This bill amends the regulations surrounding contracts between the Iowa Department of Health and Human Services (HHS) and contractors providing qualified residential treatment programs (QRTPs). It mandates that all such contracts must include a provision allowing contractors to reject placements if they can confirm in writing that they lack the necessary security or support to ensure the safety of both the individual being placed and the contractor's staff.

Additionally, the bill explicitly prohibits HHS from including any "no reject, no eject" provisions in these contracts, which would require contractors to accept all placements referred by HHS or juvenile court services. This legislation applies to all contracts executed, extended, or renewed on or after the effective date of the bill, thereby ensuring that contractors have the ability to prioritize safety in their operations.