SF 474 — A bill for an act relating to services and support for youth, including treatment, physical assessments, and behavioral health evaluations for youth involved in juvenile delinquency and child in need of assistance proceedings; the licensing and certification of certain residential facilities; the provision of home and community-based services and habilitation services to certain youth by residential programs; administration and supervision of juvenile court services; and the suspension of Hawki eligibility for inmates of public institutions.
Last action — Signed by Governor.
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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✓In Committee
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✓Passed Senate
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✓Passed House
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced March 03, 2025. Enacted.
Signed by Governor Kim Reynolds (Republican) on May 19, 2025.
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Enacted
Current position in the legislative process.
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1 sponsor
1 primary, 0 co-sponsors signed on.
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Cleared a recorded vote
Passed 3 recorded votes so far.
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Bill Text
What changed in the latest version
1122 added · 1193 removedPlain-language change summary
The recent changes to Senate File 474 include the addition of a new paragraph specifically defining "psychiatric medical institutions" and the clarification of the term "mental health disorder" to align with the latest criteria from the American Psychiatric Association’s diagnostic manual. These updates enhance the bill's clarity and ensure that the definitions used are current, which is vital for effective implementation of mental health services for youth involved in the juvenile justice system. This matters because it helps standardize care and improves understanding of the mental health services needed for vulnerable youth populations.
Senate File 474 - ReprintedEnrolled SENATESenate FILEFile 474 BYAN COMMITTEEACT ONRELATING HEALTHTO AND HUMAN SERVICES (SUCCESSORAND TOSUPPORT SSBFOR 1120)YOUTH, (AsINCLUDING AmendedTREATMENT, andPHYSICAL PassedASSESSMENTS, byAND theBEHAVIORAL SenateHEALTH AprilEVALUATIONS 16, 2025) A BILL FOR AnYOUTH ActINVOLVED relatingIN toJUVENILE servicesDELINQUENCY andAND supportCHILD forIN youth,NEED includingOF treatment,ASSISTANCE physicalPROCEEDINGS; assessments, and behavioral health evaluations for youth involved in juvenile delinquency and child in need of assistance proceedings;
theTHE licensingLICENSING andAND certificationCERTIFICATION ofOF certainCERTAIN residentialRESIDENTIAL facilities;FACILITIES;
theTHE provisionPROVISION ofOF homeHOME andAND community-basedCOMMUNITY-BASED servicesSERVICES andAND habilitationHABILITATION servicesSERVICES toTO certainCERTAIN youthYOUTH byBY residentialRESIDENTIAL programs;PROGRAMS;
administrationADMINISTRATION andAND supervisionSUPERVISION ofOF juvenileJUVENILE courtCOURT services;SERVICES;
andAND theTHE suspensionSUSPENSION ofOF HawkiHAWKI eligibilityELIGIBILITY forFOR inmatesINMATES ofOF publicPUBLIC institutions.INSTITUTIONS.
SFDIVISION 474I (7)SERVICES 91AND dg/ko/mbSUPPORT S.F.FOR CHILDREN AND YOUTH Section 1.
474 DIVISION I SERVICES AND SUPPORT FOR CHILDREN AND YOUTH Section 1.
NEW PARAGRAPH.PARAGRAPH .
1.Senate File 474, p.
2 1.
Services must be based upon a diagnostic evaluation, which includes an examination a physical assessment and behavioral health evaluation of the medical, SFpsychological, 474social, (7)behavioral, 91and -1-developmental dg/ko/mbaspects 1/33of S.F.the child’s youth’s situation, reflecting the need for inpatient care.
474 psychological, social, behavioral, and developmental aspects of the child’s youth’s situation, reflecting the need for inpatient care.
“Mental health disorder” means anya mental disorder as defined by the most recent version of the following:diagnostic and statistical manual of mental disorders published by the American psychiatric association.
a.
A mental disorder as defined by the most recent version of the diagnostic and statistical manual of mental disorders published by the American psychiatric association.
b.
A mental disorder included in the mental, behavioral, or neurodevelopmental disorders chapter in the most recent version of the international classification of diseases published by the world health organization.
The individual has at least two years of post-degree clinicalSenate experience,File supervised474, byp. another mental health professional, in assessing mental health needs and problems and in providing appropriate mental health services.
3 clinical experience, supervised by another mental health professional, in assessing mental health needs and problems and in providing appropriate mental health services.
“Psychiatric medical institution for children” or “psychiatric institution” means an institution providing more than twenty-four hours of continuous care involving long-term psychiatric services to three or more children youth in SFresidence 474for (7)expected 91periods -2-of dg/ko/mbfourteen 2/33or S.F.more days for an assessment, evaluation, and diagnosis and evaluation or for expected periods of ninety days or more for treatment.
474 residence for expected periods of fourteen or more days for an assessment, evaluation, and diagnosis and evaluation or for expected periods of ninety days or more for treatment.
“Supervision” means direct oversight and inspection ofSenate theFile an474, actp. of accomplishing that accomplishes a function or activity.
4 of the an act of accomplishing that accomplishes a function or activity.
A psychiatric medical institution for children shall provide shelter, food, supervision, care, assessment, evaluation, diagnosis, treatment, counseling, rehabilitative SFservices, 474and (7)related 91professional-directed -3-services dg/ko/mbto 3/33youth S.F.who have a serious emotional disturbance, a substance use disorder, or both, with the intention of reducing or ameliorating the disorder, the symptoms of the disorder, or the effects of the disorder.
474 services, and related professional-directed services to youth who have a serious emotional disturbance, a substance use disorder, or both, with the intention of reducing or ameliorating the disorder, the symptoms of the disorder, or the effects of the disorder.
135H.4Senate Licensure.File 474, p.
5 135H.4 Licensure.
A person shall not establish, operate, or maintain a psychiatric medical institution for children unless the person obtains a license for the institution under this chapter and either holds a license under section 237.3, subsection 2, paragraph “a”, as a comprehensive residential facility for SFchildren 474or (7)holds 91a -4-license dg/ko/mbunder 4/33section S.F.125.13, if the facility provides substance use disorder treatment under chapter 237, and holds a license under this chapter .
474 children or holds a license under section 125.13, if the facility provides substance use disorder treatment under chapter 237, and holds a license under this chapter.
The department has ascertained that the applicant’s medicalSenate facilitiesFile and474, staffp. are adequate to provide the care and services required of a psychiatric medical institution for SF 474 (7) 91 -5- dg/ko/mb 5/33 S.F.
4746 children.medical facilities and staff are adequate to provide the care and services required of a psychiatric medical institution for children .
The proposed psychiatric institution is under the direction of an agency which has operated a facility licensed under section 237.3, subsection 2, paragraph “a”, as a SFcomprehensive 474residential (7)facility 91for -6-children dg/ko/mbfor 6/33three S.F.years or of an agency which has operated a facility for three years Senate File 474, p.
4747 comprehensive residential facility for children for three years or of an agency which has operated a facility for three years providing psychiatric services exclusively to children or adolescents and the facility meets or exceeds requirements for licensure under section 237.3, subsection 2, paragraph “a”, as a comprehensive residential facility for children.
Notwithstanding subsection 1, paragraph “d”, and subsection 22, , the provision of services using those excess beds SFdoes 474not (7)require 91a -7-review dg/ko/mbby 7/33the S.F.department of health and human services.
474 does not require a review by the department of health and human services.
If a person who has been convicted of a crime or has a record of founded child abuse is being considered for licensure underSenate thisFile chapter,474, orp. for employment with a psychiatric institution involving direct responsibility for a child youth or with access to a child youth when the child youth is alone, by a licensed psychiatric institution, or if a person will reside residence in a facility utilized by a licensee, and if the person has been convicted of a crime or has a record of founded child abuse, the record check evaluation system and the licensee for an employee of the licensee considering the person for employment shall perform an evaluation to determine whether the crime or founded child abuse warrants prohibition of licensure, employment, or residence in the facility utilized by a licensee.
8 under this chapter, or for employment with a psychiatric institution involving direct responsibility for a child youth or with access to a child youth when the child youth is alone, by a licensed psychiatric institution, or if a person will reside residence in a facility utilized by a licensee, and if the person has been convicted of a crime or has a record of founded child abuse, the record check evaluation system and the licensee for an employee of the licensee considering the person for employment shall perform an evaluation to determine whether the crime or founded child abuse warrants prohibition of licensure, employment, or residence in the facility utilized by a licensee.
This chapter shall not be construed as prohibiting the use of to prohibit funds appropriated for foster care to from being used to provide payment to a psychiatric medical institution for children for the financial participation SFrequired 474of (7)a 91child -8-youth dg/ko/mbwhose 8/33foster S.F.care placement is in a psychiatric medical institution for children.
474 required of a child youth whose foster care placement is in a psychiatric medical institution for children.
1.Senate File 474, p.
Show all 144 changed lines (104 more)
9 1.
(1) The chief medical officer of the hospital or facility at which the respondent is placed shall report to the court and make a recommendation for disposition of the matter SFno 474more (7)than 91fifteen -9-days dg/ko/mbafter 9/33the S.F.date the respondent is placed, making a recommendation for disposition of the matter at the hospital or facility.
474 no more than fifteen days after the date the respondent is placed, making a recommendation for disposition of the matter at the hospital or facility.
(1) Upon request, the court may grant the chief medical officer an extension of time may be granted, not to exceed sevenSenate days,File upon474, ap. showing of cause.
A10 copyseven ofdays, theupon reporta shallshowing be sent to the The respondent’s attorney, who may contest the need for an extension of timecause. if one is requested.
A copy of the report shall be sent to the The respondent’s attorney, who may contest the need for an extension of time if one is requested .
If the chief medical officer fails to report to the court within fifteen days after the individual is placed under the care of the hospital or facility the time specified in paragraph “a”, and an extension of time has not been requested granted,granted , the chief medical officer is guilty of contempt and shall be punished under chapter 665.
(1) If the court orders placement and treatment of the SFa 474respondent (7)on 91an -10-inpatient dg/ko/mbbasis 10/33under S.F.this section, the court may order the respondent placed under the care of an appropriate subacute care facility licensed under chapter 135G.
474 a respondent on an inpatient basis under this section, the court may order the respondent placed under the care of an appropriate subacute care facility licensed under chapter 135G.
NEWSenate SUBSECTIONFile .474, p.
11 NEW SUBSECTION .
NEW SUBSECTION.SUBSECTION .
“Juvenile court social records” or “social records” means all records, other than official records, made with respect to a child in connection with proceedings over which the court has jurisdiction under this chapter other than official records and includes but is not limited to the records made and compiled SFby 474intake (7)officers, 91predisposition -11-reports, dg/ko/mband 11/33reports S.F.of physical assessments and mental examinations behavioral health evaluations.
474 by intake officers, predisposition reports, and reports of physical assessments and mental examinations behavioral health evaluations.
Following Any time after the entry of an order of adjudication under section 232.47, the court may, after a hearing which may be simultaneous with the adjudicatory hearingSenate ,File order474, ap. physical assessment or mental examination behavioral health evaluation of a child if it the court finds that an examination a physical assessment or a behavioral health evaluation is necessary to determine the child’s physical condition or mental to determine if the child has a behavioral health condition.
12 hearing , order a physical assessment or mental examination behavioral health evaluation of a child if it the court finds that an examination a physical assessment or a behavioral health evaluation is necessary to determine the child’s physical condition or mental to determine if the child has a behavioral health condition.
The court may consider chemical dependency as either a physical condition or mental behavioral health condition and may consider a chemical dependency evaluation as either a physical assessment or mental examination behavioral health evaluation.evaluation .
A hearing to order a physical assessment or behavioral health evaluation may be held at the same time as the SFadjudicatory 474hearing. (7) 91 -12- dg/ko/mb 12/33 S.F.
474 adjudicatory hearing.
When possible an examination, a physical assessment or behavioral health evaluation shall be conducted on an outpatient basis, but.but .
However, if deemed necessary by the court, the court may, if it deems necessary commit order the child to a suitable hospital, facility, or institution for the purpose of examination an inpatient physical assessment or an inpatient behavioral health evaluation.evaluation .
(1) The court finds such examination a physical assessment or a behavioral health evaluation to be in the best interest ofSenate theFile child;474, p.
and.13 of the child;
and .
(1) An examination A physical assessment or behavioral health evaluation shall be conducted on an outpatient basis unless the court, the child’s counsel, and the child’s parent, guardian, or custodian agree that it is necessary the child should be committed ordered to a suitable hospital, SFfacility, 474or (7)institution 91for -13-the dg/ko/mbpurpose 13/33of S.F.examination an inpatient physical assessment or an inpatient behavioral health evaluation.
474 facility, or institution for the purpose of examination an inpatient physical assessment or an inpatient behavioral health evaluation.
AsSenate usedFile in474, thisp. subsection and this part:
14 As used in this subsection and this part:
SFb. 474 (7) 91 -14- dg/ko/mb 14/33 S.F.
474A b.person required to make a report under subsection 1, other than a physician whose professional practice does not regularly involve providing primary health care to children, shall complete the core training curriculum relating to the identification and reporting of child abuse within six months of initial employment or self-employment involving the examination physical assessments or behavioral health evaluations , or attending, counseling, or treatment of treating children on a regular basis.
A person required to make a report under subsection 1, other than a physician whose professional practice does not regularly involve providing primary health care to children, shall complete the core training curriculum relating to the identification and reporting of child abuse within six months of initial employment or self-employment involving the examination physical assessments or behavioral health evaluations, or attending, counseling, or treatment of treating children on a regular basis.
A person who is required to report suspected child abuse may take or perform, or may cause to be taken or performedperformed, , at public expense, photographs, X rays, or other physical examinations assessments, or other tests of a child which would provide medical indication of allegations arising fromSenate anFile assessment.474, p.
SF15 474from (7)an 91assessment. -15- dg/ko/mb 15/33 S.F.
474 b.
The person who made notification,notification , and shall retain the photographs, or X rays, or examination physical assessment or other test findings for a reasonable time following the notification.
Whenever the person is required to report under section 232.69, in that person’s capacity as a member of the staff of a medical or other private or public institution, agency or facility, that person shall immediately notify the person in charge of the institution, agency, or facility or that person’s designated delegate of the need for photographs, or X rays or examinationsexaminations, , physical assessments, or other tests.
(4) There is reasonable cause to believe that a request for consent would further endanger the child, or therethere. .
(5) There is reasonable cause to believe that a request for consent will cause the parent, guardian, or legal custodian person responsible for the care of the child to take flight SFwith 474the (7)child. 91 -16- dg/ko/mb 16/33 S.F.
474 with the child.
(1)Senate TheFile refusal474, orp. failure of the person responsible for the care of the child to comply with the request of a peace officer, juvenile court officer, or child protection worker for such the person to obtain and provide to the requester the results of a physical assessment or mental examination behavioral health evaluation of the child.
16 (1) The refusal or failure of the person responsible for the care of the child to comply with the request of a peace officer, juvenile court officer, or child protection worker for such the person to obtain and provide to the requester the results of a physical assessment or mental examination behavioral health evaluation of the child.
(2) The child’s parent, guardian, or legal custodian is absent, oror. .
(3) The child’s parent, guardian, or custodian, though present, was asked and refused to provide written consent to the examination physical assessment or the behavioral health evaluation.evaluation .
The juvenile court has entered an ex parte order SFdirecting 474the (7)removal 91of -17-the dg/ko/mbchild 17/33from S.F.the child’s home or a child care facility under this section.
474 directing the removal of the child from the child’s home or a child care facility under this section.
When there has been an emergency removal or keeping of a childSenate withoutFile a474, courtp. order, a physical examination assessment of the child by a licensed medical practitioner shall be performed within twenty-four hours of such the emergency removal or keeping of a child , unless the child is returned to the child’s home within twenty-four hours of the emergency removal or keeping of a child.
17 child without a court order, a physical examination assessment of the child by a licensed medical practitioner shall be performed within twenty-four hours of such the emergency removal or keeping of a child , unless the child is returned to the child’s home within twenty-four hours of the emergency removal or keeping of a child .
(3) The parent, guardian, or custodian, though present, was asked and refused to authorize the examination physical assessment or the behavioral health evaluationevaluation. .
SFb. 474 (7) 91 -18- dg/ko/mb 18/33 S.F.
474 b.
232.98 Physical and mental examinations assessments and behavioral health evaluations —— child in need of assistanceassistance. .
Except as provided in section 232.78, subsection 5, a physical assessment or mental examination behavioral health evaluationSenate ofFile the474, ap. child may be ordered only after the filing of a petition pursuant to section 232.87, and after a hearing to determine whether an examination a physical assessment or behavioral health evaluation is necessary to determine the child’s physical condition or mental if the child has a behavioral health condition.
18 evaluation of the a child may be ordered only after the filing of a petition pursuant to section 232.87, and after a hearing to determine whether an examination a physical assessment or behavioral health evaluation is necessary to determine the child’s physical condition or mental if the child has a behavioral health condition.
(1) Probable cause exists to believe that the child is a child in need of assistance pursuant to section 232.96A, SFsubsection 4745 (7)or 916. -19- dg/ko/mb 19/33 S.F.
474 subsection 5 or 6.
An examination A physical assessment or a behavioral health evaluation ordered after the adjudication shall be conducted on an outpatient basis when possible, butbut. .
However, if deemed necessary by the court, the court may commit order the child to a suitable nonsecure hospital, facility, or institution for the purpose of examination an inpatient physical assessment or an inpatient behavioral health evaluationSenate forFile a474, periodp. not to exceed thirty days.
19 evaluation for a period not to exceed thirty days.
SF1. 474 (7) 91 -20- dg/ko/mb 20/33 S.F.
474 1.
If all or part of the amount that the parents are ordered to pay is subsequently paid by the county or state, the judgment and lien shallSenate thereafterFile be474, againstp. each of the parents in favor of the county to the extent of the county’s payments and in favor of the state to the extent of the state’s payments.
20 shall thereafter be against each of the parents in favor of the county to the extent of the county’s payments and in favor of the state to the extent of the state’s payments.
If a child is given A physical or mental examinations assessment, behavioral health evaluation, or any treatment relating to an assessment performed pursuant to section 232.71B, shall be paid by the state if physical assessment, behavioral health evaluation, or other treatment was performed with the consent of the child’s parent, guardian, or legal SFcustodian 474and (7)no 91other -21-provision dg/ko/mbof 21/33law S.F.otherwise requires payment for the costs of the examination and treatment, the costs shall be paid by the state .
474 custodian and no other provision of law otherwise requires payment for the costs of the examination and treatment, the costs shall be paid by the state.
Rules governing the application of aSenate protectiveFile locked474, environmentp. to a children’s residential facility shall be adopted by the department.
21 a protective locked environment to a children’s residential facility shall be adopted by the department.
SF2. 474 (7) 91 -22- dg/ko/mb 22/33 S.F.
474 2.
The department of health and human services shall convene representatives of the department of health and human services,Senate theFile courts474, andp. practitioners involved in civil commitment and juvenile justice proceedings, law enforcement and corrections, hospital systems, service providers, individuals with lived experience and their families, and four members of the general assembly to review the systems and related services and supports for youth, including but not limited to the civil commitment and treatment provisions under chapters 125 and 229, and the juvenile delinquency SF 474 (7) 91 -23- dg/ko/mb 23/33 S.F.
47422 services, the courts and practitioners involved in civil commitment and juvenile justice proceedings, law enforcement and corrections, hospital systems, service providers, individuals with lived experience and their families, and four members of the general assembly to review the systems and related services and supports for youth, including but not limited to the civil commitment and treatment provisions under chapters 125 and 229, and the juvenile delinquency and child in need of assistance provisions under chapter 232.
The department of health andSenate humanFile services474, shallp. adopt rules pursuant to chapter 17A to require that the care furnished by an entity under section 237C.1, subsection 2, paragraph “j”, as enacted in this division of this Act, shall be provided to persons under SF 474 (7) 91 -24- dg/ko/mb 24/33 S.F.
47423 and human services shall adopt rules pursuant to chapter 17A to require that the care furnished by an entity under section 237C.1, subsection 2, paragraph “j”, as enacted in this division of this Act, shall be provided to persons under eighteen years of age in settings separate from individuals over the age of twenty-one.
The chief juvenile court officer shall assist the state court administrator and the district court administrator director of juvenile court services in implementing the rules, directives, and procedures of the judicial branch and the SFSenate 474File (7)474, 91p. -25- dg/ko/mb 25/33 S.F.
47424 judicial district.
The chief juvenile court officer may employ, shall supervise, and may remove for cause with due process secretarial, clerical, and other staff within juvenile court service offices as authorized by the chief judge director of juvenile court services.services .
Following the first thirty days of commitment, the department shall suspend, but not terminate, the eligibility of an eligible child who is an inmate of a public institution as SFdefined 474in (7)42 91C.F.R. -26- dg/ko/mb 26/33 S.F.
474§435.1010, definedwho is enrolled in 42the C.F.R.medical assistance program under this chapter at the time of commitment to the public institution, and who remains eligible for medical assistance under this chapter except for the eligible child’s Senate File 474, p.
§435.1010,25 who is enrolled in the medical assistance program under this chapter at the time of commitment to the public institution, and who remains eligible for medical assistance under this chapter except for the eligible child’s institutional status, during the entire period of the eligible child’s commitment to the public institution.
A hospital providing care or treatment to persons with a substance use disorder licensed under chapter 135B which is accredited by the joint commission on the accreditation of health care organizationsorganizations, , the commission on accreditation of rehabilitation facilities, the American osteopathic association, or another recognized organization approved by the department.
A hospital substance use disorder treatment program that is accredited or licensed by the joint commission on the SFaccreditation 474of (7)health 91care -27-organizations dg/ko/mb, 27/33the S.F.commission on the accreditation of rehabilitation facilities, the American osteopathic association, or another recognized organization approved by the department.
474 accreditation of health care organizations, the commission on the accreditation of rehabilitation facilities, the American osteopathic association, or another recognized organization approved by the department.
125.43ASenate PrescreeningFile ——474, exception.p.
26 125.43A Prescreening —— exception.
The department’s final findings or the final survey findings of the joint commission on the accreditation of health care organizations or the American osteopathic association with respect to compliance by a hospital or rural emergency hospital SFwith 474requirements (7)for 91licensing -28-or dg/ko/mbaccreditation 28/33shall S.F.be made available to the public in a readily available form and place.
474 with requirements for licensing or accreditation shall be made available to the public in a readily available form and place.
The name of a person who files a complaint with the department shall remain confidential and shall not beSenate subjectFile to474, discovery,p. subpoena, or other means of legal compulsion for its release to a person other than department employees or agents involved in the investigation of the complaint.
27 be subject to discovery, subpoena, or other means of legal compulsion for its release to a person other than department employees or agents involved in the investigation of the complaint.
The rules regarding acceptance of inspection by the joint commission on accreditation of health care organizations shall include recognition, in lieu of inspection by the department, of comparable inspections and inspection findings of the joint SFcommission 474on (7)accreditation 91of -29-health dg/ko/mbcare 29/33organizations S.F., if the department is provided with copies of all requested materials relating to the inspection process.
474 commission on accreditation of health care organizations, if the department is provided with copies of all requested materials relating to the inspection process.
The department is responsibleSenate toFile provide474, thep. necessary personnel to inspect the hospice program, the home care and inpatient care provided and the hospital or facility used by the hospice to determine if the hospice complies with necessary standards before a license is issued.
Hospices28 thatresponsible areto certifiedprovide asthe Medicarenecessary hospicepersonnel providersto byinspect the department,hospice orprogram, arethe accreditedhome ascare hospicesand byinpatient care provided and the jointhospital commissionor onfacility used by the accreditationhospice ofto healthdetermine careif organizationsthe ,hospice shallcomplies bewith licensednecessary withoutstandards inspectionbefore bya thelicense department.is issued.
Hospices that are certified as Medicare hospice providers by the department, or are accredited as hospices by the joint commission on the accreditation of health care organizations, shall be licensed without inspection by the department.
(4) Give recognition to the standards of the joint commission on the accreditation of health care organizations SFand 474the (7)American 91osteopathic -30-association, dg/ko/mband 30/33to S.F.the conditions of participation under Medicare.
474 and the American osteopathic association, and to the conditions of participation under Medicare.
Notice of the pendency of the case shall be served upon the known parents, guardians, or legal custodians of a child if these persons are not summoned to appear as provided in subsectionSenate 1.File 474, p.
29 subsection 1.
The performance of reasonable efforts to place a child for adoption or with a guardian may be made concurrently with SFmaking 474reasonable (7)efforts 91as -31-defined dg/ko/mbin 31/33this S.F.section.
474 making reasonable efforts as defined in this section.
5.Senate File 474, p.
30 5.
If an agency is accredited by the joint commission on the accreditation of health care organizations under the joint commission’s consolidated standards for residential settings or by the council on accreditation of services for families and children , the department shall modify facility licensure SFstandards 474applied (7)to 91the -32-agency dg/ko/mbin 32/33order S.F.to avoid duplicating standards applied through accreditation.
474______________________________ standards______________________________ appliedAMY toSINCLAIR PAT GRASSLEY President of the agencySenate Speaker of the House I hereby certify that this bill originated in orderthe toSenate avoidand duplicatingis standardsknown appliedas throughSenate accreditation.File 474, Ninety-first General Assembly.
SF______________________________ 474W. (7) 91 -33- dg/ko/mb 33/33
CHARLES SMITHSON Secretary of the Senate Approved _______________, 2025 ______________________________ KIM REYNOLDS Governor
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Section 125.13
A psychiatric medical institution for children licensed under chapter 135H, unless the psychiatric medical institution for children provides substance use disorder services.
This addition specifies a condition for psychiatric medical institutions for children regarding substance use disorder services.
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Section 135H.1
“Approved qualifying organization” means any of the following: a. The joint commission. b. The commission on accreditation of rehabilitation facilities. c. The council on accreditation. d. A nationally recognized accrediting organization with standards comparable to the entities listed in paragraphs “a” through “c” that are acceptable under federal regulations. e. An entity specified by rule adopted by the department in consultation with the department of health and human services.This change updates the definition of 'approved qualifying organization' without altering its meaning.
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Section 135H.1
“Direction” means authoritative policy or procedural guidance for the accomplishment of a function or an activity.→ “Direction” means authoritative policy or procedural guidance for the accomplishment of a function or activity.The definition of 'direction' is clarified.
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Section 135H.1
“Medical care plan” means a plan of care and services designed to eliminate the need for inpatient care by improving the condition of a child youth. Services must be based upon a diagnostic evaluation, which includes an examination a physical assessment and behavioral health evaluation of the medical, psychological, social, behavioral, and developmental aspects of the child’s youth’s situation, reflecting the need for inpatient care.→ “Medical care plan” means a plan of care and services designed to eliminate the need for inpatient care by improving the condition of a youth. Services must be based upon a diagnostic evaluation, which includes a physical assessment and behavioral health evaluation of the medical, psychological, social, behavioral, and developmental aspects of the youth's situation, reflecting the need for inpatient care.This change standardizes the terminology referring to 'youth' instead of 'child'.
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Section 135H.1
“Mental health professional” means an individual who has all of the following qualifications: a. The individual holds at least a master’s degree in a mental health field, including but not limited to, psychology, counseling and guidance, nursing, and or social work, or the individual is a physician. b. The individual holds a current Iowa license if practicing in a field covered by that requires an Iowa licensure law license. c. The individual has at least two years of post-degree clinical experience, supervised by another mental health professional, in assessing mental health needs and problems and in providing appropriate mental health services.This change clarifies the qualifications required for a mental health professional in the context.
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Section 135H.3
A psychiatric medical institution for children shall provide shelter, food, supervision, care, assessment, evaluation, diagnosis, treatment, counseling, rehabilitative services, and related professional-directed services to youth who have a serious emotional disturbance, a substance use disorder, or both, with the intention of reducing or ameliorating the disorder, the symptoms of the disorder, or the effects of the disorder.The scope of services provided by psychiatric medical institutions for children is clearly defined.
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Section 135H.4
A person shall not establish, operate, or maintain a psychiatric medical institution for children unless the person obtains a license for the institution under this chapter and either holds a license under section 237.3, subsection 2, paragraph “a”, as a comprehensive residential facility for children or holds a license under section 125.13, if the facility provides substance use disorder treatment under chapter 237, and holds a license under this chapter .This change clarifies the licensing requirements for psychiatric medical institutions.
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Section 135H.5
An application for a license under this chapter shall be submitted on a form requesting information required by the department, which . The application may include require affirmative evidence of the applicant’s ability to comply with the rules for standards adopted pursuant to this chapter. The application shall require the applicant to specify whether the applicant intends to provide services for serious emotional disturbances, substance use disorders, or both.The application requirements for licensing are clarified.
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Section 135H.6
The department shall issue a license to an applicant under this chapter if all the following conditions exist: a. The department has ascertained that the applicant’s medical facilities and staff are adequate to provide the care and services required of a psychiatric medical institution for children .The conditions under which a license is issued to a psychiatric medical institution are clarified.
Amendments
3 amendmentsClick Show changes on an amendment above to see how it modifies the bill.
Action History
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Signed by Governor.
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Reported correctly enrolled, signed by President and Speaker, and sent to Governor.
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Message from Senate.
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Immediate message.
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Passed Senate, yeas 48, nays 0.
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Senate concurred with S-3125.
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Message from House, with amendment S-3125.
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Immediate message.
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Passed House, yeas 92, nays 0.
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Amendment H-1266 filed, adopted.
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Substituted for HF 984.
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Read first time, passed on file.
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Message from Senate.
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Immediate message.
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Passed Senate, yeas 47, nays 0.
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Amendment S-3098 adopted.
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Amendment S-3098 filed.
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Placed on calendar under unfinished business.
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Committee report, approving bill.
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Introduced, placed on calendar.
Sponsors
- COMMITTEE ON HEALTH AND HUMAN SERVICES · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 0 co-sponsors · 149 not signed on
Sponsors (1)
- COMMITTEE ON HEALTH AND HUMAN SERVICES
Co-sponsors (0)
None.
Not signed on (149)
149 members have not signed on to this bill.
Show all 149 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 30 | 0 | 0 | 2 |
| Democrat | 16 | 0 | 0 | 0 |
| Unaffiliated | 2 | 0 | 0 | 0 |
| Total | 48 | 0 | 0 | 2 |
| % of votes cast | 96% | 0% | 0% | 4% |
How each member voted (50)
| Member | Party | Vote |
|---|---|---|
| Celsi | — | Yea |
| De Witt | — | Yea |
| Art Staed | Democrat | Yea |
| Cindy Winckler | Democrat | Yea |
| Herman C. Quirmbach | Democrat | Yea |
| Izaah Knox | Democrat | Yea |
| Janet Petersen | Democrat | Yea |
| Janice Weiner | Democrat | Yea |
| Liz Bennett | Democrat | Yea |
| Matt Blake | Democrat | Yea |
| Mike Zimmer | Democrat | Yea |
| Molly Donahue | Democrat | Yea |
| Sarah Trone Garriott | Democrat | Yea |
| Sarah Trone Garriott | Democrat | Yea |
| Thomas Townsend | Democrat | Yea |
| Tony Bisignano | Democrat | Yea |
| William A. Dotzler Jr. | Democrat | Yea |
| Zach Wahls | Democrat | Yea |
| Adrian Dickey | Republican | Yea |
| Amy Sinclair | Republican | Yea |
| Annette Sweeney | Republican | Not Voting |
| Carrie Koelker | Republican | Yea |
| Charlie McClintock | Republican | Yea |
| Cherielynn Westrich | Republican | Yea |
| Dan Zumbach | Republican | Not Voting |
| Dave Sires | Republican | Yea |
| David D. Rowley | Republican | Yea |
| Dawn Driscoll | Republican | Yea |
| Dennis Guth | Republican | Yea |
| Doug Campbell | Republican | Yea |
| Jack Whitver | Republican | Yea |
| Jason Schultz | Republican | Yea |
| Jeff Reichman | Republican | Yea |
| Jeff Taylor | Republican | Yea |
| Jesse Green | Republican | Yea |
| Julian B. Garrett | Republican | Yea |
| Kara Warme | Republican | Yea |
| Ken Rozenboom | Republican | Yea |
| Kerry Gruenhagen | Republican | Yea |
| Kevin Alons | Republican | Yea |
| Lynn Evans | Republican | Yea |
| Mark Costello | Republican | Yea |
| Mark S. Lofgren | Republican | Yea |
| Mike Bousselot | Republican | Yea |
| Mike Klimesh | Republican | Yea |
| Mike Pike | Republican | Yea |
| Sandy Salmon | Republican | Yea |
| Scott Webster | Republican | Yea |
| Tim Kraayenbrink | Republican | Yea |
| Tom Shipley | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democrat | 31 | 0 | 0 | 1 |
| Unaffiliated | 2 | 0 | 0 | 2 |
| Republican | 61 | 0 | 0 | 5 |
| Total | 94 | 0 | 0 | 8 |
| % of votes cast | 92% | 0% | 0% | 8% |
How each member voted (102)
| Member | Party | Vote |
|---|---|---|
| Jr. | — | Yea |
| Kniff | — | Yea |
| Open | — | Not Voting |
| Sexton | — | Not Voting |
| Adam Zabner | Democrat | Yea |
| Aime Wichtendahl | Democrat | Yea |
| Amy Nielsen | Democrat | Yea |
| Austin Baeth | Democrat | Yea |
| Beth Wessel-Kroeschell | Democrat | Yea |
| Bob Kressig | Democrat | Yea |
| Brian Meyer | Democrat | Yea |
| Daniel Gosa | Democrat | Not Voting |
| David Jacoby | Democrat | Yea |
| Dr. Megan L. Srinivas | Democrat | Yea |
| Elinor A. Levin | Democrat | Yea |
| Elizabeth Wilson | Democrat | Yea |
| Eric J. Gjerde | Democrat | Yea |
| Heather Matson | Democrat | Yea |
| J.D. Scholten | Democrat | Yea |
| Jeff Cooling | Democrat | Yea |
| Jennifer Konfrst | Democrat | Yea |
| Jerome Amos Jr. | Democrat | Yea |
| Josh Turek | Democrat | Yea |
| Ken Croken | Democrat | Yea |
| Kenan Judge | Democrat | Yea |
| Larry McBurney | Democrat | Yea |
| Lindsay James | Democrat | Yea |
| Mary Lee Madison | Democrat | Yea |
| Monica Kurth | Democrat | Yea |
| Rick L. Olson | Democrat | Yea |
| Rob Johnson | Democrat | Yea |
| Ross Wilburn | Democrat | Yea |
| Ruth Ann Gaines | Democrat | Yea |
| Sean Bagniewski | Democrat | Yea |
| Timi M. Brown-Powers | Democrat | Yea |
| Tracy A. Ehlert | Democrat | Yea |
| Ann Meyer | Republican | Yea |
| Austin Harris | Republican | Yea |
| Barb Kniff McCulla | Republican | Yea |
| Bill Gustoff | Republican | Yea |
| Blaine C. Watkins | Republican | Yea |
| Bob Henderson | Republican | Yea |
| Bobby Kaufmann | Republican | Yea |
| Brent Siegrist | Republican | Not Voting |
| Brett Barker | Republican | Yea |
| Brian K. Lohse | Republican | Yea |
| Brooke Boden | Republican | Yea |
| Carter F. Nordman | Republican | Yea |
| Chad Behn | Republican | Yea |
| Chad Ingels | Republican | Yea |
| Charley Thomson | Republican | Yea |
| Christian A. Hermanson | Republican | Yea |
| Cindy Golding | Republican | Yea |
| Craig P. Johnson | Republican | Yea |
| Craig Steven Williams | Republican | Yea |
| Dan Gehlbach | Republican | Yea |
| David E. Young | Republican | Yea |
| David L. Blom | Republican | Yea |
| David Sieck | Republican | Not Voting |
| Dean Fisher | Republican | Yea |
| Derek Wulf | Republican | Yea |
| Devon Wood | Republican | Yea |
| Dr. Steven P. Bradley | Republican | Yea |
| Eddie Andrews | Republican | Yea |
| Gary M. Mohr | Republican | Yea |
| Hans C. Wilz | Republican | Yea |
| Heather Hora | Republican | Yea |
| Helena Hayes | Republican | Yea |
| Henry Stone | Republican | Yea |
| Jacob Bossman | Republican | Yea |
| Jane Bloomingdale | Republican | Yea |
| Jason Gearhart | Republican | Yea |
| Jennifer J. Smith | Republican | Yea |
| John H. Wills | Republican | Yea |
| Jon Dunwell | Republican | Yea |
| Joshua Meggers | Republican | Yea |
| Judd Lawler | Republican | Yea |
| Mark Cisneros | Republican | Yea |
| Mark I. Thompson | Republican | Yea |
| Matt W. Windschitl | Republican | Yea |
| Matthew Rinker | Republican | Not Voting |
| Megan Jones | Republican | Yea |
| Michael R. Bergan | Republican | Yea |
| Mike Vondran | Republican | Yea |
| Norlin G. Mommsen | Republican | Yea |
| Pat Grassley | Republican | Yea |
| Ray Sorensen | Republican | Yea |
| Ryan Weldon | Republican | Yea |
| Sam Wengryn | Republican | Yea |
| Samantha Fett | Republican | Yea |
| Shannon Latham | Republican | Yea |
| Shannon Lundgren | Republican | Yea |
| Skyler Wheeler | Republican | Not Voting |
| Steven C. Holt | Republican | Yea |
| Taylor R. Collins | Republican | Yea |
| Thomas Gerhold | Republican | Yea |
| Thomas Jay Moore | Republican | Yea |
| Thomas M. Jeneary | Republican | Yea |
| Tom Determann | Republican | Yea |
| Tom Shipley | Republican | Yea |
| Travis M. Sitzmann | Republican | Yea |
| Zach Dieken | Republican | Not Voting |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 31 | 0 | 0 | 2 |
| Democrat | 16 | 0 | 0 | 0 |
| Unaffiliated | 1 | 0 | 0 | 1 |
| Total | 48 | 0 | 0 | 3 |
| % of votes cast | 94% | 0% | 0% | 6% |
How each member voted (51)
| Member | Party | Vote |
|---|---|---|
| Celsi | — | Not Voting |
| De Witt | — | Yea |
| Art Staed | Democrat | Yea |
| Cindy Winckler | Democrat | Yea |
| Herman C. Quirmbach | Democrat | Yea |
| Izaah Knox | Democrat | Yea |
| Janet Petersen | Democrat | Yea |
| Janice Weiner | Democrat | Yea |
| Liz Bennett | Democrat | Yea |
| Matt Blake | Democrat | Yea |
| Mike Zimmer | Democrat | Yea |
| Molly Donahue | Democrat | Yea |
| Sarah Trone Garriott | Democrat | Yea |
| Sarah Trone Garriott | Democrat | Yea |
| Thomas Townsend | Democrat | Yea |
| Tony Bisignano | Democrat | Yea |
| William A. Dotzler Jr. | Democrat | Yea |
| Zach Wahls | Democrat | Yea |
| Adrian Dickey | Republican | Yea |
| Amy Sinclair | Republican | Yea |
| Annette Sweeney | Republican | Yea |
| Carrie Koelker | Republican | Yea |
| Charlie McClintock | Republican | Yea |
| Cherielynn Westrich | Republican | Yea |
| Dan Dawson | Republican | Yea |
| Dan Zumbach | Republican | Not Voting |
| Dave Sires | Republican | Yea |
| David D. Rowley | Republican | Yea |
| Dawn Driscoll | Republican | Yea |
| Dennis Guth | Republican | Yea |
| Doug Campbell | Republican | Yea |
| Jack Whitver | Republican | Yea |
| Jason Schultz | Republican | Yea |
| Jeff Reichman | Republican | Yea |
| Jeff Taylor | Republican | Yea |
| Jesse Green | Republican | Yea |
| Julian B. Garrett | Republican | Not Voting |
| Kara Warme | Republican | Yea |
| Ken Rozenboom | Republican | Yea |
| Kerry Gruenhagen | Republican | Yea |
| Kevin Alons | Republican | Yea |
| Lynn Evans | Republican | Yea |
| Mark Costello | Republican | Yea |
| Mark S. Lofgren | Republican | Yea |
| Mike Bousselot | Republican | Yea |
| Mike Klimesh | Republican | Yea |
| Mike Pike | Republican | Yea |
| Sandy Salmon | Republican | Yea |
| Scott Webster | Republican | Yea |
| Tim Kraayenbrink | Republican | Yea |
| Tom Shipley | Republican | Yea |
Subjects
Frequently asked questions
- Who sponsors SF 474?
- SF 474 is sponsored by COMMITTEE ON HEALTH AND HUMAN SERVICES.
- What is the current status of SF 474?
- This bill has been enacted into law. Introduced March 03, 2025. Enacted.
- Where can I track SF 474?
- Track SF 474 free on One Click Politics — get push/email alerts when it moves.
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