House Resolution 117 - Introduced HOUSE RESOLUTION NO. 117 BY WESSEL-KROESCHELL A Resolution requesting that the legislative council 1 establish a multistakeholder legislative interim 2 study committee to identify compensation enhancement 3 strategies for those who work in the high-demand 4 occupation of direct care. 5 WHEREAS, direct care workers encompass a range of 6 individuals who provide supportive services and care to 7 people experiencing health conditions, illnesses, or 8 disabilities for which they receive compensation; and 9 WHEREAS, direct care workers provide care in 10 a variety of settings including homes and other 11 community-based settings, assisted living programs, 12 nursing facilities, hospice, and hospitals, have over 13 thirty job titles, and serve Iowans of all ages and 14 abilities; and 15 WHEREAS, the demand for direct care workers is 16 increasing and will continue to increase as more than 17 eight hundred thousand Iowans will reach retirement age 18 by the year 2030, increasing the potential need for 19 long-term care services in some type of setting; and 20 WHEREAS, ninety percent of direct care workers 21 nationwide are women aged twenty-two to forty-five and 22 are disproportionately women of color; and 23 WHEREAS, the population of women in the United 24 States aged twenty-two to forty-five will significantly 25 decline in the coming decades; and 26 WHEREAS, the top hiring issues identified in a 2016 27 Iowa workforce survey for employers of direct care 28 -1- LSB 6092YH (5) 87 pf/rh 1/ 3
H.R. 117 workers included lack of applicants and low wages and 1 compensation, with low wages and compensation also 2 identified as a top retention issue; and 3 WHEREAS, jobs with inadequate compensation and lack 4 of benefits also create a greater reliance by this 5 workforce on government support; NOW THEREFORE, 6 BE IT RESOLVED BY THE SENATE, That the senate 7 requests the legislative council to establish a 8 multistakeholder interim committee comprised of 9 members of the senate and house of representatives 10 and representatives of direct care workers providing 11 services to various populations, including those with 12 disabilities, in various settings; the Iowa caregivers; 13 community colleges; the Iowa skills2compete coalition; 14 the department of education, the department on aging, 15 the department of public health, the department 16 of human services, the department of workforce 17 development; managed care organizations and other 18 third-party payors; the Iowa health care association; 19 leadingage Iowa; HCI care services; visiting nurse 20 services of Iowa; the Iowa assisted living association; 21 the business community; AARP Iowa; the child and family 22 policy center; an individual with a disability who 23 receives supports from a direct care worker; a family 24 caregiver utilizing services of a direct care worker; 25 and others as deemed appropriate; and 26 BE IT FURTHER RESOLVED, That the interim committee 27 shall, at a minimum, provide an update on the status of 28 the current direct care workforce; define compensation 29 for the direct care workforce; research best practices 30 -2- LSB 6092YH (5) 87 pf/rh 2/ 3
H.R. 117 in elevating the compensation of the direct care 1 workforce that may exist in other states; identify 2 potential strategies for increasing direct care worker 3 compensation, reducing reliance on public supports, 4 and the feasibility and fiscal impact of each strategy 5 identified; and provide a report of the committee’s 6 findings, including recommendations identified by 7 priority and an outline for implementation of each 8 strategy recommended, to the general assembly by 9 December 20, 2018. 10 -3- LSB 6092YH (5) 87 pf/rh 3/ 3