In this issue:
· Bills and issue still moving through the process.
· Bills signed or under consideration by the Governor.
· Health and Human Services (HHS) appropriations bill released.
- · 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. Amendment S-5117 incorporates three amendments that were adopted by the House. Changes include:
- § Adjustment of sunset dates for specific workforce-related programs and accounts in Iowa Code.
- § Addition of the department’s Iowa Health Information Network legislation, HF 2187, with one change to prohibit the development of an all-payer claims database.
- § Addition of SF 379 as amended by the House State Government Committee. It is the Board of Medicine’s technical bill that clarifies conflicting code language relating to hearing panels.
- · Anti-Bullying:
- o SF 2318 Senate Anti-Bullying Bill. This bill has been referred to the House Appropriations Committee. Update: A subcommittee of Representatives Cecil Dolecheck, Walt Rogers, and Daniel Lundby held a meeting on Tuesday, April 1. The members indicated plans to pass the bill out of subcommittee and introduce an amendment that will make changes to the Senate language.
- · E-Cigarettes:
- o HF 2109 Vapor Products/Alternative Nicotine Products. This bill passed the House Chamber on February 11 by a vote of 76-22. Update: It passed the Senate Human Resources Committeeand was amended by S-5061 on March 13. The bill has been placed on the Senate’s Unfinished Business Calendar and is eligible for debate. As of this writing amendment S-5088 by Senator Bill Dotzler has been filed.
- · Emergency Medical Services (EMS):
- o HF 2459 (formerly HF 2076) EMS Tax Credit Increase. Update: This bill passed the House Ways & Means Committeeon March 25 by a unanimous vote. It was amended to lower the proposed tax credit from $500 to $100. This is a $50 increase compared to the current tax credit of $50. To view a revised Fiscal Note published by the Legislative Services Agency click here. The amendment also adds full-time paid firefighters who also volunteer as firefighters. This is currently true for EMS providers, as well. Reserve peace officers are also included in the amendment as eligible for this tax credit. The bill passed the House Chamber on April 1 by a vote of 99-1 and is now in the Senate Ways & Means Committee.
- · Radon:
- o SF 2262 Testing/Mitigation in Public Schools. This bill passed the Senate Education Committee without an amendment. Update: This bill passed the Senate on March 4 by a vote of 35-14. However, it died in the House Education Committee. Instead, the House decided to move SF 366 that had already advanced to the House Local Government Committee last session. SF 366 was amended on the House floor (March 18) with a strike-after amendment (S-5084) that became the new bill language. It passed the House by a vote of 99-1. It is now in the Senate for their consideration of the amendment and it is eligible for floor debate.
Sent to 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. Update: This bill passed the Senate Chamber on March 27 by a vote of 46-0. It will now be sent to Governor Branstad for his consideration.
Signed by the Governor
- · HF 2370 Supervision of Orthotist or Prosthetists Assistants. This bill passed the House Chamber on March 4 by a vote of 98-0 and the Senate Chamber of March 18 by a vote of 45-0. It was signed into law by Governor Branstad on March 26.
- · HF 2378 Psychology Post-Doctorate Provisional License. IDPH estimates a one-time cost of approximately $7,900 to implement this legislation should it become law. Funding is currently provided for in HF 2463, the HHS Appropriations Bill. This bill passed the House Chamber on March 5 by a vote of 99-0 and the Senate Chamber of March 18 by a vote of 45-0. It was signed into law by Governor Branstad on March 26.
- · SF 2080 Prescription Monitoring Programs Information Exchange. Board of Pharmacy bill. This bill passed the Senate Chamber on February 24 by a vote of 49-0. It passed the House Chamber on March 18 by a vote of 100-0. It was signed into law by Governor Branstad on April 3.
- · SF 2121 Controlled Substances Designations. Board of Pharmacy bill. This bill was passed by the Senate Chamber on February 24 by a vote of 49-0. It passed the House Chamber on March 18 by a vote of 99-0. It was signed into law by Governor Branstad on April 3.
- · SF 2120 ARNP, Use of Title. Board of Nursing bill. This bill passed the Senate Chamber on February 24 by a vote of 49-0. It passed the House Chamber on March 18 by a vote of 100-0. It was signed into law by Governor Branstad on March 26.
Health and Human Services Budget Released
HF 2463 (formerly HSB 685) was introduced on Wednesday, April 2 and moved quickly through the subcommittee and committee process. It is now eligible for debate in the House Chamber. To view the analysis by the Legislative Services Agency, please click here. This document will be updated soon to reflect the amendment adopted in the House Appropriations Committee.
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 Clinics to 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.
- · Removes permission for the Iowa Collaborative Safety Net Provider Network to distribute funds allocation for their various grant projects through existing contracts or contract renewals.
- · Directs IDPH to include physical therapists as approved professionals eligible for the Primary Care Recruitment and Retention Endeavor (PRIMECARRE) Program. This program received status quo funding of $127,926 and draws down the same amount of federal funding. Other professions that are eligible include primary care physicians, psychiatrists, clinical psychologists, dentists, dental hygienists, physician assistants, advanced registered nurse practitioners, certified nurse midwives, clinical social workers (LISW), and psychiatric nurse specialists. Approximately 6-8 awards are made annually.
- · 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.
- · Requires the DHS, IDPH, and the Department of Corrections (DPC), to implement an interagency collaborative effort to provide an integrated approach to address the medical and psychosocial needs of individuals released from correctional facilities.
The Legislative Update is also posted on the IDPH website at http://www.idph.state.ia.us/adper/legislative_updates.asp.
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