Print
House File 243 - IntroducedA Bill ForAn Act 1relating to county funding of services for persons
2with substance-related disorders and co-occurring mental
3health and substance-related disorders, including intensive
4mental health services provided through access centers and
5intensive residential service homes, and including effective
6date provisions.
7BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
1 Section 1. Section 331.391, subsection 4, paragraph b, Code
22019, is amended to read as follows:
3b. For fiscal years beginning July 1, 2017, July 1, 2018,
4and July 1, 2019, that portion of each region’s cash flow
5amount either reserved in the combined account or reserved
6among all separate county accounts under the control of the
7governing board that exceeds twenty-five percent of the gross
8expenditures from the combined account or from all separate
9county accounts under control of the governing board in the
10fiscal year preceding the fiscal year in progress shall be used
11in whole or in part to fund the payment of services provided
12under the regional service system management plan under section
13331.393, which for fiscal years beginning July 1, 2018, and
14July 1, 2019, may include expenses associated with increasing
15capacity to provide services to persons with substance-related
16disorders and persons with co-occurring mental health and
17substance-related disorders including intensive mental
18health services provided through access centers and intensive
19residential service homes.
20 Sec. 2. Section 331.393, subsection 2, Code 2019, is amended
21to read as follows:
222. Each region shall submit to the department an annual
23service and budget plan approved by the region’s governing
24board and subject to approval by the director of human
25services. Provisions for the director of human services’
26approval of the annual service and budget plan, and any
27amendments to the plan, and other requirements shall be
28specified in rule adopted by the state commission.
29a. The provisions addressed in the annual plan shall include
30but are not limited to all of the following:
31a. (1) The region’s budget and financing provisions for
32the next fiscal year. The provisions shall address how county,
33regional, state, and other funding sources will be used to meet
34the service needs within the region.
35b. (2) The scope of services included in addition to
-1-1the required core services. Each service included shall be
2described and projection of need and the funding necessary to
3meet the need shall be included.
4c. (3) The location of the local access points for
5services.
6d. (4) The plan for assuring effective crisis prevention,
7response, and resolution.
8e. (5) The provider reimbursement provisions. A region’s
9use of provider reimbursement approaches in addition to
10fee-for-service reimbursement and for compensating the
11providers engaged in a systems of care approach and other
12nontraditional providers shall be encouraged. A region also
13shall be encouraged to use and the department shall approve
14funding approaches that identify and incorporate all services
15and sources of funding used by persons receiving services,
16including medical assistance program funding.
17f. (6) Financial forecasting measures.
18g. (7) The targeted case managers designated for the
19region.
20h. (8) The financial eligibility requirements for service
21under the regional service system. A plan that otherwise
22incorporates the financial eligibility requirements of section
23331.395 but allows eligibility for persons with resources above
24the minimum resource limitations adopted pursuant to section
25331.395, subsection 1, paragraph “c”, who were eligible under
26resource limitations in effect prior to July 1, 2014, or are
27authorized by the region as an exception to policy, shall be
28deemed by the department to be in compliance with financial
29eligibility requirements of section 331.395.
30b. The provisions addressed in the annual plan may include
31a plan for the use of anticipated residual funding in excess
32of twenty-five percent of the gross expenditures as provided
33in section 331.391, subsection 4, paragraph “b”, to increase
34capacity to provide services to persons with substance-related
35disorders and co-occurring mental health and substance-related
-2-1disorders including intensive mental health services provided
2through access centers and intensive residential service homes.
3 Sec. 3. Section 331.393, Code 2019, is amended by adding the
4following new subsection:
5 NEW SUBSECTION. 8A. The region’s budget and financing
6provisions for the next fiscal year may include expenses
7associated with providing services to persons with
8substance-related disorders and persons with co-occurring
9mental health and substance-related disorders including
10intensive mental health services provided through access
11centers and intensive residential service homes.
12 Sec. 4. Section 331.397, Code 2019, is amended by adding the
13following new subsection:
14 NEW SUBSECTION. 7A. Notwithstanding any other provision
15of this section to the contrary, a regional service system
16may provide funding to increase capacity to provide services
17to persons with substance-related disorders and persons with
18co-occurring mental health and substance-related disorders
19pursuant to section 331.391, subsection 4, paragraph “b”.
20 Sec. 5. EFFECTIVE DATE. This Act, being deemed of immediate
21importance, takes effect upon enactment.
22EXPLANATION
23The inclusion of this explanation does not constitute agreement with
24the explanation’s substance by the members of the general assembly.
25Under current law, if a mental health and disability
26services region is meeting the financial obligations for
27implementation of its regional service system management plan
28for a fiscal year and residual funding is anticipated, the
29regional administrator shall reserve an adequate amount of
30unobligated and unencumbered funds for cash flow of expenditure
31obligations in the next fiscal year. For fiscal years
32beginning July 1, 2017, July 1, 2018, and July 1, 2019, that
33portion of each region’s cash flow amount either reserved in
34the combined account or reserved among all separate county
35accounts under the control of the governing board that exceeds
-3-125 percent of the gross expenditures from the combined account
2or from all separate county accounts under the control of
3the governing board in the fiscal year preceding the fiscal
4year in progress are required to be used in whole or in part
5to fund the payment of services provided under the regional
6service system management plan. The bill provides that for
7fiscal years beginning July 1, 2018, and July 1, 2019, such
8funds may be used for expenses associated with increasing
9capacity to provide services to persons with substance-related
10disorders and persons with co-occurring mental health and
11substance-related disorders including intensive mental
12health services provided through access centers and intensive
13residential service homes.
14Current law requires each region to submit to the department
15of human services an annual service and budget plan approved
16by the region’s governing board and subject to the approval of
17the director of human services. The bill provides the annual
18service and budget plan may include a plan to provide services
19to persons with substance-related disorders and co-occurring
20mental health and substance-related disorders, including
21intensive mental health services provided through access
22centers and intensive residential service homes, and that a
23regional service system may provide funding for such services
24including any anticipated residual funding.
25The bill takes effect upon enactment.
-4-hb/rh
2with substance-related disorders and co-occurring mental
3health and substance-related disorders, including intensive
4mental health services provided through access centers and
5intensive residential service homes, and including effective
6date provisions.
7BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
1 Section 1. Section 331.391, subsection 4, paragraph b, Code
22019, is amended to read as follows:
3b. For fiscal years beginning July 1, 2017, July 1, 2018,
4and July 1, 2019, that portion of each region’s cash flow
5amount either reserved in the combined account or reserved
6among all separate county accounts under the control of the
7governing board that exceeds twenty-five percent of the gross
8expenditures from the combined account or from all separate
9county accounts under control of the governing board in the
10fiscal year preceding the fiscal year in progress shall be used
11in whole or in part to fund the payment of services provided
12under the regional service system management plan under section
13331.393, which for fiscal years beginning July 1, 2018, and
14July 1, 2019, may include expenses associated with increasing
15capacity to provide services to persons with substance-related
16disorders and persons with co-occurring mental health and
17substance-related disorders including intensive mental
18health services provided through access centers and intensive
19residential service homes.
20 Sec. 2. Section 331.393, subsection 2, Code 2019, is amended
21to read as follows:
222. Each region shall submit to the department an annual
23service and budget plan approved by the region’s governing
24board and subject to approval by the director of human
25services. Provisions for the director of human services’
26approval of the annual service and budget plan, and any
27amendments to the plan, and other requirements shall be
28specified in rule adopted by the state commission.
29a. The provisions addressed in the annual plan shall include
30but are not limited to all of the following:
31a. (1) The region’s budget and financing provisions for
32the next fiscal year. The provisions shall address how county,
33regional, state, and other funding sources will be used to meet
34the service needs within the region.
35b. (2) The scope of services included in addition to
-1-1the required core services. Each service included shall be
2described and projection of need and the funding necessary to
3meet the need shall be included.
4c. (3) The location of the local access points for
5services.
6d. (4) The plan for assuring effective crisis prevention,
7response, and resolution.
8e. (5) The provider reimbursement provisions. A region’s
9use of provider reimbursement approaches in addition to
10fee-for-service reimbursement and for compensating the
11providers engaged in a systems of care approach and other
12nontraditional providers shall be encouraged. A region also
13shall be encouraged to use and the department shall approve
14funding approaches that identify and incorporate all services
15and sources of funding used by persons receiving services,
16including medical assistance program funding.
17f. (6) Financial forecasting measures.
18g. (7) The targeted case managers designated for the
19region.
20h. (8) The financial eligibility requirements for service
21under the regional service system. A plan that otherwise
22incorporates the financial eligibility requirements of section
23331.395 but allows eligibility for persons with resources above
24the minimum resource limitations adopted pursuant to section
25331.395, subsection 1, paragraph “c”, who were eligible under
26resource limitations in effect prior to July 1, 2014, or are
27authorized by the region as an exception to policy, shall be
28deemed by the department to be in compliance with financial
29eligibility requirements of section 331.395.
30b. The provisions addressed in the annual plan may include
31a plan for the use of anticipated residual funding in excess
32of twenty-five percent of the gross expenditures as provided
33in section 331.391, subsection 4, paragraph “b”, to increase
34capacity to provide services to persons with substance-related
35disorders and co-occurring mental health and substance-related
-2-1disorders including intensive mental health services provided
2through access centers and intensive residential service homes.
3 Sec. 3. Section 331.393, Code 2019, is amended by adding the
4following new subsection:
5 NEW SUBSECTION. 8A. The region’s budget and financing
6provisions for the next fiscal year may include expenses
7associated with providing services to persons with
8substance-related disorders and persons with co-occurring
9mental health and substance-related disorders including
10intensive mental health services provided through access
11centers and intensive residential service homes.
12 Sec. 4. Section 331.397, Code 2019, is amended by adding the
13following new subsection:
14 NEW SUBSECTION. 7A. Notwithstanding any other provision
15of this section to the contrary, a regional service system
16may provide funding to increase capacity to provide services
17to persons with substance-related disorders and persons with
18co-occurring mental health and substance-related disorders
19pursuant to section 331.391, subsection 4, paragraph “b”.
20 Sec. 5. EFFECTIVE DATE. This Act, being deemed of immediate
21importance, takes effect upon enactment.
22EXPLANATION
23The inclusion of this explanation does not constitute agreement with
24the explanation’s substance by the members of the general assembly.
25Under current law, if a mental health and disability
26services region is meeting the financial obligations for
27implementation of its regional service system management plan
28for a fiscal year and residual funding is anticipated, the
29regional administrator shall reserve an adequate amount of
30unobligated and unencumbered funds for cash flow of expenditure
31obligations in the next fiscal year. For fiscal years
32beginning July 1, 2017, July 1, 2018, and July 1, 2019, that
33portion of each region’s cash flow amount either reserved in
34the combined account or reserved among all separate county
35accounts under the control of the governing board that exceeds
-3-125 percent of the gross expenditures from the combined account
2or from all separate county accounts under the control of
3the governing board in the fiscal year preceding the fiscal
4year in progress are required to be used in whole or in part
5to fund the payment of services provided under the regional
6service system management plan. The bill provides that for
7fiscal years beginning July 1, 2018, and July 1, 2019, such
8funds may be used for expenses associated with increasing
9capacity to provide services to persons with substance-related
10disorders and persons with co-occurring mental health and
11substance-related disorders including intensive mental
12health services provided through access centers and intensive
13residential service homes.
14Current law requires each region to submit to the department
15of human services an annual service and budget plan approved
16by the region’s governing board and subject to the approval of
17the director of human services. The bill provides the annual
18service and budget plan may include a plan to provide services
19to persons with substance-related disorders and co-occurring
20mental health and substance-related disorders, including
21intensive mental health services provided through access
22centers and intensive residential service homes, and that a
23regional service system may provide funding for such services
24including any anticipated residual funding.
25The bill takes effect upon enactment.
-4-hb/rh