H.F. 510 Section 1. NEW SECTION . 125.56 Transportation services. 1 1. A county may contract with a private entity to 2 appropriately transport any of the following persons: 3 a. A person admitted to a facility pursuant to section 4 125.33. 5 b. A person taken into custody pursuant to section 125.81 6 and court-ordered to a hospital or facility as described in 7 section 125.81, subsection 2, paragraph “b” or “c” . 8 2. If the hospital or facility determines that a person 9 is in need of commitment or treatment at another hospital or 10 facility, such a private entity shall appropriately transport 11 the person to another hospital or facility. 12 3. A county’s contract with such a private entity is 13 independent of the county’s or a mental health and disability 14 services region’s role as a provider of mental health services. 15 4. In contracting with a private entity, a county shall 16 include provisions to ensure all of the following: 17 a. The provision of trained personnel and the use of 18 appropriate vehicles for the safe and secure transportation 19 of respondents, which may include but is not limited to 20 vehicles equipped with a safety barrier between the driver and 21 patient, safety lock windows and doors, security cameras, and 22 appropriate medical equipment. 23 b. That the person’s insurance carriers and other programs, 24 both public and private, that provide payment for such 25 transportation services are fully utilized to the maximum 26 extent possible. 27 5. A county shall implement a request for proposals process 28 to enter into a contract with a private entity for the purpose 29 of transporting a person pursuant to this section. 30 6. The departments of human services and public health, 31 in consultation with affected stakeholders including but not 32 limited to mental health and disability services regions, the 33 Iowa state association of counties, the Iowa state sheriffs’ 34 and deputies’ association, and other law enforcement agencies 35 -1- LSB 1052HV (2) 86 rh/rj 1/ 4

H.F. 510 in this state, shall adopt rules as necessary in accordance 1 with best practices for the implementation and administration 2 of this section. 3 Sec. 2. NEW SECTION . 229.46 Transportation services. 4 1. A mental health and disability services region, as 5 defined in section 225C.2, may contract with a private entity 6 to appropriately transport any of the following persons: 7 a. A person admitted to a public or private hospital 8 pursuant to section 229.2. 9 b. A person taken into custody pursuant to section 229.11 10 and court-ordered to a hospital or facility as described in 11 section 229.11, subsection 1, paragraph “b” or “c” . 12 2. If the hospital or facility determines that a person 13 is in need of commitment or treatment at another hospital or 14 facility, such a private entity shall appropriately transport 15 the person to another hospital or facility. 16 3. A mental health and disability services region’s 17 contract with such a private entity is independent of the 18 region’s role as a provider of mental health services. 19 4. In contracting with a private entity, a region shall 20 include provisions to ensure all of the following: 21 a. The provision of trained personnel and the use of 22 appropriate vehicles for the safe and secure transportation 23 of respondents, which may include but is not limited to 24 vehicles equipped with a safety barrier between the driver and 25 patient, safety lock windows and doors, security cameras, and 26 appropriate medical equipment. 27 b. That the person’s insurance carriers and other programs, 28 both public and private, that provide payment for such 29 transportation services are fully utilized to the maximum 30 extent possible. 31 5. A mental health and disability services region shall 32 implement a request for proposals process to enter into a 33 contract with a private entity for the purpose of transporting 34 a person pursuant to this section. 35 -2- LSB 1052HV (2) 86 rh/rj 2/ 4

H.F. 510 6. The departments of human services and public health, 1 in consultation with affected stakeholders including but not 2 limited to mental health and disability services regions, the 3 Iowa state association of counties, the Iowa state sheriffs’ 4 and deputies’ association, and other law enforcement agencies 5 in this state, shall adopt rules as necessary in accordance 6 with best practices for the implementation and administration 7 of this section. 8 EXPLANATION 9 The inclusion of this explanation does not constitute agreement with 10 the explanation’s substance by the members of the general assembly. 11 This bill relates to the transportation of persons with a 12 substance-related disorder or a mental illness. 13 The bill directs a county or a mental health and disability 14 services region as defined in Code section 225C.2, as 15 appropriate, to contract with private entities to appropriately 16 transport a person who is admitted, on a voluntary basis, 17 to a facility or hospital under Code section 125.33 18 (substance-related disorders) or 229.2 (mental illness) or who 19 is the subject of an immediate involuntary custody order to 20 the nearest available facility licensed to care for persons 21 with substance abuse or mental illness or a public or private 22 hospital. If the facility or hospital determines that a person 23 is in need of commitment treatment at another facility or 24 hospital, the private entity is required to make arrangements 25 to appropriately transport the person to another facility 26 or hospital. A county’s or a mental health and disability 27 services region’s contract with a private entity is independent 28 of the county’s or region’s role as a provider of mental health 29 services. In contracting with a private entity, a county or 30 a mental health and disability services region is required 31 to include provisions relating to appropriately trained 32 personnel and the use of appropriate vehicles for the safe and 33 secure transportation of respondents, and fully utilizing the 34 respondents’ insurance carriers and other programs, both public 35 -3- LSB 1052HV (2) 86 rh/rj 3/ 4

H.F. 510 and private, that provide payment for such transportation 1 services, to the maximum extent possible. 2 A county or a mental health and disability services region 3 is required to implement a request for proposals process to 4 enter into a contract with a private entity for the purpose of 5 transporting a person pursuant to the bill. The department of 6 human services and the department of public health may adopt 7 administrative rules to administer the bill’s provisions. 8 -4- LSB 1052HV (2) 86 rh/rj 4/ 4