. Page 12, by striking lines 29 and 30 and 25 inserting < mental health center under this chapter for 26 addressing the mental health needs of > 27 17. Page 17, line 2, by striking < federal and 28 state > and inserting < federal, state, and county > 29 ______________________________ JACK HATCH -3- S3335.3278 (2) 84 jp/sc 3/ 3 #15. #16. #17.