Legislative Agenda & Updates 

LAI is the leader in advocating for non-profit aging service providers in Iowa. We strive to be the champion for advancement and innovation in aging services. LAI is a presence in public policy at the Iowa Capitol. Though member driven policy proposals, LAI works tirelessly to advocate for the biggest issues facing aging service provider today. Through direct lobbying at the Iowa Capitol, one-on-one meetings, phone calls, action alerts, and more, LAI is force for non-profit aging services providers in Iowa.

 

 
Legislative Agenda
Nursing Facility Relief Funding
HCBS & LUPA Relief Funding
Regulatory Relief
LTSS Financing

2021 Session – Week Sixteen Legislative Update – 4/26-4/30

At the Capitol

The Iowa Legislature is scheduled to conduct its session for 110-days in odd numbered years. April 30 is the 110th day, meaning the legislative session is going into overtime as Gov. Reynolds, and House and Senate leaders, work to broker a deal to end session. In addition to reaching decisions on final budget numbers, legislators are working to address key priorities relating to income tax cuts, property tax cuts/mental health funding and hard caps on non-economic damages resulting from medical malpractice judgements.

This week, the Iowa House considered legislation banning the use of COVID-19 vaccine passports by government entities and most private sector entities in the state. This bill included language exempting health care providers. The Senate is likely to take up this issue next week.

Budget

Health and Human Services (HHS) budget bills drafted by the Governor, Senate and House are now all available. All three budget bills provide significant funding for medical assistance program-related rate increases. Additionally, the Senate infrastructure appropriation bill (known as the RIIF budget) includes nursing facility infrastructure funding. The varied approaches to nursing facility infrastructure reflect different approaches to addressing pandemic-related challenges to the RIIF budget, which is funded primarily through gaming revenue.

   Governor   Senate    House 
 Nursing Facility Rate Increase  $10,000,000.00 $8,002,912.00 $20,000,000.00
 HCBS Provider Rate Increase  $8,000,000.00 $8,000,000.00 $11,002,240 (5.25 percent)
 Habilitation  Included in HCBS Provider Rate Increase Included in HCBS Provider Rate Increase $7,134,214
 Nursing Facility Infrastructure (RIIF)  $0 $600,000 $0

LAI Funding Request Call to Action

We are now into the part of the session where it is critical for legislators to hear your voice in support of LAI’s agenda. Contact your legislators and tell them why the funding requests outlined in LAI’s legislative agenda are critical for our industry! If you need assistance, LAI’s lobby team is happy to connect you to your senator or representative.

Live Bill Tracking

Bill Number

Floor Manager

Sponsor

Summary

Position

Status

Category

Key Legislation

           

HF 592 (Formerly HF 517)

A. Meyer

House Human Resources

Increases the cap for non-economic damages against a health care provider to $1 million.

For 

4/1/21: Placed on unfinished business calendar

Administration

SF 557 (Formerly SSB 1225)

Whiting

Judiciary

Increases the cap for non-economic damages against a health care provider to $1 million.

For

4/1/21: Placed on unfinished business calendar

Administration

Medicaid

           

SF 462 (Formerly SSB 1193)

Edler

Senate Human Resources

Requires the DHS to study the feasibility of Medicaid reimbursements to hospitals for administrative days (days when a patient no longer qualifies for reimbursement for services and is waiting for transfer to another facility). Includes reporting requirements. Includes provisions of HF784.

Monitor

3/31/21: Committee recommends passage with amendment

Medicaid/Telehealth

Child Care

           

HF 260 (Formerly HSB7)

Fry

House Human Resources

Allows a childcare home to care for five children if none are school-aged; six, if one is school-aged and seven if two are. Defines school age children as being between 4-14.

For

4/12/21: Signed by Gov. Reynolds

Child Care

HF 301 (Formerly HF6)

Dolecheck

House Human Resources

Creates the Iowa Childcare Workforce matching grant program under the ECI board to offer matching grants to communities for childcare WAGES program. Includes requirements for matching grants. Deems that any money in the matching grant fund to not revert. Requires the ECI and the DOM to adopt rules.

For

4/8/21: Placed on unfinished business calendar

Child Care

HF 302 (Formerly HSB3)

A. Meyer

House Human Resources

Establishes a 12-month phase out of eligibility for childcare assistance after the gross income of the family has increased (between 225%-250% or 225%-275% for children with special needs). Sets a scale for payments. Requires the graduated phase-out to be implemented by July 2022. Requires the DHS to adopt rules.

For

4/8/21: Placed on unfinished business calendar

Child Care

HF606 (Formerly HF3, 363)

Thompson

House Ways and Means

Allows the creation or expansion of an on-site daycare at a business to qualify for credits under the High Quality Jobs program. Authorizes the EDA to adopt rules on the matter. Requires the EDA to consider the quality of the jobs created and the impact on other childcare providers in the area, including determinations whether created jobs are displacing current jobs. Requires greater consideration to be given to projects in distressed areas, projects that care for more than 20 children, projects that are in underserved areas and projects that provide the care at a reduced cost. Allows incentives to be used for a refund of sales tax.

For

4/8/21: Placed on unfinished business calendar

Child Care

Elder Abuse

           

HF 839 (Formerly HSB 113, HF 258)

Deyoe

Commerce

Requires brokers, investment advisors and others to notify the Insurance Commissioner if they reasonably believe that financial exploitation has been done or attempted against a senior adult or other eligible dependent adult. Establishes immunity for such a notification and for the failure to notify. Requires relevant records to be made available to law enforcement and the Insurance Commissioner. Allows for the notification of third parties, unless the third party is suspected of being responsible for the exploitation. Includes an appropriation for complaints. Requires the internal review of disbursements likely to lead to financial exploitation and allows disbursements to be delayed. Requires brokers and investment advisors to offer training on financial exploitation to qualified individuals. Makes a standing appropriation for investigations.

For

04/27/21: Sent to Gov. Reynolds

Elder Abuse

SF 583 (Formerly SSB 1131, SF 391)

Johnson

 

Requires brokers, investment advisors and others to notify the Insurance Commissioner if they reasonably believe that financial exploitation has been done or attempted against a senior adult or other eligible dependent adult. Establishes immunity for such a notification and for the failure to notify. Requires relevant records to be made available to law enforcement and the Insurance Commissioner. Allows for the notification of third parties, unless the third party is suspected of being responsible for the exploitation. Includes an appropriation for complaints. Requires the internal review of disbursements likely to lead to financial exploitation and allows disbursements to be delayed. Requires brokers and investment advisors
to offer training on financial exploitation to qualified individuals.

For 

4/1/21: Placed on unfinished business calendar 3/24/21: Attached to HF 839 on Senate calendar

Elder Abuse

SF 200

Kraayenbrink

Ragan

Crimes: Makes assaults against individuals 60 and older a new crime, ranging from a simple misdemeanor to a Class D felony, and enhances penalties for repeat offenses. Enhances the penalties for thefts if the theft is from an older individual. Makes civil penalties for frauds committed against elders consistent with other penalties for crimes against elders. Exploitation: Establishes elder abuse offenses ranging from serious misdemeanor to a Class C felony. Establishes financial exploitation crimes against elders, from a serious misdemeanor to a Class B felony. Defines these crimes. Other: Adds duties to the AG and others in relation to crimes against elders. See SSB 1082

Undecided

2/2/21: Introduced, referred to Senate Appropriations

Elder Abuse

Non-Profit Admin

           

HF309 (Formerly HSB 28)

Lohse

Judiciary

A bill for an act restricting public agency disclosure of and access to certain personal information related to tax-exempt organizations, and providing penalties.

Monitor

4/13/21: Passed Senate, TO THE GOVERNOR

Non-Profit Administration

HF 453 (Formerly HSB 30)

Mitchell

Judiciary

A bill for an act prohibiting the imposition of certain requirements on nonprofit corporations by state agencies or state officials.

Monitor

4/8/21: Placed on unfinished business calendar

Non-Profit Administration

Administration

           

SCR 5

Cournoyer

Chapman

Urges the US Congress to give states greater flexibility in determining visitation at nursing homes. 

Undecided

3/23/21: Committee recommends passage

Administration

Other

           

HF 285 (Formerly HSB 61)

Bacon

State Government

Requires claiming to be music therapists to have board-certified credentials as a music therapist. Makes reckless, knowing or intentional violations a simple misdemeanor.

Monitor

4/8/21: Placed on unfinished business calendar

Other

SF 17

Dawson

Zaun

Exempts from the income tax the wages of a person from a non-profit for taking care of a person with disabilities.

Monitor

1/12/21: Introduced, referred to Senate Ways and Means

Other

Telehealth

           

HF 431 (Formerly HF 88)

T. Moore

Fry

Requires that health professional licensing boards adopt rules to allow the use telehealth services delivered through phone calls (interactive audio). Requires rules that the phone calls are clinically appropriate, and that the patient has had an opportunity to have in-person or interactive video services instead, if such services are available.

For

4/8/21: Placed on unfinished business calendar

Telehealth