reglab/statecodes huggingface dataset:
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 114 - Preparedness Advisory Committee › Rule 641-114.7 - Expenses of Preparedness Advisory Committee Voting Members

Current through Register Vol. 47, No. 3, July 24, 2024
The following may be considered necessary expenses for
				reimbursement of PAC members when incurred on behalf of advisory committee
				business and are subject to established state reimbursement rates:
1. Reimbursement for travel in a private
			 car.
2. Actual lodging and meal
			 expenses, including sales tax on lodging and meals.
3. Actual expense of public
			 transportation.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 122 - Anatomical Gift Public Awareness and Transplantation Fund › Rule 641-122.1 - Scope and Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
The anatomical gift public awareness and transplantation fund
				was established by the legislature as a separate fund consisting of monetary
				contributions collected by county treasurers during the vehicle registration
				process and other contributions to the fund. Not more than 20 percent of the
				moneys in the fund annually may be expended in the form of grants to state
				agencies or to nonprofit legal entities. Not more than 30 percent of the moneys
				in the fund annually may be expended in the form of grants to hospitals for
				reimbursement for costs directly related to the development of in-hospital
				anatomical gift public awareness projects, anatomical gift referral protocols,
				and associated administrative expenses. Any unobligated moneys in the fund
				annually may be expended in the form of grants to transplant recipients,
				transplant candidates, living organ donors, or to legal representatives on
				behalf of transplant recipients, transplant candidates, or living organ donors
				for the reimbursement of out-of-pocket expenses not covered by insurance. These
				rules shall be implemented only to the extent that funding is
				available.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 122 - Anatomical Gift Public Awareness and Transplantation Fund › Rule 641-122.2 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For purposes of this chapter, the following definitions
				apply:
"Anatomical gift"
means a human organ donated
				by a living or deceased person for the purpose of transplantation.
"Caretaker "
means a person who provides care,
				protection, or services to a transplant recipient or living organ donor.
"Department"
means the Iowa department of
				public health.
"Donor"
means an individual whose body or body
				part is the subject of an anatomical gift.
"Human organ "
means an eye, heart, lung,
				liver, pancreas, kidney, cornea, bone, tendon, heart valve, blood vessel, vein,
				or skin.
"Recipient"
means the person receiving a human
				organ via transplant surgery.
"Resident"
means a natural person who
				physically resides in Iowa as the person's principal and primary residence and
				who establishes evidence of such residency by providing the department with one
				of the following:
1. A valid Iowa driver's license,
2. A valid Iowa nonoperator's identification card,
3. A valid Iowa voter registration card,
4. A current Iowa vehicle registration certificate,
5. A utility bill,
6. A statement from a financial institution,
7. A residential lease agreement,
8. A check or pay stub from an employer,
9. A child's school or child care enrollment documents,
10. Valid documentation establishing a filing for homestead or
				military tax exemption on property located in Iowa, or
11. Other valid documentation as deemed acceptable by the
				department to establish residency.
"Transplantation "
means surgically moving a
				human organ from an organ donor to a recipient.
"Transplant social worker "
means the hospital
				social worker assisting the organ donor or recipient.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 122 - Anatomical Gift Public Awareness and Transplantation Fund › Rule 641-122.3 - State Agencies or Nonprofit Legal Entities

Current through Register Vol. 47, No. 3, July 24, 2024
Funding is available for state of Iowa agencies or nonprofit
				legal entities to conduct anatomical gift public awareness projects.
(1)
Eligibility criteria.
To
			 be eligible for a grant, the applicant shall be a state agency or nonprofit
			 legal entity which, through a competitive bid process, submits a plan for an
			 anatomical gift public awareness project.
(2)
Amount of grant.
The
			 department may offer a grant opportunity to state agencies and nonprofit
			 entities through a competitive bid process. The total amount of grant funds
			 awarded to an applicant shall be based on the number of applicants and the
			 availability of funds. Awarded grant funds will be made payable to the
			 applicant.
(3)
Review
			 process.
a. An applicant shall make
			 an application to the program in the manner specified by the department. The
			 department shall follow the requirements for competitive selection contained in
			 641-Chapter 176 in awarding these funds.
b. The department shall establish a request
			 for bids and application process for applicants eligible to receive funding.
			 The application review process and review criteria for preference in awarding
			 the grants shall be described in the request for bids.
c. An applicant may appeal the denial of a
			 properly submitted grant application. Appeals shall be governed by rule
			 641-176.8(135,17A).
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 122 - Anatomical Gift Public Awareness and Transplantation Fund › Rule 641-122.4 - Hospitals

Current through Register Vol. 47, No. 3, July 24, 2024
Funding is available to hospitals for reimbursement for costs
				directly related to the development of in-hospital anatomical gift public
				awareness projects, anatomical gift referral protocols, and associated
				administrative expenses.
(1)
Eligibility criteria.
To be eligible for a grant, the
			 applicant shall be a hospital physically located in Iowa which, through a
			 competitive bid process, submits a plan for an anatomical gift public awareness
			 project or an implementation or improvement of referral protocol.
(2)
Amount of grant.
The
			 department may offer a grant opportunity to Iowa hospitals through a
			 competitive bid process. The total amount of grant funds awarded to an
			 applicant shall be based on the number of applicants and the availability of
			 funds. Awarded grant funds will be made payable to the applicant.
(3)
Review process.
a. An applicant shall make an application to
			 the program in the manner specified by the department. The department shall
			 follow the requirements for competitive selection contained in 641-Chapter 176
			 in awarding these funds.
b. The
			 department shall establish a request for bids and application process for
			 applicants eligible to receive funding. The application review process and
			 review criteria for preference in awarding the grants shall be described in the
			 request for bids.
c. An applicant
			 may appeal the denial of a properly submitted grant application. Appeals shall
			 be governed by rule
			 641-176.8
			 (135,17A).
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 122 - Anatomical Gift Public Awareness and Transplantation Fund › Rule 641-122.5 - Transplant Recipients and Donors

Current through Register Vol. 47, No. 3, July 24, 2024
Funding is available to transplant recipients, donors, and a
				single caretaker for the reimbursement of out-of-pocket expenses not covered by
				insurance.
(1)
Eligibility
			 criteria.
To be eligible for a grant, an applicant (or the applicant's
			 legal representative) must be a U.S. citizen and a resident of the state of
			 Iowa or be a living organ donor to a resident of Iowa who:
a. Has undergone a transplant surgery,
			 or
b. Is in need of dental
			 clearance in order to be placed on a transplant list as maintained by the
			 United Network for Organ Sharing (UNOS), or
c. Has been tested as a potential donor and
			 been rejected.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 124 - Interagency Coordinating Council for the State Medical Examiner › Rule 641-124.1 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
The purposes of the interagency coordinating council for the
				state medical examiner are to provide guidance concerning medicolegal death
				investigation for the state of Iowa, facilitate optimal relationships between
				the state and county medical examiners and other agencies involved in death
				investigation, and provide a venue for both the exchange of information vital
				to the continued operations of the Iowa office of the state medical examiner
				and the effective coordination of the functions and operations of the office of
				the state medical examiner with the needs and interests of the department of
				public safety and the department of public health, with input and guidance from
				the governor's office and other council members.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 124 - Interagency Coordinating Council for the State Medical Examiner › Rule 641-124.2 - Membership

Current through Register Vol. 47, No. 3, July 24, 2024
Members shall include representatives from agencies and
				organizations that are directly involved with the office of the state medical
				examiner and medicolegal death investigation in the state of Iowa.
(1) The interagency coordinating council for
			 the state medical examiner members shall include the following:
a. The state medical examiner or, when the
			 state medical examiner is not available, the deputy state medical
			 examiner;
b. The commissioner of
			 public safety or the commissioner's designee;
c. The director of public health or the
			 director's designee;
d. The
			 governor or the governor's designee;
e. A representative from the office of the
			 attorney general;
f. A
			 representative from the Iowa County Attorneys Association;
g. A representative from the Iowa Medical
			 Society;
h. A representative from
			 the Iowa Association of Pathologists;
i. A representative from the Iowa Association
			 of County Medical Examiners;
j. A
			 representative from the statewide emergency medical system; and
k. A representative from the Iowa Funeral
			 Directors Association.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 124 - Interagency Coordinating Council for the State Medical Examiner › Rule 641-124.3 - Meetings

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The interagency
			 coordinating council shall schedule two meetings per year to be held at the
			 office of the director of public health.
(2) Meetings may be scheduled more frequently
			 or less frequently depending upon the circumstances and the need for
			 consultation.
(3) Meetings may be
			 canceled by any member with the agreement of the other members.
(4) All meetings are open to the public in
			 accordance with the open meetings law, Iowa Code chapter 21.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 124 - Interagency Coordinating Council for the State Medical Examiner › Rule 641-124.4 - Duties

Current through Register Vol. 47, No. 3, July 24, 2024
The interagency coordinating council shall do all of the
				following:
(1) Advise and consult with
			 the state medical examiner on a range of issues affecting the organization and
			 functions of the office of the state medical examiner and the effectiveness of
			 the medical examiner system in the state.
(2) Advise the state medical examiner
			 concerning the assurance of effective coordination of the functions and
			 operations of the office of the state medical examiner with the department of
			 public safety and the department of public health in order to better serve the
			 needs of the citizens of Iowa.
(3)
			 Provide information to council members regarding the current operations and
			 functions of the office of the state medical examiner.
(4) Provide to and receive from the
			 governor's office updated information relevant to the mission of the state
			 medical examiner's office.
(5)
			 Discuss legislative and budgetary decisions that may impact the functions and
			 operations of any agency or member entity represented by the interagency
			 coordinating council.
(6) Elicit
			 council members' suggestions and recommendations to improve the overall
			 operations of the office of the state medical examiner.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 124 - Interagency Coordinating Council for the State Medical Examiner › Rule 641-124.5 - Minutes

Current through Register Vol. 47, No. 3, July 24, 2024
The office of the state medical examiner shall keep minutes of
				all meetings showing the date, time, place, members present, and the general
				topics presented.
(1) The minutes
			 shall be provided to the members of the interagency coordinating council prior
			 to the next scheduled meeting.
(2)
			 The minutes shall be available at the office of the state medical examiner for
			 public inspection Monday through Friday from 8:30 a.m. to 4:30 p.m.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 126 - State Medical Examiner › Rule 641-126.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
"Autopsy"
means the external and internal
				postmortem examination of a deceased person.
"County of appointment"
means the county which
				requests a medical examiner to conduct an investigation, perform or order an
				autopsy, or prepare a report(s) in a death investigation case. The request may
				be authorized by the county attorney or the county medical examiner The county
				of appointment shall be the county in which the death
				occurred.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 126 - State Medical Examiner › Rule 641-126.3 - Fees for Autopsies and Related Services and Reimbursement for Related Expenses

Current through Register Vol. 47, No. 3, July 24, 2024
Autopsies performed by the state medical examiner are provided
				on a fee-for-service basis. Costs of autopsies and related services and
				expenses are the responsibility of the county of appointment. The county of
				residence of the deceased shall reimburse the county of appointment.
(1)
Fee schedule.
The fees
			 collected under this subrule shall be considered repayment receipts as defined
			 in Iowa Code section
			 8.2.
a. The following fees shall apply to
			 autopsies conducted by the state medical examiner:
Autopsy............................... $1400 - Beginning July
				1, 2018, $1900
Copies of reports........................ $20
Exceptions: A copy of the autopsy report is automatically sent
				to the county medical examiner and to the county attorney without fee. A single
				copy of an autopsy report may be provided to the immediate next of kin of the
				deceased without fee. Copies of autopsy reports may be provided to public
				officials and physicians of record for official purposes without fee.
b. The following fee is for time
			 spent reviewing case materials, preparing for deposition or court, testifying
			 in deposition or court, and travel time.
State, deputy, or associate medical examiner(s) time for all
				court cases.................. $450 per hour with a one-hour minimum
c. A cremation permit fee of $75
			 will be assessed for each permit investigated and authorized by the state
			 medical examiner's office.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 126 - State Medical Examiner › Rule 641-126.4 - Fees for Tissue Recovery

Current through Register Vol. 47, No. 3, July 24, 2024
When the tissue recovery room located within the office of the
				state medical examiner is utilized by an authorized tissue recovery agency, a
				fee of $400 per case shall be assessed. The tissue recovery agency is
				responsible for this fee, payable to the office of the state medical
				examiner
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 127 - County Medical Examiners › Rule 641-127.2 - Duties of Medical Examiners-jurisdiction Over Deaths Which Affect the Public Interest

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Jurisdiction.
Upon receiving notification of a death which
			 affects the public interest, a medical examiner shall notify any appropriate
			 law enforcement agency not otherwise notified and shall take charge of the body
			 of the decedent. The body shall not be disturbed or removed from the position
			 in which it was found without authorization from the medical examiner except
			 for the purpose of preserving the body from loss or destruction or permitting
			 the passage of traffic on a highway, railroad, or airport, or unless the
			 failure to remove the body might endanger life, safety, or health.
(2)
Investigation.
A county
			 medical examiner shall conduct a preliminary investigation of the cause and
			 manner of death and shall utilize the investigative protocol outlined in the
			 most current edition of the County Medical Examiner's Handbook, available from
			 the state medical examiner's office. A medical examiner may perform or
			 authorize performance of any scientific study to assist in identifying the
			 cause, circumstances, and manner of death. A medical examiner shall cooperate
			 with other investigating officials and agencies involved and shall share
			 reports, information, and conclusions with these officials and
			 agencies.
(3)
Reports
			 required.
a.
Form
			 ME-1.
(1) Preparation and filing. A
			 countymedical examiner shall prepare a written report of the examiner's
			 findings on the Preliminary Report of Investigation by Medical Examiner, Form
			 ME-1. A county medical examiner shall file the original Form ME-1 with the
			 state medical examiner's office within 14 days of the date of death and shall
			 file a copy of the Form ME-1 with the county attorney within 14 days of the
			 date of the death and shall retain a copy for the medical examiner's
			 records.
(2) Content. Form ME-1
			 shall be completed as fully as possible in light of all available information
			 and may be signed by either a county medical examiner or a county medical
			 examiner investigator acting under the supervision of a countymedical examiner
			 If the cause or manner of death, identity of the decedent, or other information
			 is unknown or pending at the time of filing, "unknown" or "pending" may be
			 written in the appropriate area of the form. If additional information becomes
			 available, this information shall be forwarded to the state medical examiner in
			 written form at such time as it becomes available to be added as a supplement
			 to the file.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 127 - County Medical Examiners › Rule 641-127.3 - Autopsies

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Autopsy
			 required.
A county medical examiner shall perform an autopsy or order
			 that an autopsy be performed in the following cases:
a. All cases of homicide or suspected
			 homicide, irrespective of the period of survival following injury.
b. All cases in which the manner of death is
			 undetermined.
c. All cases
			 involving imidentified bodies.
d.
			 All deaths of children under the age of two when there is not a clear cause of
			 death, including suspected cases of sudden infant death syndrome. A summary of
			 the findings of the autopsy shall be transmitted by the physician who performed
			 the autopsy to the county medical examiner within two days of completion of the
			 report. Autopsies performed on children under the age of two when the
			 circumstances surrounding the death indicate that sudden infant death syndrome
			 may be the cause of death or the cause of death is not clearly explained by
			 known medical history shall conform to Form ME-4.
e. All work- and farm-related deaths unless
			 there is an obvious natural cause of death.
f. All drowning deaths.
g. All deaths of commercial vehicle drivers
			 that occur during the performance of their job duties.
h. Deaths due to poisoning.
i. Deaths of airplane pilots who die as a
			 result of an airplane crash. The National Transportation Safety Board and the
			 Federal Aviation Administration should be contacted prior to the autopsy to
			 request specimen kit(s).
j. Deaths
			 due to a natural disaster, including tornadoes and floods.
k. Deaths in a prison, jail or correctional
			 institution or under police custody, where there is not a natural disease
			 process that accounts for the death.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 127 - County Medical Examiners › Rule 641-127.4 - Fees

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Payment
			 of fee and expenses.
a. A medical
			 examiner shall receive from the county of appointment or the county of the
			 decedent's residence a fee for each preliminary investigation and report
			 submitted in a case in which a death affects the public interest. A county
			 medical examiner shall also receive from the county of appointment or the
			 county of the decedent's residence the examiner's actual expenses. The fee and
			 expenses shall be submitted by the county medical examiner to the county of
			 appointment, which may immediately pay the invoice or forward the invoice to
			 the county of the decedent's residence for payment to the county medical
			 examiner. If the county medical examiner does not receive payment from the
			 county of the decedent's residence within 60 days of receiving the invoice, the
			 county of appointment shall pay the invoice.
b. A pathologist or other physician who
			 performs an autopsy under medical examiner authorization shall be paid for the
			 services by the county of appointment.
c. Invoices produced for services performed
			 by a county medical examiner, deputy county medical examiner or county medical
			 examiner investigator shall be submitted as a joint invoice to the county of
			 appointment when services were rendered in a case by multiple county medical
			 examiner staff.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 127 - County Medical Examiners › Rule 641-127.5 - Death Certificates-deaths Affecting the Public Interest

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Completion.
The funeral director to whom the body is released
			 shall complete the personal data on the death certificate. The medical examiner
			 shall complete the manner of death and cause of death sections of the death
			 certificate within 72 hours after determination of the cause of death. If an
			 autopsy is performed by the state medical examiner, the death certificate shall
			 be submitted to the state medical examiner's office for completion. All
			 information included on the certificate shall be typewritten.
(2)
Filing.
The funeral
			 director shall file the certificate with the county registrar in the countyin
			 which the death occurred. A death certificate shall be filed prior to the
			 issuance of a burial transit permit and prior to disposal of the
			 body.
(3)
Extension of
			 time.
If a medical examiner is unable to complete the manner of death
			 and cause of death sections of the death certificate within the 24-hour time
			 period, the funeral director shall file a death certificate form completed with
			 all available information. Such certificate shall be authority for the issuance
			 of a burial transit permit. Within 15 days, a supplemental report shall be
			 filed with the local registrar which provides the information missing from the
			 original certificate.
(4)
Additional standards.
Additional rules relative to death
			 certificates may be found at 641-Chapter 101.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 127 - County Medical Examiners › Rule 641-127.6 - Cremation

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Permit
			 obtained prior to cremation
-
Form ME-5.
A permit for
			 cremation shall be obtained from a county medical examiner prior to cremation
			 of a body of a decedent. For purposes of this requirement, a facsimile or
			 electronic copy of the cremation permit has the same legal effect as the
			 original. Cremation permits shall be issued on the Cremation Permit by Medical
			 Examiner, Form ME-5.
(2)
Requirements for issuance of permit.
A county medical examiner
			 shall direct an inquiry into the cause and manner of death and shall determine
			 whether the death is one which affects the public interest prior to issuing a
			 cremation permit.
a.
Death which
			 affects the public interest.
If the death occurred in a manner
			 specified in Iowa Code section
			 331.802(3)
			  or if reasonable suspicion that the death
			 occurred in such a manner exists, a medical examiner shall view the body, make
			 a personal inquiry into the cause and manner of death, and complete or cause to
			 be completed all necessary autopsy or postmortem examinations prior to issuing
			 a cremation permit.
b.
Death which does not affect the public interest.
If, following
			 an inquiry into the cause and manner of death, the countymedical examiner
			 determines that the death did not occur in a manner specified in Iowa Code
			 section
			 331.802(3),
			 a medical examiner is not required to view the body prior to issuing a
			 cremation permit. A county medical examiner shall certify on the Cremation
			 Permit by Medical Examiner, Form ME-5, that the medical examiner's inquiry into
			 the cause and manner of death did not disclose evidence that the death occurred
			 in a manner specified in Iowa Code section
			 331.802(3).
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 127 - County Medical Examiners › Rule 641-127.7 - County Medical Examiner Investigators

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Appointment. A
county
			 medical examiner may appoint one or more county medical examiner investigators
			 upon approval by the board of supervisors and the state medical
			 examiner.
(2)
Qualifications.
a. Prior to
			 appointment, a CME-I should possess a minimum of two years of experience as a
			 licensed or certified nurse or medical care provider. A certified peace officer
			 may be appointed to the position of CME-I if a nurse or medical care provider
			 is not available.
b. A CME-I shall
			 satisfy the following criteria:
(1) Prior to
			 or within two years of appointment, attend the St. Louis University School of
			 Medicine Basic Medicolegal Death Investigation Course or its state medical
			 examiner-approved equivalent; and
(2) Prior to or within five years of
			 appointment, obtain certification at the registry-level as a death investigator
			 by the American Board of Medicolegal Death Investigators.
c. A CME-I is not required to meet the
			 requirements of paragraph
"a "
or
"b "
if the
			 individual has functioned in the capacity of a CME-I for a period of five years
			 as of January 1, 2002.
d. If a CME
			 is unable to appoint a CME-I who possesses the qualifications required by
			 paragraph
"a," "b,"
or
"c,"
the CME may request
			 a waiver. Waiver requests shall be submitted in writing to the state medical
			 examiner and shall include the efforts undertaken by the CME to locate a CME-I
			 who meets the above qualifications; the qualifications of the individual
			 willing to serve in the capacity of CME-I; and the period of time for which the
			 waiver is requested, not to exceed two years. The state medical examiner has
			 sole discretion to waive the requirements of this rule and may withdraw or
			 modify a waiver request upon a finding that the CME-I has failed to adequately
			 perform the duties of the position or for other good cause.
e. If a CME-I is unable to meet the
			 eligibility requirements for obtaining registry certification due to the small
			 number of cases requiring investigation in the county of appointment, then a
			 waiver shall be obtained from the state medical examiner in order for the
			 investigator to continue his or her duties. The county medical examiner shall
			 submit a request for a waiver in writing with documentation of the number of
			 deaths occurring in the county of appointment which require death
			 investigation. The waiver must be renewed every five years if the required
			 number of investigations has still not been achieved.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 127 - County Medical Examiners › Rule 641-127.8 - Deputy County Medical Examiners

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Appointment. A
county
			 medical examiner may appoint one or more deputy county medical examiners upon
			 approval by the board of supervisors and the state medical examiner.
(2)
Qualifications.
A DCME
			 shall be licensed in the state of Iowa as a medical or osteopathic physician or
			 surgeon.
(3)
Duties.
			 A
DCME shall serve at the direction of the county medical examiner and
			 may perform any duty of a county medical examiner which is delegated by the
			 county medical examiner to the DCME.
(4)
Fees.
Fees for the
			 services provided by a DCME shall be paid by the county of appointment or by
			 the county of the decedent's residence. A DCME shall also receive from the
			 county of appointment or the county of the decedent's residence reimbursement
			 for actual expenses. The fee and expenses shall be submitted by the DCME to the
			 county of appointment, which may immediately pay the invoice or forward the
			 invoice to the county of the decedent's residence for payment to the DCME. If
			 the DCME does not receive payment from the county of the decedent's residence
			 within 60 days of receiving the invoice, the county of appointment shall pay
			 the invoice.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 127 - County Medical Examiners › Rule 641-127.9 - Failure to Comply With Rules

Current through Register Vol. 47, No. 3, July 24, 2024
If a county medical examiner, deputy countymedical examiner,
				countymedical examiner investigator, pathologist, or other physician fails to
				comply with these rules, the state medical examiner may provide written notice
				of the failure to comply to that individual, the appropriate countymedical
				examiner, and the appropriate county board of supervisors. Within 30 days of
				the date of the notice, the individual to whom the notice was provided shall
				submit a written response to the state medical examiner, outlining a proposed
				corrective action plan. If no response is received within the 30 days or if the
				proposed corrective action plan is unacceptable, the state medical examiner
				shall forward copies of the notice and all pertinent correspondence and
				information to the board of supervisors for the county which appointed the
				individual, notifying the board of the individual's failure to comply with
				these rules.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 127 - County Medical Examiners › Rule 641-127.10 - Confidentiality

Current through Register Vol. 47, No. 3, July 24, 2024
Records and reports of a medical examiner may be confidential
				records pursuant to Iowa Code sections
				22.7(2),
				22.7(5),
				and
				22.7(41)
				 and other provisions of Iowa law. Prior to
				releasing a medical examiner record or report to a member of the public, a
				countymedical examiner may inform the appropriate law enforcement agency, the
				county attorney, and the state medical examiner to determine whether release is
				authorized under Iowa law.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 127 - County Medical Examiners › Rule 641-127.11 - Indemnification

Current through Register Vol. 47, No. 3, July 24, 2024
A board of supervisors shall defend, hold harmless, and
				indemnify a countymedical examiner and any properly appointed staff members to
				the extent provided in Iowa Code chapter 670.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 130 - Emergency Medical Services Advisory Council › Rule 641-130.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purposes of this chapter, the following definitions
				shall apply:
"Chairperson"
means the chair of the advisory
				council, who has been elected by the majority of the advisory council's
				members.
"Department"
means the Iowa department of
				public health.
"Director "
means the director of the Iowa
				department of public health.
"Emergency medical care provider"
means an
				emergency medical care provider as defined in rule
				641-131.1
				(147A).
"Emergency medical services"
or
"EMS"
means emergency medical services as defined in rule
				641-131.1
				(147A).
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 130 - Emergency Medical Services Advisory Council › Rule 641-130.3 - Appointment and Membership

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
			 The EMS advisory council shall be appointed by the director.
(2) The appointments shall be for three-year
			 staggered terms, which shall expire on June 30.
(3) Vacancies shall be filled in the same
			 manner in which the original appointments were made for the balance of the
			 unexpired term.
(4) Membership of
			 the council shall be comprised of individuals nominated from, but not limited
			 to, the following state or national organizations:
a. One physician from each of the following
			 organizations:
(1) Iowa Osteopathic Medical
			 Association.
(2) Iowa Medical
			 Society.
(3) American College of
			 Emergency Physicians.
(4) Iowa
			 Academy of Family Physicians.
(5)
			 University of Iowa Hospitals and Clinics.
(6) American Academy of Emergency
			 Medicine.
(7) American Academy of
			 Pediatrics.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 130 - Emergency Medical Services Advisory Council › Rule 641-130.4 - Officers

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Officers of the
			 advisory council shall be a chairperson and a vice chairperson, who shall be
			 elected at the first meeting of each fiscal year.
a. Officers may serve no more than three
			 consecutive terms as chairperson or vice chairperson.
b. Vacancies in the office of chairperson
			 shall be filled by the vice chairperson.
c. 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 130 - Emergency Medical Services Advisory Council › Rule 641-130.5 - Meetings

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The advisory
			 council shall establish a meeting schedule on an annual basis to conduct
			 business. There shall be a minimum of four meetings per year.
a. Meetings may be scheduled as business
			 requires, but notice to members must be given at least five working days prior
			 to the meeting date.
b. Notice
			 given four weeks in advance is encouraged to accommodate the schedules of
			 professional members.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 131 - Emergency Medical Services-providers-initial Certification-renewal and Reactivation-authority-complaints and Investigations › Rule 641-131.1 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
This chapter establishes the regulations and requirements for
				emergency medical provider initial certification for individuals who have been
				trained to provide emergency and nonemergency medical care at the EMR, EMT,
				AEMT, paramedic or other certification level recognized by the department
				before 2011; describes the authority, permission to practice and scope of
				practice for certified emergency medical care providers in the state of Iowa;
				and establishes the regulations and requirements for renewal, extension and
				reactivation of an emergency medical care provider certification in the state
				of Iowa.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 131 - Emergency Medical Services-providers-initial Certification-renewal and Reactivation-authority-complaints and Investigations › Rule 641-131.3 - Initial Certification

Current through Register Vol. 47, No. 3, July 24, 2024
(1) An individual
			 who has successfully completed the training program requirements at the EMR,
			 EMT, AEMT or paramedic level and has a valid certification with NREMT shall
			 submit the following to the department for initial Iowa emergency medical care
			 provider certification:
a. A completed EMS
			 certification application.
b. An
			 NREMT active certification number.
c. Payment of the initial application
			 fee.
d. Two completed fingerprint
			 cards for background checks.
e.
			 Payment of the background check fee.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 131 - Emergency Medical Services-providers-initial Certification-renewal and Reactivation-authority-complaints and Investigations › Rule 641-131.4 - Background Check Results

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
			 Negative information on the criminal history will not necessarily preclude an
			 individual from certification. The department will directly communicate with
			 the individual to carefully consider the results of the background check. The
			 following will be taken into consideration during the evaluation and analysis:
a. The nature and gravity of the
			 conviction.
b. The length of time
			 between the conviction and the application for certification.
c. Frequency and severity of the criminal
			 activity and child or dependent adult abuse activity included in the background
			 check results.
d. Mitigating
			 factors at the time the activity occurred.
e. Cooperation with federal or state
			 officials in the investigation and treatment/rehabilitation plan.
f. The maturity of the individual at the time
			 of any criminal activity or child or dependent adult abuse
			 activity.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 131 - Emergency Medical Services-providers-initial Certification-renewal and Reactivation-authority-complaints and Investigations › Rule 641-131.5 - Authority

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Authority of emergency medical care provider.
An emergency
			 medical care provider who holds an active Iowa certification issued by the
			 department or has permission to practice in Iowa pursuant to Iowa Code chapter
			 147D may:
a. As a member of a responding
			 authorized service program, render emergency medical care and perform emergency
			 medical care without contacting medical direction if written protocols have
			 been approved by the service program medical director.
b. Function in any hospital or any other
			 entity in which health care is ordinarily provided only when:
(1) Employed by or assigned to a hospital or
			 other entity in which health care is ordinarily provided when under the direct
			 supervision of a physician as a member of an authorized service program, or in
			 an individual capacity, by rendering lifesaving services in the facility in
			 which employed or assigned pursuant to the emergency medical care provider's
			 certification and under direct supervision of a physician, physician assistant,
			 or registered nurse. An emergency medical care provider shall not routinely
			 function without the direct supervision of a physician, physician assistant, or
			 registered nurse. However, when the physician, physician assistant, or
			 registered nurse cannot directly assume emergency care of the patient, the
			 emergency medical care provider may perform, without direct supervision,
			 emergency medical care procedures for which certified, if the life of the
			 patient is in immediate danger and such care is required to preserve the
			 patient's life;
(2) Employed by or
			 assigned to a hospital or other entity in which health care is ordinarily
			 provided when under the direct supervision of a physician, as a member of an
			 authorized service program, or in an individual capacity, to perform
			 nonlifesaving procedures for which certified and designated in a written job
			 description. Such procedures may be performed after the patient is observed by
			 and when the emergency medical care provider is under the supervision of the
			 physician, physician assistant, or registered nurse and where the procedure may
			 be immediately abandoned without risk to the patient.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 131 - Emergency Medical Services-providers-initial Certification-renewal and Reactivation-authority-complaints and Investigations › Rule 641-131.6 - Renewal Standards, Reactivation Procedures, Fees, and Continuing Education

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Renewal of certification.
a.
			 An emergency medical care provider shall submit an application for renewal of
			 an active Iowa EMS certification within 90 days prior to the certification
			 expiration date.
b. The renewal
			 application and process are completed online via an individual Iowa EMS
			 provider account. The electronic portal to access individual accounts is
			 located at:
dphregprograms.iowa.gov/PublicPortal/Iowa/IDPH/common/index.jsp
.
c. Renewal notifications will be sent to Iowa
			 emergency medical care providers who have an active certification set to expire
			 in 90 days. The notification will be sent by email to the address on file in
			 the emergency medical care provider's electronic profile.
d. It is the emergency medical care
			 provider's responsibility to ensure the electronic profile information,
			 including the email address, is updated and correct within 30 days of any
			 change.
e. A renewal certificate
			 shall be valid for two years from the current expiration date unless sooner
			 surrendered, suspended or revoked.
f. A lower-level certificate may be renewed
			 if the individual voluntarily chooses to move from a higher level to a lower
			 level by completing all applicable continuing education requirements for the
			 lower level during the certification period and submitting a change of status
			 request, available on the BETS website
(idph.iowa.gov/BETS/EMS)
.
g. A certification status shall become
			 inactive if the certificate has not been renewed by the certification
			 expiration date unless the emergency medical care provider is granted an
			 extension as described in subrule 131.6(3).
h. An emergency medical care provider may
			 request an inactive status. The request must be made by submitting a change of
			 status request, available on the BETS website
(idph.iowa.gov/BETS/EMS)
. A request for inactive
			 status, when accepted in connection with a disciplinary investigation or
			 proceeding, has the same effect as an order of revocation.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 131 - Emergency Medical Services-providers-initial Certification-renewal and Reactivation-authority-complaints and Investigations › Rule 641-131.7 - Discipline-denial, Citation and Warning, Probation, Suspension, or Revocation of Certificates or Renewal

Current through Register Vol. 47, No. 3, July 24, 2024
(1) This rule
			 is not subject to waiver pursuant to 641-Chapter 178 or any other provision of
			 law.
(2) Prohibited grounds for
			 discipline. The department shall not suspend or revoke the certification of a
			 person who is in default or is delinquent on repayment or a service obligation
			 under federal or state postsecondary educational loans or public or private
			 services-conditional postsecondary tuition assistance solely on the basis of
			 such default or delinquency.
(3)
			 Methods of discipline.
a. The department has
			 the authority to impose the following disciplinary sanctions against an
			 emergency medical care provider:
(1) Issue a
			 citation and warning.
(2) Impose a
			 civil penalty not to exceed $1,000.
(3) Require reexamination.
(4) Require additional education or
			 training.
(5) Impose a period of
			 probation under specific conditions.
(6) Prohibit permanently, until further order
			 of the department, or for a specific period, aprovider's ability to engage in
			 specific procedures, methods, acts or activities incident to the practice of
			 the profession.
(7) Suspend a
			 certificate until further order of the department or for a specific
			 period.
(8) Deny an application for
			 certification.
(9) Revoke a
			 certification.
(10) Impose such
			 other sanctions as allowed by law and as may be appropriate.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 131 - Emergency Medical Services-providers-initial Certification-renewal and Reactivation-authority-complaints and Investigations › Rule 641-131.8 - Certification Denial

Current through Register Vol. 47, No. 3, July 24, 2024
(1) An
			 individual who has been denied certification by the department may appeal the
			 denial and request a hearing on the issues related to the licensure denial by
			 serving a notice of appeal and request for hearing upon the department not more
			 than 20 days following the date of mailing of the notification of certification
			 denial to the individual. The request for hearing shall specifically delineate
			 the facts to be contested at hearing.
(2) All hearings held pursuant to this rule
			 shall be held pursuant to the process outlined in this chapter
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 131 - Emergency Medical Services-providers-initial Certification-renewal and Reactivation-authority-complaints and Investigations › Rule 641-131.9 - Emergency Adjudicative Proceedings

Current through Register Vol. 47, No. 3, July 24, 2024
To the extent necessary to prevent or avoid immediate danger to
				the public health, safety or welfare and consistent with the Constitution and
				other provisions of law, the department may issue a written order in compliance
				with Iowa Code section 17A. 18 to suspend a certificate in whole or in part,
				order the cessation of any continuing activity, order affirmative action, or
				take other action within the jurisdiction of the department by emergency
				adjudicative order.
(1) Before issuing
			 an emergency adjudicative order, the department shall consider factors
			 including, but not limited to, the following:
a. Whether there has been a sufficient
			 factual investigation to ensure that the department is proceeding on the basis
			 of reliable information;
b. Whether
			 the specific circumstances which pose immediate danger to the public health,
			 safety or welfare have been identified and determined to be
			 continuing;
c. Whether the
			 individual required to comply with the emergency adjudicative order may
			 continue to engage in other activities without posing immediate danger to the
			 public health, safety or welfare;
d. Whether imposition of monitoring
			 requirements or other interim safeguards would be sufficient to protect the
			 public health, safety or welfare; and
e. Whether the specific action contemplated
			 by the department is necessary to avoid the immediate danger.