Girls happily reading their books - at Orchard Place Des Moines

Advocacy Alert: How You Can Help Orchard Place


Orchard Place Campus provides 24/7 intensive psychiatric services to more than 250 youth annually. The gap between what it costs to provide these important services and what we are reimbursed leaves us with a $300,000 to $500,000 loss annually over the past 5 years. This isn’t sustainable. 

This year Orchard Place is once again pressing for PMIC (Psychiatric Medical Institute for Children) rate relief. As with last year’s efforts, we are joining with Iowa’s other seven PMICs in the ask for $3.9 million in state appropriations which will leverage another $6.3 million from the federal government in Medicaid match. These reimbursement rates relate to our residential treatment program on Campus.

Last year our PMIC funding push during the session was moving forward, but, was interrupted by COVID. In the midst of great uncertainty, the legislature acted to hold flat appropriations for the coming year. Since the end of last year’s session, all the PMICs have continued to educate policy makers, advocacy groups, the Governor’s office, and legislators. 

Earlier this month, Governor Reynolds released her proposed budget to the legislature. The $3.9 million in PMIC rate relief is included in her Medicaid budget proposal. The Governor prioritized PMIC funding.

While it is encouraging and helpful that the Governor has prioritized PMIC, it is not a guarantee that legislators will follow her lead. The $3.9 million in PMIC rate relief funding must still be included in the final House and Senate appropriations. We have more work to do!

We need advocacy efforts to continue in order to steadily move PMIC funding forward. We need your advocacy efforts. Make your voice heard right now. Email your own Senator and Representative and let them know you want them to support this funding. We want every one of our own local legislators to be very aware of Orchard Place PMIC programming and funding needs. Orchard Place is right here in their community; you are their constituents. Even though many of our local legislators will not be involved in the day to day process of appropriations, it is still critical that they know what we are asking for and why.     

You can find your legislator at Iowa Legislature - Find Your Legislator, enter in your home address, and, then, click on their name for their contact information. We appreciate your continued support and effort towards this initiative.

Sanctuary on!

Anne Starr

Chief Executive Officer of Orchard Place