Senate
File
508
-
Introduced
SENATE
FILE
508
BY
TRONE
GARRIOTT
A
BILL
FOR
An
Act
requiring
joint
training
sessions
for
nursing
home
1
inspectors
and
nursing
facilities
related
to
skilled
nursing
2
and
therapy
services.
3
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
4
TLSB
1721XS
(4)
91
lh/ko
S.F.
508
Section
1.
Section
135C.35C,
Code
2025,
is
amended
to
read
1
as
follows:
2
135C.35C
Nursing
facilities
——
joint
training
sessions.
3
1.
The
department
shall
semiannually
provide
joint
training
4
sessions
for
inspectors
and
nursing
facilities
to
review
at
5
least
three
of
the
ten
most
frequently
issued
federal
citations
6
in
the
state
during
the
immediately
preceding
calendar
year.
7
The
department
shall
develop
a
protocol
to
identify
regional
8
citation
patterns
relating
to
complaints,
standards,
and
9
outcomes
in
the
nursing
facility
inspection
process.
The
10
department
shall
include
the
state
long-term
care
ombudsman,
11
or
the
state
long-term
care
ombudsman’s
designee,
and
12
representatives
of
each
nursing
facility
provider
association
13
in
the
state
in
the
planning
process
for
the
joint
training
14
sessions.
15
2.
The
department
shall
provide
at
least
one
joint
training
16
session
for
inspectors
and
nursing
facilities
that
provides
17
information
and
background
relating
to
the
settlement
agreement
18
approved
by
the
court
in
Jimmo
v.
Sebelius
,
No.
5:11-CV-17
19
(D.
Vt.),
on
January
1,
2013,
including
that
the
settlement
20
agreement
clarifies
the
policy
of
the
federal
centers
for
21
Medicare
and
Medicaid
services
of
the
United
States
department
22
of
health
and
human
services
that
coverage
of
skilled
nursing
23
and
skilled
therapy
services
in
a
skilled
nursing
facility,
a
24
home
health
setting,
and
an
outpatient
therapy
setting
does
not
25
turn
on
a
beneficiary’s
potential
for
improvement,
but
rather
26
on
the
beneficiary’s
need
for
skilled
care.
27
EXPLANATION
28
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
29
the
explanation’s
substance
by
the
members
of
the
general
assembly.
30
This
bill
requires
the
department
of
health
and
human
31
services
to
provide
at
least
one
joint
training
session
for
32
nursing
facility
inspectors
and
nursing
facilities
related
33
to
the
settlement
agreement
approved
by
the
court
on
January
34
1,
2013,
in
Jimmo
v.
Sebelius,
No.
5:11-CV-17
(D.
Vt.).
The
35
-1-
LSB
1721XS
(4)
91
lh/ko
1/
2
S.F.
508
settlement
agreement
clarifies
the
policy
of
the
federal
1
centers
for
Medicare
and
Medicaid
of
the
United
States
2
department
of
health
and
human
services
that
coverage
of
3
skilled
nursing
and
therapy
in
a
skilled
nursing
facility,
a
4
home
health
setting,
or
an
outpatient
therapy
setting
relies
on
5
a
beneficiary’s
need
for
skilled
care,
not
the
beneficiary’s
6
potential
for
improvement.
7
-2-
LSB
1721XS
(4)
91
lh/ko
2/
2