Iowa 2023-2024 Regular Session

Iowa House Bill HF504

Introduced
2/28/23  
Introduced
2/28/23  

Caption

A bill for an act relating to prohibitions against a person acting as a provider or as an employee, contractor, or subcontractor of a provider of home and community-based services waiver services under the Medicaid program.(See HF 633.)

Impact

The bill amends existing laws to broaden the scope of those who are subject to background checks related to criminal activity and abuse history. Previously limited to direct service providers, this now includes management and consulting personnel as well. This extension aims to enhance the safety of consumers receiving services by ensuring that all individuals who might have access are evaluated for any disqualifying histories. This could significantly enhance oversight and accountability within HCBS programs.

Summary

House File 504 establishes new protocols concerning the employment of individuals within home and community-based services (HCBS) waiver programs. Specifically, the bill relates to the recording checks used to evaluate providers, employees, contractors, and subcontractors when criminal records or founded abuse incidents are identified. Under this legislation, the Iowa Department of Health and Human Services (HHS) is tasked with conducting evaluations for such individuals to determine their eligibility for employment based on the nature of their criminal history or abuse record.

Contention

There are concerns regarding the implications of these criteria, especially related to the potential impact on employment opportunities for individuals with prior criminal records or founded abuse cases. While supporters argue that the heightened scrutiny is necessary for consumer safety, opponents warn that it may disproportionately prevent qualified individuals from gaining employment in the HCBS sector, suggesting that the bill might need provisions for addressing rehabilitation and second chances for these individuals.

Companion Bills

IA HF633

Similar To A bill for an act relating to prohibitions against a person acting as a provider or as an employee, contractor, or subcontractor of a provider of home and community-based services waiver services under the Medicaid program.(Formerly HF 504.)

Previously Filed As

IA HF633

A bill for an act relating to prohibitions against a person acting as a provider or as an employee, contractor, or subcontractor of a provider of home and community-based services waiver services under the Medicaid program.(Formerly HF 504.)

IA HF414

A bill for an act relating to Medicaid home and community-based services waiver services and providers, including city and county zoning requirements.

IA HF74

A bill for an act relating to the maximum annual services caps for specified services under certain Medicaid home and community-based services waivers.(See HF 275.)

IA HF275

A bill for an act relating to the maximum annual services caps for specified services under certain Medicaid home and community-based services waivers.(Formerly HF 74.)

IA HB419

AN ACT relating to home and community-based services waiver providers.

IA HF2202

A bill for an act relating to the reimbursement of legally responsible individuals and family caregivers as providers of Medicaid home and community-based services waiver services.

IA HSB49

A bill for an act relating to a Medicaid home and community-based services waiver for children with autism.

IA HSB177

A bill for an act relating to the Medicaid program including third-party recovery and taxation of Medicaid managed care organization premiums.(See HF 525, HF 685.)

IA HF386

A bill for an act relating to bodies of the state governmental structure under the purview of the department of health and human services.(See HF 566.)

IA HF2005

A bill for an act relating to the inclusion of parents and legal guardians of minors as reimbursed providers of personal care services under the Medicaid program.

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CA AB1843

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