News and Policy Updates

  • 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.

  • 22 Jan 2015 6:01 AM | Lara Marsh (Administrator)
    Here are some highlights from the first week of the 86th General Assembly:

    The Governor’s Condition of the State Address

    The Governor gave his Condition of the State Address to the General Assembly on January 13, 2015. The address serves as the platform for the Governor to outline his budgetary goals for the executive branch as well as his policy agenda for the 2015 session. For resources relating to the Governor’s priorities, including a recorded video stream of his speech, please click here.

    IDPH Budget Priorities

    Referenced documents:

    IDPH ACA Impact Study Summary

    IDPH Omnibus Bill and Memo

    Local Public Health Flexibility Bill and Memo

    IHIN Transition White Paper

    IDPH has several budget priorities for the 2015 session:

    • General Fund. IDPH is requesting a reallocation of $200,000 of the $500,000 that is received annually from the General Fund for cervical cancer screening to be used in our Bureau of EMS and Trauma Systems. There are a couple of reasons for this.

    First, we have had significant reversions since the initial appropriation in FY 2013. The program reverted $306,000 in FY 2013 and $271,000 in FY 2014. In addition to this, over the interim, IDPH subcontracted with an actuary to better understand how the Affordable Care Act may impact some of our programs. The cervical cancer screening program was one of four that were reviewed. The study found that the overall number of Iowans seeking IDPH-funded cervical cancer screening preventative services is projected to decrease as historically eligible women become enrolled in new health plans. For additional information on the study’s findings please see the attachments to this publication.

    EMS has been a priority for the department in the last couple of sessions. IDPH staff have been in communication with the Iowa EMS Associationthat indicated that they would like to see more technical expertise at the state level to assist with county-level planning relating to budget and data analysis. IDPH is requesting two additional FTEs for the department for this purpose.

    • The Governor also recommended an additional $1.0 million for the IDPH Medical Residency Training Grant Program for a total of $3.0 million for FY 2016 and FY 2017. IDPH will be seeking a substantive change to the program in an effort to attract bidders that would like to start new residency programs. More information is provided below in the discussion of the department’s legislative package. An organization starting a program must bear all start-up costs and do not receive Graduate Medical Education (GME) funding from the federal government until resident physicians are already in place and are functioning. The startup costs for residencies can vary from one to two hundred thousand dollars and higher, depending on the number of residents and the type of residencies, amongst other variables. Additional slots for existing programs are also a targeted goal of the IDPH program and are also expensive to establish.
    • Technology Reinvestment Fund. IDPH is also making the following requests from the Technology Reinvestment Fund that is under the purview of the Transportation, Infrastructure, and Capitals Joint Appropriations Subcommittee:
      • $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.
      • $500,000 in one-time funding in FY 2016 to subcontract the services of a large, national, 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?). Red, yellow, and green color coding has been used to clearly identify these stages. Unfortunately, we’re seeing a great deal of systems that are in the red. 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. This way we can get ahead of the larger problem, understand it fully, and then implement strategies for long and short term planning. IT is expensive and we should be thoughtful and deliberate in our approach moving forward. We know as public health professionals that we need good data to make good policy decisions. This request supports the effort to do so.

    IDPH Legislative Package

    IDPH has three bills for the 2015 session:

    • Omnibus Bill: The IDPH Omnibus bill will consist of two 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. As of this writing the bill has not been introduced in either chamber however the final draft has been approved. To view the finalized bill language and summary memo, please see the attachments to this publication.
    • 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, Wayne and Appanoose counties attempted a voluntary merger however there were several reasons that it was not accomplished. A few of the points of impasse were related to inflexible code requirements. The department is proposing to remove some of those requirements. 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, 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 assist the department in evaluating the public health system in Iowa as a whole and will make recommendations to the department and the state board of health. To view the finalized bill language and summary memo, please see the attachments to this publication. The bill was introduced as SSB 1039 in the Senate Chamber and was referred to the Human Resources Committee. A subcommittee of Senator Chaz Allen, Mary Jo Wilhelm, and Mark Segebart has been assigned. As of this writing a meeting 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 135.156F for 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. To read more about the recommendation from IDPH please see the attachments to this publication.
    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.

    Currently, the legislation is still under construction however, it is close to completion.
    To understand how a bill moves through the legislative process, click here.

    Highlights for Next Week:

    The Health and Human Services Joint Appropriations Subcommittee has invited IDPH Director Gerd Clabaugh to present on the department’s budget priorities on January 28, at 10:00 in room 116.

    Other Information

    • 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.

  • 21 Jan 2015 9:21 PM | Lara Marsh (Administrator)
    By Elise Viebeck, the Hill

    The number of U.S. nurse practitioners nearly doubled over the last 10 years, rising from roughly 106,000 in 2004 to 205,000 as of Dec. 31, the profession's trade group said Wednesday.

    More than 15,000 people graduated from nurse practitioner programs between 2012 and 2013, the American Association of Nurse Practitioners (AANP) also reported.

    The AANP is hoping to leverage the rising number of nurse practitioners to further shape policy debates in Washington, D.C., particularly amid the current doctor shortage.

    "The explosive growth of the nurse practitioner profession is a public health boon considering our nation’s skyrocketing demand for high-quality, accessible care,” said AANP President Ken Miller in a statement.

    "The challenge now will be right-sizing state and federal laws such that all patients will have full and direct access to nurse practitioners, and these expert and dedicated clinicians will be able to provide care to the top of their education and clinical training."

    This goal puts the AANP in conflict with doctor groups, which have argued that the scope of practice for nurse practitioners should not increase because NPs typically lack the amount of education attained by doctors.

    This Congress, the AANP is expected to continue its push to pass legislation allowing nurse practitioners to order home health services for Medicare beneficiaries.

  • 10 Dec 2014 9:01 AM | Lara Marsh (Administrator)
    Please join me in congratulating the new INPS Board members!  We welcome Sandi Leaders as the new SW District representative, Theresa D. Hohertz as the new NW District Representative, and Jill Duffy as the new Secretary.

    They will start their two-year terms on January 1, 2015.

    Claudia Beckwith, INPS President

  • 11 Jun 2014 2:52 PM | Lara Marsh (Administrator)

    In this issue:

    ·        A list of the enacted bills from the 2014 session that relate to public health:  click here

    ·        Final Action: HHS Appropriations Bill

    ·        Final actions on bills on the last days of session

    ·        FYI: The Legislative Council will meet on June 25. The Council’s Studies Committee will establish legislative interim councils for the 2014 Interim in addition to those that may have been established in enacted legislation.

     

    2014 End of Session Update

    The second and final session of the 85th General Assembly came to a close on May 3. The Governor completed his actions on the 142 enrolled bills sent to him by the legislature on May 30.

    Thank You

    To my colleagues at IDPH, I greatly appreciate your dedication to session. I sincerely thank you for helping us through yet another one filled with successes.  It takes a village to navigate the session waters and it would be impossible to do without your hard work, subject matter expertise, flexibility, and patience. It’s an honor to represent our department. Thank you so much for the opportunity to do so. 

    Governor’s Actions

    The following is an excerpt from the Legislative Services Agency’s “How a Bill Becomes a Law.” It provides a brief explanation of the Governor’s veto powers. The full document is located here:          

    Bills passed by the Legislature must be reviewed by the Governor. The Governor takes final action on all bills passed by the Iowa General Assembly. The Governor has three options: sign the bill, veto the bill (or item veto an appropriations bill), or take no action. In the case of a veto, the Legislature may override the veto with two-thirds of the members of each chamber voting to reconsider and pass the bill a second time. If, during session, the Governor does not sign or veto a bill, it becomes law after three calendar days (except Sundays). Bills received by the Governor during the last three calendar days of session (except Sundays) must be signed or vetoed within 30 calendar days.

     

    The Governor has the option to use three types of vetoes: the veto, item veto, and pocket veto. The veto indicates the Governor’s disapproval of an entire bill. The item veto may be used only for bills which appropriate funds. It strikes a specific item of an appropriations bill. A pocket veto occurs when the Governor fails to take action within 30 calendar days on a bill received within the last three calendar days of session (except Sundays). The entire bill fails to become law. When the Governor vetoes or item vetoes a bill, a veto message explaining why the veto was made is delivered to the chamber of origin with the bill and is filed with the Secretary of State. The Governor’s veto messages can be accessed on the Iowa General Assembly web site in the “Enrolled Bills” section.

     

    Health and Human Services Appropriations Act

    ·        HF 2463 was item-vetoed by Governor Branstad on May 30. To view the item-veto letter please click here. The following are some highlights from the bill:

    o   IDPH’s total FY 2015 General Fund budget is $58.8 million. This is an increase of $1.4 million compared to FY 2014.

    o   The Legislature appropriated $150,000 from the Technology Reinvestment Fund for a new and combined EMS and trauma system database. Achieving this budget goal will ensure better and more efficient collection and reporting of EMS and trauma system data. IDPH is currently implementing the request for proposal process.

    o   Another budget goal for IDPH, which was recommended by Governor Branstad, was a request for $75,000 for a benchmark study of Iowa’s trauma system by the American College of Surgeons. This recommendation did not receive funding from the legislature.

    o   The Legislature increased funding for the following existing IDPH programs:

    §  $100,000 for tobacco use prevention and control programming (Total allocation  = $5.2 million)

    §  $300,000 for the 1st Five Program to continue statewide implementation (Total allocation = $1.6 million)

    §  $37,500 for the IDPH Direct Care Professional Advisory Council (Total allocation  = $213,400)

    o   The Legislature increased funding for several programs that are not administered by IDPH. The following organizations have subcontracts with the department to implement directives from the Legislature:

    §  $43,043 for  the Donated Dental Services Program that is administered by Delta Dental of Iowa (Total allocation  = $74,640)

    §  $50,000 for the Epilepsy Foundation of North Central Illinois, Iowa, and Nebraska for epilepsy education and outreach (Total allocation  = $149,823)

    §  $37,500 for Iowa Caregivers Association for activities  targeting direct care professionals (Total allocation = $216,375)

    §  $100,000 for the Iowa Donor Network (Total = $250,000)

    o   The Legislature provided  the following allocations for three new programs and directives that will be administered by IDPH:

    §  $50,000 to add additional questions relating to Adverse Childhood Experiences to the department’s annual Behavioral Risk Factor Surveillance Survey (BRFSS).

    §  $25,000 for the implementation of SF 2360, the Medical Cannabidiol Act.

    §  $100,000 for a burial grant program for low-income families that experience the death of a child. Each eligible family will receive a maximum award of $2,000.

    o   HF 2364 directs IDPH to lead the following Interim activities:

    §  A study on the reimbursement for services provided by substance abuse providers. Topics will include, but are not limited to, the current reimbursement formula and the impact the Iowa Health and Wellness Plan (IHAWP) may have on substance abuse providers. A report is due by December 15.

    §  IDPH will collaborate with the Department of Education on options for continuing the foundation established by the Young Adult Suicide Prevention Program Project. IDPH achieved a federal grant that will fund the Program for the next 2-3 years. A report is due by December 15.

    o   Other public health-related studies in HF 2364 that are not IDPH-led include:

    §  By December 15, the University of Iowa‘s College of Dentistry is required to submit a proposal to offer a residency program in geriatric dentistry. Specific requirements are provided for in the legislation.

    §  An interagency collaboration to address the medical and psychosocial needs of persons released from correctional facilities. The Departments of Human Services, Public Health, Aging, Workforce Development, and Corrections are listed as the participating agencies in the legislation. A report is due December 15.

    §  The Legislative Council is requested to establish two Interim committees. One that would examine issues relating to aging Iowans and long-term care and a second that would review the array of child welfare services in Iowa. Each Interim committee would report its findings before the 2015 session.  

    o   Additional policy directives that are new include the following:

    §  The IDPH Medical Residency Matching Grants Program is required to prioritize psychiatric residency positions and family practice residency positions in awards made to grantees.

    §  The Legislature directed the Iowa Medicaid Enterprise to request an amendment to the Iowa State Plan from the federal Centers for Medicaid and Medicare Services that would allow matching funding to be drawn down for the Iowa State Poison Control Center.

    §  EMS providers will receive a 10.0% increase in reimbursement from the Iowa Medicaid Program.

    • o   The Governor exercised his line-item veto power on the following public health-related policy directives:

    §  To have the Department of Human Services work with the Iowa Collaborative Safety Net Provider Network and the Iowa Primary Care Association to explore mechanisms for long-term sustainable funding for the Network. The item-veto message indicated that it would be duplicative of the continued efforts by DHS to work with all stakeholders to study methods to modernize the Medicaid system.

    §  To have IDPH convene a stakeholder workgroup that would provide recommendations for making Iowa’s children the healthiest in the nation by January 1, 2020.

    Governor Branstad has a goal to make Iowa the Healthiest state in the nation by 2016. The item-veto letter indicated that the idea included in HF 2463 would be duplicative of this private sector led initiative that is working. The Healthiest State Initiative is privately led and publically endorsed. It encourages all Iowans, including children, to improve their overall health and well-being so they can live longer, happier, and healthier lives. The Governor believes that making Iowa the healthiest state in the nation is not only critical to the economic viability of our state, but is also critical to the quality of life for all Iowans. Iowans have made great strides in improving their health and continue to work toward the Governor’s goal of becoming the healthiest state in the nation by 2016.

    •  

    IDPH Legislative Package Summary

    ·        SF 2083 Board of Dietetics Bill.This bill was signed into law by Governor Branstad on March 14.

    ·        SF 2196 Department Omnibus Bill.This bill was signed into law by Governor Branstad on May 23.

    ·        The Iowa Health Information Network (IHIN) legislation (HF 2187) did not pass the Legislature this year.

     

    Other bills of interest

    The following bills were passed by the legislature in the final days of session:

    ·        SF 2360 Medical Cannabidiol Act. This bill was signed into law by Governor Branstad on May 30.

    ·        SF 2297 Criminal Transmission Act.This bill was signed into law by Governor Branstad on May 30.

    ·        SF 2239 Elder Abuse Act. IDPH is listed as a member on a task force in section 30 of the bill. This bill was signed into law by Governor Branstad on May 23.

    ·        HF 2109 Vapor Products Act (aka E-Cigarette Bill). This bill was signed into law by Governor Branstad on May 23.

    ·        SF 303 Home Base Iowa Act. Includes provisions to expedite licensure for veterans and their spouses if they have taken relevant trainings and/or have relevant work experience. This bill was signed into law by Governor Branstad on May 26.

    ·        SF 2363 One-Time Spending Act. Includes provisions relating to radon and short-term testing. Provides DOE with $1.0 million for reimbursement to school districts for testing. Compliments SF 366 that passed earlier in session. Also includes $2.8 million in pass-through funding for substance use providers to implement use of electronic health records. The Governor exercised his veto power on SF 2363 on May 30. The provisions of this legislation will not be implemented.

     

    Other Information

    The Legislative Update is also posted on the IDPH website at http://www.idph.state.ia.us/adper/legislative_updates.asp.

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

  • 11 Jun 2014 2:38 PM | Lara Marsh (Administrator)

    Please view the summary report, written by lobbyist Joe Kelly, by clicking here.

  • 28 Apr 2014 7:41 AM | Lara Marsh (Administrator)

    In this issue:

    ·        Bills and issues still moving through the process.

    ·        Bills signed or under consideration by the Governor.

    ·        HHS Appropriations Bill.

     

    Bill Highlights

    • ·        IDPH Legislative Package:
    • o   SF 2196 Department Omnibus Bill. This bill advanced over its final hurdle on April 16th and will now be sent to the Governor for his consideration.
    • o   The Iowa Health Information Network (IHIN) legislation (HF 2187) that was also part of the department’s legislative package will not advance this session. It was a wild ride while it lasted. The bill died and was resurrected at least three times throughout session. Privacy and security concerns over patient health information in the Senate became the main barrier for passage. We appreciate the help we received from all of our vested stakeholders including but not limited to Iowa Medicaid, the Iowa Hospital Association, UnityPoint, Mercy Health Network, Xerox, Genesis Health Systems, the Family Planning Council of Iowa, GlaxoSmithKline, and the Iowa Public Health Association. It was greatly appreciated and was in part, the reason we were able to pump life back into this legislative proposal several times over.
    •  
    • ·        Anti-Bullying:
    • o   SF 2318 Anti-Bullying Bill. This bill has been amended several times this session. To view the full history of the bill, please click here. The most recent action was taken by the House Chamber that passed the bill on April 25 by a vote of 68-27. The bill has been messaged to the Senate Chamber for their consideration of House amendment S-5187.
    •  
    • ·        E-Cigarettes:
    • o   HF 2109 Vapor Products. The House Chamber passed this bill on February 11 by a vote of 76-22. It passed the Senate Human Resources Committee on March 13. It was placed on the Senate’s Unfinished Business Calendar on March 20. It is listed on the Senate’s Debate Calendar for Monday, April 28.
    •  
    • ·        Elder Abuse:
    • o   SF 2239 Elder Abuse Bill. This bill has been amended several times this session. To view the full history of the bill, please click here. The most recent action was taken by the House Chamber that has refused to concur with Senate amendment H-8284. The Senate has indicated that it may take up the bill on Monday, April 28. If the Senate insists on this amendment then a conference committee of both chambers will be appointed.
    •  
    • ·        Emergency Medical Services (EMS):
    • o   HF 2459 EMS Tax Credit Increase. This bill passed the House Chamber on April 1 by a vote of 99-1. UPDATE: It passed the Senate Chamber on April 25 by a vote of 48-0 as amended by S-5172. To view the Fiscal Note published by the Legislative Services Agency please click here. The bill has been messaged to the House Chamber for their consideration of the Senate’s amendment.

     

    ·        Medical Marijuana:

    o   SF 2360 Medical Cannabidiol Act. This bill was introduced as SSB 3222 on April 23 and passed the Senate Ways and Means Committee on the same date. On April 24 it passed the Senate Chamber by a vote of 36-12. It was assigned to the House Public Safety Committee on April 25 and was voted out of a subcommittee of Representatives Jared Klein, Tom Shaw, and Bob Kressig on the same date. The House Chamber has indicated that the bill will be debated the early part of the week of the 28th.

     

    • ·        Veterans:
    • o   SF 303 Home Base Iowa. This bill has been amended several times this session. To view the full history of the bill, please click here. The most recent action was taken by the Senate Chamber that passed the bill with amendments on April 25 by a vote of 48-0. It has been messaged to the House Chamber for their consideration of Senate amendment H-8317.

     

    Signed by the Governor

    • ·        SF 366 Radon Control in Schools. SF 366 passed the House on March 18 by a vote of 99-1. It passed the Senate again on April 8. It was signed into law by Governor Branstad on April 17.

     

    Health and Human Services Appropriations

    HF 2463 passed the House Chamber on April 10 by a vote of 51-47. It passed the Senate Chamber with amendments on Monday, April 21. To view a summary of the Senate’s changes to the House budget published by the Legislative Services Agency (LSA), please click here. To view a difference report published by the LSA please click here. A conference committee has been appointed to work out the differences and produce the final bill. They are Senators Jack Hatch, Amanda Ragan, Joe Bolkcom, Dave Johnson, and Jack Whitver, and Representatives Dave Heaton, Linda Miller, Joel Fry, Lisa Heddens, and John Forbes.

     

    Other Information

    The Legislative Update is also posted on the IDPH website at http://www.idph.state.ia.us/adper/legislative_updates.asp.

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


  • 14 Apr 2014 1:13 PM | Lara Marsh (Administrator)

    In this issue:

    ·       Bills and issue still moving through the process.

    ·       Bills signed or under consideration by the Governor.

    ·       Appropriations Bills.

     

    Bill Highlights

    • ·        IDPH Legislative Package:
    • o   SF 2196 Department Omnibus Bill. This bill was passed by the Senate Chamber on February 25 by a vote of 50-0. It was passed by the House Chamber on April 1 by a vote of 99-0. UPDATE: The Senate made additional changes to House amendment S-5117 on April 8 and passed the bill by a vote of 49-0. This causes the bill to bounce back over to the House once more for their agreement with the new Senate changes. To view the amendment in its entirety, please click here. The two Senate changes include:
    • §  Removal of the House adjustments of the sunset dates for specific workforce-related programs and accounts in Iowa Code.
    • ·        Clearly stated, the following accounts will not have a sunset date:
    • o   the medical residency training program account,
    • o   the health care workforce shortage national initiatives account that is used to fund the department’s Primary Care Recruitment and Retention Endeavor (PRIMECARRE) Program,
    • o   the Fulfilling Iowa’s Need for Dentists (FIND) account.
    • ·        The following accounts are set to sunset on June 30, 2014. The date was extended by the Senate to June 30, 2016:
    • o   the nurse residency state matching grants program account,
    • o   the health care professional and Iowa needs nurses now initiative account,
    • o   the safety net provider recruitment and retention initiatives account, and,
    • o   the physician assistant mental health fellowship program account.
    • §  Removal of the department’s Iowa Health Information Network legislation, HF 2187.

     

     

    Sent to the Governor

    • ·        SF 366 Radon Control in Schools. Update: The House decided to move SF 366 that had already advanced to the House Local Government Committee last session instead of moving SF 2262 that was passed by the Senate earlier this session. SF 366 passed the House on March 18 by a vote of 99-1. It passed the Senate again on April 8. It will now be sent to the Governor for his consideration.

     

    Signed by the Governor

    • ·        HF 2274 Agency Fees Internet Site. This bill passed the House Chamber on February 25 by a vote of 98-0. To view the published Fiscal Note, please click here. This bill passed the Senate Chamber on March 27 by a vote of 46-0. Update: Governor Branstad signed this bill into law on April 10, 2014.

     

    Health and Human Services Appropriations

    HF 2463 passed the House Chamber on April 10 by a vote of 51-47. The following amendments were adopted, H-8251, H-8226, H-8235, H-8218, and H-8253 that had two second degree amendments attached to it, H-8255 and H-8256.

     

    IDPH related changes by the aforementioned amendments include:

    • ·        H-8251 required the Department of Human Services (DHS) to transfer $100,000 of Temporary Assistance for Needy Families (TANF) funding to IDPH to administer a program to assist specified families with the costs associated with the death of a child. The administration of the program would become the responsibility of the Board of Mortuary Science under the IDPH Bureau of Professional Licensure.
    • ·        H-8235 requires any agency that receives HHS appropriations to give first preference when purchasing a product to an Iowa product or to one produced by an Iowa company. The second preference is required to be given to products of the United States or to those produced by a US company.
    • ·        H-8218 inserts the Iowa Department of Workforce Development into the policy language that requires the DHS, IDPH, and the Department of Corrections (DOC), to implement an interagency collaborative effort to provide an integrated approach to address the medical and psychosocial needs of individuals released from correctional facilities.
    • ·        H-8253 this is the longest amendment that was adopted and consists mainly of technical fixes. Operations 3-10 pertain to IDPH. Full-time equivalent (FTE) positions are adjusted to reflect current utilization. Language requiring IDPH to use 100.0% state funding for an FTE position for the brain injury program is removed. IDPH currently uses federal funding and state funding for an FTE that is dedicated to brain injury and disabilities services and prevention. Clarification is added to the medical residency program’s intent language. Finally, the directive to include physical therapists as eligible applicants to the IDPH Primary Care Recruitment and Retention Endeavor (PRIMECARRE) Program was removed. Physical therapists are not eligible in the federal guidelines for this program.

     

    The following is still included in HF 2463 as passed by the House Chamber. Unless otherwise specified, appropriations and allocations are status quo compared to FY 2014. Changes proposed for FY 2015 are as follows:

    • ·        $75,000 decrease for tobacco use prevention and control programming due to one-time funding for a social media marketing plan and tobacco education materials. This was included in the Governor’s FY 2015 recommendations.
    • ·        $43,043 increase for the Iowa Donated Dental Services Program that is operated by the Dental Lifeline Network(total allocation of $74,640).
    • ·        $25,000 decrease for the audiological services program (total allocation of $137,768). This reduction was included in the Governor’s FY 2015 recommendations.
    • ·        $40,000 decrease for the Medical Home System Advisory Council (now referred to as the Patient Centered Care Advisory Council)(total allocation of $175,263). This was included in the Governor’s FY 2015 recommendations.
    • ·        $7,900 increase to implement HF 2378 Psychologist Licensing Requirements that was signed into law by Governor Branstad on March 26.
    • ·        $293.00 increase for the Delta Dental of Iowa’s Fulfilling Iowa’s Need for Dentists (FIND) Program (total allocation of $50,000) Restores the general reduction from FY 2013.
    • ·        $378,474 decrease to eliminate the Iowa Collaborative Safety Net Provider Network’s allocation for grants for specialty health care initiatives. This funding was recommended by the Governor for FY 2015 for this program.
    • ·        $1.0 million increase for the IDPH medical residency matching grants program (total allocation of $3.0 million). Additional language requires preference to be given to new residency programs, and existing residency programs that intend to expand their psychiatric and family practice positions. This program is a priority for Governor Branstad as part of his efforts to expand access to health services for all Iowans.
    • ·        $100,000 for a new allocation to the University of Iowa Hospital and Clinicsto implement a collaborative care model between psychiatric and primary care practices that will improve mental health care in Iowa. The House Appropriations Committee’s amendment added a reporting requirement due December 15, 2014.
    • ·        $50,000 for a new allocation to IDPH to be used for community water fluoridation education.
    • ·        $75,000 increase for an Emergency Medical Services (EMS) benchmarks, indicators, and scoring (BIS) trauma assessment to be conducted by the American College of Surgeons.
    • ·        $65,000 increase for ongoing costs associated with the development of a new EMS and trauma data collection system. A one-time appropriation of $150,000 is included in SF 2349, the Infrastructure Appropriations Budget.

     

    Policy language included in HF 2463:

    • ·        Directs the University of Iowa, College of Dentistry to create a proposal for a Geriatric Dentistry Residency Program. The proposal is required to be submitted by December 15, 2014.
    • ·        Directs the Department of Human Services (DHS) to implement a new health services initiative under the Children’s Health Insurance Program (CHIP) to provide funding for the State Poison Control Center. Permits the Center to transfer as much funding as needed for the purpose of receiving matching federal funds.
    • ·        Directs DHS to expand on the study regarding a hospital bed tracking system for psychiatric and substance-related placements.

     

    Other Appropriations Bills

    • ·        SF 2342 Administration and Regulation. Appropriates funding to the Departments of Administrative Services (DAS), Management (DOM), Revenue, Commerce, Human Rights, and Inspections and Appeals (DIA). It also appropriates funding to the offices of the Auditor of the State, the Governor and Lt. Governor, the Secretary of State, and the Treasurer of State, and finally to the Iowa Public Employees Retirement System (IPERS) and the Iowa Ethics and Campaign Disclosure Board.
    • o   One item of public health interest includes a study of the food inspections system in Iowa. The Senate provided language for a legislative interim council. Members would include legislators only. The House amended this language to make it a task force to be administered by the DIA.
    • o   This bill passed the Senate by a vote of 26-21 on April 2. It passed the House Appropriations Committee on April 8 with one amendment. It is now eligible for debate on the House floor.
    • ·        SF 2349 Infrastructure. Appropriates funding to various agencies for infrastructure and technology-related expenditures.
    • o   An appropriation of $150,000 from the Technology Reinvestment Fund is included in this budget for IDPH to update our EMS and trauma systems software and database for more efficient collection, utilization, and reporting of data. This funding was recommended by the Governor.
    • o   This bill passed the Senate by a vote of 26-23 on April 8. It is not eligible for debate on the House floor after passing the House Appropriations Committee on April 10.
    • ·        SF 2130 Transportation. This bill bounced back and forth between the chambers but passed its final step in the process on April 10. It will now be sent to the Governor for his consideration.
    • ·        SF 2347 Education. This bill passed the Senate on April 7 by a vote of 27-22. It passed the House Appropriations Committee with an amendment on April 10 and is now eligible for debate on the House floor.
    • ·        HF 2449 Judicial Branch. This bill passed the House on March 25 by a vote of 92-0 and passed the Senate Chamber on April 2 by a vote of 27-20. It will now be sent to the Governor for his consideration
    • ·        HF 2450 Justice Systems. This bill passed the House on April 1 by a vote of 52-47. It passed the Senate Appropriations Committee on April 9 with one amendment and is now eligible for debate on the chamber floor.
    • ·        HF 2458 Agriculture and the Department of Natural Resources. This bill passed the House on April 2 by a vote of 71-27 and is now in the Senate Appropriations Committee.
    • ·        HF 2460 Economic Development. This bill passed the House on April 2 by a vote of 97-2. It passed the Senate Appropriations Committee on April 7 and is now eligible for debate by the full chamber.
    • ·        The Standings bill that appropriates salaries to the legislative branch and other miscellaneous expenditures has not been introduced as of this writing.

     

    Other Information

    The Legislative Update is also posted on the IDPH website at http://www.idph.state.ia.us/adper/legislative_updates.asp.

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


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