H-1181

   Amend Senate File 402, as passed by the Senate, as follows:
   1.  By striking everything after the enacting clause and inserting: 
   Section 1.  CLARINDA AND MOUNT PLEASANT MENTAL HEALTH INSTITUTES.
   1.  Within sixty days after the effective date of this Act, the department of human services shall develop a comprehensive transition plan for psychiatric and substance abuse treatment services at the mental health institutes at Mount Pleasant and Clarinda and shall submit the plan to the mental health and disability services commission for review and approval. Until such a transition plan is approved and implemented, the department shall continue to accept eligible patients into both institutes within each institute’s capacity as of June 30, 2014. The department shall also ensure that the diagnostic and treatment service needs of patients served through the acute inpatient psychiatric mental health and geropsychiatric programs at the state mental health institute at Clarinda and through the psychiatric and substance abuse recovery programs operated at the state mental health institute at Mount Pleasant continue to be met at those institutes.
   2.  In developing a comprehensive transition plan pursuant to subsection 1, the department of human services shall work with key stakeholders including but not limited to the departments of public health and inspections and appeals, the mental health and disability services regions, and the university of Iowa hospitals and clinics to ensure all of the following:
   a.  That patients served at the state mental health institutes at Clarinda and Mount Pleasant continue to receive the appropriate level of care during any transition period.
   b.  That clinical and professional expertise currently in place at the state mental health institutes at Clarinda and Mount Pleasant relating to serious mental illness including geropsychiatric and co-occurring mental health and substance abuse disorders is shared with other state mental health institutes and community-based providers through professional training and case consultation.
   c.  That alternative locations for the educational and training opportunities currently provided at the state mental health institutes at Clarinda and Mount Pleasant have been identified.
   d.  That appropriate funding, including Medicaid reimbursement methods and transitional funding, has been identified and necessary steps have been taken to access the funding.
   3.  The department of human services shall report to the chairpersons and ranking members of the joint appropriations subcommittee on health and human services on a quarterly basis on the development and implementation of the comprehensive transition plan.
   Sec. 2.  EFFECTIVE UPON ENACTMENT.  This Act, being deemed of immediate importance, takes effect upon enactment.>
   2.  Title page, line 2, after <Pleasant> by inserting <, and including effective date provisions>

______________________________
COMMITTEE ON APPROPRIATIONS

SODERBERG of Plymouth, Chairperson