reglab/statecodes huggingface dataset:
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 230A - COMMUNITY MENTAL HEALTH CENTERS › Section 230A.101 - Services system roles.

230A.101 Services system roles.
1. The role of the department of human services, through the division of the department designated as the state mental health authority with responsibility for state policy concerning mental health and disability services, is to develop and maintain policies for the mental health and disability services system. The policies shall address the service needs of individuals of all ages with disabilities in this state, regardless of the individuals’ places of residence or economic circumstances, and shall be consistent with the requirements of chapter 225C and other applicable law.
2. The role of community mental health centers in the mental health and disability services system is to provide an organized set of services in order to adequately meet the mental health needs of this state’s citizens based on organized catchment areas.
2011 Acts, ch 121, §11, 23
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 230A - COMMUNITY MENTAL HEALTH CENTERS › Section 230A.102 - Definitions.

230A.102 Definitions.
As used in this chapter, unless the context otherwise requires:
1. “Administrator”, “commission”, “department”, “disability services”, and “division” mean the same as defined in section 225C.2.
2. “Catchment area” means a community mental health center catchment area identified in accordance with this chapter.
3. “Community mental health center” or “center” means a community mental health center designated in accordance with this chapter.
2011 Acts, ch 121, §12, 23
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 230A - COMMUNITY MENTAL HEALTH CENTERS › Section 230A.103 - Designation of community mental health centers.

230A.103 Designation of community mental health centers.
1. The division, subject to agreement by any community mental health center that would provide services for the catchment area and approval by the commission, shall designate at least one community mental health center under this chapter for addressing the mental health needs of the county or counties comprising the catchment area. The designation process shall provide for the input of potential service providers regarding designation of the initial catchment area or a change in the designation.
2. The division shall utilize objective criteria for designating a community mental health center to serve a catchment area and for withdrawing such designation. The commission shall adopt rules outlining the criteria. The criteria shall include but are not limited to provisions for meeting all of the following requirements:
a. An appropriate means shall be used for determining which prospective designee is best able to serve all ages of the targeted population within the catchment area with minimal or no service denials.
b. An effective means shall be used for determining the relative ability of a prospective designee to appropriately provide mental health services and other support to consumers residing within a catchment area as well as consumers residing outside the catchment area. The criteria shall address the duty for a prospective designee to arrange placements outside the catchment area when such placements best meet consumer needs and to provide services within the catchment area to consumers who reside outside the catchment area when the services are necessary and appropriate.
3. The board of directors for a designated community mental health center shall enter into an agreement with the division. The terms of the agreement shall include but are not limited to all of the following:
a. The period of time the agreement will be in force.
b. The services and other support the center will offer or provide for the residents of the catchment area.
c. The standards to be followed by the center in determining whether and to what extent the persons seeking services from the center shall be considered to be able to pay the costs of the services.
d. The policies regarding availability of the services offered by the center to the residents of the catchment area as well as consumers residing outside the catchment area.
e. The requirements for preparation and submission to the division of annual audits, cost reports, program reports, performance measures, and other financial and service accountability information.
4. This section does not limit the authority of the board or the boards of supervisors of any county or group of counties to continue to expend money to support operation of a center.
2011 Acts, ch 121, §13, 23
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 230A - COMMUNITY MENTAL HEALTH CENTERS › Section 230A.104 - Catchment areas.

230A.104 Catchment areas.
1. The division shall collaborate with affected counties in identifying community mental health center catchment areas in accordance with this section.
2. a. Unless the division has determined that exceptional circumstances exist, a catchment area shall be served by one community mental health center. The purpose of this general limitation is to clearly designate the center responsible and accountable for providing core mental health services to the target population in the catchment area and to protect the financial viability of the centers comprising the mental health services system in the state.
b. A formal review process shall be used in determining whether exceptional circumstances exist that justify designating more than one center to serve a catchment area. The criteria for the review process shall include but are not limited to a means of determining whether the catchment area can support more than one center.
c. Criteria shall be provided that would allow the designation of more than one center for all or a portion of a catchment area if designation or approval for more than one center was provided by the division as of October 1, 2010. The criteria shall require a determination that all such centers would be financially viable if designation is provided for all.
2011 Acts, ch 121, §14, 23
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 230A - COMMUNITY MENTAL HEALTH CENTERS › Section 230A.105 - Target population — eligibility.

230A.105 Target population — eligibility.
1. The target population residing in a catchment area to be served by a community mental health center shall include but is not limited to all of the following:
a. Individuals of any age who are experiencing a mental health crisis.
b. Individuals of any age who have a mental health disorder.
c. Adults who have a serious mental illness or chronic mental illness.
d. Children and youth who are experiencing a serious emotional disturbance.
e. Individuals described in paragraph “a”, “b”, “c”, or “d” who have a co-occurring disorder, including but not limited to substance abuse, intellectual disability, a developmental disability, brain injury, autism spectrum disorder, or another disability or special health care need.
2. Specific eligibility criteria for members of the target population shall be identified in administrative rules adopted by the commission. The eligibility criteria shall address both clinical and financial eligibility.
2011 Acts, ch 121, §15, 23; 2013 Acts, ch 90, §56
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 230A - COMMUNITY MENTAL HEALTH CENTERS › Section 230A.107 - Form of organization.

230A.107 Form of organization.
1. Except as authorized in subsection 2, a community mental health center designated in accordance with this chapter shall be organized and administered as a nonprofit corporation.
2. A for-profit corporation, nonprofit corporation, or county hospital providing mental health services to county residents pursuant to a waiver approved under section 225C.7, subsection 3, Code 2011, as of October 1, 2010, may also be designated as a community mental health center.
2011 Acts, ch 121, §17, 23
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 230A - COMMUNITY MENTAL HEALTH CENTERS › Section 230A.108 - Administrative, diagnostic, and demographic information.

230A.108 Administrative, diagnostic, and demographic information.
Release of administrative and diagnostic information, as defined in section 228.1, and demographic information necessary for aggregated reporting to meet the data requirements established by the division, relating to an individual who receives services from a community mental health center, may be made a condition of support of that center by the division.
2011 Acts, ch 121, §18, 23
Referred to in §228.6
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 230A - COMMUNITY MENTAL HEALTH CENTERS › Section 230A.109 - Funding — legislative intent.

230A.109 Funding — legislative intent.
1. It is the intent of the general assembly that public funding for community mental health centers designated in accordance with this chapter shall be provided as a combination of all funding sources.
2. It is the intent of the general assembly that the state funding provided to centers be a sufficient amount for the core services and support addressing the basic mental health and safety needs of the residents of the catchment area served by each center to be provided regardless of individual ability to pay for the services and support.
3. While a community mental health center must comply with the core services requirements and other standards associated with designation, provision of services is subject to the availability of a payment source for the services.
2011 Acts, ch 121, §19, 23
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 230A - COMMUNITY MENTAL HEALTH CENTERS › Section 230A.111 - Review and evaluation.

230A.111 Review and evaluation.
1. The review and evaluation of designated centers shall be performed through a formal accreditation review process as recommended by the division and approved by the commission. The accreditation process shall include all of the following:
a. Specific time intervals for full accreditation reviews based upon levels of accreditation.
b. Use of random or complaint-specific, on-site limited accreditation reviews in the interim between full accreditation reviews, as a quality review approach. The results of such reviews shall be presented to the commission.
c. Use of center accreditation self-assessment tools to gather data regarding quality of care and outcomes, whether used during full or limited reviews or at other times.
2. The accreditation process shall include but is not limited to addressing all of the following:
a. Measures to address centers that do not meet standards, including authority to revoke accreditation.
b. Measures to address noncompliant centers that do not develop a corrective action plan or fail to implement steps included in a corrective action plan accepted by the division.
c. Measures to appropriately recognize centers that successfully complete a corrective action plan.
d. Criteria to determine when a center’s accreditation should be denied, revoked, suspended, or made provisional.
2011 Acts, ch 121, §21, 23
Referred to in §225C.4
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231 - DEPARTMENT ON AGING — OLDER IOWANS › Section 231.1 - Short title.

231.1 Short title.
This chapter, entitled the “Older Iowans Act”, sets forth the state’s commitment to its older individuals, their dignity, independence, and rights.
86 Acts, ch 1245, §1001
C87, §249D.1
C93, §231.1
2009 Acts, ch 23, §12
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231 - DEPARTMENT ON AGING — OLDER IOWANS › Section 231.3 - State policy and objectives.

231.3 State policy and objectives.
The general assembly declares that it is the policy of the state to work toward attainment of the following objectives for Iowa’s older individuals:
1. An adequate income.
2. Access to physical and mental health care and long-term living and community support services without regard to economic status.
3. Suitable and affordable housing that reflects the needs of older individuals.
4. Access to comprehensive information and a community navigation system providing all available options related to long-term living and community support services that assist older individuals in the preservation of personal assets and the ability to entirely avoid or significantly delay reliance on entitlement programs.
5. Full restorative services for those who require institutional care, and a comprehensive array of long-term living and community support services adequate to sustain older people in their communities and, whenever possible, in their homes, including support for caregivers.
6. Pursuit of meaningful activity within the widest range of civic, cultural, educational, recreational, and employment opportunities.
7. Suitable community transportation systems to assist in the attainment of independent movement.
8. Freedom, independence, and the free exercise of individual initiative in planning and managing their own lives.
9. Freedom from abuse, neglect, and exploitation.
86 Acts, ch 1245, §1003
C87, §249D.3
C93, §231.3
2003 Acts, ch 141, §1; 2005 Acts, ch 45, §2; 2009 Acts, ch 23, §14; 2018 Acts, ch 1049, §1, 2
Referred to in §16.47
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231 - DEPARTMENT ON AGING — OLDER IOWANS › Section 231.11 - Commission established.

231.11 Commission established.
The commission on aging is established which shall consist of eleven members. One member each shall be appointed by the president of the senate, after consultation with the majority leader of the senate, and by the minority leader of the senate, from the members of the senate to serve as ex officio, nonvoting members. One member each shall be appointed by the speaker of the house of representatives and by the minority leader of the house of representatives, from the members of the house of representatives to serve as ex officio, nonvoting members. Seven members shall be appointed by the governor subject to confirmation by the senate. Not more than a simple majority of the governor’s appointees shall belong to the same political party. At least four of the seven members appointed by the governor shall be fifty-five years of age or older when appointed.
86 Acts, ch 1245, §1005
C87, §249D.11
90 Acts, ch 1223, §22
C93, §231.11
2008 Acts, ch 1156, §32, 58; 2009 Acts, ch 23, §16
Confirmation, see §2.32
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231 - DEPARTMENT ON AGING — OLDER IOWANS › Section 231.12 - Terms.

231.12 Terms.
All members of the commission appointed by the governor shall be appointed for terms of four years, with staggered expiration dates. The terms of office of members appointed by the governor shall commence and end as provided by section 69.19. Legislative members of the commission shall serve terms of office as provided in section 69.16B. A vacancy on the commission shall be filled for the unexpired term of the vacancy in the same manner as the original appointment was made. If a legislative member ceases to be a member of the general assembly the legislative member may continue to serve until a successor is appointed.
86 Acts, ch 1245, §1006
C87, §249D.12
88 Acts, ch 1134, §59
C93, §231.12
2008 Acts, ch 1156, §33, 58
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231 - DEPARTMENT ON AGING — OLDER IOWANS › Section 231.13 - Meetings — officers.

231.13 Meetings — officers.
Members of the commission shall elect from the commission’s membership a chairperson, and other officers as commission members deem necessary, who shall serve for a period of two years. The commission shall meet at regular intervals at least four times each year and may hold special meetings at the call of the chairperson or at the request of a majority of the commission membership. The commission shall meet at the seat of government or such other place as the commission may designate. Members shall be paid a per diem as specified in section 7E.6 and shall receive reimbursement for actual expenses for their official duties.
86 Acts, ch 1245, §1007
C87, §249D.13
90 Acts, ch 1256, §42
C93, §231.13
2003 Acts, ch 141, §3
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231 - DEPARTMENT ON AGING — OLDER IOWANS › Section 231.14 - Commission duties and authority.

231.14 Commission duties and authority.
1. The commission is the policymaking body of the sole state agency responsible for administration of the federal Act. The commission shall:
a. Approve state and area plans on aging.
b. Adopt policies to coordinate state activities related to the purposes of this chapter.
c. Serve as an effective and visible advocate for older individuals by establishing policies for reviewing and commenting upon all state plans, budgets, and policies which affect older individuals and for providing technical assistance to any agency, organization, association, or individual representing the needs of older individuals.
d. Divide the state into distinct planning and service areas after considering the geographical distribution of older individuals in the state, the incidence of the need for supportive services, nutrition services, multipurpose senior centers, and legal services, the distribution of older individuals who have low incomes residing in such areas, the distribution of resources available to provide such services or centers, the boundaries of existing areas within the state which are drawn for the planning or administration of supportive services programs, the location of units of general purpose, local government within the state, and any other relevant factors.
e. Designate for each planning and service area a public or private nonprofit agency or organization as the area agency on aging for that area. The commission may revoke the designation of an area agency on aging pursuant to section 231.32.
f. Adopt policies to assure that the department will take into account the views of older individuals in the development of policy.
g. Adopt a method for the distribution of federal Act and state funds taking into account, to the maximum extent feasible, the best available data on the geographic distribution of older individuals in the state, and publish the method for review and comment.
h. Adopt policies and measures to assure that preference will be given to providing services to older individuals with the greatest economic or social needs, with particular attention to low-income minority older individuals, older individuals with limited English proficiency, and older individuals residing in rural areas.
i. Adopt policies to administer state programs authorized by this chapter.
j. Adopt policies and administrative rules pursuant to chapter 17A that support the capabilities of the area agencies on aging and the aging and disabilities resource centers to serve older individuals and persons with disabilities experiencing Alzheimer’s disease or related dementias.
2. The commission shall adopt administrative rules pursuant to chapter 17A to administer the duties specified in this chapter and in all other chapters under the department’s jurisdiction.
86 Acts, ch 1245, §1008
C87, §249D.14
88 Acts, ch 1073, §1
C93, §231.14
2003 Acts, ch 141, §4; 2005 Acts, ch 45, §4, 5; 2009 Acts, ch 23, §17; 2009 Acts, ch 41, §263; 2012 Acts, ch 1086, §4, 5; 2018 Acts, ch 1049, §4
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231 - DEPARTMENT ON AGING — OLDER IOWANS › Section 231.21 - Department on aging.

231.21 Department on aging.
An Iowa department on aging is established which shall administer this chapter under the policy direction of the commission on aging. The department on aging shall be administered by a director.
86 Acts, ch 1245, §1009
C87, §249D.21
C93, §231.21
2009 Acts, ch 23, §18
Referred to in §7E.5, 231E.3
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231 - DEPARTMENT ON AGING — OLDER IOWANS › Section 231.22 - Director — assistant director.

231.22 Director — assistant director.
1. The governor, subject to confirmation by the senate, shall appoint a director of the department on aging who shall, subject to chapter 8A, subchapter IV, employ and direct staff as necessary to carry out the powers and duties created by this chapter. The director shall serve at the pleasure of the governor. However, the director is subject to reconfirmation by the senate as provided in section 2.32, subsection 4. The governor shall set the salary for the director within the range set by the general assembly.
2. The director shall have the following qualifications and training:
a. Training in the field of gerontology, social work, public health, public administration, or other related fields.
b. Direct experience or extensive knowledge of programs and services related to older individuals.
c. Demonstrated understanding and concern for the welfare of older individuals.
d. Demonstrated competency and recent working experience in an administrative, supervisory, or management position.
3. The director may appoint an assistant director who shall be in charge of the department in the absence of the director. The appointment shall be based on the appointee’s training, experience, and capabilities.
86 Acts, ch 1245, §1010
C87, §249D.22
C93, §231.22
2003 Acts, ch 145, §214; 2008 Acts, ch 1031, §107; 2009 Acts, ch 23, §19; 2012 Acts, ch 1086, §6
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231 - DEPARTMENT ON AGING — OLDER IOWANS › Section 231.23 - Department on aging — duties and authority.

231.23 Department on aging — duties and authority.
The department on aging director shall:
1. Develop and administer a state plan on aging.
2. Assist the commission in the review and approval of area plans.
3. Pursuant to commission policy, coordinate state activities related to the purposes of this chapter and all other chapters under the department’s jurisdiction.
4. Advocate for older individuals by reviewing and commenting upon all state plans, budgets, laws, rules, regulations, and policies which affect older individuals and by providing technical assistance to any agency, organization, association, or individual representing the needs of older individuals.
5. Assist the commission in dividing the state into distinct planning and service areas.
6. Assist the commission in designating for each area a public or private nonprofit agency or organization as the area agency on aging for that area.
7. Pursuant to commission policy, take into account the views of older Iowans.
8. Assist the commission in adopting a method for the distribution of funds available from the federal Act and state appropriations and allocations.
9. Assist the commission in assuring that preference will be given to providing services to older individuals with the greatest economic or social needs, with particular attention to low-income minority older individuals, older individuals with limited English proficiency, and older individuals residing in rural areas.
10. Assist the commission in developing, adopting, and enforcing administrative rules, by issuing necessary forms and procedures.
11. Apply for, receive, and administer grants, devises, donations, gifts, or bequests of real or personal property from any source to conduct projects consistent with the purposes of the department. Notwithstanding section 8.33, moneys received by the department pursuant to this section are not subject to reversion to the general fund of the state.
12. Administer state authorized programs.
13. Establish a procedure for an area agency on aging to use in selection of members of the agency’s board of directors. The selection procedure shall be incorporated into the bylaws of the board of directors.
86 Acts, ch 1245, §1011
C87, §249D.23
C93, §231.23
2003 Acts, ch 141, §5; 2005 Acts, ch 45, §6; 2006 Acts, ch 1184, §106; 2007 Acts, ch 81, §1; 2009 Acts, ch 23, §20, 21; 2012 Acts, ch 1086, §7; 2018 Acts, ch 1049, §5
Referred to in §231.33
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231 - DEPARTMENT ON AGING — OLDER IOWANS › Section 231.23A - Programs and services.

231.23A Programs and services.
The department on aging shall provide or administer, but is not limited to providing or administering, all of the following programs and services:
1. Services for older individuals, persons with disabilities eighteen years of age and older, family caregivers, and veterans as defined by the department in the most current version of the department’s reporting manual and pursuant to the federal Act and regulations.
2. The older American community service employment program.
3. Case management services.
4. The aging and disability resource center.
5. The legal assistance development program.
6. The nutrition and health promotion program.
7. The Iowa family caregiver program.
8. Elder abuse prevention, detection, intervention, and awareness including neglect and exploitation.
9. Other programs and services authorized by law.
2003 Acts, ch 141, §6; 2005 Acts, ch 42, §5; 2005 Acts, ch 45, §7; 2006 Acts, ch 1010, §69; 2009 Acts, ch 23, §22; 2010 Acts, ch 1062, §5; 2012 Acts, ch 1086, §8; 2013 Acts, ch 18, §19, 20; 2014 Acts, ch 1026, §48; 2018 Acts, ch 1049, §6
Older American community service employment program, see §231.51, 231.53
Prevention of elder abuse, neglect, and exploitation program, see §231.56A
Aging and disability resource center, see §231.64
Legal assistance development program, see §231.65
Nutrition and health promotion program, see §231.66
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231 - DEPARTMENT ON AGING — OLDER IOWANS › Section 231.31 - State plan on aging.

231.31 State plan on aging.
The department on aging shall develop, and submit to the commission on aging for approval, a multiyear state plan on aging. The state plan on aging shall meet all applicable federal requirements.
86 Acts, ch 1245, §1012
C87, §249D.31
C93, §231.31
2003 Acts, ch 141, §7; 2009 Acts, ch 23, §23
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231 - DEPARTMENT ON AGING — OLDER IOWANS › Section 231.34 - Limitation of funds used for administrative purposes.

231.34 Limitation of funds used for administrative purposes.
Of the state funds appropriated or allocated to the department for programs of the area agencies on aging, not more than seven and one-half percent of the total amount shall be used for area agencies on aging administrative purposes.
2005 Acts, ch 175, §100
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231 - DEPARTMENT ON AGING — OLDER IOWANS › Section 231.41 - Purpose.

231.41 Purpose.
The purpose of this subchapter is to establish and provide for the operation of the office of long-term care ombudsman; to carry out, through the office, a state long-term care ombudsman program within the department in accordance with the requirements of the federal Act; and to adopt the supporting federal regulations and guidelines for its operation.
86 Acts, ch 1245, §1015
C87, §249D.41
C93, §231.41
2003 Acts, ch 141, §10; 2009 Acts, ch 23, §26; 2010 Acts, ch 1062, §6; 2013 Acts, ch 18, §23
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231 - DEPARTMENT ON AGING — OLDER IOWANS › Section 231.45 - Certified volunteer long-term care ombudsman program.

231.45 Certified volunteer long-term care ombudsman program.
1. The department shall establish a certified volunteer long-term care ombudsman program in accordance with the federal Act to provide assistance to the state and local long-term care ombudsmen.
2. The department shall develop and implement a certification process for volunteer long-term care ombudsmen including but not limited to an application process, provision for background checks, classroom or on-site training, orientation, and continuing education.
3. Unless specifically excluded, the provisions of section 231.42 relating to local long-term care ombudsmen shall apply to certified volunteer long-term care ombudsmen.
4. The department shall adopt rules pursuant to chapter 17A to administer this section.
2012 Acts, ch 1133, §97; 2013 Acts, ch 18, §25
Referred to in §135C.1, 225C.4, 231.4
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231 - DEPARTMENT ON AGING — OLDER IOWANS › Section 231.51 - Older American community service employment program.

231.51 Older American community service employment program.
1. The department shall direct and administer the older American community service employment program as authorized by the federal Act in coordination with the department of workforce development.
2. The purpose of the program is to foster individual economic self-sufficiency and to increase the number of participants placed in unsubsidized employment in the public and private sectors while maintaining the community service focus of the program.
3. Funds appropriated to the department from the United States department of labor shall be distributed to subgrantees in accordance with federal requirements.
4. The department shall require such uniform reporting and financial accounting by subgrantees as may be necessary to fulfill the purposes of this section.
86 Acts, ch 1245, §1019
C87, §249D.51
C93, §231.51
96 Acts, ch 1186, §23; 2002 Acts, ch 1058, §1; 2005 Acts, ch 45, §13; 2011 Acts, ch 118, §85, 89; 2013 Acts, ch 18, §26
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231 - DEPARTMENT ON AGING — OLDER IOWANS › Section 231.53 - Coordination with Workforce Innovation and Opportunity Act.

231.53 Coordination with Workforce Innovation and Opportunity Act.
The older American community service employment program shall be coordinated with the federal Workforce Innovation and Opportunity Act administered by the department of workforce development.
2002 Acts, ch 1058, §3; 2009 Acts, ch 23, §33; 2013 Acts, ch 18, §27; 2018 Acts, ch 1049, §14
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231 - DEPARTMENT ON AGING — OLDER IOWANS › Section 231.56 - Services and programs.

231.56 Services and programs.
The department shall administer long-term living and community support services and programs that allow older individuals to secure and maintain maximum independence and dignity in a home environment that provides for self-care with appropriate supportive services, assist in removing individual and social barriers to economic and personal independence for older individuals, and provide a continuum of care for older individuals and individuals with disabilities. Funds appropriated for this purpose shall be allocated based on administrative rules adopted by the commission. The department shall require such records as needed to administer this section.
86 Acts, ch 1245, §1024
C87, §249D.56
C93, §231.56
2005 Acts, ch 45, §14; 2009 Acts, ch 23, §34; 2012 Acts, ch 1086, §11; 2013 Acts, ch 90, §58; 2018 Acts, ch 1049, §15
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231 - DEPARTMENT ON AGING — OLDER IOWANS › Section 231.56A - Prevention of elder abuse, neglect, and exploitation program.

231.56A Prevention of elder abuse, neglect, and exploitation program.
1. The department shall administer the prevention of elder abuse, neglect, and exploitation program in accordance with the requirements of the federal Act. The purpose of the program is to carry out activities for intervention in and response to elder abuse, neglect, and exploitation including financial exploitation.
2. The department shall adopt rules to implement this section.
2003 Acts, ch 98, §1; 2003 Acts, ch 179, §67; 2009 Acts, ch 23, §35; 2012 Acts, ch 1086, §12; 2013 Acts, ch 18, §28; 2018 Acts, ch 1049, §16
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231 - DEPARTMENT ON AGING — OLDER IOWANS › Section 231.57 - Coordination of advocacy.

231.57 Coordination of advocacy.
The department shall administer a program for the coordination of information and assistance provided within the state to assist older individuals and their caregivers in obtaining and protecting their rights and benefits. State and local agencies providing information and assistance to older individuals and their caregivers in seeking their rights and benefits shall cooperate with the department in administering this program.
86 Acts, ch 1245, §1025
C87, §249D.57
C93, §231.57
2003 Acts, ch 141, §13; 2009 Acts, ch 23, §36
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231 - DEPARTMENT ON AGING — OLDER IOWANS › Section 231.58 - Long-term living coordination.

231.58 Long-term living coordination.
The director may convene meetings, as necessary, of the director and the directors of human services, public health, and inspections and appeals, to assist in the coordination of policy, service delivery, and long-range planning relating to the long-term living system and older Iowans in the state. The group may consult with individuals, institutions and entities with expertise in the area of the long-term living system and older Iowans, as necessary, to facilitate the group’s efforts.
86 Acts, ch 1245, §1026
C87, §249D.58
89 Acts, ch 52, §1
C93, §231.58
2000 Acts, ch 1004, §13, 22; 2003 Acts, ch 141, §14; 2003 Acts, ch 145, §215; 2005 Acts, ch 45, §15; 2008 Acts, ch 1156, §34, 58; 2009 Acts, ch 23, §37, 38; 2009 Acts, ch 182, §90
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231 - DEPARTMENT ON AGING — OLDER IOWANS › Section 231.62 - Alzheimer’s disease services and assistance.

231.62 Alzheimer’s disease services and assistance.
Pursuant to the federal Act, the department shall direct the area agencies on aging to use outreach efforts to identify older individuals with Alzheimer’s disease and related disorders and to establish supportive services for those individuals and their families. The department shall regularly review trends and initiatives to address the long-term living needs of Iowans to determine how the needs of persons with Alzheimer’s disease and related disorders can be appropriately met.
2008 Acts, ch 1140, §2; 2011 Acts, ch 34, §57; 2012 Acts, ch 1086, §13
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231 - DEPARTMENT ON AGING — OLDER IOWANS › Section 231.64 - Aging and disability resource center.

231.64 Aging and disability resource center.
1. The aging and disability resource center shall be administered by the department consistent with the federal Act. The department shall designate area agencies on aging to establish, in consultation with other stakeholders including organizations representing the disability community, a coordinated system for providing all of the following:
a. Comprehensive information, referral, and assistance regarding the full range of available public and private long-term living and community support services, options, service providers, and resources within a community, including information on the availability of integrated long-term care.
b. Options counseling to assist individuals in assessing their existing or anticipated long-term care needs and developing and implementing a plan for long-term living and community support services designed to meet their specific needs and circumstances. The plan for long-term living and community support services may include support with person-centered care transitions to assist consumers and family caregivers with transitions between home and care settings.
c. Consumer access to the range of publicly-supported long-term living and community support services for which consumers may be eligible, by serving as a convenient point of entry for such services. The aging and disability resource center shall offer information online and be available via a toll-free telephone number, electronic communications, and in person.
2. The aging and disability resource center shall assist older individuals, persons with disabilities age eighteen or older, family caregivers, and people who inquire about or request assistance on behalf of members of these groups, as they seek long-term living and community support services.
2009 Acts, ch 23, §39; 2012 Acts, ch 1086, §14; 2013 Acts, ch 18, §29; 2013 Acts, ch 140, §19; 2018 Acts, ch 1049, §17; 2019 Acts, ch 59, §68
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231 - DEPARTMENT ON AGING — OLDER IOWANS › Section 231.65 - Legal assistance development program.

231.65 Legal assistance development program.
A legal assistance development program shall be administered by the department in accordance with the requirements of the federal Act. The purpose of the program is to provide leadership for improving the quality and quantity of legal advocacy assistance as a means of ensuring a comprehensive elder rights system for Iowa’s older individuals. The extent of implementation of this program shall be based on available resources.
2009 Acts, ch 23, §40
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231 - DEPARTMENT ON AGING — OLDER IOWANS › Section 231.66 - Nutrition and health promotion program.

231.66 Nutrition and health promotion program.
A nutrition and health promotion program shall be administered by the department, in accordance with the requirements of the federal Act, including congregate and home-delivered nutrition programs, nutrition screening, nutrition education, nutrition counseling, and evidence-based health promotion programs to promote health and well-being, reduce food insecurity, promote socialization, and maximize independence of older individuals.
2009 Acts, ch 23, §41; 2012 Acts, ch 1086, §15
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231B - ELDER GROUP HOMES › Section 231B.1 - Definitions.

231B.1 Definitions.
1. “Department” means the department of inspections and appeals or the department’s designee.
2. “Elder” means a person sixty years of age or older.
3. “Elder group home” means a single-family residence that is operated by a person who is providing room, board, and personal care and may provide health-related services to three through five elders who are not related to the person providing the service within the third degree of consanguinity or affinity, and which is staffed by an on-site manager twenty-four hours per day, seven days per week.
4. “Governmental unit” means the state, or any county, municipality, or other political subdivision or any department, division, board, or other agency of any of these entities.
5. “Health-related care” means services provided by a registered nurse or a licensed practical nurse, on a part-time or intermittent basis, and services provided by other licensed health care professionals, on a part-time or intermittent basis.
6. “Medication setup” means assistance with various steps of medication administration to support a tenant’s autonomy, which may include but is not limited to routine prompting, cueing and reminding, opening containers or packaging at the direction of the tenant, reading instructions or other label information, or transferring medications from the original container into suitable medication dispensing containers, reminder containers, or medication cups.
7. “Occupancy agreement” means a written agreement entered into between an elder group home and a tenant that clearly describes the rights and responsibilities of the elder group home and the tenant, and other information required by rule. “Occupancy agreement” may include a separate signed lease and signed service agreement.
8. “Personal care” means assistance with the essential activities of daily living which may include but are not limited to transferring, bathing, personal hygiene, dressing, grooming, and housekeeping that are essential to the health and welfare of a tenant.
9. “Tenant” means an individual who receives elder group home services through a certified elder group home.
10. “Tenant advocate” means the office of long-term care ombudsman established in section 231.42.
11. “Tenant’s legal representative” means a person appointed by the court to act on behalf of a tenant, or a person acting pursuant to a power of attorney.
93 Acts, ch 72, §2; 2003 Acts, ch 166, §3; 2005 Acts, ch 62, §1; 2007 Acts, ch 215, §135; 2013 Acts, ch 18, §30
Referred to in §142D.2, 144C.2, 144D.1, 144F.1, 231.4, 235E.1, 441.21
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231B - ELDER GROUP HOMES › Section 231B.1A - Findings — purpose.

231B.1A Findings — purpose.
1. The general assembly finds that elder group homes are an important part of the long-term care continua in this state. Elder group homes emphasize the independence and dignity of the individual while providing housing in a cost-effective manner.
2. The purposes of establishing and regulating elder group homes include all of the following:
a. To encourage the establishment and maintenance of a safe and homelike environment for individuals of all income levels who require assistance with personal care to live independently but who require health-related care only on a part-time or intermittent basis.
b. To establish standards for elder group homes that allow flexibility in design, which promotes a model of service delivery by focusing on individual independence, needs and desires, and consumer-driven quality of service.
c. To encourage public participation in the development of elder group home programs for individuals of all income levels.
2005 Acts, ch 62, §2; 2007 Acts, ch 215, §136
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231B - ELDER GROUP HOMES › Section 231B.3 - Referral to uncertified elder group home prohibited.

231B.3 Referral to uncertified elder group home prohibited.
1. A person shall not place, refer, or recommend the placement of another person in an elder group home that is not certified pursuant to this chapter.
2. A person who has knowledge that an elder group home is operating without certification shall report the name and address of the home to the department. The department shall investigate a report made pursuant to this section.
93 Acts, ch 72, §4; 2003 Acts, ch 166, §6; 2007 Acts, ch 215, §142
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231B - ELDER GROUP HOMES › Section 231B.4 - Zoning — fire and safety standards.

231B.4 Zoning — fire and safety standards.
An elder group home shall be located in an area zoned for single-family or multiple-family housing or in an unincorporated area and shall be constructed in compliance with applicable local housing codes and the rules adopted for the special classification by the state fire marshal. In the absence of local building codes, the facility shall comply with the state plumbing code established pursuant to section 135.11 and the state building code established pursuant to section 103A.7 and the rules adopted for the special classification by the state fire marshal. The rules adopted for the special classification by the state fire marshal regarding second floor occupancy shall be adopted in consultation with the department and shall take into consideration the mobility of the tenants.
93 Acts, ch 72, §5; 2005 Acts, ch 62, §4; 2007 Acts, ch 215, §143
Referred to in §335.33, 414.31
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231B - ELDER GROUP HOMES › Section 231B.6 - Involuntary transfer.

231B.6 Involuntary transfer.
1. If an elder group home initiates the involuntary transfer of a tenant and the action is not a result of a monitoring evaluation or complaint investigation by the department, and if the tenant or tenant’s legal representative contests the transfer, the following procedure shall apply:
a. The elder group home shall notify the tenant or tenant’s legal representative, in accordance with the occupancy agreement, of the need to transfer, the reason for the transfer, and the contact information of the tenant advocate.
b. The elder group home shall provide the tenant advocate with a copy of the notification to the tenant.
c. The tenant advocate shall offer the notified tenant or tenant’s legal representative assistance with the program’s internal appeals process. The tenant is not required to accept the assistance of the tenant advocate.
d. If, following the internal appeals process, the elder group home upholds the transfer decision, the tenant or the tenant’s legal representative may utilize other remedies authorized by law to contest the transfer.
2. The department, in consultation with affected state agencies and affected industry, professional, and consumer groups, shall establish by rule, in accordance with chapter 17A, procedures to be followed, including the opportunity for hearing, when the transfer of a tenant results from a monitoring evaluation or complaint investigation conducted by the department.
2005 Acts, ch 62, §6; 2007 Acts, ch 215, §145, 146
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231B - ELDER GROUP HOMES › Section 231B.7 - Complaints.

231B.7 Complaints.
1. Any person with concerns regarding the operations or service delivery of an elder group home may file a complaint with the department. The name of the person who files a complaint with the department and any personal identifying information of the person or any tenant identified in the complaint shall be kept confidential and shall not be subject to discovery, subpoena, or other means of legal compulsion for its release to a person other than department employees involved with the complaint.
2. The department shall establish procedures for the disposition of complaints received in accordance with this section.
2005 Acts, ch 62, §7; 2007 Acts, ch 215, §147
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231B - ELDER GROUP HOMES › Section 231B.8 - Exit interview — issuance of findings.

231B.8 Exit interview — issuance of findings.
1. The department shall provide an elder group home an exit interview at the conclusion of a monitoring evaluation or complaint investigation, and the department shall inform the home’s representative of all issues and areas of concern related to the insufficient practices. The department may conduct the exit interview in person or by telephone, and the department shall provide a second exit interview if any additional issues or areas of concern are identified. The home shall have two working days from the date of the exit interview to submit additional or rebuttal information to the department.
2. The department shall issue the final findings of a monitoring evaluation or complaint investigation within ten working days after completion of the on-site monitoring evaluation or complaint investigation. The final findings shall be served upon the home personally, by electronic mail, or by certified mail.
2005 Acts, ch 62, §8; 2007 Acts, ch 215, §148; 2014 Acts, ch 1040, §19, 28
2023 Iowa Code › Title VI - HUMAN SERVICES › Chapter 231B - ELDER GROUP HOMES › Section 231B.9 - Disclosure of findings.

231B.9 Disclosure of findings.
Upon completion of a monitoring evaluation or complaint investigation of an elder group home by the department pursuant to this chapter, the department’s final findings with respect to compliance by the elder group home with requirements for certification shall be made available to the public in a readily available form and place. Other information relating to an elder group home that is obtained by the department which does not constitute the department’s final findings from a monitoring evaluation or complaint investigation of the elder group home shall not be made available to the public except in proceedings involving the assessment of a civil penalty pursuant to section 231B.14 or the denial, suspension, or revocation of a certificate under this chapter.
2005 Acts, ch 62, §9; 2007 Acts, ch 215, §149; 2008 Acts, ch 1048, §1, 4; 2014 Acts, ch 1040, §20, 28; 2015 Acts, ch 80, §7