reglab/statecodes huggingface dataset:
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 249B - MEDICAL ASSISTANCE TO INSTITUTIONALIZED SPOUSES › Section 249B.5 - Filing and docketing of financial responsibility order — order effective as court decree.

249B.5 Filing and docketing of financial responsibility order — order effective as court decree.
A true copy of an order entered by the department pursuant to this chapter, along with a true copy of the return of service if applicable, may be filed in the office of the clerk of the district court in the county in which the institutionalized spouse resides. Upon filing, the clerk shall enter the order in the judgment docket, and the department’s order shall be presented to the district court for ex parte review and approval, and unless defects appear on the face of the order or on the attachments, the district court shall approve the order and the order has the force, effect, and attributes of a docketed order or decree of the district court.
90 Acts, ch 1098, §5
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 249B - MEDICAL ASSISTANCE TO INSTITUTIONALIZED SPOUSES › Section 249B.6 - Interest on spousal support debts.

249B.6 Interest on spousal support debts.
Interest accrues on a spousal support debt at the rate provided in section 535.3 for court judgments. The department may collect the accrued interest, but is not required to maintain interest balance accounts. The department may waive payment of the interest if the waiver will facilitate the collection of the spousal support debt.
90 Acts, ch 1098, §6
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 249B - MEDICAL ASSISTANCE TO INSTITUTIONALIZED SPOUSES › Section 249B.7 - Security for payment of spousal support — forfeiture.

249B.7 Security for payment of spousal support — forfeiture.
Upon entry of a court order or upon the failure of a community spouse to make payments pursuant to a court order, the court may require the community spouse to provide security, a bond, or other guarantee which the court determines is satisfactory to secure the payment of the spousal support obligation under the court order. If the community spouse fails to make payments pursuant to the court order, the court may declare the security, bond, or other guarantee forfeited.
90 Acts, ch 1098, §7
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 249F - TRANSFER OF ASSETS — MEDICAL ASSISTANCE DEBT › Section 249F.2 - Creation of debt.

249F.2 Creation of debt.
A transfer of assets creates a debt due and owing to the department of human services from the transferee in an amount equal to medical assistance provided to or on behalf of the transferor, on or after the date of the transfer of assets, but not exceeding the fair market value of the assets at the time of the transfer.
93 Acts, ch 106, §2; 96 Acts, ch 1107, §4
Referred to in §249F.3
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 249F - TRANSFER OF ASSETS — MEDICAL ASSISTANCE DEBT › Section 249F.4 - Certification to court — hearing — default.

249F.4 Certification to court — hearing — default.
1. If a timely written request for a hearing is received, the department of human services shall certify the matter to the district court in the county where the transferee resides.
2. The certification shall include true copies of the original notice, the return of service, if applicable, any request for an informal conference, any subsequent notices, the written request for hearing, and true copies of any administrative orders previously entered.
3. The department of human services may also request a hearing on its own motion regarding the determination of a debt, at any time prior to entry of an administrative order.
4. The district court shall set the matter for hearing and notify the parties of the time and place of hearing.
5. If a party fails to appear at the hearing, upon a showing of proper notice to the party, the district court may find the party in default and enter an appropriate order.
93 Acts, ch 106, §4; 99 Acts, ch 52, §2
Referred to in §249F.3
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 249F - TRANSFER OF ASSETS — MEDICAL ASSISTANCE DEBT › Section 249F.5 - Filing and docketing of order — order effective as court decree.

249F.5 Filing and docketing of order — order effective as court decree.
1. A true copy of an order entered by the department of human services pursuant to this chapter, along with a true copy of the return of service, if applicable, may be filed in the office of the clerk of the district court in the county in which the transferee resides or, if the transferee resides in another state, in the office of the district court in the county in which the transferor resides.
2. The department of human services order shall be presented, ex parte, to the district court for review and approval. Unless defects appear on the face of the order or on the attachments, the district court shall approve the order. The approved order shall have all force, effect, and attributes of a docketed order or decree of the district court.
3. Upon filing, the clerk shall enter the order in the judgment docket.
93 Acts, ch 106, §5
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 249F - TRANSFER OF ASSETS — MEDICAL ASSISTANCE DEBT › Section 249F.6 - Security for payment of debt — forfeiture.

249F.6 Security for payment of debt — forfeiture.
Upon entry of a court order or upon the failure of a transferee to make payments pursuant to a court order, the court may require the transferee to provide security, a bond, or other guarantee which the court determines is satisfactory to secure the payment of the debt under the court order. If the transferee fails to make payments pursuant to the court order, the court may declare the security, bond, or other guarantee forfeited.
93 Acts, ch 106, §6
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 249F - TRANSFER OF ASSETS — MEDICAL ASSISTANCE DEBT › Section 249F.6A - Exemption from chapter 17A.

249F.6A Exemption from chapter 17A.
Actions initiated under this chapter are not subject to chapter 17A. Review by the district court shall be an original hearing before the district court.
2000 Acts, ch 1060, §6
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 249F - TRANSFER OF ASSETS — MEDICAL ASSISTANCE DEBT › Section 249F.7 - Administration.

249F.7 Administration.
As provided in this chapter, the establishment of a debt for medical assistance due to transfer of assets shall be administered by the department of human services. All administrative discretion in the administration of this chapter shall be exercised by the department of human services, and any state administrative rules implementing or interpreting this chapter shall be adopted by the department of human services.
93 Acts, ch 106, §7
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 249F - TRANSFER OF ASSETS — MEDICAL ASSISTANCE DEBT › Section 249F.8 - Inconsistency with federal laws.

249F.8 Inconsistency with federal laws.
If it is determined by the attorney general that any provision of this chapter would cause denial of funds from the United States government under Tit. XIX of the federal Social Security Act, or would otherwise be inconsistent or conflict with the requirements of federal law for state participation in the Tit. XIX program, such provision shall be suspended, but only to the extent necessary to prevent denial of such funds or to eliminate the inconsistency or conflict with the requirements of federal law. If the attorney general makes such a suspension determination, the attorney general shall report it to the general assembly at its next session. This report shall include any recommendations in regard to corrective legislation needed to conform this chapter with federal law.
93 Acts, ch 106, §8; 2010 Acts, ch 1061, §180
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 249G - LONG-TERM CARE ASSET PRESERVATION PROGRAM

CHAPTER 249G
LONG-TERM CARE ASSET PRESERVATION PROGRAM
Repealed by
2005 Acts, ch 166, §11, 13
; see chapter 514H
Individuals covered by a long-term care insurance policy under the
long-term care asset preservation program established in
ch 249G, Code 2005, on or before November 17, 2005,
are eligible to continue to receive the asset adjustment as defined
under that chapter; see §514H.7
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 249K - NURSING FACILITY CONSTRUCTION OR EXPANSION › Section 249K.1 - Purpose — intent.

249K.1 Purpose — intent.
The purpose of this chapter is to provide a mechanism to support the appropriate number of nursing facility beds for the state’s citizens and to financially assist nursing facilities in remaining compliant with applicable regulations. It is the intent of this chapter that the administrative burden on both the state and nursing facilities be minimal.
2007 Acts, ch 219, §35, 41, 43
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 249K - NURSING FACILITY CONSTRUCTION OR EXPANSION › Section 249K.2 - Definitions.

249K.2 Definitions.
As used in this chapter, unless the context otherwise requires:
1. “Complete replacement” means completed construction on a new nursing facility to replace an existing licensed and certified facility. The replacement facility shall be located in the same geographical service area as the facility that is replaced and shall have the same number or fewer licensed beds than the original facility.
2. “Department” means the department of human services.
3. “Iowa Medicaid enterprise” means Iowa Medicaid enterprise as defined in section 135D.2.
4. “Major renovations” means construction or facility improvements to a nursing facility in which the total amount expended exceeds seven hundred fifty thousand dollars.
5. “Medical assistance” or “medical assistance program” means the medical assistance program created pursuant to chapter 249A.
6. “New construction” means the construction of a new nursing facility which does not replace an existing licensed and certified facility and requires the provider to obtain a certificate of need pursuant to chapter 135, subchapter VI.
7. “Nondirect care component” means the portion of the reimbursement rate under the medical assistance program attributable to administrative, environmental, property, and support care costs reported on the provider’s financial and statistical report.
8. “Nursing facility” means a nursing facility as defined in section 135C.1.
9. “Provider” means a current or future owner or operator of a nursing facility that provides medical assistance program services.
10. “Rate determination letter” means the letter that is distributed quarterly by the Iowa Medicaid enterprise to each nursing facility, which is based on previously submitted financial and statistical reports from each nursing facility.
2007 Acts, ch 219, §36, 41, 43; 2013 Acts, ch 138, §123, 127; 2016 Acts, ch 1073, §85, 189; 2019 Acts, ch 24, §104; 2022 Acts, ch 1131, §79
Subsection 4 amended
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 249K - NURSING FACILITY CONSTRUCTION OR EXPANSION › Section 249K.4 - Preliminary evaluation.

249K.4 Preliminary evaluation.
1. A provider preparing cost or other feasibility projections for a request for relief or an exception pursuant to section 249K.3 may submit a request for preliminary evaluation.
2. The request shall contain all of the information required for the type of assistance sought pursuant to section 249K.3.
3. The provider shall estimate the timing of the initiation and completion of the project to allow the department to respond with estimates of both instant relief and the nondirect care limit exception.
4. The department shall respond to a request for preliminary evaluation under this section within thirty days of receipt of the request. A preliminary evaluation does not guarantee approval of instant relief or the nondirect care limit exception upon submission of a formal request. A preliminary evaluation provides only an estimate of value of the instant relief or nondirect care limit exception based only on the projections.
2007 Acts, ch 219, §38, 41, 43
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 249K - NURSING FACILITY CONSTRUCTION OR EXPANSION › Section 249K.5 - Participation criteria.

249K.5 Participation criteria.
1. The Iowa Medicaid enterprise shall administer this chapter. The department of human services shall adopt rules, pursuant to chapter 17A, to administer this chapter.
2. A provider requesting instant relief or a nondirect care limit exception under this chapter shall meet one of the following criteria:
a. The nursing facility for which relief or an exception is requested is in violation of life safety code requirements and changes are necessary to meet regulatory compliance.
b. The nursing facility for which relief or an exception is requested is proposing development of a home and community-based services waiver program service that meets the following requirements:
(1) The service is provided on the direct site and is a nonnursing service.
(2) The service is provided in an underserved area, which may include a rural area, and the nursing facility provides documentation of this.
(3) The service meets all federal and state requirements.
(4) The service is adult day care, consumer directed attendant care, assisted living, day habilitation, home delivered meals, personal emergency response, or respite.
c. The nursing facility for which relief or an exception is requested is proposing replacement or enhancement of an HVAC, as defined in section 105.2, system for improved infection control.
3. In addition to any other factors to be considered in determining if a provider is eligible to participate under this chapter, the Iowa Medicaid enterprise shall consider all of the following:
a. The history of the provider’s regulatory compliance.
b. The historical access to nursing facility services for medical assistance program beneficiaries.
c. The provider’s dedication to and participation in quality of care, considering all quality programs in which the provider has participated.
d. The provider’s plans to facilitate person-directed care.
e. The provider’s plans to facilitate dementia units and specialty post-acute services.
4. a. Any relief or exception granted under this chapter is temporary and shall be immediately terminated if all of the participation requirements under this chapter are not met.
b. If a provider’s medical assistance program or Medicare certification is revoked, any existing exception or relief shall be terminated and the provider shall not be eligible to request subsequent relief or an exception under this chapter.
5. Following a change in ownership, relief or an exception previously granted shall continue and future rate calculations shall be determined under the provisions of
441 IAC 81.6(12)
relating to termination or change of ownership of a nursing facility.
2007 Acts, ch 219, §39, 41, 43; 2022 Acts, ch 1131, §80
Subsection 2, NEW paragraph c
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 249L - NURSING FACILITY QUALITY ASSURANCE ASSESSMENT PROGRAM › Section 249L.2 - Definitions.

249L.2 Definitions.
As used in this chapter, unless the context otherwise requires:
1. “Department” means the department of human services.
2. “Direct care worker” means an employee of a nursing facility who holds a nursing assistant certification, is employed for the purpose of nursing assistance, and provides direct care to residents, regardless of the employee’s job title.
3. “Gross revenue” means all revenue reported by the nursing facility for patient care, room, board and services, but does not include contractual adjustments, bad debt, Medicare revenue, or revenue derived from sources other than nursing facility operations including but not limited to nonoperating revenue and other operating revenue.
4. “Medically indigent individual” means an individual eligible for coverage under the medical assistance program who is a resident of a Medicaid-certified nursing facility.
5. “Nonoperating revenue” means income from activities not relating directly to the day-to-day operations of a nursing facility such as gains on the disposal of a facility’s assets, dividends, and interest from security investments, gifts, grants, and endowments.
6. “Nursing facility” means a licensed nursing facility as defined in section 135C.1 that is a freestanding facility or a nursing facility operated by a hospital licensed pursuant to chapter 135B, but does not include a distinct-part skilled nursing unit or a swing-bed unit operated by a hospital, or a nursing facility owned by the state or federal government or other governmental unit.
7. “Other operating revenue” means income from nonpatient care services to patients and from sales to and activities for persons other than patients which may include but are not limited to such activities as providing personal laundry service for patients, providing meals to persons other than patients, gift shop sales, or vending machine commissions.
8. “Patient day” means a calendar day of care provided to an individual resident of a nursing facility that is not reimbursed under Medicare, including the date of admission but not including the date of discharge, unless the dates of admission and discharge occur on the same day, in which case the resulting number of patient days is one patient day.
9. “Uniform tax requirement waiver” means a waiver of the uniform tax requirement for permissible health care-related taxes as provided in
42 C.F.R. §433.68(e)(2)(i) and (ii)
.
2009 Acts, ch 160, §2, 5; 2016 Acts, ch 1139, §80, 81, 83, 84; 2017 Acts, ch 174, §112, 115, 116; 2019 Acts, ch 85, §103, 105, 107; 2020 Acts, ch 1063, §95, 96; 2022 Acts, ch 1131, §52 – 54
Subsections 6 and 7 stricken
Former subsection 8 amended and renumbered as 6
Former subsections 9 – 11 renumbered as 7 – 9
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 249M - HOSPITAL HEALTH CARE ACCESS ASSESSMENT PROGRAM › Section 249M.2 - Definitions.

249M.2 Definitions.
As used in this chapter, unless the context otherwise requires:
1. “Assessment” means the hospital health care access assessment imposed pursuant to this chapter.
2. “Department” means the department of human services.
3. “Net patient revenue” means all revenue reported by a hospital on the hospital’s 2008 Medicare cost report for acute patient care and services, but does not include contractual adjustments, charity care, bad debt, Medicare revenue, or other revenue derived from sources other than hospital operations including but not limited to nonoperating revenue, other operating revenue, skilled nursing facility revenue, physician revenue, and long-term care revenue.
4. “Nonoperating revenue” means income from activities not relating directly to the day-to-day operations of a hospital such as gains from disposal of a hospital’s assets, dividends and interests from security investments, gifts, grants, and endowments.
5. “Other operating revenue” means income from nonpatient care services including but not limited to tax levy receipts, laundry services, gift shop operations, meal services to individuals other than patients, and vending machine commissions.
6. “Participating hospital” means a nonstate-owned hospital licensed under chapter 135B that is paid on a prospective payment system basis by Medicare and the medical assistance program for inpatient and outpatient services.
7. “Program” means the hospital health care access assessment program created in this chapter.
8. “Trust fund” means the hospital health care access trust fund created in section 249M.4.
9. “Upper payment limit” means the maximum ceiling imposed by federal regulation on a participating hospital’s medical assistance program reimbursement for inpatient services under
42 C.F.R. §447.272
and outpatient services under
42 C.F.R. §447.321
, calculated separately for hospital inpatient and outpatient services, and excluding from the calculation medical assistance program disproportionate share hospital payments.
2010 Acts, ch 1135, §3, 9
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 249M - HOSPITAL HEALTH CARE ACCESS ASSESSMENT PROGRAM › Section 249M.5 - Future repeal.

249M.5 Future repeal.
This chapter is repealed July 1, 2023.
2010 Acts, ch 1135, §6, 9; 2013 Acts, ch 138, §57, 58; 2016 Acts, ch 1139, §53, 55, 56; 2017 Acts, ch 174, §106, 107; 2019 Acts, ch 85, §55, 56; 2021 Acts, ch 182, §51, 52
Legislative intent; pilot program;
2010 Acts, ch 1135, §1
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 249N - IOWA HEALTH AND WELLNESS PLAN › Section 249N.3 - Purpose — establishment of Iowa health and wellness plan — limitation.

249N.3 Purpose — establishment of Iowa health and wellness plan — limitation.
1. The purpose of this chapter is to establish and provide for the administration of an Iowa health and wellness plan to promote all of the following:
a. Increased access to health care through a patient-centered, integrated health care system.
b. Improved quality health care outcomes.
c. Incentives to encourage personal responsibility, cost-conscious utilization of health care, and adoption of preventive practices and healthy behaviors.
d. Health care cost containment and minimization of administrative costs.
2. The Iowa health and wellness plan is established within the medical assistance program and shall be administered by the department. Except as otherwise specified in this chapter, provisions applicable to the medical assistance program pursuant to chapter 249A shall be applicable to the Iowa health and wellness plan.
3. The department may contract with a third-party administrator to provide eligibility determination support, and to administer enrollment, member outreach, and other components of the Iowa health and wellness plan.
4. The provisions of this chapter shall not be construed and are not intended to affect the provision of services to medical assistance program recipients existing on January 1, 2014.
5. a. If the methodology for calculating the federal medical assistance percentage for eligible individuals, as provided in 42 U.S.C. §1396d(y), is modified through federal law or regulation, in a manner that reduces the percentage of federal assistance to the state in a manner inconsistent with 42 U.S.C. §1396d(y), or if federal law or regulation affecting eligibility or benefits for the Iowa health and wellness plan is modified, the department may implement an alternative plan as specified in the medical assistance state plan or waiver for coverage of the affected population, subject to prior, statutory approval of implementation of the alternative plan.
b. If the methodology for calculating the federal medical assistance percentage for eligible individuals, as provided in 42 U.S.C. §1396d(y), is modified through federal law or regulation resulting in a reduction of the percentage of federal assistance to the state below ninety percent but not below eighty-five percent, the medical assistance program reimbursement rates for inpatient and outpatient hospital services shall be reduced by a like percentage in the succeeding fiscal year, subject to prior, statutory approval of implementation of the reduction.
2013 Acts, ch 138, §168, 187
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 249N - IOWA HEALTH AND WELLNESS PLAN › Section 249N.4 - Iowa health and wellness plan — eligibility.

249N.4 Iowa health and wellness plan — eligibility.
1. Except as otherwise provided in this chapter, an individual may participate in the Iowa health and wellness plan if the individual meets all of the following criteria:
a. Is an eligible individual.
b. Meets the citizenship or alienage requirements of the medical assistance program, is a resident of Iowa, and provides a social security number upon application for the plan.
c. Fulfills all other conditions of participation in the Iowa health and wellness plan, including member financial participation pursuant to section 249N.7.
2. An individual who has access to affordable employer-sponsored health care coverage, as defined by rule of the department to align with regulations adopted by the federal internal revenue service under the Affordable Care Act, shall not be eligible for participation in the Iowa health and wellness plan.
3. Each applicant for the Iowa health and wellness plan shall provide to the department all insurance information required by the health insurance premium payment program in accordance with rules adopted by the department.
a. The department may elect to pay the cost of premiums for applicants with access to employer-sponsored health care coverage if the department determines such payment to be cost-effective.
b. Eligibility for the Iowa health and wellness plan is a qualifying event under the federal Health Insurance Portability and Accountability Act of 1996, Pub. L. No. 104-191.
c. If premium payment is provided under this subsection for employer-sponsored health care coverage, the Iowa health and wellness plan shall supplement such coverage as necessary to provide the covered benefits specified under section 249N.5.
4. The department shall implement the Iowa health and wellness plan in a manner that ensures that the Iowa health and wellness plan is the payor of last resort.
5. A member is eligible for coverage effective the first day of the month following the month of application for enrollment.
6. Following initial enrollment, a member is eligible for covered benefits for twelve months, subject to program termination and other limitations otherwise specified in this chapter. The department shall review the member’s eligibility on at least an annual basis.
2013 Acts, ch 138, §169, 187
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 249N - IOWA HEALTH AND WELLNESS PLAN › Section 249N.5 - Iowa health and wellness plan — covered benefits — administration.

249N.5 Iowa health and wellness plan — covered benefits — administration.
1. Iowa health and wellness plan members shall receive coverage for benefits as specified in section 249A.3, subsection 1, paragraph “v”.
2. a. For members whose household income is at or below one hundred percent of the federal poverty level, the plan shall be administered by the Iowa Medicaid enterprise consistent with program administration applicable to individuals under section 249A.3, subsection 1.
b. For members whose household income is above one hundred percent but not in excess of one hundred thirty-three percent of the federal poverty level, the plan shall be administered through provision of premium assistance for the purchase of the covered benefits through the American health benefits exchange created pursuant to the Affordable Care Act. The department may pay premiums and supplemental cost-sharing subsidies directly to qualified health plans participating in the American health benefits exchange created pursuant to the Affordable Care Act on behalf of the member.
2013 Acts, ch 138, §170, 187
Referred to in §249N.2, 249N.4
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 249N - IOWA HEALTH AND WELLNESS PLAN › Section 249N.7 - Member financial participation.

249N.7 Member financial participation.
1. Membership in the Iowa health and wellness plan shall require payment of monthly contributions for members whose household income is at or above fifty percent of the federal poverty level. Members shall be subject to copayment amounts applicable only to nonemergency use of a hospital emergency department. Total member cost-sharing, annually, shall align with the cost-sharing limitations requirements for the American health benefits exchanges under the Affordable Care Act. Contributions and copayment amounts shall be established by rule of the department.
2. Contributions shall be waived for a member during the initial year of membership. If a member completes all required preventive care services and wellness activities as specified by rule of the department during the initial year of membership, contributions shall be waived during the subsequent year of membership and each year thereafter until such time as the member fails to complete required preventive care services and wellness activities specified during the prior annual membership period.
2013 Acts, ch 138, §172, 187
Referred to in §249N.4
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 249N - IOWA HEALTH AND WELLNESS PLAN › Section 249N.8 - Mental health services reports.

249N.8 Mental health services reports.
The department shall submit all of the following to the governor and the general assembly:
1. Biennially, a report of the results of a review, by county and region, of mental health services previously funded through taxes levied by counties pursuant to section 331.424A, Code 2021, or funds administered by a mental health and disability services region that are funded during the reporting period under the Iowa health and wellness plan.
2. Annually, a report of the results of a review of the outcomes and effectiveness of mental health services provided under the Iowa health and wellness plan.
2013 Acts, ch 138, §173, 187; 2021 Acts, ch 177, §84, 108
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 251 - EMERGENCY RELIEF ADMINISTRATION › Section 251.1 - Definitions.

251.1 Definitions.
As used in this chapter:
1. “Administrator” means the administrator of the division of adult, children, and family services of the department of human services.
2. “Division” or “state division” means the division of adult, children, and family services of the department of human services.
[C71, 73, 75, 77, 79, 81, §251.1]
83 Acts, ch 96, §157, 159; 2018 Acts, ch 1041, §65
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 251 - EMERGENCY RELIEF ADMINISTRATION › Section 251.2 - Administration of emergency relief.

251.2 Administration of emergency relief.
The state division, in addition to all other powers and duties given it by law, shall be charged with the supervision and administration of all funds coming into the hands of the state now or hereafter provided for emergency relief.
[C39, §3828.067; C46, 50, 54, 58, 62, 66, §251.1; C71, 73, 75, 77, 79, 81, §251.2]
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 251 - EMERGENCY RELIEF ADMINISTRATION › Section 251.3 - Powers and duties.

251.3 Powers and duties.
The administrator shall have the power to:
1. Appoint such personnel as may be necessary for the efficient discharge of the duties imposed upon the administrator in the administration of emergency relief, and to make such rules and regulations as the administrator deems necessary or advisable covering the administrator’s activities and those of the service area advisory boards created under section 217.43, concerning emergency relief.
2. Join and cooperate with the government of the United States, or any of its appropriate agencies or instrumentalities, in any proper relief activity.
3. Make such reports of budget estimates to the governor and to the general assembly as are required by law, or are necessary and proper to obtain appropriations of funds necessary for relief purposes and for all the purposes of this chapter.
4. Determine the need for funds in the various counties of the state basing such determination upon the amount of money needed in the various counties to provide adequate relief, and upon the counties’ financial inability to provide such relief from county funds. The administrator may administer said funds belonging to the state within the various counties of the state to supplement local funds as needed.
5. Make such reports, obtain and furnish such information from time to time as may be required by the governor, by the general assembly, or by any other proper office or agency, state or federal, and make an annual report of its activities.
[C39, §3828.068; C46, 50, 54, 58, 62, 66, §251.2; C71, 73, 75, 77, 79, 81, §251.3]
93 Acts, ch 54, §6;
2001 Acts, 2nd Ex, ch 4, §4, 9
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 251 - EMERGENCY RELIEF ADMINISTRATION › Section 251.4 - Grants from state funds to counties.

251.4 Grants from state funds to counties.
The state division may require as a condition of making available state assistance to counties for emergency relief purposes, that the county boards of supervisors shall establish budgets as needed in respect to the relief situation in the counties.
[C39, §3828.069; C46, 50, 54, 58, 62, 66, §251.3; C71, 73, 75, 77, 79, 81, S81, §251.4; 81 Acts, ch 117, §1035]
83 Acts, ch 123, §101, 209
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 251 - EMERGENCY RELIEF ADMINISTRATION › Section 251.5 - Duties of the service area advisory board.

251.5 Duties of the service area advisory board.
A service area advisory board created in section 217.43 shall perform the following activities for any county in the board’s service area concerning emergency relief:
1. Cooperate with a county’s board of supervisors in all matters pertaining to administration of relief.
2. At the request of a county’s board of supervisors, prepare requests for grants of state funds.
3. At the request of a county’s board of supervisors, administer county relief funds.
4. In a county receiving grants of state funds upon approval of the director of the department of administrative services and the county’s board of supervisors, administer both state and county relief funds.
5. Perform other duties as may be prescribed by the administrator and a county’s board of supervisors.
[C39, §3828.070; C46, 50, 54, 58, 62, 66, §251.4; C71, 73, 75, 77, 79, 81, S81, §251.5; 81 Acts, ch 117, §1036]
93 Acts, ch 54, §7;
2001 Acts, 2nd Ex, ch 4, §5, 9
; 2003 Acts, ch 145, §286
Referred to in §331.381
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 251 - EMERGENCY RELIEF ADMINISTRATION › Section 251.6 - County supervisors to determine relief and work projects.

251.6 County supervisors to determine relief and work projects.
The county board of supervisors shall supervise administration of emergency relief, and shall determine the minimum amount of relief required for each person or family, which persons are employable, and whether and under what conditions persons receiving emergency relief may be employed by the county.
[C39, §3828.071; C46, 50, 54, 58, 62, 66, §251.5; C71, 73, 75, 77, 79, 81, S81, §251.6; 81 Acts, ch 117, §1037]
Referred to in §331.381
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 251 - EMERGENCY RELIEF ADMINISTRATION › Section 251.7 - County appointees to act as executive officers.

251.7 County appointees to act as executive officers.
The county board of supervisors may appoint an individual to serve as the executive officer of the service area advisory board in all matters pertaining to relief for that county.
[C39, §3828.072; C46, 50, 54, 58, 62, 66, §251.6; C71, 73, 75, 77, 79, 81, S81, §251.7; 81 Acts, ch 117, §1038]
93 Acts, ch 54, §8;
2001 Acts, 2nd Ex, ch 4, §6, 9
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 252 - SUPPORT OF THE POOR › Section 252.1 - “Poor person” defined.

252.1 “Poor person” defined.
The words “poor” and “poor person” as used in this chapter shall be construed to mean those who have no property, exempt or otherwise, and are unable, because of physical or mental disabilities, to earn a living by labor; but this section shall not be construed to forbid aid to needy persons who have some means, when the board shall be of opinion that the same will be conducive to their welfare and the best interests of the public.
[C97, §2252; C24, 27, 31, 35, §5297; C39, §3828.073; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §252.1]
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 252 - SUPPORT OF THE POOR › Section 252.13 - Recovery by county.

252.13 Recovery by county.
Any county having expended money for the assistance or support of a poor person under this chapter, may recover the money as follows:
1. If the poor person is living, from the person if the person becomes able, by action brought within two years after the person becomes able.
2. a. If the poor person is deceased, from the person’s estate, by filing the claim as provided by law.
b. There shall be allowed against the person’s estate a claim of the sixth class for that portion of the liability to the county which exceeds the total amount of all claims of the first through the fifth classes, inclusive, as defined in section 633.425, which are allowed against that estate.
[C51, §806; R60, §1374; C73, §1350; C97, §2222; C24, 27, 31, 35, §5309; C39, §3828.085; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §252.13]
92 Acts, ch 1212, §11; 2014 Acts, ch 1026, §54; 2015 Acts, ch 14, §1
Referred to in §252.14
Claims against estate, §633.410 et seq.
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 252 - SUPPORT OF THE POOR › Section 252.14 - Homestead — when liable.

252.14 Homestead — when liable.
When expenditures have been made for and on behalf of a poor person and the person’s family, as contemplated by section 252.13, the homestead of such poor person is liable for such expenditures when such poor person dies without leaving a surviving spouse, or child, as defined in section 234.1.
[C31, 35, §5309-c1; C39, §3828.086; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §252.14]
See also §561.21
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 252 - SUPPORT OF THE POOR › Section 252.24 - County of residence liable — exception.

252.24 County of residence liable — exception.
1. The county of residence, as defined in section 331.394, shall be liable to the county granting assistance for all reasonable charges and expenses incurred in the assistance and care of a poor person.
2. When assistance is furnished by any governmental agency of the county, township, or city, the assistance shall be deemed to have been furnished by the county in which the agency is located and the agency furnishing the assistance shall certify the correctness of the costs of the assistance to the board of supervisors of that county and that county shall collect from the person’s county of residence. The amounts collected by the county where the agency is located shall be paid to the agency furnishing the assistance. This statute applies to services and supplies furnished as provided in section 139A.18.
3. This section shall apply to assistance or maintenance provided by a county through the county’s mental health and disability services system implemented under chapter 331.
[C51, §815; R60, §1383; C73, §1358; C97, §2229; C24, 27, 31, 35, §5319; C39, §3828.096; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §252.24]
92 Acts, ch 1212, §14; 2000 Acts, ch 1066, §44; 2012 Acts, ch 1120, §125, 130; 2018 Acts, ch 1137, §26
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 252 - SUPPORT OF THE POOR › Section 252.25 - County general assistance.

252.25 County general assistance.
1. The board of supervisors of each county shall provide for the assistance of poor persons lawfully in the county who are ineligible for, or are in immediate need and are awaiting approval and receipt of, assistance under programs provided by state or federal law, or whose actual needs cannot be fully met by the assistance furnished under those programs. The county board of supervisors shall establish general rules as the board’s members deem necessary to properly discharge their responsibility under this section.
2. All applications, investigation reports, and case records of persons applying for county general assistance under this chapter are privileged communications and confidential, subject to use and inspection only by persons authorized by law in connection with their official duties relating to financial audits and administration of this chapter or as authorized by order of a district court. Examination of an individual’s applications, reports, and records may also be authorized by a signed release from the individual.
[C73, §1361; C97, §2230; S13, §2230; C24, 27, 31, 35, §5320; C39, §3828.097; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §252.25]
90 Acts, ch 1017, §2; 92 Acts, ch 1212, §15; 96 Acts, ch 1140, §1
Referred to in §22.7(26)
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 252 - SUPPORT OF THE POOR › Section 252.26 - General assistance director.

252.26 General assistance director.
The board of supervisors in each county shall appoint or designate a general assistance director for the county, who shall have the powers and duties conferred by this chapter. In counties of one hundred thousand or less population, the county board may designate as general assistance director an employee of the state department of human services who is assigned to work in that county and is directed by the director of human services, pursuant to an agreement with the county board, to exercise the functions and duties of general assistance director in that county. The director shall receive as compensation an amount to be determined by the county board.
[C51, §819; R60, §1387; C73, §1361, 1364; C97, S13, §2230, 2233; C24, 27, 31, 35, §5321, 5327; C39, §3828.098, 3828.104; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, §252.26, 252.32; C81, §252.26]
83 Acts, ch 96, §157, 159; 83 Acts, ch 123, §102, 209; 92 Acts, ch 1212, §16
Referred to in §217.30, 331.321
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 252 - SUPPORT OF THE POOR › Section 252.27 - Form of assistance — condition.

252.27 Form of assistance — condition.
1. The board of supervisors shall determine the form of the assistance. However, legal aid shall be only in civil matters and provided only through a legal aid program approved by the board of supervisors. The amount of assistance issued shall be determined by standards of assistance established by the board of supervisors. They may require any able-bodied person to work on public programs or projects at the prevailing local rate per hour in payment for and as a condition of granting assistance. The labor shall be performed under the direction of the officers having charge of the public programs or projects. Subject to section 142.1, assistance may consist of the burial of nonresident indigent transients and the payment of the reasonable cost of burial, not to exceed two hundred fifty dollars.
2. The board shall record its proceedings relating to the provision of assistance to specific persons under this chapter. A person who is aggrieved by a decision of the board may appeal the decision as if it were a contested case before an agency and as if the person had exhausted administrative remedies in accordance with the procedures and standards in section 17A.19, subsections 2 through 12, except section 17A.19, subsection 10, paragraphs “b” and “g”, and section 17A.20.
[C73, §1361; C97, §2230; S13, §2230; C24, 27, 31, 35, §5322; C39, §3828.099; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, S81, §252.27; 81 Acts, ch 117, §1039]
92 Acts, ch 1212, §17; 98 Acts, ch 1202, §38, 46; 2013 Acts, ch 30, §54; 2014 Acts, ch 1092, §54
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 252 - SUPPORT OF THE POOR › Section 252.33 - Application for assistance.

252.33 Application for assistance.
A person may make application for assistance to a member of the board of supervisors, or to the general assistance director of the county where the person is. If application is made to the general assistance director and that officer is satisfied that the applicant is in a state of want which requires assistance at the public expense, the director may afford temporary assistance, subject to the approval of the board of supervisors, as the necessities of the person require and shall immediately report the case to the board of supervisors, who may continue or deny assistance, as they find cause.
[C51, §820; R60, §1388; C73, §1365; C97, §2234; S13, §2234; C24, 27, 31, 35, §5328; C39, §3828.105; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §252.33]
92 Acts, ch 1212, §18
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 252 - SUPPORT OF THE POOR › Section 252.35 - Payment of claims.

252.35 Payment of claims.
All claims and bills for the care and support of the poor shall be certified to be correct by the general assistance director and presented to the board of supervisors, and, if the board is satisfied that the claims and bills are reasonable and proper, they shall be paid.
[C51, §821; R60, §1389; C73, §1366; C97, §2235; C24, 27, 31, 35, §5330; C39, §3828.107; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §252.35]
83 Acts, ch 123, §103, 209; 92 Acts, ch 1212, §19
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 252 - SUPPORT OF THE POOR › Section 252.37 - Appeal to supervisors.

252.37 Appeal to supervisors.
If a poor person, on application to the general assistance director, is refused the required assistance, the applicant may appeal to the board of supervisors, who, upon examination into the matter, may order the director to provide assistance, or who may direct specific assistance.
[C51, §823; R60, §1391; C73, §1368; C97, §2237; C24, 27, 31, 35, §5333; C39, §3828.109; C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §252.37]
92 Acts, ch 1212, §20; 2014 Acts, ch 1092, §55
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 252 - SUPPORT OF THE POOR › Section 252.42 - Cooperation on work-assistance projects.

252.42 Cooperation on work-assistance projects.
The county board of supervisors may join and cooperate with the United States government, or a city within the city’s boundaries, or both the United States government and a city within the city’s boundaries, in sponsoring work projects, provided that the money used does not exceed the cost per month of supplying assistance to the certified persons working on projects who would be receiving direct assistance if they were not employed on the projects.
[C46, 50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §252.42]
83 Acts, ch 123, §104, 209; 92 Acts, ch 1212, §21
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 252A - SUPPORT OF DEPENDENTS › Section 252A.1 - Title and purpose.

252A.1 Title and purpose.
1. This chapter may be cited and referred to as the “Support of Dependents Law”.
2. The purpose of this chapter is to secure support in civil proceedings for dependent spouses, children and poor relatives from persons legally responsible for their support.
[C50, 54, 58, 62, 66, 71, 73, 75, 77, 79, 81, §252A.1]
97 Acts, ch 175, §8