House
File
2585
H-8044
Amend
House
File
2585
as
follows:
1
1.
By
striking
everything
after
the
enacting
clause
and
2
inserting:
3
<
Section
1.
Section
135C.16,
subsection
1,
Code
2024,
is
4
amended
to
read
as
follows:
5
1.
In
addition
to
the
inspections
required
by
sections
6
135C.9
and
135C.38
,
the
department
shall
make
or
cause
to
7
be
made
such
further
unannounced
inspections
as
it
deems
8
necessary
to
adequately
enforce
this
chapter
.
At
least
one
9
general
unannounced
inspection
shall
be
conducted
for
each
10
health
care
facility
,
that
is
other
than
a
nursing
facility,
11
within
a
thirty-month
period.
On
average,
at
least
one
general
12
unannounced
inspection
shall
be
conducted
for
each
nursing
13
facility
within
a
twelve-month
period.
The
inspector
shall
14
show
identification
to
the
person
in
charge
of
the
facility
15
and
state
that
an
inspection
is
to
be
made
before
beginning
16
the
inspection.
An
employee
of
the
department
who
gives
17
unauthorized
advance
notice
of
an
inspection
made
or
planned
18
to
be
made
under
this
subsection
or
section
135C.38
shall
be
19
disciplined
as
determined
by
the
director,
except
that
if
the
20
employee
is
employed
pursuant
to
the
merit
system
provisions
of
21
chapter
8A,
subchapter
IV
,
the
discipline
shall
not
exceed
the
22
discipline
authorized
pursuant
to
that
subchapter.
23
Sec.
2.
NEW
SECTION
.
135C.35C
Nursing
facilities
——
joint
24
training
sessions.
25
The
department
shall
semiannually
provide
joint
training
26
sessions
for
inspectors
and
nursing
facilities
to
review
at
27
least
three
of
the
ten
most
frequently
issued
federal
citations
28
in
the
state
during
the
immediately
preceding
calendar
year.
29
The
department
shall
develop
a
protocol
to
identify
regional
30
citation
patterns
relating
to
complaints,
standards,
and
31
outcomes
in
the
nursing
facility
inspection
process.
The
32
department
shall
include
the
state
long-term
care
ombudsman,
33
or
the
state
long-term
care
ombudsman’s
designee,
and
34
representatives
of
each
nursing
facility
provider
association
35
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2585.3161
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90
pf/ko
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3
#1.
in
the
state
in
the
planning
process
for
the
joint
training
1
sessions.
2
Sec.
3.
Section
135C.38,
subsection
1,
paragraph
a,
3
subparagraph
(1),
Code
2024,
is
amended
to
read
as
follows:
4
(1)
For
nursing
facilities,
an
on-site
inspection
shall
be
5
initiated
as
follows:
6
(a)
Within
two
one
working
days
day
for
a
complaint
7
determined
by
the
department
to
be
an
alleged
immediate
8
jeopardy
situation.
9
(b)
Within
ten
five
working
days
for
a
complaint
determined
10
by
the
department
to
be
an
alleged
high-level,
nonimmediate
11
jeopardy
situation.
12
(c)
Within
forty-five
calendar
days
for
a
complaint
13
determined
by
the
department
to
be
an
alleged
nonimmediate
14
jeopardy
situation,
other
than
a
high-level
situation.
15
Sec.
4.
2023
Iowa
Acts,
chapter
108,
section
7,
subsection
16
4,
is
amended
to
read
as
follows:
17
4.
HEALTH
FACILITIES
18
a.
For
salaries,
support,
maintenance,
and
miscellaneous
19
purposes,
and
for
not
more
than
the
following
full-time
20
equivalent
positions:
21
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
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.
.
.
.
.
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.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,862,971
22
6,262,971
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
115.00
24
145.00
25
b.
The
department
shall
make
all
of
the
following
26
information
available
to
the
public
as
part
of
the
department’s
27
development
efforts
to
revise
the
department’s
internet
site:
28
(1)
The
number
of
inspections
of
health
facilities
29
conducted
by
the
department
annually
by
type
of
service
30
provider
and
type
of
inspection.
31
(2)
The
total
annual
operations
budget
for
the
department
32
that
is
associated
with
health
facilities
regulation,
including
33
general
fund
appropriations
and
federal
contract
dollars
34
received
by
type
of
service
provider
inspected.
35
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3
(3)
The
total
number
of
full-time
equivalent
positions
1
in
the
department
that
are
associated
with
health
facilities
2
regulation,
to
include
the
number
of
full-time
equivalent
3
positions
serving
in
a
supervisory
capacity,
and
serving
as
4
surveyors,
inspectors,
or
monitors
in
the
field
by
type
of
5
service
provider
inspected.
6
(4)
Identification
of
state
and
federal
survey
trends,
7
cited
regulations,
the
scope
and
severity
of
deficiencies
8
identified,
and
federal
and
state
fines
assessed
and
collected
9
concerning
nursing
and
assisted
living
facilities
and
programs.
10
c.
It
is
the
intent
of
the
general
assembly
that
the
11
department
continuously
solicit
input
from
health
facilities
12
regulated
by
the
department
to
assess
and
improve
the
13
department’s
level
of
collaboration
and
to
identify
new
14
opportunities
for
cooperation.
15
d.
Of
the
funds
appropriated
in
this
subsection,
$2,400,000
16
shall
be
used
to
employ
additional
nursing
facility
inspectors
17
and
assisted
living
program
monitors
to
perform
additional
18
safety
inspections.
19
Sec.
5.
EFFECTIVE
DATE.
The
following,
being
deemed
of
20
immediate
importance,
takes
effect
upon
enactment:
21
The
section
of
this
Act
amending
2023
Iowa
Acts,
chapter
108,
22
section
7,
subsection
4,
relating
to
health
facilities.
23
Sec.
6.
RETROACTIVE
APPLICABILITY.
The
following
applies
24
retroactively
to
July
1,
2023:
25
The
section
of
this
Act
amending
2023
Iowa
Acts,
chapter
108,
26
section
7,
subsection
4,
relating
to
health
facilities.
>
27
2.
Title
page,
by
striking
lines
2
through
4
and
inserting
28
<
training
sessions
and
inspection
requirements,
making
an
29
appropriation,
and
including
effective
date
and
retroactive
30
applicability
provisions.
>
31
______________________________
SRINIVAS
of
Polk
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HF
2585.3161
(1)
90
pf/ko
3/
3
#2.