IDPH Legislative Update - April 14, 2014

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.

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