House
File
2494
-
Introduced
HOUSE
FILE
2494
BY
COMMITTEE
ON
HUMAN
RESOURCES
(SUCCESSOR
TO
HSB
699)
A
BILL
FOR
An
Act
relating
to
nursing
facility
construction
or
expansion.
1
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
2
TLSB
6215HV
(1)
89
pf/rh
H.F.
2494
Section
1.
Section
249K.2,
subsection
4,
Code
2022,
is
1
amended
to
read
as
follows:
2
4.
“Major
renovations”
means
construction
or
facility
3
improvements
to
a
nursing
facility
in
which
the
total
amount
4
expended
exceeds
one
million
five
seven
hundred
fifty
thousand
5
dollars.
6
Sec.
2.
Section
249K.5,
subsection
2,
Code
2022,
is
amended
7
by
adding
the
following
new
paragraph:
8
NEW
PARAGRAPH
.
c.
The
nursing
facility
for
which
relief
9
or
an
exception
is
requested
is
proposing
replacement
or
10
enhancement
of
an
HVAC,
as
defined
in
section
105.2,
system
for
11
improved
infection
control.
12
Sec.
3.
ADMINISTRATIVE
RULES
——
ADOPTION
AND
AMENDMENT.
The
13
department
of
human
services
shall
adopt
or
amend
rules
14
pursuant
to
chapter
17A
to
administer
this
Act.
15
EXPLANATION
16
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
17
the
explanation’s
substance
by
the
members
of
the
general
assembly.
18
This
bill
relates
to
nursing
facility
construction
19
or
expansion
under
Code
chapter
249K
(nursing
facility
20
construction
or
expansion).
The
Code
chapter
provides
a
21
mechanism
to
support
the
appropriate
number
of
nursing
facility
22
beds
for
the
state’s
citizens
and
to
financially
assist
nursing
23
facilities
in
remaining
compliant
with
applicable
regulations.
24
The
bill
provides
that
in
order
to
be
eligible
for
rate
25
relief
and
exceptions
under
the
Code
chapter,
a
nursing
26
facility’s
major
renovation
value
threshold
is
reduced
from
27
$1.5
million
to
$750,000.
The
bill
also
provides
that
in
28
addition
to
the
existing
criteria,
one
of
which
a
nursing
29
facility
requesting
instant
relief
or
a
nondirect
care
limit
30
exception
must
meet,
an
additional
criterion
is
that
the
31
nursing
facility
requesting
relief
or
an
exception
is
proposing
32
replacement
or
enhancement
of
an
HVAC
system
for
improved
33
infection
control.
For
the
purposes
of
the
bill,
“HVAC”
means
34
heating,
ventilation,
air
conditioning,
ducted
systems,
or
any
35
-1-
LSB
6215HV
(1)
89
pf/rh
1/
2
H.F.
2494
type
of
refrigeration
used
for
food
processing
or
preservation.
1
“HVAC”
includes
all
natural,
propane,
liquid
propane,
or
other
2
gas
lines
associated
with
any
component
of
an
HVAC
system.
3
The
bill
directs
the
department
of
human
services
(DHS)
to
4
adopt
or
amend
administrative
rules
to
administer
the
bill.
5
-2-
LSB
6215HV
(1)
89
pf/rh
2/
2