Iowa 2023-2024 Regular Session

Iowa House Bill HF633

Introduced
3/6/23  
Refer
5/4/23  
Introduced
3/6/23  

Caption

A bill for an act relating to prohibitions against a person acting as a provider or as an employee, contractor, or subcontractor of a provider of home and community-based services waiver services under the Medicaid program.(Formerly HF 504.)

Impact

The implementation of HF633 will refine the criteria under which the Iowa Department of Health and Human Services (HHS) assesses potential employees or contractors who may have a history of criminal misconduct or founded abuse. Factors such as the nature of the crime, the elapsed time since its occurrence, and evidence of rehabilitation will be assessed during evaluations. If an individual is determined to pose a risk based on their record, HHS is empowered to prohibit their employment with HCBS providers. This mechanism aims to protect individuals receiving services by ensuring that personnel involved in their care meet stringent eligibility criteria.

Summary

House File 633 (HF633) focuses on enhancing the evaluation and screening processes for individuals seeking to be employed as providers of home and community-based services (HCBS) under the Medicaid program. The bill expands current provisions that require criminal and abuse record checks for personnel involved in HCBS operations, ensuring that these checks now apply not just to employees with direct consumer contact but also to contractors, subcontractors, and individuals in management positions. This broadening aims to safeguard vulnerable populations receiving care and services from these providers.

Contention

While supporters of HF633 argue that it is a necessary step for consumer safety and maintaining the integrity of care services, some opponents may raise concerns about the fairness and thoroughness of the evaluation process. Critics could argue that the bill may disproportionately impact certain individuals seeking employment in the HCBS sector, particularly if past offenses do not reflect current behaviors or capabilities. Ensuring that rehabilitation is adequately acknowledged in the evaluation process is seen as a crucial point of discussion moving forward.

Companion Bills

IA HF504

Similar To A bill for an act relating to prohibitions against a person acting as a provider or as an employee, contractor, or subcontractor of a provider of home and community-based services waiver services under the Medicaid program.(See HF 633.)

Previously Filed As

IA HF2641

A bill for an act relating to the Medicaid home and community-based services elderly waiver program, including transition planning and assisted living services.(Formerly HSB 739.)

IA HSB739

A bill for an act relating to the Medicaid home and community-based services elderly waiver program, including transition planning and assisted living services.(See HF 2641.)

IA HF2518

A bill for an act relating to the department of health and human services and reporting requirements for shelter care, residential treatment, and Medicaid provider reimbursement rates, and establishing provider reimbursement rates for Medicaid home and community-based waiver services. (Formerly HSB 621.)

IA S0069

Provides employees with civil administrative remedies against contractors, subcontractors involved in the contract with joint/severable liability imposed on contractors or subcontractors. Effective 9/1/2025.

IA H5366

Provides employees with civil administrative remedies against contractors, subcontractors involved in the contract with joint/severable liability imposed on contractors or subcontractors. Effective 9/1/2025.

IA HB2926

Provides certain immunity for private contractors, subcontractors, and employees of such contractors and subcontractors acting within the scope of a government contract awarded by the Missouri department of transportation

IA H7961

Makes construction contractors civilly liable and/or jointly civilly liable for any claims of wage theft or nonpayment from an employee against the contractor, its subcontractors and any subcontractor.

IA S2932

Makes construction contractors civilly liable and/or jointly civilly liable for any claims of wage theft or nonpayment from an employee against the contractor, its subcontractors and any subcontractor.

IA HB4282

Relating to the provision of residential services under the Medicaid home and community-based services (HCS) waiver program.

IA HB1067

Provides certain immunity for private contractors, subcontractors, and employees of such contractors and subcontractors acting within the scope of a government contract awarded by the Missouri department of transportation

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