A bill for an act relating to mental health care, including subacute mental health care facility requirements; admission to and discharge from a subacute mental health care facility; employment requirements at a subacute mental health care facility; insurance coverage for subacute mental health care; and the establishment of a psychiatric medical institution for children bed tracking system, and providing penalties and including effective date provisions.

HF 2220 establishes new standards for Iowa's subacute mental health care facilities. It requires facilities to create a written treatment plan within 24 hours of a resident's admission and eliminates preauthorization for the first 15 days of care. The bill limits managed care organizations to one review of medical necessity every 30 days after day 45 of treatment and prohibits discharge until proper support plans are in place. It also mandates an electronic bed-tracking system for children's psychiatric facilities and adjusts facility requirements to be less stringent than state mental health institutes. This bill directly affects subacute mental health facilities, residents, health insurers, and managed care organizations.