House File 54 - Introduced HOUSE FILE 54 BY BRECKENRIDGE A BILL FOR An Act relating to the inpatient psychiatric bed tracking 1 system. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 1533YH (3) 89 dg/rh

H.F. 54 Section 1. DEPARTMENT OF HUMAN SERVICES —— INPATIENT 1 PSYCHIATRIC BED TRACKING SYSTEM. The department of human 2 services shall amend its administrative rules pursuant to 3 chapter 17A to require state mental health institutes and 4 hospitals licensed to provide inpatient psychiatric treatment 5 to provide for all of the following: 6 1. Update the inpatient psychiatric bed tracking system to 7 indicate when an inpatient psychiatric bed becomes available 8 within twenty-four hours of the bed becoming available. For 9 each bed that becomes available, the updates to the psychiatric 10 bed tracking system shall indicate all of the following: 11 a. If the bed is available for a child or an adult including 12 a geriatric adult. 13 b. If the bed is available for a person with a co-occurring 14 mental illness and substance-related disorder. 15 c. If the bed is available for a person currently under the 16 influence of drugs or alcohol. 17 d. If the bed is available for a person who is currently 18 exhibiting aggressive behavior toward the person’s self or 19 others. 20 e. If the bed is available for men, women, or both. 21 2. Allow authorized users of the psychiatric bed tracking 22 system to reserve an open bed on the psychiatric bed tracking 23 system if the authorized user is attempting to admit a person 24 to a state mental health institute or a hospital and that 25 person meets all of the requirements specified in paragraph “a” 26 for the open bed. The rules shall provide that a mental health 27 institute or hospital with a reservation for an open bed must 28 admit the person for which an open bed was reserved, unless 29 the person does not meet all of the requirements specified in 30 paragraph “a” as indicated in the psychiatric bed tracking 31 system, or unless the mental health institute or hospital is 32 required to provide the open bed to another person pursuant 33 to the Emergency Medical Treatment and Labor Act or any other 34 similar superseding federal authority. 35 -1- LSB 1533YH (3) 89 dg/rh 1/ 3

H.F. 54 EXPLANATION 1 The inclusion of this explanation does not constitute agreement with 2 the explanation’s substance by the members of the general assembly. 3 This bill relates to the inpatient psychiatric bed tracking 4 system. 5 The bill directs the department of human services to amend 6 its administrative rules to require a hospital that has 7 inpatient psychiatric beds to update the inpatient psychiatric 8 bed tracking system to indicate when an inpatient psychiatric 9 bed becomes available within 24 hours of the bed becoming 10 available. For each bed that becomes available, the updates 11 to the psychiatric bed tracking system must indicate the 12 following: if the bed is available for a child or an adult 13 including a geriatric adult; if the bed is available for a 14 person with a co-occurring mental illness and substance-related 15 disorder; if the bed is available for a person currently under 16 the influence of drugs or alcohol; if the bed is available for 17 a person who is currently exhibiting aggressive behavior toward 18 the person’s self or others; and if the bed is available to 19 men, women, or both. 20 The bill requires mental health institutes and hospitals to 21 allow authorized users of the psychiatric bed tracking system 22 to reserve an open bed on the psychiatric bed tracking system 23 if the authorized user is seeking to admit a person who meets 24 all requirements specified by the mental health institute or 25 hospital in the psychiatric bed tracking system for the open 26 bed. 27 The bill requires a mental health institute or hospital with 28 a reservation for an open bed to admit a person for which an 29 open bed was reserved, unless that person does not meet all of 30 the requirements specified by the mental health institute or 31 hospital as indicated in the psychiatric bed tracking system 32 for the open bed, or unless the mental health institute or 33 hospital is required to provide the open bed to another person 34 pursuant to the Emergency Medical Treatment and Labor Act or 35 -2- LSB 1533YH (3) 89 dg/rh 2/ 3

H.F. 54 any other similar superseding federal authority. 1 -3- LSB 1533YH (3) 89 dg/rh 3/ 3