Iowa Providers: Governor Reynolds Signs New Proclamation Regarding COVID-19

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

This afternoon (March 26, 2020), Kim Reynolds (Iowa Governor) held her daily press conference on the state of COVID-19 in Iowa.  Her office also issued this proclamation (or the official copy) after that press conference.  The proclamation includes public directives regarding:

  • Telehealth services
  • Non-essential medical and dental services
  • Extension of business closures and orders
  • Additional non-essential retail closures
  • Retired public disaster responders
  • Online apprenticeship instruction
  • Motor vehicle title & registration relief
  • Suspension of court debt delinquency
  • Service of Process for Suspended Evictions

This blog will highlight the directives that impact healthcare in IA, especially LTC and AL (note these are temporary suspensions).  I’ve bolded key verbiage in each so you can readily review.

  • Temporarily suspend the regulatory provisions of Iowa Code § 135C.33 and Iowa Admin Code rules 481—50.9(3) & (9) and 67.19(3), requiring a health care facility and assisted living program to complete a criminal history check prior to employment of an individual in a health care facility or assisted living program, to the extent that a health care facility or assisted living program may employ an individual once that criminal history check is submitted, pending completion
  • Temporarily suspend the regulatory provisions of Iowa Code § 135C.8 and Iowa Admin Code rules 481—58.3(3)(a), requiring a nursing facility to submit renewal applications at least 30 days in advance of license expiration
  • Temporarily suspend the regulatory provisions of Iowa Admin Code rules 481—58.21(6)(d) & 65.17(1)(d), requiring nursing students to administer medications in nursing facilities and immediate care facilities for persons with mental illness only after successful completion of a medication aide course or challenge exam, to the extent the nursing student meets the requirements of Iowa Admin Code rules 481—58.21(6)(d)(1), (2), & (4), and 65.17(1)(d)(1), (2), & (4) and the facility has documentation that it has implemented training and supervision measures to ensure the student’s competency in safe medication administration
  • Temporarily suspend the regulatory provisions of Iowa Admin Code rules 481—57.20(1) & 58.23(1)(a), requiring residential care facilities and nursing facilities assist residents to obtain regular and emergency dental services, to the extent those facilities continue to assist residents in obtaining emergency dental services
  • Temporarily suspend the regulatory provisions of Iowa Admin Code rules 481—57.23(1) & 58.26(1) requiring group activities provided by residential care facilities and nursing facilities
  • Temporarily suspend the regulatory provisions of Iowa Admin. Code rule 481—58.47, permitting in-person visits with residents in nursing facilities
  • Temporarily suspend the regulatory provisions of Iowa Code § 231C.3(1)(c) and Iowa Admin Code rules 481—69.22(2) & 481—57.22(3) requiring an assisted living program and residential care facility to update a tenant’s or resident’s service plan within thirty days of occupancy or admission
  • Temporarily suspend the regulatory provisions of Iowa Code § 231C.8(1) and Iowa Admin. Code rule 481—67.13(1) requiring an assisted living program to submit any additional or rebuttal information to the department within two working days of an exit interview at the conclusion of a monitoring evaluation or complaint investigation
  • Temporarily suspend the regulatory provisions of Iowa Admin. Code rule 481—69.29(5) & (6) requiring a new program manager and delegating nurse in assisted living programs complete an assisted living management class and/or an assisted living nursing class within six months of employment
  • Temporarily suspend the regulatory provisions of Iowa Admin. Code rule 481—57.11(6) requiring a residential care facility employee have a physical examination no longer than twelve months prior to beginning employment, to the extent it is not feasible for a facility to obtain the required physical examination prior to beginning employment
  • Temporarily suspend the regulatory provisions of Iowa Admin. Code rule 481—57.11(6) requiring a residential care facility screen and test an employee for tuberculosis pursuant to 481—Chapter 59 if it is not feasible for a facility to do so, to the extent the facility continues to perform and document sign/symptom review of new health care workers and residents and places the health care worker or resident on a callback list to test as soon as possible
  • Temporarily suspend the regulatory provisions of Iowa Admin. Code rules 481—57.19(3)(c) & 64.4(9)(b) requiring a person administering medications in a residential care facility and intermediate care facility for the intellectually disabled to complete a department-approved medication aide course and pass a department-approved medication aide exam, to the extent the person has successfully completed a state-approved medication manager course and passed a state-approved medication manager exam to administer medications
  • Temporarily suspend the regulatory provisions of Iowa Admin. Code rule 481—57.22(1) requiring a residential care facility provide orientation within twenty-four hours of admission, to the extent the facility must continue to provide a review of the resident’s rights and the facility’s evacuation plan
  • Temporarily suspend the regulatory provisions of Iowa Code § 135C.36 and Iowa Admin. Code rules 481—56.2 & 67.17, requiring fines for a health care facility or assisted living program, to the extent those fines may be issued in suspension
  • Temporarily suspend the regulatory provisions of Iowa Admin Code rules 481-57.14(1)(e) and 58.40(1)(c), permitting a residential care facility or nursing facility to involuntarily discharge or transfer a resident for nonpayment for the resident’s stay.