Bill Text: IA HSB233 | 2023-2024 | 90th General Assembly | Introduced
Bill Title: A bill for an act relating to state child care assistance eligibility requirements and child care provider reimbursement rates.(See HF 707.)
Spectrum: Committee Bill
Status: (Introduced - Dead) 2023-04-10 - Committee report approving bill, renumbered as HF 707. [HSB233 Detail]
Download: Iowa-2023-HSB233-Introduced.html
House
Study
Bill
233
-
Introduced
HOUSE
FILE
_____
BY
(PROPOSED
COMMITTEE
ON
APPROPRIATIONS
BILL
BY
CHAIRPERSON
MOHR)
A
BILL
FOR
An
Act
relating
to
state
child
care
assistance
eligibility
1
requirements
and
child
care
provider
reimbursement
rates.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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Section
1.
Section
237A.1,
Code
2023,
is
amended
by
adding
1
the
following
new
subsection:
2
NEW
SUBSECTION
.
7A.
“Children
needing
special
needs
care”
3
or
“special
needs
child”
means
a
child
or
children
with
one
or
4
more
of
the
following
conditions:
5
a.
The
child
has
been
diagnosed
by
a
physician
or
by
a
6
person
endorsed
for
service
as
a
school
psychologist
by
the
7
department
of
education
to
have
a
developmental
disability
8
which
substantially
limits
one
or
more
major
life
activities,
9
and
the
child
requires
professional
treatment,
assistance
in
10
self-care,
or
the
purchase
of
special
adaptive
equipment.
11
b.
The
child
has
been
determined
by
a
qualified
intellectual
12
disability
professional
to
have
a
condition
which
impairs
the
13
child’s
intellectual
and
social
functioning.
14
c.
The
child
has
been
diagnosed
by
a
mental
health
15
professional
to
have
a
behavioral
or
emotional
disorder
16
characterized
by
situationally
inappropriate
behavior
which
17
deviates
substantially
from
behavior
appropriate
to
the
18
child’s
age,
or
which
significantly
interferes
with
the
child’s
19
intellectual,
social,
or
personal
development.
20
Sec.
2.
Section
237A.13,
subsection
1,
paragraph
c,
Code
21
2023,
is
amended
to
read
as
follows:
22
c.
The
child’s
parent,
guardian,
or
custodian
is
employed
23
and
the
family
income
meets
income
requirements
a
minimum
of
24
thirty-two
hours
per
week
or
an
average
of
thirty-two
hours
per
25
week
during
the
month
.
26
Sec.
3.
Section
237A.13,
Code
2023,
is
amended
by
adding
the
27
following
new
subsection:
28
NEW
SUBSECTION
.
1A.
A
family
shall
only
be
initially
29
eligible
for
state
child
care
assistance
if
the
family’s
gross
30
monthly
income
does
not
exceed
the
lesser
of:
31
a.
(1)
One
hundred
fifty-five
percent
of
the
federal
32
poverty
level
applicable
to
the
family
size
for
children
33
needing
basic
care.
34
(2)
Two
hundred
percent
of
the
federal
poverty
level
35
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applicable
to
the
family
size
for
children
needing
special
1
needs
care.
2
b.
Eighty-five
percent
of
the
state
median
gross
monthly
3
income.
4
Sec.
4.
Section
237A.13,
subsection
3,
Code
2023,
is
amended
5
to
read
as
follows:
6
3.
The
department
shall
set
reimbursement
rates
as
7
authorized
by
appropriations
enacted
for
payment
of
the
8
reimbursements.
The
department
shall
conduct
a
statewide
9
reimbursement
rate
survey
to
compile
information
on
each
county
10
and
the
survey
shall
be
conducted
at
least
every
two
years.
11
The
department
shall
set
rates
in
a
manner
so
as
to
provide
12
incentives
for
an
unregistered
provider
to
become
registered.
13
Sec.
5.
Section
237A.13,
Code
2023,
is
amended
by
adding
the
14
following
new
subsection:
15
NEW
SUBSECTION
.
10.
The
department
shall
not
change
and
16
the
director
shall
not
provide
waivers
or
policy
exceptions
17
regarding
reimbursement
rates
for
child
care
providers
18
reimbursed
under
the
state
child
care
assistance
program
or
19
eligibility
requirements
for
a
family
participating
in
the
20
state
child
care
assistance
program
without
prior
enabling
21
legislation
in
this
state
passed
on
or
after
January
1,
2023.
22
Sec.
6.
DEPARTMENT
OF
HEALTH
AND
HUMAN
SERVICES
——
23
INCREASED
STATE
CHILD
CARE
ASSISTANCE
REIMBURSEMENT
RATES.
The
24
department
of
health
and
human
services
shall
amend
its
25
administrative
rules
pursuant
to
chapter
17A
to
increase
the
26
half-day
reimbursement
rates
paid
to
child
care
providers
27
reimbursed
under
the
state
child
care
assistance
program
as
28
follows:
29
1.
For
a
licensed
child
care
center:
30
a.
For
the
care
of
infants
and
toddlers
requiring
basic
31
care:
32
(1)
The
rate
for
providers
with
no
quality
rating
or
33
a
quality
rating
of
one,
two,
three,
or
four
shall
be
34
twenty-three
dollars
and
twenty-one
cents.
35
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(2)
The
rate
for
providers
with
a
quality
rating
of
five
1
shall
be
twenty-four
dollars
and
five
cents.
2
b.
For
the
care
of
preschool
children
requiring
basic
care:
3
(1)
The
rate
for
providers
with
no
quality
rating
shall
be
4
eighteen
dollars
and
ninety-eight
cents.
5
(2)
The
rate
for
providers
with
a
quality
rating
of
one
or
6
two
shall
be
nineteen
dollars
and
fifty
cents.
7
(3)
The
rate
for
providers
with
a
quality
rating
of
three
or
8
four
shall
be
twenty
dollars.
9
(4)
The
rate
for
providers
with
a
quality
rating
of
five
10
shall
be
twenty-one
dollars.
11
c.
For
school
age
children
requiring
basic
care:
12
(1)
The
rate
for
providers
with
no
quality
rating
shall
be
13
fifteen
dollars.
14
(2)
The
rate
for
providers
with
a
quality
rating
of
one
or
15
two
shall
be
fifteen
dollars
and
fifty
cents.
16
(3)
The
rate
for
providers
with
a
quality
rating
of
three
or
17
four
shall
be
sixteen
dollars.
18
(4)
The
rate
for
providers
with
a
quality
rating
of
five
19
shall
be
seventeen
dollars.
20
2.
For
a
category
A
or
B
child
development
home:
21
a.
For
the
care
of
infants
and
toddlers
requiring
basic
22
care:
23
(1)
The
rate
for
providers
with
no
quality
rating
or
a
24
quality
rating
of
one,
two,
three,
or
four
shall
be
fourteen
25
dollars.
26
(2)
The
rate
for
providers
with
a
quality
rating
of
five
27
shall
be
fifteen
dollars.
28
b.
For
the
care
of
infants
and
toddlers
with
special
needs:
29
(1)
The
rate
for
providers
with
no
quality
rating
or
a
30
quality
rating
of
one,
two,
three,
or
four
shall
be
twenty-one
31
dollars.
32
(2)
The
rate
for
providers
with
a
quality
rating
of
five
33
shall
be
twenty-two
dollars
and
fifty
cents.
34
c.
For
the
care
of
preschool
children
requiring
basic
care:
35
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(1)
The
rate
for
providers
with
no
quality
rating
shall
be
1
twelve
dollars
and
seventy-five
cents.
2
(2)
The
rate
for
providers
with
a
quality
rating
of
one
or
3
two
shall
be
thirteen
dollars.
4
(3)
The
rate
for
providers
with
a
quality
rating
of
three
or
5
four
shall
be
thirteen
dollars
and
seventy-five
cents.
6
(4)
The
rate
for
providers
with
a
quality
rating
of
five
7
shall
be
fifteen
dollars.
8
d.
For
the
care
of
preschool
children
with
special
needs:
9
(1)
The
rate
for
providers
with
no
quality
rating
shall
be
10
nineteen
dollars
and
thirteen
cents.
11
(2)
The
rate
for
providers
with
a
quality
rating
of
one
or
12
two
shall
be
nineteen
dollars
and
fifty
cents.
13
(3)
The
rate
for
providers
with
a
quality
rating
of
three
or
14
four
shall
be
twenty
dollars
and
sixty-three
cents.
15
(4)
The
rate
for
providers
with
a
quality
rating
of
five
16
shall
be
twenty-two
dollars
and
fifty
cents.
17
e.
For
the
care
of
school
age
children
requiring
basic
care:
18
(1)
The
rate
for
providers
with
no
quality
rating
shall
be
19
eleven
dollars
and
twenty-five
cents.
20
(2)
The
rate
for
providers
with
a
quality
rating
of
one
or
21
two
shall
be
twelve
dollars
and
fifty
cents.
22
(3)
The
rate
for
providers
with
a
quality
rating
of
three
or
23
four
shall
be
thirteen
dollars.
24
(4)
The
rate
for
providers
with
a
quality
rating
of
five
25
shall
be
thirteen
dollars
and
fifty
cents.
26
f.
For
the
care
of
school
age
children
with
special
needs:
27
(1)
The
rate
for
providers
with
no
quality
rating
shall
be
28
sixteen
dollars
and
eighty-eight
cents.
29
(2)
The
rate
for
providers
with
a
quality
rating
of
one
or
30
two
shall
be
eighteen
dollars
and
seventy-five
cents.
31
(3)
The
rate
for
providers
with
a
quality
rating
of
three
or
32
four
shall
be
nineteen
dollars
and
fifty
cents.
33
(4)
The
rate
for
providers
with
a
quality
rating
of
five
34
shall
be
twenty
dollars
and
twenty-five
cents.
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3.
For
a
category
C
child
development
home:
1
a.
For
the
care
of
infants
and
toddlers
requiring
basic
2
care:
3
(1)
The
rate
for
providers
with
no
quality
rating
or
a
4
quality
rating
of
one,
two,
three,
or
four
shall
be
fifteen
5
dollars
and
twenty-five
cents.
6
(2)
The
rate
for
providers
with
a
quality
rating
of
five
7
shall
be
sixteen
dollars
and
twenty-five
cents.
8
b.
For
the
care
of
infants
and
toddlers
with
special
needs:
9
(1)
The
rate
for
providers
with
no
quality
rating
or
a
10
quality
rating
of
one,
two,
three,
or
four
shall
be
twenty-two
11
dollars
and
eighty-eight
cents.
12
(2)
The
rate
for
providers
with
a
quality
rating
of
five
13
shall
be
twenty-four
dollars
and
thirty-eight
cents.
14
c.
For
the
care
of
preschool
children
requiring
basic
care:
15
(1)
The
rate
for
providers
with
no
quality
rating
or
a
16
quality
rating
of
one,
two,
three,
or
four
shall
be
fifteen
17
dollars.
18
(2)
The
rate
for
providers
with
a
quality
rating
of
five
19
shall
be
sixteen
dollars.
20
d.
For
the
care
of
preschool
children
with
special
needs:
21
(1)
The
rate
for
providers
with
no
quality
rating
or
a
22
rating
of
one,
two,
three,
or
four
shall
be
twenty-two
dollars
23
and
fifty
cents.
24
(2)
The
rate
for
providers
with
a
quality
rating
of
five
25
shall
be
twenty-four
dollars.
26
e.
For
the
care
of
school
age
children
requiring
basic
care:
27
(1)
The
rate
for
providers
with
no
quality
rating
shall
be
28
thirteen
dollars.
29
(2)
The
rate
for
providers
with
a
quality
rating
of
one
or
30
two
shall
be
thirteen
dollars
and
seventy-five
cents.
31
(3)
The
rate
for
providers
with
a
quality
rating
of
three
or
32
four
shall
be
fourteen
dollars
and
fifty
cents.
33
(4)
The
rate
for
providers
with
a
quality
rating
of
five
34
shall
be
fifteen
dollars.
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f.
For
the
care
of
school
age
children
with
special
needs:
1
(1)
The
rate
for
providers
with
no
quality
rating
shall
be
2
nineteen
dollars
and
fifty
cents.
3
(2)
The
rate
for
providers
with
a
quality
rating
of
one
or
4
two
shall
be
twenty
dollars
and
sixty-three
cents.
5
(3)
The
rate
for
providers
with
a
quality
rating
of
three
or
6
four
shall
be
twenty-one
dollars
and
seventy-five
cents.
7
(4)
The
rate
for
providers
with
a
quality
rating
of
five
8
shall
be
twenty-two
dollars
and
fifty
cents.
9
EXPLANATION
10
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
11
the
explanation’s
substance
by
the
members
of
the
general
assembly.
12
This
bill
relates
to
state
child
care
assistance
eligibility
13
requirements
and
child
care
provider
reimbursement
rates.
14
The
bill
defines
“child
needing
special
needs
care”
or
15
“special
needs
child”
as
a
child
that
has
been
diagnosed
16
by
a
physician
or
by
a
person
endorsed
for
service
as
a
17
school
psychologist
by
the
department
of
education
to
have
a
18
developmental
disability
which
substantially
limits
one
or
more
19
major
life
activities,
and
the
child
requires
professional
20
treatment,
assistance
in
self-care,
or
the
purchase
of
special
21
adaptive
equipment;
determined
by
a
qualified
intellectual
22
disability
professional
to
have
a
condition
which
impairs
the
23
child’s
intellectual
and
social
functioning;
diagnosed
by
a
24
mental
health
professional
to
have
a
behavioral
or
emotional
25
disorder
characterized
by
situationally
inappropriate
behavior
26
which
deviates
substantially
from
behavior
appropriate
to
the
27
child’s
age,
or
which
significantly
interferes
with
the
child’s
28
intellectual,
social,
or
personal
development;
or
a
combination
29
of
these
conditions.
30
The
bill
requires
a
child’s
parent,
guardian,
or
custodian
31
who
is
employed
to
work
a
minimum
of
32
hours
per
week
or
an
32
average
of
32
hours
per
week
during
the
month
in
order
to
be
33
eligible
for
state
child
care
assistance.
34
The
bill
provides
that
a
family
shall
only
be
initially
35
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eligible
for
state
child
care
assistance
if
the
family’s
gross
1
monthly
income
does
not
exceed
the
lesser
of:
1)
155
percent
2
of
the
federal
poverty
level
applicable
to
the
family
size
for
3
children
needing
basic
care,
2)
200
percent
of
the
federal
4
poverty
level
applicable
to
the
family
size
for
children
5
needing
special
needs
care,
or
3)
85
percent
of
the
state
6
median
gross
monthly
income.
7
The
bill
prohibits
the
department
of
health
and
human
8
services
(HHS)
and
the
director
of
HHS
from
changing,
providing
9
waivers
regarding,
or
making
policy
exceptions
regarding
10
reimbursement
rates
for
child
care
providers
reimbursed
11
under
the
state
child
care
assistance
program
or
eligibility
12
requirements
for
a
family
participating
in
the
state
child
care
13
assistance
program
without
prior
enabling
legislation
in
this
14
state
passed
on
or
after
January
1,
2023.
15
The
bill
directs
HHS
to
implement
various
half-day
16
reimbursement
rate
increases
to
child
care
providers
reimbursed
17
under
the
state
child
care
assistance
program.
18
The
bill
makes
a
conforming
change
to
Code
section
19
237A.13(3)
to
reflect
HHS’s
ability
to
set
rates
only
when
20
authorized
by
prior
enabling
legislation
passed
on
or
after
21
January
1,
2023.
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