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House
File
665
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Introduced
HOUSE
FILE
665
BY
KRESSIG
,
GOSA
,
GJERDE
,
WICHTENDAHL
,
WILBURN
,
BAGNIEWSKI
,
SCHOLTEN
,
COOLING
,
MADISON
,
B.
MEYER
,
OLSON
,
SRINIVAS
,
JUDGE
,
and
LEVIN
A
BILL
FOR
An
Act
relating
to
mental
health
services
at
public
1
institutions
of
higher
education.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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1997YH
(5)
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H.F.
665
Section
1.
NEW
SECTION
.
261K.1
Definitions.
1
As
used
in
this
chapter,
unless
the
context
otherwise
2
requires:
3
1.
“Advisor”
means
a
staff
member
who
provides
academic,
4
professional,
and
personal
support
to
students.
5
2.
“Linkage
agreement”
means
a
formal
agreement
between
a
6
public
institution
of
higher
education
and
an
off-campus
mental
7
health
provider
or
agency.
8
3.
“Mental
health
condition”
means
a
symptom
consistent
with
9
a
mental
illness
as
defined
in
section
135C.1.
10
4.
“Public
institution
of
higher
education”
means
an
11
institution
of
higher
education
governed
by
the
state
board
of
12
regents
or
a
community
college.
13
5.
“Recovery
model”
means
the
model
developed
by
the
federal
14
substance
abuse
and
mental
health
services
administration
that
15
defines
the
process
of
recovery
and
includes
the
four
major
16
dimensions
that
support
a
life
in
recovery,
which
are
health,
17
home,
purpose,
and
community.
18
6.
“Resident
assistant”
means
a
student
who
is
responsible
19
for
supervising
and
assisting
other
students
who
live
in
the
20
same
student
housing
facility.
21
7.
“Telehealth”
means
the
evaluation,
diagnosis,
or
22
interpretation
of
electronically
transmitted
patient-specific
23
data
between
a
remote
location
and
a
licensed
health
24
care
professional
that
generates
interaction
or
treatment
25
recommendations.
“Telehealth”
includes
telemedicine
and
the
26
delivery
of
health
care
services
provided
by
an
interactive
27
telecommunications
system
28
Sec.
2.
NEW
SECTION
.
261K.2
Mental
health
awareness
——
29
required
functions.
30
To
raise
mental
health
awareness
on
the
campuses
of
public
31
institutions
of
higher
education,
each
institution
shall
do
all
32
of
the
following:
33
1.
Develop
and
implement
an
annual
student
orientation
34
session
aimed
at
raising
awareness
about
mental
health
35
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conditions.
1
2.
Assess
courses
and
seminars
available
to
students
2
through
their
regular
academic
coursework
and
implement
mental
3
health
awareness
curricula
where
opportunities
for
integration
4
with
such
coursework
exist.
5
3.
Publish
on
the
institution’s
internet
site
or
mobile
6
application
information
dedicated
solely
to
the
mental
health
7
resources
available
to
students
at
the
institution
and
in
the
8
surrounding
community.
9
4.
Distribute
messages
related
to
mental
health
resources
10
that
encourage
help-seeking
behavior
through
the
online
11
learning
platform
of
the
institution
during
high
stress
12
periods
of
the
academic
year,
including
but
not
limited
to
13
midterm
or
final
examinations.
Such
resources
shall
include
14
stigma-reducing
strategies
based
on
documented
best
practices.
15
5.
Three
years
after
the
effective
date
of
this
Act,
16
implement
an
online
screening
tool
to
raise
awareness
and
17
establish
a
mechanism
to
link
or
refer
students
of
the
18
institution
to
mental
health
services.
The
screening
and
19
services
shall
be
available
for
students
year-round
and
shall
20
at
minimum
do
all
of
the
following:
21
a.
Include
validated
screening
tools
for
depression,
an
22
anxiety
disorder,
an
eating
disorder,
substance
use
disorder,
23
alcohol
use
disorder,
post-traumatic
stress
disorder,
and
24
bipolar
disorder.
25
b.
Provide
resources
for
immediate
connection
to
services,
26
if
indicated,
including
emergency
resources.
27
c.
Provide
general
information
about
all
mental
28
health-related
resources
available
to
students
of
the
29
institution.
30
d.
Function
anonymously.
31
6.
At
least
once
per
academic
term
and
at
times
of
high
32
academic
stress,
including
midterm
or
final
examinations,
33
provide
students
information
regarding
online
mental
health
34
screenings.
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7.
Provide
contact
information
for
the
national
suicide
1
prevention
lifeline,
the
crisis
text
line,
a
local
suicide
2
prevention
hotline,
and
the
mental
health
counseling
center
3
or
program
of
the
institution
on
the
back
of
each
student
4
identification
card
issued
by
the
institution
after
July
1,
5
2026,
if
the
institution
issues
student
identification
cards.
6
If
the
institution
does
not
issue
student
identification
cards,
7
the
institution
shall
include
such
contact
information
on
its
8
internet
site.
The
contact
information
shall
identify
text
9
messaging
capability
if
applicable.
The
contact
information
10
shall
also
be
included
in
the
institution’s
student
handbook
11
and
any
student
planner
custom
printed
by
the
institution
for
12
distribution
to
students.
13
Sec.
3.
NEW
SECTION
.
261K.3
Policies
and
procedures
——
14
training.
15
1.
The
state
board
of
regents
and
the
board
of
directors
16
of
each
community
college
shall
designate
an
expert
panel
to
17
develop
and
implement
policies
and
procedures
as
provided
in
18
this
subsection.
Section
4A.5
does
not
apply
to
such
a
panel.
19
The
policies
and
procedures
shall
do
all
of
the
following:
20
a.
Advise
students,
faculty,
and
staff
on
the
proper
21
procedures
for
identifying
and
addressing
the
needs
of
students
22
exhibiting
symptoms
of
mental
health
conditions.
23
b.
Promote
understanding
of
the
requirements
of
section
24
504
of
the
federal
Rehabilitation
Act
of
1973
and
the
federal
25
Americans
with
Disabilities
Act
of
1990
to
increase
knowledge
26
and
understanding
of
student
protections
under
the
law.
27
c.
Provide
training
on
mental
health
conditions
as
28
appropriate.
29
2.
The
mental
health
technical
assistance
center
30
established
under
section
261K.6
shall
set
initial
standards
31
for
policies
and
procedures
described
in
subsection
1
to
ensure
32
statewide
consistency.
33
3.
All
resident
assistants
in
a
student
housing
facility,
34
advisors,
and
campus
security
officers
of
a
public
institution
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of
higher
education
shall
participate
in
a
national
mental
1
health
first
aid
training
course
or
a
similar
program
prior
to
2
the
commencement
of
their
duties.
Such
training
shall
include
3
the
policies
and
procedures
developed
by
the
institution
of
4
higher
education
described
in
subsection
1.
5
Sec.
4.
NEW
SECTION
.
261K.4
Peer
support
programs.
6
1.
Each
public
institution
of
higher
education
shall
7
develop
and
implement
a
peer
support
program
utilizing
student
8
peers
to
support
students
living
with
mental
health
conditions
9
on
campus.
Peer
support
programs
may
be
housed
within
resident
10
assistant
programs,
counseling
centers,
or
wellness
centers
on
11
campus.
12
2.
Peer
support
programs
shall
utilize
best
practices
for
13
peer
support,
which
shall
include
but
are
not
limited
to
all
14
of
the
following:
15
a.
Use
of
the
tenets
of
the
recovery
model
for
mental
16
health.
17
b.
Adequate
planning
and
preparation,
including
18
standardizing
guidance
and
practices,
identifying
needs
of
the
19
target
population,
and
aligning
program
goals
to
meet
those
20
needs.
21
c.
Clearly
articulated
policies,
especially
regarding
role
22
boundaries
and
confidentiality.
23
d.
Systematic
screening
with
defined
selection
criteria
24
for
peer
supporters,
such
as
communication
skills,
leadership
25
ability,
character,
previous
experience
or
training,
and
26
ability
to
serve
as
a
positive
role
model.
27
e.
Identification
of
benefits
from
peer
status,
such
as
28
experiential
learning,
social
support,
leadership,
and
improved
29
self-confidence.
30
f.
Continuing
education
for
peer
supporters
to
support
each
31
other
and
improve
peer
support
skills.
32
g.
Flexibility
in
availability
by
offering
services
33
through
drop-in
immediate
support
and
the
ability
to
schedule
34
appointments.
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Sec.
5.
NEW
SECTION
.
261K.5
Strategic
partnerships.
1
1.
Each
public
institution
of
higher
education
shall
2
establish
strategic
partnerships
with
local
mental
health
3
service
providers
to
improve
overall
campus
mental
wellness
4
and
augment
on-campus
capacity.
The
strategic
partnerships
5
shall
include
linkage
agreements
with
off-campus
mental
health
6
service
providers
that
establish
a
process
for
referrals
for
7
students
when
needs
cannot
be
met
on
campus
due
to
the
limits
8
of
on-campus
capacity
or
preference
of
the
student.
The
9
strategic
partnerships
shall
also
include
all
of
the
following:
10
a.
Avenues
for
on-campus
and
off-campus
mental
health
11
service
providers
to
increase
visibility
to
students
through
12
marketing
and
outreach.
13
b.
Opportunities
to
engage
the
student
body
through
14
student
outreach
initiatives
such
as
mindfulness
workshops
or
15
campus-wide
wellness
fairs.
16
c.
Opportunities
to
support
awareness
and
training
17
requirements
under
this
chapter.
18
2.
a.
Through
a
combination
of
on-campus
capacity,
19
off-campus
linkage
agreements
with
mental
health
service
20
providers,
and
contracted
telehealth
therapy
services,
each
21
public
institution
of
higher
education
shall
attempt
to
meet
22
a
benchmark
ratio
of
one
clinical,
nonstudent
staff
member
to
23
one
thousand
two
hundred
fifty
students.
If
linkage
agreements
24
are
used,
the
agreements
shall
include
the
capacity
of
students
25
that
providers
are
expected
to
serve
within
the
agency.
26
b.
By
July
1,
2027,
and
at
least
once
every
five
years
27
thereafter,
the
mental
health
technical
assistance
center
28
established
under
section
261K.6
shall
submit
a
report
to
29
the
general
assembly
and
the
governor
proposing
an
updated
30
ratio
based
on
actual
ratios
in
this
state
and
any
new
31
information
available
related
to
appropriate
benchmarks
for
32
clinician-to-student
ratios.
The
updated
ratio
shall
represent
33
a
ratio
of
no
less
than
one
clinical,
nonstudent
staff
member
34
to
one
thousand
two
hundred
fifty
students.
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3.
Each
public
institution
of
higher
education
shall
work
1
with
local
entities,
such
as
on-campus
mental
health
counseling
2
centers
or
wellness
centers,
local
mental
health
service
3
providers,
or
nonproviders,
such
as
affiliates
of
the
national
4
alliance
on
mental
illness,
and
any
other
entities
to
implement
5
the
requirements
of
sections
261K.2
and
261K.3.
6
Sec.
6.
NEW
SECTION
.
261K.6
Mental
health
technical
7
assistance
center.
8
The
department
of
health
and
human
services,
in
consultation
9
with
the
state
board
of
regents
and
the
Iowa
association
for
10
community
colleges,
shall
establish
a
mental
health
technical
11
assistance
center.
Section
4A.5
does
not
apply
to
the
center.
12
The
center
is
responsible
for
all
of
the
following:
13
1.
Developing
standardized
policies
for
medical
leave
14
related
to
mental
health
conditions
for
students
of
a
public
15
institution
of
higher
education,
which
may
be
adopted
by
a
16
public
institution
of
higher
education.
17
2.
Providing
tailored
support
to
public
institutions
of
18
higher
education
in
reviewing
policies
related
to
students
19
living
with
mental
health
conditions
and
their
academic
20
standing.
21
3.
Establishing
initial
standards
for
policies
and
22
procedures
under
section
261K.3,
subsection
1.
23
4.
Disseminating
best
practices
around
peer
support
24
programs
as
provided
in
section
261K.4,
including
widely
25
accepted
selection
criteria
for
individuals
serving
in
a
peer
26
support
role.
27
5.
Developing
statewide
standards
and
best
practices
for
28
partnerships
between
local
mental
health
agencies
and
public
29
institutions
of
higher
education
across
the
state.
30
6.
Collecting,
analyzing,
and
disseminating
data
related
to
31
mental
health
needs
and
academic
engagement
across
the
state.
32
7.
Compiling
data
collected
by
each
public
institution
of
33
higher
education
related
to
program
evaluation
under
section
34
261K.7
and
analyzing
and
disseminating
best
practices
to
each
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institution
and
the
public
based
on
such
data.
1
8.
Monitoring
and
evaluating
linkage
agreements
under
2
section
261K.5
to
ensure
capacity
is
met
by
each
public
3
institution
of
higher
education.
4
9.
Facilitating
a
learning
community
across
all
public
5
institutions
of
higher
education
to
support
capacity
building
6
and
learning
across
those
institutions.
7
Sec.
7.
NEW
SECTION
.
261K.7
Program
evaluation.
8
Each
public
institution
of
higher
education
shall
evaluate
9
the
following
programs
or
functions
provided
in
this
chapter
10
for
effectiveness
and
quality
in
the
following
manner:
11
1.
A
public
institution
of
higher
education
shall
evaluate
12
mental
health
awareness
functions
under
section
261K.2
with
13
monitoring
measures
including
but
not
limited
to:
14
a.
Increased
understanding
of
mental
health
conditions.
15
b.
Reduced
stigma
toward
mental
health
conditions.
16
c.
Increased
understanding
of
mental
health
resources
17
available
to
students.
18
d.
Increased
understanding
of
resources
for
mental
health
19
emergencies
available
to
students.
20
e.
Viewing
each
internet
site
or
mobile
application
of
the
21
public
institution
of
higher
education
that
provides
mental
22
health
resources.
23
2.
A
public
institution
of
higher
education
shall
evaluate
24
peer
support
programs
under
section
261K.4
with
monitoring
25
measures
including
but
not
limited
to:
26
a.
Improved
symptomatology.
27
b.
Connection
to
additional
services
as
needed.
28
c.
Student
satisfaction.
29
d.
Wait
time
for
drop-in
appointments.
30
e.
Wait
time
for
scheduled
appointments.
31
f.
Satisfaction
with
the
training
curriculum
for
peer
32
supporters.
33
3.
A
public
institution
of
higher
education
shall
evaluate
34
strategic
partnerships
under
section
261K.5
with
monitoring
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measures
including
but
not
limited
to:
1
a.
Wait
time
for
drop-in
appointments
for
on-campus
or
2
off-campus
telehealth
therapy
providers.
3
b.
Wait
time
for
scheduled
appointments
for
on-campus
or
4
off-campus
telehealth
therapy
providers.
5
c.
The
ratio
of
clinical,
nonstudent
staff
to
the
student
6
population
and
the
number
of
linkage
agreements
and
contracts
7
in
place
based
on
the
student
population.
8
d.
Student
satisfaction
with
on-campus
or
off-campus
9
telehealth
therapy
providers.
10
e.
Range
of
treatment
models
offered
to
students.
11
f.
Average
length
of
stay
in
treatment.
12
g.
Number
and
range
of
student
outreach
initiatives,
such
as
13
telehealth
mindfulness
workshops
or
campus-wide
wellness
fairs.
14
h.
Number
of
students
served
annually.
15
Sec.
8.
IMPLEMENTATION
OF
ACT.
Section
25B.2,
subsection
16
3,
shall
not
apply
to
this
Act.
17
EXPLANATION
18
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
19
the
explanation’s
substance
by
the
members
of
the
general
assembly.
20
This
bill
relates
to
mental
health
services
at
public
21
institutions
of
higher
education.
The
bill
defines
a
“public
22
institution
of
higher
education”
as
an
institution
of
higher
23
education
governed
by
the
state
board
of
regents
or
a
community
24
college.
25
The
bill
requires
public
institutions
of
higher
education
26
(institutions)
to
carry
out
various
specified
functions
to
27
raise
mental
health
awareness
on
their
campuses.
Specified
28
functions
include
developing
and
implementing
an
annual
29
student
orientation
session
aimed
at
raising
awareness
about
30
mental
health
conditions,
assessing
courses
and
seminars
31
available
to
students
through
their
regular
academic
coursework
32
and
implementing
mental
health
awareness
curricula
where
33
opportunities
for
integration
with
such
coursework
exist,
and
34
distributing
certain
information
about
mental
health
resources
35
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to
students.
1
The
bill
requires
the
state
board
of
regents
and
the
2
board
of
directors
of
each
community
college
to
designate
an
3
expert
panel
to
develop
and
implement
specified
policies
and
4
procedures
relating
to
mental
health.
Specified
policies
and
5
procedures
include
advising
students,
faculty,
and
staff
on
6
the
proper
procedures
for
identifying
and
addressing
the
needs
7
of
students
exhibiting
symptoms
of
mental
health
conditions
8
and
promoting
understanding
of
the
requirements
of
section
9
504
of
the
federal
Rehabilitation
Act
of
1973
and
the
federal
10
Americans
with
Disabilities
Act
of
1990.
The
bill
also
11
requires
all
resident
assistants
in
a
student
housing
facility,
12
advisors,
and
campus
security
officers
of
an
institution
to
13
participate
in
a
national
mental
health
first
aid
training
14
course.
15
The
bill
requires
each
institution
to
develop
and
implement
16
a
peer
support
program
utilizing
student
peers
to
support
17
students
living
with
mental
health
conditions
on
campus.
The
18
bill
requires
peer
support
programs
to
utilize
best
practices
19
for
peer
support.
Such
best
practices
include
use
of
the
20
tenets
of
the
recovery
model,
as
defined
in
the
bill,
for
21
mental
health,
adequate
planning
and
preparation,
and
clearly
22
articulated
policies.
23
The
bill
requires
each
institution
to
establish
strategic
24
partnerships
with
local
mental
health
service
providers
to
25
improve
overall
campus
mental
wellness
and
augment
on-campus
26
capacity.
The
strategic
partnerships
shall
include
linkage
27
agreements,
as
defined
in
the
bill,
with
off-campus
mental
28
health
service
providers
that
establish
a
process
for
referrals
29
for
students
when
needs
cannot
be
met
on
campus
due
to
the
30
limits
of
on-campus
capacity
or
preference
of
the
student.
31
The
bill
provides
additional
functions
of
such
strategic
32
partnerships,
including
meeting
a
benchmark
ratio
of
clinical,
33
nonstudent
staff
members
to
students
and
reporting
on
the
ratio
34
to
the
general
assembly
and
the
governor.
35
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The
bill
requires
the
department
of
health
and
human
1
services,
in
consultation
with
the
state
board
of
regents
and
2
the
Iowa
association
for
community
colleges,
to
establish
3
a
mental
health
technical
assistance
center.
The
bill
4
specifies
responsibilities
of
the
center,
including
developing
5
standardized
policies
for
medical
leave
related
to
mental
6
health
conditions
for
students,
providing
tailored
support
7
to
institutions
in
reviewing
policies
related
to
students
8
living
with
mental
health
conditions
and
their
academic
9
standing,
and
developing
statewide
standards
and
best
practices
10
for
partnerships
between
local
mental
health
agencies
and
11
institutions.
The
center
also
assists
institutions
with
12
implementation
of
various
provisions
of
the
bill.
13
The
bill
requires
each
institution
to
evaluate
the
specified
14
programs
or
functions
provided
in
the
bill
for
effectiveness
15
and
quality.
The
bill
specifies
monitoring
measures
to
be
used
16
for
evaluation
of
each
program
or
function.
17
The
bill
may
include
a
state
mandate
as
defined
in
Code
18
section
25B.3.
The
bill
makes
inapplicable
Code
section
25B.2,
19
subsection
3,
which
would
relieve
a
political
subdivision
from
20
complying
with
a
state
mandate
if
funding
for
the
cost
of
21
the
state
mandate
is
not
provided
or
specified.
Therefore,
22
political
subdivisions
are
required
to
comply
with
any
state
23
mandate
included
in
the
bill.
24
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