A bill for an act relating to the admission of persons into residential care facilities, and including applicability provisions.

SF 248 requires Iowa's Department of Health and Human Services (HHS) to include a specific provision in all contracts with qualified residential treatment programs (QRTPs). This provision allows QRTP contractors to reject a placement referral from HHS or juvenile court services if they confirm in writing that they lack the necessary security or support to ensure the safety of either the individual or their staff. The bill also prohibits HHS from including any "no reject, no eject" clause in these contracts, which would force contractors to accept all referrals regardless of safety concerns. This law applies to all new, extended, or renewed QRTP contracts starting on the bill's effective date.