Read the full stored bill text
House
File
584
-
Introduced
HOUSE
FILE
584
BY
LOHSE
A
BILL
FOR
An
Act
relating
to
the
opioid
settlement
fund,
establishing
1
the
opioid
epidemic
response
advisory
council,
making
2
appropriations,
and
including
effective
date
provisions.
3
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
4
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Section
1.
NEW
SECTION
.
123B.1
Opioid
epidemic
response
1
advisory
council.
2
1.
a.
The
opioid
epidemic
response
advisory
council
is
3
established
to
develop
and
implement
a
comprehensive
and
4
effective
statewide
effort
to
address
the
opioid
addiction
and
5
overdose
epidemic
in
Iowa.
The
council
shall
consist
of
the
6
following
members,
appointed
by
the
director
of
the
department
7
of
health
and
human
services,
except
as
otherwise
provided:
8
(1)
One
member
appointed
by
the
board
of
pharmacy.
9
(2)
One
member
who
is
a
physician
and
surgeon
or
10
osteopathic
physician
and
surgeon
appointed
by
the
Iowa
medical
11
association.
12
(3)
One
member
who
represents
an
opioid
treatment
program,
13
sober
living
program,
or
substance
use
disorder
program.
14
(4)
One
member
appointed
by
the
Iowa
association
of
15
addiction
professionals
who
is
a
psychiatrist
specializing
in
16
the
treatment
of
addiction.
17
(5)
One
member
appointed
by
the
Iowa
emergency
medical
18
services
association
who
is
serving
with
an
ambulance
service
19
as
an
emergency
medical
care
provider.
20
(6)
One
member
who
represents
the
Iowa
courts
who
is
a
21
judge.
22
(7)
One
member
appointed
by
the
director
of
the
office
of
23
drug
control
policy.
24
(8)
One
member
who
represents
a
local
health
department.
25
(9)
The
directors
of
the
departments
of
health
and
human
26
services
and
corrections,
the
attorney
general,
and
the
state
27
public
defender,
or
their
designees,
who
shall
serve
as
ex
28
officio,
nonvoting
members.
29
b.
The
director
of
the
department
of
health
and
human
30
services
shall
coordinate
the
director’s
appointments
to
31
provide,
to
the
extent
practicable,
geographic,
racial,
and
32
gender
diversity.
33
c.
The
council
shall
annually
elect
a
chair.
34
d.
The
chair
shall
convene
the
council
at
least
quarterly,
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and
the
chair
may
convene
the
council
at
other
times
as
1
necessary.
The
chair
shall
convene
meetings
at
different
2
locations
in
the
state
to
provide
geographic
access
and
may
3
conduct
all
meetings,
other
than
one
meeting
per
year,
remotely
4
by
electronic
means.
5
e.
The
department
of
health
and
human
services
shall
provide
6
staffing
and
administrative
support
to
the
council.
7
f.
The
director
of
the
department
of
health
and
human
8
services
shall
convene
the
first
meeting
of
the
council
no
9
later
than
September
1,
2025.
10
g.
An
advisory
council
member
shall
disclose
to
the
council,
11
refrain
from
participating
in
discussions,
and
abstain
from
12
voting
on
any
matter
before
the
council
if
the
member
has
a
13
conflict
of
interest.
For
the
purposes
of
this
paragraph,
a
14
conflict
of
interest
is
a
financial
association
that
has
the
15
potential
to
bias
or
have
the
appearance
of
biasing
a
council
16
member’s
decision
related
to
council
activities
under
this
17
chapter.
18
2.
The
council
shall
focus
on
all
of
the
following:
19
a.
Primary
prevention,
secondary
prevention,
early
20
intervention,
and
education,
including
public
education
and
21
awareness
for
adults
and
youth,
prescriber
education,
the
22
development
and
sustainability
of
opioid
overdose
prevention
23
and
education
programs,
and
the
role
of
adult
protective
24
services
in
prevention
and
response.
25
b.
Training
on
the
treatment
of
opioid
addiction,
including
26
the
use
of
all
approved
opioid
addiction
medications,
27
detoxification,
relapse
prevention,
patient
assessment,
28
individual
treatment
planning,
counseling,
recovery
supports,
29
diversion
control,
local
reporting,
and
other
best
practices.
30
c.
The
expansion
and
enhancement
of
a
continuum
of
care
31
for
opioid-related
substance
use
disorders,
including
primary
32
prevention,
early
intervention,
treatment,
recovery,
and
33
aftercare
services.
34
d.
Supporting
efforts
to
prevent
or
reduce
deaths
from
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opioid
overdoses
or
other
opioid-related
harms,
including
1
through
increasing
the
availability
or
distribution
of
naloxone
2
or
other
opioid
antagonists
for
use
by
a
family
member,
friend,
3
caregiver,
health
care
provider,
employee
of
a
substance
abuse
4
treatment
facility,
school
employee,
or
other
person
who
may
be
5
in
a
place
to
render
aid
to
a
person
at
risk
of
experiencing
an
6
opioid-related
overdose.
7
3.
The
council
shall
do
all
of
the
following:
8
a.
Review
local,
state,
and
federal
initiatives
and
9
activities
related
to
education,
prevention,
treatment,
and
10
services
for
individuals
and
families
experiencing
and
affected
11
by
opioid
use
disorder.
12
b.
Establish
priorities
to
address
the
state’s
opioid
13
epidemic
for
the
purposes
of
recommending
initiatives
to
fund.
14
c.
Recommend
to
the
general
assembly
specific
projects
and
15
initiatives
to
be
funded.
The
council
shall
not
recommend
16
grants
in
excess
of
the
balance
of
the
opioid
settlement
fund.
17
d.
Ensure
that
available
funding
is
allocated
to
align
with
18
other
local,
state,
and
federal
funding
to
achieve
the
greatest
19
impact
and
ensure
a
coordinated
state
effort.
20
e.
Consult
with
the
directors
of
the
departments
of
health
21
and
human
services
and
management
to
develop
measurable
22
outcomes
to
determine
the
effectiveness
of
funds
allocated.
23
f.
Develop
recommendations
for
an
administrative
and
24
organizational
framework
for
the
allocation,
on
a
sustainable
25
and
ongoing
basis,
of
moneys
deposited
in
the
opioid
settlement
26
fund
created
pursuant
to
section
12.51
in
order
to
address
the
27
opioid
abuse
and
overdose
epidemic
in
Iowa
and
the
areas
of
28
focus
specified
in
subsection
2.
29
4.
The
council,
in
consultation
with
the
director
of
the
30
department
of
health
and
human
services,
shall
select
from
the
31
projects
awarded
grants
pursuant
to
section
123B.2,
projects
32
that
include
promising
practices
or
theory-based
activities
33
for
which
the
director
of
the
department
of
health
and
human
34
services
shall
conduct
additional
research
and
experimental
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evaluation.
A
project
selected
pursuant
to
this
subsection
1
must
be
administered
to
support
the
research
and
experimental
2
evaluation,
and
the
grantee
must
collect
and
report
information
3
that
is
needed
to
complete
the
research
and
experimental
4
evaluation.
5
5.
The
council,
in
consultation
with
the
directors
of
the
6
departments
of
health
and
human
services
and
public
safety,
7
shall
establish
goals
related
to
addressing
the
opioid
epidemic
8
and
determine
a
baseline
against
which
progress
shall
be
9
monitored
and
set
measurable
outcomes,
including
benchmarks.
10
The
goals
established
must
include
goals
for
prevention
and
11
public
health,
access
to
treatment,
and
multigenerational
12
impacts.
The
council
shall
use
existing
measures
and
data
13
collection
systems
to
determine
baseline
data
against
which
14
progress
shall
be
measured.
The
council
shall
include
15
the
proposed
goals,
the
measurable
outcomes,
and
proposed
16
benchmarks
in
the
council’s
initial
report
to
the
general
17
assembly
pursuant
to
section
123B.3,
subsection
1.
18
Sec.
2.
NEW
SECTION
.
123B.2
Opioid
epidemic
response
19
grants.
20
1.
The
general
assembly
shall
award
grants
of
no
more
than
21
five
hundred
thousand
dollars
from
the
opioid
settlement
fund
22
created
pursuant
to
section
12.51
to
proposals
selected
by
23
the
advisory
council
that
address
the
priorities
identified
24
in
section
123B.1,
subsection
2.
No
more
than
three
percent
25
of
each
grant
awarded
shall
be
used
by
a
grantee
for
26
administration.
27
2.
The
chairperson
of
the
opioid
epidemic
response
advisory
28
council
shall
submit
a
report
of
the
grants
awarded,
and
29
proposed
to
be
awarded,
for
the
upcoming
fiscal
year
by
the
30
advisory
council
to
the
general
assembly
by
December
1,
2026,
31
and
annually
by
December
1
thereafter.
32
Sec.
3.
NEW
SECTION
.
123B.3
Opioid
epidemic
response
33
advisory
council
——
reports.
34
1.
The
opioid
epidemic
response
advisory
council
shall
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annually
submit
a
report
to
the
general
assembly
by
January
1
31,
regarding
individual
projects
that
received
grants
and
the
2
overall
role
of
the
project
in
addressing
the
opioid
addiction
3
and
overdose
epidemic
in
Iowa.
The
report
shall
describe
the
4
grantees
and
the
activities
implemented,
along
with
measurable
5
outcomes
as
determined
by
the
council
in
consultation
with
the
6
director
of
the
department
of
health
and
human
services.
At
a
7
minimum,
the
report
shall
include
information
about
the
number
8
of
individuals
who
received
information
or
treatment,
the
9
outcomes
individuals
achieved
and
demographic
information
about
10
the
individuals
participating
in
the
project;
an
assessment
of
11
the
progress
toward
achieving
statewide
access
to
qualified
12
providers
and
comprehensive
treatment
and
recovery
services;
13
and
an
update
on
the
evaluations
implemented
by
the
director
of
14
the
department
of
health
and
human
services
for
the
promising
15
practices
and
theory-based
projects
that
receive
funding.
16
2.
The
director
of
the
department
of
health
and
human
17
services,
in
consultation
with
the
opioid
epidemic
response
18
advisory
council,
shall
report
to
the
general
assembly
when
19
an
evaluation
described
in
section
123B.1,
subsection
4,
is
20
complete.
The
report
shall
include
demographic
information;
21
outcome
information
for
the
individuals
in
the
program;
the
22
results
of
the
program
in
promoting
recovery,
employment,
and
23
family
reunification;
reducing
involvement
in
the
criminal
24
justice
system;
and
other
relevant
outcomes.
The
report
shall
25
include
information
about
the
ability
of
grant
programs
to
be
26
scaled
to
achieve
statewide
results.
27
3.
The
opioid
epidemic
response
advisory
council,
in
28
its
annual
report
due
by
January
31,
2031,
shall
include
29
recommendations
on
whether
appropriations
and
grants
pursuant
30
to
this
chapter
should
be
continued,
adjusted,
or
discontinued,
31
whether
funding
should
be
appropriated
for
other
purposes
32
related
to
opioid
abuse
prevention,
and
on
the
appropriate
33
level
of
funding
for
existing
and
new
uses.
34
Sec.
4.
NEW
SECTION
.
123B.4
Standing
appropriation.
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There
is
appropriated
annually
from
the
opioid
settlement
1
fund
created
pursuant
to
section
12.51
to
the
department
of
2
health
and
human
services
two
hundred
forty-nine
thousand
3
dollars
for
the
provision
of
administrative
services
to
4
the
opioid
epidemic
response
advisory
council
and
for
the
5
administration
of
grants
awarded
pursuant
to
section
123B.2.
6
Sec.
5.
EFFECTIVE
DATE.
This
Act,
being
deemed
of
immediate
7
importance,
takes
effect
upon
enactment.
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
the
opioid
settlement
fund
and
12
establishes
the
opioid
epidemic
response
advisory
council
13
(advisory
council).
14
The
bill
instructs
the
advisory
council
to
focus
on
matters
15
relating
to
opioid
addiction
and
overdoses,
governmental
16
responses
to
opioid
addiction
and
overdoses,
and
providing
17
metrics
by
which
such
responses
can
be
measured.
The
bill
18
provides
specific
membership
requirements
for
the
advisory
19
council
and
requires
the
department
of
health
and
human
20
services
(department)
to
provide
staffing
and
administrative
21
support
to
the
advisory
council.
22
The
bill
requires
the
advisory
council
to
identify
projects
23
related
to
opioid
addiction
and
overdoses
that
should
be
24
awarded
grants
from
the
opioid
settlement
fund
and
opioid
25
settlement
future
fund.
The
general
assembly
shall
then
award
26
grants
to
the
projects
that
address
the
priorities
identified
27
in
the
bill.
From
among
those
projects
awarded
grants,
the
28
bill
requires
the
advisory
council
to
identify
projects
that
29
include
promising
practices
or
theory-based
activities
for
30
which
the
director
of
the
department
shall
conduct
additional
31
research
and
experimental
evaluation.
32
The
bill
requires
the
chairperson
of
the
advisory
council
33
to
annually
report
to
the
general
assembly
regarding
grants
34
proposed
by
the
advisory
council
and
awarded
by
the
general
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assembly
and
the
advisory
council
and
the
director
of
the
1
department
of
management
to
annually
report
to
the
general
2
assembly
regarding
the
efficacy
of
individual
projects
and
the
3
progress
made
with
respect
to
the
benchmarks
established
by
4
the
advisory
council.
The
annual
report
due
to
be
submitted
5
by
the
advisory
council
by
January
31,
2031,
shall
include
the
6
advisory
council’s
recommendations
regarding
the
continuation
7
of
grants
and
appropriations
from
the
opioid
settlement
fund.
8
The
bill
appropriates
$249,000
to
the
department
annually
9
from
the
opioid
settlement
fund
for
the
provision
of
10
administrative
services
to
the
advisory
council
and
for
the
11
administration
of
awarded
grants.
12
The
bill
takes
effect
upon
enactment.
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