House
File
2456
H-8118
Amend
House
File
2456
as
follows:
1
1.
Page
4,
after
line
18
by
inserting:
2
<
Sec.
___.
Section
331.391,
subsection
4,
paragraph
b,
Code
3
2018,
is
amended
to
read
as
follows:
4
b.
For
fiscal
years
beginning
July
1,
2017,
July
1,
2018,
5
and
July
1,
2019,
that
portion
of
each
region’s
cash
flow
6
amount
either
reserved
in
the
combined
account
or
reserved
7
among
all
separate
county
accounts
under
the
control
of
the
8
governing
board
that
exceeds
twenty-five
percent
of
the
gross
9
expenditures
from
the
combined
account
or
from
all
separate
10
county
accounts
under
control
of
the
governing
board
in
the
11
fiscal
year
preceding
the
fiscal
year
in
progress
shall
be
used
12
in
whole
or
in
part
to
fund
the
payment
of
services
provided
13
under
the
regional
service
system
management
plan
under
section
14
331.393
,
which
may
include
expenses
associated
with
increasing
15
capacity
to
provide
services
to
persons
with
substance-related
16
disorders
and
persons
with
co-occurring
mental
health
and
17
substance-related
disorders
.
18
Sec.
___.
Section
331.393,
subsection
2,
Code
2018,
is
19
amended
to
read
as
follows:
20
2.
Each
region
shall
submit
to
the
department
an
annual
21
service
and
budget
plan
approved
by
the
region’s
governing
22
board
and
subject
to
approval
by
the
director
of
human
23
services.
Provisions
for
the
director
of
human
services’
24
approval
of
the
annual
service
and
budget
plan,
and
any
25
amendments
to
the
plan,
and
other
requirements
shall
be
26
specified
in
rule
adopted
by
the
state
commission.
27
a.
The
provisions
addressed
in
the
annual
plan
shall
include
28
but
are
not
limited
to
all
of
the
following:
29
a.
(1)
The
region’s
budget
and
financing
provisions
for
30
the
next
fiscal
year.
The
provisions
shall
address
how
county,
31
regional,
state,
and
other
funding
sources
will
be
used
to
meet
32
the
service
needs
within
the
region.
33
b.
(2)
The
scope
of
services
included
in
addition
to
34
the
required
core
services.
Each
service
included
shall
be
35
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3
#1.
described
and
projection
of
need
and
the
funding
necessary
to
1
meet
the
need
shall
be
included.
2
c.
(3)
The
location
of
the
local
access
points
for
3
services.
4
d.
(4)
The
plan
for
assuring
effective
crisis
prevention,
5
response,
and
resolution.
6
e.
(5)
The
provider
reimbursement
provisions.
A
region’s
7
use
of
provider
reimbursement
approaches
in
addition
to
8
fee-for-service
reimbursement
and
for
compensating
the
9
providers
engaged
in
a
systems
of
care
approach
and
other
10
nontraditional
providers
shall
be
encouraged.
A
region
also
11
shall
be
encouraged
to
use
and
the
department
shall
approve
12
funding
approaches
that
identify
and
incorporate
all
services
13
and
sources
of
funding
used
by
persons
receiving
services,
14
including
medical
assistance
program
funding.
15
f.
(6)
Financial
forecasting
measures.
16
g.
(7)
The
targeted
case
managers
designated
for
the
17
region.
18
h.
(8)
The
financial
eligibility
requirements
for
service
19
under
the
regional
service
system.
A
plan
that
otherwise
20
incorporates
the
financial
eligibility
requirements
of
section
21
331.395
but
allows
eligibility
for
persons
with
resources
above
22
the
minimum
resource
limitations
adopted
pursuant
to
section
23
331.395,
subsection
1
,
paragraph
“c”
,
who
were
eligible
under
24
resource
limitations
in
effect
prior
to
July
1,
2014,
or
are
25
authorized
by
the
region
as
an
exception
to
policy,
shall
be
26
deemed
by
the
department
to
be
in
compliance
with
financial
27
eligibility
requirements
of
section
331.395
.
28
b.
The
provisions
addressed
in
the
annual
plan
may
include
29
a
plan
for
the
use
of
anticipated
residual
funding
in
excess
30
of
twenty-five
percent
of
the
gross
expenditures
as
provided
31
in
section
331.391,
subsection
4,
paragraph
“b”
,
to
increase
32
capacity
to
provide
services
to
persons
with
substance-related
33
disorders
and
co-occurring
mental
health
and
substance-related
34
disorders.
>
35
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3
2.
Page
8,
after
line
20
by
inserting:
1
<
6.
Notwithstanding
any
other
provision
of
this
section
to
2
the
contrary,
a
regional
service
system
may
provide
funding
3
to
increase
capacity
to
provide
services
to
persons
with
4
substance-related
disorders
and
persons
with
co-occurring
5
mental
health
and
substance-related
disorders
pursuant
to
6
section
331.391,
subsection
4,
paragraph
“b”
.
>
7
3.
Page
17,
after
line
26
by
inserting:
8
<
Sec.
___.
EFFECTIVE
DATE.
This
Act,
being
deemed
of
9
immediate
importance,
takes
effect
upon
enactment.
>
10
4.
Title
page,
by
striking
lines
4
and
5
and
inserting
11
<
enforcement
professionals,
county
funding
of
services
for
12
persons
with
substance-related
disorders
and
co-occuring
mental
13
health
and
substance-related
disorders,
mental
health
and
14
disability
services,
and
including
effective
date
provisions.
>
15
5.
By
renumbering
as
necessary.
16
______________________________
ISENHART
of
Dubuque
-3-
HF2456.4114
(3)
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hb/rh
3/
3
#2.
#3.
#4.
#5.