H-8353

   Amend House File 2445, as passed by the House, as follows:
   1.  Page 1, before line 1 by inserting: 
<DIVISION I>
   2.  Page 13, after line 1 by inserting: 
<DIVISION II
   Sec. ___.  Section 35D.9, Code 2018, is amended to read as follows:
   35D.9  County of settlement residence upon discharge.
   A member of the home does not acquire legal settlement residency in the county in which the home is located unless the member is voluntarily or involuntarily discharged from the home, continuously resides in the county for a period of one year subsequent to the discharge, and during that year is not readmitted to the home or does not receive any services from the home and the member meets county of residence requirements.  For purposes of this section, “county of residence” means the same as defined in section 331.394.
   Sec. ___.  Section 125.2, Code 2018, is amended by adding the following new subsection:
   NEW SUBSECTION.  4A.  “County of residence” means the same as defined in section 331.394.
   Sec. ___.  Section 125.2, subsection 13, Code 2018, is amended by striking the subsection.
   Sec. ___.  Section 139A.12, Code 2018, is amended to read as follows:
   139A.12  County liability for care, provisions, and medical attendance.
   The local board shall provide proper care, provisions, and medical attendance for any person removed and isolated or quarantined in a separate house or hospital for detention and treatment, and the care, provisions, and medical attendance shall be paid for by the county in which the infected person has a legal settlement residence, if the patient or legal guardian is unable to pay.
   Sec. ___.  Section 139A.18, Code 2018, is amended to read as follows:
   139A.18  Reimbursement from county.
   If any person receives services or supplies under this chapter who does not have a legal settlement residence in the county in which the bills were incurred and paid, the amount paid shall be certified to the board of supervisors of the county in which the person claims settlement or owns property, and the board of supervisors of that county shall reimburse the county from which the claim is certified, in the full amount originally paid.
   Sec. ___.  Section 232.141, subsections 7 and 8, Code 2018, are amended to read as follows:
   7.  A county charged with the costs and expenses under subsections 2 and 3 may recover the costs and expenses from the county where the child has legal settlement child’s custodial parent’s county of residence, as defined in section 331.394, by filing verified claims which are payable as are other claims against the county. A detailed statement of the facts upon which a claim is based shall accompany the claim. Any dispute involving the legal settlement of a child for which the court has ordered payment under this section shall be settled pursuant to sections 252.22 and 252.23.
   8.  This subsection applies only to placements in a juvenile shelter care home which is publicly owned, operated as a county or multicounty shelter care home, organized under a chapter 28E agreement, or operated by a private juvenile shelter care home. If the actual and allowable costs of a child’s shelter care placement exceed the amount the department is authorized to pay in accordance with law and administrative rule, the unpaid costs may be recovered from the child’s custodial parent’s county of legal settlement residence. However, the maximum amount of the unpaid costs which may be recovered under this subsection is limited to the difference between the amount the department is authorized to pay and the statewide average of the actual and allowable rates in effect in May of the preceding fiscal year for reimbursement of juvenile shelter care homes. In no case shall the home be reimbursed for more than the home’s actual and allowable costs. The unpaid costs are payable pursuant to filing of verified claims against the child’s custodial parent’s county of legal settlement residence. A detailed statement of the facts upon which a claim is based shall accompany the claim. Any dispute between counties arising from filings of claims pursuant to this subsection shall be settled in the manner provided to determine residency in section 331.394.
   Sec. ___.  Section 252.24, Code 2018, is amended to read as follows:
   252.24  County of settlement residence liable —— exception.
   1.  The county where the settlement is of residence, as defined in section 331.394, shall be liable to the county granting assistance for all reasonable charges and expenses incurred in the assistance and care of a poor person.
   2.  When assistance is furnished by any governmental agency of the county, township, or city, the assistance shall be deemed to have been furnished by the county in which the agency is located and the agency furnishing the assistance shall certify the correctness of the costs of the assistance to the board of supervisors of that county and that county shall collect from the county of the person’s settlement county of residence. The amounts collected by the county where the agency is located shall be paid to the agency furnishing the assistance. This statute applies to services and supplies furnished as provided in section 139A.18.
   3.  Notwithstanding subsection 2, if This section shall apply to assistance or maintenance is provided by a county through the county’s mental health and disability services system implemented under chapter 331, liability for the assistance and maintenance is the responsibility of the person’s county of residence.
   Sec. ___.  Section 331.502, subsection 14, Code 2018, is amended by striking the subsection.
   Sec. ___.  Section 331.653, subsection 25, Code 2018, is amended by striking the subsection.
   Sec. ___.  Section 347.16, subsection 3, Code 2018, is amended to read as follows:
   3.  Care and treatment may be furnished in a county public hospital to any sick or injured person who has legal settlement residence outside the county which maintains the hospital, subject to such policies and rules as the board of hospital trustees may adopt. If care and treatment is provided under this subsection to a person who is indigent, the county in which that person has legal settlement person’s county of residence, as defined in section 331.394, shall pay to the board of hospital trustees the fair and reasonable cost of the care and treatment provided by the county public hospital unless the cost of the indigent person’s care and treatment is otherwise provided for. If care and treatment is provided to an indigent person under this subsection, the county public hospital furnishing the care and treatment shall immediately notify, by regular mail, the auditor of the county of legal settlement residence of the indigent person of the provision of care and treatment to the indigent person. However, if the including care and treatment is provided by a county through the county’s mental health and disability services system implemented under chapter 331, liability for the assistance and maintenance is the responsibility of the person’s county of residence.
   Sec. ___.  REPEAL.  Sections 252.16, 252.17, 252.18, 252.22, and 252.23, Code 2018, are repealed.>
   3.  Title page, by striking line 3 and inserting <and the responsibility for other health-related services.>
   4.  By renumbering as necessary.