Bill Text: IA HF2331 | 2017-2018 | 87th General Assembly | Introduced
Bill Title: A bill for an act relating to mental health services, including the provision of intensive residential service homes for persons with serious and persistent mental illness under Medicaid managed care and out-of-state placements for persons with mental illness.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2018-02-13 - Introduced, referred to Human Resources. H.J. 258. [HF2331 Detail]
Download: Iowa-2017-HF2331-Introduced.html
House File 2331 - Introduced HOUSE FILE BY ROGERS A BILL FOR 1 An Act relating to mental health services, including the 2 provision of intensive residential service homes for persons 3 with serious and persistent mental illness under Medicaid 4 managed care and out=of=state placements for persons with 5 mental illness. 6 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: TLSB 6076YH (4) 87 hb/rh PAG LIN 1 1 Section 1. DEPARTMENT OF HUMAN SERVICES == INTENSIVE 1 2 RESIDENTIAL SERVICE HOMES FOR PERSONS WITH SERIOUS AND 1 3 PERSISTENT MENTAL ILLNESS. 1 4 1. The department of human services shall establish 1 5 intensive residential service homes (IRSH) to serve children or 1 6 adults diagnosed with a serious and persistent mental illness 1 7 and that may also have an accompanying co=occurring diagnosis 1 8 of developmental or intellectual disability or substance use 1 9 disorder. Each IRSH shall contain sixteen or fewer beds. The 1 10 department shall adopt rules pursuant to chapter 17A that 1 11 require each IRSH to meet all of the following requirements: 1 12 a. Be located in an area zoned for single or multiple=family 1 13 housing. 1 14 b. Provide staffing twenty=four hours a day, seven days a 1 15 week, and have a staff=to=resident ratio of two residents per 1 16 staff member. 1 17 c. Ensure treatment plans are developed by a comprehensive 1 18 interdisciplinary team selected by the person that the 1 19 comprehensive interdisciplinary team develops and implements 1 20 the person's person=centered plan. 1 21 d. Ensure access to active medication management and 1 22 outpatient therapy, including evidence=based therapy. 1 23 e. Provide access to assertive community treatment services 1 24 if there is a demonstrated need. 1 25 f. Develop, as appropriate, a thorough wellness recovery 1 26 action plan. 1 27 g. Be licensed as a substance use disorder treatment program 1 28 or have a cooperative agreement with a licensed substance use 1 29 disorder treatment services facility. 1 30 h. Accept persons who are court=ordered for treatment. 1 31 i. Accept persons referred to the IRSH regardless of 1 32 the severity of a person's mental illness or co=occurring 1 33 condition. 1 34 j. Serve persons with similar conditions and diagnoses. 1 35 2. The department shall establish criteria for admission to 2 1 IRSHs based on the December 2017 report of the complex service 2 2 needs workgroup created by the department of human services 2 3 pursuant to 2017 Iowa Acts, chapter 109, section 17. 2 4 3. The department shall work with stakeholders, Medicaid 2 5 managed care organizations, and mental health and disability 2 6 services regions to establish reimbursement rates as an 2 7 expansion of the tiered rate system of reimbursement for 2 8 habilitation services. 2 9 Sec. 2. DEPARTMENT OF HUMAN SERVICES == OUT=OF=STATE 2 10 PLACEMENT OF PERSONS WITH MENTAL ILLNESS. The department 2 11 of human services shall study the number of out=of=state 2 12 placements for care and treatment of persons with mental 2 13 illness, the reasons for and costs associated with such 2 14 placements, and any other factors the department deems 2 15 necessary to review and analyze the effectiveness of such 2 16 out=of=state placements. The department shall provide a report 2 17 containing findings and recommendations to the governor and 2 18 general assembly by December 15, 2018. 2 19 EXPLANATION 2 20 The inclusion of this explanation does not constitute agreement with 2 21 the explanation's substance by the members of the general assembly. 2 22 This bill directs the department of human services to 2 23 establish intensive residential service homes (IRSH) to serve 2 24 children or adults diagnosed with a serious and persistent 2 25 mental illness and any accompanying co=occurring diagnosis 2 26 of developmental or intellectual disability or substance use 2 27 disorder. The IRSHs shall contain 16 or fewer beds. The bill 2 28 provides that the department shall adopt rules that require 2 29 an IRSH home to be located in an area zoned for single or 2 30 multiple=family housing; be staffed 24 hours a day, seven days 2 31 per week, and have a staff=to=resident ratio of two residents 2 32 per staff member; ensure treatment plans are developed by a 2 33 comprehensive interdisciplinary team selected by the person 2 34 that the comprehensive interdisciplinary team develops and 2 35 implements the person's person=centered plan; ensure access to 3 1 active medication management and outpatient therapy, including 3 2 evidence=based therapy; provide access to assertive community 3 3 treatment services if there is a demonstrated need; develop, 3 4 as appropriate, a thorough wellness recovery action plan; be 3 5 licensed as a substance use disorder treatment program or 3 6 have a cooperative agreement with a licensed substance use 3 7 disorder treatment services facility; accept persons who are 3 8 court=ordered for treatment; accept persons regardless of 3 9 the severity of a person's mental illness or co=occurring 3 10 condition; and serve persons with similar conditions and 3 11 diagnoses. The bill directs the department to establish 3 12 criteria for admission to an IRSH based on the December 2017 3 13 report from the complex service needs workgroup created by the 3 14 department pursuant to 2017 Iowa Acts, chapter 109, section 17. 3 15 The department is required to work with stakeholders, Medicaid 3 16 managed care organizations, and mental health and disability 3 17 services regions to establish reimbursement rates based on the 3 18 tiered rate system for habilitation services. 3 19 The bill requires the department to study the number of 3 20 out=of=state placements for care and treatment of persons 3 21 with mental illness and submit a report with findings and 3 22 recommendations to the governor and general assembly by 3 23 December 15, 2018. LSB 6076YH (4) 87 hb/rh
