House File 766 H-1196 Amend House File 766 as follows: 1 1. Page 6, by striking lines 4 through 7 and inserting: 2 < a. Of the funds appropriated in this subsection, not more 3 than $734,000 shall be used for the healthy opportunities for 4 parents to experience success (HOPES)-healthy families Iowa 5 (HFI) program established pursuant to section 135.106. The 6 funding shall be distributed to renew the grants that were 7 provided to the grantees that operated the program during the 8 fiscal year ending June 30, 2018. However, the department 9 shall issue a request for proposals and distribute grants to 10 the grantees selected to operate the program no later than 11 January 1, 2020. The department shall not retain any portion 12 of the allocation under this paragraph for administrative 13 costs. > 14 2. Page 7, by striking lines 3 through 7 and inserting: 15 < d. Of the funds appropriated in this subsection, $64,000 16 shall be distributed to a statewide dental carrier to provide 17 funds to continue the donated dental services program patterned 18 after the projects developed by the lifeline network to provide 19 dental services to indigent individuals who are elderly or with 20 disabilities. > 21 3. Page 8, by striking lines 2 through 9 and inserting: 22 < b. Of the funds appropriated in this subsection, 23 $1,055,000 shall be used for the brain injury services program 24 pursuant to section 135.22B, including for contracting with an 25 existing nationally affiliated and statewide organization whose 26 purpose is to educate, serve, and support Iowans with brain 27 injury and their families, for resource facilitator services 28 in accordance with section 135.22B, subsection 9, and for 29 contracting to enhance brain injury training and recruitment 30 of service providers on a statewide basis. Of the amount 31 allocated in this paragraph, $95,000 shall be used to fund 32 one full-time equivalent position to serve as the state brain 33 injury services program manager. > 34 4. Page 8, by striking lines 10 through 16 and inserting: 35 -1- HF766.1702 (1) 88 pf/rn 1/ 19 #1. #2. #3. #4.

< c. Of the funds appropriated in this subsection, $144,000 1 shall be used for the public purpose of continuing to contract 2 with an existing national-affiliated organization to provide 3 education, client-centered programs, and client and family 4 support for people living with epilepsy and their families. 5 The amount allocated in this paragraph shall be matched 6 dollar-for-dollar by the organization specified. > 7 5. By striking page 9, line 35, through page 10, line 9, and 8 inserting: 9 < b. Of the funds appropriated in this subsection, 10 $48,000 shall be used for a grant to a statewide association 11 of psychologists, that is affiliated with the American 12 psychological association, to be used for continuation of a 13 program to rotate intern psychologists in placements in urban 14 and rural mental health professional shortage areas. For the 15 purposes of this paragraph “b”, “mental health professional 16 shortage area” means a geographic area in this state that has 17 been designated by the United States department of health and 18 human services, health resources and services administration, 19 bureau of health professionals, as having a shortage of mental 20 health professionals. > 21 6. Page 10, by striking lines 14 through 29 and inserting: 22 < (1) Not less than $542,000 is allocated to the Iowa 23 prescription drug corporation for continuation of the 24 pharmaceutical infrastructure for safety net providers as 25 described in 2007 Iowa Acts, chapter 218, section 108, and for 26 the prescription drug donation repository program created in 27 chapter 135M. 28 (2) (a) Not less than $334,000 is allocated to free 29 clinics and free clinics of Iowa for necessary infrastructure, 30 statewide coordination, provider recruitment, service delivery, 31 and provision of assistance to patients in securing a medical 32 home inclusive of oral health care. However, the department 33 shall issue a request for proposals and execute a contract 34 with the contractor selected, to perform the activities under 35 -2- HF766.1702 (1) 88 pf/rn 2/ 19 #5. #6.

this subparagraph division no later than January 1, 2020. The 1 department shall not retain any portion of the allocation under 2 this subparagraph division for administrative costs. 3 (b) Not less than $25,000 is allocated to the Iowa 4 association of rural health clinics for necessary 5 infrastructure and service delivery transformation. However, 6 the department shall issue a request for proposals and 7 execute a contract with the contractor selected to perform 8 the activities under this subparagraph division no later 9 than January 1, 2020. The department shall not retain any 10 portion of the allocation under this subparagraph division for 11 administrative costs. 12 (c) Not less than $205,000 is allocated to the Polk county 13 medical society for continuation of the safety net provider 14 patient access to specialty health care initiative as described 15 in 2007 Iowa Acts, chapter 218, section 109. However, the 16 department shall issue a request for proposals and execute a 17 contract with the contractor selected to operate the initiative 18 under this subparagraph division no later than January 1, 2020. 19 The department shall not retain any portion of the allocation 20 under this subparagraph division for administrative costs. 21 (3) The department may combine the allocations and 22 activities specified in subparagraph (2) for the purposes of 23 issuing a request for proposals. > 24 7. Page 10, by striking lines 33 through 35 and inserting: 25 < e. Of the funds appropriated in this subsection, $96,000 26 shall be used for a matching dental education loan repayment 27 program to be allocated to a dental nonprofit health service 28 corporation to continue to develop the criteria and implement 29 the loan repayment program. > 30 8. Page 11, by striking lines 4 through 19 and inserting: 31 < g. Of the funds appropriated in this subsection, $96,000 32 shall be used for continuation of a grant to a nationally 33 affiliated volunteer eye organization that has an established 34 program for children and adults and that is solely dedicated to 35 -3- HF766.1702 (1) 88 pf/rn 3/ 19 #7. #8.

preserving sight and preventing blindness through education, 1 nationally certified vision screening and training, and 2 community and patient service programs. The contractor 3 shall submit a report to the individuals identified in this 4 Act for submission of reports regarding the use of funds 5 allocated under this paragraph “g”. The report shall include 6 the objectives and results for the program year including 7 the target population and how the funds allocated assisted 8 the program in meeting the objectives; the number, age, and 9 location within the state of individuals served; the type of 10 services provided to the individuals served; the distribution 11 of funds based on services provided; and the continuing needs 12 of the program. > 13 9. By striking page 12, line 30, through page 13, line 2, 14 and inserting: 15 < b. Of the funds appropriated in this subsection, up 16 to $243,000 shall be used for sexual violence prevention 17 programming through a statewide organization representing 18 programs serving victims of sexual violence through the 19 department’s sexual violence prevention program, and for 20 continuation of a training program for sexual assault 21 response team (SART) members, including representatives of 22 law enforcement, victim advocates, prosecutors, and certified 23 medical personnel. However, the department shall issue 24 a request for proposals and execute a contract with the 25 contractor selected to provide the programming and training 26 as specified in this paragraph no later than January 1, 2020. 27 The amount allocated in this paragraph “b” shall not be used 28 to supplant funding administered for other sexual violence 29 prevention or victims assistance programs. The department 30 shall not retain any portion of the allocation under this 31 paragraph for administrative costs. > 32 10. Page 13, line 22, by striking < The > and inserting < a. 33 The > 34 11. Page 13, after line 26 by inserting: 35 -4- HF766.1702 (1) 88 pf/rn 4/ 19 #9. #10. #11.

< b. The department of public health shall collaborate 1 with applicable stakeholders to review the allocations, 2 grants, and other distributions of funds appropriated under 3 this division of this Act and shall submit a report to the 4 individuals identified in this Act for submission of reports by 5 December 15, 2019, regarding a proposal for the distribution 6 of funds that more clearly reflects the department’s stated 7 priorities and goals, provides increased flexibility in the 8 distribution of funds to meet these priorities and goals, and 9 ensures stakeholder accountability and a discernable return on 10 investment. > 11 12. By striking page 13, line 27, through page 14, line 20, 12 and inserting: 13 < Sec. ___. CONTRACTED SERVICES —— PROHIBITED USE OF GENERAL 14 FUND MONEYS FOR LOBBYING. 15 1. The department shall submit a report to the individuals 16 identified in this Act for submission of reports by January 1, 17 2020, regarding the outcomes of any program or activity for 18 which funding is appropriated or allocated from the general 19 fund of the state to the department under this division of 20 this Act, and for which a request for proposals process is 21 specifically required. 22 2. The department shall incorporate into the general 23 conditions applicable to all award documents involving funding 24 appropriated or allocated from the general fund of the state to 25 the department under this division of this Act, a prohibition 26 against the use of such funding for the compensation of a 27 lobbyist. For the purposes of this section, “lobbyist” means 28 the same as defined in section 68B.2; however, “lobbyist” 29 does not include a person employed by a state agency of the 30 executive branch of state government who represents the agency 31 relative to the passage, defeat, approval, or modification of 32 legislation that is being considered by the general assembly. > 33 13. Page 23, line 10, by striking < 39,849,365 > and inserting 34 < 40,365,037 > 35 -5- HF766.1702 (1) 88 pf/rn 5/ 19 #12.

14. Page 24, by striking lines 9 through 13 and inserting: 1 < ___. Of the funds appropriated in this section, $195,000 2 shall be used for continuation of a grant to an Iowa-based 3 nonprofit organization with a history of providing tax 4 preparation assistance to low-income Iowans in order to expand 5 the usage of the earned income tax credit. The purpose of the 6 grant is to supply this assistance to underserved areas of 7 the state. However, the department shall issue a request for 8 proposals and execute a contract with the contractor selected 9 to administer the program no later than January 1, 2020. The 10 department shall not retain any portion of the allocation under 11 this subsection for administrative costs. > 12 15. Page 24, by striking lines 14 through 22 and inserting: 13 < ___. Of the funds appropriated in this section, $70,000 14 shall be used for the continuation of the parenting program, as 15 specified in 441 IAC ch. 100, relating to parental obligations, 16 in which the child support recovery unit participates, to 17 support the efforts of a nonprofit organization committed 18 to strengthening the community through youth development, 19 healthy living, and social responsibility headquartered in 20 a county with a population over 350,000 according to the 21 latest certified federal census. The funds allocated in this 22 subsection shall be used by the recipient organization to 23 develop a larger community effort, through public and private 24 partnerships, to support a broad-based multi-county fatherhood 25 parenthood initiative that promotes payment of child support 26 obligations, improved family relationships, and full-time 27 employment. However, the department shall issue a request for 28 proposals and execute a contract with the contractor selected 29 to administer the program no later than January 1, 2020. The 30 department shall not retain any portion of the allocation under 31 this subsection for administrative costs. > 32 16. Page 25, line 4, by striking < 15,265,040 > and inserting 33 < 14,749,368 > 34 17. Page 30, after line 6 by inserting: 35 -6- HF766.1702 (1) 88 pf/rn 6/ 19 #14. #15. #16. #17.

< ___. a. The department may increase the amounts allocated 1 for salaries, support, maintenance, and miscellaneous purposes 2 associated with the medical assistance program, as necessary, 3 to sustain cost management efforts. The department shall 4 report any such increase to the legislative services agency and 5 the department of management. 6 b. If the savings to the medical assistance program from 7 ongoing cost management efforts exceed the associated cost 8 for the fiscal year beginning July 1, 2019, the department 9 may transfer any savings generated for the fiscal year due 10 to medical assistance program cost management efforts to the 11 appropriation made in this division of this Act for medical 12 contracts or general administration to defray the costs 13 associated with implementing the efforts. > 14 18. Page 32, line 2, by striking < $1,500,000 > and inserting 15 < a sufficient amount > 16 19. Page 32, by striking line 4 and inserting < settlement 17 process under both fee-for-service and managed care 18 administration of the Medicaid program for critical > 19 20. Page 37, line 32, after < nurse > by inserting < , or 20 comparable additional, > 21 21. Page 42, line 10, after < served. > by inserting < To 22 increase access to child protection center services for 23 children in rural areas, the funding formula for the awarding 24 of the remaining funds shall provide for the awarding of an 25 enhanced amount to eligible grantees to develop and maintain 26 satellite centers in underserved regions of the state. > 27 22. Page 47, line 8, after < support staff > by inserting < , 28 or comparable additional, > 29 23. Page 47, line 17, after < staff > by inserting < , or 30 comparable additional, > 31 24. Page 49, line 32, after < staff > by inserting < , or 32 comparable additional, > 33 25. Page 54, line 32, by striking < critical > and inserting 34 < under both fee-for-service and managed care administration of 35 -7- HF766.1702 (1) 88 pf/rn 7/ 19 #18. #19. #20. #21. #22. #23. #24.

the Medicaid program, critical > 1 26. Page 58, line 15, after < the > by inserting < additional > 2 27. Page 60, line 28, by striking < the > and inserting < any > 3 28. By striking page 60, line 32, through page 61, line 25, 4 and inserting: 5 < Sec. ___. CONTRACTED SERVICES —— PROHIBITED USE OF STATE 6 FUNDING FOR LOBBYING. 7 1. The department shall submit a report to the individuals 8 identified in this Act for submission of reports by December 9 15, 2019, regarding the outcomes of any program or activity for 10 which funding is appropriated or allocated from the general 11 fund of the state to the department under this division of this 12 Act, and for which a request for proposals process is required. 13 2. The department shall incorporate into the general 14 conditions applicable to all award documents involving funding 15 appropriated or allocated from the general fund of the state to 16 the department under this division of this Act, a prohibition 17 against the use of such funding for the compensation of a 18 lobbyist. For the purposes of this section, “lobbyist” means 19 the same as defined in section 68B.2; however, “lobbyist” 20 does not include a person employed by a state agency of the 21 executive branch of state government who represents the agency 22 relative to the passage, defeat, approval, or modification of 23 legislation that is being considered by the general assembly. > 24 29. Page 61, after line 25 by inserting: 25 < Sec. ___. LEGISLATIVE INTERIM COMMITTEE —— HEALTH 26 DATA COLLECTION. The legislative council shall establish 27 a legislative interim committee to review the collection, 28 maintaining, and disseminating of hospital inpatient, 29 outpatient, and ambulatory data pursuant to section 135.166. 30 The committee shall report findings and recommendations to the 31 general assembly by December 15, 2019. > 32 30. Page 66, line 27, by striking < by July 1, 2020 > 33 31. Page 66, line 32, by striking < by July 1, 2020 > 34 32. Page 66, after line 32 by inserting: 35 -8- HF766.1702 (1) 88 pf/rn 8/ 19 #26. #27. #28. #29. #30. #31. #32.

< c. Develop an action plan to transfer administration of the 1 juvenile detention home fund created in section 232.142 from 2 the department to the office of the state court administrator 3 or other appropriate state entity. > 4 33. Page 66, line 33, by striking < c. > and inserting < d. > 5 34. Page 67, line 6, by striking < d. > and inserting < e. > 6 35. Page 67, line 12, by striking < e. > and inserting < f. > 7 36. Page 67, line 18, by striking < f. > and inserting < g. > 8 37. Page 67, line 26, by striking < g. > and inserting < h. > 9 38. Page 68, by striking lines 1 through 16 and inserting: 10 < DIVISION ___ 11 CO-OCCURRING CONDITIONS —— ENHANCED DELIVERY OF SERVICES REVIEW 12 Sec. ___. REVIEW TO PROVIDE ENHANCED DELIVERY OF SERVICES 13 FOR CO-OCCURRING CONDITIONS. The director of the department 14 of public health and the director of the department of human 15 services shall develop recommendations for the enhanced 16 delivery of co-occurring conditions services. The directors 17 shall examine the current service delivery system to identify 18 opportunities for reducing the administrative burden on the 19 departments and providers, evaluate the use of an integrated 20 helpline and website and improvements in data collection 21 and sharing of outcomes, and create a structure for ongoing 22 collaboration. The directors shall submit a report including 23 findings, a five-year plan to address co-occurring conditions 24 across provider types and payors, and other recommendations to 25 the governor and general assembly by December 15, 2019. > 26 39. Page 79, after line 35 by inserting: 27 < DIVISION ___ 28 MEDICAID PRIOR AUTHORIZATION —— UNIFORM PROCESS —— CENTRAL 29 PORTAL 30 Sec. ___. MEDICAID —— PRIOR AUTHORIZATION UNIFORM 31 PROCESS. The department of human services shall adopt rules 32 pursuant to chapter 17A to require, and shall contractually 33 require, that both managed care and fee-for-service payment 34 and delivery systems utilize a uniform process, including but 35 -9- HF766.1702 (1) 88 pf/rn 9/ 19 #33. #34. #35. #36. #37. #38. #39.

not limited to uniform forms, information requirements, and 1 time frames, to request prior authorization under the Medicaid 2 program no later than October 1, 2019. 3 Sec. ___. MEDICAID MANAGEMENT INFORMATION SYSTEM —— CENTRAL 4 PORTAL —— REVIEW. The department shall review the costs 5 associated with expanding the medical assistance management 6 information system to integrate a single, statewide system 7 to serve as a central portal for submission of all prior 8 authorization requests for the Medicaid program. The portal 9 shall not be designed to make or review final determinations 10 of managed care organization prior authorization requests, but 11 shall only serve as a conduit to deliver prior authorization 12 requests to the appropriate managed care organization. The 13 results of the study shall be submitted to the governor and the 14 general assembly no later than March 31, 2020. 15 Sec. ___. EFFECTIVE DATE. This division of this Act, being 16 deemed of immediate importance, takes effect upon enactment. 17 DIVISION ___ 18 HEALTH AND HUMAN SERVICES EXECUTIVE BRANCH ENTITIES —— REFORM 19 IOWA COLLABORATIVE SAFETY NET PROVIDER NETWORK 20 Sec. ___. Section 135.24, subsection 7, paragraph e, Code 21 2019, is amended to read as follows: 22 e. “Specialty health care provider office” means the 23 private office or clinic of an individual specialty health 24 care provider or group of specialty health care providers as 25 referred by the Iowa collaborative safety net provider network 26 established in section 135.153 , but does not include a field 27 dental clinic, a free clinic, or a hospital. 28 Sec. ___. Section 135.159, subsection 1, paragraph h, Code 29 2019, is amended by striking the paragraph. 30 Sec. ___. REPEAL. Section 135.153, Code 2019, is repealed. 31 HOSPITAL HEALTH CARE ACCESS TRUST FUND BOARD 32 Sec. ___. Section 249M.4, Code 2019, is amended to read as 33 follows: 34 249M.4 Hospital health care access trust fund —— board . 35 -10- HF766.1702 (1) 88 pf/rn 10/ 19

1. A hospital health care access trust fund is created 1 in the state treasury under the authority of the department. 2 Moneys received through the collection of the hospital health 3 care access assessment imposed under this chapter and any 4 other moneys specified for deposit in the trust fund shall be 5 deposited in the trust fund. 6 2. Moneys in the trust fund shall be used, subject to 7 their appropriation by the general assembly, by the department 8 to reimburse participating hospitals the medical assistance 9 program upper payment limit for inpatient and outpatient 10 hospital services as calculated in this section . Following 11 payment of such upper payment limit to participating hospitals, 12 any remaining funds in the trust fund on an annual basis may be 13 used for any of the following purposes: 14 a. To support medical assistance program utilization 15 shortfalls. 16 b. To maintain the state’s capacity to provide access to and 17 delivery of services for vulnerable Iowans. 18 c. To fund the health care workforce support initiative 19 created pursuant to section 135.175 . 20 d. To support access to health care services for uninsured 21 Iowans. 22 e. To support Iowa hospital programs and services which 23 expand access to health care services for Iowans. 24 3. The trust fund shall be separate from the general fund 25 of the state and shall not be considered part of the general 26 fund. The moneys in the trust fund shall not be considered 27 revenue of the state, but rather shall be funds of the hospital 28 health care access assessment program. The moneys deposited 29 in the trust fund are not subject to section 8.33 and shall not 30 be transferred, used, obligated, appropriated, or otherwise 31 encumbered, except to provide for the purposes of this chapter . 32 Notwithstanding section 12C.7, subsection 2 , interest or 33 earnings on moneys deposited in the trust fund shall be 34 credited to the trust fund. 35 -11- HF766.1702 (1) 88 pf/rn 11/ 19

4. The department shall adopt rules pursuant to chapter 1 17A to administer the trust fund and reimbursements and 2 expenditures as specified in this chapter made from the trust 3 fund. 4 5. a. Beginning July 1, 2010, or the implementation date 5 of the hospital health care access assessment program as 6 determined by receipt of approval from the centers for Medicare 7 and Medicaid services of the United States department of health 8 and human services, whichever is later, the department shall 9 increase the diagnostic related groups and ambulatory patient 10 classifications base rates to provide payments to participating 11 hospitals at the Medicare upper payment limit for the fiscal 12 year beginning July 1, 2010, calculated as of July 31, 2010. 13 Each participating hospital shall receive the same percentage 14 increase, but the percentage may differ depending on whether 15 the basis for the base rate increase is the diagnostic related 16 groups or ambulatory patient classifications. 17 b. The percentage increase shall be calculated by dividing 18 the amount calculated under subparagraph (1) by the amount 19 calculated under subparagraph (2) as follows: 20 (1) The amount under the Medicare upper payment limit for 21 the fiscal year beginning July 1, 2010, for participating 22 hospitals. 23 (2) The projected expenditures for participating hospitals 24 for the fiscal year beginning July 1, 2010, as determined by 25 the fiscal management division of the department, plus the 26 amount calculated under subparagraph (1). 27 6. For the fiscal year beginning July 1, 2011, and for 28 each fiscal year beginning July 1, thereafter, the payments to 29 participating hospitals shall continue to be calculated based 30 on the upper payment limit as calculated for the fiscal year 31 beginning July 1, 2010. 32 7. Reimbursement of participating hospitals shall 33 incorporate the rebasing process for inpatient and outpatient 34 services for state fiscal year 2012. However, the total amount 35 -12- HF766.1702 (1) 88 pf/rn 12/ 19

of increased funding available for reimbursement attributable 1 to rebasing shall not exceed four million five hundred thousand 2 dollars for state fiscal year 2012 and six million dollars for 3 state fiscal year 2013. 4 8. Any payments to participating hospitals under this 5 section shall result in budget neutrality to the general fund 6 of the state. 7 9. a. A hospital health care access trust fund board is 8 established consisting of the following members: 9 (1) The co-chairpersons and the ranking members of the joint 10 appropriations subcommittee on health and human services. 11 (2) The Iowa medical assistance program director. 12 (3) Two hospital executives representing the two largest 13 private health care systems in the state. 14 (4) The president of the Iowa hospital association. 15 (5) A representative of a consumer advocacy group, involved 16 in both state and national initiatives, that provides data on 17 key indicators of well-being for children and families in order 18 to inform policymakers to help children and families succeed. 19 b. The board shall do all of the following: 20 (1) Provide oversight of the trust fund. 21 (2) Make recommendations regarding the hospital health care 22 access assessment program, including recommendations regarding 23 the assessment calculation, assessment amounts, payments to 24 participating hospitals, and use of the moneys in the trust 25 fund. 26 (3) Submit an annual report to the governor and the general 27 assembly regarding the use and expenditure of moneys deposited 28 in the trust fund. 29 c. The department shall provide administrative assistance 30 to the board. 31 ADVISORY COMMITTEE TO THE CENTER FOR RURAL HEALTH AND PRIMARY 32 CARE 33 Sec. ___. Section 135.107, subsection 5, Code 2019, is 34 amended by striking the subsection. 35 -13- HF766.1702 (1) 88 pf/rn 13/ 19

Sec. ___. Section 262.78, subsection 3, Code 2019, is 1 amended to read as follows: 2 3. The president of the university of Iowa, in consultation 3 with the president of Iowa state university of science and 4 technology, shall employ a full-time director of the center. 5 The center may employ staff to carry out the center’s purpose. 6 The director shall coordinate the agricultural health and 7 safety programs of the center. The director shall regularly 8 meet and consult with the advisory committee to the center for 9 rural health and primary care. The director shall provide 10 the board of regents with relevant information regarding the 11 center. 12 GOVERNMENTAL PUBLIC HEALTH ADVISORY COUNCIL 13 Sec. ___. Section 135A.2, subsection 2, Code 2019, is 14 amended by striking the subsection. 15 Sec. ___. Section 135A.9, subsection 1, Code 2019, is 16 amended by striking the subsection. 17 Sec. ___. REPEAL. Section 135A.4, Code 2019, is repealed. 18 PATIENT-CENTERED HEALTH ADVISORY COUNCIL 19 Sec. ___. REPEAL. Section 135.159, Code 2019, is repealed. 20 COMBINING STATE MEDICAL EXAMINER ADVISORY COUNCIL WITH THE 21 INTERAGENCY COORDINATING COUNCIL 22 Sec. ___. Section 691.6B, Code 2019, is amended to read as 23 follows: 24 691.6B Interagency coordinating council. 25 1. An interagency coordinating council is created to advise 26 do all of the following: 27 a. Advise and consult with the state medical examiner on a 28 range of issues affecting the organization and functions of the 29 office of the state medical examiner and the effectiveness of 30 the medical examiner system in the state. 31 b. Advise the state medical examiner concerning the 32 assurance of effective coordination of the functions and 33 operations of the office of the state medical examiner with the 34 needs and interests of the departments of public safety and 35 -14- HF766.1702 (1) 88 pf/rn 14/ 19

public health. 1 2. Members of the interagency coordinating council shall 2 include the all of the following: 3 a. The state medical examiner, or when the state medical 4 examiner is not available, the deputy state medical examiner ; 5 the . 6 b. The commissioner of public safety or the commissioner’s 7 designee ; the . 8 c. The director of public health or the director’s designee ; 9 and the . 10 d. The governor or the governor’s designee. 11 e. Representatives from the office of the attorney 12 general, the Iowa county attorneys association, the Iowa 13 medical society, the Iowa association of pathologists, the 14 Iowa association of county medical examiners, the statewide 15 emergency medical system, and the Iowa funeral directors 16 association. 17 3. The interagency coordinating council shall meet on 18 a regular basis , and shall be organized and function as 19 established by the state medical examiner by rule . 20 Sec. ___. REPEAL. Section 691.6C, Code 2019, is repealed. 21 TOBACCO USE PREVENTION AND CONTROL COMMISSION —— MEMBERSHIP —— 22 MEETINGS —— EXPENSES 23 Sec. ___. Section 142A.3, subsection 6, Code 2019, is 24 amended to read as follows: 25 6. Citizen members shall be reimbursed for actual and 26 necessary expenses incurred in performance of their duties. 27 Citizen members shall be paid a per diem as specified in 28 section 7E.6 . Legislative members are eligible for per diem 29 and expenses as provided in section 2.10 . 30 Sec. ___. Section 142A.3, subsection 9, Code 2019, is 31 amended to read as follows: 32 9. The commission shall elect a chairperson from among its 33 voting members and may select other officers from among its 34 voting members, as determined necessary by the commission. 35 -15- HF766.1702 (1) 88 pf/rn 15/ 19

The commission shall meet regularly no more than quarterly as 1 determined by the commission, upon the call of the chairperson, 2 or upon the call of a majority of the voting members. 3 Sec. ___. TOBACCO USE PREVENTION AND CONTROL COMMISSION —— 4 MEMBERSHIP REDUCTION. The tobacco use prevention and control 5 commission shall evaluate the membership of the commission 6 and shall submit to the department of public health the 7 commission’s recommendation, to be submitted by the director 8 of public health as proposed legislation in compliance with 9 section 2.16 for consideration by the general assembly during 10 the 2020 legislative session, to reduce the number of voting 11 members from nine to seven members. 12 TRAUMA SYSTEM ADVISORY COUNCIL 13 Sec. ___. Section 147A.24, subsection 2, Code 2019, is 14 amended to read as follows: 15 2. The council shall consist of seven members to be 16 appointed by the director from the recommendations of 17 the organizations in subsection 1 for terms of two years. 18 Vacancies on the council shall be filled for the remainder of 19 the term of the original appointment. Members whose terms 20 expire may be reappointed. 21 Sec. ___. TRANSITION PROVISIONS. Notwithstanding any 22 provision of section 147A.24, subsection 2, to the contrary, a 23 member of the trauma system advisory council on July 1, 2019, 24 shall continue serving until the expiration of that member’s 25 term or until a vacancy occurs prior to the expiration of the 26 applicable term, and such vacancy shall only be filled to the 27 extent consistent with and necessary to maintain the total 28 number of members of the council specified in section 147A.24, 29 subsection 2, as amended in this Act. 30 TELECONFERENCE OPTION FOR STATE ENTITIES 31 Sec. ___. NEW SECTION . 135.11B Statutory board, commission, 32 committee, or council of committee —— teleconference option. 33 Any statutorily established board, commission, committee, or 34 council established under the purview of the department shall 35 -16- HF766.1702 (1) 88 pf/rn 16/ 19

provide for a teleconference option for board, commission, 1 committee, or council members to participate in official 2 meetings. 3 ELIMINATION OF PAYMENT OF EXPENSES FOR PUBLIC MEMBERS OF 4 CERTAIN STATE ENTITIES 5 Sec. ___. Section 105.3, subsection 6, Code 2019, is amended 6 by striking the subsection. 7 Sec. ___. Section 135.43, subsection 2, unnumbered 8 paragraph 1, Code 2019, is amended to read as follows: 9 The membership of the review team is subject to the 10 provisions of sections 69.16 and 69.16A , relating to political 11 affiliation and gender balance. Review team members who 12 are not designated by another appointing authority shall be 13 appointed by the state medical examiner. Membership terms 14 shall be for three years. A membership vacancy shall be filled 15 in the same manner as the original appointment. The review 16 team shall elect a chairperson and other officers as deemed 17 necessary by the review team. The review team shall meet upon 18 the call of the state medical examiner or as determined by 19 the review team. The members of the team are eligible for 20 reimbursement of actual and necessary expenses incurred in the 21 performance of their official duties. The review team shall 22 include the following: 23 Sec. ___. Section 135.62, subsection 2, paragraph e, Code 24 2019, is amended by striking the paragraph. 25 Sec. ___. Section 147A.3, Code 2019, is amended to read as 26 follows: 27 147A.3 Meetings of the council —— quorum —— expenses . 28 Membership, terms of office, and quorum , and expenses shall 29 be determined by the director pursuant to chapter 135 . 30 Sec. ___. Section 256I.3, subsection 3, Code 2019, is 31 amended by striking the subsection. 32 ELIMINATION OF CHILD WELFARE ADVISORY COMMITTEE, CHILD 33 SUPPORT ADVISORY COMMITTEE, CHILDREN’S MENTAL HEALTH WAIVER 34 -17- HF766.1702 (1) 88 pf/rn 17/ 19

IMPLEMENTATION COMMITTEE, AND PROPERTY TAX RELIEF FUND RISK 1 POOL 2 Sec. ___. Section 217.3A, subsection 1, Code 2019, is 3 amended to read as follows: 4 1. General. The council on human services shall establish 5 and utilize the advisory committees committee identified in 6 this section and may establish and utilize other advisory 7 committees. The council shall establish appointment 8 provisions, membership terms, operating guidelines, and other 9 operational requirements for committees established pursuant to 10 this section . 11 Sec. ___. Section 217.3A, subsections 3 and 4, Code 2019, 12 are amended by striking the subsections. 13 Sec. ___. Section 426B.5, subsection 1, Code 2019, is 14 amended by striking the subsection. 15 Sec. ___. 2005 Iowa Acts, chapter 117, section 4, subsection 16 3, is amended by striking the subsection. 17 MEDICAL ASSISTANCE ADVISORY COUNCIL 18 Sec. ___. MEDICAL ASSISTANCE ADVISORY COUNCIL —— VOTING 19 MEMBER SUSPENSION. Notwithstanding any provision of law to the 20 contrary, if a representative of a professional or business 21 entity, a public member, or a member of the hawk-i board who 22 is a voting member of the medical assistance advisory council 23 pursuant to section 249A.4B, subsection 2, is absent for 24 two consecutive meetings of the medical assistance advisory 25 council, the member shall be suspended from participation in 26 the deliberations of the advisory council for a period of 27 twelve months from the date of the member’s second absence. 28 During the member’s suspension period, the voting rights of the 29 professional or business entity, consumer group or consumer 30 organization, or the hawk-i board shall not be exercised, but 31 the vacancy in voting membership shall not prohibit the medical 32 assistance advisory council from achieving a quorum. 33 DIVISION ___ 34 MEDICAID MANAGED CARE TERMINATION —— EXPEDITED CLAIMS DISPUTE 35 -18- HF766.1702 (1) 88 pf/rn 18/ 19

PROCESS 1 Sec. ___. MEDICAID MANAGED CARE TERMINATION —— EXPEDITED 2 CLAIMS DISPUTE PROCESS. No later than July 1, 2019, the 3 department of human services shall require an expedited claims 4 dispute process for all outstanding claims to be applicable 5 if a managed care organization terminates coverage under the 6 Medicaid program. Such an expedited claims dispute process 7 shall, beginning on the date a managed care organization 8 terminates coverage, allow a provider, a member, or a member’s 9 authorized representative the option to dispute the managed 10 care organization’s claim adjudication within the required time 11 frames and consistent with this section. The managed care 12 organization shall report all disputed claims being processed 13 and the outcomes of such disputed claims to the department on a 14 monthly basis for at least two years following termination of 15 the managed care organization’s contract with the state. > 16 40. By renumbering, redesignating, and correcting internal 17 references as necessary. 18 ______________________________ FRY of Clarke -19- HF766.1702 (1) 88 pf/rn 19/ 19 #40.