House Amendment to Senate File 2196 S-5117 Amend Senate File 2196, as passed by the Senate, as 1 follows: 2 1. By striking page 1, line 26, through page 4, 3 line 18. 4 2. Page 4, line 20, by striking < —— FUTURE > 5 3. Page 4, by striking line 21. 6 4. Page 4, line 28, by striking < 135.176 , > and 7 inserting < 135.176, > 8 5. Page 4, by striking lines 30 and 31 and 9 inserting < section 135.178, the health care 10 professional and Iowa needs nurses now initiative 11 created in sections 261.128 and section 261.129, > 12 6. Page 4, line 33, before < and > by inserting < the 13 fulfilling Iowa’s need for dentists matching grant 14 program created in section 135.179, > 15 7. Page 5, before line 1 by inserting: 16 < Sec. ___. Section 135.175, subsection 5, paragraph 17 b, Code 2014, is amended to read as follows: 18 b. The health care professional and Iowa needs 19 nurses now initiative account. The health care 20 professional and Iowa needs nurses now initiative 21 account shall be under the control of the college 22 student aid commission created in section 261.1 and the 23 moneys in the account shall be used for the purposes of 24 the health care professional incentive payment program 25 and the Iowa needs nurses now initiative as specified 26 in sections 261.128 and section 261.129 . Moneys in 27 the account shall consist of moneys appropriated or 28 allocated for deposit in or received by the fund or the 29 account and specifically dedicated to the health care 30 professional and Iowa needs nurses now initiative or 31 the account for the purposes of the account. > 32 8. Page 5, line 1, by striking < b, > 33 9. Page 5, line 2, by striking < f, > 34 10. Page 5, after line 2 by inserting: 35 < Sec. ___. Section 135.175, subsection 5, Code 36 2014, is amended by adding the following new paragraph: 37 NEW PARAGRAPH . h. The fulfilling Iowa’s need 38 for dentists matching grant program account. The 39 fulfilling Iowa’s need for dentists matching grant 40 program account shall be under the control of the 41 department and the moneys in the account shall be used 42 for the purposes of the fulfilling Iowa’s need for 43 dentists matching grant program as specified in section 44 135.179. Moneys in the account shall consist of moneys 45 appropriated or allocated for deposit in the account or 46 received by the fund or the account and specifically 47 dedicated to the fulfilling Iowa’s need for dentists 48 matching grant program account for the purposes of such 49 account. > 50 -1- SF2196.3734.H (1) 85 md 1/ 6 #1. #2. #3. #4. #5. #6. #7. #8. #9. #10.

11. Page 5, line 11, by striking < the Iowa needs 1 nurses now initiative, > and inserting < the Iowa needs 2 nurses now initiative, > 3 12. Page 5, line 12, before < for > by inserting < the 4 fulfilling Iowa’s need for dentists matching grant 5 program, > 6 13. Page 5, lines 14 and 15, by striking < for the 7 purposes of the Iowa needs nurses now infrastructure 8 account, > and inserting < for the purposes of the Iowa 9 needs nurses now infrastructure account, > 10 14. Page 6, by striking lines 1 and 2 and 11 inserting: 12 < Sec. ___. Section 135.175, subsection 9, Code 13 2014, is amended by striking the subsection. 14 Sec. ___. Section 135.176, subsection 3, Code 2014, 15 is amended by striking the subsection. 16 Sec. ___. NEW SECTION . 135.179 Fulfilling Iowa’s 17 need for dentists. 18 1. The department, in cooperation with a dental 19 nonprofit health service corporation, shall create the 20 fulfilling Iowa’s need for dentists matching grant 21 program. 22 2. Funding for the program may be provided through 23 the health care workforce shortage fund or the 24 fulfilling Iowa’s need for dentists matching grant 25 program account created in section 135.175. The 26 purpose of the program is to establish, expand, or 27 support the placement of dentists in dental or rural 28 shortage areas across the state by providing education 29 loan repayments. 30 3. The department shall contract with a dental 31 nonprofit health service corporation to implement and 32 administer the program. The dental nonprofit health 33 service corporation shall provide loan repayments to 34 dentists who practice in a dental or rural shortage 35 area as defined by the department. 36 Sec. ___. Section 261.2, subsection 10, Code 2014, 37 is amended to read as follows: 38 10. Administer the health care professional 39 incentive payment program established in section 40 261.128 and the Iowa needs nurses now initiative 41 created in section 261.129 . This subsection is 42 repealed June 30, 2014 2016 . 43 Sec. ___. Section 261.129, subsection 1, paragraph 44 a, Code 2014, is amended to read as follows: 45 a. The commission shall establish a nurse educator 46 incentive payment program. Funding for the program 47 may be provided through the health care workforce 48 shortage fund or the health care professional and 49 Iowa needs nurses now initiative account created in 50 -2- SF2196.3734.H (1) 85 md 2/ 6 #11. #12. #13. #14.

section 135.175 . For the purposes of this subsection , 1 “nurse educator” means a registered nurse who holds a 2 master’s degree or doctorate degree and is employed 3 as a faculty member who teaches nursing in a nursing 4 education program as provided in 655 IAC 2.6 at a 5 community college, an accredited private institution, 6 or an institution of higher education governed by the 7 state board of regents. 8 Sec. ___. Section 261.129, subsection 2, paragraph 9 a, Code 2014, is amended to read as follows: 10 a. The commission shall establish a nursing faculty 11 fellowship program to provide funds to nursing schools 12 in the state, including but not limited to nursing 13 schools located at community colleges, for fellowships 14 for individuals employed in qualifying positions on 15 the nursing faculty. Funding for the program may be 16 provided through the health care workforce shortage 17 fund or the health care professional and the Iowa 18 needs nurses now initiative account created in section 19 135.175 . The program shall be designed to assist 20 nursing schools in filling vacancies in qualifying 21 positions throughout the state. 22 Sec. ___. Section 261.129, subsection 3, paragraph 23 a, Code 2014, is amended to read as follows: 24 a. The commission shall establish a nurse educator 25 scholarship program. Funding for the program may be 26 provided through the health care workforce shortage 27 fund or the health care professional and the Iowa 28 needs nurses now initiative account created in section 29 135.175 . The goal of the nurse educator scholarship 30 program is to address the waiting list of qualified 31 applicants to Iowa’s nursing schools by providing 32 incentives for the training of additional nursing 33 educators. For the purposes of this subsection, “nurse 34 educator” means a registered nurse who holds a master’s 35 degree or doctorate degree and is employed as a faculty 36 member who teaches nursing in a nursing education 37 program as provided in 655 IAC 2.6 at a community 38 college, an accredited private institution, or an 39 institution of higher education governed by the state 40 board of regents. 41 Sec. ___. Section 261.129, subsection 4, paragraph 42 a, Code 2014, is amended to read as follows: 43 a. The commission shall establish a nurse educator 44 scholarship-in-exchange-for-service program. Funding 45 for the program may be provided through the health care 46 workforce shortage fund or the health care professional 47 and Iowa needs nurses now initiative account created 48 in section 135.175 . The goal of the nurse educator 49 scholarship-in-exchange-for-service program is to 50 -3- SF2196.3734.H (1) 85 md 3/ 6

address the waiting list of qualified applicants to 1 Iowa’s nursing schools by providing incentives for the 2 education of additional nursing educators. For the 3 purposes of this subsection, “nurse educator” means 4 a registered nurse who holds a master’s degree or 5 doctorate degree and is employed as a faculty member 6 who teaches nursing in a nursing education program 7 as provided in 655 IAC 2.6 at a community college, 8 an accredited private institution, or an institution 9 of higher education governed by the state board of 10 regents. 11 Sec. ___. Section 261.129, subsection 5, Code 2014, 12 is amended to read as follows: 13 5. Repeal. This section is repealed June 30, 2014 14 2016 . > 15 15. Page 6, before line 3 by inserting: 16 < DIVISION ___ 17 HEALTH CARE WORKFORCE SUPPORT INITIATIVE ACCOUNTS —— 18 FUTURE PROVISIONS 19 Sec. ___. Section 135.175, subsection 1, paragraph 20 a, Code 2014, as amended by this Act, is amended to 21 read as follows: 22 a. A health care workforce support initiative is 23 established to provide for the coordination and support 24 of various efforts to address the health care workforce 25 shortage in this state. This initiative shall include 26 the medical residency training state matching grants 27 program created in section 135.176 , the Iowa needs 28 nurses now initiative created in section 261.129, the 29 fulfilling Iowa’s need for dentists matching grant 30 program created in section 135.179, and health care 31 workforce shortage national initiatives. 32 Sec. ___. Section 135.175, subsection 5, paragraph 33 b, Code 2014, as amended by this Act, is amended by 34 striking the paragraph. 35 Sec. ___. Section 135.175, subsection 5, paragraph 36 f, Code 2014, is amended by striking the paragraph. 37 Sec. ___. Section 135.175, subsection 6, paragraph 38 a, Code 2014, as amended by this Act, is amended to 39 read as follows: 40 a. Moneys in the fund and the accounts in the fund 41 shall only be appropriated in a manner consistent 42 with the principles specified and the strategic plan 43 developed pursuant to sections 135.163 and 135.164 to 44 support the medical residency training state matching 45 grants program, the Iowa needs nurses now initiative, 46 the fulfilling Iowa’s need for dentists matching grant 47 program, for national health care workforce shortage 48 initiatives , for the purposes of the Iowa needs nurses 49 now infrastructure account, and to provide funding 50 -4- SF2196.3734.H (1) 85 md 4/ 6 #15.

for state health care workforce shortage programs as 1 provided in this section . 2 Sec. ___. EFFECTIVE DATE. This division of this 3 Act takes effect July 1, 2016. > 4 16. Page 8, after line 3 by inserting: 5 < DIVISION ___ 6 BOARD OF MEDICINE MEMBERSHIP 7 Sec. ___. Section 148.2A, subsection 2, paragraph 8 e, subparagraphs (3) and (4), Code 2014, are amended 9 to read as follows: 10 (3) The majority of a At least half of the members 11 of a hearing panel containing alternate members shall 12 be current members of the board. 13 (4) The majority of a At least half of the members 14 of a hearing panel containing alternate members shall 15 be licensed to practice under this chapter . > 16 17. Page 8, after line 3 by inserting: 17 < DIVISION ___ 18 IOWA HEALTH INFORMATION NETWORK 19 Sec. ___. Section 135.154, Code 2014, is amended by 20 adding the following new subsections: 21 NEW SUBSECTION . 3A. “Care coordination” means 22 the management of all aspects of a patient’s care to 23 improve health care quality, patient outcomes, and 24 patient safety. 25 NEW SUBSECTION . 19A. “Public health activities” 26 means actions taken by a participant in its capacity as 27 a public health authority under the Health Insurance 28 Portability and Accountability Act or as required or 29 permitted by other federal or state law. 30 NEW SUBSECTION . 23. “ Record locator service” 31 means the functionality of the Iowa health information 32 network that queries data sources to locate and 33 identify potential patient records. 34 Sec. ___. Section 135.156D, subsection 2, Code 35 2014, is amended to read as follows: 36 2. The Iowa health information network shall 37 not function as a central repository of all health 38 information including but not limited to an all-payer 39 claims database or data warehouse . 40 Sec. ___. Section 135.156E, subsection 13, Code 41 2014, is amended to read as follows: 42 13. Unless otherwise provided in this division , 43 when using sharing health information through the 44 Iowa health information network or a private health 45 information network maintained in this state that 46 complies with the privacy and security requirements of 47 this chapter for the purposes of patient treatment, 48 a health care professional or a hospital payment or 49 health care operations, as such terms are defined in 50 -5- SF2196.3734.H (1) 85 md 5/ 6 #16. #17.

the Health Insurance Portability and Accountability 1 Act, or for the purposes of public health activities 2 or care coordination, a participant authorized by the 3 department to use the record locator service is exempt 4 from any other state law that is more restrictive than 5 the Health Insurance Portability and Accountability Act 6 that would otherwise prevent or hinder the exchange 7 of patient information by the patient’s health care 8 professional or hospital participant . > 9 18. By renumbering, redesignating, and correcting 10 internal references as necessary. 11 -6- SF2196.3734.H (1) 85 md 6/ 6