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SF 2063 – Nursing Home Administrator Apprenticeship (LSB5579XS)
Staff Contact: Xavier Leonard (515.725.0509) xavier.leonard@legis.iowa.gov
Fiscal Note Version – New
Description
Senate File 2063 requires the Department of Inspections, Appeals, and Licensing (DIAL) to
establish a Nursing Home Administrator Training Pilot Program to provide individuals pursuing
the profession of nursing home administrator to obtain on-the-job experience prior to receiving
their license. The Bill includes requirements relating to the Pilot Program for the DIAL, trainees,
and participating nursing homes. The Bill requires the DIAL to adopt administrative rules to
administer the Pilot Program. The Bill also requires the DIAL to submit a report to the General
Assembly by December 31, 2026, that provides an assessment of the Program and a
recommendation with respect to the continuation of the Program.
Background
Iowa Code chapter 155 relates to nursing home administration in the State. A nursing home
administrator is a person who administers, manages, supervises, or is in general administrative
charge of a nursing home, without regard to the individual’s ownership interest or if the
individual’s functions and duties are shared. The individual must pass an examination
prescribed by the Board of Nursing Home Administrators pursuant to Iowa Code chapter 147 to
receive licensure. Nursing home administrator licenses are valid for two years. License
revenue is deposited into the Licensing and Regulation Fund in DIAL.
Assumptions
• The DIAL may approve up to 10 applicants in the first year of the Pilot Program.
• The DIAL will reimburse each participating nursing home for 30.0% of each trainee’s base
salary during the trainee’s first year, not exceeding $30,000, and 10.0% of the trainee’s base
salary during the trainee’s second year, not exceeding $10,000.
• The Program will begin in FY 2025 and will last two years, through FY 2026.
• Reimbursement toward the trainee’s base salary is subject to the availability of funds
appropriated to DIAL.
• The DIAL will use existing staff for the Program.
Fiscal Impact
Senate File 2063 is estimated to increase costs to the DIAL by approximately $300,000 in
FY 2025 and approximately $100,000 in FY 2026.
Sources
Department of Inspections, Appeals, and Licensing
Legislative Services Agency
/s/ Jennifer Acton
February 19, 2024
Fiscal Note
Fiscal Services Division 2
Doc ID 1445583
The fiscal note for this Bill was prepared pursuant to Joint Rule 17 and the Iowa Code. Data used in developing this
fiscal note is available from the Fiscal Services Division of the Legislative Services Agency upon request.
www.legis.iowa.gov