HF 217 (LSB 2091YH (5) 86)

HOUSE FILE 217

BY  HEATON

A BILL FOR

An Act relating to limitations on licensed intermediate care facility beds in the state.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  Section 135.63, subsection 4, paragraph a, Code 2015, is amended to read as follows:
   a.  The new or changed beds shall not result in an increase in the total number of medical assistance certified intermediate care facility beds for persons with an intellectual disability in the state, exclusive of including those beds at the state resource centers or other state institutions, beyond one thousand six hundred thirty-six beds.
    Sec. 2.  Section 249A.12, Code 2015, is amended by adding the following new subsection:
   NEW SUBSECTION.  8.  Beginning July 1, 2015, the limitation on the number of medical assistance certified intermediate care facility beds for persons with an intellectual disability of one thousand six hundred thirty-six beds specified in section 135.63, subsection 4, shall be permanently reduced to reflect any reduction in such beds at the state resource centers due to outplacement and census decline. Any assistance furnished under this chapter to a state resource center attributable to an individual representing such an outplacement or census decline, less an amount which represents the portion of such assistance provided to such individual that reflects the state resource center’s fixed costs and infrastructure, shall continue to be provided to the individual to the extent necessary to instead provide a subsequent placement in a community-based setting. The resource center shall continue to downsize and restructure the resource center’s infrastructure to reflect any permanent decline in beds under this subsection to meet the needs and number of individuals actually served.
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 the number of medical assistance certified intermediate care facility beds for persons with an intellectual disability (ICF/ID) in the state. The bill amends the certificate of need provisions relating to ICF/ID beds to provide that the limitation on the number of such beds of 1,636 includes such beds at the state resource centers and other state institutions. The bill requires that beginning July 1, 2015, the limitation of 1,636 beds shall be permanently reduced to reflect any reduction in such beds at the state resource centers due to outplacement and census decline. Any medical assistance furnished to a state resource center attributable to an individual representing the outplacement or census decline, less an amount for the portion of the medical assistance provided to that individual that reflects the state resource center’s fixed costs and infrastructure, shall continue to be provided to the individual to the extent necessary to instead provide a subsequent placement in a community-based setting. The bill directs the resource centers to continue to downsize and restructure their infrastructure to reflect any such permanent decline in beds to meet the needs and number of individuals actually served.