Senate
File
2338
S-5139
Amend
Senate
File
2338
as
follows:
1
1.
Page
2,
by
striking
lines
2
and
3
and
inserting
<
of
2
this
Act.
Beginning
the
calendar
year
that
begins
January
1,
3
2032,
and
every
ten
consecutive
calendar
years
thereafter,
the
4
department
shall
review
the
efficacy
of
the
designated
HHS
5
districts
in
performing
the
HHS
districts’
functions
during
the
6
immediately
preceding
ten
consecutive
calendar
years.
>
7
2.
By
striking
page
10,
line
8,
through
page
11,
line
17,
8
and
inserting:
9
<
Sec.
___.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
AND
AREA
10
AGENCIES
ON
AGING
——
REDESIGNATION
OF
PLANNING
AND
SERVICE
11
AREAS
——
REVIEW
AND
REPORT.
12
1.
For
purposes
of
this
section,
unless
the
context
13
otherwise
requires:
14
a.
“Area
agency
on
aging”
means
the
same
as
defined
in
42
15
U.S.C.
§3002.
16
b.
“Department”
means
the
department
of
health
and
human
17
services.
18
c.
“Health
and
human
services
district”
means
the
same
as
19
defined
in
section
217.1,
as
amended
in
division
I
of
this
Act.
20
d.
“Planning
and
service
area”
means
the
same
as
defined
in
21
42
U.S.C.
§3002.
22
e.
“Redesignation”
means
the
process
described
in
45
C.F.R.
23
§1321.13(e)
to
change
the
designation
of
a
planning
and
service
24
area.
25
2.
The
department
shall
not
submit
an
application
for
26
redesignation
for
federal
approval
prior
to
January
1,
2027.
27
3.
a.
The
department
and
each
area
agency
on
aging
shall
28
collaborate
in
good
faith
to
do
all
of
the
following:
29
(1)
Determine
the
full
fiscal
impact
of
a
proposed
30
redesignation
including
but
not
limited
to
the
costs
related
31
to
all
of
the
following:
32
(a)
Transition.
33
(b)
Administration.
34
(c)
Information
technology.
35
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#1.
#2.
(d)
Property.
1
(e)
Contract
modifications.
2
(f)
Personnel.
3
(g)
The
long-term
finances
of
the
state
and
each
affected
4
area
agency
on
aging.
5
(2)
Determine
the
effects
of
a
proposed
redesignation
on
all
6
of
the
following:
7
(a)
Service
continuity.
8
(b)
Client
access.
9
(c)
Provider
networks.
10
(d)
Rural
service
delivery.
11
(e)
Wait
lists.
12
(f)
Consumer
choice.
13
(g)
Outcomes
for
older
Iowans.
14
(3)
Identify
and
recommend
reasonable
alternatives
to
15
redesignation
and
reasonable
means
to
align
aging
services
16
coordination
with
the
geographic
boundaries
of
health
and
17
human
services
districts
in
a
manner
that
adequately
achieves
18
the
state’s
policy
objectives
for
the
delivery
of
aging
and
19
disability
services.
20
(4)
Recommend
the
date
by
which
a
proposed
planning
21
and
service
area
will
be
implemented
as
the
result
of
a
22
redesignation.
23
b.
In
completing
the
requirements
under
paragraph
“a”,
the
24
department
and
each
area
agency
on
aging
shall
do
all
of
the
25
following
as
applicable:
26
(1)
Provide
information
and
data
to
the
department
as
27
determined
necessary
by
the
department.
28
(2)
Engage
with
and
receive
input
from
relevant
29
stakeholders
including
but
not
limited
to
service
providers,
30
consumer
representatives,
advocates
for
older
Iowans,
and
31
representatives
of
rural
and
underserved
communities.
32
c.
No
later
than
December
15,
2026,
the
department
shall
33
submit
a
report
to
the
general
assembly
that
details
the
34
results
of
the
collaboration
between
the
department
and
the
35
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3
area
agencies
on
aging
under
paragraph
“a”.
Stakeholders
shall
1
be
provided
a
meaningful
opportunity
to
review
and
provide
2
comments
on
the
report
prior
to
the
department
submitting
the
3
report.
A
summary
of
the
input
from
the
stakeholder
review
and
4
stakeholder
comments
shall
be
included
in
the
report.
>
5
3.
By
renumbering
as
necessary.
6
______________________________
KARA
WARME
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#3.