S-3098

   Amend Senate File 474 as follows:
   1.  Page 1, line 6, after <chapter 135H> by inserting <, unless the psychiatric medical institution for children provides substance use disorder services>
   2.  Page 3, by striking lines 13 through 21 and inserting: 
   <16.  “Serious emotional disturbance” means a diagnosable mental, behavioral, or emotional disorder that meets the diagnostic criteria specified in the most current diagnostic and statistical manual of mental disorders published by the American psychiatric association. “Serious emotional disturbance” does not include a substance use disorder or developmental disorder unless such disorder co-occurs with a diagnosable mental, behavioral, or emotional disorder.>
   3.  By striking page 4, line 29, through page 5, line 4, and inserting: 
   <135H.4  Licensure.
   1.  A person shall not establish, operate, or maintain a psychiatric medical institution for children unless the person obtains a license for the institution under this chapter and either holds a license under section 237.3, subsection 2, paragraph “a”, as a comprehensive residential facility for children or holds a license under section 125.13, if the facility provides substance use disorder treatment under chapter 237, and holds a license under this chapter.
   2.  In addition to the requirements under subsection 1, a person shall not provide substance use disorder services at a psychiatric medical institution for children unless the person holds a license under section 125.13. The department of health and human services shall adopt rules pursuant to chapter 17A to create an expedited process for a person to simultaneously obtain a license under section 125.13 and a license as a comprehensive residential facility for children under chapter 237.>
   4.  Page 7, by striking lines 10 through 17.
   5.  Page 11, by striking lines 29 and 30 and inserting: 
   <Sec. ___.  Section 232.2, subsection 34, Code 2025, is amended to read as follows:>
   6.  Page 12, by striking lines 4 through 7.
   7.  Page 19, line 32, by striking <nonsecure> and inserting <nonsecure>
   8.  Page 20, line 17, by striking <nonsecure> and inserting <nonsecure>
   9.  By striking page 21, line 3, through page 22, line 12.
   10.  Page 23, by striking lines 30 through 33.
   11.  Page 25, line 9, after <1.> by inserting <a.>
   12.  Page 25, line 13, by striking <and>
   13.  Page 25, line 14, after <families> by inserting <, and four members of the general assembly>
   14.  Page 25, line 18, after <chapter 232.> by inserting <The members of the general assembly shall include two senators, one appointed by the majority leader of the senate and one appointed by the minority leader of the senate, and two representatives, one appointed by the majority leader of the house of representatives and one appointed by the minority leader of the house of representatives.>
   15.  Page 25, line 19, by striking <2.> and inserting <b.>
   16.  Page 25, line 25, by striking <3.> and inserting <2.>
   17.  Page 26, by striking lines 6 through 9 and inserting <provision of the medical assistance program.>
   18.  Page 26, before line 10 by inserting: 
   <Sec. ___.  ADMINISTRATIVE RULES.  The department of health and human services shall adopt rules pursuant to chapter 17A to require that the care furnished by an entity under section 237C.1, subsection 2, paragraph “j”, as enacted in this division of this Act, shall be provided to persons under eighteen years of age in settings separate from individuals over the age of twenty-one.>
   19.  Title page, by striking lines 3 through 5 and inserting <evaluations for youth involved in juvenile delinquency and child in need of assistance proceedings; the licensing>
   20.  By renumbering as necessary.

______________________________
MIKE KLIMESH