Senate
Amendment
to
House
File
933
H-1282
Amend
House
File
933,
as
amended,
passed,
and
reprinted
by
1
the
House,
as
follows:
2
1.
By
striking
page
1,
line
3,
through
page
4,
line
9,
and
3
inserting:
4
<
Sec.
___.
Section
135C.1,
Code
2025,
is
amended
by
adding
5
the
following
new
subsection:
6
NEW
SUBSECTION
.
16A.
“Pediatric
palliative
care
patient”
7
means
an
individual
described
by
all
of
the
following:
8
a.
The
individual
is
under
twenty-one
years
of
age.
9
b.
The
individual
has
been
diagnosed
with
a
chronic,
10
complex,
life-threatening
illness
that
is
expected
to
shorten
11
the
individual’s
life
expectancy.
12
c.
The
individual
is
not
expected
to
survive
past
twenty-one
13
years
of
age.
14
Sec.
___.
Section
135C.2,
Code
2025,
is
amended
by
adding
15
the
following
new
subsection:
16
NEW
SUBSECTION
.
5A.
The
department
shall
establish
a
17
special
classification
within
the
residential
care
facility
18
category
for
residential
care
facilities
which
have
the
primary
19
purpose
of
serving
pediatric
palliative
care
patients
and
20
that
only
provides
respite
care
services
and
the
services
of
21
a
hospice
program
as
defined
in
section
135J.1.
A
facility
22
within
the
special
classification
established
pursuant
to
23
this
subsection
shall
be
exempt
from
section
10A.713.
The
24
department
shall
adopt
rules
pursuant
to
chapter
17A
which
25
shall
include
but
not
be
limited
to
all
of
the
following:
26
a.
A
residential
care
facility
within
the
special
27
classification
established
pursuant
to
this
subsection
may
be
28
referred
to
as
a
pediatric
palliative
care
center.
29
b.
A
licensed
residential
care
facility
within
the
special
30
classification
established
pursuant
to
this
subsection
shall
31
be
eligible
for
funding
available
to
hospice
programs
licensed
32
under
chapter
135J,
and
licensed
residential
care
facilities
33
that
treat
individuals
with
an
illness
or
disability,
including
34
but
not
limited
to
funding
from
the
federal
social
services
35
-1-
HF
933.1734.S
(1)
91
mb
1/
2
#1.
block
grant,
the
state
supplementary
assistance
program,
the
1
hospice
respite
benefit,
home
and
community-based
services
2
waivers,
any
funding
source
under
chapter
249A,
and
any
benefit
3
a
nursing
facility
may
be
eligible
for
related
to
respite
care
4
services.
5
Sec.
___.
EMERGENCY
RULES.
The
department
of
health
and
6
human
services
may
adopt
emergency
rules
under
section
17A.4,
7
subsection
3,
and
section
17A.5,
subsection
2,
paragraph
“b”,
8
to
implement
the
provisions
of
this
Act
and
the
rules
shall
9
be
effective
immediately
upon
filing
unless
a
later
date
is
10
specified
in
the
rules.
Any
rules
adopted
in
accordance
with
11
this
section
shall
also
be
published
as
a
notice
of
intended
12
action
as
provided
in
section
17A.4.
13
Sec.
___.
EFFECTIVE
DATE.
This
Act,
being
deemed
of
14
immediate
importance,
takes
effect
upon
enactment.
>
15
2.
Title
page,
line
1,
after
<
centers
>
by
inserting
<
,
and
16
including
effective
date
provisions
>
17
3.
By
renumbering
as
necessary.
18
-2-
HF
933.1734.S
(1)
91
mb
2/
2
#2.