Bill Text: IA SF2306 | 2023-2024 | 90th General Assembly | Introduced
Bill Title: A bill for an act relating to options for long-term care, and making appropriations.
Spectrum: Partisan Bill (Democrat 15-0)
Status: (Introduced) 2024-02-15 - Subcommittee: Edler, Costello, and Trone Garriott. S.J. 307. [SF2306 Detail]
Download: Iowa-2023-SF2306-Introduced.html
Senate
File
2306
-
Introduced
SENATE
FILE
2306
BY
CELSI
,
DONAHUE
,
WEINER
,
JOCHUM
,
BISIGNANO
,
DOTZLER
,
TRONE
GARRIOTT
,
T.
TAYLOR
,
WINCKLER
,
KNOX
,
BOULTON
,
PETERSEN
,
QUIRMBACH
,
WAHLS
,
and
BENNETT
A
BILL
FOR
An
Act
relating
to
options
for
long-term
care,
and
making
1
appropriations.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
TLSB
5051XS
(16)
90
pf/ko
S.F.
2306
Section
1.
MEDICAID
——
REIMBURSEMENT
OF
TRANSPORTATION
1
COSTS
——
HOME
HEALTH
CARE
PROVIDERS.
The
department
of
2
health
and
human
services
shall
establish
a
rate
structure
for
3
reimbursement
of
the
transportation
costs
of
home
health
care
4
providers
by
incorporating
an
increased
reimbursement
amount
5
into
the
existing
home
health
care
provider
reimbursement
rate
6
that
reflects
the
total
time
expended
by
a
home
health
care
7
provider,
including
the
provider’s
travel
time,
in
the
per
8
visit
reimbursement.
The
department
shall
submit
a
report
on
9
the
reimbursement
rate
structure
and
the
projected
cost
of
10
application
of
the
reimbursement
rate
structure
to
the
governor
11
and
the
general
assembly
by
December
1,
2024.
12
Sec.
2.
OPTIONS
FOR
LONG-TERM
LIVING
——
STUDY
——
REPORT.
13
1.
Pursuant
to
section
231.58,
and
considering
the
intent
of
14
the
general
assembly
for
the
long-term
living
system
in
Iowa
15
pursuant
to
section
231F.1,
including
maximizing
independence,
16
choice,
and
dignity
for
consumers,
the
director
of
health
17
and
human
services
shall
convene
a
study
group
to
facilitate
18
the
coordination
of
long-term
living
system
policy,
service
19
delivery,
and
long-range
planning
by
performing
a
focused
20
review
of
the
alternatives
for
the
long-term
living
system
in
21
the
state.
22
2.
The
study
group
shall
include
all
of
the
following
23
members:
24
a.
The
director
of
health
and
human
services.
25
b.
The
division
director
of
the
division
of
aging
and
26
disability
services
of
the
department
of
health
and
human
27
services.
28
c.
The
director
of
the
department
of
inspections,
appeals,
29
and
licensing.
30
d.
The
state
director
of
AARP
Iowa,
or
the
director’s
31
designee.
32
e.
The
executive
director
of
each
area
agency
on
aging,
or
33
the
director’s
designee.
34
f.
The
co-chairpersons
of
the
older
Iowans
legislature.
35
-1-
LSB
5051XS
(16)
90
pf/ko
1/
5
S.F.
2306
g.
The
executive
director
of
the
Iowa
caregivers
1
association,
or
the
executive
director’s
designee.
2
h.
The
executive
director
of
the
Alzheimer’s
association,
3
Iowa
chapter,
or
the
executive
director’s
designee.
4
i.
The
executive
director
of
disability
rights
Iowa,
or
the
5
executive
director’s
designee.
6
j.
The
director
of
the
Barbara
and
Richard
Csomay
center
7
for
gerontological
excellence,
at
the
state
university
of
Iowa
8
college
of
nursing,
or
the
director’s
designee.
9
k.
The
director
of
the
gerontology
program
at
Iowa
state
10
university
of
science
and
technology,
or
the
director’s
11
designee.
12
l.
The
director
of
the
university
of
northern
Iowa
school
of
13
applied
human
sciences,
or
the
director’s
designee.
14
m.
The
president
and
vice
president
of
the
Hale
group.
15
3.
The
review
shall
include
a
survey
of
existing
long-term
16
living
approaches
utilized
in
other
states
and
innovative
17
approaches
such
as
the
greenhouse
system,
adult
family
homes,
18
and
elder
group
homes,
with
the
goal
of
providing
Iowans
with
19
access
to
an
extensive
range
of
high-quality,
affordable,
and
20
cost-effective
long-term
living
options.
The
review
shall
also
21
consider
how
the
state
may
assist
nursing
facilities
which
are
22
not
at
full
occupancy
by
incorporating
other
sectors
including
23
but
not
limited
to
child
care,
adult
day
care,
and
home
health
24
services.
25
4.
The
study
group
shall
submit
a
report
of
its
findings
26
and
recommendations
including
a
summary
of
existing
and
27
innovative
approaches,
how
other
states
have
successfully
28
implemented
existing
approaches,
and
how
the
state
of
Iowa
can
29
encourage
development
of
the
identified
existing
and
innovative
30
approaches
in
this
state,
to
the
governor
and
the
general
31
assembly
by
December
15,
2024.
32
Sec.
3.
ADULT
DAY
CARE
PROVIDERS
——
MEDICAID
33
REIMBURSEMENT.
For
the
fiscal
year
beginning
July
1,
34
2024,
reimbursement
rates
under
the
Medicaid
program
for
adult
35
-2-
LSB
5051XS
(16)
90
pf/ko
2/
5
S.F.
2306
day
care
providers
who
provide
services
to
Medicaid
home
and
1
community-based
services
waiver
recipients
shall
be
increased
2
by
five
percent
over
the
reimbursement
rates
in
effect
on
June
3
30,
2024.
4
Sec.
4.
IOWA
RETURN
TO
COMMUNITY
PROGRAM
——
5
APPROPRIATION.
There
is
appropriated
from
the
general
6
fund
of
the
state
to
the
department
of
health
and
human
7
services
for
the
fiscal
year
beginning
July
1,
2024,
and
8
ending
June
30,
2025,
the
following
amount,
or
so
much
9
thereof
as
is
necessary,
to
be
used
in
collaboration
with
10
affected
stakeholders
to
continue
to
expand
the
Iowa
return
to
11
community
program
to
assist
non-Medicaid-eligible
consumers
12
who
indicate
a
preference
to
return
to
the
community
and
are
13
deemed
appropriate
for
discharge,
to
return
to
their
community
14
following
a
nursing
facility
or
hospital
stay:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
16
The
department
of
health
and
human
services
shall
submit
to
17
the
governor
and
the
general
assembly
by
December
15,
2024,
an
18
estimate
of
the
cost
to
fully
fund
an
expansion
of
the
Iowa
19
return
to
community
program
to
provide
access
to
all
interested
20
consumers.
21
Sec.
5.
STATEWIDE
DEMENTIA
CARE
COORDINATOR
——
DEMENTIA
22
SERVICE
SPECIALISTS
——
APPROPRIATION.
There
is
appropriated
23
from
the
general
fund
of
the
state
to
the
department
of
health
24
and
human
services
for
the
fiscal
year
beginning
July
1,
2024,
25
and
ending
June
30,
2025,
the
following
amount
or
so
much
26
thereof
as
is
necessary,
for
the
department
of
health
and
27
human
services
to
employ
a
statewide
dementia
care
coordinator
28
within
the
department
to
provide
statewide
coordination
of
29
dementia-friendly
initiatives
including
efforts
pursuant
to
30
section
231.62;
to
coordinate
dementia
service
specialists
31
in
each
area
agency
on
aging;
to
provide
grants
to
each
32
area
agency
on
aging
to
employ
a
dementia
service
specialist
33
to
increase
access
and
connections
to
local
supports
and
34
services
for
persons
living
with
dementia,
their
families,
35
-3-
LSB
5051XS
(16)
90
pf/ko
3/
5
S.F.
2306
and
caregivers;
to
evaluate
the
availability
of
respite
care
1
for
family
caregivers
of
persons
with
dementia
and
to
provide
2
recommendations
to
the
department
and
the
general
assembly
3
on
how
to
meet
the
demand;
and
to
increase
awareness
about
4
dementia
within
the
network
of
area
agency
on
aging
providers
5
as
well
as
in
communities,
businesses,
health
care
facilities,
6
and
assisted
living
programs
throughout
the
state:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
750,000
8
EXPLANATION
9
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
10
the
explanation’s
substance
by
the
members
of
the
general
assembly.
11
This
bill
relates
to
options
for
long-term
living
and
12
funding
of
long-term
care
services.
13
The
bill
requires
the
department
of
health
and
human
14
services
(HHS)
to
establish
a
rate
structure
for
reimbursement
15
of
the
transportation
costs
of
home
health
care
providers
by
16
incorporating
an
increased
reimbursement
amount
for
travel
17
time
into
the
per
visit
reimbursement.
The
department
shall
18
submit
a
report
of
the
rate
structure
and
the
projected
cost
of
19
application
of
the
reimbursement
rate
structure
to
the
governor
20
and
the
general
assembly
by
December
1,
2024.
21
The
bill
requires
that
pursuant
to
Code
section
231.58
22
(long-term
living
coordination)
and
considering
the
intent
of
23
the
general
assembly
for
the
long-term
living
system
in
Iowa
24
pursuant
to
Code
section
231F.1
(intent
for
Iowa’s
long-term
25
living
system),
including
maximizing
independence,
choice,
26
and
dignity
for
consumers,
the
director
of
HHS
shall
convene
27
a
study
group
that
includes
members
specified
in
the
bill
to
28
perform
a
focused
review
of
the
alternatives
for
long-term
29
living
options
in
the
state.
The
review
shall
include
a
survey
30
of
existing
approaches
utilized
in
other
states
and
innovative
31
approaches
such
as
the
greenhouse
system,
adult
family
homes,
32
and
elder
group
homes,
with
the
goal
of
providing
Iowans
with
33
access
to
an
extensive
range
of
high-quality,
affordable,
and
34
cost-effective
long-term
living
options.
The
review
shall
also
35
-4-
LSB
5051XS
(16)
90
pf/ko
4/
5
S.F.
2306
consider
how
the
state
may
assist
nursing
facilities
not
at
1
full
occupancy
by
incorporating
other
sectors,
including
child
2
care,
adult
day
care,
and
home
health
care.
The
study
group
3
shall
submit
a
report
of
its
findings
and
recommendations
to
4
the
governor
and
the
general
assembly
by
December
15,
2024.
5
The
bill
provides
that
for
FY
2024-2025,
Medicaid
6
reimbursement
rates
for
adult
day
care
providers
who
provide
7
services
to
Medicaid
home
and
community-based
services
waiver
8
recipients
shall
be
increased
by
5
percent
over
the
rates
in
9
effect
on
June
30,
2024.
10
The
bill
makes
an
appropriation
to
HHS
for
FY
2024-2025
from
11
the
general
fund
of
the
state
to
be
used
in
collaboration
with
12
affected
stakeholders
to
continue
to
expand
the
Iowa
return
13
to
community
program.
The
bill
requires
HHS
to
submit
to
the
14
governor
and
the
general
assembly
by
December
15,
2024,
an
15
estimate
of
the
cost
to
fully
fund
an
expansion
of
the
Iowa
16
return
to
community
program
to
provide
access
to
all
interested
17
consumers.
18
The
bill
makes
an
appropriation
to
HHS
for
FY
2024-2025
19
from
the
general
fund
of
the
state
to
be
used
by
HHS
to
employ
20
a
statewide
dementia
care
coordinator
within
HHS
to
provide
21
statewide
coordination
of
dementia-friendly
initiatives
22
including
efforts
pursuant
to
Code
section
231.62
(Alzheimer’s
23
disease
services
and
assistance);
to
coordinate
dementia
24
service
specialists
in
each
area
agency
on
aging;
to
provide
25
grants
to
each
area
agency
on
aging
to
employ
a
dementia
26
service
specialist
to
increase
access
and
connections
to
local
27
supports
and
services
for
persons
living
with
dementia,
their
28
families,
and
caregivers;
to
evaluate
the
availability
of
29
respite
for
family
caregivers
of
persons
with
dementia
and
make
30
recommendations
to
meet
the
demand;
and
to
increase
awareness
31
about
dementia
within
the
network
of
area
agency
on
aging
32
providers
as
well
as
in
communities,
businesses,
health
care
33
facilities,
and
assisted
living
programs
throughout
the
state.
34
-5-
LSB
5051XS
(16)
90
pf/ko
5/
5
