House File 2157 - Introduced HOUSE FILE 2157 BY COMMITTEE ON HUMAN RESOURCES (SUCCESSOR TO HSB 532) A BILL FOR An Act relating to a state-funded psychiatric residency program 1 at the state mental health institutes and the Iowa medical 2 and classification center at Oakdale, creating a program 3 fund, and making appropriations. 4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 5 TLSB 5470HV (3) 89 pf/rh

H.F. 2157 Section 1. NEW SECTION . 135.180 State-funded psychiatric 1 residency program —— fund —— appropriations. 2 1. The university of Iowa hospitals and clinics shall 3 administer a state-funded psychiatric residency program 4 in cooperation with the state mental health institutes 5 at Independence and Cherokee and the Iowa medical and 6 classification center at Oakdale. The university of Iowa 7 hospitals and clinics shall expand the psychiatric residency 8 program to provide additional residency positions by providing 9 financial support for residency positions which are in excess 10 of the federal residency cap established by the federal 11 Balanced Budget Act of 1997, Pub. L. No. 105-33. Participating 12 residents shall complete the majority of their psychiatric 13 training at one of the state mental health institutes or the 14 Iowa medical and classification center at Oakdale. 15 2. The residency program shall provide for the awarding 16 of twelve residency positions for each class of residents. 17 Preference in the awarding of residency positions shall 18 be given to candidates who are residents of Iowa, attended 19 and earned an undergraduate degree from an Iowa college or 20 university, or attended and earned a medical degree from a 21 medical school in Iowa. 22 3. A psychiatric residency program fund is created in 23 the state treasury consisting of the moneys appropriated or 24 credited to the fund by law. Notwithstanding section 8.33, 25 moneys in the fund at the end of each fiscal year shall not 26 revert to any other fund but shall remain in the psychiatric 27 residency program fund for use in subsequent fiscal years. 28 Moneys in the fund are appropriated to the university of Iowa 29 hospitals and clinics to be used for the purposes of the 30 program. For fiscal years beginning on or after July 1, 2023, 31 there is appropriated from the general fund of the state to the 32 psychiatric residency program fund the following amounts to be 33 used for the purposes of the program: 34 a. For the fiscal year beginning July 1, 2023, one million 35 -1- LSB 5470HV (3) 89 pf/rh 1/ 3

H.F. 2157 two hundred thousand dollars. 1 b. For the fiscal year beginning July 1, 2024, two million 2 four hundred thousand dollars. 3 c. For the fiscal year beginning July 1, 2025, three million 4 six hundred thousand dollars. 5 d. For the fiscal year beginning July 1, 2026, and each 6 fiscal year thereafter, four million eight hundred thousand 7 dollars. 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 requires the university of Iowa hospitals and 12 clinics (UIHC) to administer a state-funded psychiatric 13 residency program in cooperation with the state mental health 14 institutes at Independence and Cherokee and the Iowa medical 15 and classification center at Oakdale. The UIHC shall expand 16 the psychiatric residency program to provide additional 17 residency positions in excess of those approved under the 18 federal residency cap. Participating residents shall complete 19 the majority of their psychiatric training at one of the state 20 mental health institutes or the Iowa medical and classification 21 center at Oakdale. The program shall award 12 residency 22 positions for each class of residents and preference in the 23 awarding of residency positions shall be given to candidates 24 who are residents of Iowa, attended and earned an undergraduate 25 degree from an Iowa college or university, or attended and 26 earned a medical degree from a medical school in Iowa. 27 The bill creates a psychiatric residency program fund in 28 the state treasury consisting of the moneys appropriated or 29 credited to the fund by law. Moneys in the fund at the end of 30 each fiscal year shall not revert but shall remain in the fund 31 for use in subsequent fiscal years. Moneys in the fund are 32 appropriated to the university of Iowa hospitals and clinics 33 to be used for the purposes of the program. The bill makes 34 appropriations for the fiscal years beginning July 1, 2023, and 35 -2- LSB 5470HV (3) 89 pf/rh 2/ 3

H.F. 2157 thereafter. 1 -3- LSB 5470HV (3) 89 pf/rh 3/ 3