1 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