S-5117

   Amend Senate File 2196, as passed by the Senate, as follows:
   1.  By striking page 1, line 26, through page 4, line 18.
   2.  Page 4, line 20, by striking <—— FUTURE>
   3.  Page 4, by striking line 21.
   4.  Page 4, line 28, by striking <135.176,> and inserting <135.176,>
   5.  Page 4, by striking lines 30 and 31 and inserting <section 135.178, the health care professional and Iowa needs nurses now initiative created in sections 261.128 and section 261.129,>
   6.  Page 4, line 33, before <and> by inserting <the fulfilling Iowa’s need for dentists matching grant program created in section 135.179,>
   7.  Page 5, before line 1 by inserting: 
   <Sec. ___.  Section 135.175, subsection 5, paragraph b, Code 2014, is amended to read as follows:
   b.  The health care professional and Iowa needs nurses now initiative account. The health care professional and Iowa needs nurses now initiative account shall be under the control of the college student aid commission created in section 261.1 and the moneys in the account shall be used for the purposes of the health care professional incentive payment program and the Iowa needs nurses now initiative as specified in sections 261.128 and section261.129. Moneys in the account shall consist of moneys appropriated or allocated for deposit in or received by the fund or the account and specifically dedicated to the health care professional and Iowa needs nurses now initiative or the account for the purposes of the account.>
   8.  Page 5, line 1, by striking <b,>
   9.  Page 5, line 2, by striking <f,>
   10.  Page 5, after line 2 by inserting: 
   <Sec. ___.  Section 135.175, subsection 5, Code 2014, is amended by adding the following new paragraph:
   NEW PARAGRAPH.  h.  The fulfilling Iowa’s need for dentists matching grant program account. The fulfilling Iowa’s need for dentists matching grant program account shall be under the control of the department and the moneys in the account shall be used for the purposes of the fulfilling Iowa’s need for dentists matching grant program as specified in section 135.179. Moneys in the account shall consist of moneys appropriated or allocated for deposit in the account or received by the fund or the account and specifically dedicated to the fulfilling Iowa’s need for dentists matching grant program account for the purposes of such account.>
   11.  Page 5, line 11, by striking <the Iowa needs nurses now initiative,> and inserting <the Iowa needs nurses now initiative,>
   12.  Page 5, line 12, before <for> by inserting <the fulfilling Iowa’s need for dentists matching grant program,>
   13.  Page 5, lines 14 and 15, by striking <for the purposes of the Iowa needs nurses now infrastructure account,> and inserting <for the purposes of the Iowa needs nurses now infrastructure account,>
   14.  Page 6, by striking lines 1 and 2 and inserting: 
   <Sec. ___.  Section 135.175, subsection 9, Code 2014, is amended by striking the subsection.
   Sec. ___.  Section 135.176, subsection 3, Code 2014, is amended by striking the subsection.
   Sec. ___.  NEW SECTION.  135.179  Fulfilling Iowa’s need for dentists.
   1.  The department, in cooperation with a dental nonprofit health service corporation, shall create the fulfilling Iowa’s need for dentists matching grant program.
   2.  Funding for the program may be provided through the health care workforce shortage fund or the fulfilling Iowa’s need for dentists matching grant program account created in section 135.175. The purpose of the program is to establish, expand, or support the placement of dentists in dental or rural shortage areas across the state by providing education loan repayments.
   3.  The department shall contract with a dental nonprofit health service corporation to implement and administer the program. The dental nonprofit health service corporation shall provide loan repayments to dentists who practice in a dental or rural shortage area as defined by the department.
   Sec. ___.  Section 261.2, subsection 10, Code 2014, is amended to read as follows:
   10.  Administer the health care professional incentive payment program established in section 261.128 and the Iowa needs nurses now initiative created in section 261.129. This subsection is repealed June 30, 2014 2016.
   Sec. ___.  Section 261.129, subsection 1, paragraph a, Code 2014, is amended to read as follows:
   a.  The commission shall establish a nurse educator incentive payment program. Funding for the program may be provided through the health care workforce shortage fund or the health care professional and Iowa needs nurses now initiative account created in section 135.175. For the purposes of this subsection, “nurse educator” means a registered nurse who holds a master’s degree or doctorate degree and is employed as a faculty member who teaches nursing in a nursing education program as provided in 655 IAC 2.6 at a community college, an accredited private institution, or an institution of higher education governed by the state board of regents.
   Sec. ___.  Section 261.129, subsection 2, paragraph a, Code 2014, is amended to read as follows:
   a.  The commission shall establish a nursing faculty fellowship program to provide funds to nursing schools in the state, including but not limited to nursing schools located at community colleges, for fellowships for individuals employed in qualifying positions on the nursing faculty. Funding for the program may be provided through the health care workforce shortage fund or the health care professional and the Iowa needs nurses now initiative account created in section 135.175. The program shall be designed to assist nursing schools in filling vacancies in qualifying positions throughout the state.
   Sec. ___.  Section 261.129, subsection 3, paragraph a, Code 2014, is amended to read as follows:
   a.  The commission shall establish a nurse educator scholarship program. Funding for the program may be provided through the health care workforce shortage fund or the health care professional and the Iowa needs nurses now initiative account created in section 135.175. The goal of the nurse educator scholarship program is to address the waiting list of qualified applicants to Iowa’s nursing schools by providing incentives for the training of additional nursing educators. For the purposes of this subsection, “nurse educator” means a registered nurse who holds a master’s degree or doctorate degree and is employed as a faculty member who teaches nursing in a nursing education program as provided in 655 IAC 2.6 at a community college, an accredited private institution, or an institution of higher education governed by the state board of regents.
   Sec. ___.  Section 261.129, subsection 4, paragraph a, Code 2014, is amended to read as follows:
   a.  The commission shall establish a nurse educator scholarship-in-exchange-for-service program. Funding for the program may be provided through the health care workforce shortage fund or the health care professional and Iowa needs nurses now initiative account created in section 135.175. The goal of the nurse educator scholarship-in-exchange-for-service program is to address the waiting list of qualified applicants to Iowa’s nursing schools by providing incentives for the education of additional nursing educators. For the purposes of this subsection, “nurse educator” means a registered nurse who holds a master’s degree or doctorate degree and is employed as a faculty member who teaches nursing in a nursing education program as provided in 655 IAC 2.6 at a community college, an accredited private institution, or an institution of higher education governed by the state board of regents.
   Sec. ___.  Section 261.129, subsection 5, Code 2014, is amended to read as follows:
   5.  Repeal.  This section is repealed June 30, 2014 2016.>
   15.  Page 6, before line 3 by inserting: 

<DIVISION ___
HEALTH CARE WORKFORCE SUPPORT INITIATIVE ACCOUNTS —— FUTURE PROVISIONS
   Sec. ___.  Section 135.175, subsection 1, paragraph a, Code 2014, as amended by this Act, is amended to read as follows:
   a.  A health care workforce support initiative is established to provide for the coordination and support of various efforts to address the health care workforce shortage in this state. This initiative shall include the medical residency training state matching grants program created in section 135.176, the Iowa needs nurses now initiative created in section 261.129, the fulfilling Iowa’s need for dentists matching grant program created in section 135.179, and health care workforce shortage national initiatives.
   Sec. ___.  Section 135.175, subsection 5, paragraph b, Code 2014, as amended by this Act, is amended by striking the paragraph.
   Sec. ___.  Section 135.175, subsection 5, paragraph f, Code 2014, is amended by striking the paragraph.
   Sec. ___.  Section 135.175, subsection 6, paragraph a, Code 2014, as amended by this Act, is amended to read as follows:
   a.  Moneys in the fund and the accounts in the fund shall only be appropriated in a manner consistent with the principles specified and the strategic plan developed pursuant to sections 135.163 and 135.164 to support the medical residency training state matching grants program, the Iowa needs nurses now initiative, the fulfilling Iowa’s need for dentists matching grant program, for national health care workforce shortage initiatives, for the purposes of the Iowa needs nurses now infrastructure account, and to provide funding for state health care workforce shortage programs as provided in this section.
   Sec. ___.  EFFECTIVE DATE.  This division of this Act takes effect July 1, 2016.>
   16.  Page 8, after line 3 by inserting: 

<DIVISION ___
BOARD OF MEDICINE MEMBERSHIP
   Sec. ___.  Section 148.2A, subsection 2, paragraph e, subparagraphs (3) and (4), Code 2014, are amended to read as follows:
   (3)  The majority of a At least half of the members of a hearing panel containing alternate members shall be current members of the board.
   (4)  The majority of a At least half of the members of a hearing panel containing alternate members shall be licensed to practice under this chapter.>
   17.  Page 8, after line 3 by inserting: 

<DIVISION ___
IOWA HEALTH INFORMATION NETWORK
   Sec. ___.  Section 135.154, Code 2014, is amended by adding the following new subsections:
   NEW SUBSECTION.  3A.  “Care coordination” means the management of all aspects of a patient’s care to improve health care quality, patient outcomes, and patient safety.
   NEW SUBSECTION.  19A.  “Public health activities” means actions taken by a participant in its capacity as a public health authority under the Health Insurance Portability and Accountability Act or as required or permitted by other federal or state law.
   NEW SUBSECTION.  23.  “Record locator service” means the functionality of the Iowa health information network that queries data sources to locate and identify potential patient records.
   Sec. ___.  Section 135.156D, subsection 2, Code 2014, is amended to read as follows:
   2.  The Iowa health information network shall not function as a central repository of all health information including but not limited to an all-payer claims database or data warehouse.
   Sec. ___.  Section 135.156E, subsection 13, Code 2014, is amended to read as follows:
   13.  Unless otherwise provided in this division, when using sharing health information through the Iowa health information network or a private health information network maintained in this state that complies with the privacy and security requirements of this chapter for the purposes of patient treatment, a health care professional or a hospital payment or health care operations, as such terms are defined in the Health Insurance Portability and Accountability Act, or for the purposes of public health activities or care coordination, a participant authorized by the department to use the record locator service is exempt from any other state law that is more restrictive than the Health Insurance Portability and Accountability Act that would otherwise prevent or hinder the exchange of patient information by the patient’s health care professional or hospital participant.>
   18.  By renumbering, redesignating, and correcting internal references as necessary.