House File 891 H-1492 Amend the amendment, H-1484, to House File 891, as follows: 1 1. Page 74, after line 30 by inserting: 2 < DIVISION ___ 3 DIRECT CARE WORKFORCE 4 Sec. ___. LEGISLATIVE FINDINGS AND INTENT. 5 1. The general assembly finds that the novel coronavirus 6 pandemic has shed light on the importance of the state’s direct 7 care workforce in providing essential direct care and supports 8 to vulnerable Iowans and has called attention to the need for 9 a coordinated effort to meet the demand for this essential 10 workforce. The direct care workforce is responsible for the 11 care of thousands of individuals of all ages and abilities 12 including older individuals and persons with disabilities in 13 providing assistance with daily activities, performing personal 14 tasks, and administering medications. 15 2. The intent of this division of this Act is to enhance 16 the portability of continuing education, credentials, and 17 certifications of the direct care workforce; streamline data 18 collection and analysis to support interagency planning and 19 legislative decision making; and assist Iowans needing direct 20 care workforce services and supports and their families in 21 living successfully in their community of choice. 22 Sec. ___. DIRECT CARE WORKFORCE REGISTRY —— INCLUSION OF ALL 23 CERTIFIED NURSE ASSISTANTS —— PLAN FOR EXPANSION. 24 1. As used in this section: 25 a. “Department” means the department of inspections and 26 appeals. 27 b. “Direct care workforce” includes individuals employed 28 to provide direct care and supports to individuals of all ages 29 and abilities regardless of setting including but not limited 30 to certified nurse assistants, personal care assistants, home 31 care aides, hospice aides, medication aides, consumer directed 32 attendant care workers, universal workers, resident assistants, 33 patient care technicians, and residential treatment workers. 34 c. “Direct care workforce registry” means the registry of 35 -1- H 1484.2494 (1) 89 pf/rn 1/ 3 #1.
nurse aides required to be established and maintained by a 1 state pursuant to 42 C.F.R. §483.156. 2 2. a. The department shall expand the direct care workforce 3 registry to include all certified nurse assistants regardless 4 of employment setting. 5 b. The department shall require all employers of certified 6 nurse assistants, regardless of employment setting, to report 7 the qualifying employment of a certified nurse assistant for 8 inclusion in the direct care workforce registry. 9 3. a. The department shall convene a stakeholder advisory 10 work group to develop a plan for the expansion of the direct 11 care workforce registry. The plan shall provide for all of the 12 following: 13 (1) Identification of database system content. 14 (2) A listing of the classifications of workers who provide 15 direct care to be included in the registry. 16 (3) Identification of information to be included in the 17 registry to enhance public safety. 18 (4) An estimate of the costs associated with the development 19 and maintenance of the expanded registry. 20 (5) Alignment of registry data with information collected 21 by the department of education, the department of public 22 health, and the department of workforce development. 23 (6) Development of a public portal to allow access by family 24 caregivers and individuals requiring direct care workforce 25 services and supports. 26 (7) A timeline for expansion of the registry and for 27 development of the public portal. 28 (8) Options for state, federal, and other public and private 29 funding to support initial development and maintenance of the 30 registry and public portal. 31 b. The department shall submit the plan to the governor 32 and the general assembly no later than December 15, 2021. If 33 federal or other funding becomes available, the department may 34 implement the plan without additional legislative approval. 35 -2- H 1484.2494 (1) 89 pf/rn 2/ 3
Sec. ___. HEALTH, DIRECT CARE, AND LONG-TERM SERVICES AND 1 SUPPORTS WORKFORCE DATA SYSTEM —— INTERAGENCY COLLABORATION. 2 1. The department of education and the department of public 3 health, in collaboration with the department of workforce 4 development, department of human services, and the department 5 of inspections and appeals, shall incorporate the enhanced 6 direct care workforce registry created in this division of this 7 Act into existing health, direct care, and long-term services 8 and supports workforce dashboard data, and shall utilize such 9 data in informing the state’s strategies to build a strong 10 health, direct care, and long-term services and supports 11 workforce. 12 2. The department of education and the department of 13 public health shall submit a progress report on the work of 14 the interagency collaboration to the governor and the general 15 assembly, annually, by January 15. > 16 2. By renumbering as necessary. 17 ______________________________ ANDERSON of Polk -3- H 1484.2494 (1) 89 pf/rn 3/ 3 #2.