reglab/statecodes huggingface dataset:
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 74 - Family Planning Services › Rule 641-74.12 - Right to Appeal-contract Agency

Current through Register Vol. 47, No. 3, July 24, 2024
Contract agencies may appeal denial of a contract or the
				suspension, revocation or reduction of an existing contract.
(1)
Appeal.
The appeal shall
			 be made in writing to the department within ten days of receipt of notification
			 of the adverse action. Notice is to be addressed to the Director, Division of
			 comminityHealth, Department of Public Health, Lucas State Office Building, Des
			 Moines, Iowa 50319-0075.
(2)
Contested case.
Upon receipt of an appeal that meets contested
			 case status, the appeal shall be forwarded within five working days to the DIA
			 pursuant to the rules adopted by the DIA regarding the transmission of
			 contested cases. The information upon which the adverse action is based and any
			 additional information which may be provided by the aggrieved party shall also
			 be provided to the DIA.
(3)
Hearing.
Parties shall receive notice of the hearing in
			 advance. The administrative law judge shall schedule the time, place and date
			 of the hearing so that the hearing is held as expeditiously as possible. The
			 hearing shall be conducted according to the procedural rules of the DIA found
			 in 481-Chapter 10, Iowa Administrative Code.
(4)
Decision of administrative law
			 judge.
The administrative law judge's decision shall be issued within
			 60 days from the date of request for hearing. When the administrative law judge
			 makes a proposed decision and order, it shall be served by certified mail,
			 return receipt requested, or delivered by personal service. That proposed
			 decision and order then becomes the department's final decision without further
			 proceedings ten days after it is received by the aggrieved party unless an
			 appeal to the director is taken as provided in subrule 76.17(5).
(5)
Appeal to the director
Any appeal to the director for review of the proposed decision and order of the
			 administrative law judge shall be filed in writing and mailed to the director
			 by certified mail, return receipt requested, or delivered by personal service
			 within ten days after the receipt of the administrative law judge's proposed
			 decision and order by the aggrieved party. A copy of the appeal shall also be
			 mailed to the administrative law judge. Any request for an appeal shall state
			 the reason for appeal.
(6)
Record of hearing.
Upon receipt of an appeal request, the
			 administrative law judge shall prepare the record of the hearing for submission
			 to the director The record shall include the following:
a. All pleadings, motions and
			 rules.
b. All evidence received or
			 considered and all other submissions by recording or transcript.
c. A statement of all matters officially
			 noticed.
d. All questions and
			 offers of proof, objections and rulings thereon.
e. All proposed findings and
			 exceptions.
f. The proposed
			 decision and order of the administrative law judge.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 75 - Family Planning Services Funding Prioritization, Restrictions and Reporting › Rule 641-75.1 - Program Explanation

Current through Register Vol. 47, No. 3, July 24, 2024
The Iowa department of public health is a designated agency to
				operate the family planning program pursuant to an agreement with the federal
				government. Congress authorized grants to assist in the establishment and
				operation of family planning projects which offer a broad range of acceptable
				and effective family planning methods, including natural family planning,
				infertility services and services to adolescents. The majority of the funding
				available is from the Title X, family planning services grant, administered by
				the United States Department of Health and Human Services (DHHS).
The purpose of the program is to promote the health of persons
				of reproductive age and families by providing access to family planning and
				reproductive health promotion services.
The department, bureau of family health, will annually apply to
				the DHHS for grant funding under Title X of the federal Public Health Services
				Act,
				42 U.S.C.
				§
									300 et seq. The department, bureau of
				family health, enters into contracts according to these rules with selected
				private and public agencies within the department family planning service area
				for the provision of family planning services. A description of the department
				family planning service area can be obtained from the Chief, Bureau of Family
				Health, Department of Public Health, Lucas State Office Building, Des Moines,
				Iowa 50319-0075.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 75 - Family Planning Services Funding Prioritization, Restrictions and Reporting › Rule 641-75.2 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
"Department"
means the Iowa department of
				public health.
"Nonprofit health care delivery system"
means
				an Iowa nonprofit corporation that controls, directly or indirectly, a regional
				health care network consisting of hospital facilities and various ambulatory
				and clinic locations that provide a range of primary, secondary, and tertiary
				inpatient, outpatient, and physician services.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 75 - Family Planning Services Funding Prioritization, Restrictions and Reporting › Rule 641-75.3 - Distribution of Grant Funds

Current through Register Vol. 47, No. 3, July 24, 2024
Distribution of grant funds utilizing the following
				prioritization shall be made in a manner that continues access to family
				planning services.
(1)
Priority.
The department shall distribute all grant funds
			 received to applicants in the following order of priority:
a. Public entities that provide family
			 planning services including state, county, or local community health clinics;
			 federally qualified health centers; and community action
			 organizations.
b. Nonpublic
			 entities that, in addition to family planning services, provide required
			 primary health services as described in
			 42 U.S.C. §
										254b(b)(1)(A).
c. Nonpublic entities that provide family
			 planning services but do not provide required primary health services as
			 described in
			 42 U.S.C. §
										254b(b)(1)(A).
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 75 - Family Planning Services Funding Prioritization, Restrictions and Reporting › Rule 641-75.4 - Indirect Funds Restrictions-abortion

Current through Register Vol. 47, No. 3, July 24, 2024
Grant funds shall not be used for direct or indirect costs,
				including but not limited to administrative costs or expenses, overhead,
				employee salaries, rent, and telephone or other utility costs, related to
				performing or promoting abortions as specified in these
				rules.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 75 - Family Planning Services Funding Prioritization, Restrictions and Reporting › Rule 641-75.5 - Report Requirement

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The
			 department shall submit a report, by calendar year, to the governor and the
			 general assembly annually by January 1.
(2) The report shall include:
a. A list of each entity that received funds
			 under 75.3(1)
"c"
and the amount and type of funds
			 received.
b. A detailed explanation
			 of how the department determined that the distribution of funds to each entity
			 under 75.3(1)
"c,"
instead of an entity under 75.3(1)
"a"
or
"b,"
was necessary to prevent severe
			 limitations or elimination of access to family planning services in the region
			 of the state where the entity was located.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 76 - Maternal and Child Health Program › Rule 641-76.1 - Program Overview

Current through Register Vol. 47, No. 3, July 24, 2024
The maternal and child health (MCH) programs are operated by
				the Iowa department of public health as the designated state agency pursuant to
				an agreement with the federal government. The majority of the funding available
				is from the Title V MCH block grant, administered by the Health Resources and
				Services Administration (HRSA) within the United States Department of Health
				and Human Services (DHHS).
(1)
Purpose.
The purpose of the program is to promote the health
			 of mothers, children, and youth by ensuring or providing access to quality
			 maternal and child health care services (especially for low-income families or
			 families with limited availability of health care services); to reduce infant
			 mortality and the incidence of preventable diseases and handicapping
			 conditions; to increase the number of children appropriately immunized against
			 disease; and to facilitate the development of community-based systems of health
			 care for children, youth and their families. The program provides and promotes
			 family-centered, community-based coordinated care, including care/service
			 coordination for children and youth with special health care needs.
(2)
Services.
a. The department's bureau of family health
			 (BFH) enters into contracts with selected private nonprofit or public agencies
			 for the assurance of access to prenatal and postpartum care for women,
			 preventive and primary child health care services, and services to children and
			 youth with special health care needs.
b. The department's bureau of oral and health
			 delivery systems (OHDS) collaborates with BFH to develop oral health programs
			 to reduce barriers to oral health care and reduce dental disease through
			 prevention.
c. The children and
			 youth with special health care needs program is administered by the Child
			 Health Specialty Clinics (CHSC) at the University of Iowa. The department
			 contracts with the University of Iowa department of pediatrics' CHSC to provide
			 services for children and youth with special health care needs. In accordance
			 with the MCH Title V Block Grant Program administered by DHHS, HRSA, and MCHB,
			 the CHSC shall ensure that public health funds will be used to cover the cost
			 of services only after all other sources of reimbursement have been
			 exhausted.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 76 - Maternal and Child Health Program › Rule 641-76.2 - Adoption by Reference

Current through Register Vol. 47, No. 3, July 24, 2024
Federal requirements contained in the Omnibus Reconciliation
				Act of 1989 ( Public Law
				101-239), Title V, MCH services block grant shall
				be the rules governing the Iowa MCH program and are incorporated by reference
				herein.
The department finds that certain rules should be exempted from
				notice and public participation as being a very narrowly tailored category of
				rules for which notice and public participation are unnecessary as provided in
				Iowa Code section
				17A.4(2).
				Such rules shall be those that are mandated by federal law governing the Iowa
				MCH program where the department has no option but to adopt such rules as
				specified and where federal funding for the MCH programs is contingent upon the
				adoption of the rules.
Copies of the federal legislation adopted by reference are
				available from Chief, Family Services Bureau, Department of Public Health,
				Lucas State Office Building, Des Moines, Iowa 50319-0075.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 76 - Maternal and Child Health Program › Rule 641-76.3 - Rule Coverage

Current through Register Vol. 47, No. 3, July 24, 2024
These rules cover agencies contracting with the department to
				provide community-based MCH public health services and to receive funds from
				the department for that purpose. The contract agencies conduct essential public
				health services directed toward the maternal and child health populations
				consistent with the state's MCH services block grant state plan. The state plan
				is developed and administered collaboratively by the family services bureau of
				the department and CHSC.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 76 - Maternal and Child Health Program › Rule 641-76.5 - Mch Services

Current through Register Vol. 47, No. 3, July 24, 2024
Maternal and child health services provided by contract
				agencies, as outlined in the annual application and contract for services,
				shall align with the MCH pyramid or model provided by the DHHS, HRSA, state
				policy manuals, and interagency agreements.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 76 - Maternal and Child Health Program › Rule 641-76.6 - Client Eligibility Criteria

Current through Register Vol. 47, No. 3, July 24, 2024
The certification process to determine eligibility for direct
				health care under the program shall include the following requirements:
(1)
Age.
a. Maternal health program-no age
			 restrictions.
b. Child health
			 program-birth through 21 years of age.
c. CYSHCN program-birth through 21 years of
			 age.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 76 - Maternal and Child Health Program › Rule 641-76.7 - Client Application Procedures for Mch Services

Current through Register Vol. 47, No. 3, July 24, 2024
(1) A person or the parent or guardian of a
			 minor desiring direct health services other than those provided to children and
			 youth with special health care needs may apply to a contract agency using a
			 Health Services Application, Form 470-2927 or 470-2927(S). Individuals
			 requesting presumptive eligibility must complete the Application for Health
			 Coverage and Help Paying Costs, Form 470-5192, or the alternate form authorized
			 by the HAWK-I board.
(2) The
			 contract agency shall verify the following information to receive services
			 under the Title V MCH program:
a. The
			 information requested on the application form under "Household
			 Information."
b. Income information
			 for all family members or proof of eligibility for Title XIX (Medicaid), Title
			 XXI (HAWK-I), or WIC.
c.
			 Information about health insurance coverage.
d. The signature of the individual or
			 responsible adult, dated and witnessed.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 76 - Maternal and Child Health Program › Rule 641-76.9 - Grant Application Procedures for Community-based Contract Agencies

Current through Register Vol. 47, No. 3, July 24, 2024
Private nonprofit or public agencies seeking to provide
				community-based Title V MCH public health services shall submit an application
				to the department during the competitive year to administer MCH services for a
				specified project period, as defined in the request for proposal, with an
				annual continuation application. The contract period shall be from October 1 to
				September 30 annually. After a notice of award is made by the department, all
				materials submitted as part of the grant application are considered public
				records in accordance with Iowa Code chapter 22. Notification of the
				availability of funds and grant application procedures will be provided in
				accordance with the department rules found in 641-Chapter 176.
Contract agencies are selected on the basis of the grant
				applications submitted to the department. The department will consider only
				applications from private nonprofit or public agencies. In the event that
				competitive proposals receive an equal number of points, two department
				division directors and the respective bureau chief administering the program
				may conduct a second review utilizing the same scoring
				process.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 76 - Maternal and Child Health Program › Rule 641-76.10 - Funding Levels for Community-based Contract Agencies

Current through Register Vol. 47, No. 3, July 24, 2024
The amount of funds available to each contract agency on an
				annual basis shall be determined by the department using a methodology based
				upon dollars available, number of clients enrolled, and selected needs
				criteria. A contract agency will receive four dollars of the available funds
				from the department for each one dollar of matching funds up to but not to
				exceed the total available funds for that contract agency.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 76 - Maternal and Child Health Program › Rule 641-76.11 - Contract Agency Performance

Current through Register Vol. 47, No. 3, July 24, 2024
Contract agencies are required to provide services in
				accordance with these rules.
(1)
Performance standards.
The department shall establish
			 performance standards that contract agencies shall meet in the provision of
			 public health services. The performance standards for community-based agencies
			 are published in the quality assurance section (501) of the MCH Administrative
			 Manual. Copies of the performance standards are available from the Chief,
			 Family Services Bureau, Department of Public Health, Lucas State Office
			 Building, Des Moines, Iowa 50319-0075, or on the Iowa department of public
			 health Web site
(
www.idph.state.ia.us
)
. Contract agencies that do not meet the performance
			 standards shall not be eligible for continued funding as an MCH contract agency
			 unless the contract agency has secured an exception.
(2)
Contract agency review.
The department shall review contract agency operations through the use of
			 reports and documents submitted, state-generated data reports, chart audits,
			 on-site and clinic visits for direct care services as applicable for evaluation
			 and technical assistance.
(3)
Exception.
A contract agency that does not meet a performance
			 standard or fails to meet an action plan as approved by the department may be
			 granted an exception for up to one year in order to improve performance. Such
			 an exception must be requested in writing. If granted, the approval for the
			 exception will include the conditions necessary for the successful completion
			 of the standard, a time frame, and additional reporting requirements. The
			 procedures for applying for and approving of an exception are outlined in the
			 "Performance Standards, Maternal and Child Health Contractors, Family Services
			 Bureau."
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 76 - Maternal and Child Health Program › Rule 641-76.13 - Fiscal Management

Current through Register Vol. 47, No. 3, July 24, 2024
All contract agencies are required to meet fiscal management
				policies.
(1)
Last
			 pay.
MCH grant funds are considered last pay. Title XIX and other
			 third-party payers are to be billed first if other resources cover the
			 service.
(2)
Program
			 income.
Program income shall be used for allowable costs of the MCH
			 program. Program income shall be used before using the funds received from the
			 department. Excess program income may be retained to build a three-month
			 operating capital. Program income shall be used during the current fiscal year
			 or the following fiscal year. Five percent of unobligated program income may be
			 used by the contract agency for special purposes or projects provided such use
			 furthers the mission of the MCH program and does not violate state or federal
			 rules governing the program.
(3)
Advances.
A contract agency may request an advance of up to
			 one-sixth of its contract at the beginning of a contract year. The amount of
			 any advance will be deducted prior to the end of the fiscal year.
(4)
Local share.
commiunity-based contract agencies are required to match the MCH funds received
			 from the department at a minimum rate of one dollar of local match for every
			 four dollars received from the department. Sources that may be used for match
			 are reimbursement for service from third parties such as insurance and Title
			 XIX, client fees, local funds from nonfederal sources, or in-kind
			 contributions. In-kind contributions must be documented in accordance with
			 generally accepted accounting principles.
(5)
Subcontracts.
Contract
			 agencies may subcontract a portion of the project activity to another entity
			 provided such subcontract is approved by the department. Subcontract agencies
			 must follow the same rules, procedures, and policies as required of the
			 contract agency by these rules and contract with the department. The contract
			 agency is responsible for ensuring the compliance of the subcontract.
			 Subcontract agencies may not subcontract these project activities with other
			 entities.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 76 - Maternal and Child Health Program › Rule 641-76.14 - Audits

Current through Register Vol. 47, No. 3, July 24, 2024
Every two years, each contract agency shall undergo financial
				audit of the MCH program. The audit shall be conducted in compliance with 0MB
				Circular A-133 Audits of States, Local Governments, and Non-Profit
				Organizations. Each audit shall cover all unaudited periods through the end of
				the previous grant year. The department's audit guide should be followed to
				ensure an audit which meets federal and state requirements.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 76 - Maternal and Child Health Program › Rule 641-76.16 - Denial, Suspension, Revocation or Reduction of Contracts With Contract Agencies

Current through Register Vol. 47, No. 3, July 24, 2024
The department may deny, suspend, revoke or reduce contracts
				with contract agencies in accord with applicable federal regulations or
				contractual relationships. Notice of such action shall be in
				writing.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 76 - Maternal and Child Health Program › Rule 641-76.17 - Right to Appeal-contract Agency

Current through Register Vol. 47, No. 3, July 24, 2024
Community-based contract agencies may appeal the denial of a
				contract or the suspension, revocation or reduction of an existing
				contract.
(1)
Appeal.
The appeal shall be made in writing to the department within ten days of
			 receipt of notification of the adverse action. Notice is to be addressed to the
			 Division Director, Family and Community Health Division, Department of Public
			 Health, Lucas State Office Building, Des Moines, Iowa 50319-0075.
(2)
Contested case.
Upon
			 receipt of an appeal that meets contested case status, the appeal shall be
			 forwarded within five working days to the DIA pursuant to the rules adopted by
			 the DIA regarding the transmission of contested cases. The information upon
			 which the adverse action is based and any additional information, which may be
			 provided by the aggrieved party, shall also be provided to the DIA.
(3)
Hearing.
Parties shall
			 receive notice of the hearing in advance. The administrative law judge shall
			 schedule the time, place and date of the hearing so that the hearing is held as
			 expeditiously as possible. The hearing shall be conducted according to the
			 procedural rules of the DIA found in 481-Chapter 10.
(4)
Decision of administrative law
			 judge.
The administrative law judge's decision shall be issued within
			 60 days from the date of request for hearing. When the administrative law judge
			 makes a proposed decision and order, it shall be served by certified mail,
			 return receipt requested, or delivered by personal service. That proposed
			 decision and order then becomes the department's final decision without further
			 proceedings ten days after it is received by the aggrieved party unless an
			 appeal to the director is taken as provided in subrule 76.17(5).
(5)
Appeal to the director
Any appeal to the director for review of the proposed decision and order of the
			 administrative law judge shall be filed in writing and mailed to the director
			 by certified mail, return receipt requested, or delivered by personal service
			 within ten days after the receipt of the administrative law judge's proposed
			 decision and order by the aggrieved party. A copy of the appeal shall also be
			 mailed to the administrative law judge. Any request for an appeal shall state
			 the reason for appeal.
(6)
Record of hearing.
Upon receipt of an appeal request, the
			 administrative law judge shall prepare the record of the hearing for submission
			 to the director The record shall include the following:
a. All pleadings, motions and
			 rules;
b. All evidence received or
			 considered and all other submissions by recording or transcript;
c. A statement of all matters officially
			 noticed;
d. All questions and
			 offers of proof, objections and rulings thereon;
e. All proposed findings and exceptions;
			 and
f. The proposed decision and
			 order of the administrative law judge.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 76 - Maternal and Child Health Program › Rule 641-76.21 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
The MCH advisory council assists in the development of the
				state plan for MCH, including children and youth with special health care needs
				and family planning. The council assists with assessment of need,
				prioritization of services, establishment of objectives, and encouragement of
				public support for MCH and family planning programs. In addition, the council
				advises the director regarding health and nutrition services for women and
				children, supports the development of special projects and conferences, and
				advocates for health and nutrition services for women and
				children.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 76 - Maternal and Child Health Program › Rule 641-76.22 - Mission

Current through Register Vol. 47, No. 3, July 24, 2024
The mission of the MCH advisory council is to assist the
				department in improving coordination of and promoting an integrated health
				system serving children and families in Iowa. Areas of emphasis include Title V
				MCH and any other programs in the department that address the well-being of
				children and families.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 76 - Maternal and Child Health Program › Rule 641-76.23 - Membership

Current through Register Vol. 47, No. 3, July 24, 2024
Membership of the MCH advisory council shall include
				representatives of professional groups, agency representatives, legislators,
				and individuals with an interest in promoting health services for women and
				children.
(1) Appointments to the
			 council shall be made by the director.
a. Each
			 appointment shall be for a term of three years, commencing on July 1.
b. No member shall serve more than two full
			 consecutive terms (this provision may be waived by the director in exceptional
			 cases).
c. In order to ensure that
			 one third of the council rotates each year, staggered terms shall be initiated
			 in June. For terms expiring during the calendar year, appointments and
			 reappointments shall be staggered, resulting in a council with approximately
			 one third of the terms of membership expiring in each year.
d. The goal is to attempt to implement a
			 gender-balanced council membership.
e. The number of members shall not be fewer
			 than 15 or more than 25.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 76 - Maternal and Child Health Program › Rule 641-76.24 - Officers

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Officers of the
			 council shall be a chairperson and a vice chairperson who shall be elected by
			 the members at the last scheduled meeting of each fiscal year.
a. The term of elected office shall be one
			 year.
b. A member shall not serve
			 as chairperson for more than three full consecutive years.
c. Vacancies in the office of chairperson
			 shall be filled by elevation of the vice chairperson.
d. Vacancies in the office of vice
			 chairperson shall be filled by election at the next meeting after the vacancy
			 occurs.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 76 - Maternal and Child Health Program › Rule 641-76.25 - Duties of the Council

Current through Register Vol. 47, No. 3, July 24, 2024
The council shall perform the following duties:
(1) Review the state's maternal, child, and
			 adolescent health needs and the adequacy of health care services, programs, and
			 providers to meet those needs.
(2)
			 Review local health statistics and program data to assess improvement in the
			 overall health status of women and children.
(3) Represent the concerns of consumers and
			 local service providers in their relationship with the department programs and
			 initiatives and other state agency initiatives.
(4) Provide input and feedback in the
			 development of the MCH state plan, the I-Smile" program, family planning grant
			 application and programming objectives, MIECHV state plan, and the WIC state
			 plan, including the assessment of need, the prioritization of services and the
			 establishment of objectives.
(5)
			 Identify potential collaborative partners to help achieve the mission and goals
			 of the MCH advisory council and the department.
(6) Disseminate information and report back
			 to representative consumer groups and local providers regarding department
			 programs, initiatives, services, and state plans.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 76 - Maternal and Child Health Program › Rule 641-76.26 - Meetings

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Meetings of the
			 council will be held as necessary and at the call of the director or the
			 chairperson. There shall be a minimum of four meetings per year.
a. At the last scheduled meeting of the
			 fiscal year, the regular meetings for the following year will be
			 scheduled.
b. Notice of meetings
			 will be sent at least two weeks prior to the meeting date.
c. Materials for the meeting will be sent at
			 least one week prior to the meeting date.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 76 - Maternal and Child Health Program › Rule 641-76.27 - Executive Committee

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The
			 executive committee shall be composed of the chairperson and vice chairperson,
			 assisted by two members appointed by the chairperson at the beginning of the
			 fiscal year.
(2) The executive
			 committee will meet as necessary to act on behalf of the full council to
			 develop a recommendation when the council is not in session.
(3) The executive committee may request staff
			 support and assistance from department management.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 76 - Maternal and Child Health Program › Rule 641-76.28 - Committees

Current through Register Vol. 47, No. 3, July 24, 2024
The council may designate one or more committees to perform
				such duties as may be deemed necessary.
(1) The chairperson appoints the nominations
			 committee, which will submit a slate of potential members and
			 officers.
(2) Additional committees
			 or ad hoc committees may be formed as needed.
(3) Committees should be utilized whenever
			 possible to review particular substantive areas by previewing recommendations,
			 framing issues for the larger group and presenting on issues that need to be
			 addressed by the council.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 77 - Local Boards of Health › Rule 641-77.1 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
The local board of health shall have jurisdiction over public
				health matters within its designated geographic area in accordance with Iowa
				Code chapter 137. The local board of health shall promote and protect the
				health of the residents and shall carry out the powers of local boards as
				specified in Iowa Code sections
				137.103
				and
				137.104
				and all applicable Iowa Code chapters.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 77 - Local Boards of Health › Rule 641-77.2 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purpose of these rules, the following definitions
				apply:
"Core public health functions"
means the
				functions of assessment, policy development, and assurance.
1. Assessment: Regular collection, analysis, interpretation,
				and communication of information about health conditions, risks, and assets in
				a community.
2. Policy development: Development, implementation, and
				evaluation of plans and policies, for public health in general and priority
				health needs in particular, in a manner that incorporates scientific
				information and community values and in accordance with state public health
				policy.
3. Assurance: Ensuring by encouragement, regulation, or direct
				action that programs and interventions that maintain and improve health are
				carried out.
"County health department"
refers to the
				personnel and property under the jurisdiction of a county board.
"Department"
means the Iowa department of
				public health.
"District"
means any two or more
				geographically contiguous counties.
"District board"
means a board of health
				representing at least two geographically contiguous counties formed with the
				approval of the department in accordance with Iowa Code chapter 137, or any
				district board of health in existence prior to July 1, 2010.
"District health department"
refers to the
				personnel and property under the jurisdiction of a district board.
"Environmental health services"
means services
				focused on the environment to support population-based health services.
"Essential public health services"
means those
				activities carried out by public health that fulfill the core functions.
"Local board of health"
means a city, county,
				or district board of health.
"Personal health services"
means services
				focused on the care of individuals.
"Population-based health services"
means
				services focused on the health status of population groups and their
				environments.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 77 - Local Boards of Health › Rule 641-77.3 - Local Boards of Health-roles and Responsibilities

Current through Register Vol. 47, No. 3, July 24, 2024
Public health is responsible for safeguarding the community's
				health. This goal is pursued through three core functions: assessment, policy
				development and assurance.
(1)
			 Assessment: Regularly and systematically collect, assemble, analyze, and make
			 available information on the health of the community, including statistics on
			 health status, community health needs, personal health services, and
			 epidemiologic and other studies of health problems. A local board of health may
			 perform the following essential public health services:
a. Monitor health status to identify
			 community health problems;
b.
			 Diagnose and investigate health problems and health hazards in the community;
			 and
c. Evaluate effectiveness,
			 accessibility, and quality of personal, population-based, and environmental
			 health services.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 77 - Local Boards of Health › Rule 641-77.4 - Organization of Local Boards of Health

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Qualifications.
Members
			 of a local board of health should have experience or education related to the
			 core public health functions, essential public health services, public health,
			 environmental health services, personal health services, population-based
			 services, or community-based initiatives.
(2)
Officers of local boards of
			 health
Each local board of health shall, at its first meeting during
			 any calendar year, elect one of its members to serve as chairperson until the
			 first meeting of the following calendar year.
a. The local board of health may elect a
			 vice-chairperson, secretary, or other such officers as it may deem
			 advisable.
b. In case of a vacancy
			 of the office of chairperson, a successor, who shall serve the remainder of the
			 term, shall be elected at the next meeting of the board.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 77 - Local Boards of Health › Rule 641-77.5 - Operation of Local Boards of Health

Current through Register Vol. 47, No. 3, July 24, 2024
Local boards of health shall submit to the department the
				following information:
(1) Names,
			 addresses, E-mail addresses and telephone numbers of members of the local board
			 of health, within one month after their appointment.
(2) Names of the chairperson and any other
			 officers elected by the local board of health, within one month after their
			 election.
(3) A copy of the minutes
			 of each regular and special meeting of the local board of health, within two
			 weeks of their being approved. The minutes shall include at least:
a. The date and place of the
			 meeting;
b. A list of members
			 present; and
c. A report of any
			 official board actions.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 77 - Local Boards of Health › Rule 641-77.6 - Expenses of Local Board of Health Members

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The following may be considered necessary
			 expenses of local board of health members:
a.
			 Travel in private car on local board of health business at the same rate as
			 provided for a public officer or employee in Iowa Code section
			 70A.9.
b. Lodging and meal expenses including sales
			 tax on lodging and meals.
c.
			 Expense of public transportation when traveling on local board of health
			 business.
d. Miscellaneous expenses
			 related to performance of duties as approved by the local board of
			 health.
e. Training and education
			 expenses.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 77 - Local Boards of Health › Rule 641-77.8 - Request to Form District Board of Health

Current through Register Vol. 47, No. 3, July 24, 2024
The county boards of health of any two or more geographically
				contiguous counties may at any time submit to the department a written request
				to form a district board of health.
(1) A request to form a district board of
			 health shall be executed by the county board of supervisors and the county
			 board of health for each county comprising the proposed district.
(2) A request to form a district board of
			 health shall be submitted to the department and shall be completed on the
			 department's application form. The application form shall include:
a. A written narrative that explains how the
			 formation of a district board of health will attain the capability to provide
			 population-based and personal health services.
b. The composition of the district board of
			 health, including the number of members each county shall appoint pursuant to
			 Iowa Code section
			 137.105
			 and the total number of members on the district board of health.
c. Proof of approval by all county boards of
			 supervisors and county boards of health involved in the request to form a
			 district and of the elements included in the formation plan.
d. A service delivery plan. The service
			 delivery plan shall detail how population-based and environmental health
			 services will be delivered throughout the district.
e. The budget and fiscal plan for the
			 proposed district health department. The budget plan shall include an estimate
			 of the proposed expenditures and revenues and an allocation of the revenue
			 responsibilities of each of the counties participating in the proposed
			 district.
f. A table of
			 organization.
g. A personnel system
			 description, including identification of the district health department
			 treasurer and district health department auditor and a section which addresses
			 the employment issues contained in Iowa Code section
			 137.110.
h. The location of the district health
			 department offices and workforce throughout the jurisdiction. The request shall
			 include a map showing district boundaries.
i. An inventory of the property and equipment
			 in the custody of each county health department and a description as to whether
			 such property and equipment shall remain in the custody of the county health
			 department or shall be transferred to the district health department to become
			 property of the district health department. Property and equipment include any
			 item which costs more than $5,000.
j. An information technology (IT)
			 plan.
k. A proposed date upon which
			 the district board of health shall be formed and established and a timeline for
			 the adoption of district board of health rules and
			 regulations.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 77 - Local Boards of Health › Rule 641-77.9 - Review, Approval or Denial of District Board of Health Formation

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Upon receipt of
			 the application form and all information contained in rule
			 641-77.8
			 (137), the department shall review such information and shall determine, within
			 30 days, whether the required elements have been presented by the proposed
			 district.
(2) The department shall
			 present its findings to the state board of health at the board's next regularly
			 scheduled meeting, at which time the state board of health may approve
			 formation of the district board of health.
(3) The state board of health shall
			 immediately provide notice of approval of district board of health formation,
			 including effective dates, to the county board of health of each county in the
			 district and to the board of supervisors of each county in the
			 district.
(4) Upon receipt of the
			 notice of approval of district board of health formation, each appointing
			 authority shall, prior to the effective date of district board of health
			 formation, appoint district board of health members as specified in Iowa Code
			 section
			 137.105.
(5) The state board of health has
			 the authority to deny formation of a district board of health if the
			 application fails to conform with Iowa Code chapter 137 as amended by 2016 Iowa
			 Acts, Senate File 2159, or this chapter.
(6) The department will notify, in writing,
			 all local boards of health in the proposed district of the reason and rationale
			 for the denial of the district board of health formation within 30 days of the
			 decision.
(7) The local boards of
			 health in the proposed district shall have the right to request reconsideration
			 of the decision by submitting the request to the department within 30 days of
			 receiving notice of the decision.
(8) The state board of health shall
			 reconsider the request by the local boards of health at its next regularly
			 scheduled meeting. The reconsideration shall not constitute a contested case
			 hearing. The state board of health's final decision following reconsideration
			 shall constitute final agency action pursuant to Iowa Code section
			 17A.19, and
			 judicial review of any such decision shall be treated as other agency
			 action.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 77 - Local Boards of Health › Rule 641-77.10 - Adding to a District Board of Health

Current through Register Vol. 47, No. 3, July 24, 2024
A county may be added to an existing district board of health
				by submission and approval of a request, as specified in Iowa Code sections
				137.106 and
				137.107.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 77 - Local Boards of Health › Rule 641-77.11 - Withdrawal From a District Board of Health

Current through Register Vol. 47, No. 3, July 24, 2024
A county may voluntarily withdraw from a district board of
				health by submitting a request for withdrawal to the department for approval.
				The request shall include a time line and plan to reestablish a county board of
				health or to join a different district board of health to provide the core
				public health functions and essential public health services to the county's
				geographic area.
(1) If the request
			 for withdrawal of the applicant county from the district board of health is
			 approved by the state board of health, an effective date shall be set for the
			 action, and notification shall be sent to the district board of health and the
			 board of supervisors of the applicant county.
(2) The ownership of property and equipment
			 shall follow the guidelines submitted in the original request to form the
			 district board of health.
(3) The
			 remaining counties in the district shall submit an application including the
			 information specified in rule
			 641-77.8
			 (137) to the department for review as provided in Iowa Code section
			 137.107.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 77 - Local Boards of Health › Rule 641-77.12 - Withdrawal From a District Board of Health

Current through Register Vol. 47, No. 3, July 24, 2024
A county may voluntarily withdraw from a district board of
				health by submitting a request for withdrawal to the department for approval.
				The request shall include a time line and plan to reestablish a countyboard of
				health or to join a different district board of health to provide the core
				public health functions and essential public health services to the county's
				geographic area.
(1) If the request
			 for withdrawal of the applicant county from the district board of health is
			 approved by the state board of health, an effective date shall be set for the
			 action, and notification shall be sent to the district board of health and the
			 board of supervisors of the applicant coimty.
(2) The ownership of property and equipment
			 shall follow the guidelines submitted in the original request to form the
			 district board of health.
(3) The
			 remaining counties in the district shall submit an application including the
			 information specified in rule
			 641-77.8
			 (137) to the department for review as provided in Iowa Code section
			 137.107.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 78 - Personal Responsibility Education Program and Title v State Sexual Risk Avoidance Education Grant Program Funding and Restrictions › Rule 641-78.1 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
The purpose of this chapter is to set forth guidelines and
				limitations for the use of funds from the Personal Responsibility Education
				Program (PREP) and the Title V State Sexual Risk Avoidance Education Grant
				Program (SRAE).