House File 449 - Enrolled




                              HOUSE FILE       
                              BY  COMMITTEE ON HUMAN
                                  RESOURCES

                              (SUCCESSOR TO HF 263)
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                                   A BILL FOR
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                                         House File 449

                             AN ACT
 RELATING TO MENTAL HEALTH CRISIS FACILITIES.

 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
    Section 1.  Section 225C.19A, Code 2015, is amended to read
 as follows:
    225C.19A  Crisis stabilization programs.
    The department shall accredit, certify, or apply standards
 of review to authorize the operation of crisis stabilization
 programs including crisis stabilization programs operating
 in a psychiatric medical institution for children pursuant
 to chapter 135H that provide children with mental health,
 substance abuse, and co=occurring mental health and substance
 abuse services. In authorizing the operation of a crisis
 stabilization program, the department shall apply the
 relevant requirements for an emergency mental health crisis
 services provider and system under section 225C.19. A program
 authorized to operate under this section is not required to be
 licensed under chapter 135B, 135C, or 135G, or certified under
 chapter 231C.  The commission shall adopt rules to implement
 this section. The department shall accept accreditation of a
  crisis stabilization program by a national accrediting
 organization in lieu of applying the rules adopted in
 accordance with this section to the program.
    Sec. 2.   PSYCHIATRIC BED TRACKING SYSTEM == DEPARTMENT OF
 HUMAN SERVICES.  The department of human services shall expend
 the sum of two hundred thousand dollars, or so much thereof
 as is necessary, for the fiscal year beginning July 1, 2015,
 and ending June 30, 2016, to be used for the development and
 initial implementation of a psychiatric bed tracking system,
 including psychiatric beds in a subacute care facility, in
 accordance with this section.
    1.  In developing the requirements for procurement of the
 system, the department of human services shall engage the
 group of magistrates and hospital personnel that assisted the
 department in developing the hospital bed tracking system
 report submitted to the general assembly in December 2013,
 pursuant to 2013 Iowa Acts, chapter 130, section 56. The
 department shall also engage other interested representatives,
 including representatives of the regional mental health and
 disability services system, the  state mental health institutes,
 a nonprofit agency licensed under chapter 135H, the Iowa
 behavioral health  association, the Iowa state sheriffs'
 and deputies' association, the Iowa hospital association,
 the Iowa psychiatric society, and the Iowa association of
 community providers.  The procedural issues addressed by the
 group shall include but are not limited to the responsibility
 for data entry and verification, timeliness of data entry,
 confidentiality  requirements associated with the data needed to
 ensure the  usefulness of the system, and key characteristics
 and capacity  information about the beds in the system.
    2.  The department shall base the procurement requirements
 on the recommendation option contained in the December 2013
 report that projected the lowest annual maintenance and
 operating costs rather than the other option.
    3.  The goal of the psychiatric bed tracking system is to
 provide for the reservation of psychiatric beds for patients
 being transported to a facility with a vacant bed; however,
 reservation of a bed through the psychiatric bed tracking
 system shall be consistent with state and federal laws,
 shall be held for a period of at least twelve hours, and
 shall be communicated to the receiving facility and approved
 by the receiving facility.  In addition, it is the goal of
 the psychiatric bed tracking system that the psychiatric
 bed tracking system be utilized by clerks of the district
 courts, hospital personnel, and other appropriate entities as
 determined by the department of human services.


                                                             
                               KRAIG PAULSEN
                               Speaker of the House


                                                             
                               PAM JOCHUM
                               President of the Senate
    I hereby certify that this bill originated in the House and
 is known as House File 449, Eighty=sixth General Assembly.


                                                             
                               CARMINE BOAL
                               Chief Clerk of the House
 Approved                , 2015


                                                             
                               TERRY E. BRANSTAD
                               Governor

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