H.F. 566 HEALTH POLICY OVERSIGHT 1 Section 1. Section 2.45, subsection 5, Code 2023, is amended 2 to read as follows: 3 5. The legislative health policy oversight committee, 4 which shall be composed of ten members of the general 5 assembly, consisting of five members from each house, to 6 be appointed by the legislative council. The legislative 7 health policy oversight committee shall may meet at least two 8 times, annually , during the legislative interim to provide 9 continuing oversight for Medicaid managed care, and to ensure 10 effective and efficient administration of the program, address 11 stakeholder concerns, monitor program costs and expenditures, 12 and make recommendations. 13 VIRTUAL AND REMOTE MEETING OPTIONS 14 Sec. 2. Section 135.12, Code 2023, is amended to read as 15 follows: 16 135.12 Statutory board, commission, committee, or council of 17 committee —— teleconference option , virtual meeting, and remote 18 participation options . 19 1. Any statutorily established board, commission, 20 committee, or council established under the purview of the 21 department shall provide for a hybrid meetings, teleconference 22 option participation, virtual meeting, and remote participation 23 options for board, commission, committee, or council members to 24 participate in official meetings. 25 2. For the purposes of this section: 26 a. “Hybrid meeting” means a meeting involving both remote 27 participation and in-person participation by members. 28 b. “Remote participation” means real-time participation by 29 a remotely located individual in a meeting which is being held 30 in a different physical location using integrated audio, video, 31 and other digital tools. 32 c. “Teleconference participation” means participation using 33 audio conference tools involving multiple participants in at 34 least two separate locations. 35 -1- HF 566 (2) 90 pf/rh/md 1/ 32

H.F. 566 d. “Virtual meeting” means a meeting involving real-time 1 interaction using integrated audio, video, and other digital 2 tools, in which participants do not share a physical location. 3 Sec. 3. NEW SECTION . 217.22 Statutory board, commission, 4 committee, or council —— teleconference, virtual meeting, and 5 remote participation options. 6 1. Any statutorily established board, commission, 7 committee, or council established under the purview of the 8 department shall provide for hybrid meetings, teleconference 9 participation, virtual meetings, and remote participation, 10 and other hybrid options for board, commission, committee, or 11 council members to participate in official meetings. 12 2. For the purposes of this section: 13 a. “Hybrid meeting” means a meeting involving both remote 14 participation and in-person participation by members. 15 b. “Remote participation” means real-time participation by 16 a remotely located individual in a meeting which is being held 17 in a different physical location using integrated audio, video, 18 and other digital tools. 19 c. “Teleconference participation” means participation using 20 audio conference tools involving multiple participants in at 21 least two separate locations. 22 d. “Virtual meeting” means a meeting involving real-time 23 interaction using integrated audio, video, and other digital 24 tools, in which participants do not share a physical location. 25 ADVISORY COUNCIL ON BRAIN INJURIES 26 Sec. 4. Section 135.22B, subsection 2, Code 2023, is amended 27 to read as follows: 28 2. Program created. 29 a. A brain injury services program is created and shall be 30 administered by a division of the Iowa department of public 31 health in cooperation with counties and the department of human 32 services . 33 b. The division of the department assigned to administer 34 the advisory council on brain injuries under section 135.22A 35 -2- HF 566 (2) 90 pf/rh/md 2/ 32

H.F. 566 shall be the program administrator. The division duties shall 1 include but are not limited to serving serve as the fiscal 2 agent and contract administrator for the program and providing 3 shall provide program oversight. 4 c. The division shall consult with the advisory council 5 on brain injuries, established pursuant to section 135.22A , 6 regarding the program and shall report to the council 7 concerning the program at least quarterly. The council shall 8 make recommendations to the department concerning the program’s 9 operation. 10 Sec. 5. REPEAL. Section 135.22A, Code 2023, is repealed. 11 CONGENITAL AND INHERITED DISORDERS ADVISORY COMMITTEE 12 Sec. 6. Section 136A.3A, Code 2023, is amended to read as 13 follows: 14 136A.3A Congenital and inherited disorders advisory committee 15 established —— process for addition of conditions to newborn 16 screening. 17 1. A congenital and inherited disorders advisory committee 18 is established solely to assist the center for congenital and 19 inherited disorders and the department in the development of 20 programs that ensure the availability and access to quality 21 genetic and genomic health care services for all Iowans 22 designating the conditions to be included in the newborn 23 screening and in regularly evaluating the effectiveness and 24 appropriateness of the newborn screening . 25 2. a. The members of the advisory committee shall 26 be appointed by the director and shall include persons 27 with relevant expertise and interest including parent 28 representatives be comprised of not more than fifteen regular 29 voting members with relevant expertise and interest including 30 representatives of professional groups, agencies, parents, 31 consumers, and professional health care providers, appointed by 32 the director . The director may replace a regular member due 33 to nonattendance. 34 b. The advisory committee shall meet at least once per year. 35 -3- HF 566 (2) 90 pf/rh/md 3/ 32

H.F. 566 3. The advisory committee shall assist the center for 1 congenital and inherited disorders and the department in 2 designating the conditions to be included in the newborn 3 screening and in regularly evaluating the effectiveness and 4 appropriateness of the newborn screening. 5 4. 3. a. Beginning July 1, 2022, the advisory committee 6 shall ensure that all conditions included in the federal 7 recommended uniform screening panel as of January 1, 2022, are 8 included in the newborn screening. 9 b. Within twelve months of the addition of a new condition 10 to the federal recommended uniform screening panel, the 11 advisory committee shall consider and make a recommendation 12 to the department regarding inclusion of the new condition in 13 the newborn screening, including the current newborn screening 14 capacity to screen for the new condition and the resources 15 necessary to screen for the new condition going forward. 16 If the advisory committee recommends inclusion of a new 17 condition, the department shall include the new condition in 18 the newborn screening within eighteen months of receipt of the 19 recommendation. 20 5. 4. The department shall submit a status report to the 21 general assembly, annually, by December 31, regarding all of 22 the following: 23 a. The current conditions included in the newborn screening. 24 b. Any new conditions currently under consideration or 25 recommended by the advisory committee for inclusion in the 26 newborn screening. 27 c. Any new conditions considered but not recommended by the 28 advisory committee in the prior twelve-month period and the 29 reason for not recommending any such conditions. 30 d. Any departmental request for additional program capacity 31 or resources necessitated by the inclusion of a recommended new 32 condition in the newborn screening. 33 e. Any delay and the reason for the delay by the advisory 34 committee in complying with the specified twelve-month time 35 -4- HF 566 (2) 90 pf/rh/md 4/ 32

H.F. 566 frame in considering or recommending the inclusion of a new 1 condition in the newborn screening to the department. 2 f. Any delay and the reason for the delay by the department 3 in complying with the specified eighteen-month time frame in 4 including a new condition in the newborn screening following 5 receipt of a recommendation from the advisory committee 6 recommending the inclusion of such condition. 7 6. 5. The state hygienic laboratory shall establish 8 the newborn screening fee schedule in a manner sufficient 9 to support the newborn screening system of care including 10 laboratory screening costs, short-term and long-term follow-up 11 program costs, the newborn screening developmental fund, and 12 the cost of the department’s newborn screening data system. 13 Sec. 7. ADMINISTRATIVE RULES. The department of health 14 and human services shall adopt rules pursuant to chapter 17A 15 to ensure all of the following: 16 1. That the sole duty of the congenital and inherited 17 disorders advisory committee is to designate the conditions 18 to be included in the newborn screening and in regularly 19 evaluating the effectiveness and appropriateness of the newborn 20 screening. 21 2. That the duties of the advisory committee shall not 22 include supporting the development of special projects and 23 conferences regarding genetic and genomic health care services 24 and issues, or advocating for quality genetic and genomic 25 health care services for all residents in the state of Iowa. 26 CHILD CARE ADVISORY DUTIES 27 Sec. 8. Section 237A.12, subsection 3, Code 2023, is amended 28 to read as follows: 29 3. Rules relating to fire safety for child care centers 30 shall be adopted under this chapter by the state fire marshal 31 in consultation with the department. Rules adopted by the 32 state fire marshal for a building which is owned or leased by a 33 school district or accredited nonpublic school and used as a 34 child care facility shall not differ from standards adopted by 35 -5- HF 566 (2) 90 pf/rh/md 5/ 32

H.F. 566 the state fire marshal for school buildings under chapter 100 . 1 Rules relating to sanitation shall be adopted by the department 2 in consultation with the director of public health . All rules 3 shall be developed in consultation with the state child care 4 advisory committee early childhood Iowa program . The state 5 fire marshal shall inspect the facilities. 6 Sec. 9. Section 237A.25, subsection 1, Code 2023, is amended 7 to read as follows: 8 1. The department shall develop consumer information 9 material to assist parents in selecting a child care provider. 10 In developing the material, the department shall consult with 11 department of health and human services staff, department of 12 education staff, the state child care advisory committee, the 13 early childhood Iowa state board, and child care resource and 14 referral services. In addition, the department may consult 15 with other entities at the local, state, and national level. 16 Sec. 10. Section 237A.30, subsection 1, Code 2023, is 17 amended to read as follows: 18 1. The department shall work with the early childhood Iowa 19 office in the department of management program established in 20 section 256I.5 and the state child care advisory committee 21 chapter 256I in designing and implementing a voluntary quality 22 rating system for each provider type of child care facility. 23 Sec. 11. Section 256.9, subsection 31, paragraph b, Code 24 2023, is amended to read as follows: 25 b. Standards and materials developed shall include materials 26 which employ developmentally appropriate practices and 27 incorporate substantial parental involvement. The materials 28 and standards shall include alternative teaching approaches 29 including collaborative teaching and alternative dispute 30 resolution training. The department shall consult with the 31 child development coordinating council, the state child care 32 advisory committee established pursuant to section 135.173A 33 the early childhood Iowa program , the department of health 34 and human services, the state board of regents center for 35 -6- HF 566 (2) 90 pf/rh/md 6/ 32

H.F. 566 early developmental education, the area education agencies, 1 the department of human development and family studies in the 2 college of human sciences at Iowa state university of science 3 and technology, the early childhood elementary division of the 4 college of education at the university of Iowa, and the college 5 of education at the university of northern Iowa, in developing 6 these standards and materials. 7 Sec. 12. Section 256I.12, subsection 8, Code 2023, is 8 amended to read as follows: 9 8. Duties. The early childhood stakeholders alliance duties 10 shall include but are not limited to all of the following 11 regarding the Iowa early childhood system: 12 a. Coordinate with the early childhood Iowa state board. 13 b. Serve as the state advisory council required under the 14 federal Improving Head Start for School Readiness Act of 2007, 15 Pub. L. No. 110-134, as designated by the governor. 16 c. Advise and make recommendations to the governor, general 17 assembly, department, and other state agencies concerning 18 policy issues relating to child care. Such advice and 19 recommendations shall relate to child care services; resource 20 and referral services; provider training; quality improvement; 21 public-private partnerships; standards review and development; 22 collaboration with prekindergarten, kindergarten, before and 23 after school programming and facilities and programs supporting 24 the education and development of young children across state 25 departments; improvement of the eligibility determination 26 processes used for state child care assistance and related 27 programs; and program data collection and analysis. 28 Sec. 13. REPEAL. Section 135.173A, Code 2023, is repealed. 29 MENTAL HEALTH AND DISABILITY SERVICES CHILDREN’S BEHAVIORAL 30 HEALTH SYSTEM STATE BOARD REPEAL —— COMMISSION 31 Sec. 14. Section 225C.2, subsection 14, Code 2023, is 32 amended by striking the subsection. 33 Sec. 15. Section 225C.4, subsection 1, paragraphs c, l, and 34 m, Code 2023, are amended to read as follows: 35 -7- HF 566 (2) 90 pf/rh/md 7/ 32

H.F. 566 c. Assist the state board in planning for community-based 1 children’s behavioral health services. 2 l. Encourage and facilitate coordination of children’s 3 behavioral health services with the objective of developing 4 and maintaining in the state a children’s behavioral health 5 system to provide behavioral health services to all children 6 in this state who need the services, regardless of the place 7 of residence or economic circumstances of those children. 8 The administrator department shall work with the state board 9 and other state agencies including but not limited to the 10 department of education and the department of public health 11 to develop and implement a strategic plan to expand access to 12 qualified mental health workers across the state. 13 m. Establish and maintain a data collection and management 14 information system oriented to the needs of children utilizing 15 the children’s behavioral health system, providers, the 16 department, and other programs or facilities in accordance 17 with section 225C.6A . The system shall be used to identify, 18 collect, and analyze service outcome and performance measures 19 data in order to assess the effects of the services on the 20 children utilizing the services. The administrator department 21 shall annually submit to the state board commission information 22 collected by the department indicating the changes and trends 23 in the children’s behavioral health system. The administrator 24 department shall make the outcome data available to the public. 25 Sec. 16. Section 225C.5, Code 2023, is amended to read as 26 follows: 27 225C.5 Mental health and disability services commission. 28 1. A mental health and disability services commission 29 is created as the state policy-making body for the provision 30 of services to persons with mental illness, an intellectual 31 disability, other developmental disabilities, or brain 32 injury. The commission’s voting members shall be appointed 33 to three-year staggered terms by the governor and are subject 34 to confirmation by the senate . Commission members shall be 35 -8- HF 566 (2) 90 pf/rh/md 8/ 32

H.F. 566 appointed on the basis of interest and experience in the fields 1 of mental health, intellectual disability, other developmental 2 disabilities, and brain injury, in a manner so as to ensure 3 adequate representation from persons with disabilities and 4 individuals knowledgeable concerning disability services. The 5 department shall provide staff support to the commission, and 6 the commission may utilize staff support and other assistance 7 provided to the commission by other persons. The commission 8 shall meet at least four times per year. The voting membership 9 of the commission shall consist of the following persons who, 10 at the time of appointment to the commission, are active 11 members of the indicated groups: 12 a. Three members shall be members of a county board of 13 supervisors selected from nominees submitted by the county 14 supervisor affiliate of the Iowa state association of counties. 15 b. Two members shall be selected from nominees submitted by 16 the director. 17 c. b. One member shall be an active board member of a 18 community mental health center selected from nominees submitted 19 by the Iowa association of community providers and the Iowa 20 behavioral health association . 21 d. c. One member shall be an active board member of an 22 agency serving persons with a developmental disability selected 23 from nominees submitted by the Iowa association of community 24 providers. 25 e. d. One member shall be a board member or employee of 26 a provider of mental health or developmental disabilities 27 services to children. 28 f. e. Two members shall be staff members of regional 29 administrators selected from nominees submitted by the 30 community services affiliate of the Iowa state association of 31 counties. 32 g. One member shall be selected from nominees submitted 33 by the state’s council of the association of federal, state, 34 county, and municipal employees. 35 -9- HF 566 (2) 90 pf/rh/md 9/ 32

H.F. 566 h. f. Three members shall be service consumers or family 1 members of service consumers. Of these members, one shall be 2 a service consumer, one shall be a parent of a child service 3 consumer, and one shall be a parent or other family member of a 4 person admitted to and living at a state resource center who 5 is currently utilizing or who has utilized behavioral health 6 services . 7 i. g. Two members shall be selected from nominees submitted 8 by service advocates. Of these members, one shall be an active 9 member of a statewide organization for persons with brain 10 injury a representative of an established advocacy organization 11 whose mission or purpose it is, in part, to further goals 12 related to children’s mental health . 13 j. h. One member shall be an active board member of 14 an agency serving persons with a substance abuse problem 15 use disorder selected from nominees submitted by the Iowa 16 behavioral health association. 17 k. i. One member shall be a military veteran who is 18 knowledgeable concerning the behavioral and mental health 19 issues of veterans. 20 j. One member shall be selected from nominees submitted by 21 the state court administrator. 22 k. One member shall be a board member or an employee of a 23 provider of child welfare services. 24 l. One member shall be an administrator of an area education 25 agency. 26 m. One member shall be an educator, counselor, or 27 administrator of a school district. 28 n. One member shall be a sheriff. 29 o. One member shall be a representative from a health care 30 system. 31 l. In addition to the voting members, the membership shall 32 include four members of the general assembly with one member 33 designated by each of the following: the majority leader of 34 the senate, the minority leader of the senate, the speaker of 35 -10- HF 566 (2) 90 pf/rh/md 10/ 32

H.F. 566 the house of representatives, and the minority leader of the 1 house of representatives. A legislative member serves for a 2 term as provided in section 69.16B in an ex officio, nonvoting 3 capacity and is eligible for per diem and expenses as provided 4 in section 2.10 . 5 2. The three-year terms shall begin and end as provided in 6 section 69.19 . Vacancies on the commission shall be filled as 7 provided in section 2.32 . A member shall not be appointed for 8 more than two consecutive three-year terms. 9 3. Members of the commission shall qualify by taking the 10 oath of office prescribed by law for state officers. At its 11 first meeting of each year, the commission shall organize by 12 electing a chairperson and a vice chairperson for terms of 13 one year. Commission members are entitled to a per diem as 14 specified in section 7E.6 and reimbursement for actual and 15 necessary expenses incurred while engaged in their official 16 duties, to be paid from funds appropriated to the department. 17 Sec. 17. Section 225C.7A, subsection 8, paragraph j, Code 18 2023, is amended to read as follows: 19 j. If the department has made its decisions but has 20 determined that there are otherwise qualifying requests for 21 incentive funds that are beyond the amount available in the 22 incentive fund for a fiscal year, the department shall compile 23 a list of such requests and the supporting information for 24 the requests. The list and information shall be submitted to 25 the commission , the children’s behavioral health system state 26 board, and the general assembly. 27 Sec. 18. Section 331.388, subsection 7, Code 2023, is 28 amended by striking the subsection. 29 Sec. 19. Section 331.397A, subsection 3, Code 2023, is 30 amended to read as follows: 31 3. Pursuant to recommendations made by the state board, the 32 The department of health and human services shall adopt rules 33 to define the services included in the core domains listed in 34 this section . The rules shall provide service definitions, 35 -11- HF 566 (2) 90 pf/rh/md 11/ 32

H.F. 566 service provider standards, service access standards, and 1 service implementation dates, and shall provide consistency, 2 to the extent possible, with similar service definitions under 3 the medical assistance program. 4 Sec. 20. REPEAL. Sections 225C.51 and 225C.52, Code 2023, 5 are repealed. 6 COMMISSION ON AGING 7 Sec. 21. Section 231.11, Code 2023, is amended to read as 8 follows: 9 231.11 Commission established. 10 The commission on aging is established which shall consist 11 of eleven seven members . One member each shall be appointed 12 by the president of the senate, after consultation with the 13 majority leader of the senate, and by the minority leader of 14 the senate, from the members of the senate to serve as ex 15 officio, nonvoting members. One member each shall be appointed 16 by the speaker of the house of representatives and by the 17 minority leader of the house of representatives, from the 18 members of the house of representatives to serve as ex officio, 19 nonvoting members. Seven members shall be appointed by the 20 governor subject to confirmation by the senate . Not more than 21 a simple majority of the governor’s appointees shall belong to 22 the same political party. At least four of the seven members 23 appointed by the governor shall be fifty-five years of age or 24 older when appointed. 25 Sec. 22. Section 231.12, Code 2023, is amended to read as 26 follows: 27 231.12 Terms. 28 All The members of the commission appointed by the governor 29 shall be appointed for terms of four years, with staggered 30 expiration dates. The terms of office of members appointed 31 by the governor shall commence and end as provided by section 32 69.19 . Legislative members of the commission shall serve 33 terms of office as provided in section 69.16B . A vacancy on 34 the commission shall be filled for the unexpired term of the 35 -12- HF 566 (2) 90 pf/rh/md 12/ 32

H.F. 566 vacancy in the same manner as the original appointment was 1 made. If a legislative member ceases to be a member of the 2 general assembly the legislative member may continue to serve 3 until a successor is appointed. 4 Sec. 23. Section 231.13, Code 2023, is amended to read as 5 follows: 6 231.13 Meetings —— officers. 7 Members of the commission shall elect from the commission’s 8 membership a chairperson, and other officers as commission 9 members deem necessary, who shall serve for a period of two 10 years. The commission shall meet at regular intervals at 11 least four times each year and may hold special meetings at 12 the call of the chairperson or at the request of a majority 13 of the commission membership. The commission shall meet at 14 the seat of government or such other place as the commission 15 may designate. Members shall be paid a per diem as specified 16 in section 7E.6 and shall receive reimbursement for actual 17 expenses for their official duties. 18 COMMISSION ON TOBACCO USE PREVENTION AND CONTROL 19 Sec. 24. Section 142A.2, Code 2023, is amended to read as 20 follows: 21 142A.2 Definitions. 22 As used in this chapter , unless the context otherwise 23 requires: 24 1. “Administrator” means the administrator of the division 25 of tobacco use prevention and control. 26 2. “Commission” means the commission on tobacco use 27 prevention and control established in this chapter . 28 3. 1. “Community partnership” means a public agency or 29 nonprofit organization implementing the tobacco use prevention 30 and control initiative in a local area in accordance with this 31 chapter . 32 4. 2. “Department” means the Iowa department of public 33 health and human services . 34 5. 3. “Director” means the director of public health and 35 -13- HF 566 (2) 90 pf/rh/md 13/ 32

H.F. 566 human services . 1 6. “Division” means the division of tobacco use prevention 2 and control of the Iowa department of public health, 3 established pursuant to this chapter . 4 7. 4. “Initiative” means the comprehensive tobacco use 5 prevention and control initiative established in this chapter . 6 8. 5. “Manufacturer” means manufacturer as defined in 7 section 453A.1 . 8 9. 6. “Pregnant woman” means a female of any age who is 9 pregnant. 10 10. “School-age youth” means a person attending school in 11 kindergarten through grade twelve. 12 11. 7. “Tobacco” means both cigarettes and tobacco products 13 as defined in section 453A.1 . 14 12. 8. “Youth” means a person who is five through 15 twenty-four years of age. 16 Sec. 25. Section 142A.3, Code 2023, is amended to read as 17 follows: 18 142A.3 Tobacco use prevention and control —— division —— 19 commission —— created . 20 1. The department shall establish, as a separate and 21 distinct division within the department, a division of tobacco 22 use prevention and control. The division shall develop, 23 implement, and administer the initiative established in this 24 chapter and shall perform other duties as directed by this 25 chapter or as assigned by the director of public health . 26 2. A commission on tobacco use prevention and control is 27 established to The department shall develop policy, provide 28 direction for the initiative, and perform all other duties 29 related to the initiative and other tobacco use prevention and 30 control activities as directed by this chapter or referred to 31 the commission by the director of public health . 32 3. The membership of the commission shall include the 33 following voting members who shall serve three-year, staggered 34 terms: 35 -14- HF 566 (2) 90 pf/rh/md 14/ 32

H.F. 566 a. Members, at least one of whom is a member of a racial 1 minority, to be appointed by the governor, subject to 2 confirmation by the senate pursuant to sections 2.32 and 69.19 , 3 and consisting of the following: 4 (1) Three members who are active with nonprofit health 5 organizations that emphasize tobacco use prevention or who are 6 active as health services providers, at the local level. 7 (2) Three members who are active with health promotion 8 activities at the local level in youth education, nonprofit 9 services, or other activities relating to tobacco use 10 prevention and control. 11 b. Three voting members, to be selected by the participants 12 in the annual statewide youth summit of the initiative’s youth 13 program, who shall not be subject to section 69.16 or 69.16A . 14 However, the selection process shall provide for diversity 15 among the members and at least one of the youth members shall 16 be a female. 17 4. The commission shall also include the following ex 18 officio, nonvoting members: 19 a. Four members of the general assembly, with not more than 20 one member from each chamber being from the same political 21 party. The majority leader of the senate and the minority 22 leader of the senate shall each appoint one of the senate 23 members. The majority leader of the house of representatives 24 and the minority leader of the house of representatives shall 25 each appoint one of the house members. 26 b. The presiding officer of the statewide youth executive 27 body, selected by the delegates to the statewide youth summit. 28 5. In addition to the members of the commission, the 29 following agencies, organizations, and persons shall each 30 assign a single liaison to the commission to provide assistance 31 to the commission in the discharge of the commission’s duties: 32 a. The department of education. 33 b. The drug policy coordinator. 34 c. The department of justice, office of the attorney 35 -15- HF 566 (2) 90 pf/rh/md 15/ 32

H.F. 566 general. 1 d. The department of human services. 2 6. Citizen members shall be reimbursed for actual and 3 necessary expenses incurred in performance of their duties. 4 Citizen members shall be paid a per diem as specified in 5 section 7E.6 . Legislative members are eligible for per diem 6 and expenses as provided in section 2.10 . 7 7. A member of the commission who is convicted of a crime 8 relating to tobacco, alcohol, or controlled substances is 9 subject to removal from the commission. 10 8. A vacancy on the commission other than for the youth 11 members shall be filled in the same manner as the original 12 appointment for the balance of the unexpired term. A youth 13 member vacancy shall be filled by the presiding officer of the 14 statewide executive body as selected by the delegates to the 15 statewide youth summit. 16 9. The commission shall elect a chairperson from among its 17 voting members and may select other officers from among its 18 voting members, as determined necessary by the commission. 19 The commission shall meet regularly as determined by the 20 commission, upon the call of the chairperson, or upon the call 21 of a majority of the voting members. 22 10. The commission may designate an advisory council. The 23 commission shall determine the membership and representation 24 of the advisory council and members of the council shall serve 25 at the pleasure of the commission. The advisory council may 26 include representatives of health care provider groups, parent 27 groups, antitobacco advocacy programs and organizations, 28 research and evaluation experts, and youth organizers. 29 Sec. 26. Section 142A.4, Code 2023, is amended to read as 30 follows: 31 142A.4 Commission Department duties. 32 The commission department shall do all of the following: 33 1. Develop and implement the comprehensive tobacco use 34 prevention and control initiative as provided in this chapter . 35 -16- HF 566 (2) 90 pf/rh/md 16/ 32

H.F. 566 2. Provide a forum for the discussion, development, and 1 recommendation of public policy alternatives in the field of 2 tobacco use prevention and control. 3 3. Develop an educational component of the initiative. 4 Educational efforts provided through the school system shall be 5 developed in conjunction with the department of education. 6 4. Develop a plan for implementation of the initiative in 7 accordance with the purpose and intent specified in section 8 142A.1 . 9 5. Provide for technical assistance, training, and other 10 support under the initiative. 11 6. Take actions to develop and implement a statewide 12 system for the initiative programs that are delivered through 13 community partnerships. 14 7. Manage and coordinate the provision of funding and other 15 moneys available to the initiative by combining all or portions 16 of appropriations or other revenues as authorized by law. 17 8. Assist with the linkage of the initiative with child 18 welfare and juvenile justice decategorization projects, 19 education programming, early childhood Iowa areas, and other 20 programs and services directed to youth at the state and 21 community level. 22 9. a. Coordinate and respond to any requests from a 23 community partnership relating to any of the following: 24 (1) a. Removal of barriers to community partnership 25 efforts. 26 (2) b. Pooling and redirecting of existing federal, state, 27 or other public or private funds available for purposes that 28 are consistent with the initiative. 29 (3) c. Seeking of federal waivers to assist community 30 partnership efforts. 31 b. In coordinating and responding to the requests, the 32 commission shall work with state agencies, the governor, and 33 the general assembly as necessary to address requests deemed 34 appropriate by the commission. 35 -17- HF 566 (2) 90 pf/rh/md 17/ 32

H.F. 566 10. Adopt rules pursuant to chapter 17A as necessary for the 1 designation, governance, and oversight of the initiative and 2 the implementation of this chapter . The commission department 3 shall provide for community partnership and youth program input 4 in the rules adoption process. The rules shall include but are 5 not limited to all of the following: 6 a. Performance indicators for initiative programs, community 7 partnerships, and the services provided under the auspices of 8 community partnerships. The performance indicators shall be 9 developed with input from communities. 10 b. Minimum standards to further the provision of equal 11 access to services. 12 11. Monitor and evaluate the effectiveness of performance 13 measures utilized under the initiative. 14 12. Submit a report to the governor and the general 15 assembly on a periodic basis, during the initial year of 16 operation, and on an annual basis thereafter, regarding 17 the initiative, including demonstrated progress based on 18 performance indicators. The commission department shall report 19 more frequently if requested by the joint appropriations 20 subcommittee that makes recommendations concerning the 21 commission’s department’s budget. Beginning July 1, 2005, the 22 commission shall also perform a comprehensive review of the 23 initiative and shall submit a report of its findings to the 24 governor and the general assembly on or before December 15, 25 2005. 26 13. Represented by the chairperson of the commission, 27 annually appear before the joint appropriations subcommittee 28 that makes recommendations concerning the commission’s budget 29 to report on budget expenditures and division operations 30 relative to the prior fiscal year and the current fiscal year. 31 14. Advise the director in evaluating potential candidates 32 for the position of administrator, consult with the director 33 in the hiring of the administrator, and review and advise 34 the director on the performance of the administrator in the 35 -18- HF 566 (2) 90 pf/rh/md 18/ 32

H.F. 566 discharge of the administrator’s duties. 1 15. 13. Prioritize funding needs and the allocation of 2 moneys appropriated and other resources available for the 3 programs and activities of the initiative. 4 16. 14. Review fiscal needs of the initiative and make 5 recommendations to the director in the development of budget 6 requests. 7 17. 15. Solicit and accept any gift of money or property, 8 including any grant of money, services, or property from the 9 federal government, the state, a political subdivision, or 10 a private source that is consistent with the goals of the 11 initiative. The commission department shall adopt rules 12 prohibiting the acceptance of gifts from a manufacturer of 13 tobacco products. 14 18. 16. Advise and make recommendations to the governor, 15 the general assembly, and the director, and the administrator, 16 relative to tobacco use, treatment, intervention, prevention, 17 control, and education programs in the state. 18 19. 17. Evaluate the work of the division and the 19 department relating to the initiative. For this purpose, 20 the commission department shall have access to any relevant 21 department records and documents, and other information 22 reasonably obtainable by the department. 23 20. 18. Develop the structure for the statewide youth 24 summit to be held annually. 25 21. 19. Approve the content of any materials distributed 26 by the youth program pursuant to section 142A.9 , prior to 27 distribution of the materials. 28 Sec. 27. Section 142A.5, Code 2023, is amended to read as 29 follows: 30 142A.5 Director and administrator duties. 31 1. The director shall do all of the following: 32 a. Establish and maintain the division of tobacco use 33 prevention and control. 34 b. Employ a separate division administrator, in accordance 35 -19- HF 566 (2) 90 pf/rh/md 19/ 32

H.F. 566 with the requirements of section 142A.4, subsection 14 , in a 1 full-time equivalent position whose sole responsibility and 2 duty shall be the administration and oversight of the division. 3 The division administrator shall report to and shall serve 4 at the pleasure of the director. The administrator shall 5 be exempt from the merit system provisions of chapter 8A, 6 subchapter IV . 7 c. 1. Coordinate all tobacco use prevention and control 8 programs and activities under the purview of the department. 9 d. Receive and review budget recommendations from the 10 commission. The director shall consider these recommendations 11 in developing the budget request for the department. 12 2. The administrator shall do all of the following: 13 a. 2. Implement the initiative , coordinate the activities 14 of the commission and the initiative, and coordinate with other 15 tobacco use prevention and control activities as assigned by 16 the director . 17 b. 3. Monitor and evaluate the effectiveness of performance 18 measures. 19 c. Provide staff and administrative support to the 20 commission. 21 d. 4. Administer contracts entered into under this chapter . 22 e. 5. Coordinate and cooperate with other tobacco use 23 prevention and control programs within and outside of the 24 state. 25 f. Provide necessary information to the commission to 26 assist the commission in making its annual report to the 27 joint appropriations subcommittee pursuant to section 142A.4, 28 subsection 13 , and in fulfilling other commission duties 29 pursuant to section 142A.4 . 30 Sec. 28. Section 142A.6, subsections 1, 4, and 5, Code 2023, 31 are amended to read as follows: 32 1. A comprehensive tobacco use prevention and control 33 initiative is established. The division department shall 34 implement the initiative as provided in this chapter . 35 -20- HF 566 (2) 90 pf/rh/md 20/ 32

H.F. 566 4. The division department shall implement the initiative 1 in a manner that ensures that youth are extensively involved 2 in the decision making for the programs implemented under 3 the initiative. The initiative shall also involve parents, 4 schools, and community members in activities to achieve the 5 results desired for the initiative. The division department 6 shall encourage collaboration at the state and local levels 7 to maximize available resources and to provide flexibility to 8 support community efforts. 9 5. Procurement of goods and services necessary to implement 10 the initiative is subject to approval of the commission 11 department . Notwithstanding chapter 8A, subchapter III , or any 12 other provision of law to the contrary, such procurement may 13 be accomplished by the commission under its own competitive 14 bidding process which shall provide for consideration of 15 such factors as price, bidder competence, and expediency in 16 procurement. 17 Sec. 29. Section 142A.8, subsections 2 and 3, Code 2023, are 18 amended to read as follows: 19 2. A community partnership area shall encompass a county 20 or multicounty area, school district or multischool district 21 area, economic development enterprise zone that meets the 22 requirements of an urban or rural enterprise community under 23 Tit. XIII of the federal Omnibus Budget Reconciliation Act of 24 1993, or early childhood Iowa area, in accordance with criteria 25 adopted by the commission department for appropriate population 26 levels and size of geographic areas. 27 3. The commission department shall adopt rules pursuant to 28 chapter 17A providing procedures for the initial designation 29 of community partnership areas and for subsequent changes to 30 the initially designated areas. 31 Sec. 30. Section 142A.10, Code 2023, is amended to read as 32 follows: 33 142A.10 Funding of programs delivered through community 34 partnerships. 35 -21- HF 566 (2) 90 pf/rh/md 21/ 32

H.F. 566 1. The commission department shall develop and implement a 1 statewide system for the initiative programs that are delivered 2 through community partnerships. 3 2. The system shall provide for equitable allocation of 4 funding for initiative programs among the state’s community 5 partnership areas, based upon school-age population and other 6 criteria established by the commission department . 7 3. The specific programs, distribution provisions, and 8 other provisions approved by the commission department for 9 expenditure of the maximum allocation amount established for 10 a community partnership area shall be outlined in the written 11 contract with the community partnership. 12 4. Any allocation received by a community partnership 13 shall be matched with local funding, in-kind services, office 14 support, or other tangible support or offset of costs. 15 DEPENDENT ADULT PROTECTIVE ADVISORY COUNCIL 16 Sec. 31. Section 235B.1, subsection 4, Code 2023, is amended 17 to read as follows: 18 4. a. The establishment of a dependent adult protective 19 advisory council. The advisory council shall do all of the 20 following: 21 (1) Advise the director of health and human services, 22 the director of the department on aging, the director of 23 inspections and appeals, the director of public health, and the 24 director of the department of corrections , and the director of 25 human rights regarding dependent adult abuse. 26 (2) Evaluate state law and rules and make recommendations 27 to the general assembly and to executive branch departments 28 regarding laws and rules concerning dependent adults. 29 (3) Receive and review recommendations and complaints from 30 the public, health care facilities, and health care programs 31 concerning the dependent adult abuse services program. 32 b. (1) The advisory council shall consist of twelve nine 33 members . Eight members who shall be appointed by and serve at 34 the pleasure of the governor. Four of the members appointed 35 -22- HF 566 (2) 90 pf/rh/md 22/ 32

H.F. 566 shall be appointed on the basis of knowledge and skill related 1 to expertise in the area of dependent adult abuse including 2 professionals practicing in the disciplines of medicine, public 3 health, mental health, long-term care, social work, law, 4 and law enforcement. Two of the members appointed shall be 5 members of the general public with an interest in the area of 6 dependent adult abuse and two of the members appointed shall 7 be members of the Iowa caregivers association. In addition, 8 the membership of the council shall include the director or the 9 director’s designee of the department of human services, the 10 department on aging, the Iowa department of public health, and 11 the department of inspections and appeals. 12 (2) The members of the advisory council shall be appointed 13 to terms of four years beginning May 1. Appointments shall 14 comply with sections 69.16 and 69.16A . Vacancies shall be 15 filled in the same manner as the original appointment. 16 (3) Members shall receive actual expenses incurred while 17 serving in their official capacity. 18 (4) (3) The advisory council shall select a chairperson, 19 annually, from its membership. 20 DOMESTIC ABUSE DEATH REVIEW TEAM 21 Sec. 32. Section 135.109, subsection 7, Code 2023, is 22 amended by striking the subsection. 23 Sec. 33. Section 135.110, subsection 5, Code 2023, is 24 amended by striking the subsection. 25 EARLY CHILDHOOD IOWA STATE BOARD 26 Sec. 34. Section 256I.3, Code 2023, is amended to read as 27 follows: 28 256I.3 Early childhood Iowa state board created. 29 1. The early childhood Iowa state board is created to 30 promote a vision for a comprehensive early care, education, 31 health, and human services system in this state. The board 32 shall oversee state and local efforts. The vision shall be 33 achieved through strategic planning, funding identification, 34 guidance, and decision-making authority to assure collaboration 35 -23- HF 566 (2) 90 pf/rh/md 23/ 32

H.F. 566 among state and local early care, education, health, and human 1 services systems. 2 2. a. The board shall consist of twenty-one thirteen voting 3 members with fifteen nine citizen members and six four state 4 agency members. The six four state agency members shall be 5 the directors or their designees of the following agencies: 6 economic development authority, education, human rights, health 7 and human services, public health, and workforce development. 8 The designees of state agency directors shall be selected on 9 an annual basis. The citizen members shall be appointed by 10 the governor , subject to confirmation by the senate . The 11 governor’s appointments of citizen members shall be made in 12 a manner so that each of the state’s congressional districts 13 is represented by at least two citizen members and so that 14 all the appointments as a whole reflect the ethnic, cultural, 15 social, and economic diversity of the state. A member of the 16 state board shall not be a provider of services or other entity 17 receiving funding through the early childhood Iowa initiative 18 or be employed by such a provider or other entity. 19 b. The governor’s appointees shall be selected from 20 individuals nominated by area boards. The nominations shall 21 reflect the range of interests represented on the area boards 22 so that the governor is able to appoint one or more members 23 each for early care, education, health, human services, 24 business, faith, and public interests. At least one of the 25 citizen members shall be a service consumer or the parent of a 26 service consumer. The term of office of the citizen members 27 is three years. A citizen member vacancy on the board shall be 28 filled in the same manner as the original appointment for the 29 balance of the unexpired term. 30 3. In addition to the voting members, the state board shall 31 include four members of the general assembly with not more than 32 one member from each chamber being from the same political 33 party. The two senators shall be appointed one each by the 34 majority leader of the senate and by the minority leader of 35 -24- HF 566 (2) 90 pf/rh/md 24/ 32

H.F. 566 the senate. The two representatives shall be appointed one 1 each by the speaker of the house of representatives and by the 2 minority leader of the house of representatives. Legislative 3 members shall serve in an ex officio, nonvoting capacity. A 4 legislative member is eligible for per diem and expenses as 5 provided in section 2.10 . 6 4. 3. The state board shall elect a chairperson from among 7 the citizen members and may select other officers from the 8 voting members as determined to be necessary by the board. The 9 board shall meet regularly as determined by the board, upon the 10 call of the board’s chairperson, or upon the call of a majority 11 of voting members. The board shall meet at least no more than 12 quarterly. 13 HAWKI PROGRAM AND BOARD —— MEDICAL ASSISTANCE ADVISORY COUNCIL 14 Sec. 35. Section 249A.4B, subsection 1, Code 2023, is 15 amended to read as follows: 16 1. A medical assistance advisory council is created to 17 comply with 42 C.F.R. §431.12 based on section 1902(a)(4) of 18 the federal Social Security Act and to advise the director 19 about health and medical care services under the medical 20 assistance program. The council shall also serve as an 21 advisory council to the Hawki program pursuant to chapter 22 514I to the extent necessary to comply with federal law. The 23 council shall meet no more than quarterly. The director of 24 director’s designee responsible for public health or their 25 designee and a public member of the council selected by the 26 public members of the council shall serve as co-chairpersons 27 of the council. 28 Sec. 36. Section 249A.4B, subsection 2, paragraph b, 29 subparagraph (6), Code 2023, is amended by striking the 30 subparagraph. 31 Sec. 37. Section 249A.4B, subsections 4 and 7, Code 2023, 32 are amended to read as follows: 33 4. Based upon the deliberations of the council, the council 34 shall make recommendations to the director regarding the 35 -25- HF 566 (2) 90 pf/rh/md 25/ 32

H.F. 566 budget, policy, and administration of the medical assistance 1 program and regarding the Hawki program as necessary to comply 2 with federal law . 3 7. The director shall consider the recommendations offered 4 by the council in the director’s preparation of medical 5 assistance and Hawki program budget recommendations to the 6 council on human services pursuant to section 217.3 and 7 in implementation of medical assistance and Hawki program 8 policies. 9 Sec. 38. Section 249A.4B, subsection 5, Code 2023, is 10 amended by striking the subsection. 11 Sec. 39. Section 514I.1, subsection 2, Code 2023, is amended 12 to read as follows: 13 2. It is the intent of the general assembly that the program 14 be implemented and administered in compliance with Tit. XXI 15 of the federal Social Security Act. If, as a condition of 16 receiving federal funds for the program, federal law requires 17 implementation and administration of the program in a manner 18 not provided in this chapter , during a period when the general 19 assembly is not in session, the department , with the approval 20 of the hawk-i board, shall proceed to implement and administer 21 those provisions, subject to review by the next regular session 22 of the general assembly. 23 Sec. 40. Section 514I.2, subsection 6, Code 2023, is amended 24 by striking the subsection. 25 Sec. 41. Section 514I.4, Code 2023, is amended to read as 26 follows: 27 514I.4 Director and department —— duties —— powers. 28 1. The director , with the approval of the hawk-i board, 29 shall implement this chapter . The director shall do all of the 30 following: 31 a. At least every six months, evaluate the scope of the 32 program currently being provided under this chapter , project 33 the probable cost of continuing the program, and compare 34 the probable cost with the remaining balance of the state 35 -26- HF 566 (2) 90 pf/rh/md 26/ 32

H.F. 566 appropriation made for payment of assistance under this chapter 1 during the current appropriation period. The director shall 2 report the findings of the evaluation to the board and shall 3 annually report findings of the evaluation to the governor and 4 the general assembly by January 1. 5 b. Establish premiums to be paid to participating insurers 6 for provision of health insurance coverage. 7 c. Contract with participating insurers to provide health 8 insurance coverage under this chapter . 9 d. Recommend to the board proposed rules necessary to 10 implement the program. 11 e. Recommend to the board individuals to serve as members of 12 the clinical advisory committee. 13 2. a. The director , with the approval of the board, may 14 contract with participating insurers to provide dental-only 15 services. 16 b. The director , with the approval of the board, 17 may contract with participating insurers to provide the 18 supplemental dental-only coverage to otherwise eligible 19 children who have private health care coverage as specified in 20 the federal Children’s Health Insurance Program Reauthorization 21 Act of 2009, Pub. L. No. 111-3. 22 3. The department may enter into contracts with other 23 persons whereby the other person provides some or all of the 24 functions, pursuant to rules adopted by the board department , 25 which are required of the director or the department under this 26 section . All contracts entered into pursuant to this section 27 shall be made available to the public. 28 4. The department shall do or shall provide for all of the 29 following: 30 a. Determine eligibility for program enrollment as 31 prescribed by federal law and regulation, using policies and 32 procedures adopted by rule of the department pursuant to 33 chapter 17A . The department shall not enroll a child who has 34 group health coverage unless expressly authorized by such 35 -27- HF 566 (2) 90 pf/rh/md 27/ 32

H.F. 566 rules. 1 b. Enroll qualifying children in the program with 2 maintenance of a supporting eligibility file or database. 3 c. Utilize the department’s eligibility system to maintain 4 eligibility files with pertinent eligibility determination and 5 ongoing enrollment information including but not limited to 6 data regarding beneficiaries, enrollment dates, disenrollments, 7 and annual financial redeterminations. 8 d. Provide for administrative oversight and monitoring of 9 federal requirements. 10 e. Perform annual financial reviews of eligibility for each 11 beneficiary. 12 f. Collect and track monthly family premiums to assure that 13 payments are current. 14 g. Notify each participating insurer of new program 15 enrollees who are enrolled by the department in that 16 participating insurer’s plan. 17 h. Verify the number of program enrollees with each 18 participating insurer for determination of the amount of 19 premiums to be paid to each participating insurer. 20 i. Maintain data for the purpose of quality assurance 21 reports as required by rule of the board . 22 j. (1) Establish the family cost sharing amounts for 23 children of families with incomes of one hundred fifty percent 24 or more but not exceeding two hundred percent of the federal 25 poverty level, of not less than ten dollars per individual 26 and twenty dollars per family, if not otherwise prohibited by 27 federal law , with the approval of the board . 28 (2) Establish for children of families with incomes 29 exceeding two hundred percent but not exceeding three hundred 30 percent of the federal poverty level, family cost sharing 31 amounts, and graduated premiums based on a rationally developed 32 sliding fee schedule, in accordance with federal law , with the 33 approval of the board . 34 k. Perform annual, random reviews of enrollee applications 35 -28- HF 566 (2) 90 pf/rh/md 28/ 32

H.F. 566 to ensure compliance with program eligibility and enrollment 1 policies. Quality assurance reports shall be made to the board 2 compiled based upon the data maintained by the department. 3 l. Perform other duties as determined by the board director . 4 Sec. 42. Section 514I.6, subsection 4, paragraph d, Code 5 2023, is amended to read as follows: 6 d. Other information as directed by the board department . 7 Sec. 43. Section 514I.6, subsection 5, Code 2023, is amended 8 to read as follows: 9 5. Submit a plan for a health improvement program to the 10 department , for approval by the board . 11 Sec. 44. Section 514I.8, subsection 2, paragraph e, Code 12 2023, is amended to read as follows: 13 e. Is not currently covered under a group health plan as 14 defined in 42 U.S.C. §300gg-91(a)(1) unless allowed by rule of 15 the board department . 16 Sec. 45. Section 514I.8, subsection 3, Code 2023, is amended 17 to read as follows: 18 3. In accordance with the rules adopted by the board 19 department , a child may be determined to be presumptively 20 eligible for the program pending a final eligibility 21 determination. Following final determination of eligibility, 22 a child shall be eligible for a twelve-month period. At the 23 end of the twelve-month period, a review of the circumstances 24 of the child’s family shall be conducted to establish 25 eligibility and cost sharing for the subsequent twelve-month 26 period. Pending such review of the circumstances of the 27 child’s family, the child shall continue to be eligible for 28 and remain enrolled in the same plan if the family complies 29 with requirements to provide information and verification of 30 income, otherwise cooperates in the annual review process, 31 and submits the completed review form and any information 32 necessary to establish continued eligibility in a timely manner 33 in accordance with administrative rules. 34 Sec. 46. Section 514I.9, subsection 1, Code 2023, is amended 35 -29- HF 566 (2) 90 pf/rh/md 29/ 32

H.F. 566 to read as follows: 1 1. The hawk-i board department shall review the benefits 2 package annually and shall determine additions to or deletions 3 from the benefits package offered. The hawk-i board department 4 shall submit the recommendations to the general assembly for 5 any amendment to the benefits package. 6 Sec. 47. REPEAL. Section 514.5, Code 2023, is repealed. 7 INTERAGENCY COORDINATING COUNCIL —— REPEAL 8 Sec. 48. REPEAL. Section 691.6B, Code 2023, is repealed. 9 IOWA CHILD DEATH REVIEW TEAM 10 Sec. 49. Section 135.43, subsection 2, paragraphs m and n, 11 Code 2023, are amended by striking the paragraphs. 12 LEADERSHIP COUNCIL FOR CHILD CARE TRAINING AND DEVELOPMENT —— 13 REPEAL 14 Sec. 50. REPEAL. Section 237A.23, Code 2023, is repealed. 15 EARLY HEARING DETECTION AND INTERVENTION ADVISORY COMMITTEE 16 Sec. 51. EARLY HEARING DETECTION AND INTERVENTION ADVISORY 17 COMMITTEE. The department of health and human services 18 shall adopt rules pursuant to chapter 17A to provide that the 19 membership of the early hearing detection and intervention 20 advisory committee shall be limited to no more than thirteen 21 members, and that the committee shall meet no more than two 22 times per year. 23 MATERNAL AND CHILD HEALTH ADVISORY COUNCIL 24 Sec. 52. MATERNAL AND CHILD HEALTH ADVISORY COUNCIL. The 25 department of health and human services shall adopt rules 26 pursuant to chapter 17A to provide that the membership of the 27 maternal and child health advisory council be limited to a 28 total of no more than fifteen members, which shall not include 29 discretionary members or members of the general assembly, and 30 that the council shall meet not more than four times per year. 31 COUNCIL ON HEALTH AND HUMAN SERVICES 32 Sec. 53. Section 217.4, Code 2023, is amended to read as 33 follows: 34 217.4 Meetings of council. 35 -30- HF 566 (2) 90 pf/rh/md 30/ 32

H.F. 566 The council shall meet at least monthly every other month . 1 Additional meetings shall be called by the chairperson or 2 upon written request of any three council members thereof 3 as necessary to carry out the duties of the council. The 4 chairperson shall preside at all meetings or in the absence 5 of the chairperson the vice chairperson shall preside. The 6 members of the council shall be paid a per diem as specified in 7 section 7E.6 and their reasonable and necessary expenses. 8 PER DIEM AND REIMBURSEMENT 9 Sec. 54. PER DIEM AND REIMBURSEMENT. Beginning July 1, 10 2023, notwithstanding any provision to the contrary, members 11 of the following entities shall not be entitled to a per diem 12 as specified in section 7E.6 or reimbursement for actual and 13 necessary expenses incurred while engaged in their official 14 duties: 15 1. The center for congenital and inherited disorders 16 advisory committee established in section 136A.3A. 17 2. The mental health and disability services commission 18 created in section 225C.5. 19 3. The commission on aging established in section 231.11. 20 4. The dependent adult abuse protective advisory council 21 created in section 235B.1. 22 5. The Iowa domestic abuse death review team created in 23 section 135.110. 24 6. The early childhood Iowa state board created in section 25 256I.3. 26 7. The Iowa child death review team established in section 27 135.43. 28 8. The early hearing detection and intervention advisory 29 committee. 30 9. The maternal and child health advisory council. 31 10. The council on health and human services created in 32 section 217.2. 33 11. The medical assistance advisory council created in 34 section 249A.4B. 35 -31- HF 566 (2) 90 pf/rh/md 31/ 32