Iowa 2023-2024 Regular Session

Iowa House Bill HSB176

Introduced
2/20/23  
Introduced
2/20/23  

Caption

A bill for an act relating to mental health and disability services provided by the state and judicial procedures relating to child in need of assistance proceedings, adoptions, and the confinement of persons found incompetent to stand trial.(See HF 471.)

Impact

One of the significant impacts of HSB176 is the increase in the cash flow limit for MHDS regions from 5% to 10% of actual expenditures from the previous year. This change aims to enhance the fiscal stability of these regions, allowing for better service delivery. Additionally, the bill establishes outpatient competency restoration as a core service, which is crucial for individuals with mental health issues involved in the judicial system. This could potentially improve the rehabilitation outcomes for defendants, enabling them to regain competency to stand trial, thus promoting justice and efficiency in legal proceedings.

Summary

House Study Bill 176 focuses on the reform of mental health and disability services in Iowa, particularly in relation to judicial procedures involving child safety and adoption processes. The bill is divided into several key divisions, each addressing different aspects of mental health treatment, including governance of regional services, funding structures, and procedural amendments in child welfare cases. Notably, the bill permits the counties to establish a more inclusive governance structure for Mental Health and Disability Services (MHDS) regional boards, ensuring that the composition reflects a broader set of stakeholders, including law enforcement and judicial representatives.

Contention

There are points of contention regarding the bill, particularly the implications of adding two new representatives to the MHDS governing board. Critics argue that this could dilute the local input into the governance of these boards, particularly as the number of county representatives is capped at 49%. Furthermore, the bill's provisions related to compiling and reporting on service accessibility and use of funds may lead to complex bureaucratic processes that could hinder rather than help effective service delivery in mental health contexts. Concerns also arise surrounding the balance between judicial efficiency and the rights of vulnerable individuals navigating these systems.

Companion Bills

IA SSB1166

Related A bill for an act relating to mental health and disability services provided by the state and judicial procedures relating to child in need of assistance proceedings, adoptions, and the confinement of persons found incompetent to stand trial.(See SF 471.)

IA HF471

Replaced by A bill for an act relating to mental health and disability services provided by the state and judicial procedures relating to child in need of assistance proceedings, adoptions, and the confinement of persons found incompetent to stand trial. (Formerly HSB 176.) Effective date: 07/01/2023.

IA SF471

Replaced by A bill for an act relating to mental health and disability services provided by the state and judicial procedures relating to child in need of assistance proceedings, adoptions, and the confinement of persons found incompetent to stand trial.(Formerly SSB 1166.)

Previously Filed As

IA SSB1166

A bill for an act relating to mental health and disability services provided by the state and judicial procedures relating to child in need of assistance proceedings, adoptions, and the confinement of persons found incompetent to stand trial.(See SF 471.)

IA HF471

A bill for an act relating to mental health and disability services provided by the state and judicial procedures relating to child in need of assistance proceedings, adoptions, and the confinement of persons found incompetent to stand trial. (Formerly HSB 176.) Effective date: 07/01/2023.

IA SF471

A bill for an act relating to mental health and disability services provided by the state and judicial procedures relating to child in need of assistance proceedings, adoptions, and the confinement of persons found incompetent to stand trial.(Formerly SSB 1166.)

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 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 HF86

A bill for an act relating to aid, processes, and services for children in, adopted from, or in need of foster care.(See HF 873.)

IA SSB3146

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.)

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 HF2242

A bill for an act relating to aid, processes, services, and support staff for children in, adopted from, or in need of foster care, and making appropriations.(See HF 2671.)

IA HSB215

A bill for an act relating to matters under the purview of the department of health and human services, including administrative services organizations, child foster care, child and dependent adult abuse, internal audit and examination information, and the region incentive fund in the mental health and disability services regional service fund, and making an appropriation and including effective date provisions.(See HF 757, HF 1014, HF 1042.)

Similar Bills

IA SSB1166

A bill for an act relating to mental health and disability services provided by the state and judicial procedures relating to child in need of assistance proceedings, adoptions, and the confinement of persons found incompetent to stand trial.(See SF 471.)

IA SF471

A bill for an act relating to mental health and disability services provided by the state and judicial procedures relating to child in need of assistance proceedings, adoptions, and the confinement of persons found incompetent to stand trial.(Formerly SSB 1166.)

IA HF471

A bill for an act relating to mental health and disability services provided by the state and judicial procedures relating to child in need of assistance proceedings, adoptions, and the confinement of persons found incompetent to stand trial. (Formerly HSB 176.) Effective date: 07/01/2023.

CA SB1392

Criminal procedure: competence to stand trial.

CA AB2360

Telehealth: mental health.

CA SB121

Budget Act of 2022: Health Omnibus.

CA AB204

Budget Act of 2022: Health Omnibus.

CA SB1187

Competence to stand trial.