S-5139

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

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KARA WARME