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LEGISLATIVE CONNECTION a communication of the Iowa Nurses Association Volume 3, Number 27 March 17, 2000 Interstate Compact Signed by Governor The Governor signed House File 2105, the Nurse Licensure Compact on Thursday, March 16. The Board of Nursing is proceeding with the filing of administrative rules to implement the compact by the bill’s stated effective date of July 1, 2000. Several chapters of the Board of Nursing’s rules need to be amended to allow for implementation of the compact. Iowa joins the states of Utah, Texas, Arkansas, North Carolina, Maryland, Nebraska, and South Dakota in passing the bill and having the Governor sign it. Delaware and Mississippi currently have bills in their legislatures. Thanks to all the nurses in the state who educated their legislators about the issue. Please send them a thank you note and express your appreciation for their consideration of this major change in nurse licensure. Second Funnel Date Reached Friday, March 17 is the second funnel date. The Iowa General Assembly established the "funnel" process of reducing the number of bills for consideration and thereby coming to conclusions on the bills that they would consider before adjourning. The "funnel" process is primarily for bills that change the language in the Iowa Code. Appropriations and taxing (ways and means) bills are exempt from this "funnel process". The bill needs to be recommended for passage by the committee in the second chamber in order to continue to be considered as a "live" bill. If this hasn’t occurred, the bill is "dead". The example of a "dead" bill this session is the Direct Entry Midwife Registration bill which is House File 2498 and is still sitting on the House calendar for debate. The House File did not make it through the Senate committee, therefore it is "dead". On the other hand, the school accreditation standards bill, House File 2474, was recommended for passage by Senate Education and is considered a "live" bill still.
Public Health Nursing and Home Care Aide Funding While appropriations bills did not receive consideration this week, it is assumed that next week they will take up the appropriations bill Senate Study Bill 3216. It has been introduced. (Check "Legislation" for the text on www.legis.state.ia.us) It recommends $29.8 million in funding for the Dept of Public Health; $5.1 million for the Dept of Elder Affairs. The Board of Nursing is allowed to retain some fees to cover moving expenses. An Assisted Living Certification Fund is created controlled by the Dept of Elder Affairs.As was noted in last week’s issue (Legislative Connection #26), funding for public health nursing and home care aides is spread throughout four budget items: elderly wellness, community capacity, child and adolescent wellness and adult wellness. Therefore it is more difficult to track INA’s priority for increasing the funds. Appropriations from the General Fund are included in SSB 3216, new additional funding is expected from tobacco settlement. PLEASE CONTINUE TO MAKE CONTACTS WITH YOUR LEGISLATORS TO DISCUSS THE NEED FOR FUNDING OF THE MIDDLE INCOME IOWAN IN NEED OF HOME AND COMMUNITY BASED SERVICES. Iowans United for a Healthy Future On Friday, March 10 a meeting was held with the Governor, Senator Maggie Tinsman and members of the coalition, Iowans United for a Healthy Future (IUHF). They discussed the proposals for spending of the tobacco settlement monies. It has been agreed that $65 million will go into the Iowa General Fund to cover the reduced revenue being received in the state treasury, particularly from the farming economy. How the other tobacco funds will be allocated is the major issue of discussion. It appears that the coalition (IUHF) will be successful in achieving their goal of all of the funds going toward health care purposes, but that is not yet final. There is a lot of debate about setting up an endowment fund to generate revenues into the future. The Republicans want to set aside $9 million and the Governor’s bottom line is $3.8 million. The Republicans are not sure the funding stream will continue into the future and want to set aside dollars to assure funds for health. The Governor (and Democrats) believe the health needs of Iowans have been underfunded a long time in Iowa and need addressing. They also believe the money needs to be spent for prevention now to save future health expenditures. Therefore the debate between the Republican controlled legislature and the Democratic Governor. It is important for legislators and the Governor to hear from health professionals, so please contact them. School Health Accreditation Standards House File 2474, the School Accreditation Standards for school health services, was considered by the Senate Education Committee on Wednesday, March 15. The majority of the committee voted for the bill. Four senators voted against it: Rehberg (R-Rowley), Redwine (R-Sioux City), Boettger (R-Harlan) and Veenstra (R-Orange City). It goes to the Senate calendar to await debate. Needle Study Recommended The Senate recommended passage of SF 2302 which includes a provision for the Department of Public Health in cooperation with the Labor Commissioner to conduct a study of the use of hollow bore needles. Many nurses associations are active in pushing legislation in their states. At this time Iowa’s response is to look at the issue more closely since many facilities already use some form of needleless systems. STATUS OF INA AGENDA
COMMITTEE ACTION: HOUSE COMMERCE Voted Out: SF 2126 CONTRACEPTIVE COVERAGE - Prohibits individual or group insurance policy, or other health benefits plan, from excluding benefits for prescription contraceptives if the policy covers other prescriptions. Prohibits denying coverage to a person because of the use of contraceptive devices. Effective after July, 2000. Contains other related provisions. SF 2203 HEALTH INSURANCE PAYMENTS - Requires that an insured person to be allowed the option from the carrier to assign payments to the health care provider. HOUSE HUMAN RESOURCES Voted Out: SF 174 MEDICAL REFERENCE - Changes a reference for a membership on the Medical Assistance Advisory Council to the Community Mental Health Centers Association. SF 2074 INFORMATION DISCLOSURE - Requires the DHS to release certain confidential information to the legal guardian of a person receiving services including court-appointed legal guardians. SF 2314 INFECTIOUS DISEASES - Combines the various Code sections on communicable diseases, venereal diseases and exposure of emergency workers into the Communicable & Infectious Disease Reporting and Control Act. Makes language changes, including venereal diseases to sexual transmitted diseases and other related changes. Deletes the religious exemption from immunization for children. Requires that knowingly exposing a child to a communicable disease be done with the intent to cause disease to be punishable. Adds penalties for persons who repeatedly fail to file reports under this bill. AMENDED Strikes the deletion of the religious exemption. SF 2360 BACKGROUND CHECKS - Makes technical changes to the code regarding background checks of state employees. Allows background checks of employees and volunteers who have direct contact with clients in county cluster offices. Allows the consideration of the criminal offenses in determining if that person should continue service. Changes the name of the state hospital schools to state resource centers. AMENDED HOUSE JUDICIARY Voted Out: SF 2007 GUARDIAN MEDICAL POWERS - Allows a guardian to authorize the use of anesthesia for a ward for professional care, if necessitated by the disability of the ward. Exempts such professional care from the definition of major elective surgery or non-emergency medical procedures. SF 2243 OWI IN-PATIENT TREATMENT - Requires OWI offenders placed in institutional programs to be so placed within sixty days or as soon as possible. Allows offenders already in an institutional program to enter a community-based residential program at the same point as they were in the institutional program. SF 2324 DNA PROFILING - Requires persons to undergo DNA profile testing if convicted of an offense that requires testing, as determined by the Attorney General. Requires courts to order DNA testing if a person is convicted of such an offense. Includes a specific list of offenses covered by the DNA profiling. HOUSE STATE GOVERNMENT Voted Out: SF 2048 HOSPITAL BOARDS - Regulates the terms of new members of a public hospital board when the board expands its membership. Allows boards to establish five-member or seven-member boards and establishes a schedule for staggering the terms of new members. SF 2113 MASSAGE THERAPY - Requires persons to have appropriate certification and training to act as a massage therapist and prohibits the unlicensed persons from practicing massage therapy of from falsely claiming certification. Authorizes civil penalties for persons who violate the provisions of this bill. AMENDED Defines "massage therapy" and sets the maximum penalty at $10,000. SENATE EDUCATION Voted Out: HF 2474 ACCREDITATION STANDARDS - Requires state Board of Education to adopt rules incorporating a health services, media services and guidance programs into the general accreditation standards for school districts. Requires that this provision be for reporting purposes only but not to establish a requirement for these services. SENATE COMMERCE Voted Out: HF 2205 E-COMMERCE - Establishes the Uniform Computer Information Act. E-Commerce: Authorizes the legal recognition of electronic records, signatures, contracts. Establishes the means to electronically notarize signatures and documents and procedures for correcting electronic records damaged during transmission. Makes Definitions. Choice of Law: Establishes Iowa law as controlling in e-commerce between an Iowa resident and a resident of a state with the Uniform Computer Information Act in the event of a conflict. . Standards: Requires Information Technology Services and the Secretary of State to act jointly, in consultation with the Attorney General, when establishing electronic record standards. AMENDED: Allows bids to be done electronically. Requires agencies to use and rely on electronic records by July, 2003 unless granted a waiver by DOM. Strikes the exemption of real estate deeds or liens from the applicability of electronic records. SENATE HUMAN RESOURCES HF 2080 COVERAGE FOR MENTAL ILLNESS - Requires that group health benefit policies include payment for biologically-based mental illness for employers with more than fifty employees, or who meet the guidelines for small employers or for certain public employees. Requires co-payments and lifetime limits for mental health services to be the same as for other medical services. Definitions: Adopts a definition of biologically-based illness which includes schizophrenia, depression, autism, developmental disorders and other illnesses. Effective date January 1, 2001 HF 2362 ABUSE REVIEW - Establishes the Iowa Domestic Abuse Review Team to make recommendation to various state agencies for reducing domestic abuse deaths. Allows the Team to obtain confidential information from any person regarding such a death and releases from liability the person providing the information. Requires the Team to review the timing of events prior to death. HF 2377 CHILD ABUSE INFORMATION - Gives the Governor and the leadership of the General Assembly access to records held by the Department of Human Services regarding child abuse. Imposes penalties for unauthorized dissemination of information. Requires consultations with the county attorney as to not to jeopardizes a prosecution. (From Tuesday, March 14) HF 2362 DOMESTIC ABUSE REVIEW - Establishes the Iowa Domestic Abuse Review Team to make recommendation to various state agencies for reducing domestic abuse deaths. Allows the Team to obtain confidential information from any person regarding such a death and releases from liability the person providing the information. (We reported this yesterday, but left off the number) HF 2321 MEDICAL ASSISTANCE - Expands eligibility to children in the guardianship program and added two categories of Medicare beneficiaries to coverage eligibility. Considers disclaimers of inheritance and failure to elect against a will as a transfer of assets in determining eligibility. HF 2505 MENTAL HEALTH DEVELOPMENT - Changes code references of "hospital-schools" to "resource centers." Adds Washington and Webster Counties to pilot counties for the Pilot Project for County-Administered Mental Health and Development Disabilities Services. Makes other changes. HF 2522 DOMESTIC ABUSE PRIVACY - Allows a victim of domestic abuse to use an address of a shelter or other agency, of a post office box or other address, with the permission of the resident of that address, as a mailing address for petition filing and obtaining utility and other services. Makes such addresses confidential records. HCR 106 MEDICARE FUNDING - Demands that the US Congress address the inequities in the level of funds that states receive from the federal government for Medicare.
FLOOR DEBATE: House: HF 2474 ACCREDITATION STANDARDS - Requires state Board of Education to adopt rules incorporating a health service component into the general accreditation standards for school districts. H-8103 - WITHDRAWN H-8124 - by Nelson-Forbes - Requires school districts to adopt policies related to hearth services. ADOPTED The House PASSED the Bill, as amended; 78-12. MTR by Cormack and Nelson Forbes - ADOPTED H-8124 - by Nelson-Forbes - Requires school districts to adopt policies related to health services. ADOPTED H-8304 to H-8124 by Cormack - Requires that the health services policies be for reporting purposes only. ADOPTED The House PASSED the Bill, as amended, 88-0; it now go to the Senate HF 2206 WAIVER OF ADMINISTRATIVE RULES - Allows an agency to waive an administrative rule if undue hardship results, does not prejudice others, and not mandated by statute. AMENDED H-8041 by Committee - Requires the variance be consistent with the applicable law. ADOPTED The House PASSED the Bill, as amended, 95-0; it now goes to the Senate HF 2292 STUDY AREA EDUCATION AGENCIES - Requests the Legislative Council establish an interim study committee to review area education agencies. H-8319 by Jacobs & Wise - Directs the study include equitable access to services and the capacity of public and private sectors to provide those services. ADOPTED H-8331 by Wise - Directs the study include the adequacy of resources available. ADOPTED H-8046 by Mascher - Directs the study include public libraries services to the AEA’s. ADOPTED The House PASSED the Bill, as amended, 88-0; it now goes to the Senate HF 2321 MEDICAL ASSISTANCE - Expands eligibility to children in the guardianship program and added two categories of Medicare beneficiaries to coverage eligibility. Considers disclaimers of inheritance and failure to elect against a will as a transfer of assets in determining eligibility. The House PASSED the Bill; it now goes to the Senate HF 2366 OUTPATIENT MENTAL HEALTH TREATMENT - Establishes procedure and criteria for court ordered outpatient mental health treatment akin to involuntary hospitalizations. Allows for mental health information to be disclosed for outpatient commitment process. Allows for pre-hearing examination by a doctor. Requires Department of Human Services to develop summary of procedures for applicants and respondents. Provides for payment of costs for applications filed without probable cause or good faith belief. Creates a rebuttable presumption of a person’s competence to make their own medical decisions if they have had twelve months compliance with treatment. Many other technical changes. H-8296 by Kreiman - Allows current durable health care power of attorney to apply to mental health decisions. ADOPTED H-8297A by Kreiman - Requires a hearing every 12 months for continued commitment. ADOPTED H-8308 to H-8297A by Kreiman ADOPTED H-8298A by Kreiman - Requires service of process be made by plainclothes and in an unmarked car, if possible. FAILED
H-8311 to H-8298A by Kreiman - Requires good cause as determined by the court to waive the plainclothes-unmarked car requirement. FAILED 39-48 H-8295 by Kreiman - Requires the determination of serious mental illness be within the previous 5 years. ADOPTED H-8294 by Kreiman - Requires the DHS to development a summary of procedures for a mental health durable power of attorney. ADOPTED H-8309 to H-8294 by Kreiman - Requires institutions to provide power of attorney information to discharging patient. ADOPTED H-8300 by Kreiman - Exempts political subdivisions from implementing the law if the cost is more than $100,000 annually or $500,000 within 5 years. ADOPTED H-8297B, H-8298A - WITHDRAWN The House FAILED to PASS the Bill, as amended, 41-54 HF 2514 PHYSICIAN ASSISTANTS - Allows a PA to be licensed independently of a physician. Adds two members of the profession to the Board of Physician Assistants Examiners. Requires graduation from an accredited program after July 2001 and grandfathers in those already with a license before July 2001. H-8241 by Lord - Strikes the adding the two members ADOPTED H-8215 by Brunkhorst - Changes the effective date to January 1, 2001. ADOPTED H-8334 by Lord - Sets standards for recognizing the National Commission on Certification on Physician Assistants. ADOPTED H-8347 & H-8348 to H-8334 - WITHDRAWN H-8350 to H-8334 by Metcalf - Places physician assistants under the discipline authority of the Board of Medical Examiners. FAILED H-8349 by Metcalf - Limits the number of PAs a doctor can supervise to two. FAILED The House PASSED the Bill, as amended, 76-19; it now goes to the Senate. HF 2229 ABORTION INFORMATION & REPORTING - Requires the Dept. of Public Health to prepare printed materials which show fetal development, describe adoption and pregnancy and child birth assistance services and how to contact those agencies. Requires abortion providers to inform patients about the availability of care to carry the pregnancy to term, the medical risks of abortion, the liability of the father for support and the availability of the printed DPH materials. Requires the physician to make reports. Makes it a Class C felony to knowingly perform an abortion in violation of the reporting procedures and a simple misdemeanor to knowingly submit a false report. Gives the patient or the father a cause of action against the physician if an abortion is performed which doesn’t comply with the provisions of this bill. H-8051 by Committee - Strikes all language other than a statement requiring informed consent. FAILED, 42-51 H-8313 to H-8051 - WITHDRAWN H-8162 by Mertz - A Strike & Replace: Adds definitions. Requires consent to be voluntary and informed. Requires the physician to inform the patient of available prenatal care, childbirth assistance, neonatal care, the financial responsibility of the father, available public and private agencies offering assistance, anatomical development, medical risks, among others. Requires the patient to certify that the physician has given the required information. Establishes a 24-hour waiting period. AMENDMENTS to H-8162 H-8211 to H-8162 by Foege - Changes the title of act to the "State Mandated Information & Waiting Period Abortion Act." FAILED H-8207 by Foege - Strikes "attempted to be performed." from the amendment. FAILED, 33-48 H-8221 by Wise - Strikes all except the privacy protection and the medical emergency provisions. FAILED, 42-54. H-8216 - WITHDRAWN H-8252 by Grundberg - Changes all references from woman to patient ADOPTED H-8204 by Wise - Strikes the 24-hour waiting period. FAILED, 33-55. H-8380 by Doderer - Requires the information to be given to women on Medicaid. ADOPTED H-8354 by Boddicker - Allows the use of audio media to convey the required information. ADOPTED H-8210 by Foege - Changes all references from unborn child to fetus. FAILED, 42-48 H-8209 by Mascher - Requires that the information be from American College of Obstetrics and Gynecology. FAILED H-8251 by Grundberg - Appropriates funds for the written information. FAILED, 38-49 H-8324 by Mascher - Makes violation a simple misdemeanor. ADOPTED H-8208 by Mascher - Strikes criminal penalties. FAILED, 37-50 H-8354 by Boddicker - Changes the effective date to October 1, 2000. ADOPTED H-8372 by Grundberg - Requires a 24-hour waiting period for all medical procedures performed on women or men, except for emergencies. FAILED H-8377 by Mascher - Strikes the requirement that the physician inform the patient of the consequences of an emergency abortion. FAILED, 27-57 H-8162 by Mertz, as amended, ADOPTED H-8312, H-8314, H-8317, H-8318, H-8322, H-8323, H-8325, H-8327, H-8329, H-8330, and H-8373 - OUT OF ORDER H-8383, H-8384 - WITHDRAWN The House PASSED the Bill, as amended, 67-29; it now goes to the Senate Senate: SF 2344 CHILD AND FAMILY SERVICES - Provides that requests to correct or expunge child abuse information shall not be made public until the conclusion of the proceedings. Allows providers of adult home care, health care or placement facilities to check employment records of future employees. The Senate PASSED the Bill 48-0; it goes to the House SF 2390 HEALTH FACILITIES DIVISION - Creates a Division of Health Facilities within the Department of Inspections and Appeals to oversee and license hospitals, health care facilities, hospices, and birth centers and to oversee foster care and dependent care facilities for children. S-5058 - WITHDRAWN The Senate PASSED the Bill 49-0; it goes to the House SF 2126 CONTRACEPTIVE COVERAGE - Prohibits individual or group insurance policy, or other health benefits plan, from excluding benefits for prescription contraceptives if the policy covers other prescriptions. Prohibits denying coverage to a person because of the use of contraceptive devices. Effective after July, 2000. Contains other related provisions. S-5112 by Johnson - Strikes the individual or group language and covers all insurance policies. Authorizes the use of generic drugs. ADOPTED S-5144 by Schuerer - Allows the policy holder to reject the contraceptive coverage. FAILED, 9-39 S-5145 by King - Excludes policies which do not offer coverage for Viagra. FAILED, 10-37 S-5146 by King - Exempts group policies for employers who employ less than 100 employees. FAILED, 13-34 The Senate PASSED the Bill, 41-7; it now goes to the House SF 2144 HEALTH CARE FACILITY INSPECTIONS - Requires unannounced inspections of health care facilities to at least once every 30 months. Does not require that a complaint-based inspection be limited to the complaint. Quality-Based Complaints: Establishes a quality-based complaint system which requires the DIA to report to the budget subcommittees on the criteria and implementation for such a system in an interim report by February, 2001 and a final report by August 2001 S-5092 by Szymoniak - Requires the DIA to convene a group of stakeholders to establish criteria for the quality-based inspections. Makes language corrections. ADOPTED SF 2341 EMPOWERMENT BOARDS - Adds the director of the Department of Human Rights and an additional citizen as voting members on the Iowa Empowerment Board. Requires the agencies administering locally-operated early childhood programs to outline cooperation efforts in writing. Grants: Reduces grant periods to one year. Requires specific reports based on the grant area and strikes the Empowerment Board’s power to adjust grant amounts dues to population or other funding. Creates a school ready grant formula based on the general number of children, those living in or near poverty and a base amount for each county. Other: Encourages community empowerment boards to act quickly in submitting nominees. S-5137 by Boettger - Authorizes the distribution of grants in FY 2001 to those areas which have already been awarded grants before making grants to other areas. Requires the initial five-year plan to be made available to empowerment areas by December 2000. Strikes the change in the funding formula. ADOPTED The Senate PASSED the Bill, as amended, 49-0; it now goes to the House SF 2350 MEDICAID DENTAL COSTS - Directs the DHS to seek a waiver to provide dental services through Medicaid and to develop a plan for rate increases for such dental services. The Senate PASSED the Bill, 48-0; it now goes to the House SF 2365 FIP EDUCATION - Allows FIP recipients to take thirty-six months for supported post-secondary education in a forty-eight month period. Requires the DHS to amend earlier agreements that allowed only twenty-four months in a thirty-six month period. SF 2367 PREGNANCY INFORMATION - Requires the reporting of various medical information regarding the termination of a pregnancy, including the name of the facility and the location, the type of procedure, the name of the doctor and the name of the person completing the report, the confidential identifier of the patient, the ancestry and history of other births and the time of the patient’s last period. Deletes requirements that spontaneous terminations be reported. S-5111 by Redwine - Strikes requirements that the race of the patient be recorded and that the name of attending doctor and the person who completed the report be included. ADOPTED S-5134A by Hammond & Harper - Strikes the deletion of the requirement that spontaneous terminations be reported. FAILED, 22-24 S-5134B by Hammond & Harper - Limits the location information to the county and state. ADOPTED The Senate PASSED the Bill, as amended, 34-14; it now goes to the House SF 2369 JUVENILE RECORDS/CHILD ABUSE INFORMATION - Allows for the schools and juvenile justice agencies to enter agreements to share information regarding juvenile court records. Allows child abuse information from DHS to be shared if DHS approves and sharing the information is necessary to the disposition of the case. The Senate PASSED the Bill, 50-0; it now goes to the House SF 2203 HEALTH INSURANCE PAYMENTS - Requires that an insured person to be allowed the option from the carrier to assign payments to the health care provider. S-5147 - by Szymoniak - Allows the health care provider to accept the assignment if the provider accepts the assignment as full payment. FAILED The Senate PASSED the Bill, 42-7-1; it now goes to the House SF 2216 PREGNANT DRUG ABUSERS - Authorizes the civil commitment of women who are pregnant and are chronic substance abusers. S-5153 by Miller - Makes the effective date July, 2001. ADOPTED S-5157 by Harper & Hammond - Appropriates $10.7 million for the costs of civil commitment. FAILED, 18-29 S-5161 to S-5171 by Hammond - Corrects the date. ADOPTED S-5158 by Hammond & Harper - Requires the DPH, in cooperation with the judicial branch, the county attorneys, the LFB, substance abuse treatment centers and others, to develop a projection of the number of pregnant women who will be covered under the bill. Requires that the report be delivered by July 1, 2001 and that the effective date of the bill be delayed until the report is ready. FAILED, 19-30 The Senate PASSED the Bill, as amended, 32-17; it now goes to the House
BILL SUMMARY (to view legislation text: www.legis.state.ia.us . Click on legislation and select bill type and number) SSB 3216 HEALTH AND HUMAN RIGHTS APPROPRIATION - Appropriates to health and human rights agencies Total (from the GF): $87.6 million; Operations $73.6 million; Grants: $14 million Appropriations: Dept. for the Blind $1.8 million; Civil Rights Commission $1.2 million; Dept. of Elder Affairs $5.1 million; Governor’s Alliance on Substance Abuse $506,000; Dept. of Public Health Total - $29.8 million. Planning & Administration $1.4 million, Public Protection $7.1 million, Addictive Disorders $1.5 million, Community Capacity $1.6 million, Child, Adult & Elderly Wellness $13; Chronic Conditions $1.8 million, Environmental Hazards $165,000, Infectious Diseases $1.3 million, Injuries $1.9 million; Dept. of Human Rights Total - $3.6 million; Central Administration $332,000; Deaf Services $329,000; Persons with Disabilities $201,000; Latino Affairs $160,000; Status of Women $424,000; Status of African Americans $129,000; Criminal & Juvenile Justice $412,00; Community Grant Fund $1.6 million; Veterans Affairs Commission $45.7 million; Veterans Home $45.4 million; Administration $295,000. Other Funds DPH Total $3.8 million; Gambling Treatment Fund $2.2 million; Addictive Disorders & Home Care $1.6 million. Retained Fees: Allows the Dental Board, Pharmacists Board, Nursing Board and the Medical Board to use $263,000 from fees for moving expenses. Allows Public Health to keep $100,000 in fees from the Medical Board to improve licensing functions. Allows the Veterans Home to keep $900,000 in VA drug reimbursements for pharmacy related expenses. Statutory Changes: Creates an Assisted Living Certification Fund controlled by Elder Affairs retroactive to the beginning of FY 2000. HF 2545 ADMINISTRATION AND REGULATION APPROPRIATIONS - Appropriates from the General Fund for the offices of the Governor and Lt. Governor, the Dept. of General Services, Dept. of Appeals & Inspections, Dept. of Management, Dept. of Personnel and other regulatory and administrative agencies. Total: $88.1 million; Operations: $82.4 million, Grant & Aid $5.6 million; Standings: $67,000 Auditor: Total $1.4 million; Ethics & Campaign Finance: Total $501,000; Dept. of Commerce: Total: $20 million; Administration: $1.1 million; Alcoholic Beverages: $1.6 million; Banking Division: $5.7 million; Credit Union Division: $1.1 million; Insurance Division: $3.7 million; Professional Licensing: $870,000; Utilities Division: $6 million; Legislative Branch: Total $130,000; Uniform State Laws $26,000; NCSL $104,000; Dept. of General Services: Total $10 million Administration $1.9 million; Property Management $4.6 million; Rental Space $1.0 million; Utilities $2.3 million; Terrace Hill $21,000; Governor: Total $2 million; General Office $1.4 million; Terrace Hill $125000; Administrative Rules Coordinator $121,000; National Governors Association $69,000; State Federal Relations $271,000; Dept. of Inspections & Appeals: : Total $6.3 million, Finance $515,000; Audits $477,000 ; Appeals $469,000 ; Investigations $1 million; Health Facilities $2.4 million; Inspections $634,000; Employment Appeals Board $34,000; Foster Care Review Board $791,000 plus Racing & Gaming $3.6 million; Dept. of Management: Total $2 million; Office $2 million Law Enforcement Training $48,000; Dept. of Personnel: Total $10.3 million; Admin. & Program Operations $1.7 million; Customer Service & Benefits $2.9 million; Workers Compensation $5.6 million Dept. of Revenue: Total $28.1 million; Compliance $10.5 million; State Financial Management $11.5 million; Internal Resource management $6.0 million; Property Tax Replacement $75,000 Secretary of State: Total $2.6 million; Administration & Elections $757,000; Business Services $1.8 million; State Treasurer: $1.2 million. Other Funds: Appropriates $21.6 million from other funds for Dept. of General Services: $2.9 million, Inspections & Appeals $1.1 million; Dept. of Personnel: $8.1 million; Lottery: $9.3 million; Revenue & Finance-non lottery: $1.0 million. Other: Requires that an Iowa-based liquor distributing company be given preference in contracting with Div. alcoholic Beverages. Requires IPERS to pay property taxes on its building from IPERS funds. Lets the Racing & Gaming Commission require casinos to post their gaming tax rate. Forbids any of the covered departments or agencies from constructing any new or renovating any existing smoking areas. Allows refund of license fees to dissatisfied customers. © 2008 The American Nurses Association, Inc. All Rights Reserved
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