Senate File 2202 - Introduced SENATE FILE 2202 BY COMMITTEE ON HEALTH AND HUMAN SERVICES (SUCCESSOR TO SSB 3083) A BILL FOR An Act relating to subacute mental health care facilities and 1 services, and including effective date provisions. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 5969SV (4) 91 dg/ko

S.F. 2202 Section 1. Section 135G.1, subsection 12, paragraph c, Code 1 2026, is amended by striking the paragraph. 2 Sec. 2. Section 135G.3, Code 2026, is amended by adding the 3 following new subsection: 4 NEW SUBSECTION . 1A. Within twenty-four hours of a 5 resident’s admission to a subacute care facility, the subacute 6 care facility shall develop an initial treatment plan with the 7 resident. 8 Sec. 3. NEW SECTION . 135G.3A Insurance authorization. 9 1. If a mental health professional submits an electronic 10 request through an internet portal designated by the department 11 of health and human services for prior authorization for 12 insurance coverage for an individual’s subacute mental health 13 care service under chapter 249A or chapter 249N, the department 14 of health and human services or the managed care organization 15 responsible for administering the individual’s medical 16 assistance shall provide a determination to the mental health 17 professional for the preauthorization request as follows: 18 a. Within forty-eight hours after the date of receipt of an 19 urgent preauthorization request. 20 b. Within five calendar days after the date of receipt of a 21 nonurgent preauthorization request. 22 c. Within ten calendar days after the date of receipt of a 23 nonurgent preauthorization request involving complex or unique 24 circumstances. 25 2. The director of health and human services shall adopt 26 rules pursuant to chapter 17A as necessary to administer this 27 section. 28 Sec. 4. DEPARTMENTS OF INSPECTIONS, APPEALS, AND LICENSING 29 AND HEALTH AND HUMAN SERVICES —— ADMINISTRATIVE RULE 30 REVIEW. The department of inspections, appeals, and licensing 31 and the department of health and human services shall do all 32 of the following: 33 1. Collaborate to review each department’s administrative 34 rules adopted pursuant to section 135G.10 and eliminate any 35 -1- LSB 5969SV (4) 91 dg/ko 1/ 3

S.F. 2202 rule the departments determine impedes any of the following 1 goals without providing an equal or greater benefit: 2 a. Establishment of new subacute mental health care 3 facilities and services. 4 b. Expansion of existing subacute mental health care 5 facilities and services. 6 c. Ease of access to subacute mental health care facilities 7 and services. 8 2. Modify the departments’ respective rules so that the 9 requirements to employ an individual at a subacute mental 10 health care facility are less stringent than the requirements 11 for the same employment at a state mental health institute. 12 Sec. 5. EFFECTIVE DATE. This Act, being deemed of immediate 13 importance, takes effect upon enactment. 14 EXPLANATION 15 The inclusion of this explanation does not constitute agreement with 16 the explanation’s substance by the members of the general assembly. 17 This bill relates to subacute mental health care (SMHC) 18 facilities and services. 19 The bill eliminates the requirement that SMHC must be 20 limited to a period of 10 calendar days unless a longer period 21 of time is adopted by the department of health and human 22 services (HHS). 23 The bill requires a subacute care facility to develop an 24 initial treatment care plan with a resident within 24 hours of 25 the resident’s admission to the subacute care facility. 26 The bill requires HHS or the managed care organization 27 responsible for administering an individual’s medical 28 assistance, upon a mental health professional’s request for 29 prior authorization (request) through an internet portal 30 designated by HHS for insurance coverage of the individual’s 31 SMHC service under Code chapter 249A (medical assistance) 32 or 249N (Iowa health and wellness plan), to provide a 33 determination to the mental health professional within 48 hours 34 after the date of the receipt of the request if the request is 35 -2- LSB 5969SV (4) 91 dg/ko 2/ 3

S.F. 2202 urgent; within 5 calendar days after the date of the receipt 1 of the request if the request is nonurgent; and within 10 2 calendar days after the date of the receipt of the request 3 if the request is nonurgent and involves complex or unique 4 circumstances. 5 The bill directs the department of inspections, appeals, 6 and licensing (DIAL) and HHS to collaborate to review each 7 department’s administrative rules and eliminate any rule 8 the departments determine impedes the establishment of new 9 SMHC facilities and services; expansion of existing SMHC 10 facilities and services; or ease of access to SMHC facilities 11 and services. 12 The bill requires HHS and DIAL to modify their respective 13 rules so that the requirements to employ an individual at 14 an SMHC facility are less stringent than those for the same 15 employment at a state mental health institute. 16 The bill takes effect upon enactment. 17 -3- LSB 5969SV (4) 91 dg/ko 3/ 3