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Bill > SF535
IA SF535
A bill for an act relating to nursing facility change of ownership applications.
summary
Introduced
03/05/2025
03/05/2025
In Committee
03/05/2025
03/05/2025
Crossed Over
Passed
Dead
Introduced Session
91st General Assembly
Bill Summary
This bill relates to nursing facility (facility) change of ownership applications. The bill requires the department of inspections, appeals, and licensing (DIAL), during review of an application to change the ownership of a facility, to determine the potential impact on the health, safety, welfare, and rights of the residents, and to ensure that a new owner will guarantee the safety of and attain the highest practicable physical, mental, and social well-being for each resident. The bill requires an applicant for a facility change of ownership (applicant) to provide information and documentation as detailed in the bill to verify the applicant’s financial state and history of compliance with state, federal, and other jurisdictions’ laws and regulations. Under current law, DIAL may require an applicant to create an escrow account sufficient to sustain financial operations of the applicant’s nursing facility for a period of not less than two months. The bill changes this requirement to a period of not less than four months. The bill requires DIAL to review the information provided in an application for change of ownership of a facility to determine whether the terms of the sale or lease of a facility would weaken the facility’s financial state long-term, or present a public health risk. The bill prohibits DIAL from approving to a change of ownership application that DIAL determined would weaken the facility’s financial state long-term, or present a public health risk. The bill requires DIAL, upon completion of a review of a change of ownership application, to publish a report on DIAL’s internet site that explains the rationale for DIAL’s decision. The report must, at a minimum, include a comparative analysis of past decisions.
AI Summary
This bill enhances the regulatory requirements for nursing facility ownership changes by requiring the Department of Inspections, Appeals, and Licensing (DIAL) to conduct a comprehensive review of change of ownership applications. The bill mandates that applicants provide extensive documentation about their financial stability, regulatory history, worker treatment, and healthcare compliance, including details about past facility ownership, any wage reductions, Medicare/Medicaid investigations, fraud investigations, and facility closures. DIAL must now assess the potential impact of ownership changes on residents' health, safety, and well-being, and is prohibited from approving applications that might weaken the facility's long-term financial state or pose a public health risk. Additionally, the bill increases the required escrow account period from two to four months and requires DIAL to publish a detailed report explaining its decision, including a comparative analysis of past decisions. These provisions aim to ensure that nursing facilities maintain high standards of care and financial stability during ownership transitions, with a primary focus on protecting the rights and well-being of residents.
Committee Categories
Government Affairs
Sponsors (1)
Last Action
Subcommittee: Rozenboom, Schultz, and Winckler. S.J. 492. (on 03/11/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
Document Type | Source Location |
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State Bill Page | https://www.legis.iowa.gov/legislation/BillBook?ga=91&ba=SF535 |
BillText | https://www.legis.iowa.gov/docs/publications/LGI/91/attachments/SF535.html |
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