House File 2404 - Enrolled
House File 2404
AN ACT
RELATING TO PROCESSES OVERSEEN BY THE DEPARTMENT OF HEALTH AND
HUMAN SERVICES, INCLUDING INTERNAL ADOPTION INFORMATION
SHARING, DEPENDENT ADULT ABUSE MATTERS, JUVENILE JUSTICE
COURT FILINGS, MANDATORY REPORTER TRAINING, AND HEALTH CARE
COORDINATION AND INTERVENTION TEAMS, AND INCLUDING EFFECTIVE
DATE PROVISIONS.
7 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
1 DIVISION I
2 INTERNAL ADOPTION INFORMATION SHARING
3 Section 1. Section 600.16A, subsection 6, Code 2024, is
4 amended to read as follows:
5 6. Any person, other than the adopting parents or the
6 adopted person, who discloses information in violation
7 of this section, is guilty of a simple misdemeanor. This
8 subsection shall not apply to department personnel who disclose
9 information to personnel within the department for the purposes
10 of ensuring continuity of the department’s services to the
11 child.
12 DIVISION II
13 DEPENDENT ADULT ABUSE
14 Sec. 2. Section 235B.6, subsection 2, paragraph d, Code
15 2024, is amended by adding the following new subparagraph:
16 NEW SUBPARAGRAPH. (7) To a tribal court as defined in
17 section 626D.2, a tribal prosecutor, or tribal services
18 provided that the dependent adult is an Indian as defined in
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19 section 232B.3.
20 Sec. 3. Section 235B.6, subsection 3, Code 2024, is amended
21 by striking the subsection and inserting in lieu thereof the
22 following:
23 3. Access to unfounded dependent adult abuse information
24 is authorized only to those persons identified in any of the
25 following:
26 a. Subsection 2, paragraph “a”.
27 b. Subsection 2, paragraph “b”, subparagraphs (2), (5), and
28 (6).
29 c. Subsection 2, paragraph “d”, subparagraph (7).
30 d. Subsection 2, paragraph “e”, subparagraphs (2), (5),
31 (10), (20), (21), and (22).
32 DIVISION III
33 ACCESS TO JUVENILE COURT SOCIAL RECORDS
34 Sec. 4. Section 232.147, Code 2024, is amended by adding the
35 following new subsection:
1 NEW SUBSECTION. 20. Notwithstanding any other provision of
2 law to the contrary, the department may inspect, and the court
3 shall disclose to the department, records that are confidential
4 under this section if the records were filed in a proceeding
5 under subchapter III, IV, or V of this chapter to which the
6 department is a participant.
7 DIVISION IV
8 MANDATORY REPORTER TRAINING
9 Sec. 5. Section 232.69, subsection 3, paragraphs b and e,
10 Code 2024, are amended to read as follows:
11 b. A person required to make a report under subsection 1,
12 other than a physician whose professional practice does not
13 regularly involve providing primary health care to children,
14 shall complete two hours of the core training curriculum
15 relating to the identification and reporting of child abuse
16 within six months of initial employment or self-employment
17 involving the examination, attending, counseling, or treatment
18 of children on a regular basis. Within one month of initial
19 employment or self-employment, the person shall obtain a
20 statement of the abuse reporting requirements from the person’s
21 employer or, if self-employed, from the department. The
22 person shall complete at least two hours of additional the
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23 core training curriculum relating to the identification and
24 reporting of child abuse identification and reporting training
25 every three years. If the person completes at least one hour
26 of additional child abuse identification and reporting training
27 prior to the three-year expiration period, the person shall be
28 deemed in compliance with the training requirements of this
29 section for an additional three years.
30 e. A licensing board with authority over the license of
31 a person required to make a report under subsection 1 shall
32 require as a condition of licensure that the person is in
33 compliance with the requirements for abuse the core training
34 curriculum relating to the identification and reporting
35 of child abuse under this subsection. The licensing board
1 shall require the person upon licensure renewal to accurately
2 document for the licensing board the person’s completion of the
3 training requirements. However, the licensing board may adopt
4 rules providing for waiver or suspension of the compliance
5 requirements, if the waiver or suspension is in the public
6 interest, applicable to a person who is engaged in active duty
7 in the military service of this state or of the United States,
8 to a person for whom compliance with the training requirements
9 would impose a significant hardship, or to a person who is
10 practicing a licensed profession outside this state or is
11 otherwise subject to circumstances that would preclude the
12 person from encountering child abuse in this state.
13 Sec. 6. Section 235B.16, subsection 5, paragraphs b and e,
14 Code 2024, are amended to read as follows:
15 b. A person required to report cases of dependent adult
16 abuse pursuant to sections 235B.3 and 235E.2, other than a
17 physician whose professional practice does not regularly
18 involve providing primary health care to adults, shall complete
19 two hours of the core training curriculum relating to the
20 identification and reporting of dependent adult abuse within
21 six months of initial employment or self-employment which
22 involves the examination, attending, counseling, or treatment
23 of adults on a regular basis. Within one month of initial
24 employment or self-employment, the person shall obtain a
25 statement of the abuse reporting requirements from the person’s
26 employer or, if self-employed, from the department. The
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27 person shall complete at least two hours of additional the
28 core training curriculum relating to the identification and
29 reporting of dependent adult abuse identification and reporting
30 training every three years. If the person completes at least
31 one hour of additional dependent adult abuse identification and
32 reporting training prior to the three-year expiration period,
33 the person shall be deemed in compliance with the training
34 requirements of this section for an additional three years.
35 e. A licensing board with authority over the license of
1 a person required to report cases of dependent adult abuse
2 pursuant to sections 235B.3 and 235E.2 shall require as
3 a condition of licensure that the person is in compliance
4 with the requirements for abuse the core training curriculum
5 relating to the identification and reporting of dependent
6 adult abuse under this subsection. The licensing board
7 shall require the person upon licensure renewal to accurately
8 document for the licensing board the person’s completion of the
9 training requirements. However, the licensing board may adopt
10 rules providing for waiver or suspension of the compliance
11 requirements, if the waiver or suspension is in the public
12 interest, applicable to a person who is engaged in active duty
13 in the military service of this state or of the United States,
14 to a person for whom compliance with the training requirements
15 would impose a significant hardship, or to a person who is
16 practicing a licensed profession outside this state or is
17 otherwise subject to circumstances that would preclude the
18 person from encountering dependent adult abuse in this state.
19 DIVISION V
20 HEALTH CARE COORDINATION AND INTERVENTION TEAMS
21 Sec. 7. NEW SECTION. 249A.4A Health care coordination and
22 intervention teams.
23 1. For purposes of this section, “health care provider”
24 means a health care provider as defined in section 135.24, a
25 mental health professional, or a substance use professional.
26 2. The director may establish health care coordination and
27 intervention teams as part of the state medical assistance
28 program to conduct individual case reviews to determine whether
29 additional health services or interventions may be appropriate
30 for an individual’s care needs.
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31 3. a. A health care coordination and intervention team
32 shall review individual cases including but not limited to
33 cases involving individuals with complex conditions who are in
34 need of urgent placement and services.
35 b. A review of an individual case by a health care
1 coordination and intervention team may be initiated by the
2 department or by a health care provider.
3 c. In conducting an individual case review, a health care
4 coordination and intervention team shall:
5 (1) Review and analyze all relevant case information for the
6 purpose of recommending additional health services, treatments,
7 and interventions as appropriate to meet the individual’s needs
8 and to ensure the protection of human health and safety.
9 (2) Consult with the individual’s health care providers to
10 assist and facilitate care coordination and treatment referral
11 actions as appropriate.
12 (3) Collect and review clinical records and other pertinent
13 information, both confidential and nonconfidential, from
14 hospitals and health care providers as necessary to review the
15 individual’s health treatment needs.
16 4. a. Upon request of a health care coordination and
17 intervention team, a hospital or health care provider shall
18 provide records relating to an individual case being reviewed
19 by the health care coordination and intervention team.
20 b. Upon request of a health care coordination and
21 intervention team, a person in possession or control of
22 medical, investigative, assessment, or other information
23 pertaining to an individual case under review by the health
24 care coordination and intervention team shall provide the
25 information to the health care coordination and intervention
26 team.
27 c. Confidential records and information provided to a health
28 care coordination and intervention team under this subsection
29 shall remain confidential and the health care coordination and
30 intervention team shall not release the records or information
31 to any person or entity without a court order.
32 d. A person or entity shall not be liable for providing
33 records or information requested by a health care coordination
34 and intervention team under this subsection to the health care
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35 coordination and intervention team or to the department.
1 5. A health care coordination and intervention team member,
2 and an agent of a health care coordination and intervention
3 team member, shall be immune from any liability, civil or
4 criminal, which might otherwise be incurred or imposed as
5 a result of any act, omission, proceeding, decision, or
6 determination undertaken or performed, or recommendation made
7 provided that the team member or agent acted in good faith and
8 without malice in carrying out official duties as a member of a
9 health care coordination and intervention team or an agent of a
10 health care coordination and intervention team member.
11 6. Subject to federal law, individual case reviews
12 conducted pursuant to this section shall be considered care
13 coordination as defined in section 135D.2.
14 Sec. 8. EFFECTIVE DATE. This division of this Act, being
15 deemed of immediate importance, takes effect upon enactment.
______________________________ ______________________________
PAT GRASSLEY AMY SINCLAIR
Speaker of the House President of the Senate
I hereby certify that this bill originated in the House and
is known as House File 2404, Ninetieth General Assembly.
______________________________
MEGHAN NELSON
Chief Clerk of the House
Approved _______________, 2024 ______________________________
KIM REYNOLDS
Governor


Statutes affected:
Introduced: 600.16A, 235B.2, 235B.3, 235B.6, 626D.2, 232.147
Reprinted: 600.16A, 235B.2, 235B.3, 235B.6, 626D.2, 232.147
Enrolled: 600.16A, 235B.6, 626D.2, 232.147