Iowa HF 2305: A bill for an act providing for the regulation of confinement feeding operations, and making penalties applicable and including effective date provisions.

Bill Text

House
File
2305
-
Enrolled

House
File
2305

AN
ACT

RELATING
TO
HEALTH
CARE
DECISIONS
RELATED
TO
PALLIATIVE
CARE,

HOSPICE
PROGRAMS,
LIFE-SUSTAINING
PROCEDURES,

OUT-OF-HOSPITAL
DO-NOT-RESUSCITATE
ORDERS,
DURABLE
POWER
OF

ATTORNEY
FOR
HEALTH
CARE,
AND
PROBATE
COURT
GUARDIANSHIP

REPORTS.

BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:

Section
1.
Section
135J.1,
Code
2026,
is
amended
to
read
as

follows:

135J.1
Definitions.

For
the
purposes
of
this
chapter
unless
otherwise
defined:

1.
“Attending
physician

provider
”
means
a
physician
licensed

pursuant
to

chapter
148
or
a
physician
assistant
licensed

pursuant
to
chapter
148C
,
physician
assistant,
or
an
advanced

registered
nurse
practitioner
who
is
licensed
in
this
state
.

2.

“Attorney
in
fact”
means
the
same
as
defined
in
section

144B.1.

2.

3.
“Core
services”
means
physician
services,
nursing

services,
medical
social
services,
counseling
services,

and
volunteer

services
provided
by
volunteers
.
These
core

services,
as
well
as
others
deemed
necessary
by
the
hospice

in
delivering
safe
and
appropriate
care
to
its
case
load

the

hospice’s
hospice
patients

,
can
be
provided
through
either

direct
or
indirect
arrangement
by
the
hospice.

3.

4.
“Department”
means
the
department
of
inspections,

appeals,
and
licensing.

House
File
2305,
p.
2

5.

“Guardian”
means
the
same
as
defined
in
section
633.3.

4.
6.
“Hospice
patient”
or
“patient”
means
a
diagnosed

terminally
ill
person

an
individual
with
an
anticipated
life

expectancy
of
six
months
or
less,
as
certified
by
the
attending

physician

provider
,
who
,
alone
or
in
conjunction
with
a
unit
of

care
as
defined
in
subsection
9,

has
voluntarily
requested
and

received
admission
into
the

a
hospice
program.
If
the
patient

is
unable
to
request
admission,
a
family
member
may
voluntarily

request
and
receive
admission
on
the
patient’s
behalf.

An

individual
may
make
this
request
in
conjunction
with
a
unit

of
care,
the
individual’s
attorney
in
fact,
the
individual’s

guardian,
or
the
majority
of
the
guardians
if
the
individual

has
more
than
one
guardian
with
equal
responsibilities

appointed.

5.
7.
“Hospice
patient’s
family”
means
the
immediate
kin
of

the

a
hospice
patient,
including
a
spouse,
parent,
stepparent,

brother,
sister,
stepbrother,
stepsister,
child,
or
stepchild.

Additional
relatives
or
individuals
with
significant
personal

ties
to
the
hospice
patient
may
be
included
in
the
hospice

patient’s
family.

6.

8.
“Hospice
program”
means
a
centrally
coordinated

program
of
home
and
inpatient
care
provided
directly
or
through

an
agreement
under
the
direction
of
an
identifiable
hospice

administration
providing
palliative

care
directed
at
symptom

management
and
supportive
medical
and
other
health
services

to
terminally
ill
hospice
patients
and
their
families.
A

licensed
hospice
program
shall
utilize
a
medically
directed

interdisciplinary
team
and
provide
care
to
meet
the
physical,

emotional,
social,
spiritual,
and
other
special
needs
which

are
experienced
during
the
final
stages
of
illness,
dying,
and

bereavement.
Hospice
care
shall
be
available
twenty-four
hours

a
day,
seven
days
a
week.

7.

9.
“Interdisciplinary
team”
means
the
hospice
patient

and
the
hospice
patient’s
family,
the
attending
physician

provider

,
and
all
of
the
following
individuals
trained
to
serve

with
a
licensed
hospice
program:

a.
A
licensed
physician
pursuant
to
chapter
148
.

b.
A
licensed
registered
nurse
pursuant
to
chapter
152
.

c.
An
individual
with
at
least
a
baccalaureate
degree
in
the

House
File
2305,
p.
3

field
of
social
work
providing
medical-social
services.

d.
Trained
hospice
volunteers

Volunteers
.

e.
As
deemed
appropriate
by
the
hospice,
physician

assistants,
providers
of
special
services
including
but
not

limited
to
a
spiritual
counselor,
a
pharmacist
pharmacists
,
or

professionals
in
the
fields
of
mental
health
may
be
included

on
the
interdisciplinary
team.

8.

10.
“Palliative
care”
means
specialized
medical
care

directed
at
managing
symptoms
experienced
by
the
hospice

provided
to
a
patient
,
as
well
as
addressing
related
needs

of
the
patient
and
family
as
they
experience
the
stress
of

the
dying
process
who
has
been
diagnosed
by
the
patient’s

attending
provider
with
a
serious
illness.
Palliative
care
is

stress
and
symptom
management
care,
based
on
the
needs
of
the

patient
rather
than
the
patient’s
diagnosis,
provided
by
an

interdisciplinary
team

.
The
intent
of
palliative
care
is
to

enhance
the
quality
of
life
for
the
hospice
patient
and
family

unit
,
and
is
not
treatment
directed
at
cure
of
the
terminal

illness

.
Palliative
care
may
be
provided
at
any
stage
of
a

patient’s
serious
illness,
regardless
of
the
patient’s
age,
and

may
be
provided
in
conjunction
with
curative
treatment
for
the

serious
illness.

11.
“Serious
illness”
means
a
health
condition
that

carries
a
high
risk
of
mortality
and
either
negatively
impacts

an
individual’s
da