Iowa 2023-2024 Regular Session

Iowa House Bill HF13

Introduced
1/11/23  
Introduced
1/11/23  

Caption

A bill for an act relating to rural emergency hospitals, including licensing requirements and fees, making penalties applicable, providing emergency rulemaking authority, and including applicability and effective date provisions.(See HF 144.)

Impact

The introduction of HF13 is expected to significantly impact rural health care by expanding access to emergency services in communities that previously struggled to meet medical needs. The bill exempts qualified hospitals from certain certificate of need requirements when converting to REHs, thereby streamlining the transition process. This flexibility is aimed at encouraging transformations in healthcare provision, particularly in rural areas characterized by small populations and limited healthcare resources.

Summary

House File 13 (HF13) establishes a regulatory framework for the licensure of rural emergency hospitals (REHs) within the state. This development is part of the broader implementation of the federal Consolidated Appropriations Act, which introduced REHs as a new healthcare provider type eligible for Medicare reimbursement. The bill delineates specific criteria and procedures for hospitals in rural areas with limited bed capacity to obtain licensure as REHs, which are crucial for enhancing emergency medical services in underserved regions.

Contention

Despite its potential benefits, HF13 has also been a subject of discussion regarding the regulatory oversight of emergency hospitals. Critics may raise concerns about the adequacy of standards for care and safety, especially given the absence of certificate of need assessments before conversion. Stakeholders, including healthcare providers and community leaders, might engage in debates about balancing regulatory efficiencies with the necessity for rigorous quality controls, ensuring that rural emergency hospitals can offer safe and effective care to their communities.

Companion Bills

IA SF75

Similar To A bill for an act relating to certain health facilities including ambulatory surgical centers and rural emergency hospitals, including licensing requirements and fees, providing penalties and making penalties applicable, providing emergency rulemaking authority, and including applicability and effective date provisions. Effective date: 03/28/2023, 07/01/2023. Contingent applicability date.

IA HF144

Similar To A bill for an act relating to rural emergency hospitals, including licensing requirements and fees, making penalties applicable, providing emergency rulemaking authority, and including applicability and effective date provisions.(Formerly HF 13.)

Previously Filed As

IA HF144

A bill for an act relating to rural emergency hospitals, including licensing requirements and fees, making penalties applicable, providing emergency rulemaking authority, and including applicability and effective date provisions.(Formerly HF 13.)

IA SF75

A bill for an act relating to certain health facilities including ambulatory surgical centers and rural emergency hospitals, including licensing requirements and fees, providing penalties and making penalties applicable, providing emergency rulemaking authority, and including applicability and effective date provisions. Effective date: 03/28/2023, 07/01/2023. Contingent applicability date.

IA HSB91

A bill for an act relating to the health and well-being of children and families including provisions for rural emergency hospitals, regional centers of excellence, noneconomic damage awards against health care providers, a state-funded family medicine obstetrical fellowship program, self-administered hormonal contraceptives, review and approval of and public policy considerations relating to insurance benefits, maternal support and fatherhood initiatives, state employee parental leave, modification of property tax provisions for certain commercial child care properties, adoption expenses under the adoption subsidy program, and accessibility to the all Iowa scholarship program; providing for appropriations, fines, and penalties; and including effective date and applicability and retroactive applicability provisions.(See HF 427.)

IA SSB1133

A bill for an act relating to the health and well-being of children and families including provisions for rural emergency hospitals, regional centers of excellence, noneconomic damage awards against health care providers, a state-funded family medicine obstetrical fellowship program, self-administered hormonal contraceptives, review and approval of and public policy considerations relating to insurance benefits, maternal support and fatherhood initiatives, state employee parental leave, modification of property tax provisions for certain commercial child care properties, adoption expenses under the adoption subsidy program, and accessibility to the all Iowa scholarship program; providing for appropriations, fines, and penalties; and including effective date and applicability and retroactive applicability provisions.

IA HSB323

A bill for an act relating to animal feeding operations, by providing for the regulation of anaerobic digester systems, providing fees, making penalties applicable, and including effective date and applicability provisions.(See HF 989.)

IA HSB252

A bill for an act relating to state finances, including by making, modifying, limiting, or reducing appropriations, distributions, or transfers, authorizing expenditure of certain unappropriated moneys, making corrections, and including effective date, applicability, and retroactive applicability provisions.(See HF 729.)

IA HSB80

A bill for an act concerning the licensing and regulation of gambling games, including a moratorium on the issuance of new licenses, providing fees, and including effective date and retroactive applicability provisions.(See HF 144.)

IA SSB1213

A bill for an act relating to appropriations for veterans and health and human services and including other related provisions and appropriations, providing penalties, and including effective date and retroactive and other applicability date provisions.(See SF 561.)

IA HF729

A bill for an act relating to state finances, including by making, modifying, limiting, or reducing appropriations, distributions, or transfers, authorizing expenditure of certain unappropriated moneys, making corrections, and including effective date, applicability, and retroactive applicability provisions.(Formerly HSB 252.)

IA HSB301

A bill for an act relating to animal feeding operations, by providing for the regulation of anaerobic digester systems, providing fees, making penalties applicable, and including effective date and applicability provisions.

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