SF 2196 (LSB 5305SV (4) 85)

SENATE FILE 2196

BY  COMMITTEE ON HUMAN RESOURCES

(SUCCESSOR TO SSB 3014)

A BILL FOR

An Act relating to programs and services under the purview of the department of public health, and including effective date provisions.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

DIVISION I

TRAINING ON BLOOD-BORNE PATHOGENS
    Section 1.  Section 135.11, subsections 20 and 21, Code 2014, are amended to read as follows:
   20.  Adopt rules which require personnel of a licensed hospice, of a homemaker-home health aide provider agency which receives state homemaker-home health aide funds, or of an agency which provides respite care services and receives funds to complete a minimum of two hours of training concerning acquired immune deficiency syndrome-related conditions through a program approved by the department. The rules shall require that new employees complete the training within six months of initial employment and existing employees complete the training on or before January 1, 1989 blood-borne pathogens, including human immunodeficiency virus and viral hepatitis, consistent with standards from the federal occupational safety and health administration.
   21.  Adopt rules which require all emergency medical services personnel, firefighters, and law enforcement personnel to complete a minimum of two hours of training concerning acquired immune deficiency syndrome-related conditions and the prevention of blood-borne pathogens, including human immunodeficiency virus infection and viral hepatitis, consistent with standards from the federal occupational safety and health administration.

DIVISION II

HEALTH CARE WORKFORCE SUPPORT INITIATIVE
    Sec. 2.  Section 135.153A, Code 2014, is amended to read as follows:
   135.153A  Safety net provider recruitment and retention initiatives program —— repeal.

   The department, in accordance with efforts pursuant to sections 135.163 and 135.164 and in cooperation with the Iowa collaborative safety net provider network governing group as described in section 135.153, shall establish and administer a safety net provider recruitment and retention initiatives program to address the health care workforce shortage relative to safety net providers. Funding for the program may be provided through the health care workforce shortage fund or the safety net provider network workforce shortage account created in section 135.175. The department, in cooperation with the governing group, shall adopt rules pursuant to chapter 17A to implement and administer such program. This section is repealed June 30, 2014 2016.
    Sec. 3.  Section 135.175, subsection 1, paragraph a, Code 2014, is amended to read as follows:
   a.  A health care workforce support initiative is established to provide for the coordination and support of various efforts to address the health care workforce shortage in this state. This initiative shall include the medical residency training state matching grants program created in section 135.176, the nurse residency state matching grants program created in section 135.178, the fulfilling Iowa’s need for dentists matching grant program created in section 135.179, the health care professional and Iowa needs nurses now initiative created in sections 261.128 and 261.129, the safety net provider recruitment and retention initiatives program created in section 135.153A, health care workforce shortage national initiatives, and the physician assistant mental health fellowship program created in section 135.177.
    Sec. 4.  Section 135.175, subsection 5, Code 2014, is amended by adding the following new paragraph:
   NEW PARAGRAPH.  h.  The fulfilling Iowa’s need for dentists matching grant program account. The fulfilling Iowa’s need for dentists matching grant program account shall be under the control of the department and the moneys in the account shall be used for the purposes of the fulfilling Iowa’s need for dentists matching grant program as specified in section 135.179. Moneys in the account shall consist of moneys appropriated or allocated for deposit in the account or received by the fund or the account and specifically dedicated to the fulfilling Iowa’s need for dentists matching grant program account for the purposes of such account.
    Sec. 5.  Section 135.175, subsection 6, paragraph a, Code 2014, is amended to read as follows:
   a.  Moneys in the fund and the accounts in the fund shall only be appropriated in a manner consistent with the principles specified and the strategic plan developed pursuant to sections 135.163 and 135.164 to support the medical residency training state matching grants program, the nurse residency state matching grants program, the fulfilling Iowa’s need for dentists matching grant program, the health care professional incentive payment program, the Iowa needs nurses now initiative, the safety net recruitment and retention initiatives program, for national health care workforce shortage initiatives, for the physician assistant mental health fellowship program, for the purposes of the Iowa needs nurses now infrastructure account, and to provide funding for state health care workforce shortage programs as provided in this section.
    Sec. 6.  Section 135.175, subsection 9, Code 2014, is amended by striking the subsection.
    Sec. 7.  Section 135.176, subsection 3, Code 2014, is amended by striking the subsection.
    Sec. 8.  Section 135.177, subsection 3, Code 2014, is amended to read as follows:
   3.  This section is repealed June 30, 2014 2016.
    Sec. 9.  Section 135.178, subsection 2, Code 2014, is amended to read as follows:
   2.  This section is repealed June 30, 2014 2016.
    Sec. 10.  NEW SECTION.  135.179  Fulfilling Iowa’s need for dentists.
   1.  The department, in cooperation with a dental nonprofit health service corporation, shall create the fulfilling Iowa’s need for dentists matching grant program.
   2.  Funding for the program may be provided through the health care workforce shortage fund or the fulfilling Iowa’s need for dentists matching grant program account created in section 135.175. The purpose of the program is to establish, expand, or support the placement of dentists in dental or rural shortage areas across the state by providing education loan repayments.
   3.  The department shall contract with a dental nonprofit health service corporation to implement and administer the program. The dental nonprofit health service corporation shall provide loan repayments to dentists who practice in a dental or rural shortage area as defined by the department.
    Sec. 11.  Section 261.128, subsection 5, Code 2014, is amended to read as follows:
   5.  This section is repealed June 30, 2014 2016.
    Sec. 12.  Section 261.129, subsection 5, Code 2014, is amended to read as follows:
   5.  Repeal.  This section is repealed June 30, 2014 2016.

DIVISION III

HEALTH CARE WORKFORCE SUPPORT INITIATIVE ACCOUNTS —— FUTURE PROVISIONS
    Sec. 13.  Section 135.175, subsection 1, paragraph a, Code 2014, is amended to read as follows:
   a.  A health care workforce support initiative is established to provide for the coordination and support of various efforts to address the health care workforce shortage in this state. This initiative shall include the medical residency training state matching grants program created in section 135.176, the nurse residency state matching grants program created in section 135.178, the health care professional and Iowa needs nurses now initiative created in sections 261.128 and 261.129, the safety net provider recruitment and retention initiatives program created in section 135.153A, and health care workforce shortage national initiatives, and the physician assistant mental health fellowship program created in section 135.177.
    Sec. 14.  Section 135.175, subsection 5, paragraphs b, c, e, f, and g, Code 2014, are amended by striking the paragraphs.
    Sec. 15.  Section 135.175, subsection 6, paragraphs a and c, Code 2014, are amended to read as follows:
   a.  Moneys in the fund and the accounts in the fund shall only be appropriated in a manner consistent with the principles specified and the strategic plan developed pursuant to sections 135.163 and 135.164 to support the medical residency training state matching grants program, the nurse residency state matching grants program, the health care professional incentive payment program, the Iowa needs nurses now initiative, the safety net recruitment and retention initiatives program, for national health care workforce shortage initiatives, for the physician assistant mental health fellowship program, for the purposes of the Iowa needs nurses now infrastructure account, and to provide funding for state health care workforce shortage programs as provided in this section.
   c.  State appropriations to the fund shall be allocated in equal amounts to each of the accounts within the fund, unless otherwise specified in the appropriation or allocation. Any federal funding received for the purposes of addressing state health care workforce shortages shall be deposited in the health care workforce shortage national initiatives account, unless otherwise specified by the source of the funds, and shall be used as required by the source of the funds. If use of the federal funding is not designated, twenty-five percent of such funding shall be deposited in the safety net provider network workforce shortage account to be used for the purposes of the account and the remainder of the funds shall be used in accordance with the strategic plan developed by the department of public health in accordance with sections 135.163 and 135.164, or to address workforce shortages as otherwise designated by the department of public health. Other sources of funding shall be deposited in the fund or account and used as specified by the source of the funding.
    Sec. 16.  EFFECTIVE DATE.  This division of this Act takes effect July 1, 2016.

DIVISION IV

SALON LICENSES AND INSPECTIONS
    Sec. 17.  Section 157.11, Code 2014, is amended to read as follows:
   157.11  Salon licenses.
   1.  A salon shall not operate unless the owner has obtained a license issued by the department. The owner shall apply to the department on forms prescribed by the board. The department shall may perform a sanitary inspection of each salon biennially and may perform a sanitary inspection of a salon prior to the issuance of a license. An inspection of a salon shall may also be conducted upon receipt of a complaint by the department.
   2.  The application shall be accompanied by the biennial license fee determined pursuant to section 147.80. The license is valid for two years and may be renewed.
   3.  A licensed school of cosmetology arts and sciences at which students practice cosmetology arts and sciences is exempt from licensing as a salon.

DIVISION V

MORTUARY SCIENCE INSPECTIONS
    Sec. 18.  Section 156.10, Code 2014, is amended to read as follows:
   156.10  Inspection.
   1.  The director of public health shall may inspect all places where dead human bodies are prepared or held for burial, entombment, or cremation, and shall may adopt and enforce such rules and regulations in connection with the inspection as shall may be necessary for the preservation of the public health.
   2.  The Iowa department of public health shall may assess an inspection fee for an inspection of a place where dead human bodies are prepared for burial or cremation. The fee shall may be determined by the department by rule.

DIVISION VI

BARBERSHOP LICENSES AND INSPECTIONS
    Sec. 19.  Section 158.9, Code 2014, is amended to read as follows:
   158.9  Barbershop licenses.
   1.  A barbershop shall not operate unless the owner has obtained a license issued by the department. The owner shall apply to the department on forms prescribed by the board. The department shall may perform a sanitary inspection of each barbershop biennially and may perform a sanitary inspection of a barbershop prior to the issuance of a license. An inspection of a barbershop shall may also be conducted upon receipt of a complaint by the department.
   2.  The application shall be accompanied by the biennial license fee determined pursuant to section 147.80. The license is valid for two years and may be renewed.
   3.  A licensed barber school at which students practice barbering is exempt from licensing as a barbershop.

DIVISION VII

PLUMBING, MECHANICAL, HVAC-REFRIGERATION, SHEET METAL, AND HYDRONIC LICENSES
    Sec. 20.  Section 105.18, subsection 2, unnumbered paragraph 1, Code 2014, is amended to read as follows:

   The board shall issue master licenses for plumbing, mechanical, HVAC-refrigeration, sheet metal, and hydronic professionals. The board shall issue journeyperson licenses for plumbing, mechanical, HVAC-refrigeration, sheet metal, and hydronic professionals. A plumbing license shall allow an individual to perform work defined as plumbing. A mechanical license shall allow an individual to perform work defined as HVAC, refrigeration, sheet metal, and hydronic. An HVAC-refrigeration license shall allow an individual to perform work defined as HVAC and refrigeration. A hydronic license shall allow an individual to perform work defined as hydronic. A sheet metal license shall allow an individual to perform work defined as sheet metal. The board shall issue the separate licenses as follows:
EXPLANATION
The inclusion of this explanation does not constitute agreement with

the explanation’s substance by the members of the general assembly.
   This bill relates to programs and services of the department of public health (DPH).
   Division I, regarding training concerning blood-borne pathogens, requires DPH to adopt rules to require personnel of a licensed hospice, personnel of a homemaker-home health aide provider agency, personnel of an agency requiring respite care services, emergency medical services personnel, firefighters, and law enforcement personnel to complete training concerning blood-borne pathogens consistent with federal occupational safety and health administration (OSHA) standards rather than completing the two hours of training concerning acquired-immune deficiency syndrome-related conditions that is currently required.
   Divisions II and III relate to the health care workforce support initiative codified in Code section 135.175. This initiative includes many initiatives and programs and the health care workforce shortage fund has separate accounts for each of these initiatives and programs. The initiative, the workforce shortage fund, and all the accounts and programs within the initiative are set to repeal on June 30, 2014.
   The bill eliminates the repeal of the health care workforce support initiative and health care workforce shortage fund. The bill retains the medical residency training state matching grants program, the health care workforce shortage national initiatives, and the related accounts. The bill delays the repeal for the nurse residency state matching grants program, the health care professional and Iowa needs nurses now initiative, the safety net provider recruitment and retention initiatives program, and the physician assistant mental health fellowship program and the related accounts until June 30, 2016.
   The bill establishes the fulfilling Iowa’s need for dentists matching grant program within the health care workforce support initiative and establishes the fulfilling Iowa’s need for dentists matching grant program account within the health care workforce shortage fund. The fulfilling Iowa’s need for dentists matching grant program is established to establish, expand, or support the placement of dentists in dental or rural shortage areas across the state by providing education loan repayments. The bill requires DPH to contract with a dental nonprofit health service corporation to implement and administer the program.
   Divisions IV through VI, concerning salon licenses and inspections, mortuary science inspections, and barbershop licenses and inspections, respectively, eliminate mandatory inspections in these establishments and instead institute permissive inspections.
   Division VII eliminates language allowing the plumbing and mechanical systems board to issue a master license for sheet metal professionals.