Senate File 2216 - Introduced SENATE FILE 2216 BY EDLER A BILL FOR An Act relating to the establishment of state intensive 1 psychiatric units at the state mental health institutes. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 5813XS (4) 89 dg/rh

S.F. 2216 Section 1. DEPARTMENT OF HUMAN SERVICES —— STATE INTENSIVE 1 PSYCHIATRIC UNITS. 2 1. The department of human services shall establish, at the 3 state mental health institutes, intensive psychiatric units 4 for adults with certain mental health and behavioral health 5 disabilities and intensive psychiatric units for children 6 with certain mental health and behavioral health disabilities 7 who may benefit from more extensive and intensive mental and 8 behavioral health treatment services with the goal of providing 9 a higher acuity of care for such persons. 10 2. Each intensive psychiatric unit shall have a minimum 11 of twelve residential service beds to be used by adults and 12 children with the highest acuity level of needs at the mental 13 health institute where the intensive psychiatric unit is 14 established, but the mental health institute may use the beds 15 for persons with lower-level acuity needs if beds are otherwise 16 available within an intensive psychiatric unit. 17 3. The department of human services shall collect data 18 necessary to determine the effectiveness of each intensive 19 psychiatric unit. Four years after the department determines 20 an intensive psychiatric unit is operational, the department 21 shall submit a report to the chairpersons and ranking members 22 of the joint appropriations subcommittee on health and human 23 services with details on the effectiveness of the intensive 24 psychiatric units and recommendations for such units. Such 25 details shall include but not be limited to the impact the 26 intensive psychiatric units have on community mental health 27 facilities and emergency departments in this state. No later 28 than one year from the date the department submits its report, 29 the legislature shall determine whether to continue operations 30 of the intensive psychiatric units based on the efficacy and 31 feasibility for continued use of such units. 32 EXPLANATION 33 The inclusion of this explanation does not constitute agreement with 34 the explanation’s substance by the members of the general assembly. 35 -1- LSB 5813XS (4) 89 dg/rh 1/ 2

S.F. 2216 This bill relates to the establishment of state intensive 1 psychiatric units at the state mental health institutes. 2 The bill directs the department of human services (DHS) to 3 establish, at the state mental health institutes, intensive 4 psychiatric units for adults and intensive psychiatric units 5 for children with certain mental health and behavioral health 6 disabilities who may benefit from more extensive and intensive 7 mental and behavioral health treatment services with the goal 8 of providing a higher acuity of care for such persons. 9 The bill requires each intensive psychiatric unit to have a 10 minimum of 12 residential service beds to be used by adults and 11 children with the highest acuity level of needs at the state 12 mental health institute where intensive psychiatric units are 13 established, but the state mental health institute may use the 14 beds for persons with lower-level acuity needs if beds are 15 otherwise available within an intensive psychiatric unit. 16 The bill requires DHS to collect data necessary to determine 17 the effectiveness of each intensive psychiatric unit. Four 18 years after DHS determines an intensive psychiatric unit is 19 operational, DHS shall provide a report to the chairpersons and 20 ranking members of the joint appropriations subcommittee on 21 health and human services with details on the effectiveness of 22 the intensive psychiatric units and recommendations for such 23 units. Such details shall include but not be limited to the 24 impact the units have on community mental health facilities 25 and emergency departments in this state. No later than one 26 year from the date DHS submits its report, the legislature 27 shall determine whether to continue operations of the intensive 28 psychiatric units based on the efficacy and feasibility for 29 continued use of such units. 30 -2- LSB 5813XS (4) 89 dg/rh 2/ 2