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Licensed Marriage and Family Therapist wanted: Full-time private practice position is available at Family Psychology Associates,
P.C., a well-established, multi-disciplinary group practice in Cedar Rapids, Iowa. The office is very comfortable and is in a professional
setting. Five years of experience in psychotherapy and family therapy requested.

Send a letter of interest and a resume to:

           Don Damsteegt, Ph.D.
           1221 Center Point Road, N.E.
           Cedar Rapids, IA 52402
           drdon@familypsychologyassoc.com
           (319) 378-1199




Great News from Principal!!!
Principal LMHP Coverage - August 27, 2010
(click below for details)

http://www.midlandschoice.com/Provider/NewsAndResources/News/LMHP.html




CEU Workshop:                      The Divorce Process and Therapeutic Interventions
                                   Friday, June 25, 2010
                                   Mount Mercy College welcomes Harvey Joanning, Ph.D.
                                   1330 Elmhurst Drive NE
                                   Cedar Rapids, IA 52402
                                   (319)861-2392
                                   www.mtmercy.edu

Online Brochure:                   www.iamft.com/training2010.pdf




Family Therapist Job Posting
Children & Families of Iowa - June 2010
(click below for details)

http://msn.careerbuilder.com/JobSeeker/Jobs/JobDetails.aspx?job_did=J8F8CG62SF9VSJJCYRT&cbRecursionCnt=1&cbsid=85fcbe058a8742dcb661f4c9b387137c-328356023-wn-6




                                                                          SAVE THE DATE!

                                                               What: IAMFT Legislative Day on the Hill



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                                                    IAMFT.com                    MESSAGE                 BOARD


                                                                 When: Wednesday, March 3, 2010
                                                                      10:30 AM to 1:00 PM

                                                Where: Meet at Lucas State Office Building, 6th Floor, Cafeteria
                                                             321 E. 12th St., Des Moines, Iowa

     Meet in the 6th floor cafeteria of the Lucas Building at 10:30 for a legislative briefing and explanation of how to reach your legislators by our
                                                                  lobbyist, Emily Piper.

                                             Why: Join LMFT professionals from around the state to promote your
                                                       profession and the important role we play in mental health services.
                                                             We don’t want to be left behind!

                                                    Questions? Contact Crystal Hemesath, LMFT, LMHC
                                                 crystal@crystalhemesath.com, 515.556.3668 or 515.979.9733

                                                              Contacting Your Legislators
Before you attend, find your state legislator at http://www.legis.state.ia.us/aspx/Legislators/LegislatorInfo.aspx and send your state representative and
                                    state senator an email letting them know you will be at the Capitol on March 3.




AAMFT Strategic Planning Process at Halfway Point
Message from the AAMFT President - August 2009

In 2008 the AAMFT board began a process to update the Association's strategic plan. The goal is to ask a comprehensive set of questions about the Association and its
priorities. The intention is to either re-define or to re-confirm the basic priorities and directions of the organization, and to set us on a path that would drive the
AAMFT's programming and activities for the coming years.

Segments of the membership have been surveyed on various topics, and our entire membership has been asked questions about licensure, and a meeting of 90+
members, representing a cross-section of AAMFT leadership, was convened for two days in July to talk about the organization's future. The input has been broad and
extensive, and yet, there will be more input as the Association moves through its planning process.

With these activities, we are about halfway through our process as defined earlier. Steps yet to be taken include convening a group to review and consolidate what we
have learned from our process so far, identifying data/information yet needed to consider in our planning, and then moving toward an initial draft of a plan. We
anticipate that with further data needed and time for dialogue among the membership, it will be next Spring before a draft plan is presented for consideration and
feedback.

Our Context: The status of our association is critical to understand, especially in light of messages that have been sent out by third parties stating that the AAMFT is
in crisis, or in serious trouble. We want to assure you that our organization is strong, and on track in our planning and in our development.

In the upcoming (September/October) Family Therapy Magazine, you will see a number of charts showing positive membership and revenue trends for the association.

As just one example, you will see that AAMFT Clinical Memberships have remained stable, while Student and Associate Memberships have grown. While this is good
news, we also know that there will be a "boomer bubble" that is coming our way as boomers retire from the work force. We know that moving students and new
professionals to full Clinical Membership is a key to our success as a field and as an association. Yet there are impediments to gaining MFT licensure, especially in
some states where supervision requirements and/or lack of eligible supervisors makes it easier for some to attain the LPC rather than the MFT license. Additionally,
some divisions have identified challenges in scheduling of the licensure exam (it is offered relatively infrequently, and is not available as an online exam). Many of
these issues are part of our external context, and are out of the direct control of the AAMFT. Yet we must be aware of the broader environment in which we operate,
and factor those issues into our process and plans.

Planning from Strength: Far from a sense of crisis or emergency, the AAMFT Board initiated this strategic plan review from a position of strength as an organization,
with an eye toward the future. It is, indeed, the Board's task to watch trends both within and outside of the Association, and consider how to position the Association
ahead of those trends. A robust and healthy strategic plan will include the input of a broad range of AAMFT members, and optimally, all members.

To that end, we invite you to review the data we have gathered so far, including survey response data and analysis, at www.aamft.org/future.asp . We believe that these
data will be important as context and grounding for the other conversations we will need to have as we project ourselves into the future we desire. It is likely that more
surveys will be sent to members as we "drill down" on the issues of concern to MFTs and seek solutions that will serve us well in our evolving context.

Then, write directly to the AAMFT Board at board@aamft.org with any thoughts or comments you have about the strategic direction of the association. What are the
challenges you face as an MFT, what do you see as the threats to our profession, and how can your association be of the greatest service to you in meeting these
challenges? We will continue the momentum of growth and change that has been in place for well over a year, and together we will strengthen our family therapy
community as we prepare for the future.




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                                          IAMFT.com              MESSAGE             BOARD

Linda Schwallie, MS
President, AAMFT Board of Directors




CEU Workshop:                 Alzheimer’s and the Family
                              Friday, June 26, 2009
                              Mount Mercy welcomes Harvey Joanning, Ph.D.
                              1330 Elmhurst Drive NE
                              Cedar Rapids, IA 52402
                              (319)861-2392
                              www.mtmercy.edu

Online Brochure:              www.iamft.com/training.pdf




                                                 IAMFT Annual Conference!
                                                     March 13 & 14, 2009
                                                       Newton, Iowa
                                                "Trauma: Dealing and Healing"
     Featuring...
                Thad Abrams, M.D., Veterans Administration Medical Center, Iowa City
                Warren Phillips, Ph.D., Iowa State University, Central Iowa Psychological Services
                Craig Butterfield, Ph.D., Butterfield Consulting




From:               Sarah Jackson, MA
Date:               December 21, 2008
Topic:              Sleep, Compassion Fatigue, and Health Among Psychological Health Providers
Re:                 Still Looking for Participants / Win A FREE IPOD!!! Last Chance. Almost Done!

Dear Colleagues:

I am a Clinical Psychology doctoral student attending Alliant International University in CA and a student affiliate of California
AMFT. I would like to invite you to participate in my research study on Sleep, Compassion Fatigue, and Health Among Psychological
Health Providers - which has been approved by the IRB at the Alliant International University (May 2008). All clinicians/practitioners
currently working with patients / clients in the field are eligible to participate. The study takes approximately 15-20 minutes to
complete. If you are interested in participating in this study or would like more information, please click on the link below (or paste
address into your browser):

* https://www.surveymonkey.com/s.aspx?sm=APUZdVP3UWYI2CCJEtpdyQ_3d_3d

At the end of the survey, all participants will be directed to a separate site (for the anonymity of their survey answers), where they can
provide their contact information and register to Win 1 of 4 Ipod Nanos!!!

If you prefer a hard copy – you can send an email to me, or contact the chairperson Dr. O’Toole.


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                                               IAMFT.com            MESSAGE          BOARD


Thank you so much for your time and support!

Sarah Jackson, MA
PhD, Clinical Psychology Doctoral Candidate / AIU
sjackson@alliant.edu

This study is being completed in partial fulfillment of the dissertation requirements at AIU.

Chairperson: Siobhan K. O'Toole, PhD
sotoole@alliant.edu
Assistant Director, PhD Program
California School of Professional Psychology
Alliant International University
5130 E. Clinton Way
Fresno, CA 93442
559-253-2309
800-416-4885 ext 2309




From:                Mike McClain
Date:                12/15/08

Elections to this year's IAMFT board of directors are being done via email. If you did not receive an email ballot, or if you
would like a paper ballot, please contact Mike McClain at 1323 Palmer Building, Iowa State University, Ames, IA 50011,
or email me at: iamftcommunications@yahoo.com




From:                Mike McClain
Date:                12/7/08

The rules ensuring eligibility for reimbursement under the state's Medicaid program have recently gone into effect..,
which can be found at:
* http://www.dhs.state.ia.us/policyanalysis/RulesPages/ruledocuments/RulesInProcess/Arc%207300b.pdf

The process for applying to be an eligible provider is found on the Department of Human Services' web site:
* http://www.ime.state.ia.us/Providers/index.html

Mike




External Advertisement:                    August 29, 2008
Job Title:                                 Program Consultant: Threat Assessment Team Manager/mental health

The University of Iowa is seeking qualified candidates for the position of Threat Assessment Team manager. This position, in
partnership with the Threat Assessment Team manager/police, will be responsible for the development, implementation, and
evaluation of a Threat Assessment program. This program would include consultation with units on campus concerned about potential


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                                                    IAMFT.com                    MESSAGE                 BOARD

violence, assessment of individuals who may be contemplating aggressive behavior, and training faculty, staff and students in
diffusing difficult situations and utilizing the Threat Assessment program. A license in mental health counseling or related field is
required. A criminal background check will be completed prior to hire. To view additional qualifications and to apply for this
position, visit the Jobs @ UIOWA website at: https://jobs.uiowa.edu/ and reference requisition # 55927 and complete the online
application. The position closes on Wednesday September 24 th.

The University of Iowa prohibits discrimination in employment and in its educational programs and activities on the bases of race, national origin, color, creed, religion,
sex, age, disability, veteran status, sexual orientation, gender identity or associational preference. We encourage minorities and women to apply.




Job Listing:          July 8, 2008
Title:                Program Consultant: Threat Assessment Manager/mental health

The University of Iowa is seeking qualified candidates for the position of Threat Assessment Manager. This position will be
responsible for the development, implementation and evaluation of a Threat Assessment program. Additional responsibilities include
consultation with units on campus concerned about potential violence, assessment of individuals who may be contemplating
aggressive behavior, and training faculty, staff and students in diffusing difficult situations and utilizing the Threat Assessment
program. A license in mental health counseling or related field is required. A background and criminal check will be completed prior
to hire. To view additional qualifications and to apply for this position, visit the Jobs @ UIOWA website at: https://jobs.uiowa.edu/
and reference requisition #55551 and complete the online application.

The University of Iowa prohibits discrimination in employment and in its educational programs and activities on the bases of race, national origin, color, creed, religion,
sex, age, disability, veteran status, sexual orientation, gender identity or associational preference. We encourage minorities and women to apply.




From:                 Jim Anastasi, IAMFT President
Date:                 6/18/08

Dear IAMFT Members,

As you are all well aware, the MFT academic program at ISU will be discontinued as the current students finish their coursework.
The search for a new home for the MFT program has been led by our past IAMFT president and past ISU/MFT program director, Dr.
Harv Joanning.

Dr. Joanning, Dr. Megan Murphy, Carol Wozniak-Rebhuhn and I will be meeting with the faculty of Mount Mercy on July 16th to
discuss the possibility of Mount Mercy developing a masters MFT program. The addition of an MFT program for Mount Mercy and
the health focus of Mount Mercy for MFT could be a very nice marriage.

We need your help in providing the faculty and administration of Mount Mercy with names of providers of marriage and family
therapy/mental health who would be willing to hire graduates of an MFT program.

We are asking that you please do the following:

     1.    If you would consider hiring a graduate of an MFT program, please mail or e-mail to me a letter stating this.
     2.    Contact your employer and/or agency and have them send an e-mail or write a letter of support if they would consider hiring
           MFT graduates.
     3.    Contact other providers/agencies/hospitals/mental health organizations and ask for an e-mail or letter of support for the hiring
           of MFT graduates.
     4.    If organizations would not consider hiring MFTs, please gather insight as to their reasoning.



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                                          IAMFT.com               MESSAGE            BOARD

     5.   Educate the public, as well as the organization/agencies contacted, as to the scope of practice of MFTs. Many people in the
          mental/medical field, as well as the public, do not understand that we are mental health providers with a systemic therapeutic
          approach; MFTs work with a system and/or the individual as part of a system.

Your efforts will be instrumental in the accomplishment of our goal to maintain a quality MFT graduate program in the state of Iowa.
Please act now as July 16th is approaching quickly. Your help is sincerely appreciated.

Sincerely,

Jim Anastasi
President IAMFT
1520 6th Street SW
Mason City, IA 50401
641-423-4180
Fax 641-421-6023
acservices1010@qwestoffice.net




                      IAMFT Legislative Update
                      May 1, 2008

SESSION ENDS – PROGRESS MADE FOR LMFTS
The 2008 legislative session ended at 2:38 a.m. on Saturday, April 26. While mental health parity did not survive (including the
veterans mental health parity bill), the Legislature also failed to enact the insurance mandate commission. The issue of mental health
parity faces strong opposition from the insurance industry and the more conservative House Democrats were not willing to take the
industry on and pass this legislation. The issue of any willing provider becomes even more controversial with both the insurance
industry and the medical society opposing this concept.

The revised appeals process for providers denied reimbursement under the state’s medical assistance program failed to survive. This
process would have created an independent appeals board for the first stage of the appeals process. Lobbyists representing Magellan
and the Department of Human Services strongly opposed this provision. Before it was stripped from the funding bill, IAMFT was
successful in ensuring that this revised appeals process would apply to all mental health providers, not just psychiatrists as originally
drafted.

IAMFT had a good session with the following successes:

     1.    LMFT coverage under the medical assistance program. The health and human services budget bill includes language
          that requires the Department of Human Services to develop rules to allow for reimbursement for LMFTs and certain licensed
          social workers. This is a budget bill and thus provisions are subject to the line item veto. See the action request below to
          protect this language.

     2.   LMFT Licensure Requirements. The bill to make technical corrections to the licensure board and to requirements for
          licensure has been signed by the Governor. IAMFT successfully worked to ensure that LMFT representatives on the
          licensure board were practicing in the LMFT field. In addition, we secured an agreement from the Department of Public
          Health to implement the new education requirements through rulemaking with a grandfather clause for those currently
          enrolled in the MFT program. Rulemaking will begin this summer.

     3.   Emergency Response/Mental Health Teams. A larger proposal to establish a contingent of mental health providers to act
          as a “national guard” in times of crisis failed to become law. However, the health and human services budget bill includes
          language to establish this program and limited funding for a pilot project in a couple of regions in the state.



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                                          IAMFT.com              MESSAGE            BOARD


     4.   Insurance Mandate Commission. The bill that would have put roadblocks before legislative consideration of any health
          insurance mandate failed in the final days of the legislative session. This bill would have required an independent
          commission to review and make recommendation on any proposed legislative mandate for health insurance coverage. It
          sailed through the House but stalled when it hit the Senate. IAMFT, along with a coalition of other mental health providers,
          worked to keep this language from being included in the final, end-of-session, standings appropriations bill. We were
          successful in that effort.

     5.   Increased the visibility and awareness of LMFTs. Perhaps an intangible benefit but very important to ensure that we are
          included in discussions on mental health insurance issues. Legislators appreciated the time that many of you took to come to
          the Capitol, to contact them regarding issues of importance and the presence that a lobbyist provided to work with them on
          key issues.



                                    ACTION NEEDED --- CONTACT GOVERNOR CULVER

The language that makes LMFTs eligible for reimbursement under the state’s medical assistance program is included in an
appropriations bill. This makes it vulnerable to a line item veto. While legislators strongly support this, as does the mental health
community, Magellan is strongly opposed to the inclusion of certain licensed social workers. Their lobbyists will likely put pressure
on the Governor to line item veto this provision.

We need to act now to ensure that this provision is not stricken from the bill. Please email, call or write Governor Culver asking him
to preserve this language in SF 2425, the health and human services appropriations bill. Make the following points:

         This provision does not increase the cost of the medical assistance program but it does increase access for those in need of
          mental health counseling. We will be better able to provide services to those in need.
         LMFTs have the education and training that qualifies them to serve as mental health professionals. This does not increase
          our scope of practice. It merely allows us to use the skills and training to help Iowans on the medical assistance program.
         This provision was strongly supported by legislators and is important to expanding mental health coverage at no additional
          cost in areas that are underserved.

Contact Governor Culver IMMEDIATELY through one of the following means:

     1.   Call the Governor’s office and leave a message at (515) 281-5211.
     2.   Email Governor Culver using the following link: http://www.governor.iowa.gov/administration/contact/
     3.   Write to Governor Culver at the following address:
          The Honorable Chet Culver
          Governor
          State Capitol
          Des Moines, Iowa 50319

For information on committee meetings and legislators, please refer to the General Assembly website at www.legis.state.ia.us

PREPARED BY:

Emily Piper
IAMFT Legislative Consultant
EMILY80@MCHSI.COM
515-202-7772




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IAMFT Legislative Update
April 11, 2008


LMFT ELIGIBILITY FOR MEDICAL ASSISTANCE PROGRAM
Our legislation, SF 2252, has gathered opposition from Magellan with the inclusion of the provision also covering social workers.
The bill failed to make the last funnel when it was not added to the unfinished business calendar in the House. However, we have a
commitment from leadership that the language will be added to the health and human services appropriations bill in both the House
and the Senate.

HEALTH AND HUMAN SERVICES APPROPRIATIONS
Work has begun on the bill to provide funding for health and human services programs. The Senate version includes language that
creates a new appeals process for denial of reimbursement under the medical assistance program. The original language was modified
at the request of IAMFT to ensure that the new appeals process, if adopted into law, covers all mental health professionals, not just
psychiatrists. Magellan has registered its strong opposition to this provision and it will be a struggle to keep this provision in the bill.

If successful, the appeals process would be modified to have the first level of appeal of a denial for reimbursement conducted by an
independent panel. The remaining portions of the appeal process would not be altered.

Senator Hatch will add the language from SF 2252 to the appropriations bill in the Senate. Representative Smith will add the
language from SF 2252 to the appropriations bill in the House.

BEHAVIORAL SCIENCE BOARD CHANGES
The House approved SF 2338 on April 2, sending the bill to the Governor. The Governor is expected to sign the legislation. The
changes will become effective on July 1, 2008.

INSURANCE MANDATE COMMISSION
HF 2650, the bill establishing a process for approving future health insurance mandates, was placed on the unfinished business
calendar in the Senate. The bill has passed the House and this move keeps the bill alive for the remainder of session. IAMFT is still
being told that this bill is expected to be enacted into law.

For information on committee meetings and legislators, please refer to the General Assembly website at www.legis.state.ia.us

PREPARED BY:

Emily Piper
IAMFT Legislative Consultant
EMILY80@MCHSI.COM
515-202-7772




                      IAMFT Legislative Update
                      March 28, 2008


LMFT ELIGIBILITY FOR MEDICAL ASSISTANCE PROGRAM



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SF 2252 survived the second funnel in which a bill must pass one chamber and a committee in the other chamber. The bill passed the
Senate with an amendment to include certain licensed master social workers. Last week, it was approved by the House Human
Resources Committee with no changes. The bill has no opposition. SF 2252 now moves to the House floor and will be debated in the
next couple of weeks. A word of thanks goes out to Senator Becky Schmitz (D-Fairfield) and Representative Beth Wessel-Kroeschell
(D-Ames) for their leadership on the issue.

BEHAVIORAL SCIENCE BOARD CHANGES
Companion bills to make technical (and some policy) changes to the Board of Behavioral Science remain alive after the second
funnel. The Senate has approved SF 2338. The House Human Resources Committee approved HF 2605 but has not taken action on
the floor. The bill was moved to the unfinished business calendar to keep it alive for the remainder of the session. It is anticipated to
pass the House.

The two bills make changes regarding provisional licensing and education requirements for mental health counselors and licensed
marriage and family therapists. The genesis of these changes was with the Board of Behavioral Science. The bills do not contain
similar changes with respect to educational requirements for those seeking licensing from the Board of Social Work.

PARITY LEGISLATION UPDATE
The House Commerce Committee approved HF 2592 to provide mental health parity for veterans. As part of this action, the House
Commerce Committee added language from HF 769 to provide broader mental health parity. The purpose of both bills was to address
a problem in Iowa law that lists only biologically-based mental health conditions as a requirement for insurance coverage.

The action to add HF 769 to the veterans’ parity bill caught the insurance industry lobby by surprise. The bill was not debated on the
floor and it is not expected to be debated. As a response, the insurance lobby negotiated a deal with the House leadership to support
passage of the insurance mandate commission (HF 2650) and to remove their opposition to the HPV insurance mandate in exchange
for killing HF 2592 (as amended).

However, we expect the issue of veterans’ mental health parity to resurface on the end-of-session bill, known as the standings bill.
The standings bill is the catch-all legislation done every year to deal with state employee salaries and a host of other “unfinished”
legislative issues.

INSURANCE MANDATE COMMISSION SURVIVES
HF 2650 establishes a commission whose purpose is to review and offer comment on all insurance mandates introduced by legislators.
IAMFT, along with other groups interested in mental health parity, oppose this legislation but have been unsuccessful in stopping it.
According to conversations with many senators, this is on the fast track and there is little that can be done to stop it.

HF 2650 was referred to Senate Commerce and approved by that committee. It is funnel-proof at this point. The bill requires any bill
containing any type of health insurance mandate to be reviewed by the Commission before being assigned to a standing committee of
the Legislature. The review must encompass both the public impact as well as the medical impact and include a cost analysis.

The Commission has 45 days to review and offer input on the proposed insurance mandate. If the Legislature does not take action to
approve the mandate, no new proposal on that specific mandate may be submitted to the Commission for three years. The
commission shall be comprised of the following appointees:

        Chairperson and ranking member of the Senate and House Commerce Committees
        Five members appointed by the Governor including:
             o One representative of a small employer
             o One representative of a large employer
             o One member of a collective bargaining unit
             o One person who has individual insurance coverage
             o One representing the general public
        Four members appointed by the Insurance Commissioner including:
             o One representative who is an expert in the field of health insurance
             o One representative who is an expert in medical research
             o One representative who is an expert in social sciences
             o One actuary



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                                         IAMFT.com              MESSAGE            BOARD


For information on committee meetings and legislators, please refer to the General Assembly website at www.legis.state.ia.us

PREPARED BY:

Emily Piper
IAMFT Legislative Consultant
EMILY80@MCHSI.COM
515-202-7772




From:      Emily Piper
Sent:      Thursday 3/13/2008
To:        IAMFT
Subject:   Weekly Legislative Update

This week was largely dedicated to floor action in both the House and Senate. The next funnel, at the end of March, requires a bill to
have passed one chamber and a committee in the other chamber to remain alive.

IAMFT is actively working on the following bills:

SF 2338, Licensing Changes to Board of Behavioral Science (among others). This bill was approved by the full Senate on a 48-0 vote
on Wednesday, March 12. The bill was amended in committee to address our concerns with respect to membership of LMFTs on the
Board of Behavioral Science. The three key provisions for LMFTs are:

         Eliminates the requirement that one LMFT member on the Board of Behavioral Science be employed in graduate education.
          Maintains the requirement (after our amendment was adopted in committee) that the three LMFTs on the board must be
          practicing in the field of marriage and family therapy.
         Creates a provisional license provision for LMFTs and for licensed mental health counselors.
         Changes the education requirements for LMFTs from 45 credit hours to 60 semester hours. IAMFT has secured an
          agreement from the Department of Public Health to address the need to grandfather current students in a MFT program at the
          45 credit hour education requirement. This will be handled when the rules are developed to implement this legislation.

HF 2605 is the companion bill to SF 2338. This bill was approved last week by the House Human Resources Committee and includes
the amendment promoted by IAMFT on board membership. It is not yet scheduled for floor debate.

HF 2592 (formerly HF 2033) requires insurance policies to provide mental health and substance abuse coverage for veterans. The
requirement is effective January 1, 2009. IAMFT supports this bill as one step toward full mental health parity. Current Iowa law
only requires coverage for biologically based mental health conditions. HF 2592 passed the House Veterans Affairs Committee and
has been referred to the House Commerce Committee which oversees insurance issues.

SF 2252 is legislation drafted by IAMFT that would require LMFTs to be reimbursed for services provided to individuals on the
medical assistance program. The legislation requires the Department of Human Services to develop rules to allow for this
reimbursement. Consideration of the bill has been somewhat slowed down due to the efforts of the Iowa Chapter of the National
Association of Social Workers and several non-profit agencies to be included in this legislation. IAMFT has worked with Senator
Becky Schmitz (D-Fairfield) and Representative Mark Smith (D-Marshalltown) to draft an amendment that allows for their inclusion
but addresses our concerns with respect to the difference in licensing procedures. This amendment allows reimbursement for licensed
master social workers who have a graduate degree in social work and are working under the direct supervision of a LISW. Once this
amendment is filed, floor action in the Senate will occur quickly.

Emily Piper
Piper Consulting Services



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                                         IAMFT.com               MESSAGE            BOARD

5905 Waterbury Circle
Des Moines, Iowa 50312
emily80@mchsi.com




                    IAMFT Legislative Update
                    March 7, 2008




LMFT BILL SURVIVES FIRST FUNNEL
SF 2252 was approved by the Senate Human Resources Committee. The bill, as approved, will require reimbursement for LMFTs
providing mental health services to those on the medical assistance program. I anticipate the bill being debated on the Senate floor in
the next week.

At the request of Senator Becky Schmitz (D-Fairfield), the bill will be amended on the Senate floor to include certain licensed social
workers. The amendment, which we drafted, will allow for reimbursement of those LMSWs who are under the direct supervision of a
LISW. The change was requested because those LMSWs working in an agency setting have also faced challenges with
reimbursement from Iowa Medicaid Enterprises.

BEHAVIORAL SCIENCE BOARD CHANGES
Bills in both the House and Senate that make changes to membership and licensing requirements for LMFTs passed their respective
committees prior to the funnel. These bills, proposed by the Department of Public Health, provide technical changes and updates to a
variety of licensure boards under their jurisdiction.

The bill makes several changes:

        Removes the requirement that one member on the Behavioral Science Board be teaching in a graduate education program for
         LMFTs. Removes the requirement that the three appointees to the board be practicing in the LMFT field.
        Creates a provisional licensing program for LMFTs.
        Increases the education requirements from 45 semester hours to 60 credit hours.

IAMFT had two concerns with the original bill draft, both of which have been addressed. The original bill was amended in committee
to clarify that the members of the licensing board must be practicing in the LMFT field. The second issue, increased education
requirements, will be addressed in the rulemaking process. We have an agreement with the Department of Public Health to ensure
that the rules grandfather any student enrolled as of the start of the school year (August 2007) to the earlier education requirements.

PARITY LEGISLATION UPDATE
Full mental health parity legislation is dead for this session. The bill was never debated by the House Human Resources Committee.
However, a bill to require mental health parity for veterans was approved by the House Veterans Affairs Committee and remains alive
for the session. This bill will require any mental health or substance abuse condition to be covered by insurance for veterans.

OTHER BILLS OF INTEREST SURVIVING FUNNEL
Legislation to create a commission to review any legislation that requires an insurance mandate continues through the process. HF
2128 was approved by the House Commerce Committee after lengthy subcommittee debate. Changes are being made to the bill to
make it more workable but it continues to be a bad piece of legislation. It will require that any legislation be reviewed and “approved”
by a separate commission before the Legislature may act on it.

Some changes that we are seeking through a coalition of mental health and medical groups include:




                                                               Page 11
                                          IAMFT.com                MESSAGE             BOARD

        Change wording of membership on the commission to include health care professional (the current wording is medical
         professional)
        Reduce the timeframe by which the commission has to act when legislation is introduced. This is an effort to make sure that
         we don’t have to wait an entire year before the Legislature may consider a bill.
        Exempt any mandate that is currently in law.

For information on committee meetings and legislators, please refer to the General Assembly website at www.legis.state.ia.us

PREPARED BY:
Emily Piper, IAMFT Legislative Consultant
EMILY80@MCHSI.COM
515-202-7772




From:             Emily Piper [emily80 @ mchsi.com]
Sent:             Friday 2/29/2008 2:19 PM
To:               IAMFT
Subject:          Weekly Update

The first funnel is next week. A bill must have passed a committee in either the House or Senate to be considered alive for the
remainder of the session. This requirement does not apply to ways and means, appropriations, government oversight or leadership
bills. There has been a flurry of subcommittee meetings and meetings between the various groups to work out agreement on bills to
get them moving through committee before next week. We have seen progress on a number of LMFT priorities/issues.

    1.      LMFT reimbursement for medical assistance program recipients. This bill was approved without opposition by the Senate
         Human Resources Committee on Tuesday. Senator Becky Schmitz is the floor manager. In conversations this week with
         Senators Schimtz and Ragan, they indicated that they want to move this forward on the floor next week. The sticking point
         that needs to be resolved is the degree to which licensed social workers (and at what stage of licensing) should also be
         included in the legislation. Both senators are looking to me for guidance and based on the feedback, I’m going to suggest that
         unless we have a comparable licensure for social workers, that we would not support including them in the legislation. The
         lack of practical/clinical experience is not one that we can easily overcome in this legislation as it has more to do with their
         licensure requirements. I know that it must seem frustrating that something so easy can become so complicated so quickly.
         Keep in mind that making legislation looks a lot like making sausage!
    2.     Dept. of Public Health Licensure Boards Bill. This legislation is, for the most part, a cleanup bill that the Department of Public
         Health proposed. They noted that these changes were (to a certain extent) acknowledged by each of the various licensure
         boards. I have worked out an agreement with DPH to restore the requirement that the three members representing marriage
         and family therapy be licensed AND practicing in that field. This amendment will be offered in committee next week when the
         bill is considered by Human Resources. The other remaining question is with respect to the change in educational
         requirements from 45 semester hours to 60 credit hours. This issue is also resolved as the bill will not take effect until July 1,
         2009 and the Department has assured me that they intend to address our issue through the rulemaking process. They also
         provided this assurance to the subcommittee. I am comfortable with that approach.

On another front, the subcommittee on the insurance mandate commission bill, HF 2128, has met several times. This bill would give
an independent commission the opportunity to review and make comment on any legislative mandate for insurance coverage. This
bill is far from gaining a majority of support in the House and has significant problems which will slow its progress. We met with
Majority Leader McCarthy last week on this issue. The news is not necessarily good. He indicated that this is a good compromise
with respect to mental health parity. Working with a coalition of other mental health interests, we are working to slow down and/or
fix this bill if it is going to become law.

The subcommittee approved HF 2033, legislation that gives mental health and substance abuse parity for veterans. It was an
emotional subcommittee with the insurance industry squaring off against Rep. Ray Zirkelbach, who spent 18 months in Iraq. The
fiscal note on this legislation says that the cost would be less than 0.07 percent on insurance premiums. As Rep. Zirkelbach said, “a
small price to pay for freedom.”




                                                                 Page 12
                                          IAMFT.com               MESSAGE            BOARD

Emily Piper
Piper Consulting Services
5905 Waterbury Circle
Des Moines, Iowa 50312
emily80@mchsi.com
515-202-7772
fax 866-869-2842




[ Feb. 23, 2008 ] Established private clinic in transition due to retirements seeking experienced/seasoned mental health service
provider(s) interested in joining and developing their practice with partnership possibilities. Masters a minimum - doctoral preferred -
Iowa licensure required - dedication and determination a must. If you are interested in an opportunity such as this, please contact
Kristen at (319) 277-4383 or send your letter of interest with resume to:

Cedar Falls Counseling Associates, ATTN: Kristen, 324 W. 3rd St., Cedar Falls, Iowa 50613 or to: cfcasearch @ cfu.net




                    IAMFT Legislative Update
                    February 22, 2008




LMFTS AND MEDICAL ASSISTANCE PROGRAM
Senator Amanda Ragan introduced SSB 3191. This bill requires the Department of Human Services to include licensed marriage and
family therapists as an eligible provider for those on the medical assistance program. The bill was assigned to subcommittee: Senator
Becky Schmitz, Senator Amanda Ragan and Senator Nancy Boettger. The subcommittee met on Thursday and approved the bill for
full committee consideration. There was no opposition to the bill. The Department of Human Services indicated that it would
determine its position after a fiscal note was completed for the legislation.

I spoke with the Legislative Fiscal Bureau staff and the legislative liaison with the Department and indicated that our goal was to
expand the list of eligible providers, not to increase cost nor to increase scope of practice. I do not expect any problems with the fiscal
note.

LICENSURE BOARD CHANGES PROPOSED
The Department of Public Health has legislation that would essentially revise and update code sections related to licensure boards.
This legislation, SSB 3182, was considered in subcommittee today. There will be a second subcommittee meeting before this
legislation is further considered by the full Senate Human Resources Committee.

        Changes to the behavioral science licensure board requirement that at least two LMFT members be licensed marriage and
         family therapists who are practicing LMFTs and one LMFT who is employed in graduate teaching, training or research. The
         proposed change will still require that the board include three LMFTs but eliminate the other requirements. The same
         requirements are not currently required of mental health counselors who serve on the board but those requirements are not
         changed in the legislation.
        Creation of a temporary licensure provision for LMFTs
        Changes to licensing provisions for LMFTS to now require 60 semester hours rather than 45 credit hours to qualify for
         licensing as either a LMFT or as a mental health counselor.

PARITY LEGISLATION UPDATE




                                                                Page 13
                                        IAMFT.com              MESSAGE            BOARD

There continues to be no movement on parity legislation in either the House or the Senate. Mental health advocates had a meeting on
Wednesday with House Majority Leader Kevin McCarthy to determine what the impediments were to movement on such legislation.
During that meeting, McCarthy indicated that there was not sufficient support in the Democratic caucus to move such legislation.
McCarthy did suggest that the caucus was looking seriously at legislation (discussed in a previous newsletter) to establish a
commission to review and provide guidance to the Legislature on proposed bills that would mandate insurance coverages.



BILLS OF INTEREST
HF 514                             Requires the attorney general to     1-22-08 referred to subcommittee
                                   appoint an advocate for              T. Olson, Quirk, Wise, Hoffman,
                                   consumers to resolve insurance       Pettingill
                                   disputes
HF 769                             Provides mental health parity for    4-28-07 referred to House
                                   children, state employees and        Human Resources
                                   employees of businesses with at      1-14-08 referred to subcommittee
                                   least 50 employees                   Smith, Wessel-Kroschell,
                                                                        Roberts
HF 2033                            Provides mental health parity for    Introduced 1-15-08 by
                                   veterans                             Zirkelbach.
                                                                        Referred to Veteran Affairs
HF 2128                            Creates a commission to              1-31-08 introduced by Tomenga,
                                   determine the necessity of           referred to House Commerce
                                   legislative mandates on health       2-4-08 referred to subcommittee
                                   insurance                            Petersen, T. Olson, Kressig,
                                                                        Struyk, Upmeyer
HF 2251                            Requires a study of the state’s      2-14-08 introduced and referred
                                   mental health advocates              to Judiciary
                                                                        Referred to subcommittee Smith,
                                                                        Lensing, Heaton
HSB 564                            Requires mental health coverage      1-23-08 introduced by House
                                   for children, expands the            Human Resources
                                   required list of mental health       Referred to subcommittee
                                   conditions covered by insurance      Wessel-Kroschell, Abdul-Samad,
                                   to include behavioral conditions     Soderberg
                                   in addition to biological
                                   conditions
HSB 630                            Creates an emergency mental          2-6-08 introduced by Dpt.
                                   health provider network              Human Services, referred to
                                                                        House Human Services; referred
                                                                        to subcommittee Wessell-
                                                                        Kroschell, Smith, Granzow
HSB 636                            Health care reform including         2-7-08 introduced by Smith,
                                   health care coverage exchange;       referred to House Human
                                   medical homes; prevention &          Resources;
                                   chronic care management; the         2-8-08 referred to subcommittee
                                   Iowa health information              Abdul-Samad, Heddens, Smith,
                                   technology system; health care       Heaton, Upmeyer
                                   quality, consumer information,
                                   strategic planning, and resource
                                   development; and the certificate
                                   of need program
SF 382                             Requires mental health coverage      4-12-07 referred back to Senate
                                   for children, expands the            Human Resources
                                   required list of mental health



                                                              Page 14
                                        IAMFT.com              MESSAGE            BOARD

                                   conditions covered by insurance
                                   to include behavioral conditions
                                   in addition to biological
                                   conditions
SSB 3136                           Creates an emergency mental          2-5-08 Introduced by Dept.
SF 2163                            health provider network              Human Services, referred to
                                                                        Senate Human Resources,
                                                                        referred to subcommittee
                                                                        Bolkcom, Ragan, Johnson
                                                                        2-7-08 approved by
                                                                        subcommittee
                                                                        2-11-08 approved by Senate
                                                                        Human Resources
SSB 3140                           Health care reform including         2-5-08 introduced by Hatch,
                                   health care coverage exchange;       referred to Senate Human
                                   medical homes; prevention &          Resources, referred to
                                   chronic care management; the         subcommittee Hatch, Bolkcom,
                                   Iowa health information              Ragan, Seymour, Johnson
                                   technology system; health care
                                   quality, consumer information,
                                   strategic planning, and resource
                                   development; and the certificate
                                   of need program
SSB 3182                           Makes changes to licensure           2-14-08 introduced by
                                   requirements, membership on          Department of Public Health
                                   Board of Behavioral Sciences;        Referred to subcommittee
                                   creates a provisional license for    Schmitz, Wood, Mulder
                                   LMFTs
SSB 3191                           Requires coverage for services       2-19-08 introduced and referred
                                   provided by LMFTs to those on        to Senate Human Resources
                                   the medical assistance program       Referred to subcommittee
                                                                        Schmitz, Ragan, Boettger
                                                                        2-21-08 approved by
                                                                        subcommittee

For information on committee meetings and legislators, please refer to the General Assembly website at www.legis.state.ia.us

PREPARED BY:

Emily Piper, IAMFT Legislative Consultant
EMILY80@MCHSI.COM
515-202-7772




                   IAMFT Legislative Update
                   February 8, 2008




                                                              Page 15
                                          IAMFT.com               MESSAGE             BOARD

INSURANCE MANDATE COMMISSION PROPOSED
HF 2128 is the insurance industry’s version of a compromise on mental health parity. This legislation creates a commission,
independent of the Legislature, that would review any bill introduced that mandated a type of insurance coverage. The legislation
would prohibit any legislative committee from approving a bill containing a mandate until the Commission had a chance to review and
offer comment.

The Commission would have 90 days to review any legislation. This effectively ensures that there would not be a mandate bill,
including mental health parity or any willing provider, considered until the next legislative session. The legislation requires the
Commission to make a recommendation on whether or not the mandate proposed is necessary based on medical, consumer and
financial issues.

MENTAL HEALTH PARITY LEGISLATION
HSB 564 was scheduled to be approved by the House Human Resources Committee last week. Legislators deferred on considering
this bill, in response to pressure from leadership. It is clear that mental health parity does not yet have the votes to pass the House and
leadership is looking at the Mandate Commission bill (see above) as an alternative. That legislation also does not have the votes to
pass the House, as it is currently drafted.

MEDICARE ELIGIBILITY FOR LMFT’S
The bill to expand the list of covered providers to include LMFTs should be introduced this week. This legislation will be introduced
as a study bill by Senator Amanda Ragan, chair of the Senate Human Resources Committee. We will be working with Representative
Mark Smith, chair of the House Human Resources Committee, to do a companion bill.

BILLS OF INTEREST
HF 769                                Provides mental health parity for     4-28-07 referred to House Human
                                      children, state employees and         Resources
                                      employees of businesses with at       1-14-08 referred to subcommittee
                                      least 50 employees                    Smith, Wessel-Kroschell, Roberts
HF 2033                               Provides mental health parity for     Introduced 1-15-08 by
                                      veterans                              Zirkelbach.
                                                                            Referred to Veteran Affairs
HF 2128                               Creates a commission to               1-31-08 introduced by Tomenga,
                                      determine the necessity of            referred to House Commerce
                                      legislative mandates on health        2-4-08 referred to subcommittee
                                      insurance                             Petersen, T. Olson, Kressig,
                                                                            Struyk, Upmeyer
HSB 564                               Requires mental health coverage       1-23-08 introduced by House
                                      for children, expands the required    Human Resources
                                      list of mental health conditions      Referred to subcommittee
                                      covered by insurance to include       Wessel-Kroschell, Abdul-Samad,
                                      behavioral conditions in addition     Soderberg
                                      to biological conditions
HSB 630                               Creates an emergency mental           2-6-08 introduced by Dpt. Human
                                      health provider network               Services, referred to House
                                                                            Human Services; referred to
                                                                            subcommittee Wessell-Kroschell,
                                                                            Smith, Granzow
SF 382                                Requires mental health coverage       4-12-07 referred back to Senate
                                      for children, expands the required    Human Resources
                                      list of mental health conditions
                                      covered by insurance to include
                                      behavioral conditions in addition
                                      to biological conditions
HSB 636                               Health care reform including          2-7-08 introduced by Smith,
                                      health care coverage exchange;        referred to House Human
                                      medical homes; prevention &           Resources;



                                                                Page 16
                                        IAMFT.com              MESSAGE            BOARD

                                    chronic care management; the        2-8-08 referred to subcommittee
                                    Iowa health information             Abdul-Samad, Heddens, Smith,
                                    technology system; health care      Heaton, Upmeyer
                                    quality, consumer information,
                                    strategic planning, and resource
                                    development; and the certificate
                                    of need program
SSB 3136                            Creates an emergency mental         2-5-08 Introduced by Dept.
                                    health provider network             Human Services, referred to
                                                                        Senate Human Resources,
                                                                        referred to subcommittee
                                                                        Bolkcom, Ragan, Johnson
                                                                        2-7-08 approved by
                                                                        subcommittee
SSB 3140                            Health care reform including        2-5-08 introduced by Hatch,
                                    health care coverage exchange;      referred to Senate Human
                                    medical homes; prevention &         Resources, referred to
                                    chronic care management; the        subcommittee Hatch, Bolkcom,
                                    Iowa health information             Ragan, Seymour, Johnson
                                    technology system; health care
                                    quality, consumer information,
                                    strategic planning, and resource
                                    development; and the certificate
                                    of need program

For information on committee meetings and legislators, please refer to the General Assembly website at www.legis.state.ia.us

PREPARED BY:

Emily Piper, IAMFT Legislative Consultant
EMILY80@MCHSI.COM
515-202-7772




[ Feb. 5, 2008 ] The Iowa City VA Health Care System is seeking a full-time Counseling Psychologist or Marriage and Family
Therapist for the Mental Health Service Line. The Psychologist or Marriage and Family Therapist will provide psychological services
to veterans enrolled in the PTSD Clinical Team (PCT) and the general psychology clinic. Incumbent will be responsible for providing
family therapy, marital therapy, group therapy, and individual therapy to combat veterans and their families, which involvement
encompasses both Psychiatry and Psychology services, through a full range of mental health assessment and intervention services.
Doctorate required. American Association for Marriage and Family Therapy clinical member status and Iowa license as a Marriage
and Family Therapist preferred. Qualified applicants are encouraged to apply online at www.USAJOBS.gov or www.vacareers.va.gov

Human Resources, VA Medical Center, 601 Hwy 6 W, Iowa City, IA 52246 (319) 338-0581 ext. 97720            Fax: (319)887-4977




From:            Emily Piper [emily80 @ mchsi.com]
Sent:            Thu 1/31/2008 3:34 PM
To:              IAMFT
Subject:         Weekly Legislative Update




                                                             Page 17
                                        IAMFT.com              MESSAGE           BOARD

Not much new to report this week. It was a short legislative week as the Senate and House were not in session Thursday to allow
legislators to attend the funeral of former senator Dick Drake. They also cancelled most committee and subcommittee meetings on
Thursday.

HSB 564, mental health parity for children and an expansion of mental health coverage to include behavioral mental health conditions
was considered by the subcommittee on Monday. The insurance industry was out in force and opposed the bill as increasing costs to
consumers. Their main argument is that they will be forced to write policies that include all mental health conditions and consumers
will be forced to buy those policies even if they do not want that coverage.

We are waiting on the bill draft as requested by Senator Ragan on Medicaid coverage for LMFTs.

Emily Piper
Piper Consulting Services
5905 Waterbury Circle
Des Moines, Iowa 50312
(515) 202-7772
fax (866) 869-2842
emily80 @ mchsi.com




*END*




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