Senate File 474 S-3098 Amend Senate File 474 as follows: 1 1. Page 1, line 6, after < chapter 135H > by inserting 2 < , unless the psychiatric medical institution for children 3 provides substance use disorder services > 4 2. Page 3, by striking lines 13 through 21 and inserting: 5 < 16. “Serious emotional disturbance” means a diagnosable 6 mental, behavioral, or emotional disorder that meets the 7 diagnostic criteria specified in the most current diagnostic 8 and statistical manual of mental disorders published by 9 the American psychiatric association. “Serious emotional 10 disturbance” does not include a substance use disorder or 11 developmental disorder unless such disorder co-occurs with a 12 diagnosable mental, behavioral, or emotional disorder. > 13 3. By striking page 4, line 29, through page 5, line 4, and 14 inserting: 15 < 135H.4 Licensure. 16 1. A person shall not establish, operate, or maintain a 17 psychiatric medical institution for children unless the person 18 obtains a license for the institution under this chapter and 19 either holds a license under section 237.3, subsection 2 , 20 paragraph “a” , as a comprehensive residential facility for 21 children or holds a license under section 125.13 , if the 22 facility provides substance use disorder treatment under 23 chapter 237, and holds a license under this chapter . 24 2. In addition to the requirements under subsection 1, a 25 person shall not provide substance use disorder services at a 26 psychiatric medical institution for children unless the person 27 holds a license under section 125.13. The department of health 28 and human services shall adopt rules pursuant to chapter 17A 29 to create an expedited process for a person to simultaneously 30 obtain a license under section 125.13 and a license as a 31 comprehensive residential facility for children under chapter 32 237. > 33 4. Page 7, by striking lines 10 through 17. 34 5. Page 11, by striking lines 29 and 30 and inserting: 35 -1- SF 474.1450 (1) 91 dg/ko 1/ 3 #1. #2. #3. #4. #5.

< Sec. ___. Section 232.2, subsection 34, Code 2025, is 1 amended to read as follows: > 2 6. Page 12, by striking lines 4 through 7. 3 7. Page 19, line 32, by striking < nonsecure > and inserting 4 < nonsecure > 5 8. Page 20, line 17, by striking < nonsecure > and inserting 6 < nonsecure > 7 9. By striking page 21, line 3, through page 22, line 12. 8 10. Page 23, by striking lines 30 through 33. 9 11. Page 25, line 9, after < 1. > by inserting < a. > 10 12. Page 25, line 13, by striking < and > 11 13. Page 25, line 14, after < families > by inserting < , and 12 four members of the general assembly > 13 14. Page 25, line 18, after < chapter 232. > by inserting < The 14 members of the general assembly shall include two senators, 15 one appointed by the majority leader of the senate and one 16 appointed by the minority leader of the senate, and two 17 representatives, one appointed by the majority leader of the 18 house of representatives and one appointed by the minority 19 leader of the house of representatives. > 20 15. Page 25, line 19, by striking < 2. > and inserting < b. > 21 16. Page 25, line 25, by striking < 3. > and inserting < 2. > 22 17. Page 26, by striking lines 6 through 9 and inserting 23 < provision of the medical assistance program. > 24 18. Page 26, before line 10 by inserting: 25 < Sec. ___. ADMINISTRATIVE RULES. The department of health 26 and human services shall adopt rules pursuant to chapter 27 17A to require that the care furnished by an entity under 28 section 237C.1, subsection 2, paragraph “j”, as enacted in 29 this division of this Act, shall be provided to persons under 30 eighteen years of age in settings separate from individuals 31 over the age of twenty-one. > 32 19. Title page, by striking lines 3 through 5 and inserting 33 < evaluations for youth involved in juvenile delinquency and 34 child in need of assistance proceedings; the licensing > 35 -2- SF 474.1450 (1) 91 dg/ko 2/ 3 #6. #7. #8. #9. #10. #11. #12. #13. #14. #15. #16. #17. #18.