IA
Iowa Senate Bill SSB3146

Iowa 2023-2024 Regular Session

Iowa Senate Bill SSB3146

Introduced
2/5/24  
Introduced
2/5/24  

Caption

A bill for an act relating to the transition of behavioral health services from a mental health and disability services system to a behavioral health service system, and the transfer of disability services to the division of aging and disability services of the department of health and human services, making appropriations, and including effective date provisions.(See SF 2354, SF 2420.)

Impact

The legislation is expected to have a profound impact on how behavioral health services are administered across the state. By centralizing these services under the BHSS, the bill aims to create a unified strategy that can address the complexities of behavioral health and remove bureaucratic obstacles that previously hindered service access. It includes provisions for annual financial transfers to the new behavioral health fund, which will be closely monitored and regulated to ensure funds are directed towards improving patient care rather than administrative costs, capping spending on such costs to 7% of total distributions.

Summary

SSB3146 proposes significant changes to the existing mental health and disability services framework in Iowa by transitioning to a new Behavioral Health Service System (BHSS). This bill serves to align the management of mental health, disability services, and substance abuse issues under the Department of Health and Human Services (HHS). The intention is to improve service delivery and access for individuals needing these critical supports while consolidating various funding streams into a single comprehensive system. Focusing on modernization, this approach aims to establish better coordination across services and enhance the effectiveness of treatment programs statewide.

Contention

Notably, while supporters of SSB3146 advocate for streamlined services and enhanced funding, there are concerns regarding the implications of centralizing control over local service systems. Critics argue that this shift may diminish local governance and flexibility, making it more challenging for specific communities to address localized needs effectively. The repeal of several existing codes and the establishment of a new administrative framework may lead to transitions that are difficult for service providers and recipients to navigate, creating potential gaps in care during the transition period.

Latest SSB3146 Activity

Companion Bills

IA HSB653

Related A bill for an act relating to the transition of behavioral health services from a mental health and disability services system to a behavioral health service system, and the transfer of disability services to the division of aging and disability services of the department of health and human services, making appropriations, and including effective date provisions.(See HF 2509, HF 2673.)

IA HF2509

Replaced by A bill for an act relating to the transition of behavioral health services from a mental health and disability services system to a behavioral health service system, and the transfer of disability services to the division of aging and disability services of the department of health and human services, making appropriations, and including effective date provisions.(Formerly HSB 653; See HF 2673.)

IA SF2354

Replaced by A bill for an act relating to the transition of behavioral health services from a mental health and disability services system to a behavioral health service system, and the transfer of disability services to the division of aging and disability services of the department of health and human services, making appropriations, and including effective date provisions.(Formerly SSB 3146; See SF 2420.)

IA HF2673

Replaced by A bill for an act related to state behavioral health, disability, and addictive disorder services and related programs, including the transition of behavioral health services from a mental health and disability services system to a behavioral health service system, the transfer of disability services to the division of aging and disability services of the department of health and human services, the elimination of the commission on aging, the elimination of special intellectual disability units at state mental health institutes, making appropriations, and including effective date provisions. (Formerly HF 2509, HSB 653.) Effective date: 05/15/2024, 07/01/2024, 07/01/2025.

IA SF2420

Replaced by A bill for an act related to state behavioral health, disability, and addictive disorder services and related programs, including the transition of behavioral health services from a mental health and disability services system to a behavioral health service system, the transfer of disability services to the division of aging and disability services of the department of health and human services, the elimination of the commission on aging, the elimination of special intellectual disability units at state mental health institutes, making appropriations, and including effective date provisions.(Formerly SF 2354, SSB 3146.)

Previously Filed As

IA SF2354

A bill for an act relating to the transition of behavioral health services from a mental health and disability services system to a behavioral health service system, and the transfer of disability services to the division of aging and disability services of the department of health and human services, making appropriations, and including effective date provisions.(Formerly SSB 3146; See SF 2420.)

IA HF2509

A bill for an act relating to the transition of behavioral health services from a mental health and disability services system to a behavioral health service system, and the transfer of disability services to the division of aging and disability services of the department of health and human services, making appropriations, and including effective date provisions.(Formerly HSB 653; See HF 2673.)

IA HSB653

A bill for an act relating to the transition of behavioral health services from a mental health and disability services system to a behavioral health service system, and the transfer of disability services to the division of aging and disability services of the department of health and human services, making appropriations, and including effective date provisions.(See HF 2509, HF 2673.)

IA HF2673

A bill for an act related to state behavioral health, disability, and addictive disorder services and related programs, including the transition of behavioral health services from a mental health and disability services system to a behavioral health service system, the transfer of disability services to the division of aging and disability services of the department of health and human services, the elimination of the commission on aging, the elimination of special intellectual disability units at state mental health institutes, making appropriations, and including effective date provisions. (Formerly HF 2509, HSB 653.) Effective date: 05/15/2024, 07/01/2024, 07/01/2025.

IA SF2420

A bill for an act related to state behavioral health, disability, and addictive disorder services and related programs, including the transition of behavioral health services from a mental health and disability services system to a behavioral health service system, the transfer of disability services to the division of aging and disability services of the department of health and human services, the elimination of the commission on aging, the elimination of special intellectual disability units at state mental health institutes, making appropriations, and including effective date provisions.(Formerly SF 2354, SSB 3146.)

Similar Bills

IA HF2673

A bill for an act related to state behavioral health, disability, and addictive disorder services and related programs, including the transition of behavioral health services from a mental health and disability services system to a behavioral health service system, the transfer of disability services to the division of aging and disability services of the department of health and human services, the elimination of the commission on aging, the elimination of special intellectual disability units at state mental health institutes, making appropriations, and including effective date provisions. (Formerly HF 2509, HSB 653.) Effective date: 05/15/2024, 07/01/2024, 07/01/2025.

IA HSB653

A bill for an act relating to the transition of behavioral health services from a mental health and disability services system to a behavioral health service system, and the transfer of disability services to the division of aging and disability services of the department of health and human services, making appropriations, and including effective date provisions.(See HF 2509, HF 2673.)

IA SF2354

A bill for an act relating to the transition of behavioral health services from a mental health and disability services system to a behavioral health service system, and the transfer of disability services to the division of aging and disability services of the department of health and human services, making appropriations, and including effective date provisions.(Formerly SSB 3146; See SF 2420.)

IA HF2509

A bill for an act relating to the transition of behavioral health services from a mental health and disability services system to a behavioral health service system, and the transfer of disability services to the division of aging and disability services of the department of health and human services, making appropriations, and including effective date provisions.(Formerly HSB 653; See HF 2673.)

IA SF2420

A bill for an act related to state behavioral health, disability, and addictive disorder services and related programs, including the transition of behavioral health services from a mental health and disability services system to a behavioral health service system, the transfer of disability services to the division of aging and disability services of the department of health and human services, the elimination of the commission on aging, the elimination of special intellectual disability units at state mental health institutes, making appropriations, and including effective date provisions.(Formerly SF 2354, SSB 3146.)

LA HB552

Updates provisions of law relative to behavioral health treatment

LA HB341

Amends laws relative to behavioral health and mental health to provide for current practice and appropriate terminology

AZ HB2166

DHS; licensure; group homes