Iowa 2023-2024 Regular Session

Iowa House Bill HF471

Introduced
2/27/23  
Engrossed
3/7/23  
Introduced
2/27/23  
Enrolled
5/9/23  
Engrossed
3/7/23  
Passed
6/1/23  
Enrolled
5/9/23  

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. (Formerly HSB 176.) Effective date: 07/01/2023.

Impact

The bill marks a significant shift in how mental health and disability services are governed, particularly concerning child welfare and treatment protocols for adults in the judicial system. One notable element is the establishment of safety plans that allow for temporary removals of children without court orders, provided that appropriate terms are defined to ensure the child's safety. Additionally, the bill introduces outpatient competency restoration procedures, highlighting a balancing act between legal processes and mental health treatment.

Summary

House File 471 is crafted to amend several aspects of mental health and disability services within the state, with a specific focus on children in need of assistance, the adoption process, and individuals found incompetent to stand trial. It introduces changes to various sections of the Iowa Code, enhancing the specialization of mental health institutions, specifically regarding treatment for behaviorally complex youth and adults facing competency issues. The bill aims to ensure that services are tailored to the needs of specific populations, facilitating better care and outcomes for these individuals.

Sentiment

The sentiment surrounding HF471 appears generally supportive among committee members, as evidenced by the unanimous voting result indicating a broad agreement on the need for enhanced mental health services. However, there are concerns among some advocates about potential overreach in judicial powers regarding child custody and the adequacy of mental health resources for those needing competency restoration. Overall, the bill reflects a recognized need for reform in mental health services, although the discussions shed light on the complexities involved in implementing such changes.

Contention

Despite its support, HF471 does face some contention. Critics argue that the flexibility granted to safety plans could undermine judicial processes that protect children's rights. Furthermore, the efficacy of outpatient competency restoration remains a contentious issue, with debates over whether the proposed measures will result in adequate support for individuals within the judicial system. These concerns highlight the ongoing tension between improving mental health services and safeguarding the rights and welfare of vulnerable populations.

Companion Bills

IA SF471

Similar To 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 HSB176

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 HF 471.)

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.)

Previously Filed As

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 HSB176

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.)

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 HF707

A bill for an act relating to state child care assistance eligibility requirements and child care provider reimbursement rates. (Formerly HSB 233.) Effective date: 07/01/2023.

IA HF564

A bill for an act relating to access to criminal history data in child in need of assistance proceedings. (Formerly HSB 110.) Effective date: 07/01/2023.

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 SF641

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, health maintenance organization's premium tax, and making appropriations and including effective date and retroactive applicability provisions. (Formerly SF 620, SF 582, SSB 1171.) Effective date: 06/06/2025, 07/01/2025. Applicability date: 01/01/2024, 07/01/2024.

IA HF584

A bill for an act relating to individual licensees who provide child foster care. (Formerly HF 373.) Effective date: 07/01/2023.

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 SF2385

A bill for an act relating to boards, commissions, committees, councils, and other entities of state government, and including effective date and transition provisions. (Formerly SSB 3172.) Effective date: 07/01/2024, 07/01/2025.

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