(19) MENTAL HEALTH AND DISABILITY SERVICES — MISCELLANEOUS CHANGES (SF203) Draft relating to mental health and disability services requirements involving the department of human services and including effective date and retroactive applicability provisions.Be It Enacted by the General Assembly of the State of Iowa: (I) MENTAL HEALTH AND DISABILITY SERVICES CLIENT IDENTIFIER (1)Section 225C.6A, subsection 3, paragraph b, Code 2013, is amended to read as follows:b.In implementing a system under this subsection for collecting and analyzing state, county, and private contractor data, the department shall establish a client identifier for the individuals receiving services. The client identifier shall be used in lieu of the individual’s name or social security number. The client identifier shall consist of the last four digits of an individual’s social security number, the first three letters of the individual’s last name, the individual’s date of birth, and the individual’s gender in an order determined by the department. (II) INTERAGENCY INFORMATION SERVICE ON PERSONS WITH MENTAL DISABILITIES (2)REPEAL.Section 218.11, Code 2013, is repealed. (3)REPEAL.Chapter 220A, Code 2013, is repealed. (III) SUBACUTE MENTAL HEALTH CARE FACILITIES (4)Section 135G.3, subsections 1 and 2, Code 2013, are amended to read as follows:1.A subacute care facility shall utilize a team of professionals to direct an organized program of diagnostic services, subacute mental health services, and rehabilitative services to meet the needs of residents in accordance with a treatment care plan developed for each resident under the supervision of a licensed psychiatristmental health professional. The goal of a treatment care plan is to transition residents to a less restrictive environment, including a home-based community setting. Social and rehabilitative services shallalso be provided under the direction of a mental health professional.2.The licensed psychiatristmental health professional providing supervision of the subacute care facilityfacility’s treatment care plans shall evaluate the condition of each resident as medically necessary and shall be available to residents of the facility on an on-call basis at all other times. Additional evaluation and treatment may be provided by a mental health professional. The subacute care facility may employ a seclusion room meeting the conditions described in 42 C.F.R. § 483.364(b) with approval of thea licensed psychiatrist of the facility or by order of the resident’s physician, a physician assistant, or an advanced registered nurse practitioner. (5)Section 135G.4, subsection 2, Code 2013, is amended to read as follows:2.An intermediate care facility for persons with mental illness licensed under chapter 135C may convert to a subacute care facility by providingsubmitting an application for a license in accordance with section 135G.5 accompanied by written notice to the department that the facility has employed a full-time psychiatristmental health professional and desires to make the conversion.An intermediate care facility for persons with mental illness applying for a license under this subsection remains subject to subsection 1 until a license is issued. (6)EFFECTIVE UPON ENACTMENT.This division of this Act, being deemed of immediate importance, takes effect upon enactment. (7)RETROACTIVE APPLICABILITY.This division of this Act applies retroactively to July 1, 2012. (IV) COMMUNITY MENTAL HEALTH SERVICES BLOCK GRANT ALLOCATION (8)2011 Iowa Acts, chapter 126, section 20, subsection 1, paragraph d, is amended to read as follows:d.Of the amount allocated to eligible services providers under paragraph “c”, 70 percent shall be distributed to the state’s accredited community mental health centers established or designated by counties in accordance with lawchapter 230A orapplicable administrative rule. If a county has not established or designated a community mental health center and has received a waiver from the mental health and disability services commission, the mental health services provider designated by that county iswas designated as authorized in section 230A.107, subsection 2, the provider remains eligible to receive funding distributed pursuant to this paragraph in lieu ofas a community mental health center. The funding distributed shall be used by recipients of the funding for the purpose of developing and providing evidence-based practices and emergencystaff training or services to adults with a serious mental illness and children with a serious emotional disturbance. The distribution amounts shall be announced at the beginning of the federal fiscal year and distributed on a quarterly basis according to the formulas used in previous fiscal years. Recipients shall submit quarterly reports containing data consistent with the performance measures approved by the federal substance abuse and mental health services administration. (9)EFFECTIVE UPON ENACTMENT.This division of this Act, being deemed of immediate importance, takes effect upon enactment.Approved April 5, 2013
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