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Iowa State Association of Counties - 2014 Legislative Priorities

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The Iowa State Association of Counties (ISAC) represents county officials of all types, so their legislative agenda is very long. Here are their priorities related to mental health & disability services:

  1. System redesign must be adequately funded, so that no existing class of consumers would need to give up services in order to finance system change.

    • Eliminate requirement that counties/regions repay 80% of projected savings to the MH/DS system from the Iowa Health and Wellness Plan, and direct these savings into investments in the regional services system.

    • Make judicial mental health advocates state employees.

    • Eliminate the requirement that DHS approve region budgets.

    • Provide sufficient state funding for regions, so they can provide and manage core services.

  2. Improve children’s services and reduce inappropriate mental health commitments and number of out-­‐of-­‐state placements.

  3. Appropriate sufficient state funds to the Iowa Department of Public Health to make services available for evaluation, medical and social detoxification, and outpatient, residential or inpatient treatment for Iowans in need of substance abuse treatment.

  4. Clarify that the costs of criminal court-­‐ordered treatment, evaluation, and restoration of competency to stand trial are all the responsibility of the state, and develop and fund programs to treat & supervise those found not guilty by reason of insanity.

  5. Give advance psychiatric directives the same recognition as a durable power of attorney. Advanced directives ensure treatment without having to involve the courts.

  6. Make Administrative Law Judge decisions on non-Medicaid services appeals final, so they cannot be overruled by DHS.

Contact: 515.244.7181 - www.iowacounties.org - jcashman@iowacounties.org