News and Policy Updates

  • 03 Mar 2015 7:09 AM | Lara Marsh (Administrator)

    In this issue:

    ·        UPDATE: IDPH’s 2015 policy package

    ·        Subcommittee attended and Bills of Interest

    The Sixth and Seventh Weeks

    Here are some highlights from the sixth and seventh week of the 86th General Assembly

    Subcommittees Attended

    SF 160 Long-Term Care Committee. A subcommittee of Senators Mary Jo Wilhelm, David Johnson, and Joe Bolkcom met on Tuesday, February 17. The bill has not advanced at this time.

    HSB 147 Required Reporting by Pharmacists to the Statewide Immunization Registry (aka IRIS). A subcommittee of Representatives Linda Miller, Cindy Winkler, and Rob Taylor met on Wednesday, February 18. The bill has not advanced at this time.

    HF 209 Raw Milk for Commercial Feed for Animals. A subcommittee of Representatives Ross Paustian, Jerry Kearns, and Brian Moore met on Thursday, February 19. The bill will not advance this session.

    SSB 1167 Health Workforce Center. A subcommittee of Senators Liz Mathis, Mary Jo Wilhelm, and Mark Chelgren met on Monday, February 23. The bill was passed out of subcommittee. The members indicated that it is their intention to work on an amendment. It may now be considered by the full Senate Human Resources Committee.

    SSB 1165 Iowa Donor Network/Reports from the Office of the State Medical Examiner.A subcommittee of Senators Liz Mathis, Amanda Ragan, and Julian Garrett met on Monday, February 23. The bill passed the full Senate Human Resources Committee unanimously with an amendment on Wednesday, February 25.

    SSB 1208 Study of the Health and Well-Being of Children in Iowa. A subcommittee of Senators Liz Mathis, Amanda Ragan, and Mark Costello met on Tuesday, February 24. The bill was passed out of subcommittee. The members indicated that it is their intention to work on an amendment. It may now be considered by the full Senate Human Resources Committee.

    HF 263DHS Bed Tracking System. A subcommittee of Representatives Dave Heaton, Rob Bacon, and Ako Abdul-Samad met on Wednesday, February 25. The bill passed the full House Human Resources Committee on Thursday, February 26. A new bill number has yet to be assigned.

    HSB 144 Water Treatment Systems. A subcommittee of Representatives Ken Rizer, Deb Berry, and Megan Jones met on Wednesday, February 25. The bill was passed out of subcommittee. The members indicated that it is their intention to work on an amendment. It may now be considered by the full House Judiciary Committee.

    SSB 1200 Interstate Contracts/Substance Abuse and Mental Health Care and Treatment. A subcommittee of Senators Mary Jo Wilhelm, Joe Bolkcom, and David Johnson met on Wednesday February 25. The bill was passed out of subcommittee. HSB 160 is a companion bill in the House. A subcommittee of Representatives Linda Miller, John Wills, and Ruth Ann Gaines met on Thursday, February 26 and also advanced this legislation. Each bill may now be considered by each chambers’ Human Resources Committee.

    SSB 1172 Durable Medical Equipment Licensure. A subcommittee of Senators Jeff Danielson, Brian Schoenjahn, and Jason Schultz met on Wednesday, February 25. The bill passed out of subcommittee. The members indicated that it is their intention to work on an amendment. The bill is scheduled to be taken up by the full Senate State Government Committee on Monday, March 2.

    SSB 1216 County Medical Examiner Fees. A subcommittee of Senators Wally Horn, David Johnson, and Dick Dearden met on Wednesday, February 25. The bill will not advance this session.

    SF 265 Food Inspection Fees. A subcommittee of Senators Bill Dotzler, Chaz Allen, and Mark Segebart met on Wednesday, February 25. The bill was passed out of subcommittee. The members indicated that it is their intention to work on an amendment. It may now be considered by the full Senate Human Resources Committee.

    SSB 1195 Tobacco Retailer License Fees/Data Collection. A subcommittee of Senators Janet Petersen, Herman Quirmbach, and Jerry Behn met on Wednesday, February 25. The bill was passed out of subcommittee. The members indicated that it is their intention to work on an amendment. It may now be considered by the full Senate Ways and Means Committee.

    HF 251 Behavioral Health Transports. A subcommittee of Representatives Joel Fry, Charlie McConkey, and Sandy Salmon met on Thursday, February 26. The bill was passed out of subcommittee. The members indicated that it is their intention to work on an amendment. It may now be considered by the full House Human Resources Committee.

    SSB 1182 Designation of a Caregiver/Inpatient Hospital Stays. A subcommittee of Senators Pam Jochum, Bill Dotzler, and Mark Chelgren met on Thursday, February 26. The bill was passed out of subcommittee. The members indicated that it is their intention to work on an amendment. It may now be considered by the full Senate Human Resources Committee.


    Other Bills of Interest

    NOTE: When a bill passes out of committee it receives a new bill number. If a bill is amended in committee the changes are incorporated into the updated version of the legislation that receives a new bill number.

    SSB 1198 Pneumococcal Vaccine. A subcommittee of Senators Liz Mathis, Chaz Allen, and Mark Segebart met on Monday, February 23. The bill passed the full Senate Human Resources Committee unanimously on Wednesday, February 25. The new bill number is SF 329.

    SSB 1015 Medical Licenses/Board of Medicine Bill.  The bill passed the full Senate Human Resources Committee on Wednesday, February 18. The new bill number is SF 276.

    SSB 1019 Interstate Medical Licensure Compact/Board of Medicine Bill. The bill passed the full Senate Human Resources Committee on Wednesday, February 18. The new bill number is SF 273.

    SSB 1130 Licensure of Polysomnographic Technicians (aka Sleep Techs). The bill passed the full Senate State Government Committee on Wednesday, February 25 with an amendment. The new bill number is SF 337.

    HSB 81 Underage Tanning Restrictions. The bill passed the full House Human Resources Committee on Tuesday, February 17 with an amendment. The new bill number is HF 420.

    SF 205 Mammography Notifications (aka Dense Breast Tissue Notifications) (formerly SF 80). The bill passed the Senate Chamber unanimously with amendment S-3007 on Tuesday, February 24.

    SF 219 Relating to the Possession of Marijuana (formerly SSB 1121).The bill passed the Senate Chamber on Tuesday, February 24 by a vote of 36-13.

    SF 200 Executive Director of the Dental Board (formerly SSB 1016). The bill passed the Senate Chamber unanimously on Tuesday, February 24.

    HSB 119 Allowable Disclosures of Radon Testing Results. This bill passed out of the House Commerce Committee with an amendment on February 16. The new bill number is HF 371.

    IDPH Legislative Package

    IDPH has three bills for the 2015 session:

    ·        Omnibus Bill: The IDPH Omnibus bill consistsof 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. UPDATE: The legislation has passed out of each chambers’ Human Resources Committees. The new bill numbers are HF 193 and SF 274.

    ·        Local Public Health Flexibility Bill: This bill also consists 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 clearer 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. UPDATE: HSB 84 will not advance in the House at this time. SSB 1039 passed the Senate Human Resources Committee unanimously on Wednesday, February 18. The new bill number is SF 275.

    ·        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. 

    UPDATE: The legislation has passed out of each chambers’ Human Resources Committees. The new bill numbers are HF 381 and SF 229


    Presentations

    ·        IDPH was invited to present to the Transportation, Infrastructure, and Capitals (TIC) Joint Budget Subcommittee on Thursday, February 19. The presentation was given by Director Clabaugh and Lon Laffey, Chief of the Bureau of Information Technology. It included 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. To view the presentation materials please click here.


    Highlights for The Eighth Week

    • First Funnel Deadline. The Session Timeline is a helpful resource to know when the funnel deadlines are (there are two) and what bills are considered funnel-proof or to have “survived” first and second funnel. Their purpose is to assist the General Assembly in focusing on the legislative proposals that have a good chance of passage compared to those that need more work or a different political landscape. In reality, however, there is no such thing as dead legislation. The rest of session will see bills that died in funnel resurrected as amendments to live bills. Funnel deadlines provide interested parties with an idea of how high of a priority their bill is compared to the other approximately 2,000 that are introduced annually.

     

    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.


    To subscribe to the IDPH Legislative Update, please send a blank email to join-IDPHLEGUPDATE@lists.ia.gov.

  • 25 Feb 2015 8:51 PM | Lara Marsh (Administrator)

    A big thanks to all the informative speakers today and to all of you who work to maintain and enhance our profession!! 

    Sherry Buske, INPS President


  • 25 Feb 2015 8:49 PM | Lara Marsh (Administrator)

    ATTENTION

    Please read, this will affect your practice:

    Department of Human Services Announces Series of Public Meetings for Medicaid Modernization: As announced last week, the Iowa Department of Human Services (DHS) has released a Request for Proposals (RFP) for Governor Branstad’s Medicaid Modernization. This initiative aims to improve the coordination and quality of care while providing predictability and sustainability for taxpayers in Medicaid spending. 

    The RFP, titled the Iowa High Quality Health Care Initiative, asks for bids from potential vendors as the state moves toward a risk-based managed care approach for Iowa’s Medicaid program. The RFP can be found here: http://bidopportunities.iowa.gov/?pgname=viewrfp&rfp_id=11140

    A series of public meetings will be held regarding Medicaid Modernization. Access the press release for details on the meeting locations.

    Information on Medicaid Modernization can be found on the dedicated web page at: https://dhs.iowa.gov/ime/about/initiatives/MedicaidModernization.

    Please feel free to share this information with others in your organization or your community. If you’d like to subscribe to these email notifications, please email “subscribe” along with your name, organization and contact information to IMECommunications@dhs.state.ia.us
  • 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:

    •  

    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.

     

  • 16 Feb 2015 11:47 AM | Lara Marsh (Administrator)

    Five weeks have transpired in the first session of the 86th General Assembly. There are no bills left from last year. It’s start from scratch time. After the November elections, we have 21 new legislators. Even with all this newness, an important dynamic about the legislature and executive branch didn’t change. The Senate is still controlled by the Democrats 26-24. The House is still controlled by the Republicans, 57-43. The Republicans did pick up four seats to expand their majority. The Executive Branch is still controlled by Governor Terry Branstad, who not only is Iowa’s longest serving Governor, but will become America’s longest serving Governor before this term, his sixth, is completed.

    Your IANP/INPS joint legislative committee is busy reviewing bills. The committee has already been sent 60 bills to review. We try to make sure we catch every bill or section of a bill that will have an impact, either positive or negative, on nurse practitioners. The committee has a conference call every two weeks to review fully the bills which have been introduced.

    Because the state legislature can have such a profound impact on your profession, we are hopeful that every nurse practitioner will take the time to get more involved with public policy. Part of this project entails getting to know your State Representative and State Senator. Invite your legislator to your workplace. Give them an idea of what goes on in your world every day. Most legislators understand the importance of health care issues. What they probably don’t know is the vital role that you play in this equation.

    Printed below are the bills that IANP/INPS has taken a position on so far in the 2015 session.

    FOR

    SF 203

    A bill for an act relating to persons and activities regulated by the board of nursing. (Formerly SSB 1097.) (SF 203 passed the Senate Human Resources Committee unanimously and awaits a vote by the full Senate.) 

    SSB 1001

    A study bill for an act relating to a dementia proficient workforce task force. (IANP/INPS is attempting to get a nurse practitioner appointed to this task force.) 


    AGAINST

    SSB 1150 (HSB 103)

    A study bill for an act relating to licensure of anesthesiologist assistants, providing for fees, and making penalties applicable. The Senate subcommittee of Senators Wilhelm, Taylor, and Johnson all voted “no” on SSB 1150 on Thursday, February 12th. HSB 103 will have a subcommittee meeting on February 18th)


    UNDECIDED

    SSB 1005

    A study bill for an act relating to the reclassification of marijuana, including tetrahydrocannabinols, and the possession of marijuana, and providing a penalty. (IANP/INPS is monitoring this bill, but will likely focus more on the medical marijuana bill.)

    HF 193

    By Human Resources. A bill for an act relating to programs and services under the purview of the department of public health including the board of hearing aid dispensers and the medical residency training matching grants program and including effective date and retroactive applicability provisions (Formerly HSB 83)

    SF 31

    By McCoy. A bill for an act relating to sexual orientation change efforts and making penalties applicable.

    SSB 1020

    A study bill for An Act relating to the Iowa information program for drug prescribing and dispensing. 1/14/15 Subcommitee: Wilhelm, Bolkcom, and Segebart

    HF 203 (SSB 1130)

    By State Government. A bill for an act providing for the licensing of polysomnographic technologists and exceptions thereto, making penalties applicable, and including effective date provisions. (Formerly HSB 75)

  • 10 Feb 2015 1:00 PM | Lara Marsh (Administrator)
    • Dates:  April 10 to April 17, 2015 and April 17 to April 24, 2015
    • Duration:  Can do 1 or 2 weeks
    • Cost:  Flight, meals, lodging, transportation =  $1200
    • Contact:  For more details contact INPS board member, Sandi Leaders
  • 10 Feb 2015 12:44 PM | Lara Marsh (Administrator)

    In this issue:

    ·        UPDATE: IDPH’s 2015 policy package

    ·        Tobacco Commission presentation to HHS this week

    ·        Subcommittee attended to date

    ·        Highlights for this week: Scheduled subcommittees

    The Third and Fourth Weeks

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

    Subcommittees Attended

    HSB 81 Underage Tanning Restrictions. A subcommittee of Representatives Rob Taylor, Timi Brown-Powers, and Stan Gustafson met on Tuesday, February 3. The bill passed out of the subcommittee and may now be taken up by the full House Human Resources Committee. The subcommittee indicated they would draft a similar medical exemption amendment as is intended for SF 40.

    HF 31 African-Style Hair Braiding Licensure Exemption. A subcommittee of Representatives Dawn Pettengill, John Wills, and Deborah Berry met on Wednesday, February 4. The majority of the subcommittee members seemed supportive of the legislation however it was unclear as to whether or not it was passed out of subcommittee. There was a lengthy discussion on the pros and cons of exempting this style of hair braiding. There was emphasis on having a special credential to ensure that sanitation practices and Iowa law were part of the training for these professionals.

    SF 80 Mammography Notifications (aka Dense Breast Tissue Notifications). A subcommittee of Senators Pam Jochum, Mary Jo Wilhelm, and Mark Segebart met on Wednesday, February 4. The bill passed out of the subcommittee and may now be taken up by the full Senate Human Resources Committee. It is on the Monday, February 9 agenda for the committee.

    SSB 1068 Fantasy Sports Gaming. This bill passed out of the Senate State Government Committee on Wednesday, February 4 and may now be taken up by the full Senate Chamber.

    HSB 47 Fantasy Sports Gaming. A subcommittee of Representatives Jake Highfill, John Wills, and Dennis Cohoon met for the second time on Thursday, February 5. The bill passed out of subcommittee however the Chair of the subcommittee, Representative Highfill, indicated he would continue to accept amendments. The bill is now eligible to be taken up by the full House State Government Committee.

    HF 46 Occupational Regulations. A subcommittee of Representatives Jake Highfill, Todd Taylor, and Darrel Branhagen met on Thursday, February 5. The subcommittee declined to advance the bill at this time.

    HF 109 Chemical Substance Abuse Monitoring Pilot Program. A subcommittee of Representatives Joel Fry, Rob Taylor, and Ruth Ann Gaines met on Thursday, February 5. The bill passed out of subcommittee however it was indicated that amendments would be drafted. The bill may now be taken up by the full House Human Resources Committee.

    SSB 1109 Tobacco Legal Age to 19. A subcommittee of Senators Herman Quirmbach, Bob Dvorsky, and Jason Schultz met on Thursday, February 5. The bill passed out of the subcommittee and may now be taken up by the full Senate Education Committee.

    SSB 1093 Prescription Authority for Psychologists. A subcommittee of Senators Joe Bolkcom, Amanda Ragan, and David Johnson met on Monday, February 9. The bill did not pass out of subcommittee at this time however the chair, Senator Bolkcom, indicated he was still interested in more discussion.

    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. UPDATE: 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. 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. UPDATE: In the House, the subcommittee of Representatives Rob Taylor, Ken Rizer, and Charlie McConkey met on Thursday, February 5 to discuss HSB 84. Representative Taylor indicated that he had additional questions before he would agree to advance the legislation out of subcommittee. He is the chair of the subcommittee and is in the position to make this decision. IDPH plans to continue working with the Representative regarding his concerns. In the Senate, the subcommittee of Senators Chaz Allen, Mary Jo Wilhelm, and Mark Segebart have scheduled a subcommittee for Tuesday, February 10 at 4:00 in the Senate Lobbyist Lounge.

    ·        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) and have been referred to the respective Human Resources Committees. UPDATE: 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.  In the Senate, the subcommittee of Senators Mary Jo Wilhelm, Amanda Ragan, and David Johnson also met on Thursday, February 5 to discuss SSB 1102. The subcommittee agreed to sign off on advancing the bill. SSB 1102 may now be taken up by the full Senate Human Resources Committee.

    Presentations

    ·        IDPH Director Gerd Clabaugh was invited to introduce himself to the Senate Human Resources Committee on Wednesday, February 4. The committee asked him several questions on an array of topics. The committee has added his confirmation appointment to the agenda for their meeting on Monday, February 9 at 4:00 in room 22. They will vote on his confirmation at that time. The next step is the Senate Chamber floor should the committee vote in favor of his appointment.

    Highlights for This Week

    • The Health and Human Services Joint Appropriations Subcommittee has invited the Chair of the Tobacco Use Prevention and Control Commission, Chad Jessen. The presentation will be on the highlights of the Commission’s recent report on its 2014 activities. It will take place on Wednesday, February 11 at 10:00 in room 116. To view the Commission’s report please click here.
    • 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.
      • SSB 1118 Use of funding for the Anatomical Gift Public Awareness/Transplantation Fund
      • SSB 1130 Licensure of Polysomnographic Technicians
      • SSB 1135 Sale of Fireworks

    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.

  • 02 Feb 2015 12:51 PM | Lara Marsh (Administrator)

    In this issue:

    ·        UPDATE: IDPH’s 2015 policy package

    ·        IDPH Presentations last week

    ·        Highlights for this week: IPHA Day on the Hill, Scheduled subcommittees

    The Second and Third Weeks

    Here are some highlights from the second and third week of the 86th General Assembly:

    Subcommittees Attended

    SSB 1019 Board of Medicine (BOM) Interstate Licensure Compact. A subcommittee of Senators Amanda Ragan, Pam Jochum, and Mark Costello met on Tuesday, January 20. The bill passed out of the subcommittee and may now be taken up by the full Senate Human Resources Committee.

    SSB 1001 Dementia Task Force. A subcommittee of Senators Mary Jo Wilhelm, Chaz Allen, and David Johnson met on Wednesday, January 21. The bill passed out of the subcommittee and may now be taken up by the full Senate Human Resources Committee. The subcommittee members indicated that amendments will be drafted to address the timeframe of the deliverables and the scope of the directives.

    HF 23 Vital Records Search Fees. A subcommittee of Representatives Megan Jones, Mary Gaskill, and Jake Highfill met on Wednesday, January 21and Monday, January 26. The bill passed out of subcommittee and may now be taken up by the full House Local Government Committee. The subcommittee members indicated that amendments will be drafted.

    SF 40 Underage Tanning Restrictions. A subcommittee of Senators Bill Dotzler, Amanda Ragan, David Johnson met on Tuesday, January 27th. The bill passed out of the subcommittee and may now be taken up by the full Senate Human Resources Committee. The subcommittee members indicated that amendments will be drafted to address medical exemptions.

    HSB 75 Licensure of Polysomnographic Technicians (aka Sleep Techs). A subcommittee of Representatives Linda Miller, Vicky Lensing, and Rob Bacon met on Wednesday, January 28. It was not clear as to whether or not the subcommittee passed the bill out at this time.

    HF 50 Child Sexual Abuse Training. A subcommittee of Representatives Joel Fry, Ako Abdul-Samad, and Kevin Koester met on Wednesday, January 28. The bill passed out of the subcommittee and may now be taken up by the full House Education Committee.

    SSB 1068 Fantasy Sports Gaming. A subcommittee of Senators Jeff Danielson, Matt McCoy, and Rick Bertrand met on Thursday, January 29. The bill passed out of the subcommittee and may now be taken up by the full Senate State Government Committee.

    HSB 47 Fantasy Sports Gaming. A subcommittee of Representatives Jake Highfill, John Wills, and Dennis Cohoon met on Thursday, January 29. The Chair of the subcommittee, Representative Highfill, indicated he would schedule a second subcommittee for next week.

    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. UPDATE: 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, a subcommittee of Representatives Greg Forristall, John Mills, and Marti Anderson met on Wednesday, January 29 to discuss HSB 83. The bill passed out of subcommittee and may now be taken up by the full Human Resources Committee. In the Senate, a subcommittee of Senators Mary Jo Wilhelm, Liz Mathis, and Mark Segebart have scheduled a subcommittee meeting for Monday, February 2 at 3:00 in the Senate Lobby Lounge to discuss SSB 1096.

    ·        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.

    UPDATE: 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, a subcommittee of Representatives Rob Taylor, Ken Rizer, and Charlie McConkey have scheduled a subcommittee for Thursday, February 5 at 7:45 am to discuss HSB 84. In the Senate, a subcommittee of Senators Chaz Allen, Mary Jo Wilhelm, and Mark Segebart have been assigned to the bill however, as of this writing a subcommittee has not been scheduled.

    ·        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.

    UPDATE: This legislation has been introduced in both chambers (HSB 100/SSB 1102) and have been referred to the respective Human Resources Committees. In the House, a subcommittee of Representatives Greg Forristall, Ken Rizer, and Timi Brown-Powers have been assigned to HSB 100. As of this writing a subcommittee meeting has not been scheduled. In the Senate, a subcommittee of Senators Mary Jo Wilhelm, Amanda Ragan, and David Johnson have been assigned. A meeting is scheduled for Thursday, February 5 at 8:30am to discuss SSB 1102.

    Presentations

    ·        The Health and Human Services Joint Appropriations Subcommittee invited IDPH Director Gerd Clabaugh to present on the department’s budget priorities on January 28. To view his PowerPoint please click here.

    ·        The Senate Human Resources Committee invited Dr. Bob Russell, IDPH’s Dental Director and Chief of the Bureau of Oral and Health Delivery Services to discuss the workforce-related programs administered by the bureau’s Health Workforce Center on January 28. To view the handout used in the presentation please see the attachments to this publication.

     Highlights for Next Week

    ·        Public Health Day on the Hill is schedule for Tuesday, February 3 in room 116 from 11:30 to 1:00. For more information please click here

    ·        Subcommittees have been scheduled for the following bills. For more information please refer to the Senatelist of scheduled subcommittees and the Houselist of scheduled subcommittees.

    o   HSB 81Underage Tanning Restrictions

    o   SF 80Mammography Notifications (aka Dense Breast Tissue Notifications)

     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.

     The Legislative Update is also posted on the IDPH website at http://www.idph.state.ia.us/IdphArchive/Archive.aspx?channel=LegislativeUpdates

    To subscribe to the IDPH Legislative Update, please send a blank email to join-IDPHLEGUPDATE@lists.ia.gov.

  • 02 Feb 2015 7:46 AM | Lara Marsh (Administrator)

    Given the recent outbreaks, you might find this helpful.

    http://www.cdc.gov/measles/index.html

  • 26 Jan 2015 8:16 AM | Lara Marsh (Administrator)

    Regional Leadership Conference

    Mary Berg attended the AANP Region 7 Invitational Leadership meeting January 17th, 2015 in Kansas City, MO. The objectives of the meeting were to identify health policy and professional practice issues in each of the 4 Region 7 states (Iowa, Kansas, Missouri and Nebraska), develop strategies to address these issues with emphasis on media engagement, and to look at the impact of federal health policies at the national, state and practice levels. AANP President Kenneth Miller reported that there 205,000 NPs in the U.S. with 55,900 being members of AANP. NP’s are responsible for >916 million patient visits annually with 75% practicing in primary care. Two states adopted full practice authority for NPs this past year; Minnesota and Connecticut for a total of 19. AANP’s federal policy agenda includes removing all federal barriers to NP practice including the ability to provide home health assessments and order durable medical equipment, both of which currently require physician documentation. Iowa’s state policy agenda items this year include monitoring fireworks, telehealth, helmet law, concussion management in student athletes and texting while driving bills. NPs in our region need to stress to our legislators our ability to provide efficient, effective and patient centered care that ultimately decreases cost, increasing quality and improves access to care.

    Download PDF of this article by clicking here.


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