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IDPH Legislative Update February 16, 2015

16 Feb 2015 11:54 AM | Lara Marsh (Administrator)

In this issue:

·        UPDATE: IDPH’s 2015 policy package

·        Tobacco Commission presentation to HHS

·        Subcommittee attended

·        Highlights for this week: IDPH presentations to two budget subcommittees, Scheduled subcommittees

The Fourth and Fifth Weeks

Here are some highlights from the fourth and fifth week of the 86th General Assembly:

Subcommittees Attended

SSB 1118 Anatomical Gift Public Awareness/Transplantation Fund. A subcommittee of Senators Liz Mathis, Chaz Allen, and Julian Garrett met on Tuesday, February 10. The bill passed the full Senate Human Resources Committee unanimously on Wednesday, February 11. The new bill number is SF 228.

SSB 1130 Licensure of Polysomnographic Technicians (aka Sleep Techs). A subcommittee of Senators Jeff Danielson, Janet Petersen, and Jack Whitver met on Tuesday, February 11. The members will continue to work on amendments to reach an agreement amongst all of the interested parties.

SSB 1135 Sale of Fireworks. A subcommittee of Senators Jeff Danielson, Tod Bowman, and Jake Chapman met on Wednesday, February 11. The bill passed out of subcommittee and Senate State Government on the same day. The new bill number is SF 226.

HSB 119 Allowable Disclosures of Radon Testing Results. A subcommittee of Representatives John Landon, Ken Rizer, and Scott Ourth met on Wednesday, February 11. The bill passed out of subcommittee and one amendment will be drafted. The bill is now eligible for the full House Commerce Committee.


Bills of Interest

SF 80 Mammography Notifications (aka Dense Breast Tissue Notifications). The passed the Senate Human Resources Committee unanimously with a technical amendment on Monday, February 9. The new bill number is SF 205.

SF 40 Underage Tanning Restrictions. The bill passed the full Senate Human Resources Committee, with an amendment, on Wednesday, February 11. The new bill number is SF 232.

HSB 81 Underage Tanning Restrictions. The bill was scheduled for debate in the full House Human Resources Committee on Thursday, February 12 however it was delayed until the amendment could be finalized.

HSB 47 Fantasy Sports Gaming. The bill passed out of the full House State Government Committee on Thursday, February 12.

 

IDPH Legislative Package

IDPH has three bills for the 2015 session:

·        Omnibus Bill: The IDPH Omnibus bill will consist of two main parts. The first is a request made by the Board of Hearing Aid Dispensers to change their professional name to “hearing aid specialists.” The bill makes this technical change where applicable in code. The second part proposes changes to IDPH’s Medical Residency Training Grants program in an effort to make the program more attractive to potential bidders, especially those who may wish to establish new residency programs. This legislation has been introduced in both chambers (HSB 83/SSB 1096) and has been referred to the respective Human Resources Committees. In the House, HSB 83 was taken up by the full Human Resources Committee. It passed the committee unanimously and may now be taken up by the full House Chamber. UPDATE: The new bill number is HF 193. In the Senate, the subcommittee of Senators Mary Jo Wilhelm, Liz Mathis, and Mark Segebart met on Monday, February 2 to discuss SSB 1096. The subcommittee agreed to sign off on advancing the bill. SSB 1096 may now be taken up by the full Senate Human Resources Committee.

·        Local Public Health Flexibility Bill: This bill will also consist of two parts. The first proposes changes to the process for merging local boards of health into district boards of health. A few years ago, two counties attempted a voluntary merger however there were several reasons that it was not accomplished. Some difficulties related to inflexible code requirements. The department is proposing to remove some of those requirements to enable counties consideration of this section of code as a practical option in organizing themselves. The second part of the bill makes significant changes to the Iowa Public Health Modernization Act that was established in 2009. It strikes language requiring a voluntary accreditation process at the state level, making way a more clear path to accreditation from the national Public Health Accreditation Board, removes references to the Iowa Public Health Standards, and merges the two councils that were established in 2009 under the Act. The newly merged council will continue to assist the department in evaluating the public health system in Iowa as a whole and make recommendations to the department and the state board of health.

This legislation has been introduced in both chambers (HSB 84/SSB 1039) and has been referred to the respective Human Resources Committees. In the House, the subcommittee of Representatives Rob Taylor, Ken Rizer, and Charlie McConkey met on Thursday, February 5 to discuss HSB 84. IDPH plans to continue working with the Representatives regarding questions on the bill. UPDATE: In the Senate, the subcommittee of Senators Chaz Allen, Mary Jo Wilhelm, and Mark Segebart met on Tuesday, February 10. The bill passed out of subcommittee and may now be taken up by the full Senate Human Resources Committee.

·        Iowa Health Information Network (IHIN) Transition.The third bill in the IDPH legislative package pertains to the IHIN that is administered by the IDPH Office of e-Health. The primary goal of the legislation is for IDPH to receive authorization to conduct a request for proposals (RFP) process to begin to transition the IHIN from a state government-led model of governance to a not-for-profit model of governance. In 2012, the legislature included a directive in Iowa Code Section 135.156Ffor the department to review various governance options for the IHIN and make recommendations. A not-for-profit model of governance continues the spirit of collaboration for an essential public good amongst the IHIN’s stakeholders while putting it in the position to respond to its customers’ needs with more urgency than what a state government-led model can provide.

The second goal for the bill is to resurrect the legislation that died last session to expand eligibility for the record locator service (aka query function) that the IHIN provides. The service is used to query participants (any entity that has signed a participation agreement with the Office of e-Health) in the IHIN for a patient’s health information. This service is useful for entities involved in care coordination efforts, especially insurance providers.

This legislation has been introduced in both chambers (HSB 100/SSB 1102) has been referred to the respective Human Resources Committees. The subcommittee of Representatives Greg Forristall, Ken Rizer, and Timi Brown-Powers met on Thursday, February 5 to discuss HSB 100. The subcommittee agreed to sign off on advancing the bill. HSB 100 may now be taken up by the full House Human Resources Committee. UPDATE: In the Senate, the bill was passed unanimously out the full Senate Human Resources Committee on Wednesday, February 11. It may now be taken up by the full Senate Chamber. The new bill number is SF 229.


Presentations

·        The Health and Human Services Joint Appropriations Subcommittee, invited the Chair of the Tobacco Use Prevention and Control Commission, Chad Jessen, to present on Wednesday, February 11. The presentation provided the highlights of the Commission’s recent report. To view the Commission’s report please click here.


Highlights for This Week

·       Dr. Bob Russell, IDPH’s Dental Director and Chief of the Bureau of Oral and Health Delivery Services has been invited by the Health and Human Services Joint Appropriations Subcommittee to discuss the workforce-related programs administered by the bureau on Wednesday, February 18 at 10:00 in room 116.

 

·       IDPH Director Gerd Clabaugh’s confirmation was voted out of the Senate Human Resources Committee on Monday, February 9. Director Clabaugh is tentatively scheduled to be introduced to the full Senate Chamber on Thursday, February 19. He will then make himself available to the Senators for questions and introductions directly after. The next step, at a later date, is a vote on the full Senate Chamber floor.

 

·        IDPH has been invited to present to the Transportation, Infrastructure, and Capitals (TIC) Joint Budget Subcommittee on Thursday, February 19 at 10:00 in room 102. The presentation will be given by Director Clabaugh and Lon Laffey, Chief of the Bureau of Information Technology. It will include information on the efforts occurring in IDPH relating to short and long term planning for information technology projects as well as on the IDPH budget priorities. The department has requested and the Governor has recommended the following from the Technology Reinvestment Fund under the purview of the TIC:

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o   $500,000 for FY 2016 and FY 2017 (a total of $1.0 million). The project’s goal is to integrate several program data collection systems in our Division of Health Care Promotion and Chronic Disease Prevention to better support our clients and improve the health of families in Iowa. The identified programs operate in all 99 counties in Iowa and serve all children and pregnant women enrolled in Medicaid, as well as those who are low-income and uninsured or underinsured. Currently, five data management systems are operated by the Division’s Bureau of Family Health (BFH) and Bureau of Oral and Health Delivery Systems (OHDS), all of which function independently of each other. Not all are web-based and all lack the ability to easily share data among programs or with the public. These systems are aging and are costly to update and repair. Several have limited time before risks to data security occur. This project will replace the five existing systems with a single web-based, integrated electronic data management system. Features of the new system will include case management, referral management, risk assessment, billing, and client and population-level reporting. The integrated system will support eight programs within the Division. For more information on the initiative please see the attachments to this publication.

 

o   $500,000 in one-time funding in FY 2016 to subcontract the services of a firm with public health experience and information technology (IT) experience. The subcontractor would study the department’s 98 data software systems to help us with long-term planning goals. IDPH’s Bureau of IT has been working through a process to identify these 98 systems, assess where they are in their lifespan (i.e. Are they in need of immediate replacement?). The department recognizes that it is inefficient and costly to replace each system one at a time and in silos. Instead, we are seeking some outside assistance and expertise to assist with identifying strategies for consolidation of systems, identification of appropriate products to use, and to help us understand how other states are approaching their data collection efforts. We know as public health professionals that we need good data to make good policy decisions. This request supports the effort to do so.

 

·        Subcommittees have been scheduled for the following bills. For more information please refer to the Senate list of scheduled subcommittees and the House list of scheduled subcommittees.

o   SF 160Establishing a Long-Term Care Committee

o   SSB 1134Confidential Address Program/Sectary of State’s Office

 

 

Other Information

  • Agency Reports. To review any report filed with the General Assembly by executive branch agencies, including IDPH, please click here.

 

  • The Iowa General Assembly website is a great source of legislative information. The address is www.legis.iowa.gov. Take a few minutes to check out the wealth of resources available.

 


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