S.F. _____ H.F. _____ DIVISION I 1 SYSTEM REDESIGN —— IMPLEMENTATION 2 COMMUNITY CORRECTIONS SYSTEM ACCESS TO REGIONAL SERVICES 3 Section 1. Section 331.395, Code 2013, is amended by adding 4 the following new subsection: 5 NEW SUBSECTION . 5. If adequate funding is provided through 6 a state appropriation made for purposes of paying for services 7 authorized pursuant to this subsection, a person with an income 8 within the level specified in subsection 1 who is housed by or 9 supervised by a judicial district department of correctional 10 services established under chapter 905 shall be deemed to 11 have met the income and resource eligibility requirements for 12 services under the regional service system. 13 ELIGIBILITY MAINTENANCE 14 Sec. 2. Section 331.396, subsection 1, Code 2013, is amended 15 by adding the following new paragraph: 16 NEW PARAGRAPH . 0d. Notwithstanding paragraphs “a” through 17 “c” , the person is an adult or child who received mental health 18 services from a county in accordance with the county’s service 19 management plan approved under section 331.439, Code 2013. 20 Sec. 3. Section 331.396, subsection 2, Code 2013, is amended 21 by adding the following new paragraph: 22 NEW PARAGRAPH . 0d. Notwithstanding paragraphs “a” through 23 “c” , the person is an adult or child who received intellectual 24 disability services from a county in accordance with the 25 county’s service management plan approved in accordance with 26 section 331.439, Code 2013. 27 Sec. 4. Section 331.397, subsection 2, paragraph b, Code 28 2013, is amended to read as follows: 29 b. Until funding is designated for other service 30 populations, eligibility for the service domains listed in this 31 section shall be limited to such persons who are in need of 32 mental health or intellectual disability services. However, if 33 a county in a region was providing services to an individual 34 child or to an individual adult person with a developmental 35 -1- LSB 1663IC (17) 85 jp/rj 1/ 16

S.F. _____ H.F. _____ disability other than intellectual disability or a brain injury 1 prior to formation of the region, the individual child or adult 2 person shall remain eligible for the services provided when the 3 region is formed, provided that funds are available to continue 4 such services. 5 STATE PAYMENTS TO REGION 6 Sec. 5. Section 426B.3, subsection 4, as enacted by 2012 7 Iowa Acts, chapter 1120, section 137, is amended to read as 8 follows: 9 4. a. For the fiscal years beginning July 1, 2013, and 10 July 1, 2014, a county with a county population expenditure 11 target amount that exceeds the amount of the county’s base year 12 expenditures for mental health and disabilities services shall 13 receive an equalization payment for the difference. 14 b. The equalization payments determined in accordance 15 with this subsection shall be made by the department of human 16 services for each fiscal year as provided in appropriations 17 made from the property tax relief fund for this purpose. If 18 the county is part of a region that has been approved by the 19 department in accordance with section 331.389, to commence 20 partial or full operations, the county’s equalization payment 21 shall be remitted to the region for expenditure as approved by 22 the region’s governing board. 23 STRATEGIC PLAN REQUIREMENT FOR FY 2013-2014 24 Sec. 6. 2012 Iowa Acts, chapter 1128, section 8, is amended 25 to read as follows: 26 SEC. 8. COUNTY MENTAL HEALTH, MENTAL RETARDATION 27 INTELLECTUAL DISABILITY , AND DEVELOPMENTAL DISABILITIES 28 SERVICES MANAGEMENT PLAN —— STRATEGIC PLAN. Notwithstanding 29 section 331.439, subsection 1 , paragraph “b”, subparagraph (3), 30 counties are not required to submit a three-year strategic 31 plan by April 1, 2012, to the department of human services. A 32 county’s strategic plan in effect as of the effective date of 33 this section shall remain in effect until the regional service 34 system management plan for the region to which the county 35 -2- LSB 1663IC (17) 85 jp/rj 2/ 16

S.F. _____ H.F. _____ belongs is approved in accordance with section 331.393 , subject 1 to modification before that date as necessary to conform with 2 statutory changes affecting the plan and any amendments to the 3 plan that are adopted in accordance with law . 4 TRANSITION FUND —— SERVICES MAINTENANCE 5 Sec. 7. TRANSITION FUND —— SERVICES MAINTENANCE. A county 6 receiving an allocation of funding from the mental health and 7 disability services redesign transition fund created in 2012 8 Iowa Acts, chapter 1120, section 23, shall utilize the funding 9 provided as necessary to avoid eliminating or reducing the 10 services provided to an individual child or other individual 11 person receiving services in accordance with the county’s 12 approved service management plan in effect as of June 30, 2012, 13 provided the child or other person continues to comply with the 14 eligibility requirements applicable under the plan as of that 15 date. 16 REDESIGN EQUALIZATION PAYMENT APPROPRIATION 17 Sec. 8. MENTAL HEALTH AND DISABILITY SERVICES —— 18 EQUALIZATION PAYMENTS TRANSFER AND APPROPRIATION. 19 1. There is transferred from the general fund of the 20 state to the department of human services for the fiscal year 21 beginning July 1, 2013, and ending June 30, 2014, the following 22 amount, or so much thereof as is necessary, to be used for the 23 purposes designated: 24 For deposit in the property tax relief fund created in 25 section 426B.1, for distribution as provided in this section: 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 29,820,478 27 2. The moneys credited to the property tax relief fund in 28 accordance with this section are appropriated to the department 29 of human services for distribution of equalization payments for 30 counties in the amounts specified in section 426B.3, subsection 31 4, as enacted by 2012 Iowa Acts, chapter 1120, section 137, 32 for the fiscal year beginning July 1, 2013. If the county is 33 part of a region that has been approved by the department in 34 accordance with section 331.389, to commence partial or full 35 -3- LSB 1663IC (17) 85 jp/rj 3/ 16

S.F. _____ H.F. _____ operations, the county’s equalization payment shall be remitted 1 to the region for expenditure as approved by the region’s 2 governing board. The payments shall be remitted on or before 3 July 15, 2013. 4 SUBSTANCE-RELATED DISORDER DETOXIFICATION 5 Sec. 9. MENTAL HEALTH AND DISABILITY SERVICES POLICY 6 REVIEWS. The mental health and disability services commission 7 shall review options for the mental health and disability 8 services regions to coordinate substance-related disorder 9 funding for detoxification and other such disorder funding in 10 place of county coordination. The commission shall report to 11 the governor and general assembly its findings, options, and 12 recommendations on or before October 15, 2013. 13 MEDICAID OBLIGATION COST SETTLEMENT 14 Sec. 10. COUNTY MEDICAL ASSISTANCE NONFEDERAL SHARE —— 15 COST SETTLEMENT. Any county obligation for payment to the 16 department of human services of the nonfederal share of the 17 cost of services provided under the medical assistance program 18 prior to July 1, 2012, pursuant to sections 249A.12 and 19 249A.26, shall remain at the amount agreed upon as of June 30, 20 2013. Beginning July 1, 2013, other than a county payment on 21 the obligation, the department shall be responsible for any 22 adjustment that would otherwise be applied to the amount of the 23 county obligation after that date due to cost settlement of 24 charges or other reasons. 25 CONTINUATION OF STATE PAYMENT PROGRAM FUNDING 26 Sec. 11. STATE PAYMENT PROGRAM —— FY 2013-2014. Unless 27 otherwise provided by law, state payment program moneys 28 appropriated for the fiscal year beginning July 1, 2013, to pay 29 the costs of non-Medicaid mental health and disability services 30 provided by counties to persons without a county of legal 31 settlement considered in the previous fiscal year to be a state 32 case shall continue to be remitted to the county of residence 33 paying for the services. If the county of residence is part of 34 a region that has been approved by the department in accordance 35 -4- LSB 1663IC (17) 85 jp/rj 4/ 16

S.F. _____ H.F. _____ with section 331.389, to commence partial or full operations, 1 the state payment program moneys shall be remitted to the 2 region for expenditure as approved by the region’s governing 3 board. 4 Sec. 12. EFFECTIVE UPON ENACTMENT. This division of this 5 Act, being deemed of immediate importance, takes effect upon 6 enactment. 7 DIVISION II 8 DATA AND STATISTICAL INFORMATION AND OUTCOME AND PERFORMANCE 9 MEASURES 10 Sec. 13. Section 225C.4, subsection 1, paragraph j, Code 11 2013, is amended to read as follows: 12 j. Establish and maintain a data collection and management 13 information system oriented to the needs of patients, 14 providers, the department, and other programs or facilities in 15 accordance with section 225C.6A . The system shall be used to 16 identify, collect, and analyze service outcome and performance 17 measures data in order to assess the effects of the services on 18 the persons utilizing the services. The administrator shall 19 annually submit to the commission information collected by the 20 department indicating the changes and trends in the disability 21 services system. The administrator shall make the outcome data 22 available to the public. 23 Sec. 14. Section 225C.6A, Code 2013, is amended to read as 24 follows: 25 225C.6A Disability services system redesign central data 26 repository . 27 1. The commission department shall do the following 28 relating to redesign of data concerning the disability services 29 system in the state: 30 1. Identify sources of revenue to support statewide 31 delivery of core disability services to eligible disability 32 populations. 33 2. Ensure there is a continuous improvement process for 34 development and maintenance of the disability services system 35 -5- LSB 1663IC (17) 85 jp/rj 5/ 16

S.F. _____ H.F. _____ for adults and children. The process shall include but is not 1 limited to data collection and reporting provisions. 2 3. a. Plan, collect, and analyze data as necessary to 3 issue cost estimates for serving additional populations and 4 providing core disability services statewide. The department 5 shall maintain compliance with applicable federal and state 6 privacy laws to ensure the confidentiality and integrity of 7 individually identifiable disability services data. The 8 department shall regularly may periodically assess the status 9 of the compliance in order to assure that data security is 10 protected. 11 b. In implementing Implement a system central data 12 repository under this subsection section for collecting and 13 analyzing state, county and region , and private contractor 14 data , the . The department shall establish a client identifier 15 for the individuals receiving services. The client identifier 16 shall be used in lieu of the individual’s name or social 17 security number. The client identifier shall consist of the 18 last four digits of an individual’s social security number, 19 the first three letters of the individual’s last name, the 20 individual’s date of birth, and the individual’s gender in an 21 order determined by the department. 22 c. Consult on an ongoing basis with regional administrators, 23 service providers, and other stakeholders in implementing the 24 central data repository and operations of the repository. The 25 consultation shall focus on minimizing the state and local 26 costs associated with operating the repository. 27 d. Engage with other state and local government and 28 nongovernmental entities operating the Iowa health information 29 network under chapter 135 and other data systems that maintain 30 information relating to individuals with information in the 31 central data repository in order to integrate data concerning 32 individuals. 33 c. 2. A county or region shall not be required to utilize a 34 uniform data operational or transactional system. However, the 35 -6- LSB 1663IC (17) 85 jp/rj 6/ 16

S.F. _____ H.F. _____ system utilized shall have the capacity to exchange information 1 with the department, counties and regions, contractors, and 2 others involved with services to persons with a disability 3 who have authorized access to the central data repository. 4 The information exchanged shall be labeled consistently 5 and share the same definitions. Each county regional 6 administrator shall regularly report to the department annually 7 on or before December 1, for the preceding fiscal year the 8 following information for each individual served: demographic 9 information, expenditure data, and data concerning the services 10 and other support provided to each individual, as specified 11 in administrative rule adopted by the commission by the 12 department . 13 4. Work with county representatives and other qualified 14 persons to develop an implementation plan for replacing the 15 county of legal settlement approach to determining service 16 system funding responsibilities with an approach based upon 17 residency. The plan shall address a statewide standard for 18 proof of residency, outline a plan for establishing a data 19 system for identifying residency of eligible individuals, 20 address residency issues for individuals who began residing in 21 a county due to a court order or criminal sentence or to obtain 22 services in that county, recommend an approach for contesting 23 a residency determination, and address other implementation 24 issues. 25 3. The outcome and performance measures applied to the 26 regional disability services system shall utilize measurement 27 domains. The department may identify other measurement domains 28 in consultation with system stakeholders to be utilized in 29 addition to the following initial set of measurement domains: 30 a. Access to services. 31 b. Life in the community. 32 c. Person-centeredness. 33 d. Health and wellness. 34 e. Quality of life and safety. 35 -7- LSB 1663IC (17) 85 jp/rj 7/ 16

S.F. _____ H.F. _____ f. Family and natural supports. 1 4. a. The processes used for collecting outcome and 2 performance measures data shall include but are not limited 3 to direct surveys of the individuals and families receiving 4 services and the providers of the services. The department 5 shall involve a workgroup of persons who are knowledgeable 6 about both the regional service system and survey techniques 7 to implement and maintain the processes. The workgroup shall 8 conduct an ongoing evaluation for the purpose of eliminating 9 the collection of information that is not utilized. The 10 surveys shall be conducted with a conflict-free approach in 11 which someone other than a provider of services surveys an 12 individual receiving the services. 13 b. The outcome and performance measures data shall encompass 14 and provide a means to evaluate both the regional services and 15 the services funded by the medical assistance program provided 16 to the same service populations. 17 c. The department shall develop and implement an 18 internet-based approach with graphical display of information 19 to provide outcome and performance measures data to the public 20 and those engaged with the regional service system. 21 d. The department shall include any significant costs for 22 collecting and interpreting outcome and performance measures 23 and other data in the department’s operating budget. 24 Sec. 15. REPEAL. The amendment to section 225C.4, 25 subsection 1, paragraph j, in 2012 Iowa Acts, chapter 1120, 26 section 2, is repealed. 27 Sec. 16. REPEAL. The amendments to section 225C.6A, in 2012 28 Iowa Acts, chapter 1120, sections 6, 7, and 95, are repealed. 29 DIVISION III 30 CHILDREN’S CABINET 31 Sec. 17. NEW SECTION . 242.1 Findings. 32 The general assembly finds there is a need for a state-level 33 children’s cabinet to provide guidance, oversight, problem 34 solving, long-term strategy development, and collaboration 35 -8- LSB 1663IC (17) 85 jp/rj 8/ 16

S.F. _____ H.F. _____ among the state and local efforts to build a comprehensive, 1 coordinated system to promote the well-being of the children 2 in this state and to address the needs of children for mental 3 health treatment and other specialized services. 4 Sec. 18. NEW SECTION . 242.2 Children’s cabinet established. 5 There is established within the department of human services 6 a children’s cabinet. 7 1. The voting members of the children’s cabinet shall 8 consist of the following: 9 a. The director of the department of education or the 10 director’s designee. 11 b. The director of the department of human services or the 12 director’s designee. This member shall be chairperson of the 13 cabinet. 14 c. The director of the department of public health or the 15 director’s designee. 16 d. A parent of a child with a severe emotional disturbance 17 or a disability who is the primary caregiver for that child, 18 appointed by the governor. 19 e. A juvenile court judge or juvenile court officer 20 appointed by the chief justice of the supreme court. 21 f. A community-based provider of child welfare, health, 22 or juvenile justice services to children, appointed by the 23 director of human services. 24 g. A member of the early childhood Iowa state board, 25 appointed by the state board. 26 h. A community stakeholder who is not affiliated with a 27 provider of services, appointed by the governor. 28 i. Not more than three other members designated by 29 the cabinet chairperson to ensure adequate representation 30 of the persons and interests who may be affected by the 31 recommendations made by the cabinet. 32 2. In addition to the voting members, there shall be four ex 33 officio, nonvoting members of the children’s cabinet. These 34 members shall be two state representatives, one appointed by 35 -9- LSB 1663IC (17) 85 jp/rj 9/ 16

S.F. _____ H.F. _____ the speaker of the house of representatives and one by the 1 minority leader of the house of representatives, and two state 2 senators, one appointed by the majority leader of the senate 3 and one by the minority leader of the senate. 4 3. a. The voting members, other than department directors 5 and their designees, shall be appointed for four-year terms. 6 The terms of such members begin on May 1 in the year of 7 appointment and expire on April 30 in the year of expiration. 8 b. Vacancies shall be filled in the same manner as original 9 appointments. A vacancy shall be filled for the unexpired 10 term. 11 c. The voting members shall receive actual and necessary 12 expenses incurred in the performance of their duties and 13 legislative members shall be compensated as provided in section 14 2.32A. 15 4. Staffing services for the children’s cabinet shall be 16 provided by the department of human services. 17 Sec. 19. NEW SECTION . 242.3 Duties. 18 The children’s cabinet shall perform the following duties to 19 address the needs of children and families in this state: 20 1. Develop operating provisions for health homes for 21 children implemented by the department of human services. The 22 provisions shall include but are not limited to all of the 23 following: 24 a. Identification of quality expectations. 25 b. Identification of performance criteria. 26 c. Provisions for monitoring the implementation of 27 specialized health homes. 28 2. Gather information and improve the understanding of 29 policymakers and the public of how the various service systems 30 intended to meet the needs of children and families operate at 31 the local level. 32 3. Address areas of overlap, gaps, and conflict between 33 service systems. 34 4. Support the evolution of service systems in implementing 35 -10- LSB 1663IC (17) 85 jp/rj 10/ 16

S.F. _____ H.F. _____ new services and enhancing existing services to address the 1 needs of children and families through process improvement 2 methodologies. 3 5. Assist policymakers and service system users in 4 understanding and effectively managing system costs. 5 6. Ensure services offered are evidence-based. 6 7. Issue guidelines to enable the services and other support 7 which is provided by or under the control of state entities and 8 delivered at the local level to have sufficient flexibility to 9 engage local resources and meet unique needs of children and 10 families. 11 8. Integrate efforts of policymakers and service providers 12 to improve the well-being of community members in addition to 13 children and families. 14 9. Implement strategies so that the children and families 15 engaged with the service systems avoid the need for higher 16 level services and other support. 17 10. Oversee the practices utilized by accountable care 18 organizations and other care management entities operating on 19 behalf of the state in the provision of government supported 20 children’s services and systems of care. 21 11. Submit a report annually by December 15 to the governor, 22 general assembly, and supreme court providing findings and 23 recommendations and issue other reports as deemed necessary by 24 the cabinet. 25 Sec. 20. INITIAL TERMS. Notwithstanding section 242.2, 26 subsection 3, paragraph “a”, as enacted by this division of 27 this Act, the appointing authorities for the members of the 28 children’s cabinet created by this division of this Act who are 29 subject to terms of service shall be coordinated so that the 30 initial terms of approximately half of such members are two 31 years and the remainder are for four years and remain staggered 32 thereafter. 33 EXPLANATION 34 This bill relates to mental health and disability services 35 -11- LSB 1663IC (17) 85 jp/rj 11/ 16

S.F. _____ H.F. _____ (MH/DS) administered by counties and the regions being formed 1 by counties to provide adult MH/DS that are not covered by the 2 medical assistance (Medicaid) program, children’s services, and 3 makes appropriations. The bill relates to recommendations made 4 to the mental health and disability services redesign fiscal 5 viability study committee by various committees and workgroups 6 created or continued by the MH/DS redesign legislation enacted 7 in 2012 Iowa Acts, chapter 1120 (SF 2315) and chapter 1133 (SF 8 2336). The bill is organized into divisions according to the 9 committee or workgroup that made the recommendations. 10 SYSTEM REDESIGN IMPLEMENTATION. The transition committee 11 was created by the department of human services (DHS) pursuant 12 to SF 2315, section 22, consisting of “appropriate stakeholders 13 with whom to consult on the transition from the current mental 14 health and disability services system to the regional service 15 system”. 16 Code section 331.395, relating to financial eligibility 17 requirements for the regional service system, is amended to 18 provide eligibility for the regional service system for persons 19 who meet income requirements and are housed by or supervised by 20 community-based correctional services, if a state appropriation 21 is made to cover the service costs. 22 Code section 331.396, relating to diagnosis and functional 23 assessment requirements for eligibility for the regional 24 service system, is amended to provide that a child or adult 25 person who received mental health or intellectual disability 26 services under an approved county management plan, remains 27 eligible under the regional system regardless of the financial 28 eligibility requirements, adult age requirement, and diagnosis 29 requirements for the regional system. The person’s eligibility 30 for individualized services is subject to determination in 31 accordance with a functional assessment. 32 Code section 331.397, relating to the requirements 33 for regional core services, is amended to provide that 34 an individual child or individual adult person with a 35 -12- LSB 1663IC (17) 85 jp/rj 12/ 16

S.F. _____ H.F. _____ developmental disability or a brain injury who was receiving 1 services prior to formation of a region remains eligible for 2 the services after formation of the region, subject to the 3 availability of funding. 4 Code section 426B.3, as amended by SF 2315, relates to 5 eligibility for equalization payments from the state in fiscal 6 years 2013-2014 and 2014-2015 for those counties with a base 7 year levy which is less than a target amount computed by 8 multiplying the county’s general population times a statewide 9 per capita expenditure target amount of $47.28. The bill 10 provides that if the county is part of a region approved by 11 DHS to commence partial or full operations, the county’s 12 equalization payment is remitted to the region for expenditure 13 as approved by the region’s governing board. 14 Under Code section 331.439, counties are required to submit 15 a three-year strategic plan for MH/DS and the latest plan was 16 due by April 1, 2012. In accordance with 2012 Iowa Acts, 17 chapter 1128, the strategic plan submission was not required 18 and the existing strategic plan remained in effect. The bill 19 provides that a county’s strategic plan remains in effect, 20 unless modified pursuant to statute or amended by the county, 21 until it is replaced by approval of the regional service system 22 management plan for the region to which the county belongs. 23 If a county receives an allocation of funding from the mental 24 health and disability services redesign transition fund created 25 in SF 2315, the county is required to utilize the funding 26 provided as necessary to avoid eliminating or reducing the 27 services provided to an individual child or other individual 28 person receiving services in accordance with the county’s 29 approved service management plan in effect as of June 30, 2012, 30 provided the child or other person continues to comply with the 31 eligibility requirements applicable under the plan as of that 32 date. 33 A transfer of approximately $30 million is made from 34 the general fund of the state to DHS to be credited to the 35 -13- LSB 1663IC (17) 85 jp/rj 13/ 16

S.F. _____ H.F. _____ property tax relief fund and is appropriated for DHS to make 1 equalization payments to eligible counties for FY 2013-2014. 2 The MH/DS commission is required to review options for the 3 MH/DS regions to coordinate substance-related disorder funding 4 for detoxification and other such disorder funding in place of 5 county coordination. The commission is required to report to 6 the governor and general assembly its findings, options, and 7 recommendations on or before October 15, 2013. 8 Any county obligation for payment to DHS of the nonfederal 9 share of the cost of services provided under the Medicaid 10 program prior to July 1, 2012, is required to remain at the 11 amount agreed upon as of June 30, 2013. Beginning July 1, 12 2013, other than a county payment on the obligation, DHS is 13 responsible for any adjustment that would otherwise be applied 14 to the amount of the county obligation after that date due to 15 cost settlement of charges or other reasons. 16 Unless otherwise provided by law, state payment program 17 moneys appropriated to DHS for FY 2013-2014, to pay the costs 18 of non-Medicaid mental health and disability services provided 19 by counties to persons without a county of legal settlement 20 considered in the previous fiscal year to be a state case, 21 shall continue to be remitted to the county of residence paying 22 for the services. If the county of residence is part of a 23 region that has been approved by DHS to commence partial or 24 full operations, the state payment program moneys shall be 25 remitted to the region for expenditure as approved by the 26 region’s governing board. 27 This division takes effect upon enactment. 28 DATA AND STATISTICAL INFORMATION AND OUTCOME AND PERFORMANCE 29 MEASURES. This division relates to recommendations submitted 30 by the data and statistical information integration workgroup 31 and the outcomes and performance measures committee. 32 Current law is amended in Code section 225C.4, relating 33 to the duties of the DHS MH/DS division administrator, and 34 in Code section 225C.6A, relating to disability services 35 -14- LSB 1663IC (17) 85 jp/rj 14/ 16

S.F. _____ H.F. _____ system redesign, to delineate requirements pertaining to 1 MH/DS state collection and management information systems 2 and outcome and performance data. These Code provisions 3 were previously amended by SF 2315. The bill incorporates 4 the SF 2315 amendments and adds new language and repeals 5 the SF 2315 amendments that would otherwise take effect on 6 July 1, 2013. For Code section 225C.4, the bill references 7 in the administrator’s duties the specific new requirements 8 established by the bill in Code section 225C.6A. The new 9 requirements pertain to DHS implementation of a central data 10 repository, information exchange capacity, regular reporting 11 of individual information, data security, consultation with 12 regional staff, providers, and other stakeholders, engaging 13 with other data systems, outcome and performance measure 14 domains, use of surveys, evaluation of both regional and 15 Medicaid services, provision of data to the public via an 16 internet-based approach with graphical information, and 17 inclusion of significant costs associated with the data and 18 measures in the DHS budget. 19 CHILDREN’S CABINET. This division relates to the 20 recommendations submitted by the children’s disability 21 workgroup to create a children’s cabinet. 22 New Code section 242.1 lists legislative findings as to the 23 need for the children’s cabinet. The needs identified are 24 to provide guidance, oversight, problem solving, long-term 25 strategy development, and collaboration among the state and 26 local efforts to build a comprehensive, coordinated system to 27 promote the well-being of the children in this state and to 28 address the needs of children for mental health treatment and 29 other specialized services. 30 New Code section 242.2 provides for appointment of members 31 to the children’s cabinet. The director of the department of 32 human services (DHS) or the director’s designee is to be the 33 chairperson of the cabinet and appoint up to three additional 34 members to the cabinet, and DHS is required to staff the 35 -15- LSB 1663IC (17) 85 jp/rj 15/ 16

S.F. _____ H.F. _____ cabinet. Various state agencies are identified for membership 1 along with community stakeholders. Four members of the 2 general assembly are required to be appointed to serve in an 3 ex officio, nonvoting capacity. 4 New Code section 242.3 delineates the duties of the 5 children’s cabinet, including the development of operating 6 provisions for health homes for children and the practices 7 utilized by other aspects of the service systems for children. 8 The children’s cabinet is required to report annually by 9 December 15 to the governor, general assembly, and supreme 10 court providing findings and recommendations and issue other 11 reports as deemed necessary by the cabinet. 12 A temporary provision provides for appointment of 13 approximately half of the initial voting members of the 14 children’s cabinet other than department heads to two-year 15 terms in order to stagger the terms. 16 -16- LSB 1663IC (17) 85 jp/rj 16/ 16