reglab/statecodes huggingface dataset:
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.5 - Cooperation of hospitals.

225.5 Cooperation of hospitals.
The medical director of the state psychiatric hospital shall seek to bring about systematic cooperation between the several state hospitals for persons with mental illness and the state psychiatric hospital.
[C24, 27, 31, 35, §3959; C39, §3482.05; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §225.5]
96 Acts, ch 1129, §113
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.7 - Classes of patients.

225.7 Classes of patients.
Patients admitted to the said state psychiatric hospital shall be divided into four classes:
1. Voluntary private patients.
2. Committed private patients.
3. Voluntary public patients.
4. Committed public patients.
[C24, 27, 31, 35, §3961; C39, §3482.07; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §225.7]
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.8 - Maintenance.

225.8 Maintenance.
All voluntary private patients and committed private patients shall be kept and maintained without expense to the state, and the voluntary public patients and committed public patients shall be kept and maintained by the state.
[C24, 27, 31, 35, §3962; C39, §3482.08; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §225.8]
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.9 - Voluntary private patients.

225.9 Voluntary private patients.
Voluntary private patients may be admitted in accordance with the regulations to be established by the state board of regents, and their care, nursing, observation, treatment, medicine, and maintenance shall be without expense to the state. However, the charge for such care, nursing, observation, treatment, medicine, and maintenance shall not exceed the cost of the same to the state. The physicians or physician assistants who meet the qualifications set forth in the definition of a mental health professional in section 228.1 on the hospital staff may charge such patients for their medical services under such rules, regulations, and plan therefor as approved by the state board of regents.
[C24, 27, 31, 35, §3963; C39, §3482.09; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §225.9]
2022 Acts, ch 1066, §22
Section amended
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.10 - Voluntary public patients.

225.10 Voluntary public patients.
Persons suffering from mental diseases may be admitted to the state psychiatric hospital as voluntary public patients if a physician authorized to practice medicine or osteopathic medicine in the state of Iowa or a physician assistant who meets the qualifications set forth in the definition of a mental health professional in section 228.1 files information with the regional administrator for the person’s county of residence, stating all of the following:
1. That the physician or physician assistant who meets the qualifications set forth in the definition of a mental health professional in section 228.1 has examined the person and finds that the person is suffering from some abnormal mental condition that can probably be remedied by observation, treatment, and hospital care.
2. That the physician or physician assistant who meets the qualifications set forth in the definition of a mental health professional in section 228.1 believes it would be appropriate for the person to enter the state psychiatric hospital for that purpose and that the person is willing to do so.
3. That neither the person nor those legally responsible for the person are able to provide the means for the observation, treatment, and hospital care.
[C24, 27, 31, 35, §3964; C39, §3482.10; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §225.10]
2006 Acts, ch 1059, §1; 2008 Acts, ch 1088, §141; 2013 Acts, ch 90, §47; 2015 Acts, ch 69, §20; 2016 Acts, ch 1073, §68; 2022 Acts, ch 1066, §23, 24
Referred to in §225.12, 225.16, 225.30
[ ()]Additional information blanks; §225.30
[ ()]Unnumbered paragraph 1 amended
[ ()]Subsections 1 and 2 amended
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.11 - Initiating commitment procedures.

225.11 Initiating commitment procedures.
When a court finds upon completion of a hearing held pursuant to section 229.12 that the contention that a respondent is seriously mentally impaired has been sustained by clear and convincing evidence, and the application filed under section 229.6 also contends or the court otherwise concludes that it would be appropriate to refer the respondent to the state psychiatric hospital for a complete psychiatric evaluation and appropriate treatment pursuant to section 229.13, the judge may order that a financial investigation be made in the manner prescribed by section 225.13. If the costs of a respondent’s evaluation or treatment are payable in whole or in part by a county, an order under this section shall be for referral of the respondent through the regional administrator for the respondent’s county of residence for an evaluation and referral of the respondent to an appropriate placement or service, which may include the state psychiatric hospital for additional evaluation or treatment.
[C77, 79, 81, §225.11]
96 Acts, ch 1183, §9; 2004 Acts, ch 1090, §33; 2015 Acts, ch 69, §21
Referred to in §225.17
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.12 - Voluntary public patient — physician’s or physician assistant’s report.

225.12 Voluntary public patient — physician’s or physician assistant’s report.
A physician or a physician assistant who meets the qualifications set forth in the definition of a mental health professional in section 228.1 filing information under section 225.10 shall include a written report to the regional administrator for the county of residence of the person named in the information, giving a history of the case as will be likely to aid in the observation, treatment, and hospital care of the person and describing the history in detail.
[C24, 27, 31, 35, §3966; C39, §3482.12; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §225.12]
2002 Acts, ch 1119, §29; 2006 Acts, ch 1059, §2; 2015 Acts, ch 69, §22; 2022 Acts, ch 1066, §25
Section amended
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.13 - Financial condition.

225.13 Financial condition.
The regional administrator for the county of residence of a person being admitted to the state psychiatric hospital is responsible for investigating the financial condition of the person and of those legally responsible for the person’s support.
[C24, 27, 31, 35, §3967; C39, §3482.13; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §225.13]
2006 Acts, ch 1059, §3; 2015 Acts, ch 69, §23; 2016 Acts, ch 1073, §69
Referred to in §225.11, 225.14, 225.16, 225.25
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.14 - Patient costs.

225.14 Patient costs.
If it is determined through the financial condition investigation made pursuant to section 225.13 that a person is a committed or voluntary private patient, the person or those legally responsible for the person’s support are liable for expenses as provided in section 225.22. The costs of a committed or voluntary public patient shall be paid by the state as provided in section 225.28.
[C24, 27, 31, 35, §3968; C39, §3482.14; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §225.14]
2006 Acts, ch 1059, §4
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.15 - Examination and treatment.

225.15 Examination and treatment.
1. When a respondent arrives at the state psychiatric hospital, the admitting physician, or a physician assistant who meets the qualifications set forth in the definition of a mental health professional in section 228.1, shall examine the respondent and determine whether or not, in the physician’s or physician assistant’s judgment, the respondent is a fit subject for observation, treatment, and hospital care. If, upon examination, the physician or physician assistant who meets the qualifications set forth in the definition of a mental health professional in section 228.1 decides that the respondent should be admitted to the hospital, the respondent shall be provided a proper bed in the hospital. The physician or physician assistant who meets the qualifications set forth in the definition of a mental health professional in section 228.1 who has charge of the respondent shall proceed with observation, medical treatment, and hospital care as in the physician’s or physician assistant’s judgment are proper and necessary, in compliance with sections 229.13, 229.14, this section, and section 229.16. After the respondent’s admission, the observation, medical treatment, and hospital care of the respondent may be provided by a mental health professional, as defined in section 228.1, who is licensed as a physician, advanced registered nurse practitioner, or physician assistant.
2. A proper and competent nurse shall also be assigned to look after and care for the respondent during observation, treatment, and care. Observation, treatment, and hospital care under this section which are payable in whole or in part by a county shall only be provided as determined through the regional administrator for the respondent’s county of residence.
[C24, 27, 31, 35, §3969; C39, §3482.15; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §225.15]
96 Acts, ch 1183, §10; 2004 Acts, ch 1090, §33; 2012 Acts, ch 1120, §55; 2015 Acts, ch 69, §24; 2016 Acts, ch 1073, §70; 2021 Acts, ch 80, §115; 2022 Acts, ch 1066, §26
Referred to in §225.16, 225.17
Subsection 1 amended
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.16 - Voluntary public patients — admission.

225.16 Voluntary public patients — admission.
1. If the regional administrator for a person’s county of residence finds from the physician’s information or from the information of a physician assistant who meets the qualifications set forth in the definition of a mental health professional in section 228.1 which was filed under the provisions of section 225.10 that it would be appropriate for the person to be admitted to the state psychiatric hospital, and the report of the regional administrator made pursuant to section 225.13 shows that the person and those who are legally responsible for the person are not able to pay the expenses incurred at the hospital, or are able to pay only a part of the expenses, the person shall be considered to be a voluntary public patient and the regional administrator shall direct that the person shall be sent to the state psychiatric hospital at the state university of Iowa for observation, treatment, and hospital care.
2. When the patient arrives at the hospital, the patient shall be cared for in the same manner as is provided for committed public patients in section 225.15.
[C24, 27, 31, 35, §3970; C39, §3482.16; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §225.16]
2006 Acts, ch 1059, §5; 2015 Acts, ch 69, §25; 2022 Acts, ch 1066, §27
Subsection 1 amended
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.17 - Committed private patient — treatment.

225.17 Committed private patient — treatment.
1. If the judge of the district court finds pursuant to section 225.11 that the respondent is an appropriate subject for placement at the state psychiatric hospital, and that the respondent, or those legally responsible for the respondent, are able to pay the expenses associated with the placement, the judge shall enter an order directing that the respondent shall be sent to the state psychiatric hospital at the state university of Iowa for observation, treatment, and hospital care as a committed private patient.
2. When the respondent arrives at the hospital, the respondent shall receive the same treatment as is provided for committed public patients in section 225.15, in compliance with sections 229.13 through 229.16. However, observation, treatment, and hospital care under this section of a respondent whose expenses are payable in whole or in part by a county shall only be provided as determined through the regional administrator for the respondent’s county of residence.
[C24, 27, 31, 35, §3971; C39, §3482.17; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §225.17]
96 Acts, ch 1183, §11; 2004 Acts, ch 1090, §33; 2006 Acts, ch 1059, §6; 2015 Acts, ch 69, §26; 2016 Acts, ch 1073, §71; 2021 Acts, ch 80, §116
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.18 - Attendants.

225.18 Attendants.
The regional administrator may appoint an attendant to accompany the committed public patient or the voluntary public patient or the committed private patient from the place where the patient may be to the state psychiatric hospital, or to accompany the patient from the hospital to a place as may be designated by the regional administrator. If a patient is moved pursuant to this section, at least one attendant shall be of the same gender as the patient.
[C24, 27, 31, 35, §3974; C39, §3482.18; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §225.18]
85 Acts, ch 99, §4; 2006 Acts, ch 1059, §7; 2015 Acts, ch 69, §27
Referred to in §225.19
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.19 - Compensation for attendant.

225.19 Compensation for attendant.
An individual appointed by the regional administrator in accordance with section 225.18 to accompany a person to or from the hospital or to make an investigation and report on any question involved in the matter shall receive three dollars per day for the time actually spent in making the investigation and actual necessary expenses incurred in making the investigation or trip. This section does not apply to an appointee who receives fixed compensation or a salary.
[C24, 27, 31, 35, §3975; C39, §3482.19; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §225.19]
2006 Acts, ch 1059, §8; 2015 Acts, ch 69, §28
Referred to in §225.21
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.21 - Compensation claims — filing — approval.

225.21 Compensation claims — filing — approval.
The person making claim to compensation under section 225.19 shall file the claim in the office of the regional administrator for the person’s county of residence. The claim is subject to review and approval by the regional administrator for the county.
[C24, 27, 31, 35, §3977; C39, §3482.21; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §225.21; 82 Acts, ch 1104, §6]
83 Acts, ch 123, §84, 209; 2006 Acts, ch 1059, §9; 2015 Acts, ch 69, §29
Referred to in §225.24
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.22 - Liability of private patients — payment.

225.22 Liability of private patients — payment.
Every committed private patient, if the patient has an estate sufficient for that purpose, or if those legally responsible for the patient’s support are financially able, shall be liable to the county and state for all expenses paid by them in behalf of such patient. All bills for the care, nursing, observation, treatment, medicine, and maintenance of such patients shall be paid by the director of the department of administrative services in the same manner as those of committed and voluntary public patients as provided in this chapter, unless the patient or those legally responsible for the patient make such settlement with the state psychiatric hospital.
[C24, 27, 31, 35, §3978; C39, §3482.22; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §225.22]
2003 Acts, ch 145, §286
Referred to in §225.14
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.23 - Collection for treatment.

225.23 Collection for treatment.
If the bills for a committed or voluntary private patient are paid by the state, the state psychiatric hospital shall file a certified copy of the claim for the bills with the department of administrative services. The department shall proceed to collect the claim in the name of the state psychiatric hospital.
[C24, 27, 31, 35, §3979; C39, §3482.23; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §225.23]
2003 Acts, ch 145, §286; 2006 Acts, ch 1059, §10; 2012 Acts, ch 1120, §94, 130
Referred to in §225.35, 331.502
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.24 - Collection of preliminary expense.

225.24 Collection of preliminary expense.
Unless a committed private patient or those legally responsible for the patient’s support offer to settle the amount of the claims, the regional administrator for the person’s county of residence shall collect, by action if necessary, the amount of all claims for per diem and expenses that have been approved by the regional administrator for the county and paid by the regional administrator as provided under section 225.21. Any amount collected shall be credited to the mental health and disability services region combined account created in accordance with section 331.391.
[C24, 27, 31, 35, §3980; C39, §3482.24; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §225.24]
2006 Acts, ch 1059, §11; 2015 Acts, ch 69, §30; 2016 Acts, ch 1011, §39; 2021 Acts, ch 177, §81, 108
Referred to in §225.35, 331.502
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.25 - Commitment of private patient as public.

225.25 Commitment of private patient as public.
If a patient is committed to the state psychiatric hospital as a private patient and after admission it is determined through an investigation made pursuant to section 225.13 that the person is a public patient, the expense of keeping and maintaining the patient from the date of the filing of the information upon which the order is made shall be paid by the state.
[C24, 27, 31, 35, §3981; C39, §3482.25; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §225.25]
2006 Acts, ch 1059, §12
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.26 - Private patients — disposition of funds.

225.26 Private patients — disposition of funds.
All moneys collected from private patients shall be used for the support of the said hospital.
[C24, 27, 31, 35, §3982; C39, §3482.26; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §225.26]
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.27 - Discharge — transfer.

225.27 Discharge — transfer.
The state psychiatric hospital may, at any time, discharge any patient as recovered, as improved, or as not likely to be benefited by further treatment. If the patient being so discharged was involuntarily hospitalized, the hospital shall notify the committing judge or court of the discharge as required by section 229.14 or section 229.16, whichever is applicable, and the applicable regional administrator. Upon receiving the notification, the court shall issue an order confirming the patient’s discharge from the hospital or from care and custody, as the case may be, and shall terminate the proceedings pursuant to which the order was issued. The court or judge shall, if necessary, appoint a person to accompany the discharged patient from the state psychiatric hospital to such place as the hospital or the court may designate, or authorize the hospital to appoint such attendant.
[C24, 27, 31, 35, §3983; C39, §3482.27; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §225.27]
2001 Acts, ch 155, §41; 2015 Acts, ch 69, §31
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.28 - Appropriation.

225.28 Appropriation.
The state shall pay to the state psychiatric hospital, out of any moneys in the state treasury not otherwise appropriated, all expenses for the administration of the hospital, and for the care, treatment, and maintenance of committed and voluntary public patients therein, including their clothing and all other expenses of the hospital for the public patients. The bills for the expenses shall be rendered monthly in accordance with rules agreed upon by the director of the department of administrative services and the state board of regents.
[C24, 27, 31, 35, §3984; C39, §3482.28; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §225.28]
2003 Acts, ch 145, §286; 2019 Acts, ch 24, §104
Referred to in §225.14
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.30 - Blanks — audit.

225.30 Blanks — audit.
The medical faculty of the university of Iowa college of medicine shall prepare blanks containing such questions and requiring such information as may be necessary and proper to be obtained by the physician or mental health professional who examines a person or respondent whose referral to the state psychiatric hospital is contemplated. A judge may request that a physician or mental health professional who examines a respondent as required by section 229.10 complete such blanks in duplicate in the course of the examination. A physician who proposes to file information under section 225.10 shall obtain and complete such blanks in duplicate and file them with the information. The blanks shall be printed by the state and a supply of the blanks shall be made available to counties. The director of the department of administrative services shall audit, allow, and pay the cost of the blanks as other bills for public printing are allowed and paid.
[C24, 27, 31, 35, §3986, 3987; C39, §3482.30, 3482.31; C46, 50, 54, 58, 62, 66, 71, 73, §225.30; C75, §225.30, 225.31; C77, 79, 81, §225.30]
2001 Acts, ch 74, §10; 2002 Acts, ch 1119, §30; 2003 Acts, ch 145, §286; 2006 Acts, ch 1059, §13; 2018 Acts, ch 1026, §70
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.32 - Report and order to accompany patient.

225.32 Report and order to accompany patient.
One of the duplicate reports shall be sent to the state psychiatric hospital with the patient, together with a certified copy of the order of the court.
[C24, 27, 31, 35, §3988; C39, §3482.32; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §225.32]
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.33 - Death of patient — disposal of body.

225.33 Death of patient — disposal of body.
In the event that a committed public patient or a voluntary public patient or a committed private patient should die while at the state psychiatric hospital or at the university hospital, the state psychiatric hospital shall have the body prepared for shipment in accordance with the rules prescribed by the state board of health for shipping such bodies; and it shall be the duty of the state board of regents to make arrangements for the embalming and such other preparation as may be necessary to comply with the rules and for the purchase of suitable caskets.
[C24, 27, 31, 35, §3989; C39, §3482.33; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §225.33]
2001 Acts, ch 74, §11
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225 - PSYCHIATRIC HOSPITAL › Section 225.35 - Expense collected.

225.35 Expense collected.
In the event that the said person is a committed private patient, it shall be the duty of the county auditor of the proper county to proceed to collect all of such expenses, in accordance with the provisions of sections 225.23 and 225.24.
[C24, 27, 31, 35, §3991; C39, §3482.35; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §225.35]
Referred to in §331.502
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225C - MENTAL HEALTH AND DISABILITY SERVICES › Section 225C.1 - Findings and purpose.

225C.1 Findings and purpose.
1. The general assembly finds that services to persons with mental illness, an intellectual disability, developmental disabilities, or brain injury are provided in many parts of the state by highly autonomous community-based service providers working cooperatively with state and county officials. However, the general assembly recognizes that heavy reliance on property tax funding for mental health and intellectual disability services has enabled many counties to exceed minimum state standards for the services resulting in an uneven level of services around the state. Consequently, greater efforts should be made to ensure close coordination and continuity of care for those persons receiving publicly supported disability services in Iowa. It is the purpose of this chapter to continue and to strengthen the services to persons with disabilities now available in the state of Iowa, to make disability services conveniently available to all persons in this state upon a reasonably uniform financial basis, and to assure the continued high quality of these services.
2. It is the intent of the general assembly that the service system for persons with disabilities emphasize the ability of persons with disabilities to exercise their own choices about the amounts and types of services received; that all levels of the service system seek to empower persons with disabilities to accept responsibility, exercise choices, and take risks; that disability services are individualized, provided to produce results, flexible, and cost-effective; and that disability services be provided in a manner which supports the ability of persons with disabilities to live, learn, work, and recreate in communities of their choice.
[81 Acts, ch 78, §1, 20]
94 Acts, ch 1170, §10; 2006 Acts, ch 1115, §2; 2012 Acts, ch 1019, §60
Referred to in §225C.6B, 426B.5
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225C - MENTAL HEALTH AND DISABILITY SERVICES › Section 225C.2 - Definitions.

225C.2 Definitions.
As used in this chapter:
1. “Administrator” means the administrator of the division.
2. “Child” or “children” means a person or persons under eighteen years of age.
3. “Children’s behavioral health services” means services for children with a serious emotional disturbance.
4. “Children’s behavioral health system” or “children’s system” means the behavioral health service system for children implemented pursuant to this subchapter.
5. “Commission” means the mental health and disability services commission.
6. “Department” means the department of human services.
7. “Director” means the director of human services.
8. “Disability services” means services and other support available to a person with mental illness, an intellectual disability or other developmental disability, or brain injury.
9. “Division” means the division of mental health and disability services of the department.
10. “Mental health and disability services region” means a mental health and disability services region formed in accordance with section 331.389.
11. “Mental health and disability services regional service system” means the mental health and disability service system for a mental health and disability services region.
12. “Regional administrator” means the same as defined in section 331.388.
13. “Serious emotional disturbance” means a diagnosable mental, behavioral, or emotional disorder of sufficient duration to meet diagnostic criteria specified within the most current diagnostic and statistical manual of mental disorders published by the American psychiatric association that results in a functional impairment. “Serious emotional disturbance” does not include substance use or developmental disorders unless those disorders co-occur with such a diagnosable mental, behavioral, or emotional disorder.
14. “State board” means the children’s behavioral health system state board created in section 225C.51.
[S81, §225C.1; 81 Acts, ch 78, §2, 20; 82 Acts, ch 1117, §1, 2]
83 Acts, ch 96, §157, 159; 94 Acts, ch 1170, §11; 96 Acts, ch 1183, §12; 2004 Acts, ch 1090, §4, 33; 2006 Acts, ch 1115, §3, 24; 2010 Acts, ch 1031, §382; 2012 Acts, ch 1019, §61; 2012 Acts, ch 1120, §1, 20, 21; 2015 Acts, ch 69, §32; 2019 Acts, ch 61, §1, 2; 2020 Acts, ch 1063, §82
Referred to in §230A.102, 331.388
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225C - MENTAL HEALTH AND DISABILITY SERVICES › Section 225C.3 - Division of mental health and disability services — state mental health authority.

225C.3 Division of mental health and disability services — state mental health authority.
1. The division is designated the state mental health authority as defined in 42 U.S.C. §201(m) (1976) for the purpose of directing the benefits of the National Mental Health Act, 42 U.S.C. §201 et seq. This designation does not preclude the state board of regents from authorizing or directing any institution under its jurisdiction to carry out educational, prevention, and research activities in the areas of mental health and intellectual disability. The division may contract with the state board of regents or any institution under the board’s jurisdiction to perform any of these functions.
2. The division is designated the state developmental disabilities agency for the purpose of directing the benefits of the federal Developmental Disabilities Assistance and Bill of Rights Act, 42 U.S.C. §15001 et seq.
3. The division is administered by the administrator. The administrator of the division shall be qualified in the general field of mental health, intellectual disability, or other disability services, and preferably in more than one field. The administrator shall have at least five years of experience as an administrator in one or more of these fields.
1, 2. [C66, 71, 73, 75, 77, §225B.1; C79, 81, §225B.2; S81, §225C.2; 81 Acts, ch 78, §3, 20]
3. [C50, 54, 58, 62, 66, §218.75; C71, 73, 75, 77, 79, 81, §217.10; S81, §225C.2; 81 Acts, ch 78, §3, 20]
94 Acts, ch 1170, §12; 2006 Acts, ch 1115, §34; 2012 Acts, ch 1019, §62; 2014 Acts, ch 1092, §170; 2021 Acts, ch 76, §49
Referred to in §217.10
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225C - MENTAL HEALTH AND DISABILITY SERVICES › Section 225C.6C - Regional service system — regulatory requirements.

225C.6C Regional service system — regulatory requirements.
1. The departments of inspections and appeals, human services, and public health shall comply with the requirements of this section in their efforts to improve the regulatory requirements applied to the mental health and disability regional service system administration and service providers.
2. The three departments shall work together to establish a process to streamline accreditation, certification, and licensing standards applied to the regional service system administration and service providers.
3. The departments of human services and inspections and appeals shall jointly review the standards and inspection process applicable to residential care facilities.
4. The three departments shall do all of the following in developing regulatory requirements applicable to the regional service system administration and service providers:
a. Consider the costs to administrators and providers in the development of quality monitoring efforts.
b. Implement the use of uniform, streamlined, and statewide cost reporting standards and tools by the regional service system and the department of human services.
c. Make quality monitoring information, including services, quality, and location information, easily available and understandable to all citizens.
d. Establish standards that are clearly understood and are accompanied by interpretive guidelines to support understanding by those responsible for applying the standards.
e. Develop a partnership with providers in order to improve the quality of services and develop mechanisms for the provision of technical assistance.
f. Develop consistent data collection efforts based on statewide standards and make information available to all providers. The efforts under this paragraph shall be made with representatives of the Iowa state association of counties.
g. Evaluate existing provider qualification and monitoring efforts to identify duplication and gaps, and align the efforts with valued outcomes.
h. Streamline and enhance existing standards.
i. Consider allowing providers to seek accreditation from a national accrediting body in lieu of state accreditation or certification.
2012 Acts, ch 1120, §28
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225C - MENTAL HEALTH AND DISABILITY SERVICES › Section 225C.13 - Authority to establish and lease facilities.

225C.13 Authority to establish and lease facilities.
1. The administrator assigned, in accordance with section 218.1, to control the state mental health institutes and the state resource centers may enter into agreements under which a facility or portion of a facility administered by the administrator is leased to a department or division of state government, a county or group of counties, a mental health and disability services region, or a private nonprofit corporation organized under chapter 504. A lease executed under this section shall require that the lessee use the leased premises to deliver either disability services or other services normally delivered by the lessee.
2. The division administrator may work with the appropriate administrator of the department’s institutions to establish mental health and intellectual disability services for all institutions under the control of the director of human services and to establish an autism unit, following mutual planning and consultation with the medical director of the state psychiatric hospital, at an institution or a facility administered by the department to provide psychiatric and related services and other specific programs to meet the needs of autistic persons, and to furnish appropriate diagnostic evaluation services.
[S81, §225C.12; 81 Acts, ch 78, §14, 20]
94 Acts, ch 1170, §17; 2000 Acts, ch 1112, §34; 2004 Acts, ch 1049, §191; 2004 Acts, ch 1175, §393; 2006 Acts, ch 1115, §25; 2012 Acts, ch 1019, §67; 2015 Acts, ch 69, §36
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225C - MENTAL HEALTH AND DISABILITY SERVICES › Section 225C.14 - Preliminary diagnostic evaluation.

225C.14 Preliminary diagnostic evaluation.
1. Except in cases of medical emergency, a person shall be admitted to a state mental health institute as an inpatient only after a preliminary diagnostic evaluation performed through the regional administrator for the person’s county of residence has confirmed that the admission is appropriate to the person’s mental health needs, and that no suitable alternative method of providing the needed services in a less restrictive setting or in or nearer to the person’s home community is currently available. If provided for through the regional administrator, the evaluation may be performed by a community mental health center or by an alternative diagnostic facility. The policy established by this section shall be implemented in the manner and to the extent prescribed by sections 225C.15, 225C.16, and 225C.17.
2. As used in this section and sections 225C.15, 225C.16, and 225C.17, the term “medical emergency” means a situation in which a prospective patient is received at a state mental health institute in a condition which, in the opinion of the chief medical officer, or that officer’s physician or physician assistant designee, provided that a physician assistant designee meets the qualifications set forth in the definition of a mental health professional in section 228.1, requires the immediate admission of the person notwithstanding the policy stated in subsection 1.
[C79, 81, §225B.4; S81, §225C.13; 81 Acts, ch 78, §15, 20]
94 Acts, ch 1170, §18; 96 Acts, ch 1183, §14; 2004 Acts, ch 1090, §33; 2015 Acts, ch 69, §37; 2016 Acts, ch 1073, §72; 2022 Acts, ch 1066, §28
Referred to in §225C.15, 225C.16, 331.382
Subsection 2 amended
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225C - MENTAL HEALTH AND DISABILITY SERVICES › Section 225C.15 - County implementation of evaluations.

225C.15 County implementation of evaluations.
The regional administrator for a county shall require that the policy stated in section 225C.14 be followed with respect to admission of persons from that county to a state mental health institute. A community mental health center which is supported, directly or in affiliation with other counties, by that county may perform the preliminary diagnostic evaluations for that county, unless the performance of the evaluations is not covered by the agreement entered into by the regional administrator and the center, and the center’s director certifies to the regional administrator that the center does not have the capacity to perform the evaluations, in which case the regional administrator shall proceed under section 225C.17.
[C79, 81, §225B.5; S81, §225C.14; 81 Acts, ch 78, §16, 20]
96 Acts, ch 1183, §15; 2013 Acts, ch 90, §50; 2015 Acts, ch 69, §38
Referred to in §225C.14, 331.382
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225C - MENTAL HEALTH AND DISABILITY SERVICES › Section 225C.16 - Referrals for evaluation.

225C.16 Referrals for evaluation.
1. The chief medical officer of a state mental health institute, or that officer’s physician or physician assistant designee, provided that a physician assistant designee meets the qualifications set forth in the definition of a mental health professional in section 228.1, shall advise a person residing in that county who applies for voluntary admission, or a person applying for the voluntary admission of another person who resides in that county, in accordance with section 229.41, that the regional administrator for the county has implemented the policy stated in section 225C.14, and shall advise that a preliminary diagnostic evaluation of the prospective patient be sought, if that has not already been done. This subsection does not apply when voluntary admission is sought in accordance with section 229.41 under circumstances which, in the opinion of the chief medical officer or that officer’s physician designee, constitute a medical emergency.
2. The clerk of the district court in that county shall refer a person applying for authorization for voluntary admission, or for authorization for voluntary admission of another person, in accordance with section 229.42, to the regional administrator for the person’s county of residence under section 225C.14 for the preliminary diagnostic evaluation unless the applicant furnishes a written statement from the appropriate entity which indicates that the evaluation has been performed and that the person’s admission to a state mental health institute is appropriate. This subsection does not apply when authorization for voluntary admission is sought under circumstances which, in the opinion of the chief medical officer or that officer’s physician designee, constitute a medical emergency.
3. Judges of the district court in that county or the judicial hospitalization referee appointed for that county shall so far as possible arrange for the entity designated through the regional administrator under section 225C.14 to perform a prehearing examination of a respondent required under section 229.8, subsection 3, paragraph “b”.
4. The chief medical officer of a state mental health institute shall promptly submit to the appropriate entity designated through the regional administrator under section 225C.14 a report of the voluntary admission of a patient under the medical emergency provisions of subsections 1 and 2. The report shall explain the nature of the emergency which necessitated the admission of the patient without a preliminary diagnostic evaluation by the designated entity.
[C79, 81, §225B.6; S81, §225C.15; 81 Acts, ch 78, §17, 20]
96 Acts, ch 1183, §16; 2004 Acts, ch 1090, §33; 2012 Acts, ch 1120, §96, 130; 2015 Acts, ch 69, §39; 2016 Acts, ch 1073, §73; 2022 Acts, ch 1066, §29
Referred to in §225C.14, 331.382, 602.8102(39)
Subsection 1 amended
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225C - MENTAL HEALTH AND DISABILITY SERVICES › Section 225C.17 - Alternative diagnostic facility.

225C.17 Alternative diagnostic facility.
If a county is not served by a community mental health center having the capacity to perform the required preliminary diagnostic evaluations, the regional administrator for the county shall arrange for the evaluations to be performed by an alternative diagnostic facility for the period until the county is served by a community mental health center with the capacity to provide that service. An alternative diagnostic facility may be the outpatient service of a state mental health institute or any other mental health facility or service able to furnish the requisite professional skills to properly perform a preliminary diagnostic evaluation of a person whose admission to a state mental health institute is being sought or considered on either a voluntary or an involuntary basis.
[C79, 81, §225B.7; S81, §225C.16; 81 Acts, ch 78, §18, 20]
2015 Acts, ch 69, §40
Referred to in §225C.14, 225C.15, 331.382
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225C - MENTAL HEALTH AND DISABILITY SERVICES › Section 225C.19A - Crisis stabilization programs.

225C.19A Crisis stabilization programs.
The department shall accredit, certify, or apply standards of review to authorize the operation of crisis stabilization programs, including crisis stabilization programs operating in a psychiatric medical institution for children pursuant to chapter 135H that provide children with mental health, substance abuse, and co-occurring mental health and substance abuse services. In authorizing the operation of a crisis stabilization program, the department shall apply the relevant requirements for an emergency mental health crisis services provider and system under section 225C.19. A program authorized to operate under this section is not required to be licensed under chapter 135B, 135C, 135G, or 135H, or certified under chapter 231C. The commission shall adopt rules to implement this section. The department shall accept accreditation of a crisis stabilization program by a national accrediting organization in lieu of applying the rules adopted in accordance with this section to the program.
2014 Acts, ch 1044, §1; 2015 Acts, ch 75, §1; 2016 Acts, ch 1073, §74
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225C - MENTAL HEALTH AND DISABILITY SERVICES › Section 225C.20 - Responsibilities of mental health and disability services regions for individual case management services.

225C.20 Responsibilities of mental health and disability services regions for individual case management services.
Individual case management services funded under medical assistance shall be provided by the department except when a county or a consortium of counties contracts with the department to provide the services. A regional administrator may contract for one or more counties of the region to be the provider at any time and the department shall agree to the contract so long as the contract meets the standards for case management adopted by the department. The regional administrator may subcontract for the provision of case management services so long as the subcontract meets the same standards. A regional administrator may change the provider of individual case management services at any time. If the current or proposed contract is with the department, the regional administrator shall provide written notification of a change at least ninety days before the date the change will take effect.
88 Acts, ch 1245, §7; 89 Acts, ch 283, §20; 93 Acts, ch 172, §31; 2000 Acts, ch 1112, §53, 58; 2015 Acts, ch 69, §42
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225C - MENTAL HEALTH AND DISABILITY SERVICES › Section 225C.21 - Supported community living services.

225C.21 Supported community living services.
1. As used in this section, “supported community living services” means services provided in a noninstitutional setting to adult persons with mental illness, an intellectual disability, or developmental disabilities to meet the persons’ daily living needs.
2. The commission shall adopt rules pursuant to chapter 17A establishing minimum standards for supported community living services. The administrator shall determine whether to grant, deny, or revoke approval for any supported community living service.
3. Approved supported community living services may receive funding from the state, federal and state social services block grant funds, and other appropriate funding sources, consistent with state legislation and federal regulations. The funding may be provided on a per diem, per hour, or grant basis, as appropriate.
85 Acts, ch 141, §1; 91 Acts, ch 38, §1
CS85, §225C.19
C89, §225C.21
94 Acts, ch 1170, §20; 96 Acts, ch 1129, §52; 98 Acts, ch 1181, §12; 99 Acts, ch 160, §6; 2010 Acts, ch 1031, §379; 2012 Acts, ch 1019, §68
Referred to in §135C.6
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225C - MENTAL HEALTH AND DISABILITY SERVICES › Section 225C.23 - Brain injury recognized as disability.

225C.23 Brain injury recognized as disability.
1. The department of human services, the Iowa department of public health, the department of education and its divisions of special education and vocational rehabilitation services, the department of human rights and its division for persons with disabilities, the department for the blind, and all other state agencies which serve persons with brain injuries, shall recognize brain injury as a distinct disability and shall identify those persons with brain injuries among the persons served by the state agency.
2. For the purposes of this section, “brain injury” means the same as defined in section 135.22.
88 Acts, ch 1219, §2; 94 Acts, ch 1068, §7; 94 Acts, ch 1109, §3; 99 Acts, ch 141, §30; 2012 Acts, ch 1120, §67
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225C - MENTAL HEALTH AND DISABILITY SERVICES › Section 225C.25 - Short title.

225C.25 Short title.
This section and sections 225C.26, 225C.28A, and 225C.28B shall be known as “the bill of rights and service quality standards of persons with an intellectual disability, developmental disabilities, brain injury, or chronic mental illness”.
85 Acts, ch 249, §2; 92 Acts, ch 1241, §63; 2012 Acts, ch 1019, §69; 2022 Acts, ch 1032, §41
Referred to in §225C.29
Section amended
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225C - MENTAL HEALTH AND DISABILITY SERVICES › Section 225C.26 - Scope.

225C.26 Scope.
These rights and service quality standards apply to any person with an intellectual disability, a developmental disability, brain injury, or chronic mental illness who receives services which are funded in whole or in part by public funds or services which are permitted under Iowa law.
85 Acts, ch 249, §3; 92 Acts, ch 1241, §64; 2012 Acts, ch 1019, §70
Referred to in §135C.2, 225C.25, 225C.29
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 225C - MENTAL HEALTH AND DISABILITY SERVICES › Section 225C.28A - Service quality standards.

225C.28A Service quality standards.
As the state participates more fully in funding services and other support to persons with an intellectual disability, developmental disabilities, brain injury, or chronic mental illness, it is the intent of the general assembly that the state shall seek to attain the following quality standards in the provision of the services:
1. Provide comprehensive evaluation and diagnosis adapted to the cultural background, primary language, and ethnic origin of the person.
2. Provide an individual treatment, habilitation, and program plan.
3. Provide treatment, habilitation, and program services that are individualized, provided to produce results, flexible, and cost-effective, as appropriate.
4. Provide periodic review of the individual plan.
5. Provide for the least restrictive environment and age-appropriate services.
6. Provide appropriate training and employment opportunities so that the person’s ability to contribute to and participate in the community is maximized.
7. Provide an ongoing process to determine the degree of access to and the effectiveness of the services and other support in achieving the disability services outcomes and indicators identified by the commission pursuant to section 225C.6.
92 Acts, ch 1241, §66; 2006 Acts, ch 1115, §8; 2012 Acts, ch 1019, §71
Referred to in §225C.25, 225C.29