Read the full stored bill text
Senate
File
534
-
Introduced
SENATE
FILE
534
BY
CELSI
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
1475XS
(3)
91
lh/ko
S.F.
534
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,
2025.
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
director
of
the
division
of
aging
and
disability
26
services
of
the
department
of
health
and
human
services.
27
c.
The
director
of
the
department
of
inspections,
appeals,
28
and
licensing.
29
d.
The
state
director
of
AARP
Iowa,
or
the
state
director’s
30
designee.
31
e.
The
chief
executive
officer
of
each
area
agency
on
aging,
32
or
the
chief
executive
officer’s
designee.
33
f.
The
chairperson
of
the
older
Iowans
legislature.
34
g.
The
executive
director
of
the
Iowa
caregivers
35
-1-
LSB
1475XS
(3)
91
lh/ko
1/
5
S.F.
534
association,
or
the
executive
director’s
designee.
1
h.
The
executive
director
of
the
Alzheimer’s
association,
2
Iowa
chapter,
or
the
executive
director’s
designee.
3
i.
The
executive
director
of
disability
rights
Iowa,
or
the
4
executive
director’s
designee.
5
j.
The
director
of
the
Barbara
and
Richard
Csomay
center
6
for
gerontological
excellence,
at
the
state
university
of
Iowa
7
college
of
nursing,
or
the
director’s
designee.
8
k.
The
director
of
the
gerontology
program
at
Iowa
state
9
university
of
science
and
technology,
or
the
director’s
10
designee.
11
l.
The
director
of
the
university
of
northern
Iowa
school
of
12
applied
human
sciences,
or
the
director’s
designee.
13
m.
The
president
and
vice
president
of
the
Hale
group.
14
3.
The
review
shall
include
a
survey
of
existing
long-term
15
living
approaches
utilized
in
other
states
and
innovative
16
approaches
such
as
the
greenhouse
system,
adult
family
homes,
17
and
elder
group
homes,
with
the
goal
of
providing
Iowans
with
18
access
to
an
extensive
range
of
high-quality,
affordable,
and
19
cost-effective
long-term
living
options.
The
review
shall
also
20
consider
how
the
state
may
assist
nursing
facilities
which
are
21
not
at
full
occupancy
by
incorporating
other
sectors
including
22
but
not
limited
to
child
care,
adult
day
care,
and
home
health
23
services.
24
4.
The
study
group
shall
submit
a
report
of
its
findings
25
and
recommendations
including
a
summary
of
existing
and
26
innovative
approaches,
how
other
states
have
successfully
27
implemented
existing
approaches,
and
how
the
state
of
Iowa
can
28
encourage
development
of
the
identified
existing
and
innovative
29
approaches
in
this
state,
to
the
governor
and
the
general
30
assembly
by
December
15,
2025.
31
Sec.
3.
ADULT
DAY
CARE
PROVIDERS
——
MEDICAID
32
REIMBURSEMENT.
For
the
fiscal
year
beginning
July
1,
33
2025,
reimbursement
rates
under
the
Medicaid
program
for
adult
34
day
care
providers
who
provide
services
to
Medicaid
home
and
35
-2-
LSB
1475XS
(3)
91
lh/ko
2/
5
S.F.
534
community-based
services
waiver
recipients
shall
be
increased
1
by
five
percent
over
the
reimbursement
rates
in
effect
on
June
2
30,
2025.
3
Sec.
4.
IOWA
RETURN
TO
COMMUNITY
PROGRAM
——
4
APPROPRIATION.
There
is
appropriated
from
the
general
5
fund
of
the
state
to
the
department
of
health
and
human
6
services
for
the
fiscal
year
beginning
July
1,
2025,
and
7
ending
June
30,
2026,
the
following
amount,
or
so
much
8
thereof
as
is
necessary,
to
be
used
in
collaboration
with
9
affected
stakeholders
to
continue
to
expand
the
Iowa
return
to
10
community
program
to
assist
non-Medicaid-eligible
consumers
11
who
indicate
a
preference
to
return
to
the
community
and
are
12
deemed
appropriate
for
discharge,
to
return
to
their
community
13
following
a
nursing
facility
or
hospital
stay:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
15
The
department
of
health
and
human
services
shall
submit
to
16
the
governor
and
the
general
assembly
by
December
15,
2025,
an
17
estimate
of
the
cost
to
fully
fund
an
expansion
of
the
Iowa
18
return
to
community
program
to
provide
access
to
all
interested
19
consumers.
20
Sec.
5.
STATEWIDE
DEMENTIA
CARE
COORDINATOR
——
DEMENTIA
21
SERVICE
SPECIALISTS
——
APPROPRIATION.
There
is
appropriated
22
from
the
general
fund
of
the
state
to
the
department
of
health
23
and
human
services
for
the
fiscal
year
beginning
July
1,
2025,
24
and
ending
June
30,
2026,
the
following
amount
or
so
much
25
thereof
as
is
necessary,
for
the
department
of
health
and
26
human
services
to
employ
a
statewide
dementia
care
coordinator
27
within
the
department
to
provide
statewide
coordination
of
28
dementia-friendly
initiatives
including
efforts
pursuant
to
29
section
231.62;
to
coordinate
dementia
service
specialists
30
in
each
area
agency
on
aging;
to
provide
grants
to
each
31
area
agency
on
aging
to
employ
a
dementia
service
specialist
32
to
increase
access
and
connections
to
local
supports
and
33
services
for
persons
living
with
dementia,
their
families,
34
and
caregivers;
to
evaluate
the
availability
of
respite
care
35
-3-
LSB
1475XS
(3)
91
lh/ko
3/
5
S.F.
534
for
family
caregivers
of
persons
with
dementia
and
to
provide
1
recommendations
to
the
department
and
the
general
assembly
2
on
how
to
meet
the
demand;
and
to
increase
awareness
about
3
dementia
within
the
network
of
area
agency
on
aging
providers
4
as
well
as
in
communities,
businesses,
health
care
facilities,
5
and
assisted
living
programs
throughout
the
state:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
750,000
7
EXPLANATION
8
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
9
the
explanation’s
substance
by
the
members
of
the
general
assembly.
10
This
bill
relates
to
options
for
long-term
living
and
11
funding
of
long-term
care
services.
12
The
bill
requires
the
department
of
health
and
human
13
services
(HHS)
to
establish
a
rate
structure
for
reimbursement
14
of
the
transportation
costs
of
home
health
care
providers
by
15
incorporating
an
increased
reimbursement
amount
for
travel
16
time
into
the
per
visit
reimbursement.
The
department
shall
17
submit
a
report
of
the
rate
structure
and
the
projected
cost
of
18
application
of
the
reimbursement
rate
structure
to
the
governor
19
and
the
general
assembly
by
December
1,
2025.
20
The
bill
requires
that
pursuant
to
Code
section
231.58
21
(long-term
living
coordination)
and
considering
the
intent
of
22
the
general
assembly
for
the
long-term
living
system
in
Iowa
23
pursuant
to
Code
section
231F.1
(intent
for
Iowa’s
long-term
24
living
system),
including
maximizing
independence,
choice,
25
and
dignity
for
consumers,
the
director
of
HHS
shall
convene
26
a
study
group
that
includes
members
specified
in
the
bill
to
27
perform
a
focused
review
of
the
alternatives
for
long-term
28
living
options
in
the
state.
The
review
shall
include
a
29
survey
of
existing
approaches
utilized
in
other
states
and
30
innovative
approaches
to
provide
Iowans
with
access
to
an
31
extensive
range
of
high-quality,
affordable,
and
cost-effective
32
long-term
living
options.
The
review
shall
also
consider
how
33
the
state
may
assist
nursing
facilities
not
at
full
occupancy
34
by
incorporating
other
sectors.
The
study
group
shall
submit
a
35
-4-
LSB
1475XS
(3)
91
lh/ko
4/
5
S.F.
534
report
of
its
findings
and
recommendations
to
the
governor
and
1
the
general
assembly
by
December
15,
2025.
2
The
bill
provides
that
for
FY
2025-2026,
Medicaid
3
reimbursement
rates
for
adult
day
care
providers
who
provide
4
services
to
Medicaid
home
and
community-based
services
waiver
5
recipients
shall
be
increased
by
5
percent
over
the
rates
in
6
effect
on
June
30,
2025.
7
The
bill
makes
an
appropriation
to
HHS
for
FY
2025-2026
from
8
the
general
fund
of
the
state
to
be
used
in
collaboration
with
9
affected
stakeholders
to
continue
to
expand
the
Iowa
return
10
to
community
program.
The
bill
requires
HHS
to
submit
to
the
11
governor
and
the
general
assembly
by
December
15,
2025,
an
12
estimate
of
the
cost
to
fund
an
expansion
of
the
Iowa
return
13
to
community
program
to
provide
access
to
all
interested
14
consumers.
15
The
bill
makes
an
appropriation
to
HHS
for
FY
2025-2026
16
from
the
general
fund
of
the
state
to
be
used
by
HHS
to
employ
17
a
statewide
dementia
care
coordinator
within
HHS
to
provide
18
coordination
services
related
to
statewide
dementia
care
as
19
described
in
the
bill.
20
-5-
LSB
1475XS
(3)
91
lh/ko
5/
5