Bill Text: IA HF243 | 2019-2020 | 88th General Assembly | Introduced
Bill Title: A bill for an act relating to county funding of services for persons with substance-related disorders and co-occurring mental health and substance-related disorders, including intensive mental health services provided through access centers and intensive residential service homes, and including effective date provisions.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2019-02-06 - Introduced, referred to Human Resources. H.J. 216. [HF243 Detail]
Download: Iowa-2019-HF243-Introduced.html
House
File
243
-
Introduced
HOUSE
FILE
243
BY
ISENHART
A
BILL
FOR
An
Act
relating
to
county
funding
of
services
for
persons
1
with
substance-related
disorders
and
co-occurring
mental
2
health
and
substance-related
disorders,
including
intensive
3
mental
health
services
provided
through
access
centers
and
4
intensive
residential
service
homes,
and
including
effective
5
date
provisions.
6
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
7
TLSB
1334YH
(5)
88
hb/rh
H.F.
243
Section
1.
Section
331.391,
subsection
4,
paragraph
b,
Code
1
2019,
is
amended
to
read
as
follows:
2
b.
For
fiscal
years
beginning
July
1,
2017,
July
1,
2018,
3
and
July
1,
2019,
that
portion
of
each
region’s
cash
flow
4
amount
either
reserved
in
the
combined
account
or
reserved
5
among
all
separate
county
accounts
under
the
control
of
the
6
governing
board
that
exceeds
twenty-five
percent
of
the
gross
7
expenditures
from
the
combined
account
or
from
all
separate
8
county
accounts
under
control
of
the
governing
board
in
the
9
fiscal
year
preceding
the
fiscal
year
in
progress
shall
be
used
10
in
whole
or
in
part
to
fund
the
payment
of
services
provided
11
under
the
regional
service
system
management
plan
under
section
12
331.393
,
which
for
fiscal
years
beginning
July
1,
2018,
and
13
July
1,
2019,
may
include
expenses
associated
with
increasing
14
capacity
to
provide
services
to
persons
with
substance-related
15
disorders
and
persons
with
co-occurring
mental
health
and
16
substance-related
disorders
including
intensive
mental
17
health
services
provided
through
access
centers
and
intensive
18
residential
service
homes
.
19
Sec.
2.
Section
331.393,
subsection
2,
Code
2019,
is
amended
20
to
read
as
follows:
21
2.
Each
region
shall
submit
to
the
department
an
annual
22
service
and
budget
plan
approved
by
the
region’s
governing
23
board
and
subject
to
approval
by
the
director
of
human
24
services.
Provisions
for
the
director
of
human
services’
25
approval
of
the
annual
service
and
budget
plan,
and
any
26
amendments
to
the
plan,
and
other
requirements
shall
be
27
specified
in
rule
adopted
by
the
state
commission.
28
a.
The
provisions
addressed
in
the
annual
plan
shall
include
29
but
are
not
limited
to
all
of
the
following:
30
a.
(1)
The
region’s
budget
and
financing
provisions
for
31
the
next
fiscal
year.
The
provisions
shall
address
how
county,
32
regional,
state,
and
other
funding
sources
will
be
used
to
meet
33
the
service
needs
within
the
region.
34
b.
(2)
The
scope
of
services
included
in
addition
to
35
-1-
LSB
1334YH
(5)
88
hb/rh
1/
4
H.F.
243
the
required
core
services.
Each
service
included
shall
be
1
described
and
projection
of
need
and
the
funding
necessary
to
2
meet
the
need
shall
be
included.
3
c.
(3)
The
location
of
the
local
access
points
for
4
services.
5
d.
(4)
The
plan
for
assuring
effective
crisis
prevention,
6
response,
and
resolution.
7
e.
(5)
The
provider
reimbursement
provisions.
A
region’s
8
use
of
provider
reimbursement
approaches
in
addition
to
9
fee-for-service
reimbursement
and
for
compensating
the
10
providers
engaged
in
a
systems
of
care
approach
and
other
11
nontraditional
providers
shall
be
encouraged.
A
region
also
12
shall
be
encouraged
to
use
and
the
department
shall
approve
13
funding
approaches
that
identify
and
incorporate
all
services
14
and
sources
of
funding
used
by
persons
receiving
services,
15
including
medical
assistance
program
funding.
16
f.
(6)
Financial
forecasting
measures.
17
g.
(7)
The
targeted
case
managers
designated
for
the
18
region.
19
h.
(8)
The
financial
eligibility
requirements
for
service
20
under
the
regional
service
system.
A
plan
that
otherwise
21
incorporates
the
financial
eligibility
requirements
of
section
22
331.395
but
allows
eligibility
for
persons
with
resources
above
23
the
minimum
resource
limitations
adopted
pursuant
to
section
24
331.395,
subsection
1
,
paragraph
“c”
,
who
were
eligible
under
25
resource
limitations
in
effect
prior
to
July
1,
2014,
or
are
26
authorized
by
the
region
as
an
exception
to
policy,
shall
be
27
deemed
by
the
department
to
be
in
compliance
with
financial
28
eligibility
requirements
of
section
331.395
.
29
b.
The
provisions
addressed
in
the
annual
plan
may
include
30
a
plan
for
the
use
of
anticipated
residual
funding
in
excess
31
of
twenty-five
percent
of
the
gross
expenditures
as
provided
32
in
section
331.391,
subsection
4,
paragraph
“b”
,
to
increase
33
capacity
to
provide
services
to
persons
with
substance-related
34
disorders
and
co-occurring
mental
health
and
substance-related
35
-2-
LSB
1334YH
(5)
88
hb/rh
2/
4
H.F.
243
disorders
including
intensive
mental
health
services
provided
1
through
access
centers
and
intensive
residential
service
homes.
2
Sec.
3.
Section
331.393,
Code
2019,
is
amended
by
adding
the
3
following
new
subsection:
4
NEW
SUBSECTION
.
8A.
The
region’s
budget
and
financing
5
provisions
for
the
next
fiscal
year
may
include
expenses
6
associated
with
providing
services
to
persons
with
7
substance-related
disorders
and
persons
with
co-occurring
8
mental
health
and
substance-related
disorders
including
9
intensive
mental
health
services
provided
through
access
10
centers
and
intensive
residential
service
homes.
11
Sec.
4.
Section
331.397,
Code
2019,
is
amended
by
adding
the
12
following
new
subsection:
13
NEW
SUBSECTION
.
7A.
Notwithstanding
any
other
provision
14
of
this
section
to
the
contrary,
a
regional
service
system
15
may
provide
funding
to
increase
capacity
to
provide
services
16
to
persons
with
substance-related
disorders
and
persons
with
17
co-occurring
mental
health
and
substance-related
disorders
18
pursuant
to
section
331.391,
subsection
4,
paragraph
“b”
.
19
Sec.
5.
EFFECTIVE
DATE.
This
Act,
being
deemed
of
immediate
20
importance,
takes
effect
upon
enactment.
21
EXPLANATION
22
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
23
the
explanation’s
substance
by
the
members
of
the
general
assembly.
24
Under
current
law,
if
a
mental
health
and
disability
25
services
region
is
meeting
the
financial
obligations
for
26
implementation
of
its
regional
service
system
management
plan
27
for
a
fiscal
year
and
residual
funding
is
anticipated,
the
28
regional
administrator
shall
reserve
an
adequate
amount
of
29
unobligated
and
unencumbered
funds
for
cash
flow
of
expenditure
30
obligations
in
the
next
fiscal
year.
For
fiscal
years
31
beginning
July
1,
2017,
July
1,
2018,
and
July
1,
2019,
that
32
portion
of
each
region’s
cash
flow
amount
either
reserved
in
33
the
combined
account
or
reserved
among
all
separate
county
34
accounts
under
the
control
of
the
governing
board
that
exceeds
35
-3-
LSB
1334YH
(5)
88
hb/rh
3/
4
H.F.
243
25
percent
of
the
gross
expenditures
from
the
combined
account
1
or
from
all
separate
county
accounts
under
the
control
of
2
the
governing
board
in
the
fiscal
year
preceding
the
fiscal
3
year
in
progress
are
required
to
be
used
in
whole
or
in
part
4
to
fund
the
payment
of
services
provided
under
the
regional
5
service
system
management
plan.
The
bill
provides
that
for
6
fiscal
years
beginning
July
1,
2018,
and
July
1,
2019,
such
7
funds
may
be
used
for
expenses
associated
with
increasing
8
capacity
to
provide
services
to
persons
with
substance-related
9
disorders
and
persons
with
co-occurring
mental
health
and
10
substance-related
disorders
including
intensive
mental
11
health
services
provided
through
access
centers
and
intensive
12
residential
service
homes.
13
Current
law
requires
each
region
to
submit
to
the
department
14
of
human
services
an
annual
service
and
budget
plan
approved
15
by
the
region’s
governing
board
and
subject
to
the
approval
of
16
the
director
of
human
services.
The
bill
provides
the
annual
17
service
and
budget
plan
may
include
a
plan
to
provide
services
18
to
persons
with
substance-related
disorders
and
co-occurring
19
mental
health
and
substance-related
disorders,
including
20
intensive
mental
health
services
provided
through
access
21
centers
and
intensive
residential
service
homes,
and
that
a
22
regional
service
system
may
provide
funding
for
such
services
23
including
any
anticipated
residual
funding.
24
The
bill
takes
effect
upon
enactment.
25
-4-
LSB
1334YH
(5)
88
hb/rh
4/
4