House File 672 - Introduced HOUSE FILE 672 BY MASCHER , STAED , HANSEN , and WINCKLER A BILL FOR An Act relating to the development of an implementation plan 1 for a centralized direct care workforce database. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 2410YH (2) 89 pf/rh
H.F. 672 Section 1. CENTRALIZED DIRECT CARE WORKFORCE DATABASE —— 1 STAKEHOLDER WORKGROUP —— IMPLEMENTATION PLAN. 2 1. The department of inspections and appeals shall convene 3 a workgroup of stakeholders to develop a plan to implement a 4 centralized direct care workforce database as an expansion of 5 the Iowa direct care worker registry currently located within 6 the department of inspections and appeals. The purposes of the 7 database are: 8 a. To enable data-driven decision-making by providing 9 a means for collecting data and analyzing emerging trends 10 relating to the state’s direct care workforce in all settings 11 and by identifying, at a minimum, the current number of 12 direct care workers in Iowa, the diversity in the direct care 13 workforce, and the employment settings utilized to aid in 14 planning for the growing demand for the direct care workforce. 15 b. To provide portability across employment settings 16 and populations served of the permanent record of trainings, 17 certifications, credentials, continuing education, and 18 experience of direct care workers by maintaining such records 19 in a central and secure location. 20 c. To improve the opportunity for consumers to engage 21 direct care workers with the training, skills, and availability 22 appropriate to their own situations. 23 d. To reduce the costs and time associated with repetitive 24 training resulting from the lack of training portability. 25 e. To increase public protection by streamlining the 26 process to enable completion of required background checks in 27 a timely and efficient manner. 28 f. To accelerate the onboarding of newly employed direct 29 care workers and direct care workers transitioning into new 30 employment opportunities. 31 2. The members of the stakeholder workgroup shall 32 include one representative of the department of education, 33 Iowa workforce development, the department on aging, the 34 department of public health, the department of human services, 35 -1- LSB 2410YH (2) 89 pf/rh 1/ 4
H.F. 672 the department of public safety, division of criminal 1 investigation, the Iowa caregivers, AARP Iowa, the Iowa center 2 for nursing workforce, everystep care and support services, 3 the brain injury alliance of Iowa, the national alliance on 4 mental illness-Iowa, leadingage Iowa, the Iowa association of 5 community providers, united way of central Iowa-central Iowa 6 works, the Iowa health care association, the Iowa developmental 7 disabilities council, a rural community college and an urban 8 community college, one rural and one urban public health 9 entity, the Iowa hospital association, and the university of 10 Iowa college of public health midwestern public health training 11 center. Additionally, the task force shall include two direct 12 care workers who have graduated from the Iowa caregivers 13 toughest job you’ll ever love leadership program, a citizen 14 advocate, and two consumers. 15 3. The stakeholder workgroup shall do all of the following: 16 a. Review historical reports of efforts and recommendations 17 generated by previous state-led and federally funded 18 initiatives for consideration in informing future planning, and 19 assess whether the previous recommendations align with future 20 needs. 21 b. Review prior efforts including the results of the Iowa 22 better jobs better care program demonstration and the AMANDA 23 portal developed through the federal personal and home care 24 aide state training (PHCAST) grant to determine if these 25 technologies could be brought to scale or implemented to save 26 costs and resources in implementing the database. 27 c. Investigate initiatives by the centers for Medicare and 28 Medicaid services of the United States department of health and 29 human services relating to nurse aid registries. 30 d. Solicit input from stakeholders on the type of data to be 31 collected and the types of analyses to be performed in building 32 and retaining the high-demand direct care workforce. 33 e. Identify critical database system content and 34 functionality including but not limited to all of the 35 -2- LSB 2410YH (2) 89 pf/rh 2/ 4
H.F. 672 following: 1 (1) A direct care worker’s verified education and training 2 records, credentials, certifications, and experience. 3 (2) A means to include existing qualified direct care 4 workers in the database through a phased-in grandfathering 5 process. 6 (3) An option for access to the database by employers and 7 consumers through a public portal to assist in identifying 8 direct care workers with particular knowledge and skills. 9 (4) Demographic and other information to assist in 10 workforce data collection and analysis. 11 (5) Accurate supply and demand projections regarding the 12 entirety of the direct care workforce. 13 f. Recommend strategies to provide state-recognized, 14 competency-based, comprehensive, cross-setting, portable 15 training approaches, including the prepare to care curriculum 16 and the mental health first aid curriculum, apprenticeships, 17 and other existing and new opportunities in order to provide a 18 recognized career path for, increase professionalism in, and 19 improve retention by, employers of the direct care workforce. 20 g. Explore state, federal, and other public sources 21 of funding and review the status of prior investments in 22 modifications to expand the Iowa direct care worker registry. 23 h. Solicit feedback from the public including through 24 the lifelong smiles coalition, united ways of Iowa, the 25 arc of Iowa, the university of Iowa colleges of nursing and 26 dentistry, Iowa state university, the older Iowans legislature, 27 the Olmstead consumer task force, the Iowa assisted living 28 association, home care and nonmedical senior service providers, 29 the Iowa public health association, the Iowa association of 30 business and industry, Telligen, inc., labor, local boards 31 of health, county supervisors, and other persons deemed 32 appropriate by the workgroup. 33 4. The stakeholder workgroup shall convene no later than 34 September 1, 2021, and shall submit a phased-in implementation 35 -3- LSB 2410YH (2) 89 pf/rh 3/ 4
H.F. 672 plan and recommendations to the governor and the general 1 assembly by June 30, 2022. 2 EXPLANATION 3 The inclusion of this explanation does not constitute agreement with 4 the explanation’s substance by the members of the general assembly. 5 This bill relates to development of a plan for 6 implementation of a centralized direct care workforce database. 7 The bill requires the department of inspections and appeals 8 to convene a stakeholder workgroup to develop a plan and 9 make recommendations for a centralized direct care workforce 10 database as an expansion of the Iowa direct care worker 11 registry. 12 The bill specifies the purposes of the database, and the 13 membership and duties of the workgroup. 14 The bill requires the stakeholder workgroup to convene 15 no later than September 1, 2021, and to submit a phased-in 16 implementation plan for the centralized direct care workforce 17 database, to the governor and the general assembly by June 30, 18 2022. 19 -4- LSB 2410YH (2) 89 pf/rh 4/ 4