CCH-2460
REPORT
OF
THE
CONFERENCE
COMMITTEE
ON
HOUSE
FILE
2460
To
the
Speaker
of
the
House
of
Representatives
and
the
President
of
the
Senate:
We,
the
undersigned
members
of
the
conference
committee
appointed
to
resolve
the
differences
between
the
House
of
Representatives
and
the
Senate
on
House
File
2460,
a
bill
for
an
Act
relating
to
appropriations
for
health
and
human
services
and
veterans
and
including
other
related
provisions
and
appropriations,
and
including
effective
date
and
retroactive
and
other
applicability
provisions,
respectfully
make
the
following
report:
1.
That
the
Senate
recedes
from
its
amendment,
H-8277.
2.
That
House
File
2460,
as
amended,
passed,
and
reprinted
by
the
House,
is
amended
to
read
as
follows:
1.
By
striking
everything
after
the
enacting
clause
and
inserting:
<
DIVISION
I
DEPARTMENT
ON
AGING
——
FY
2016-2017
Section
1.
2015
Iowa
Acts,
chapter
137,
section
121,
is
amended
to
read
as
follows:
SEC.
121.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
on
aging
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
aging
programs
for
the
department
on
aging
and
area
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
aging
and
disabilities
resource
center,
and
other
services
which
may
include
but
are
not
limited
to
adult
day
services,
respite
care,
chore
services,
information
and
assistance,
and
material
aid,
for
information
and
options
counseling
for
persons
with
disabilities
who
are
18
years
of
age
or
older,
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and
for
salaries,
support,
administration,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
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.
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.
$
5,699,866
12,548,603
.
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.
FTEs
31.00
1.
Funds
appropriated
in
this
section
may
be
used
to
supplement
federal
funds
under
federal
regulations.
To
receive
funds
appropriated
in
this
section,
a
local
area
agency
on
aging
shall
match
the
funds
with
moneys
from
other
sources
according
to
rules
adopted
by
the
department.
Funds
appropriated
in
this
section
may
be
used
for
elderly
services
not
specifically
enumerated
in
this
section
only
if
approved
by
an
area
agency
on
aging
for
provision
of
the
service
within
the
area.
2.
Of
the
funds
appropriated
in
this
section,
$139,973
$279,946
is
transferred
to
the
economic
development
authority
for
the
Iowa
commission
on
volunteer
services
to
be
used
for
the
retired
and
senior
volunteer
program.
3.
a.
The
department
on
aging
shall
establish
and
enforce
procedures
relating
to
expenditure
of
state
and
federal
funds
by
area
agencies
on
aging
that
require
compliance
with
both
state
and
federal
laws,
rules,
and
regulations,
including
but
not
limited
to
all
of
the
following:
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
or
services
received
or
performed
prior
to
the
end
of
the
fiscal
period
designated
for
use
of
the
funds.
(2)
Prohibiting
prepayment
for
goods
or
services
not
received
or
performed
prior
to
the
end
of
the
fiscal
period
designated
for
use
of
the
funds.
(3)
Prohibiting
the
prepayment
for
goods
or
services
not
defined
specifically
by
good
or
service,
time
period,
or
recipient.
(4)
Prohibiting
the
establishment
of
accounts
from
which
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future
goods
or
services
which
are
not
defined
specifically
by
good
or
service,
time
period,
or
recipient,
may
be
purchased.
b.
The
procedures
shall
provide
that
if
any
funds
are
expended
in
a
manner
that
is
not
in
compliance
with
the
procedures
and
applicable
federal
and
state
laws,
rules,
and
regulations,
and
are
subsequently
subject
to
repayment,
the
area
agency
on
aging
expending
such
funds
in
contravention
of
such
procedures,
laws,
rules
and
regulations,
not
the
state,
shall
be
liable
for
such
repayment.
4.
Of
the
funds
appropriated
in
this
section,
at
least
$125,000
$250,000
shall
be
used
to
fund
the
unmet
needs
identified
through
Iowa’s
aging
and
disability
resource
center
network.
5.
Of
the
funds
appropriated
in
this
section,
at
least
$300,000
$600,000
shall
be
used
to
fund
home
and
community-based
services
through
the
area
agencies
on
aging
that
enable
older
individuals
to
avoid
more
costly
utilization
of
residential
or
institutional
services
and
remain
in
their
own
homes.
6.
Of
the
funds
appropriated
in
this
section,
$406,833
$962,537
shall
be
used
for
the
purposes
of
chapter
231E
and
section
231.56A
,
of
which
$144,333
$350,000
shall
be
used
for
the
office
of
substitute
decision
maker
pursuant
to
chapter
231E
,
and
the
remainder
shall
be
distributed
equally
to
the
area
agencies
on
aging
to
administer
the
prevention
of
elder
abuse,
neglect,
and
exploitation
program
pursuant
to
section
231.56A
,
in
accordance
with
the
requirements
of
the
federal
Older
Americans
Act
of
1965,
42
U.S.C.
§3001
et
seq.,
as
amended.
7.
Of
the
funds
appropriated
in
this
section,
$1,000,000
shall
be
used
to
fund
continuation
of
the
aging
and
disability
resource
center
lifelong
links
to
provide
individuals
and
caregivers
with
information
and
services
to
plan
for
and
maintain
independence.
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DIVISION
II
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2016-2017
Sec.
2.
2015
Iowa
Acts,
chapter
137,
section
122,
is
amended
to
read
as
follows:
SEC.
122.
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
office
of
long-term
care
ombudsman
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
salaries,
support,
administration,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
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.
.
.
.
.
.
$
638,391
1,376,783
.
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.
FTEs
17.00
18.00
2.
Of
the
funds
appropriated
in
this
section,
$110,000
$220,000
shall
be
used
to
continue
to
provide
for
additional
local
long-term
care
ombudsmen.
3.
Of
the
funds
appropriated
in
this
section,
$100,000
shall
be
used
to
provide
an
additional
long-term
care
ombudsman
to
provide
assistance
and
advocacy
related
to
long-term
care
services
and
supports
under
the
Medicaid
program
pursuant
to
section
231.44.
DIVISION
III
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2016-2017
Sec.
3.
2015
Iowa
Acts,
chapter
137,
section
123,
is
amended
to
read
as
follows:
SEC.
123.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
public
health
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
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CCH-2460
designated:
1.
ADDICTIVE
DISORDERS
For
reducing
the
prevalence
of
the
use
of
tobacco,
alcohol,
and
other
drugs,
and
treating
individuals
affected
by
addictive
behaviors,
including
gambling,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
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.
.
$
13,631,845
26,988,690
.
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.
FTEs
10.00
a.
(1)
Of
the
funds
appropriated
in
this
subsection,
$2,624,180
$5,248,361
shall
be
used
for
the
tobacco
use
prevention
and
control
initiative,
including
efforts
at
the
state
and
local
levels,
as
provided
in
chapter
142A
.
The
commission
on
tobacco
use
prevention
and
control
established
pursuant
to
section
142A.3
shall
advise
the
director
of
public
health
in
prioritizing
funding
needs
and
the
allocation
of
moneys
appropriated
for
the
programs
and
initiatives.
Activities
of
the
programs
and
initiatives
shall
be
in
alignment
with
the
United
States
centers
for
disease
control
and
prevention
best
practices
for
comprehensive
tobacco
control
programs
that
include
the
goals
of
preventing
youth
initiation
of
tobacco
usage,
reducing
exposure
to
secondhand
smoke,
and
promotion
of
tobacco
cessation.
To
maximize
resources,
the
department
shall
determine
if
third-party
sources
are
available
to
instead
provide
nicotine
replacement
products
to
an
applicant
prior
to
provision
of
such
products
to
an
applicant
under
the
initiative.
The
department
shall
track
and
report
to
the
individuals
specified
in
this
Act
,
any
reduction
in
the
provision
of
nicotine
replacement
products
realized
by
the
initiative
through
implementation
of
the
prerequisite
screening.
(2)
(a)
Of
the
funds
allocated
in
this
paragraph
“a”,
$226,533
is
transferred
to
the
The
department
shall
collaborate
with
the
alcoholic
beverages
division
of
the
department
of
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commerce
for
enforcement
of
tobacco
laws,
regulations,
and
ordinances
and
to
engage
in
tobacco
control
activities
approved
by
the
division
of
tobacco
use
prevention
and
control
of
the
department
of
public
health
as
specified
in
the
memorandum
of
understanding
entered
into
between
the
divisions.
(b)
For
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
terms
of
the
memorandum
of
understanding,
entered
into
between
the
division
of
tobacco
use
prevention
and
control
of
the
department
of
public
health
and
the
alcoholic
beverages
division
of
the
department
of
commerce,
governing
compliance
checks
conducted
to
ensure
licensed
retail
tobacco
outlet
conformity
with
tobacco
laws,
regulations,
and
ordinances
relating
to
persons
under
eighteen
18
years
of
age,
shall
continue
to
restrict
the
number
of
such
checks
to
one
check
per
retail
outlet,
and
one
additional
check
for
any
retail
outlet
found
to
be
in
violation
during
the
first
check.
b.
Of
the
funds
appropriated
in
this
subsection,
$11,007,664
$21,740,329
shall
be
used
for
problem
gambling
and
substance-related
disorder
prevention,
treatment,
and
recovery
services,
including
a
24-hour
helpline,
public
information
resources,
professional
training,
youth
prevention,
and
program
evaluation.
(1)
Of
the
funds
allocated
in
this
paragraph
“b”,
$9,451,857
shall
be
used
for
substance-related
disorder
prevention
and
treatment.
(a)
Of
the
funds
allocated
in
this
subparagraph
(1),
$449,650
shall
be
used
for
the
public
purpose
of
a
grant
program
to
provide
substance-related
disorder
prevention
programming
for
children.
(i)
Of
the
funds
allocated
in
this
subparagraph
division
(a),
$213,769
shall
be
used
for
grant
funding
for
organizations
that
provide
programming
for
children
by
utilizing
mentors.
Programs
approved
for
such
grants
shall
be
certified
or
must
be
certified
within
six
months
of
receiving
the
grant
award
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by
the
Iowa
commission
on
volunteer
services
as
utilizing
the
standards
for
effective
practice
for
mentoring
programs.
(ii)
Of
the
funds
allocated
in
this
subparagraph
division
(a),
$213,419
shall
be
used
for
grant
funding
for
organizations
providing
programming
that
includes
youth
development
and
leadership
services.
The
programs
shall
also
be
recognized
as
being
programs
that
are
scientifically
based
with
evidence
of
their
effectiveness
in
reducing
substance-related
disorders
in
children.
(iii)
The
department
of
public
health
shall
utilize
a
request
for
proposals
process
to
implement
the
grant
program.
(iv)
All
grant
recipients
shall
participate
in
a
program
evaluation
as
a
requirement
for
receiving
grant
funds.
(v)
Of
the
funds
allocated
in
this
subparagraph
division
(a),
up
to
$22,461
may
be
used
to
administer
substance-related
disorder
prevention
grants
and
for
program
evaluations.
(b)
Of
the
funds
allocated
in
this
subparagraph
(1),
$136,301
shall
be
used
for
culturally
competent
substance-related
disorder
treatment
pilot
projects.
(i)
The
department
shall
utilize
the
amount
allocated
in
this
subparagraph
division
(b)
for
at
least
three
pilot
projects
to
provide
culturally
competent
substance-related
disorder
treatment
in
various
areas
of
the
state.
Each
pilot
project
shall
target
a
particular
ethnic
minority
population.
The
populations
targeted
shall
include
but
are
not
limited
to
African
American,
Asian,
and
Latino.
(ii)
The
pilot
project
requirements
shall
provide
for
documentation
or
other
means
to
ensure
access
to
the
cultural
competence
approach
used
by
a
pilot
project
so
that
such
approach
can
be
replicated
and
improved
upon
in
successor
programs.
(2)
Of
the
funds
allocated
in
this
paragraph
“b”,
up
to
$1,555,807
may
be
used
for
problem
gambling
prevention,
treatment,
and
recovery
services.
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(a)
Of
the
funds
allocated
in
this
subparagraph
(2),
$1,286,881
shall
be
used
for
problem
gambling
prevention
and
treatment.
(b)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
$218,926
may
be
used
for
a
24-hour
helpline,
public
information
resources,
professional
training,
and
program
evaluation.
(c)
Of
the
funds
allocated
in
this
subparagraph
(2),
up
to
$50,000
may
be
used
for
the
licensing
of
problem
gambling
treatment
programs.
(3)
It
is
the
intent
of
the
general
assembly
that
from
the
moneys
allocated
in
this
paragraph
“b”,
persons
with
a
dual
diagnosis
of
substance-related
disorder
and
gambling
addiction
shall
be
given
priority
in
treatment
services.
c.
Notwithstanding
any
provision
of
law
to
the
contrary,
to
standardize
the
availability,
delivery,
cost
of
delivery,
and
accountability
of
problem
gambling
and
substance-related
disorder
treatment
services
statewide,
the
department
shall
continue
implementation
of
a
process
to
create
a
system
for
delivery
of
treatment
services
in
accordance
with
the
requirements
specified
in
2008
Iowa
Acts,
chapter
1187,
section
3,
subsection
4
.
To
ensure
the
system
provides
a
continuum
of
treatment
services
that
best
meets
the
needs
of
Iowans,
the
problem
gambling
and
substance-related
disorder
treatment
services
in
any
area
may
be
provided
either
by
a
single
agency
or
by
separate
agencies
submitting
a
joint
proposal.
(1)
The
system
for
delivery
of
substance-related
disorder
and
problem
gambling
treatment
shall
include
problem
gambling
prevention.
(2)
The
system
for
delivery
of
substance-related
disorder
and
problem
gambling
treatment
shall
include
substance-related
disorder
prevention
by
July
1,
2017.
(3)
Of
the
funds
allocated
in
paragraph
“b”,
the
department
may
use
up
to
$50,000
for
administrative
costs
to
continue
developing
and
implementing
the
process
in
accordance
with
this
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paragraph
“c”.
d.
The
requirement
of
section
123.53
123.17
,
subsection
5
,
is
met
by
the
appropriations
and
allocations
made
in
this
division
of
this
Act
for
purposes
of
substance-related
disorder
treatment
and
addictive
disorders
for
the
fiscal
year
beginning
July
1,
2016.
e.
The
department
of
public
health
shall
work
with
all
other
departments
that
fund
substance-related
disorder
prevention
and
treatment
services
and
all
such
departments
shall,
to
the
extent
necessary,
collectively
meet
the
state
maintenance
of
effort
requirements
for
expenditures
for
substance-related
disorder
services
as
required
under
the
federal
substance-related
disorder
prevention
and
treatment
block
grant.
2.
HEALTHY
CHILDREN
AND
FAMILIES
For
promoting
the
optimum
health
status
for
children,
adolescents
from
birth
through
21
years
of
age,
and
families,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,308,771
5,693,774
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
12.00
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
than
$367,420
$734,841
shall
be
used
for
the
healthy
opportunities
for
parents
to
experience
success
(HOPES)-healthy
families
Iowa
(HFI)
program
established
pursuant
to
section
135.106
.
The
funding
shall
be
distributed
to
renew
the
grants
that
were
provided
to
the
grantees
that
operated
the
program
during
the
fiscal
year
ending
June
30,
2016.
b.
In
order
to
implement
the
legislative
intent
stated
in
sections
135.106
and
256I.9
,
that
priority
for
home
visitation
program
funding
be
given
to
programs
using
evidence-based
or
promising
models
for
home
visitation,
it
is
the
intent
of
the
general
assembly
to
phase
in
the
funding
priority
in
accordance
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with
2012
Iowa
Acts,
chapter
1133,
section
2,
subsection
2
,
paragraph
“0b”.
c.
Of
the
funds
appropriated
in
this
subsection,
$1,099,414
$3,275,059
shall
be
used
for
continuation
of
the
department’s
initiative
to
provide
for
adequate
developmental
surveillance
and
screening
during
a
child’s
first
five
years.
The
funds
shall
be
used
first
to
fully
fund
the
current
sites
to
ensure
that
the
sites
are
fully
operational,
with
the
remaining
funds
to
be
used
for
expansion
to
additional
sites.
The
full
implementation
and
expansion
shall
include
enhancing
the
scope
of
the
program
through
collaboration
with
the
child
health
specialty
clinics
to
promote
healthy
child
development
through
early
identification
and
response
to
both
biomedical
and
social
determinants
of
healthy
development;
by
monitoring
child
health
metrics
to
inform
practice,
document
long-term
health
impacts
and
savings,
and
provide
for
continuous
improvement
through
training,
education,
and
evaluation;
and
by
providing
for
practitioner
consultation
particularly
for
children
with
behavioral
conditions
and
needs.
The
department
of
public
health
shall
also
collaborate
with
the
Iowa
Medicaid
enterprise
and
the
child
health
specialty
clinics
to
integrate
the
activities
of
the
first
five
initiative
into
the
establishment
of
patient-centered
medical
homes,
community
utilities,
accountable
care
organizations,
and
other
integrated
care
models
developed
to
improve
health
quality
and
population
health
while
reducing
health
care
costs.
To
the
maximum
extent
possible,
funding
allocated
in
this
paragraph
shall
be
utilized
as
matching
funds
for
medical
assistance
program
reimbursement.
d.
Of
the
funds
appropriated
in
this
subsection,
$37,320
$74,640
shall
be
distributed
to
a
statewide
dental
carrier
to
provide
funds
to
continue
the
donated
dental
services
program
patterned
after
the
projects
developed
by
the
lifeline
network
to
provide
dental
services
to
indigent
individuals
who
are
elderly
or
with
disabilities.
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e.
Of
the
funds
appropriated
in
this
subsection,
$55,997
$111,995
shall
be
used
for
childhood
obesity
prevention.
f.
Of
the
funds
appropriated
in
this
subsection,
$81,384
$162,768
shall
be
used
to
provide
audiological
services
and
hearing
aids
for
children.
The
department
may
enter
into
a
contract
to
administer
this
paragraph.
g.
Of
the
funds
appropriated
in
this
subsection,
$12,500
$25,000
is
transferred
to
the
university
of
Iowa
college
of
dentistry
for
provision
of
primary
dental
services
to
children.
State
funds
shall
be
matched
on
a
dollar-for-dollar
basis.
The
university
of
Iowa
college
of
dentistry
shall
coordinate
efforts
with
the
department
of
public
health,
bureau
of
oral
and
health
delivery
systems,
to
provide
dental
care
to
underserved
populations
throughout
the
state.
h.
Of
the
funds
appropriated
in
this
subsection,
$25,000
$50,000
shall
be
used
to
address
youth
suicide
prevention.
i.
Of
the
funds
appropriated
in
this
subsection,
$25,000
$50,000
shall
be
used
to
support
the
Iowa
effort
to
address
the
survey
of
children
who
experience
adverse
childhood
experiences
known
as
ACEs.
j.
The
department
of
public
health
shall
continue
to
administer
the
program
to
assist
parents
in
this
state
with
costs
resulting
from
the
death
of
a
child
in
accordance
with
the
provisions
of
2014
Iowa
Acts,
chapter
1140,
section
22,
subsection
12
.
3.
CHRONIC
CONDITIONS
For
serving
individuals
identified
as
having
chronic
conditions
or
special
health
care
needs,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,477,846
5,080,692
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
5.00
a.
Of
the
funds
appropriated
in
this
subsection,
$79,966
$159,932
shall
be
used
for
grants
to
individual
patients
who
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have
an
inherited
metabolic
disorder
to
assist
with
the
costs
of
medically
necessary
foods
and
formula.
b.
Of
the
funds
appropriated
in
this
subsection,
$445,822
$1,041,644
shall
be
used
for
the
brain
injury
services
program
pursuant
to
section
135.22B
,
including
for
continuation
of
the
contracts
for
resource
facilitator
services
in
accordance
with
section
135.22B,
subsection
9
,
and
to
enhance
brain
injury
training
and
recruitment
of
service
providers
on
a
statewide
basis.
Of
the
amount
allocated
in
this
paragraph,
$47,500
$95,000
shall
be
used
to
fund
one
full-time
equivalent
position
to
serve
as
the
state
brain
injury
services
program
manager.
c.
Of
the
funds
appropriated
in
this
subsection,
$273,991
$547,982
shall
be
used
as
additional
funding
to
leverage
federal
funding
through
the
federal
Ryan
White
Care
Act,
Tit.
II,
AIDS
drug
assistance
program
supplemental
drug
treatment
grants.
d.
Of
the
funds
appropriated
in
this
subsection,
$74,911
$149,823
shall
be
used
for
the
public
purpose
of
continuing
to
contract
with
an
existing
national-affiliated
organization
to
provide
education,
client-centered
programs,
and
client
and
family
support
for
people
living
with
epilepsy
and
their
families.
The
amount
allocated
in
this
paragraph
in
excess
of
$50,000
$100,000
shall
be
matched
dollar-for-dollar
by
the
organization
specified.
e.
Of
the
funds
appropriated
in
this
subsection,
$392,557
$785,114
shall
be
used
for
child
health
specialty
clinics.
f.
Of
the
funds
appropriated
in
this
subsection,
$200,000
$400,000
shall
be
used
by
the
regional
autism
assistance
program
established
pursuant
to
section
256.35
,
and
administered
by
the
child
health
specialty
clinic
located
at
the
university
of
Iowa
hospitals
and
clinics.
The
funds
shall
be
used
to
enhance
interagency
collaboration
and
coordination
of
educational,
medical,
and
other
human
services
for
persons
with
autism,
their
families,
and
providers
of
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services,
including
delivering
regionalized
services
of
care
coordination,
family
navigation,
and
integration
of
services
through
the
statewide
system
of
regional
child
health
specialty
clinics
and
fulfilling
other
requirements
as
specified
in
chapter
225D
.
The
university
of
Iowa
shall
not
receive
funds
allocated
under
this
paragraph
for
indirect
costs
associated
with
the
regional
autism
assistance
program.
g.
Of
the
funds
appropriated
in
this
subsection,
$285,496
$594,543
shall
be
used
for
the
comprehensive
cancer
control
program
to
reduce
the
burden
of
cancer
in
Iowa
through
prevention,
early
detection,
effective
treatment,
and
ensuring
quality
of
life.
Of
the
funds
allocated
in
this
paragraph
“g”,
$75,000
$150,000
shall
be
used
to
support
a
melanoma
research
symposium,
a
melanoma
biorepository
and
registry,
basic
and
translational
melanoma
research,
and
clinical
trials.
h.
Of
the
funds
appropriated
in
this
subsection,
$63,225
$101,450
shall
be
used
for
cervical
and
colon
cancer
screening,
and
$150,000
$300,000
shall
be
used
to
enhance
the
capacity
of
the
cervical
cancer
screening
program
to
include
provision
of
recommended
prevention
and
early
detection
measures
to
a
broader
range
of
low-income
women.
i.
Of
the
funds
appropriated
in
this
subsection,
$263,347
$526,695
shall
be
used
for
the
center
for
congenital
and
inherited
disorders.
j.
Of
the
funds
appropriated
in
this
subsection,
$64,705
$129,411
shall
be
used
for
the
prescription
drug
donation
repository
program
created
in
chapter
135M
.
k.
Of
the
funds
appropriated
in
this
subsection,
$107,631
$215,263
shall
be
used
by
the
department
of
public
health
for
reform-related
activities,
including
but
not
limited
to
facilitation
of
communication
to
stakeholders
at
the
state
and
local
level,
administering
the
patient-centered
health
advisory
council
pursuant
to
section
135.159
,
and
involvement
in
health
care
system
innovation
activities
occurring
across
the
state.
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l.
Of
the
funds
appropriated
in
this
subsection,
$12,500
$25,000
shall
be
used
for
administration
of
chapter
124D
,
the
medical
cannabidiol
Act.
4.
COMMUNITY
CAPACITY
For
strengthening
the
health
care
delivery
system
at
the
local
level,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,410,667
7,339,136
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
11.00
13.00
a.
Of
the
funds
appropriated
in
this
subsection,
$49,707
$99,414
is
allocated
for
continuation
of
the
child
vision
screening
program
implemented
through
the
university
of
Iowa
hospitals
and
clinics
in
collaboration
with
early
childhood
Iowa
areas.
The
program
shall
submit
a
report
to
the
individuals
identified
in
this
Act
for
submission
of
reports
regarding
the
use
of
funds
allocated
under
this
paragraph
“a”.
The
report
shall
include
the
objectives
and
results
for
the
program
year
including
the
target
population
and
how
the
funds
allocated
assisted
the
program
in
meeting
the
objectives;
the
number,
age,
and
location
within
the
state
of
individuals
served;
the
type
of
services
provided
to
the
individuals
served;
the
distribution
of
funds
based
on
service
provided;
and
the
continuing
needs
of
the
program.
b.
Of
the
funds
appropriated
in
this
subsection,
$55,328
$110,656
is
allocated
for
continuation
of
an
initiative
implemented
at
the
university
of
Iowa
and
$49,952
$99,904
is
allocated
for
continuation
of
an
initiative
at
the
state
mental
health
institute
at
Cherokee
to
expand
and
improve
the
workforce
engaged
in
mental
health
treatment
and
services.
The
initiatives
shall
receive
input
from
the
university
of
Iowa,
the
department
of
human
services,
the
department
of
public
health,
and
the
mental
health
and
disability
services
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CCH-2460
commission
to
address
the
focus
of
the
initiatives.
c.
Of
the
funds
appropriated
in
this
subsection,
$582,314
$1,164,628
shall
be
used
for
essential
public
health
services
that
promote
healthy
aging
throughout
one’s
lifespan,
contracted
through
a
formula
for
local
boards
of
health,
to
enhance
health
promotion
and
disease
prevention
services.
d.
Of
the
funds
appropriated
in
this
section
subsection
,
$49,643
$99,286
shall
be
deposited
in
the
governmental
public
health
system
fund
created
in
section
135A.8
to
be
used
for
the
purposes
of
the
fund.
e.
Of
the
funds
appropriated
in
this
subsection,
$52,724
shall
be
used
to
continue
to
address
the
shortage
of
mental
health
professionals
in
the
state.
f.
Of
the
funds
appropriated
in
this
subsection,
$25,000
$50,000
shall
be
used
for
a
grant
to
a
statewide
association
of
psychologists
that
is
affiliated
with
the
American
psychological
association
to
be
used
for
continuation
of
a
program
to
rotate
intern
psychologists
in
placements
in
urban
and
rural
mental
health
professional
shortage
areas,
as
defined
in
section
135.180
.
g.
(1)
Of
the
funds
appropriated
in
this
subsection,
$1,441,484
$1,210,770
shall
be
allocated
as
a
grant
to
the
Iowa
primary
care
association
to
be
used
pursuant
to
section
135.153
for
the
statewide
coordination
of
the
Iowa
collaborative
safety
net
provider
network.
Coordination
of
the
network
shall
focus
on
increasing
access
by
underserved
populations
to
health
care
services,
increasing
integration
of
the
health
system
and
collaboration
across
the
continuum
of
care
with
a
focus
on
safety
net
services,
and
enhancing
the
Iowa
collaborative
safety
net
provider
network’s
communication
and
education
efforts.
The
amount
allocated
as
a
grant
under
this
subparagraph
(1)
shall
be
used
as
follows
to
support
the
Iowa
collaborative
safety
net
provider
network
goals
of
increased
access,
health
system
integration,
and
engagement:
-15-
HF2460.3950
(6)
86
pf/rh/rn
15/
124
CCH-2460
(a)
For
distribution
to
safety
net
partners
in
the
state
that
work
to
increase
access
of
the
underserved
population
to
health
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
512,742
1,025,485
(i)
Of
the
amount
allocated
in
this
subparagraph
division
(a),
up
to
$206,707
not
less
than
$413,415
shall
be
distributed
to
the
Iowa
prescription
drug
corporation
for
continuation
of
the
pharmaceutical
infrastructure
for
safety
net
providers
as
described
in
2007
Iowa
Acts,
chapter
218,
section
108
.
(ii)
Of
the
amount
allocated
in
this
subparagraph
division
(a),
up
to
$174,161
not
less
than
$348,322
shall
be
distributed
to
free
clinics
and
free
clinics
of
Iowa
for
necessary
infrastructure,
statewide
coordination,
provider
recruitment,
service
delivery,
and
provision
of
assistance
to
patients
in
securing
a
medical
home
inclusive
of
oral
health
care.
(iii)
Of
the
amount
allocated
in
this
subparagraph
division
(a),
up
to
$25,000
not
less
than
$50,000
shall
be
distributed
to
the
Iowa
coalition
against
sexual
assault
to
continue
a
training
program
for
sexual
assault
response
team
(SART)
members,
including
representatives
of
law
enforcement,
victim
advocates,
prosecutors,
and
certified
medical
personnel.
(iv)
Of
the
amount
allocated
in
this
subparagraph
division
(a),
up
to
$106,874
not
less
than
$213,748
shall
be
distributed
to
the
Polk
county
medical
society
for
continuation
of
the
safety
net
provider
patient
access
to
a
specialty
health
care
initiative
as
described
in
2007
Iowa
Acts,
chapter
218,
section
109
.
(c)
For
distribution
to
safety
net
partners
in
the
state
that
work
to
serve
as
a
resource
for
credible,
accurate
information
on
health
care-related
needs
and
services
for
vulnerable
populations
in
the
state
including
the
Iowa
association
of
rural
health
clinics
for
necessary
infrastructure
and
service
delivery
transformation
and
the
Iowa
-16-
HF2460.3950
(6)
86
pf/rh/rn
16/
124
CCH-2460
primary
care
association
to
support
partner
engagement,
program
management,
and
statewide
coordination
of
the
network:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
92,642
185,285
(2)
The
amount
allocated
under
this
paragraph
“g”
shall
not
be
reduced
for
administrative
or
other
costs
prior
to
distribution.
The
Iowa
collaborative
safety
net
provider
network
may
continue
to
distribute
funds
allocated
pursuant
to
this
paragraph
“g”
through
existing
contracts
or
renewal
of
existing
contracts.
(3)
For
each
goal
of
the
Iowa
collaborative
safety
net
provider
network,
the
Iowa
primary
care
association
shall
submit
a
progress
report
to
the
individuals
designated
in
this
Act
for
submission
of
reports
by
December
15,
2016,
including
progress
in
developing
and
implementing
the
network,
how
the
funds
were
distributed
and
used
in
developing
and
implementing
the
network,
and
the
remaining
needs
identified
to
fully
develop
and
implement
the
network.
h.
Of
the
funds
appropriated
in
this
subsection,
$106,700
$213,400
shall
be
used
for
continuation
of
the
work
of
the
direct
care
worker
advisory
council
established
pursuant
to
2008
Iowa
Acts,
chapter
1188,
section
69
,
in
implementing
the
recommendations
in
the
final
report
submitted
by
the
advisory
council
to
the
governor
and
the
general
assembly
in
March
2012,
including
by
continuing
to
develop,
promote,
and
make
available
on
a
statewide
basis
the
prepare-to-care
core
curriculum
and
its
associated
modules
and
specialties
through
various
formats
including
online
access,
community
colleges,
and
other
venues;
exploring
new
and
maintaining
existing
specialties
including
but
not
limited
to
oral
health
and
dementia
care;
supporting
instructor
training;
and
assessing
and
making
recommendations
concerning
the
Iowa
care
book
and
information
technology
systems
and
infrastructure
uses
and
needs.
i.
(1)
Of
the
funds
appropriated
in
this
subsection,
-17-
HF2460.3950
(6)
86
pf/rh/rn
17/
124
CCH-2460
$108,187
$216,375
shall
be
used
for
allocation
to
allocated
for
continuation
of
the
contract
with
an
independent
statewide
direct
care
worker
organization
previously
selected
through
a
request
for
proposals
process.
The
contract
shall
continue
to
include
performance
and
outcomes
measures,
and
shall
continue
to
allow
the
contractor
to
use
a
portion
of
the
funds
received
under
the
contract
to
collect
data
to
determine
results
based
on
the
performance
and
outcomes
measures.
(2)
Of
the
funds
appropriated
in
this
subsection,
$37,500
$75,000
shall
be
used
to
provide
scholarships
or
other
forms
of
subsidization
for
direct
care
worker
educational
conferences,
training,
or
outreach
activities.
j.
Of
the
funds
appropriated
in
this
subsection,
the
department
may
use
up
to
$29,087
$58,175
for
up
to
one
full-time
equivalent
position
to
administer
the
volunteer
health
care
provider
program
pursuant
to
section
135.24
.
k.
Of
the
funds
appropriated
in
this
subsection,
$50,000
$100,000
shall
be
used
for
a
matching
dental
education
loan
repayment
program
to
be
allocated
to
a
dental
nonprofit
health
service
corporation
to
continue
to
develop
the
criteria
and
implement
the
loan
repayment
program.
l.
Of
the
funds
appropriated
in
this
subsection,
$52,911
$105,823
is
transferred
to
the
college
student
aid
commission
for
deposit
in
the
rural
Iowa
primary
care
trust
fund
created
in
section
261.113
to
be
used
for
the
purposes
of
the
fund.
m.
Of
the
funds
appropriated
in
this
subsection,
$125,000
$250,000
shall
be
used
for
the
purposes
of
the
Iowa
donor
registry
as
specified
in
section
142C.18
.
n.
Of
the
funds
appropriated
in
this
subsection,
$50,000
$100,000
shall
be
used
for
continuation
of
a
grant
to
a
nationally
affiliated
volunteer
eye
organization
that
has
an
established
program
for
children
and
adults
and
that
is
solely
dedicated
to
preserving
sight
and
preventing
blindness
through
education,
nationally
certified
vision
screening
and
training,
-18-
HF2460.3950
(6)
86
pf/rh/rn
18/
124
CCH-2460
and
community
and
patient
service
programs.
The
organization
shall
submit
a
report
to
the
individuals
identified
in
this
Act
for
submission
of
reports
regarding
the
use
of
funds
allocated
under
this
paragraph
“n”.
The
report
shall
include
the
objectives
and
results
for
the
program
year
including
the
target
population
and
how
the
funds
allocated
assisted
the
program
in
meeting
the
objectives;
the
number,
age,
and
location
within
the
state
of
individuals
served;
the
type
of
services
provided
to
the
individuals
served;
the
distribution
of
funds
based
on
services
provided;
and
the
continuing
needs
of
the
program.
o.
Of
the
funds
appropriated
in
this
subsection,
$1,000,000
$2,000,000
shall
be
deposited
in
the
medical
residency
training
account
created
in
section
135.175,
subsection
5,
paragraph
“a”
,
and
is
appropriated
from
the
account
to
the
department
of
public
health
to
be
used
for
the
purposes
of
the
medical
residency
training
state
matching
grants
program
as
specified
in
section
135.176
.
However,
notwithstanding
any
provision
to
the
contrary
in
section
135.176
,
priority
in
the
awarding
of
grants
for
the
fiscal
year
beginning
July
1,
2016,
shall
be
given
to
sponsors
approved
but
not
funded
in
the
prior
fiscal
year
competitive
procurement
process
that
proposed
preference
in
the
use
of
the
grant
funds
for
internal
medicine
positions,
and
priority
in
the
awarding
of
the
remaining
moneys
shall
be
given
to
sponsors
that
propose
preference
in
the
use
of
the
grant
funds
for
psychiatric
residency
positions
and
family
practice
residency
positions.
p.
Of
the
funds
appropriated
in
this
subsection,
$78,309
$156,619
is
allocated
to
the
university
of
Iowa
hospitals
and
clinics
to
continue
a
systematic
and
evidence-based
practice
collaborative
care
model
to
improve
outcomes
of
mental
health
treatment
in
primary
care
settings
in
the
state.
Funds
shall
be
used
to
establish
the
collaborative
care
model
in
several
primary
care
practices
in
rural
and
urban
areas
throughout
the
-19-
HF2460.3950
(6)
86
pf/rh/rn
19/
124
CCH-2460
state,
to
provide
staffing
to
administer
the
model,
and
to
provide
staff
training
and
database
management
to
track
and
manage
patient
outcomes.
q.
Of
the
funds
appropriated
in
this
subsection,
$100,000
shall
be
used
by
the
department
of
public
health
to
develop
recommendations
to
be
submitted
in
a
report
by
December
15,
2016,
as
otherwise
described
in
this
division
of
this
Act,
including
those
for
a
broader,
more
systematic
and
strategic
workforce
initiative,
which
may
include
a
comprehensive
study
of
workforce
program
needs
and
the
establishment
of
an
advisory
workgroup.
5.
HEALTHY
AGING
To
provide
public
health
services
that
reduce
risks
and
invest
in
promoting
and
protecting
good
health
over
the
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
vulnerable
populations:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,648,571
7,297,142
6.
INFECTIOUS
DISEASES
For
reducing
the
incidence
and
prevalence
of
communicable
diseases,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
667,577
1,335,155
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
7.
PUBLIC
PROTECTION
For
protecting
the
health
and
safety
of
the
public
through
establishing
standards
and
enforcing
regulations,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,169,595
4,399,191
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
136.00
137.00
a.
Of
the
funds
appropriated
in
this
subsection,
not
more
-20-
HF2460.3950
(6)
86
pf/rh/rn
20/
124
CCH-2460
than
$227,350
$454,700
shall
be
credited
to
the
emergency
medical
services
fund
created
in
section
135.25
.
Moneys
in
the
emergency
medical
services
fund
are
appropriated
to
the
department
to
be
used
for
the
purposes
of
the
fund.
b.
Of
the
funds
appropriated
in
this
subsection,
$101,516
$203,032
shall
be
used
for
sexual
violence
prevention
programming
through
a
statewide
organization
representing
programs
serving
victims
of
sexual
violence
through
the
department’s
sexual
violence
prevention
program.
The
amount
allocated
in
this
paragraph
“b”
shall
not
be
used
to
supplant
funding
administered
for
other
sexual
violence
prevention
or
victims
assistance
programs.
c.
Of
the
funds
appropriated
in
this
subsection,
$299,375
$598,751
shall
be
used
for
the
state
poison
control
center.
Pursuant
to
the
directive
under
2014
Iowa
Acts,
chapter
1140,
section
102
,
the
federal
matching
funds
available
to
the
state
poison
control
center
from
the
department
of
human
services
under
the
federal
Children’s
Health
Insurance
Program
Reauthorization
Act
allotment
shall
be
subject
to
the
federal
administrative
cap
rule
of
10
percent
applicable
to
funding
provided
under
Tit.
XXI
of
the
federal
Social
Security
Act
and
included
within
the
department’s
calculations
of
the
cap.
d.
Of
the
funds
appropriated
in
this
subsection,
$268,875
$537,750
shall
be
used
for
childhood
lead
poisoning
provisions.
8.
RESOURCE
MANAGEMENT
For
establishing
and
sustaining
the
overall
ability
of
the
department
to
deliver
services
to
the
public,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
427,536
1,005,072
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
4.00
9.
MISCELLANEOUS
PROVISIONS
a.
The
university
of
Iowa
hospitals
and
clinics
under
the
control
of
the
state
board
of
regents
shall
not
receive
-21-
HF2460.3950
(6)
86
pf/rh/rn
21/
124
CCH-2460
indirect
costs
from
the
funds
appropriated
in
this
section.
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
department
shall
be
on
at
least
a
quarterly
basis.
b.
The
department
of
public
health
shall
conduct
a
sampling
of
the
entities
to
which
appropriated
funds
are
allocated,
granted,
or
otherwise
distributed
under
this
section
and
shall
require
such
entities
to
submit
a
progress
report
to
the
department
by
September
1,
2016,
which
includes
the
objectives
and
results
of
the
program
since
the
initial
receipt
of
state
funding
and
how
the
funds
are
assisting
the
program
in
meeting
the
objectives,
specifying
the
target
population
served
and
the
type
of
services
provided,
and
identifying
the
continuing
needs
of
the
recipient
entity
and
the
service
population.
The
department
shall
review
the
information
reported
and
shall
make
recommendations
to
the
governor
and
the
general
assembly
by
December
15,
2016,
to
realign,
bundle,
or
otherwise
redistribute
funding
to
meet
the
needs
identified
and
improve
services
during
the
subsequent
fiscal
year.
c.
The
department
of
public
health
shall
submit
a
report
to
the
individuals
identified
in
this
Act
for
submission
of
reports
by
December
15,
2016,
regarding
a
proposal
for
realigning,
bundling,
redistributing,
or
otherwise
adjusting
the
department’s
funding
streams
to
reflect
the
department’s
priorities
and
goals
and
to
provide
increased
flexibility
in
the
distribution
of
funding
to
meet
these
priorities
and
goals.
The
proposal
shall
specifically
include
recommendations
for
a
broader,
more
systematic
and
strategic
workforce
initiative
which
may
include
a
comprehensive
study
of
workforce
program
needs
and
the
establishment
of
an
advisory
workgroup.
The
proposal
shall
also
specifically
include
strategies,
developed
in
collaboration
with
the
department
of
education,
to
encourage
elementary
and
secondary
education
students
to
pursue
careers
in
the
fields
of
health
and
health
care.
DIVISION
IV
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CCH-2460
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2016-2017
Sec.
4.
2015
Iowa
Acts,
chapter
137,
section
124,
is
amended
to
read
as
follows:
SEC.
124.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
veterans
affairs
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
For
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
600,273
1,200,546
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
15.00
2.
IOWA
VETERANS
HOME
For
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,797,498
7,594,996
a.
The
Iowa
veterans
home
billings
involving
the
department
of
human
services
shall
be
submitted
to
the
department
on
at
least
a
monthly
basis.
c.
Within
available
resources
and
in
conformance
with
associated
state
and
federal
program
eligibility
requirements,
the
Iowa
veterans
home
may
implement
measures
to
provide
financial
assistance
to
or
on
behalf
of
veterans
or
their
spouses
who
are
participating
in
the
community
reentry
program.
e.
The
Iowa
veterans
home
shall
expand
the
annual
discharge
report
to
also
include
applicant
information
and
to
provide
for
the
collection
of
demographic
information
including
but
not
limited
to
the
number
of
individuals
applying
for
admission
and
admitted
or
denied
admittance
and
the
basis
for
the
admission
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CCH-2460
or
denial;
the
age,
gender,
and
race
of
such
individuals;
and
the
level
of
care
for
which
such
individuals
applied
for
admission
including
residential
or
nursing
level
of
care.
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
For
transfer
to
the
Iowa
finance
authority
for
the
continuation
of
the
home
ownership
assistance
program
for
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
the
United
States,
pursuant
to
section
16.54
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,250,000
2,500,000
Sec.
5.
2015
Iowa
Acts,
chapter
137,
section
125,
is
amended
to
read
as
follows:
SEC.
125.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
AFFAIRS
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
standing
appropriation
in
section
35A.16
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
amount
appropriated
from
the
general
fund
of
the
state
pursuant
to
that
section
for
the
following
designated
purposes
shall
not
exceed
the
following
amount:
For
the
county
commissions
of
veteran
affairs
fund
under
section
35A.16
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
495,000
990,000
DIVISION
V
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2016-2017
Sec.
6.
2015
Iowa
Acts,
chapter
137,
section
126,
is
amended
to
read
as
follows:
SEC.
126.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
GRANT.
There
is
appropriated
from
the
fund
created
in
section
8.41
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
from
moneys
received
under
the
federal
temporary
assistance
for
needy
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
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124
CCH-2460
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
To
be
credited
to
the
family
investment
program
account
and
used
for
assistance
under
the
family
investment
program
under
chapter
239B
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,568,497
5,112,462
2.
To
be
credited
to
the
family
investment
program
account
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
program
and
implementing
family
investment
agreements
in
accordance
with
chapter
239B
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,069,089
5,575,693
3.
To
be
used
for
the
family
development
and
self-sufficiency
grant
program
in
accordance
with
section
216A.107
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,449,490
2,898,980
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
encumbered
or
obligated
on
or
before
September
30,
2016
2017
,
the
moneys
shall
revert.
4.
For
field
operations:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,648,116
35,774,331
5.
For
general
administration:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,872,000
3,744,000
6.
For
state
child
care
assistance:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,523,555
-25-
HF2460.3950
(6)
86
pf/rh/rn
25/
124
CCH-2460
46,866,826
a.
Of
the
funds
appropriated
in
this
subsection,
$13,164,048
$26,328,097
is
transferred
to
the
child
care
and
development
block
grant
appropriation
made
by
the
Eighty-sixth
General
Assembly,
2016
Session,
for
the
federal
fiscal
year
beginning
October
1,
2016,
and
ending
September
30,
2017.
Of
this
amount,
$100,000
$200,000
shall
be
used
for
provision
of
educational
opportunities
to
registered
child
care
home
providers
in
order
to
improve
services
and
programs
offered
by
this
category
of
providers
and
to
increase
the
number
of
providers.
The
department
may
contract
with
institutions
of
higher
education
or
child
care
resource
and
referral
centers
to
provide
the
educational
opportunities.
Allowable
administrative
costs
under
the
contracts
shall
not
exceed
5
percent.
The
application
for
a
grant
shall
not
exceed
two
pages
in
length.
b.
Any
funds
appropriated
in
this
subsection
remaining
unallocated
shall
be
used
for
state
child
care
assistance
payments
for
families
who
are
employed
including
but
not
limited
to
individuals
enrolled
in
the
family
investment
program.
7.
For
distribution
to
counties
and
regions
through
the
property
tax
relief
fund
for
mental
health
and
disability
services
as
provided
in
an
appropriation
made
for
this
purpose:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,447,026
8.
For
child
and
family
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,042,215
37,256,580
9.
For
child
abuse
prevention
grants:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,500
125,000
10.
For
pregnancy
prevention
grants
on
the
condition
that
family
planning
services
are
funded:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
965,033
-26-
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(6)
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pf/rh/rn
26/
124
CCH-2460
1,930,067
Pregnancy
prevention
grants
shall
be
awarded
to
programs
in
existence
on
or
before
July
1,
2016,
if
the
programs
have
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
pregnancy
prevention
programs
which
are
developed
after
July
1,
2016,
if
the
programs
are
based
on
existing
models
that
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
section
14,
subsections
1
and
2
,
including
the
requirement
that
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
the
awarding
of
grants
shall
be
given
to
programs
that
serve
areas
of
the
state
which
demonstrate
the
highest
percentage
of
unplanned
pregnancies
of
females
of
childbearing
age
within
the
geographic
area
to
be
served
by
the
grant.
11.
For
technology
needs
and
other
resources
necessary
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
management
requirements:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
518,593
1,037,186
12.
For
the
family
investment
program
share
of
the
costs
to
continue
to
develop
and
maintain
a
new,
integrated
eligibility
determination
system:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,327,440
5,654,880
13.
a.
Notwithstanding
any
provision
to
the
contrary,
including
but
not
limited
to
requirements
in
section
8.41
or
provisions
in
2015
or
2016
Iowa
Acts
regarding
the
receipt
and
appropriation
of
federal
block
grants,
federal
funds
from
the
temporary
assistance
for
needy
families
block
grant
received
by
the
state
and
not
otherwise
appropriated
in
this
section
and
remaining
available
for
the
fiscal
year
beginning
July
1,
2016,
are
appropriated
to
the
department
of
human
services
to
the
extent
as
may
be
necessary
to
be
used
in
the
following
priority
order:
the
family
investment
program,
for
state
child
care
-27-
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pf/rh/rn
27/
124
CCH-2460
assistance
program
payments
for
families
who
are
employed,
and
for
the
family
investment
program
share
of
costs
to
develop
and
maintain
a
new,
integrated
eligibility
determination
system.
The
federal
funds
appropriated
in
this
paragraph
“a”
shall
be
expended
only
after
all
other
funds
appropriated
in
subsection
1
for
the
assistance
under
the
family
investment
program,
in
subsection
6
for
child
care
assistance,
or
in
subsection
12
for
the
family
investment
program
share
of
the
costs
to
continue
to
develop
and
maintain
a
new,
integrated
eligibility
determination
system,
as
applicable,
have
been
expended.
For
the
purposes
of
this
subsection,
the
funds
appropriated
in
subsection
6,
paragraph
“a”,
for
transfer
to
the
child
care
and
development
block
grant
appropriation
are
considered
fully
expended
when
the
full
amount
has
been
transferred.
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
legislative
services
agency
and
department
of
management
of
the
amount
of
funds
appropriated
in
this
subsection
that
was
expended
in
the
prior
quarter.
14.
Of
the
amounts
appropriated
in
this
section,
$6,481,004
$12,962,008
for
the
fiscal
year
beginning
July
1,
2016,
is
transferred
to
the
appropriation
of
the
federal
social
services
block
grant
made
to
the
department
of
human
services
for
that
fiscal
year.
15.
For
continuation
of
the
program
providing
categorical
eligibility
for
the
food
assistance
program
as
specified
for
the
program
in
the
section
of
this
division
of
this
2016
Act
relating
to
the
family
investment
program
account:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,500
25,000
16.
The
department
may
transfer
funds
allocated
in
this
section
to
the
appropriations
made
in
this
division
of
this
Act
for
the
same
fiscal
year
for
general
administration
and
field
operations
for
resources
necessary
to
implement
and
operate
the
services
referred
to
in
this
section
and
those
funded
in
the
-28-
HF2460.3950
(6)
86
pf/rh/rn
28/
124
CCH-2460
appropriation
made
in
this
division
of
this
Act
for
the
same
fiscal
year
for
the
family
investment
program
from
the
general
fund
of
the
state.
Sec.
7.
2015
Iowa
Acts,
chapter
137,
section
127,
is
amended
to
read
as
follows:
SEC.
127.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
1.
Moneys
credited
to
the
family
investment
program
(FIP)
account
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
shall
be
used
to
provide
assistance
in
accordance
with
chapter
239B
.
2.
The
department
may
use
a
portion
of
the
moneys
credited
to
the
FIP
account
under
this
section
as
necessary
for
salaries,
support,
maintenance,
and
miscellaneous
purposes.
3.
The
department
may
transfer
funds
allocated
in
subsection
4
to
the
appropriations
made
in
this
division
of
this
Act
for
the
same
fiscal
year
for
general
administration
and
field
operations
for
resources
necessary
to
implement
and
operate
the
family
investment
program
services
referred
to
in
this
section
and
those
funded
in
the
appropriation
made
in
this
division
of
this
Act
for
the
same
fiscal
year
for
the
family
investment
program
from
the
general
fund
of
the
state.
4.
Moneys
appropriated
in
this
division
of
this
Act
and
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
are
allocated
as
follows:
a.
To
be
retained
by
the
department
of
human
services
to
be
used
for
coordinating
with
the
department
of
human
rights
to
more
effectively
serve
participants
in
FIP
and
other
shared
clients
and
to
meet
federal
reporting
requirements
under
the
federal
temporary
assistance
for
needy
families
block
grant:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,000
20,000
b.
To
the
department
of
human
rights
for
staffing,
administration,
and
implementation
of
the
family
development
and
self-sufficiency
grant
program
in
accordance
with
section
-29-
HF2460.3950
(6)
86
pf/rh/rn
29/
124
CCH-2460
216A.107
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,096,417
6,192,834
(1)
Of
the
funds
allocated
for
the
family
development
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
administration
of
the
grant
program.
(2)
The
department
of
human
rights
may
continue
to
implement
the
family
development
and
self-sufficiency
grant
program
statewide
during
fiscal
year
2016-2017.
(3)
The
department
of
human
rights
may
engage
in
activities
to
strengthen
and
improve
family
outcomes
measures
and
data
collection
systems
under
the
family
development
and
self-sufficiency
grant
program.
c.
For
the
diversion
subaccount
of
the
FIP
account:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
407,500
815,000
A
portion
of
the
moneys
allocated
for
the
subaccount
may
be
used
for
field
operations,
salaries,
data
management
system
development,
and
implementation
costs
and
support
deemed
necessary
by
the
director
of
human
services
in
order
to
administer
the
FIP
diversion
program.
To
the
extent
moneys
allocated
in
this
paragraph
“c”
are
not
deemed
by
the
department
to
be
necessary
to
support
diversion
activities,
such
moneys
may
be
used
for
other
efforts
intended
to
increase
engagement
by
family
investment
program
participants
in
work,
education,
or
training
activities.
d.
For
the
food
assistance
employment
and
training
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,294
66,588
(1)
The
department
shall
apply
the
federal
supplemental
nutrition
assistance
program
(SNAP)
employment
and
training
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
-30-
HF2460.3950
(6)
86
pf/rh/rn
30/
124
CCH-2460
provisions
for
the
claiming
of
allowable
federal
reimbursement
funds
from
the
United
States
department
of
agriculture
pursuant
to
the
federal
SNAP
employment
and
training
program
for
providing
education,
employment,
and
training
services
for
eligible
food
assistance
program
participants,
including
but
not
limited
to
related
dependent
care
and
transportation
expenses.
(2)
The
department
shall
continue
the
categorical
federal
food
assistance
program
eligibility
at
160
percent
of
the
federal
poverty
level
and
continue
to
eliminate
the
asset
test
from
eligibility
requirements,
consistent
with
federal
food
assistance
program
requirements.
The
department
shall
include
as
many
food
assistance
households
as
is
allowed
by
federal
law.
The
eligibility
provisions
shall
conform
to
all
federal
requirements
including
requirements
addressing
individuals
who
are
incarcerated
or
otherwise
ineligible.
e.
For
the
JOBS
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,770,199
16,129,101
5.
Of
the
child
support
collections
assigned
under
FIP,
an
amount
equal
to
the
federal
share
of
support
collections
shall
be
credited
to
the
child
support
recovery
appropriation
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
assigned
child
support
collections
received
by
the
child
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
payments
account.
If
as
a
consequence
of
the
appropriations
and
allocations
made
in
this
section
the
resulting
amounts
are
insufficient
to
sustain
cash
assistance
payments
and
meet
federal
maintenance
of
effort
requirements,
the
department
shall
seek
supplemental
funding.
If
child
support
collections
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
determined
not
to
be
required
for
maintenance
of
effort,
the
-31-
HF2460.3950
(6)
86
pf/rh/rn
31/
124
CCH-2460
state
share
of
either
amount
may
be
transferred
to
or
retained
in
the
child
support
payments
account.
6.
The
department
may
adopt
emergency
rules
for
the
family
investment,
JOBS,
food
assistance,
and
medical
assistance
programs
if
necessary
to
comply
with
federal
requirements.
Sec.
8.
2015
Iowa
Acts,
chapter
137,
section
128,
is
amended
to
read
as
follows:
SEC.
128.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
To
be
credited
to
the
family
investment
program
(FIP)
account
and
used
for
family
investment
program
assistance
under
chapter
239B
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
24,336,937
48,673,875
1.
Of
the
funds
appropriated
in
this
section,
$3,701,110
$10,553,408
is
allocated
for
the
JOBS
program.
2.
Of
the
funds
appropriated
in
this
section,
$1,656,927
$3,313,854
is
allocated
for
the
family
development
and
self-sufficiency
grant
program.
3.
Notwithstanding
section
8.39
,
for
the
fiscal
year
beginning
July
1,
2016,
if
necessary
to
meet
federal
maintenance
of
effort
requirements
;
or
to
transfer
federal
temporary
assistance
for
needy
families
block
grant
funding
to
be
used
for
purposes
of
the
federal
social
services
block
grant
;
or
to
meet
cash
flow
needs
resulting
from
delays
in
receiving
federal
funding
;
or
to
implement,
in
accordance
with
this
division
of
this
Act,
activities
currently
funded
with
juvenile
court
services,
county,
or
community
moneys
and
state
moneys
used
in
combination
with
such
moneys
;
to
comply
with
federal
requirements;
or
to
maximize
the
use
of
-32-
HF2460.3950
(6)
86
pf/rh/rn
32/
124
CCH-2460
federal
funds
,
the
department
of
human
services
may
transfer
funds
within
or
between
any
of
the
appropriations
made
in
this
division
of
this
Act
and
appropriations
in
law
for
the
federal
social
services
block
grant
to
the
department
for
the
following
purposes,
provided
that
the
combined
amount
of
state
and
federal
temporary
assistance
for
needy
families
block
grant
funding
for
each
appropriation
remains
the
same
before
and
after
the
transfer:
a.
For
the
family
investment
program.
b.
For
child
care
assistance.
c.
For
child
and
family
services.
d.
For
field
operations.
e.
For
general
administration.
f.
For
distribution
to
counties
or
regions
through
the
property
tax
relief
fund
for
mental
health
and
disability
services
as
provided
in
an
appropriation
for
this
purpose.
This
subsection
shall
not
be
construed
to
prohibit
the
use
of
existing
state
transfer
authority
for
other
purposes.
The
department
shall
report
any
transfers
made
pursuant
to
this
subsection
to
the
legislative
services
agency.
4.
Of
the
funds
appropriated
in
this
section,
$97,839
$195,678
shall
be
used
for
continuation
of
a
grant
to
an
Iowa-based
nonprofit
organization
with
a
history
of
providing
tax
preparation
assistance
to
low-income
Iowans
in
order
to
expand
the
usage
of
the
earned
income
tax
credit.
The
purpose
of
the
grant
is
to
supply
this
assistance
to
underserved
areas
of
the
state.
5.
Of
the
funds
appropriated
in
this
section,
$30,000
$60,000
shall
be
used
for
the
continuation
of
an
unfunded
pilot
project,
as
defined
in
441
IAC
100.1
,
relating
to
parental
obligations,
in
which
the
child
support
recovery
unit
participates,
to
support
the
efforts
of
a
nonprofit
organization
committed
to
strengthening
the
community
through
youth
development,
healthy
living,
and
social
responsibility
-33-
HF2460.3950
(6)
86
pf/rh/rn
33/
124
CCH-2460
headquartered
in
a
county
with
a
population
over
350,000.
The
funds
allocated
in
this
subsection
shall
be
used
by
the
recipient
organization
to
develop
a
larger
community
effort,
through
public
and
private
partnerships,
to
support
a
broad-based
multi-county
fatherhood
initiative
that
promotes
payment
of
child
support
obligations,
improved
family
relationships,
and
full-time
employment.
6.
The
department
may
transfer
funds
appropriated
in
this
section
to
the
appropriations
made
in
this
division
of
this
Act
for
general
administration
and
field
operations
as
necessary
to
administer
this
section
and
the
overall
family
investment
program.
Sec.
9.
2015
Iowa
Acts,
chapter
137,
section
129,
is
amended
to
read
as
follows:
SEC.
129.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
child
support
recovery,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,331,686
14,663,373
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
464.00
1.
The
department
shall
expend
up
to
$12,164
$24,329
,
including
federal
financial
participation,
for
the
fiscal
year
beginning
July
1,
2016,
for
a
child
support
public
awareness
campaign.
The
department
and
the
office
of
the
attorney
general
shall
cooperate
in
continuation
of
the
campaign.
The
public
awareness
campaign
shall
emphasize,
through
a
variety
of
media
activities,
the
importance
of
maximum
involvement
of
both
parents
in
the
lives
of
their
children
as
well
as
the
importance
of
payment
of
child
support
obligations.
-34-
HF2460.3950
(6)
86
pf/rh/rn
34/
124
CCH-2460
2.
Federal
access
and
visitation
grant
moneys
shall
be
issued
directly
to
private
not-for-profit
agencies
that
provide
services
designed
to
increase
compliance
with
the
child
access
provisions
of
court
orders,
including
but
not
limited
to
neutral
visitation
sites
and
mediation
services.
3.
The
appropriation
made
to
the
department
for
child
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
manner
necessary
for
purposes
of
cash
flow
management,
and
for
cash
flow
management
purposes
the
department
may
temporarily
draw
more
than
the
amount
appropriated,
provided
the
amount
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
4.
With
the
exception
of
the
funding
amount
specified,
the
requirements
established
under
2001
Iowa
Acts,
chapter
191,
section
3,
subsection
5,
paragraph
“c”
,
subparagraph
(3),
shall
be
applicable
to
parental
obligation
pilot
projects
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017.
Notwithstanding
441
IAC
100.8
,
providing
for
termination
of
rules
relating
to
the
pilot
projects,
the
rules
shall
remain
in
effect
until
June
30,
2017.
Sec.
10.
2015
Iowa
Acts,
chapter
137,
section
132,
is
amended
to
read
as
follows:
SEC.
132.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
medical
assistance
program
reimbursement
and
associated
costs
as
specifically
provided
in
the
reimbursement
methodologies
in
effect
on
June
30,
2016,
except
as
otherwise
expressly
authorized
by
law,
consistent
with
options
under
federal
law
and
regulations,
and
contingent
upon
receipt
of
approval
from
the
office
of
the
governor
of
reimbursement
for
each
abortion
performed
under
the
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
651,595,782
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1,318,246,446
1.
Iowans
support
reducing
the
number
of
abortions
performed
in
our
state.
Funds
appropriated
under
this
section
shall
not
be
used
for
abortions,
unless
otherwise
authorized
under
this
section.
2.
The
provisions
of
this
section
relating
to
abortions
shall
also
apply
to
the
Iowa
health
and
wellness
plan
created
pursuant
to
chapter
249N
.
3.
The
department
shall
utilize
not
more
than
$30,000
$60,000
of
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
health
insurance
premium
payment
program
as
established
in
1992
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
409,
subsection
6
.
Of
the
funds
allocated
in
this
subsection,
not
more
than
$2,500
$5,000
may
be
expended
for
administrative
purposes.
4.
Of
the
funds
appropriated
in
this
Act
to
the
department
of
public
health
for
addictive
disorders,
$475,000
$950,000
for
the
fiscal
year
beginning
July
1,
2016,
is
transferred
to
the
department
of
human
services
for
an
integrated
substance-related
disorder
managed
care
system.
The
department
shall
not
assume
management
of
the
substance-related
disorder
system
in
place
of
the
managed
care
contractor
unless
such
a
change
in
approach
is
specifically
authorized
in
law.
The
departments
of
human
services
and
public
health
shall
work
together
to
maintain
the
level
of
mental
health
and
substance-related
disorder
treatment
services
provided
by
the
managed
care
contractor
through
the
Iowa
plan
for
behavioral
health
contractors
.
Each
department
shall
take
the
steps
necessary
to
continue
the
federal
waivers
as
necessary
to
maintain
the
level
of
services.
5.
a.
The
department
shall
aggressively
pursue
options
for
providing
medical
assistance
or
other
assistance
to
individuals
with
special
needs
who
become
ineligible
to
continue
receiving
services
under
the
early
and
periodic
screening,
diagnostic,
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and
treatment
program
under
the
medical
assistance
program
due
to
becoming
21
years
of
age
who
have
been
approved
for
additional
assistance
through
the
department’s
exception
to
policy
provisions,
but
who
have
health
care
needs
in
excess
of
the
funding
available
through
the
exception
to
policy
provisions.
b.
Of
the
funds
appropriated
in
this
section,
$50,000
$100,000
shall
be
used
for
participation
in
one
or
more
pilot
projects
operated
by
a
private
provider
to
allow
the
individual
or
individuals
to
receive
service
in
the
community
in
accordance
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
(1999),
for
the
purpose
of
providing
medical
assistance
or
other
assistance
to
individuals
with
special
needs
who
become
ineligible
to
continue
receiving
services
under
the
early
and
periodic
screening,
diagnostic,
and
treatment
program
under
the
medical
assistance
program
due
to
becoming
21
years
of
age
who
have
been
approved
for
additional
assistance
through
the
department’s
exception
to
policy
provisions,
but
who
have
health
care
needs
in
excess
of
the
funding
available
through
the
exception
to
the
policy
provisions.
6.
Of
the
funds
appropriated
in
this
section,
up
to
$1,525,041
$3,050,082
may
be
transferred
to
the
field
operations
or
general
administration
appropriations
in
this
division
of
this
Act
for
operational
costs
associated
with
Part
D
of
the
federal
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
of
2003,
Pub.
L.
No.
108-173.
7.
Of
the
funds
appropriated
in
this
section,
up
to
$221,050
$442,100
may
be
transferred
to
the
appropriation
in
this
division
of
this
Act
for
medical
contracts
to
be
used
for
clinical
assessment
services
and
prior
authorization
of
services.
8.
A
portion
of
the
funds
appropriated
in
this
section
may
be
transferred
to
the
appropriations
in
this
division
of
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this
Act
for
general
administration,
medical
contracts,
the
children’s
health
insurance
program,
or
field
operations
to
be
used
for
the
state
match
cost
to
comply
with
the
payment
error
rate
measurement
(PERM)
program
for
both
the
medical
assistance
and
children’s
health
insurance
programs
as
developed
by
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services
to
comply
with
the
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
No.
107-300.
9.
The
department
shall
continue
to
implement
the
recommendations
of
the
assuring
better
child
health
and
development
initiative
II
(ABCDII)
clinical
panel
to
the
Iowa
early
and
periodic
screening,
diagnostic,
and
treatment
services
healthy
mental
development
collaborative
board
regarding
changes
to
billing
procedures,
codes,
and
eligible
service
providers.
10.
Of
the
funds
appropriated
in
this
section,
a
sufficient
amount
is
allocated
to
supplement
the
incomes
of
residents
of
nursing
facilities,
intermediate
care
facilities
for
persons
with
mental
illness,
and
intermediate
care
facilities
for
persons
with
an
intellectual
disability,
with
incomes
of
less
than
$50
in
the
amount
necessary
for
the
residents
to
receive
a
personal
needs
allowance
of
$50
per
month
pursuant
to
section
249A.30A
.
11.
Of
the
funds
appropriated
in
this
section,
the
following
amounts
are
transferred
to
the
appropriations
made
in
this
division
of
this
Act
for
the
state
mental
health
institutes:
a.
Cherokee
mental
health
institute
.
.
.
.
.
.
.
.
.
.
$
4,549,212
b.
Independence
mental
health
institute
.
.
.
.
.
.
$
4,522,947
12.
a.
Of
the
funds
appropriated
in
this
section,
$2,041,939
$3,000,000
is
allocated
for
the
state
match
for
a
disproportionate
share
hospital
payment
of
$4,544,712
$6,861,848
to
hospitals
that
meet
both
of
the
conditions
specified
in
subparagraphs
(1)
and
(2).
In
addition,
the
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hospitals
that
meet
the
conditions
specified
shall
either
certify
public
expenditures
or
transfer
to
the
medical
assistance
program
an
amount
equal
to
provide
the
nonfederal
share
for
a
disproportionate
share
hospital
payment
of
$8,772,003
$19,771,582
.
The
hospitals
that
meet
the
conditions
specified
shall
receive
and
retain
100
percent
of
the
total
disproportionate
share
hospital
payment
of
$13,316,715
$26,633,430
.
(1)
The
hospital
qualifies
for
disproportionate
share
and
graduate
medical
education
payments.
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
than
500
beds
and
eight
or
more
distinct
residency
specialty
or
subspecialty
programs
recognized
by
the
American
college
of
graduate
medical
education.
b.
Distribution
of
the
disproportionate
share
payments
shall
be
made
on
a
monthly
basis.
The
total
amount
of
disproportionate
share
payments
including
graduate
medical
education,
enhanced
disproportionate
share,
and
Iowa
state-owned
teaching
hospital
payments
shall
not
exceed
the
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
In
addition,
the
total
amount
of
all
disproportionate
share
payments
shall
not
exceed
the
hospital-specific
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
c.
The
university
of
Iowa
hospitals
and
clinics
shall
either
certify
public
expenditures
or
transfer
to
the
appropriations
made
in
this
division
of
this
Act
for
medical
assistance
an
amount
equal
to
provide
the
nonfederal
share
for
increased
medical
assistance
payments
for
inpatient
and
outpatient
hospital
services
of
$4,950,000
$9,900,000
.
The
university
of
Iowa
hospitals
and
clinics
shall
receive
and
retain
100
percent
of
the
total
increase
in
medical
assistance
payments.
d.
Payment
methodologies
utilized
for
disproportionate
share
hospitals
and
graduate
medical
education,
and
other
supplemental
payments
under
the
Medicaid
program
may
be
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adjusted
or
converted
to
other
methodologies
or
payment
types
to
provide
these
payments
through
Medicaid
managed
care
after
April
1,
2016
.
The
department
of
human
services
shall
obtain
approval
from
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services
prior
to
implementation
of
any
such
adjusted
or
converted
methodologies
or
payment
types.
13.
One
hundred
percent
of
the
nonfederal
share
of
payments
to
area
education
agencies
that
are
medical
assistance
providers
for
medical
assistance-covered
services
provided
to
medical
assistance-covered
children,
shall
be
made
from
the
appropriation
made
in
this
section.
14.
Any
new
or
renewed
contract
entered
into
by
the
department
with
a
third
party
to
administer
services
under
the
medical
assistance
program
shall
provide
that
any
interest
earned
on
payments
from
the
state
during
the
state
fiscal
year
shall
be
remitted
to
the
department
and
treated
as
recoveries
to
offset
the
costs
of
the
medical
assistance
program.
15.
A
portion
of
the
funds
appropriated
in
this
section
may
be
transferred
to
the
appropriation
in
this
division
of
this
Act
for
medical
contracts
to
be
used
for
administrative
activities
associated
with
the
money
follows
the
person
demonstration
project.
16.
Of
the
funds
appropriated
in
this
section,
$174,505
$349,011
shall
be
used
for
the
administration
of
the
health
insurance
premium
payment
program,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes.
17.
a.
The
department
may
increase
the
amounts
allocated
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
associated
with
the
medical
assistance
program,
as
necessary,
to
implement
cost
containment
strategies.
The
department
shall
report
any
such
increase
to
the
legislative
services
agency
and
the
department
of
management.
b.
If
the
savings
to
the
medical
assistance
program
from
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cost
containment
efforts
exceed
the
cost
for
the
fiscal
year
beginning
July
1,
2016,
the
department
may
transfer
any
savings
generated
for
the
fiscal
year
due
to
medical
assistance
program
cost
containment
efforts
to
the
appropriation
made
in
this
division
of
this
Act
for
medical
contracts
or
general
administration
to
defray
the
increased
contract
costs
associated
with
implementing
such
efforts.
18.
For
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
replacement
generation
tax
revenues
required
to
be
deposited
in
the
property
tax
relief
fund
pursuant
to
section
437A.8,
subsection
4,
paragraph
“d”
,
and
section
437A.15,
subsection
3,
paragraph
“f”
,
shall
instead
be
credited
to
and
supplement
the
appropriation
made
in
this
section
and
used
for
the
allocations
made
in
this
section.
19.
The
department
shall
continue
to
administer
the
state
balancing
incentive
payments
program
as
specified
in
2012
Iowa
Acts,
chapter
1133,
section
14
.
20.
a.
Of
the
funds
appropriated
in
this
section,
up
to
$25,000
$50,000
may
be
transferred
by
the
department
to
the
appropriation
made
in
this
division
of
this
Act
to
the
department
for
the
same
fiscal
year
for
general
administration
to
be
used
for
associated
administrative
expenses
and
for
not
more
than
one
full-time
equivalent
position,
in
addition
to
those
authorized
for
the
same
fiscal
year,
to
be
assigned
to
implementing
the
children’s
mental
health
home
project.
b.
Of
the
funds
appropriated
in
this
section,
up
to
$200,000
$400,000
may
be
transferred
by
the
department
to
the
appropriation
made
to
the
department
in
this
division
of
this
Act
for
the
same
fiscal
year
for
Medicaid
program-related
general
administration
planning
and
implementation
activities.
The
funds
may
be
used
for
contracts
or
for
personnel
in
addition
to
the
amounts
appropriated
for
and
the
positions
authorized
for
general
administration
for
the
fiscal
year.
c.
Of
the
funds
appropriated
in
this
section,
up
to
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$1,500,000
$3,000,000
may
be
transferred
by
the
department
to
the
appropriations
made
in
this
division
of
this
Act
for
the
same
fiscal
year
for
general
administration
or
medical
contracts
to
be
used
to
support
the
development
and
implementation
of
standardized
assessment
tools
for
persons
with
mental
illness,
an
intellectual
disability,
a
developmental
disability,
or
a
brain
injury.
21.
Of
the
funds
appropriated
in
this
section,
$125,000
$250,000
shall
be
used
for
lodging
expenses
associated
with
care
provided
at
the
university
of
Iowa
hospitals
and
clinics
for
patients
with
cancer
whose
travel
distance
is
30
miles
or
more
and
whose
income
is
at
or
below
200
percent
of
the
federal
poverty
level
as
defined
by
the
most
recently
revised
poverty
income
guidelines
published
by
the
United
States
department
of
health
and
human
services.
The
department
of
human
services
shall
establish
the
maximum
number
of
overnight
stays
and
the
maximum
rate
reimbursed
for
overnight
lodging,
which
may
be
based
on
the
state
employee
rate
established
by
the
department
of
administrative
services.
The
funds
allocated
in
this
subsection
shall
not
be
used
as
nonfederal
share
matching
funds.
23.
The
department
of
human
services
shall
not
implement
the
following
cost
containment
strategies
as
recommended
by
the
governor
for
the
fiscal
year
beginning
July
1,
2016:
a.
A
policy
to
ensure
that
reimbursement
for
Medicare
Part
A
and
Medicare
Part
B
crossover
claims
is
limited
to
the
Medicaid
reimbursement
rate.
b.
An
adjustment
to
the
reimbursement
policy
in
order
to
end
the
primary
care
physician
rate
increase
originally
authorized
by
the
federal
Health
Care
and
Education
Reconciliation
Act
of
2010,
section
1202,
Pub.
L.
No.
111-152,
42
U.S.C.
§1396a(a)(13)(C)
that
allows
qualified
primary
care
physicians
to
receive
the
greater
of
the
Medicare
rate
or
Medicaid
rate
for
a
specified
set
of
codes.
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24.
The
department
shall
report
the
implementation
of
any
cost
containment
strategies
to
the
individuals
specified
in
this
division
of
this
Act
for
submission
of
reports
upon
implementation.
25.
The
department
shall
report
the
implementation
of
any
improved
processing
changes
and
any
related
cost
reductions
to
the
individuals
specified
in
this
division
of
this
Act
for
submission
of
reports
upon
implementation.
26.
Of
the
funds
appropriated
in
this
section,
$2,000,000
shall
be
used
to
implement
reductions
in
the
waiting
lists
of
all
medical
assistance
home
and
community-based
services
waivers.
27.
The
department
shall
submit
a
report
to
the
individuals
identified
in
this
Act
for
submission
of
reports,
regarding
the
impact
of
changes
in
home
and
community-based
services
waiver
supported
employment
and
prevocational
services
by
December
15,
2016.
28.
Any
dental
benefit
manager
contracting
with
the
department
of
human
services
for
the
dental
wellness
plan
on
or
after
July
1,
2016,
shall
meet
the
same
contract
requirements.
Readiness
review
of
such
a
dental
benefit
manager
shall
be
based
on
the
criteria
applicable
to
the
dental
wellness
plan
when
implemented
on
May
1,
2014,
including
but
not
limited
to
network
adequacy,
access
to
services,
performance
measures,
benefit
design,
and
other
requirements
as
determined
by
the
department
for
the
dental
wellness
program.
Any
dental
benefit
manager
that
has
been
approved
by
a
readiness
review
prior
to
July
1,
2016,
shall
not
be
required
to
repeat
such
review
for
the
department.
29.
The
department
of
human
services
shall
review
the
fiscal
impact
and
potential
benefit
to
Medicaid
recipients
of
including
single-tablet
regimens
or
long-acting
alternatives
for
the
treatment
of
HIV
or
acquired
immune
deficiency
syndrome
on
the
preferred
drug
list,
as
an
alternative
to
multi-tablet
-43-
HF2460.3950
(6)
86
pf/rh/rn
43/
124
CCH-2460
regimens.
The
department
shall
identify
opportunities
to
align
the
cost
of
single-tablet
regimens
for
the
treatment
of
HIV
or
acquired
immune
deficiency
syndrome
with
the
corresponding
multi-tablet
regimens,
and
shall
pursue
manufacturer
supplemental
rebate
offers
through
the
sovereign
states
drug
consortium
supplemental
rebate
negotiation
process
to
determine
if
any
supplemental
rebate
opportunities
are
available
for
calendar
year
2018.
If
such
opportunities
are
available,
the
department
shall
implement
any
such
supplemental
rebate
offer
opportunities
beginning
in
calendar
year
2018.
Sec.
11.
2015
Iowa
Acts,
chapter
137,
section
133,
is
amended
to
read
as
follows:
SEC.
133.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
medical
contracts:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,806,982
17,045,964
1.
The
department
of
inspections
and
appeals
shall
provide
all
state
matching
funds
for
survey
and
certification
activities
performed
by
the
department
of
inspections
and
appeals.
The
department
of
human
services
is
solely
responsible
for
distributing
the
federal
matching
funds
for
such
activities.
2.
Of
the
funds
appropriated
in
this
section,
$25,000
$50,000
shall
be
used
for
continuation
of
home
and
community-based
services
waiver
quality
assurance
programs,
including
the
review
and
streamlining
of
processes
and
policies
related
to
oversight
and
quality
management
to
meet
state
and
federal
requirements.
3.
Of
the
amount
appropriated
in
this
section,
up
to
$100,000
$200,000
may
be
transferred
to
the
appropriation
-44-
HF2460.3950
(6)
86
pf/rh/rn
44/
124
CCH-2460
for
general
administration
in
this
division
of
this
Act
to
be
used
for
additional
full-time
equivalent
positions
in
the
development
of
key
health
initiatives
such
as
cost
containment,
development
and
oversight
of
managed
care
programs,
and
development
of
health
strategies
targeted
toward
improved
quality
and
reduced
costs
in
the
Medicaid
program.
4.
Of
the
funds
appropriated
in
this
section,
$500,000
$1,000,000
shall
be
used
for
planning
and
development,
in
cooperation
with
the
department
of
public
health,
of
a
phased-in
program
to
provide
a
dental
home
for
children.
5.
Of
the
funds
appropriated
in
this
section,
$1,000,000
$2,000,000
shall
be
credited
to
the
autism
support
program
fund
created
in
section
225D.2
to
be
used
for
the
autism
support
program
created
in
chapter
225D
,
with
the
exception
of
the
following
amounts
of
this
allocation
which
shall
be
used
as
follows:
a.
Of
the
funds
allocated
in
this
subsection,
$125,000
$250,000
shall
be
deposited
in
the
board-certified
behavior
analyst
and
board-certified
assistant
behavior
analyst
grants
program
fund
created
in
section
135.181
,
as
enacted
in
this
Act,
to
be
used
for
the
purposes
of
the
fund.
b.
Of
the
funds
allocated
in
this
subsection,
$12,500
$25,000
shall
be
used
for
the
public
purpose
of
continuation
of
a
grant
to
a
child
welfare
services
provider
headquartered
in
a
county
with
a
population
between
205,000
and
215,000
in
the
latest
certified
federal
census
that
provides
multiple
services
including
but
not
limited
to
a
psychiatric
medical
institution
for
children,
shelter,
residential
treatment,
after
school
programs,
school-based
programming,
and
an
Asperger’s
syndrome
program,
to
be
used
for
support
services
for
children
with
autism
spectrum
disorder
and
their
families.
c.
Of
the
funds
allocated
in
this
subsection,
$12,500
$25,000
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
a
hospital-based
provider
headquartered
in
a
county
-45-
HF2460.3950
(6)
86
pf/rh/rn
45/
124
CCH-2460
with
a
population
between
90,000
and
95,000
in
the
latest
certified
federal
census
that
provides
multiple
services
including
but
not
limited
to
diagnostic,
therapeutic,
and
behavioral
services
to
individuals
with
autism
spectrum
disorder
across
one’s
lifespan.
The
grant
recipient
shall
utilize
the
funds
to
continue
the
pilot
project
to
determine
the
necessary
support
services
for
children
with
autism
spectrum
disorder
and
their
families
to
be
included
in
the
children’s
disabilities
services
system.
The
grant
recipient
shall
submit
findings
and
recommendations
based
upon
the
results
of
the
pilot
project
to
the
individuals
specified
in
this
division
of
this
Act
for
submission
of
reports
by
December
31,
2015
2016
.
Sec.
12.
2015
Iowa
Acts,
chapter
137,
section
134,
is
amended
to
read
as
follows:
SEC.
134.
STATE
SUPPLEMENTARY
ASSISTANCE.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
the
state
supplementary
assistance
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,498,593
11,611,442
2.
The
department
shall
increase
the
personal
needs
allowance
for
residents
of
residential
care
facilities
by
the
same
percentage
and
at
the
same
time
as
federal
supplemental
security
income
and
federal
social
security
benefits
are
increased
due
to
a
recognized
increase
in
the
cost
of
living.
The
department
may
adopt
emergency
rules
to
implement
this
subsection.
3.
If
during
the
fiscal
year
beginning
July
1,
2016,
the
department
projects
that
state
supplementary
assistance
expenditures
for
a
calendar
year
will
not
meet
the
federal
-46-
HF2460.3950
(6)
86
pf/rh/rn
46/
124
CCH-2460
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
§1382g,
the
department
may
take
actions
including
but
not
limited
to
increasing
the
personal
needs
allowance
for
residential
care
facility
residents
and
making
programmatic
adjustments
or
upward
adjustments
of
the
residential
care
facility
or
in-home
health-related
care
reimbursement
rates
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
requirements
are
met.
In
addition,
the
department
may
make
other
programmatic
and
rate
adjustments
necessary
to
remain
within
the
amount
appropriated
in
this
section
while
ensuring
compliance
with
federal
requirements.
The
department
may
adopt
emergency
rules
to
implement
the
provisions
of
this
subsection.
Sec.
13.
2015
Iowa
Acts,
chapter
137,
section
135,
is
amended
to
read
as
follows:
SEC.
135.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
program
pursuant
to
chapter
514I
,
including
supplemental
dental
services,
for
receipt
of
federal
financial
participation
under
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
children’s
health
insurance
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,206,922
9,176,652
2.
Of
the
funds
appropriated
in
this
section,
$21,400
$42,800
is
allocated
for
continuation
of
the
contract
for
outreach
with
the
department
of
public
health.
Sec.
14.
2015
Iowa
Acts,
chapter
137,
section
136,
is
amended
to
read
as
follows:
SEC.
136.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
-47-
HF2460.3950
(6)
86
pf/rh/rn
47/
124
CCH-2460
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
child
care
programs:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,704,334
36,389,561
1.
Of
the
funds
appropriated
in
this
section,
$21,844,620
$30,039,561
shall
be
used
for
state
child
care
assistance
in
accordance
with
section
237A.13
.
2.
Nothing
in
this
section
shall
be
construed
or
is
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
to
persons
who
are
eligible
for
assistance
due
to
an
income
level
consistent
with
the
waiting
list
requirements
of
section
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
this
section
is
limited
to
the
extent
of
the
funds
appropriated
in
this
section.
3.
Of
the
funds
appropriated
in
this
section,
$216,226
is
allocated
for
the
statewide
grant
program
for
child
care
resource
and
referral
services
under
section
237A.26
.
A
list
of
the
registered
and
licensed
child
care
facilities
operating
in
the
area
served
by
a
child
care
resource
and
referral
service
shall
be
made
available
to
the
families
receiving
state
child
care
assistance
in
that
area.
4.
Of
the
funds
appropriated
in
this
section,
$468,487
is
allocated
for
child
care
quality
improvement
initiatives
including
but
not
limited
to
the
voluntary
quality
rating
system
in
accordance
with
section
237A.30
.
5.
Of
the
funds
appropriated
in
this
section,
$3,175,000
$6,350,000
shall
be
credited
to
the
early
childhood
programs
grants
account
in
the
early
childhood
Iowa
fund
created
in
section
256I.11
.
The
moneys
shall
be
distributed
for
funding
of
community-based
early
childhood
programs
targeted
to
children
from
birth
through
five
years
of
age
developed
-48-
HF2460.3950
(6)
86
pf/rh/rn
48/
124
CCH-2460
by
early
childhood
Iowa
areas
in
accordance
with
approved
community
plans
as
provided
in
section
256I.8
.
6.
The
department
may
use
any
of
the
funds
appropriated
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
expanding
child
care
assistance
and
related
programs.
For
the
purpose
of
expenditures
of
state
and
federal
child
care
funding,
funds
shall
be
considered
obligated
at
the
time
expenditures
are
projected
or
are
allocated
to
the
department’s
service
areas.
Projections
shall
be
based
on
current
and
projected
caseload
growth,
current
and
projected
provider
rates,
staffing
requirements
for
eligibility
determination
and
management
of
program
requirements
including
data
systems
management,
staffing
requirements
for
administration
of
the
program,
contractual
and
grant
obligations
and
any
transfers
to
other
state
agencies,
and
obligations
for
decategorization
or
innovation
projects.
7.
A
portion
of
the
state
match
for
the
federal
child
care
and
development
block
grant
shall
be
provided
as
necessary
to
meet
federal
matching
funds
requirements
through
the
state
general
fund
appropriation
made
for
child
development
grants
and
other
programs
for
at-risk
children
in
section
279.51
.
8.
If
a
uniform
reduction
ordered
by
the
governor
under
section
8.31
or
other
operation
of
law,
transfer,
or
federal
funding
reduction
reduces
the
appropriation
made
in
this
section
for
the
fiscal
year,
the
percentage
reduction
in
the
amount
paid
out
to
or
on
behalf
of
the
families
participating
in
the
state
child
care
assistance
program
shall
be
equal
to
or
less
than
the
percentage
reduction
made
for
any
other
purpose
payable
from
the
appropriation
made
in
this
section
and
the
federal
funding
relating
to
it.
The
percentage
reduction
to
the
other
allocations
made
in
this
section
shall
be
the
same
as
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
change
of
the
federal
funding
reduction,
as
applicable.
If
there
is
an
unanticipated
increase
in
federal
funding
-49-
HF2460.3950
(6)
86
pf/rh/rn
49/
124
CCH-2460
provided
for
state
child
care
assistance,
the
entire
amount
of
the
increase
shall
be
used
for
state
child
care
assistance
payments.
If
the
appropriations
made
for
purposes
of
the
state
child
care
assistance
program
for
the
fiscal
year
are
determined
to
be
insufficient,
it
is
the
intent
of
the
general
assembly
to
appropriate
sufficient
funding
for
the
fiscal
year
in
order
to
avoid
establishment
of
waiting
list
requirements.
9.
Notwithstanding
section
8.33
,
moneys
advanced
for
purposes
of
the
programs
developed
by
early
childhood
Iowa
areas,
advanced
for
purposes
of
wraparound
child
care,
or
received
from
the
federal
appropriations
made
for
the
purposes
of
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
Sec.
15.
2015
Iowa
Acts,
chapter
137,
section
137,
is
amended
to
read
as
follows:
SEC.
137.
JUVENILE
INSTITUTION.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
1.
For
operation
of
the
state
training
school
at
Eldora
and
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,116,710
12,233,420
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.30
188.30
Of
the
funds
appropriated
in
this
subsection,
$45,575
$91,150
shall
be
used
for
distribution
to
licensed
classroom
teachers
at
this
and
other
institutions
under
the
control
of
the
department
of
human
services
based
upon
the
average
student
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yearly
enrollment
at
each
institution
as
determined
by
the
department.
2.
A
portion
of
the
moneys
appropriated
in
this
section
shall
be
used
by
the
state
training
school
at
Eldora
for
grants
for
adolescent
pregnancy
prevention
activities
at
the
institution
in
the
fiscal
year
beginning
July
1,
2016.
Sec.
16.
2015
Iowa
Acts,
chapter
137,
section
138,
is
amended
to
read
as
follows:
SEC.
138.
CHILD
AND
FAMILY
SERVICES.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
child
and
family
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,670,969
84,482,419
2.
Up
to
$2,600,000
of
the
amount
of
federal
temporary
assistance
for
needy
families
block
grant
funding
appropriated
in
this
division
of
this
Act
for
child
and
family
services
shall
be
made
available
for
purposes
of
juvenile
delinquent
graduated
sanction
services.
3.
The
department
may
transfer
funds
appropriated
in
this
section
as
necessary
to
pay
the
nonfederal
costs
of
services
reimbursed
under
the
medical
assistance
program,
state
child
care
assistance
program,
or
the
family
investment
program
which
are
provided
to
children
who
would
otherwise
receive
services
paid
under
the
appropriation
in
this
section.
The
department
may
transfer
funds
appropriated
in
this
section
to
the
appropriations
made
in
this
division
of
this
Act
for
general
administration
and
for
field
operations
for
resources
necessary
to
implement
and
operate
the
services
funded
in
this
section.
4.
a.
Of
the
funds
appropriated
in
this
section,
up
to
$17,910,893
$35,736,649
is
allocated
as
the
statewide
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expenditure
target
under
section
232.143
for
group
foster
care
maintenance
and
services.
If
the
department
projects
that
such
expenditures
for
the
fiscal
year
will
be
less
than
the
target
amount
allocated
in
this
paragraph
“a”,
the
department
may
reallocate
the
excess
to
provide
additional
funding
for
shelter
care
or
the
child
welfare
emergency
services
addressed
with
the
allocation
for
shelter
care.
b.
If
at
any
time
after
September
30,
2016,
annualization
of
a
service
area’s
current
expenditures
indicates
a
service
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
target
under
section
232.143
by
more
than
5
percent,
the
department
and
juvenile
court
services
shall
examine
all
group
foster
care
placements
in
that
service
area
in
order
to
identify
those
which
might
be
appropriate
for
termination.
In
addition,
any
aftercare
services
believed
to
be
needed
for
the
children
whose
placements
may
be
terminated
shall
be
identified.
The
department
and
juvenile
court
services
shall
initiate
action
to
set
dispositional
review
hearings
for
the
placements
identified.
In
such
a
dispositional
review
hearing,
the
juvenile
court
shall
determine
whether
needed
aftercare
services
are
available
and
whether
termination
of
the
placement
is
in
the
best
interest
of
the
child
and
the
community.
5.
In
accordance
with
the
provisions
of
section
232.188
,
the
department
shall
continue
the
child
welfare
and
juvenile
justice
funding
initiative
during
fiscal
year
2016-2017.
Of
the
funds
appropriated
in
this
section,
$858,876
$1,717,753
is
allocated
specifically
for
expenditure
for
fiscal
year
2016-2017
through
the
decategorization
services
funding
pools
and
governance
boards
established
pursuant
to
section
232.188
.
6.
A
portion
of
the
funds
appropriated
in
this
section
may
be
used
for
emergency
family
assistance
to
provide
other
resources
required
for
a
family
participating
in
a
family
preservation
or
reunification
project
or
successor
project
to
stay
together
or
to
be
reunified.
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7.
Notwithstanding
section
234.35
or
any
other
provision
of
law
to
the
contrary,
state
funding
for
shelter
care
and
the
child
welfare
emergency
services
contracting
implemented
to
provide
for
or
prevent
the
need
for
shelter
care
shall
be
limited
to
$4,034,237
$8,096,158
.
8.
Federal
funds
received
by
the
state
during
the
fiscal
year
beginning
July
1,
2016,
as
the
result
of
the
expenditure
of
state
funds
appropriated
during
a
previous
state
fiscal
year
for
a
service
or
activity
funded
under
this
section
are
appropriated
to
the
department
to
be
used
as
additional
funding
for
services
and
purposes
provided
for
under
this
section.
Notwithstanding
section
8.33
,
moneys
received
in
accordance
with
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
remain
available
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
9.
a.
Of
the
funds
appropriated
in
this
section,
up
to
$1,645,000
$3,290,000
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
services
provided
to
juveniles
who
are
under
the
supervision
of
juvenile
court
services,
which
expenses
are
a
charge
upon
the
state
pursuant
to
section
232.141,
subsection
4
.
Of
the
amount
allocated
in
this
paragraph
“a”,
up
to
$778,143
$1,556,287
shall
be
made
available
to
provide
school-based
supervision
of
children
adjudicated
under
chapter
232
,
of
which
not
more
than
$7,500
$15,000
may
be
used
for
the
purpose
of
training.
A
portion
of
the
cost
of
each
school-based
liaison
officer
shall
be
paid
by
the
school
district
or
other
funding
source
as
approved
by
the
chief
juvenile
court
officer.
b.
Of
the
funds
appropriated
in
this
section,
up
to
$374,492
$748,985
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
services
provided
to
children
who
are
under
the
supervision
of
the
department,
which
expenses
are
a
charge
upon
the
state
pursuant
to
section
232.141,
subsection
4
.
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c.
Notwithstanding
section
232.141
or
any
other
provision
of
law
to
the
contrary,
the
amounts
allocated
in
this
subsection
shall
be
distributed
to
the
judicial
districts
as
determined
by
the
state
court
administrator
and
to
the
department’s
service
areas
as
determined
by
the
administrator
of
the
department
of
human
services’
division
of
child
and
family
services.
The
state
court
administrator
and
the
division
administrator
shall
make
the
determination
of
the
distribution
amounts
on
or
before
June
15,
2016.
d.
Notwithstanding
chapter
232
or
any
other
provision
of
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
order
any
service
which
is
a
charge
upon
the
state
pursuant
to
section
232.141
if
there
are
insufficient
court-ordered
services
funds
available
in
the
district
court
or
departmental
service
area
distribution
amounts
to
pay
for
the
service.
The
chief
juvenile
court
officer
and
the
departmental
service
area
manager
shall
encourage
use
of
the
funds
allocated
in
this
subsection
such
that
there
are
sufficient
funds
to
pay
for
all
court-related
services
during
the
entire
year.
The
chief
juvenile
court
officers
and
departmental
service
area
managers
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
in
the
distribution
amounts
and
shall
cooperatively
request
the
state
court
administrator
or
division
administrator
to
transfer
funds
between
the
judicial
districts’
or
departmental
service
areas’
distribution
amounts
as
prudent.
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
entered
under
chapter
232
which
is
a
charge
upon
the
state
under
section
232.141,
subsection
4
.
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
$41,500
$83,000
may
be
used
by
the
judicial
branch
for
administration
of
the
requirements
under
this
subsection.
g.
Of
the
funds
allocated
in
this
subsection,
$8,500
$17,000
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shall
be
used
by
the
department
of
human
services
to
support
the
interstate
commission
for
juveniles
in
accordance
with
the
interstate
compact
for
juveniles
as
provided
in
section
232.173
.
10.
Of
the
funds
appropriated
in
this
section,
$4,026,613
$13,253,227
is
allocated
for
juvenile
delinquent
graduated
sanctions
services.
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
services
to
earn
a
federal
Tit.
IV-E
match
for
juvenile
court
services
administration
may
be
used
for
the
juvenile
delinquent
graduated
sanctions
services.
11.
Of
the
funds
appropriated
in
this
section,
$804,142
$1,658,285
is
transferred
to
the
department
of
public
health
to
be
used
for
the
child
protection
center
grant
program
for
child
protection
centers
located
in
Iowa
in
accordance
with
section
135.118
.
The
grant
amounts
under
the
program
shall
be
equalized
so
that
each
center
receives
a
uniform
base
amount
of
$122,500
$245,000
,
so
that
$50,000
is
awarded
to
establish
a
satellite
child
protection
center
in
a
city
in
north
central
Iowa
that
is
the
county
seat
of
a
county
with
a
population
between
44,000
and
45,000
according
to
the
2010
federal
decennial
census,
and
so
that
the
remaining
funds
shall
be
are
awarded
through
a
funding
formula
based
upon
the
volume
of
children
served.
12.
If
the
department
receives
federal
approval
to
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
Security
Act
to
enable
providers
to
serve
children
who
remain
in
the
children’s
families
and
communities,
for
purposes
of
eligibility
under
the
medical
assistance
program
through
25
years
of
age,
children
who
participate
in
the
waiver
shall
be
considered
to
be
placed
in
foster
care.
13.
Of
the
funds
appropriated
in
this
section,
$2,012,583
$4,025,167
is
allocated
for
the
preparation
for
adult
living
program
pursuant
to
section
234.46
.
14.
Of
the
funds
appropriated
in
this
section,
$113,668
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$227,337
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
a
nonprofit
human
services
organization
providing
services
to
individuals
and
families
in
multiple
locations
in
southwest
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
sensitive
support
and
forensic
interviews,
medical
exams,
needs
assessments,
and
referrals
for
victims
of
child
abuse
and
their
nonoffending
family
members.
15.
Of
the
funds
appropriated
in
this
section,
$150,310
$300,620
is
allocated
for
the
foster
care
youth
council
approach
of
providing
a
support
network
to
children
placed
in
foster
care.
16.
Of
the
funds
appropriated
in
this
section,
$101,000
$202,000
is
allocated
for
use
pursuant
to
section
235A.1
for
continuation
of
the
initiative
to
address
child
sexual
abuse
implemented
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
21
.
17.
Of
the
funds
appropriated
in
this
section,
$315,120
$630,240
is
allocated
for
the
community
partnership
for
child
protection
sites.
18.
Of
the
funds
appropriated
in
this
section,
$185,625
$371,250
is
allocated
for
the
department’s
minority
youth
and
family
projects
under
the
redesign
of
the
child
welfare
system.
19.
Of
the
funds
appropriated
in
this
section,
$593,297
$1,186,595
is
allocated
for
funding
of
the
community
circle
of
care
collaboration
for
children
and
youth
in
northeast
Iowa.
20.
Of
the
funds
appropriated
in
this
section,
at
least
$73,579
$147,158
shall
be
used
for
the
continuation
of
the
child
welfare
provider
training
academy,
a
collaboration
between
the
coalition
for
family
and
children’s
services
in
Iowa
and
the
department.
21.
Of
the
funds
appropriated
in
this
section,
$105,936
$211,872
shall
be
used
for
continuation
of
the
central
Iowa
system
of
care
program
grant
through
June
30,
2017.
22.
Of
the
funds
appropriated
in
this
section,
$117,500
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$235,000
shall
be
used
for
the
public
purpose
of
the
continuation
and
expansion
of
a
system
of
care
program
grant
implemented
in
Cerro
Gordo
and
Linn
counties
to
utilize
a
comprehensive
and
long-term
approach
for
helping
children
and
families
by
addressing
the
key
areas
in
a
child’s
life
of
childhood
basic
needs,
education
and
work,
family,
and
community.
23.
Of
the
funds
appropriated
in
this
section,
at
least
$12,500
$25,000
shall
be
used
to
continue
and
to
expand
the
foster
care
respite
pilot
program
in
which
postsecondary
students
in
social
work
and
other
human
services-related
programs
receive
experience
by
assisting
family
foster
care
providers
with
respite
and
other
support.
24.
Of
the
funds
appropriated
in
this
section,
$55,000
$110,000
shall
be
used
for
the
public
purpose
of
funding
community-based
services
and
other
supports
with
a
system
of
care
approach
for
children
with
a
serious
emotional
disturbance
and
their
families
through
a
nonprofit
provider
of
child
welfare
services
that
has
been
in
existence
for
more
than
115
years,
is
located
in
a
county
with
a
population
of
more
than
200,000
but
less
than
220,000
according
to
the
latest
census
information
issued
by
the
United
States
census
bureau,
is
licensed
as
a
psychiatric
medical
institution
for
children,
and
was
a
system
of
care
grantee
prior
to
July
1,
2016.
Sec.
17.
2015
Iowa
Acts,
chapter
137,
section
139,
is
amended
to
read
as
follows:
SEC.
139.
ADOPTION
SUBSIDY.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
a.
For
adoption
subsidy
payments
and
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,499,143
-57-
HF2460.3950
(6)
86
pf/rh/rn
57/
124
CCH-2460
43,046,664
b.
(1)
The
funds
appropriated
in
this
section
shall
be
used
as
authorized
or
allowed
by
federal
law
or
regulation
for
any
of
the
following
purposes:
(a)
For
adoption
subsidy
payments
and
related
costs.
(b)
For
post-adoption
services
and
for
other
purposes
under
Tit.
IV-B
or
Tit.
IV-E
of
the
federal
Social
Security
Act.
(2)
The
department
of
human
services
may
transfer
funds
appropriated
in
this
subsection
to
the
appropriation
for
child
and
family
services
in
this
Act
for
the
purposes
of
post-adoption
services
as
specified
in
this
paragraph
“b”.
2.
The
department
may
transfer
funds
appropriated
in
this
section
to
the
appropriation
made
in
this
division
of
this
Act
for
general
administration
for
costs
paid
from
the
appropriation
relating
to
adoption
subsidy.
3.
Federal
funds
received
by
the
state
during
the
fiscal
year
beginning
July
1,
2016,
as
the
result
of
the
expenditure
of
state
funds
during
a
previous
state
fiscal
year
for
a
service
or
activity
funded
under
this
section
are
appropriated
to
the
department
to
be
used
as
additional
funding
for
the
services
and
activities
funded
under
this
section.
Notwithstanding
section
8.33
,
moneys
received
in
accordance
with
this
subsection
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
Sec.
18.
2015
Iowa
Acts,
chapter
137,
section
141,
is
amended
to
read
as
follows:
SEC.
141.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
-58-
HF2460.3950
(6)
86
pf/rh/rn
58/
124
CCH-2460
For
the
family
support
subsidy
program
subject
to
the
enrollment
restrictions
in
section
225C.37,
subsection
3
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
536,966
1,069,282
2.
The
department
shall
use
at
At
least
$320,750
$727,500
of
the
moneys
appropriated
in
this
section
is
transferred
to
the
department
of
public
health
for
the
family
support
center
component
of
the
comprehensive
family
support
program
under
section
225C.47
chapter
225C,
subchapter
V
.
Not
more
than
$12,500
of
the
amount
allocated
in
this
subsection
shall
be
used
for
administrative
costs.
The
department
of
human
services
shall
submit
a
report
to
the
individuals
identified
in
this
Act
for
submission
of
reports
by
December
15,
2016,
regarding
the
outcomes
of
the
program
and
recommendations
for
future
program
improvement.
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
funding
available
for
the
family
support
subsidy
program
is
reduced
from
the
amount
initially
used
to
establish
the
figure
for
the
number
of
family
members
for
whom
a
subsidy
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
notwithstanding
section
225C.38,
subsection
2
,
the
department
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
of
funding
available.
Sec.
19.
2015
Iowa
Acts,
chapter
137,
section
142,
is
amended
to
read
as
follows:
SEC.
142.
CONNER
DECREE.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
building
community
capacity
through
the
coordination
and
provision
of
training
opportunities
in
accordance
with
the
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
Iowa,
July
14,
1994):
-59-
HF2460.3950
(6)
86
pf/rh/rn
59/
124
CCH-2460
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,816
33,632
Sec.
20.
2015
Iowa
Acts,
chapter
137,
section
143,
is
amended
to
read
as
follows:
SEC.
143.
MENTAL
HEALTH
INSTITUTES.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated
which
amounts
shall
not
be
transferred
or
expended
for
any
purpose
other
than
the
purposes
designated,
notwithstanding
section
218.6
to
the
contrary
:
1.
For
operation
of
the
state
mental
health
institute
at
Cherokee
as
required
by
chapters
218
and
226
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,772,808
14,644,041
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
169.20
2.
For
operation
of
the
state
mental
health
institute
at
Independence
as
required
by
chapters
218
and
226
for
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,162,104
18,552,103
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
233.00
Sec.
21.
2015
Iowa
Acts,
chapter
137,
section
144,
is
amended
to
read
as
follows:
SEC.
144.
STATE
RESOURCE
CENTERS.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
-60-
HF2460.3950
(6)
86
pf/rh/rn
60/
124
CCH-2460
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,762,241
20,719,486
b.
For
the
state
resource
center
at
Woodward
for
salaries,
support,
maintenance,
and
miscellaneous
purposes:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,291,903
14,053,011
2.
The
department
may
continue
to
bill
for
state
resource
center
services
utilizing
a
scope
of
services
approach
used
for
private
providers
of
intermediate
care
facilities
for
persons
with
an
intellectual
disability
services,
in
a
manner
which
does
not
shift
costs
between
the
medical
assistance
program,
counties,
or
other
sources
of
funding
for
the
state
resource
centers.
3.
The
state
resource
centers
may
expand
the
time-limited
assessment
and
respite
services
during
the
fiscal
year.
4.
If
the
department’s
administration
and
the
department
of
management
concur
with
a
finding
by
a
state
resource
center’s
superintendent
that
projected
revenues
can
reasonably
be
expected
to
pay
the
salary
and
support
costs
for
a
new
employee
position,
or
that
such
costs
for
adding
a
particular
number
of
new
positions
for
the
fiscal
year
would
be
less
than
the
overtime
costs
if
new
positions
would
not
be
added,
the
superintendent
may
add
the
new
position
or
positions.
If
the
vacant
positions
available
to
a
resource
center
do
not
include
the
position
classification
desired
to
be
filled,
the
state
resource
center’s
superintendent
may
reclassify
any
vacant
position
as
necessary
to
fill
the
desired
position.
The
superintendents
of
the
state
resource
centers
may,
by
mutual
agreement,
pool
vacant
positions
and
position
classifications
during
the
course
of
the
fiscal
year
in
order
to
assist
one
another
in
filling
necessary
positions.
5.
If
existing
capacity
limitations
are
reached
in
-61-
HF2460.3950
(6)
86
pf/rh/rn
61/
124
CCH-2460
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
a
special
need
for
which
a
payment
source
or
other
funding
is
available
for
the
service
or
to
address
the
special
need,
and
facilities
for
the
service
or
to
address
the
special
need
can
be
provided
within
the
available
payment
source
or
other
funding,
the
superintendent
of
a
state
resource
center
may
authorize
opening
not
more
than
two
units
or
other
facilities
and
begin
implementing
the
service
or
addressing
the
special
need
during
fiscal
year
2016-2017.
Sec.
22.
2015
Iowa
Acts,
chapter
137,
section
145,
is
amended
to
read
as
follows:
SEC.
145.
SEXUALLY
VIOLENT
PREDATORS.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
costs
associated
with
the
commitment
and
treatment
of
sexually
violent
predators
in
the
unit
located
at
the
state
mental
health
institute
at
Cherokee,
including
costs
of
legal
services
and
other
associated
costs,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,946,539
10,193,079
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
132.50
2.
Unless
specifically
prohibited
by
law,
if
the
amount
charged
provides
for
recoupment
of
at
least
the
entire
amount
of
direct
and
indirect
costs,
the
department
of
human
services
may
contract
with
other
states
to
provide
care
and
treatment
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
violent
predators
at
Cherokee.
The
moneys
received
under
such
a
contract
shall
be
considered
to
be
repayment
receipts
and
used
for
the
purposes
of
the
appropriation
made
in
this
-62-
HF2460.3950
(6)
86
pf/rh/rn
62/
124
CCH-2460
section.
Sec.
23.
2015
Iowa
Acts,
chapter
137,
section
146,
is
amended
to
read
as
follows:
SEC.
146.
FIELD
OPERATIONS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
field
operations,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
29,460,488
54,442,877
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
1,837.00
2.
Priority
in
filling
full-time
equivalent
positions
shall
be
given
to
those
positions
related
to
child
protection
services
and
eligibility
determination
for
low-income
families.
Sec.
24.
2015
Iowa
Acts,
chapter
137,
section
147,
is
amended
to
read
as
follows:
SEC.
147.
GENERAL
ADMINISTRATION.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
general
administration,
including
salaries,
support,
maintenance,
and
miscellaneous
purposes,
and
for
not
more
than
the
following
full-time
equivalent
positions:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,449,099
15,673,198
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
FTEs
309.00
2.
Of
the
funds
appropriated
in
this
section,
$75,000
$150,000
shall
be
used
to
continue
the
contract
for
the
provision
of
a
program
to
provide
technical
assistance,
support,
and
consultation
to
providers
of
habilitation
services
-63-
HF2460.3950
(6)
86
pf/rh/rn
63/
124
CCH-2460
and
home
and
community-based
services
waiver
services
for
adults
with
disabilities
under
the
medical
assistance
program.
3.
Of
the
funds
appropriated
in
this
section,
$25,000
$50,000
is
transferred
to
the
Iowa
finance
authority
to
be
used
for
administrative
support
of
the
council
on
homelessness
established
in
section
16.2D
and
for
the
council
to
fulfill
its
duties
in
addressing
and
reducing
homelessness
in
the
state.
4.
Of
the
funds
appropriated
in
this
section,
$125,000
$250,000
shall
be
transferred
to
and
deposited
in
the
administrative
fund
of
the
Iowa
ABLE
savings
plan
trust
created
in
section
12I.4
,
if
enacted
in
this
or
any
other
Act,
to
be
used
for
implementation
and
administration
activities
of
the
Iowa
ABLE
savings
plan
trust.
5.
Of
the
funds
appropriated
in
this
section,
$300,000
shall
be
used
to
contract
for
planning
grants
for
the
development
and
implementation
of
children’s
mental
health
crisis
services
as
provided
in
this
Act.
6.
Of
the
funds
appropriated
in
this
section,
$200,000
shall
be
used
to
continue
to
expand
the
provision
of
nationally
accredited
and
recognized
internet-based
training
to
include
mental
health
and
disability
services
providers.
7.
Of
the
funds
appropriated
in
this
section,
$300,000
is
transferred
to
the
economic
development
authority
for
the
Iowa
commission
on
volunteer
services
to
be
used
for
RefugeeRISE
AmeriCorps
program
member
recruitment
and
training
to
improve
the
economic
well-being
and
health
of
economically
disadvantaged
refugees
in
local
communities
across
Iowa.
Funds
transferred
may
be
used
to
supplement
federal
funds
under
federal
regulations.
Sec.
25.
2015
Iowa
Acts,
chapter
137,
is
amended
by
adding
the
following
new
section:
NEW
SECTION
.
SEC.
147A.
DEPARTMENT-WIDE
DUTIES.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
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1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
designated:
For
salaries,
support,
maintenance,
and
miscellaneous
purposes
at
facilities
under
the
purview
of
the
department
of
human
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,879,274
Sec.
26.
2015
Iowa
Acts,
chapter
137,
section
148,
is
amended
to
read
as
follows:
SEC.
148.
VOLUNTEERS.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
development
and
coordination
of
volunteer
services:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
42,343
84,686
Sec.
27.
2015
Iowa
Acts,
chapter
137,
section
149,
is
amended
to
read
as
follows:
SEC.
149.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
DEPARTMENT
OF
HUMAN
SERVICES.
1.
a.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
the
total
state
funding
amount
for
the
nursing
facility
budget
shall
not
exceed
$151,421,458.
(2)
The
department,
in
cooperation
with
nursing
facility
representatives,
shall
review
projections
for
state
funding
expenditures
for
reimbursement
of
nursing
facilities
on
a
quarterly
basis
and
the
department
shall
determine
if
an
adjustment
to
the
medical
assistance
reimbursement
rate
is
necessary
in
order
to
provide
reimbursement
within
the
state
funding
amount
for
the
fiscal
year.
Notwithstanding
2001
Iowa
Acts,
chapter
192,
section
4,
subsection
2,
paragraph
“c”,
and
subsection
3,
paragraph
“a”,
subparagraph
(2)
,
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if
the
state
funding
expenditures
for
the
nursing
facility
budget
for
the
fiscal
year
are
projected
to
exceed
the
amount
specified
in
subparagraph
(1),
the
department
shall
adjust
the
reimbursement
for
nursing
facilities
reimbursed
under
the
case-mix
reimbursement
system
to
maintain
expenditures
of
the
nursing
facility
budget
within
the
specified
amount
for
the
fiscal
year.
(3)
(a)
For
the
fiscal
year
beginning
July
1,
2016,
case-mix,
non-case
mix,
and
special
population
nursing
facilities
shall
be
reimbursed
in
accordance
with
the
methodology
in
effect
on
June
30,
2016.
(b)
For
managed
care
claims,
the
department
of
human
services
shall
adjust
the
payment
rate
floor
for
nursing
facilities,
annually,
to
maintain
a
rate
floor
that
is
no
lower
than
the
Medicaid
fee-for-service
case-mix
adjusted
rate
calculated
in
accordance
with
441
IAC
81.6.
The
department
shall
then
calculate
adjusted
reimbursement
rates,
including
but
not
limited
to
add-on-payments,
annually,
and
shall
notify
Medicaid
managed
care
organizations
of
the
adjusted
reimbursement
rates
within
30
days
of
determining
the
adjusted
reimbursement
rates.
Any
adjustment
of
reimbursement
rates
under
this
subparagraph
division
shall
be
budget
neutral
to
the
state
budget.
(4)
For
any
open
or
unsettled
nursing
facility
cost
report
for
a
fiscal
year
prior
to
and
including
the
fiscal
year
beginning
July
1,
2015,
including
any
cost
report
remanded
on
judicial
review
for
inclusion
of
prescription
drug,
laboratory,
or
x-ray
costs,
the
department
shall
offset
all
reported
prescription
drug,
laboratory,
and
x-ray
costs
with
any
revenue
received
from
Medicare
or
other
revenue
source
for
any
purpose.
For
purposes
of
this
subparagraph,
a
nursing
facility
cost
report
is
not
considered
open
or
unsettled
if
the
facility
did
not
initiate
an
administrative
appeal
under
chapter
17A
or
if
any
appeal
rights
initiated
have
been
exhausted.
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b.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
the
department
shall
establish
the
pharmacy
dispensing
fee
reimbursement
at
$11.73
per
prescription,
until
a
cost
of
dispensing
survey
is
completed.
The
actual
dispensing
fee
shall
be
determined
by
a
cost
of
dispensing
survey
performed
by
the
department
and
required
to
be
completed
by
all
medical
assistance
program
participating
pharmacies
every
two
years,
adjusted
as
necessary
to
maintain
expenditures
within
the
amount
appropriated
to
the
department
for
this
purpose
for
the
fiscal
year.
(2)
The
department
shall
utilize
an
average
acquisition
cost
reimbursement
methodology
for
all
drugs
covered
under
the
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
chapter
1133,
section
33
.
(3)
Notwithstanding
subparagraph
(2),
if
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services
(CMS)
requires,
as
a
condition
of
federal
Medicaid
funding,
that
the
department
implement
an
aggregate
federal
upper
limit
(FUL)
for
drug
reimbursement
based
on
the
average
manufacturer’s
price
(AMP),
the
department
may
utilize
a
reimbursement
methodology
for
all
drugs
covered
under
the
Medicaid
program
based
on
the
national
average
drug
acquisition
cost
(NADAC)
methodology
published
by
CMS,
in
order
to
assure
compliance
with
the
aggregate
FUL,
minimize
outcomes
of
drug
reimbursements
below
pharmacy
acquisition
costs,
limit
administrative
costs,
and
minimize
any
change
in
the
aggregate
reimbursement
for
drugs.
The
department
may
adopt
emergency
rules
to
implement
this
subparagraph.
c.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
reimbursement
rates
for
outpatient
hospital
services
shall
remain
at
the
rates
in
effect
on
June
30,
2016,
subject
to
Medicaid
program
upper
payment
limit
rules,
and
adjusted
as
necessary
to
maintain
expenditures
within
the
amount
appropriated
to
the
department
for
this
purpose
for
the
fiscal
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year.
(2)
For
the
fiscal
year
beginning
July
1,
2016,
reimbursement
rates
for
inpatient
hospital
services
shall
remain
at
the
rates
in
effect
on
June
30,
2016,
subject
to
Medicaid
program
upper
payment
limit
rules,
and
adjusted
as
necessary
to
maintain
expenditures
within
the
amount
appropriated
to
the
department
for
this
purpose
for
the
fiscal
year.
(3)
For
the
fiscal
year
beginning
July
1,
2016,
the
graduate
medical
education
and
disproportionate
share
hospital
fund
shall
remain
at
the
amount
in
effect
on
June
30,
2016,
except
that
the
portion
of
the
fund
attributable
to
graduate
medical
education
shall
be
reduced
in
an
amount
that
reflects
the
elimination
of
graduate
medical
education
payments
made
to
out-of-state
hospitals.
(4)
In
order
to
ensure
the
efficient
use
of
limited
state
funds
in
procuring
health
care
services
for
low-income
Iowans,
funds
appropriated
in
this
Act
for
hospital
services
shall
not
be
used
for
activities
which
would
be
excluded
from
a
determination
of
reasonable
costs
under
the
federal
Medicare
program
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
d.
For
the
fiscal
year
beginning
July
1,
2016,
reimbursement
rates
for
rural
health
clinics,
hospices
,
and
acute
mental
hospitals
shall
be
increased
in
accordance
with
increases
under
the
federal
Medicare
program
or
as
supported
by
their
Medicare
audited
costs.
e.
For
the
fiscal
year
beginning
July
1,
2016,
independent
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
using
the
same
methodology
in
effect
on
June
30,
2016.
f.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
reimbursement
rates
for
home
health
agencies
shall
continue
to
be
based
on
the
Medicare
low
utilization
payment
adjustment
(LUPA)
methodology
with
state
geographic
wage
adjustments,
and
updated
to
reflect
the
most
recent
Medicare
LUPA
rates
shall
be
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adjusted
to
increase
the
rates
to
the
extent
possible
within
the
$1,000,000
of
state
funding
appropriated
for
this
purpose.
The
department
shall
continue
to
update
the
rates
every
two
years
to
reflect
the
most
recent
Medicare
LUPA
rates
.
(2)
For
the
fiscal
year
beginning
July
1,
2016,
rates
for
private
duty
nursing
and
personal
care
services
under
the
early
and
periodic
screening,
diagnostic,
and
treatment
program
benefit
shall
be
calculated
based
on
the
methodology
in
effect
on
June
30,
2016.
g.
For
the
fiscal
year
beginning
July
1,
2016,
federally
qualified
health
centers
and
rural
health
clinics
shall
receive
cost-based
reimbursement
for
100
percent
of
the
reasonable
costs
for
the
provision
of
services
to
recipients
of
medical
assistance.
h.
For
the
fiscal
year
beginning
July
1,
2016,
the
reimbursement
rates
for
dental
services
shall
remain
at
the
rates
in
effect
on
June
30,
2016.
i.
(1)
For
the
fiscal
year
beginning
July
1,
2016,
state-owned
psychiatric
medical
institutions
for
children
shall
receive
cost-based
reimbursement
for
100
percent
of
the
actual
and
allowable
costs
for
the
provision
of
services
to
recipients
of
medical
assistance.
(2)
For
the
nonstate-owned
psychiatric
medical
institutions
for
children,
reimbursement
rates
shall
be
based
on
the
reimbursement
methodology
developed
by
the
Medicaid
managed
care
contractor
for
behavioral
health
services
as
required
for
federal
compliance
in
effect
on
June
30,
2016
.
(3)
As
a
condition
of
participation
in
the
medical
assistance
program,
enrolled
providers
shall
accept
the
medical
assistance
reimbursement
rate
for
any
covered
goods
or
services
provided
to
recipients
of
medical
assistance
who
are
children
under
the
custody
of
a
psychiatric
medical
institution
for
children.
j.
For
the
fiscal
year
beginning
July
1,
2016,
unless
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otherwise
specified
in
this
Act,
all
noninstitutional
medical
assistance
provider
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
30,
2016,
except
for
area
education
agencies,
local
education
agencies,
infant
and
toddler
services
providers,
home
and
community-based
services
providers
including
consumer-directed
attendant
care
providers
under
a
section
1915(c)
or
1915(i)
waiver,
targeted
case
management
providers,
and
those
providers
whose
rates
are
required
to
be
determined
pursuant
to
section
249A.20
.
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
fiscal
year
beginning
July
1,
2016,
the
reimbursement
rate
for
anesthesiologists
shall
remain
at
the
rate
in
effect
on
June
30,
2016.
l.
Notwithstanding
section
249A.20
,
for
the
fiscal
year
beginning
July
1,
2016,
the
average
reimbursement
rate
for
health
care
providers
eligible
for
use
of
the
federal
Medicare
resource-based
relative
value
scale
reimbursement
methodology
under
section
249A.20
shall
remain
at
the
rate
in
effect
on
June
30,
2016;
however,
this
rate
shall
not
exceed
the
maximum
level
authorized
by
the
federal
government.
m.
For
the
fiscal
year
beginning
July
1,
2016,
the
reimbursement
rate
for
residential
care
facilities
shall
not
be
less
than
the
minimum
payment
level
as
established
by
the
federal
government
to
meet
the
federally
mandated
maintenance
of
effort
requirement.
The
flat
reimbursement
rate
for
facilities
electing
not
to
file
annual
cost
reports
shall
not
be
less
than
the
minimum
payment
level
as
established
by
the
federal
government
to
meet
the
federally
mandated
maintenance
of
effort
requirement.
n.
For
the
fiscal
year
beginning
July
1,
2016,
the
reimbursement
rates
for
inpatient
mental
health
services
provided
at
hospitals
shall
remain
at
the
rates
in
effect
on
June
30,
2016,
subject
to
Medicaid
program
upper
payment
limit
rules;
and
psychiatrists
shall
be
reimbursed
at
the
medical
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assistance
program
fee-for-service
rate
in
effect
on
June
30,
2016.
o.
For
the
fiscal
year
beginning
July
1,
2016,
community
mental
health
centers
may
choose
to
be
reimbursed
for
the
services
provided
to
recipients
of
medical
assistance
through
either
of
the
following
options:
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
(2)
In
accordance
with
the
alternative
reimbursement
rate
methodology
established
by
the
medical
assistance
program’s
managed
care
contractor
for
mental
health
services
and
approved
by
the
department
of
human
services
in
effect
on
June
30,
2016
.
p.
For
the
fiscal
year
beginning
July
1,
2016,
the
reimbursement
rate
for
providers
of
family
planning
services
that
are
eligible
to
receive
a
90
percent
federal
match
shall
remain
at
the
rates
in
effect
on
June
30,
2016.
q.
For
the
fiscal
year
beginning
July
1,
2016,
the
upper
limits
on
and
reimbursement
rates
for
providers
of
home
and
community-based
services
waiver
services
shall
remain
at
the
limits
in
effect
on
June
30,
2016
for
which
the
rate
floor
is
based
on
the
average
aggregate
reimbursement
rate
for
the
fiscal
year
beginning
July
1,
2014,
shall
be
determined
as
follows:
(1)
For
fee-for-service
claims,
the
reimbursement
rate
shall
be
increased
by
1
percent
over
the
rates
in
effect
on
June
30,
2016
.
(2)
For
managed
care
claims,
the
reimbursement
rate
floor
shall
be
increased
by
1
percent
over
the
rate
floor
in
effect
on
April
1,
2016.
r.
For
the
fiscal
year
beginning
July
1,
2016,
the
reimbursement
rates
for
emergency
medical
service
providers
shall
remain
at
the
rates
in
effect
on
June
30,
2016.
2.
For
the
fiscal
year
beginning
July
1,
2016,
the
reimbursement
rate
for
providers
reimbursed
under
the
in-home-related
care
program
shall
not
be
less
than
the
minimum
-71-
HF2460.3950
(6)
86
pf/rh/rn
71/
124
CCH-2460
payment
level
as
established
by
the
federal
government
to
meet
the
federally
mandated
maintenance
of
effort
requirement.
3.
Unless
otherwise
directed
in
this
section,
when
the
department’s
reimbursement
methodology
for
any
provider
reimbursed
in
accordance
with
this
section
includes
an
inflation
factor,
this
factor
shall
not
exceed
the
amount
by
which
the
consumer
price
index
for
all
urban
consumers
increased
during
the
calendar
year
ending
December
31,
2002.
4.
For
Notwithstanding
section
234.38,
for
the
fiscal
year
beginning
July
1,
2016,
the
foster
family
basic
daily
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
children
ages
0
through
5
years
shall
be
$16.78,
the
rate
for
children
ages
6
through
11
years
shall
be
$17.45,
the
rate
for
children
ages
12
through
15
years
shall
be
$19.10,
and
the
rate
for
children
and
young
adults
ages
16
and
older
shall
be
$19.35.
For
youth
ages
18
to
21
who
have
exited
foster
care,
the
preparation
for
adult
living
program
maintenance
rate
shall
be
$602.70
per
month.
The
maximum
payment
for
adoption
subsidy
nonrecurring
expenses
shall
be
limited
to
$500
and
the
disallowance
of
additional
amounts
for
court
costs
and
other
related
legal
expenses
implemented
pursuant
to
2010
Iowa
Acts,
chapter
1031,
section
408
,
shall
be
continued.
5.
For
the
fiscal
year
beginning
July
1,
2016,
the
maximum
reimbursement
rates
for
social
services
providers
under
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2016,
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
each
service,
whichever
is
less.
However,
if
a
new
service
or
service
provider
is
added
after
June
30,
2016,
the
initial
reimbursement
rate
for
the
service
or
provider
shall
be
based
upon
a
weighted
average
of
provider
rates
for
similar
services.
6.
For
the
fiscal
year
beginning
July
1,
2016,
the
reimbursement
rates
for
resource
family
recruitment
and
retention
contractors,
child
welfare
emergency
services
contractors,
and
supervised
apartment
living
foster
care
-72-
HF2460.3950
(6)
86
pf/rh/rn
72/
124
CCH-2460
providers
shall
remain
at
the
rates
in
effect
on
June
30,
2016.
7.
a.
For
the
purposes
of
this
subsection,
“combined
reimbursement
rate”
means
the
combined
service
and
maintenance
reimbursement
rate
for
a
service
level
under
the
department’s
reimbursement
methodology.
Effective
July
1,
2016,
the
combined
reimbursement
rate
for
a
group
foster
care
service
level
shall
be
the
amount
designated
in
this
subsection.
However,
if
a
group
foster
care
provider’s
reimbursement
rate
for
a
service
level
as
of
June
30,
2016,
is
more
than
the
rate
designated
in
this
subsection,
the
provider’s
reimbursement
shall
remain
at
the
higher
rate.
b.
Unless
a
group
foster
care
provider
is
subject
to
the
exception
provided
in
paragraph
“a”,
effective
July
1,
2016,
the
combined
reimbursement
rates
for
the
service
levels
under
the
department’s
reimbursement
methodology
shall
be
as
follows:
(1)
For
service
level,
community
-
D1,
the
daily
rate
shall
be
at
least
$84.17.
(2)
For
service
level,
comprehensive
-
D2,
the
daily
rate
shall
be
at
least
$119.09.
(3)
For
service
level,
enhanced
-
D3,
the
daily
rate
shall
be
at
least
$131.09.
8.
The
group
foster
care
reimbursement
rates
paid
for
placement
of
children
out
of
state
shall
be
calculated
according
to
the
same
rate-setting
principles
as
those
used
for
in-state
providers,
unless
the
director
of
human
services
or
the
director’s
designee
determines
that
appropriate
care
cannot
be
provided
within
the
state.
The
payment
of
the
daily
rate
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
which
service
is
provided.
9.
a.
For
the
fiscal
year
beginning
July
1,
2016,
the
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
emergency
services
implemented
to
provide
or
prevent
the
need
for
shelter
care
shall
be
established
by
contract.
b.
For
the
fiscal
year
beginning
July
1,
2016,
the
combined
-73-
HF2460.3950
(6)
86
pf/rh/rn
73/
124
CCH-2460
service
and
maintenance
components
of
the
reimbursement
rate
paid
for
shelter
care
services
shall
be
based
on
the
financial
and
statistical
report
submitted
to
the
department.
The
maximum
reimbursement
rate
shall
be
$101.83
per
day.
The
department
shall
reimburse
a
shelter
care
provider
at
the
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
to
exceed
the
maximum
reimbursement
rate.
c.
Notwithstanding
section
232.141,
subsection
8
,
for
the
fiscal
year
beginning
July
1,
2016,
the
amount
of
the
statewide
average
of
the
actual
and
allowable
rates
for
reimbursement
of
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
2015.
10.
For
the
fiscal
year
beginning
July
1,
2016,
the
department
shall
calculate
reimbursement
rates
for
intermediate
care
facilities
for
persons
with
an
intellectual
disability
at
the
80th
percentile.
Beginning
July
1,
2016,
the
rate
calculation
methodology
shall
utilize
the
consumer
price
index
inflation
factor
applicable
to
the
fiscal
year
beginning
July
1,
2016.
11.
For
the
fiscal
year
beginning
July
1,
2016,
for
child
care
providers
reimbursed
under
the
state
child
care
assistance
program,
the
department
shall
set
provider
reimbursement
rates
based
on
the
rate
reimbursement
survey
completed
in
December
2004.
Effective
July
1,
2016,
the
child
care
provider
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
30,
2016.
The
department
shall
set
rates
in
a
manner
so
as
to
provide
incentives
for
a
nonregistered
provider
to
become
registered
by
applying
the
increase
only
to
registered
and
licensed
providers.
11A.
For
the
fiscal
year
beginning
July
1,
2016,
notwithstanding
any
provision
to
the
contrary
under
this
section,
affected
providers
or
services
shall
be
reimbursed
as
-74-
HF2460.3950
(6)
86
pf/rh/rn
74/
124
CCH-2460
follows:
a.
For
fee-for-service
claims,
reimbursement
shall
be
calculated
based
on
the
methodology
otherwise
specified
in
this
section
for
the
fiscal
year
beginning
July
1,
2016,
for
the
respective
provider
or
service.
b.
For
claims
subject
to
a
managed
care
contract:
(1)
With
the
exception
of
any
provider
or
service
to
which
a
reimbursement
increase
is
applicable
for
the
fiscal
year
under
this
section,
reimbursement
shall
be
based
on
the
methodology
established
by
the
managed
care
contract.
However,
any
reimbursement
established
under
such
contract
shall
not
be
lower
than
the
rate
floor
established
by
the
department
of
human
services
as
the
managed
care
organization
provider
or
service
reimbursement
rate
floor
for
the
respective
provider
or
service
in
effect
on
April
1,
2016.
(2)
For
any
provider
or
service
to
which
a
reimbursement
increase
is
applicable
for
the
fiscal
year
under
this
section,
upon
the
effective
date
of
the
reimbursement
increase,
the
department
of
human
services
shall
modify
the
rate
floor
in
effect
on
April
1,
2016,
to
reflect
the
increase
specified
under
this
section.
Any
reimbursement
established
under
the
managed
care
contract
shall
not
be
lower
than
the
rate
floor
as
modified
by
the
department
of
human
services
to
reflect
the
provider
rate
increase
specified
under
this
section.
13.
The
department
may
adopt
emergency
rules
to
implement
this
section.
Sec.
28.
2015
Iowa
Acts,
chapter
137,
is
amended
by
adding
the
following
new
section:
NEW
SECTION
.
SEC.
151A.
TRANSFER
OF
MEDICAID
MODERNIZATION
SAVINGS
BETWEEN
APPROPRIATIONS
FY
2016-2017.
Notwithstanding
section
8.39,
subsection
1,
for
the
fiscal
year
beginning
July
1,
2016,
if
savings
resulting
from
the
governor’s
Medicaid
modernization
initiative
accrue
to
the
medical
contracts
or
children’s
health
insurance
program
appropriation
from
the
-75-
HF2460.3950
(6)
86
pf/rh/rn
75/
124
CCH-2460
general
fund
of
the
state
and
not
to
the
medical
assistance
appropriation
from
the
general
fund
of
the
state
under
this
division
of
this
Act,
such
savings
may
be
transferred
to
such
medical
assistance
appropriation
for
the
same
fiscal
year
without
prior
written
consent
and
approval
of
the
governor
and
the
director
of
the
department
of
management.
The
department
of
human
services
shall
report
any
transfers
made
pursuant
to
this
section
to
the
legislative
services
agency.
DIVISION
VI
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2016-2017
Sec.
29.
2015
Iowa
Acts,
chapter
137,
section
152,
is
amended
to
read
as
follows:
SEC.
152.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
appropriated
from
the
pharmaceutical
settlement
account
created
in
section
249A.33
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
Notwithstanding
any
provision
of
law
to
the
contrary,
to
supplement
the
appropriations
made
in
this
Act
for
medical
contracts
under
the
medical
assistance
program
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,001,088
1,300,000
Sec.
30.
2015
Iowa
Acts,
chapter
137,
section
153,
is
amended
to
read
as
follows:
SEC.
153.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
subject
to
the
availability
of
funds,
there
is
appropriated
from
the
quality
assurance
trust
fund
created
in
section
249L.4
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
designated:
-76-
HF2460.3950
(6)
86
pf/rh/rn
76/
124
CCH-2460
To
supplement
the
appropriation
made
in
this
Act
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
medical
assistance
for
the
same
fiscal
year:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
18,602,604
36,705,208
Sec.
31.
2015
Iowa
Acts,
chapter
137,
section
154,
is
amended
to
read
as
follows:
SEC.
154.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
subject
to
the
availability
of
funds,
there
is
appropriated
from
the
hospital
health
care
access
trust
fund
created
in
section
249M.4
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
designated:
To
supplement
the
appropriation
made
in
this
Act
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
medical
assistance
for
the
same
fiscal
year:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,350,000
34,700,000
DIVISION
VII
PROPERTY
TAX
RELIEF
FUND
BLOCK
GRANT
MONEY
——
FY
2016-2017
Sec.
32.
2015
Iowa
Acts,
chapter
137,
section
157,
is
amended
to
read
as
follows:
SEC.
157.
PROPERTY
TAX
RELIEF
FUND
BLOCK
GRANT
MONEYS.
The
moneys
transferred
to
the
property
tax
relief
fund
for
the
fiscal
year
beginning
July
1,
2015
2016
,
from
the
federal
social
services
block
grant
pursuant
to
2015
Iowa
Acts,
House
File
630,
and
from
the
federal
temporary
assistance
for
needy
families
block
grant,
totaling
at
least
$11,774,275
$7,456,296
,
are
appropriated
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2015
2016
,
and
ending
June
30,
2016
2017
,
to
be
used
for
the
purposes
designated,
notwithstanding
any
provision
of
law
to
the
contrary:
-77-
HF2460.3950
(6)
86
pf/rh/rn
77/
124
CCH-2460
1.
For
distribution
to
any
mental
health
and
disability
services
region
where
25
percent
of
the
region’s
projected
expenditures
exceeds
the
region’s
projected
fund
balance:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
480,000
a.
For
purposes
of
this
subsection:
(1)
“Available
funds”
means
a
county
mental
health
and
services
fund
balance
on
June
30,
2015,
plus
the
maximum
amount
a
county
was
allowed
to
levy
for
the
fiscal
year
beginning
July
1,
2015.
(2)
“Projected
expenditures”
means
the
actual
expenditures
of
a
mental
health
and
disability
services
region
as
of
June
30,
2015,
multiplied
by
an
annual
inflation
rate
of
2
percent
plus
the
projected
costs
for
new
core
services
administered
by
the
region
as
provided
in
a
region’s
regional
service
system
management
plan
approved
pursuant
to
section
331.393
for
the
fiscal
year
beginning
July
1,
2015.
(3)
“Projected
fund
balance”
means
the
difference
between
a
mental
health
and
disability
services
region’s
available
funds
and
projected
expenditures.
b.
If
sufficient
funds
are
not
available
to
implement
this
subsection,
the
department
of
human
services
shall
distribute
funds
to
a
region
in
proportion
to
the
availability
of
funds.
2.
To
be
transferred
to
the
appropriation
in
this
Act
for
child
and
family
services
for
the
fiscal
year
beginning
July
1,
2016,
to
be
used
for
the
purpose
of
that
appropriation:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,407,137
6,880,223
DIVISION
VIII
PRIOR
YEAR
APPROPRIATIONS
AND
OTHER
PROVISIONS
FAMILY
INVESTMENT
PROGRAM
ACCOUNT
FY
2015-2016
Sec.
33.
2015
Iowa
Acts,
chapter
137,
section
7,
subsection
4,
paragraph
e,
is
amended
to
read
as
follows:
e.
For
the
JOBS
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,540,398
-78-
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124
CCH-2460
17,140,398
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND
FY
2015-2016
Sec.
34.
2015
Iowa
Acts,
chapter
137,
section
8,
unnumbered
paragraph
2,
is
amended
to
read
as
follows:
To
be
credited
to
the
family
investment
program
(FIP)
account
and
used
for
family
investment
program
assistance
under
chapter
239B
:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
48,673,875
44,773,875
Sec.
35.
2015
Iowa
Acts,
chapter
137,
section
8,
subsection
1,
is
amended
to
read
as
follows:
1.
Of
the
funds
appropriated
in
this
section,
$7,402,220
$7,002,220
is
allocated
for
the
JOBS
program.
MEDICAL
ASSISTANCE
APPROPRIATION
——
FY
2015-2016
Sec.
36.
2015
Iowa
Acts,
chapter
137,
section
12,
unnumbered
paragraph
2,
is
amended
to
read
as
follows:
For
medical
assistance
program
reimbursement
and
associated
costs
as
specifically
provided
in
the
reimbursement
methodologies
in
effect
on
June
30,
2015,
except
as
otherwise
expressly
authorized
by
law,
consistent
with
options
under
federal
law
and
regulations,
and
contingent
upon
receipt
of
approval
from
the
office
of
the
governor
of
reimbursement
for
each
abortion
performed
under
the
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,303,191,564
1,318,191,564
MODERNIZATION
EMERGENCY
RULES
FY
2015-2016
Sec.
37.
2015
Iowa
Acts,
chapter
137,
section
12,
subsection
24,
is
amended
to
read
as
follows:
24.
The
department
of
human
services
may
adopt
emergency
rules
as
necessary
to
implement
the
governor’s
Medicaid
modernization
initiative
beginning
January
1,
2016.
AUTISM
SUPPORT
PROGRAM
FUND
FY
2015-2016
Sec.
38.
2015
Iowa
Acts,
chapter
137,
section
13,
subsection
5,
unnumbered
paragraph
1,
is
amended
to
read
as
follows:
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Of
the
funds
appropriated
in
this
section,
$2,000,000
shall
be
credited
to
the
autism
support
program
fund
created
in
section
225D.2
to
be
used
for
the
autism
support
program
created
in
chapter
225D
,
with
the
exception
of
the
following
amounts
of
this
allocation
which
shall
be
used
as
follows:
STATE
SUPPLEMENTARY
ASSISTANCE
FY
2015-2016
Sec.
39.
2015
Iowa
Acts,
chapter
137,
section
14,
unnumbered
paragraph
2,
is
amended
to
read
as
follows:
For
the
state
supplementary
assistance
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,997,187
11,897,187
CHILD
CARE
ASSISTANCE
FY
2015-2016
Sec.
40.
2015
Iowa
Acts,
chapter
137,
section
16,
unnumbered
paragraph
2,
is
amended
to
read
as
follows:
For
child
care
programs:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
51,408,668
41,408,668
Sec.
41.
2015
Iowa
Acts,
chapter
137,
section
16,
subsection
1,
is
amended
to
read
as
follows:
1.
Of
the
funds
appropriated
in
this
section,
$43,689,241
$33,689,241
shall
be
used
for
state
child
care
assistance
in
accordance
with
section
237A.13
.
Sec.
42.
2015
Iowa
Acts,
chapter
137,
section
16,
subsection
9,
is
amended
to
read
as
follows:
9.
Notwithstanding
section
8.33
,
moneys
advanced
for
purposes
of
the
programs
developed
by
early
childhood
Iowa
areas,
advanced
for
purposes
of
wraparound
child
care,
appropriated
in
this
section
or
received
from
the
federal
appropriations
made
for
the
purposes
of
this
section
that
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
remain
available
for
expenditure
for
the
purposes
designated
until
the
close
of
the
succeeding
fiscal
year.
NURSING
FACILITY
BUDGET
FY
2015-2016
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Sec.
43.
2015
Iowa
Acts,
chapter
137,
section
29,
subsection
1,
paragraph
a,
subparagraph
(1),
is
amended
to
read
as
follows:
(1)
For
the
fiscal
year
beginning
July
1,
2015,
the
total
state
funding
amount
for
the
nursing
facility
budget
shall
not
exceed
$151,421,158
$227,131,737
.
Sec.
44.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
Sec.
45.
RETROACTIVE
APPLICABILITY.
This
division
of
this
Act
is
retroactively
applicable
to
July
1,
2015.
DIVISION
IX
DECATEGORIZATION
Sec.
46.
DECATEGORIZATION
CARRYOVER
FUNDING
——
TRANSFER
TO
MEDICAID
PROGRAM.
Notwithstanding
section
232.188,
subsection
5,
paragraph
“b”,
any
state
appropriated
moneys
in
the
funding
pool
that
remained
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
beginning
July
1,
2013,
and
were
deemed
carryover
funding
to
remain
available
for
the
two
succeeding
fiscal
years
that
still
remain
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
beginning
July
1,
2015,
shall
not
revert
but
shall
be
transferred
to
the
medical
assistance
program
for
the
fiscal
year
beginning
July
1,
2015.
Sec.
47.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
Sec.
48.
RETROACTIVE
APPLICABILITY.
This
division
of
this
Act
is
retroactively
applicable
to
July
1,
2015.
DIVISION
X
CODE
CHANGES
LOCAL
OFFICES
OF
SUBSTITUTE
DECISION
MAKER
Sec.
49.
Section
231E.4,
subsection
3,
paragraph
a,
Code
2016,
is
amended
to
read
as
follows:
a.
Select
persons
through
a
request
for
proposals
process
to
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CCH-2460
establish
local
offices
of
substitute
decision
maker
in
each
of
the
planning
and
service
areas.
Local
offices
shall
be
established
statewide
on
or
before
July
1,
2017
2018
.
INSTITUTIONS
FOR
PERSONS
WITH
AN
INTELLECTUAL
DISABILITY
——
ASSESSMENT
Sec.
50.
Section
222.60A,
Code
2016,
is
amended
to
read
as
follows:
222.60A
Cost
of
assessment.
Notwithstanding
any
provision
of
this
chapter
to
the
contrary,
any
amount
attributable
to
any
fee
assessed
assessment
pursuant
to
section
249A.21
that
would
otherwise
be
the
liability
of
any
county
shall
be
paid
by
the
state.
The
department
may
transfer
funds
from
the
appropriation
for
medical
assistance
to
pay
any
amount
attributable
to
any
fee
assessed
assessment
pursuant
to
section
249A.21
that
is
a
liability
of
the
state.
Sec.
51.
Section
249A.12,
subsection
3,
paragraph
c,
Code
2016,
is
amended
to
read
as
follows:
c.
Effective
February
1,
2002,
the
The
state
shall
be
responsible
for
all
of
the
nonfederal
share
of
the
costs
of
intermediate
care
facility
for
persons
with
an
intellectual
disability
services
provided
under
medical
assistance
attributable
to
the
assessment
fee
for
intermediate
care
facilities
for
individuals
with
an
intellectual
disability
imposed
pursuant
to
section
249A.21
.
Effective
February
1,
2003,
a
A
county
is
not
required
to
reimburse
the
department
and
shall
not
be
billed
for
the
nonfederal
share
of
the
costs
of
such
services
attributable
to
the
assessment
fee
.
Sec.
52.
Section
249A.21,
Code
2016,
is
amended
to
read
as
follows:
249A.21
Intermediate
care
facilities
for
persons
with
an
intellectual
disability
——
assessment.
1.
The
department
may
assess
An
intermediate
care
facilities
facility
for
persons
with
an
intellectual
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disability,
as
defined
in
section
135C.1
,
a
fee
in
shall
be
assessed
an
amount
for
the
preceding
calendar
quarter,
not
to
exceed
six
percent
of
the
total
annual
revenue
of
the
facility
for
the
preceding
fiscal
year
actual
paid
claims
for
the
previous
quarter
.
2.
The
assessment
shall
be
paid
by
each
intermediate
care
facility
for
persons
with
an
intellectual
disability
to
the
department
in
equal
monthly
amounts
on
or
before
the
fifteenth
day
of
each
month
on
a
quarterly
basis
.
The
department
may
deduct
the
monthly
amount
from
medical
assistance
payments
to
a
facility
described
in
subsection
1
.
The
amount
deducted
from
payments
shall
not
exceed
the
total
amount
of
the
assessments
due
An
intermediate
care
facility
for
persons
with
an
intellectual
disability
shall
submit
the
assessment
amount
no
later
than
thirty
days
following
the
end
of
each
calendar
quarter
.
3.
Revenue
from
the
assessments
shall
be
credited
The
department
shall
collect
the
assessment
imposed
and
shall
credit
all
revenues
collected
to
the
state
medical
assistance
appropriation.
This
revenue
may
be
used
only
for
services
for
which
federal
financial
participation
under
the
medical
assistance
program
is
available
to
match
state
funds.
4.
If
the
department
determines
that
an
intermediate
care
facility
for
persons
with
an
intellectual
disability
has
underpaid
or
overpaid
the
assessment,
the
department
shall
notify
the
intermediate
care
facility
for
persons
with
an
intellectual
disability
of
the
amount
of
the
unpaid
assessment
or
refund
due.
Such
payment
or
refund
shall
be
due
or
refunded
within
thirty
days
of
the
issuance
of
the
notice.
5.
An
intermediate
care
facility
for
persons
with
an
intellectual
disability
that
fails
to
pay
the
assessment
within
the
time
frame
specified
in
this
section
shall
pay,
in
addition
to
the
outstanding
assessment,
a
penalty
in
the
amount
of
one
and
five-tenths
percent
of
the
assessment
amount
owed
for
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each
month
or
portion
of
each
month
the
payment
is
overdue.
However,
if
the
department
determines
that
good
cause
is
shown
for
failure
to
comply
with
payment
of
the
assessment,
the
department
shall
waive
the
penalty
or
a
portion
of
the
penalty.
6.
If
an
assessment
has
not
been
received
by
the
department
by
the
last
day
of
the
third
month
after
the
payment
is
due,
the
department
shall
suspend
payment
due
the
intermediate
care
facility
for
persons
with
an
intellectual
disability
under
the
medical
assistance
program
including
payments
made
on
behalf
of
the
medical
assistance
program
by
a
Medicaid
managed
care
contractor.
7.
The
assessment
imposed
under
this
section
constitutes
a
debt
due
and
owing
the
state
and
may
be
collected
by
civil
action,
including
but
not
limited
to
the
filing
of
tax
liens,
and
any
other
method
provided
for
by
law.
8.
If
federal
financial
participation
to
match
the
assessments
made
under
subsection
1
becomes
unavailable
under
federal
law,
the
department
shall
terminate
the
imposing
of
the
assessments
beginning
on
the
date
that
the
federal
statutory,
regulatory,
or
interpretive
change
takes
effect.
5.
9.
The
department
of
human
services
may
procure
a
sole
source
contract
to
implement
the
provisions
of
this
section
.
6.
10.
The
department
may
adopt
administrative
rules
under
section
17A.4,
subsection
3
,
and
section
17A.5,
subsection
2
,
paragraph
“b”
,
to
implement
this
section
,
and
any
fee
assessed
pursuant
to
this
section
against
an
intermediate
care
facility
for
persons
with
an
intellectual
disability
that
is
operated
by
the
state
may
be
made
retroactive
to
October
1,
2003
.
DIVISION
XI
HOSPITAL
HEALTH
CARE
ACCESS
ASSESSMENT
Sec.
53.
Section
249M.5,
Code
2016,
is
amended
to
read
as
follows:
249M.5
Future
repeal.
This
chapter
is
repealed
June
30,
2016
July
1,
2017
.
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Sec.
54.
REVIEW
OF
ALTERNATIVE
ASSESSMENT
METHODOLOGY.
The
department
of
human
services
shall
explore
alternative
hospital
health
care
access
assessment
methodologies
and
shall
make
recommendations
to
the
governor
and
the
general
assembly
by
December
15,
2016,
regarding
continuation
of
the
hospital
health
care
access
assessment
program
beyond
July
1,
2017,
and
an
alternative
assessment
methodology.
Any
continuation
of
the
program
and
assessment
methodology
shall
meet
all
of
the
following
guidelines:
1.
All
funds
generated
by
the
assessment
shall
be
returned
to
participating
hospitals
in
the
form
of
higher
Medicaid
payments,
with
the
exception
of
$3,800,000
which
shall
be
used
to
supplement
the
medical
assistance
appropriation.
2.
Continuation
of
the
program
and
any
new
assessment
methodology
shall
be
subject
to
any
required
federal
approval.
3.
Any
new
assessment
methodology
shall
minimize
the
negative
financial
impact
on
participating
hospitals
to
the
greatest
extent
possible.
4.
Any
new
assessment
methodology
shall
result
in
at
least
the
same
if
not
a
greater
aggregate
financial
benefit
to
participating
hospitals
compared
with
the
benefit
existing
under
the
program
prior
to
July
1,
2016.
5.
Only
participating
hospitals
subject
to
imposition
of
the
assessment
shall
receive
a
financial
return
from
the
program.
6.
Any
continuation
of
the
program
shall
include
a
means
of
tracking
the
financial
return
to
individual
participating
hospitals.
7.
Any
quality
metrics
utilized
by
the
program,
if
continued,
shall
align
with
similar
metrics
being
used
under
Medicare
and
the
state
innovation
model
initiative
process.
8.
Any
new
assessment
methodology
shall
incorporate
a
recognition
of
the
increased
costs
attributable
to
care
and
services
such
as
inpatient
psychiatric
care,
rehabilitation
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services,
and
neonatal
intensive
care
units.
9.
Any
continuation
of
the
program
shall
include
oversight
and
review
by
the
hospital
health
care
access
trust
fund
board
created
in
section
249M.4.
Sec.
55.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
Sec.
56.
RETROACTIVE
APPLICABILITY.
The
section
of
this
division
of
this
Act
amending
section
249M.5,
Code
2016,
is
retroactively
applicable
to
June
30,
2016.
DIVISION
XII
AUTISM
SUPPORT
PROGRAM
Sec.
57.
Section
135.181,
subsections
1
and
2,
Code
2016,
are
amended
to
read
as
follows:
1.
The
department
shall
establish
a
board-certified
behavior
analyst
and
board-certified
assistant
behavior
analyst
grants
program
to
provide
grants
to
Iowa
resident
and
nonresident
applicants
who
have
been
accepted
for
admission
or
are
attending
a
board
of
regents
university,
community
college,
or
an
accredited
private
institution,
within
or
outside
the
state
of
Iowa,
are
enrolled
in
a
program
that
is
accredited
and
meets
coursework
requirements
to
prepare
the
applicant
to
be
eligible
for
board
certification
as
a
behavior
analyst
or
assistant
behavior
analyst,
and
demonstrate
financial
need.
Priority
in
the
awarding
of
a
grant
shall
be
given
to
applicants
who
are
residents
of
Iowa.
2.
The
department,
in
cooperation
with
the
department
of
education,
shall
adopt
rules
pursuant
to
chapter
17A
to
establish
minimum
standards
for
applicants
to
be
eligible
for
a
grant
that
address
all
of
the
following:
a.
Eligibility
requirements
for
and
qualifications
of
an
applicant
to
receive
a
grant.
The
applicant
shall
agree
to
practice
in
the
state
of
Iowa
for
a
period
of
time,
not
to
exceed
four
years,
as
specified
in
the
contract
entered
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into
between
the
applicant
and
the
department
at
the
time
the
grant
is
awarded.
In
addition,
the
applicant
shall
agree,
as
specified
in
the
contract,
that
during
the
contract
period,
the
applicant
will
assist
in
supervising
an
individual
working
toward
board
certification
as
a
behavior
analyst
or
assistant
behavior
analyst
or
to
consult
with
schools
and
service
providers
that
provide
services
and
supports
to
individuals
with
autism.
b.
The
application
process
for
the
grant.
c.
Criteria
for
preference
in
awarding
of
the
grants.
Priority
in
the
awarding
of
a
grant
shall
be
given
to
applicants
who
are
residents
of
Iowa.
d.
Determination
of
the
amount
of
a
grant.
The
amount
of
funding
awarded
to
each
applicant
shall
be
based
on
the
applicant’s
enrollment
status,
the
number
of
applicants,
and
the
total
amount
of
available
funds.
The
total
amount
of
funds
awarded
to
an
individual
applicant
shall
not
exceed
fifty
percent
of
the
total
costs
attributable
to
program
tuition
and
fees,
annually.
e.
Use
of
the
funds
awarded.
Funds
awarded
may
be
used
to
offset
the
costs
attributable
to
tuition
and
fees
for
the
accredited
behavior
analyst
or
assistant
behavior
analyst
program.
Sec.
58.
Section
135.181,
Code
2016,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
4.
The
department
shall
submit
a
report
to
the
governor
and
the
general
assembly
no
later
than
January
1,
annually,
that
includes
but
is
not
limited
to
all
of
the
following:
a.
The
number
of
applications
received
for
the
immediately
preceding
fiscal
year.
b.
The
number
of
applications
approved
and
the
total
amount
of
funding
awarded
in
grants
in
the
immediately
preceding
fiscal
year.
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c.
The
cost
of
administering
the
program
in
the
immediately
preceding
fiscal
year.
d.
Recommendations
for
any
changes
to
the
program.
Sec.
59.
Section
225D.1,
subsection
8,
Code
2016,
is
amended
to
read
as
follows:
8.
“Eligible
individual”
means
a
child
less
than
nine
fourteen
years
of
age
who
has
been
diagnosed
with
autism
based
on
a
diagnostic
assessment
of
autism,
is
not
otherwise
eligible
for
coverage
for
applied
behavioral
analysis
treatment
under
the
medical
assistance
program,
section
514C.28
,
or
private
insurance
coverage,
and
whose
household
income
does
not
exceed
four
five
hundred
percent
of
the
federal
poverty
level.
Sec.
60.
Section
225D.2,
subsection
2,
paragraphs
c
and
d,
Code
2016,
are
amended
to
read
as
follows:
c.
Notwithstanding
the
age
limitation
for
an
eligible
individual,
a
provision
that
if
an
eligible
individual
reaches
nine
fourteen
years
of
age
prior
to
completion
of
the
maximum
applied
behavioral
analysis
treatment
period
specified
in
paragraph
“b”
,
the
individual
may
complete
such
treatment
in
accordance
with
the
individual’s
treatment
plan,
not
to
exceed
the
maximum
treatment
period.
d.
A
graduated
schedule
for
cost-sharing
by
an
eligible
individual
based
on
a
percentage
of
the
total
benefit
amount
expended
for
the
eligible
individual,
annually.
Cost-sharing
shall
be
applicable
to
eligible
individuals
with
household
incomes
at
or
above
two
hundred
percent
of
the
federal
poverty
level
in
incrementally
increased
amounts
up
to
a
maximum
of
ten
fifteen
percent.
The
rules
shall
provide
a
financial
hardship
exemption
from
payment
of
the
cost-sharing
based
on
criteria
established
by
rule
of
the
department.
Sec.
61.
AUTISM
SUPPORT
FUND
——
TRANSFER.
Notwithstanding
section
225D.2,
moneys
credited
to
the
autism
support
fund
that
remain
unexpended
or
unobligated
at
the
close
of
the
fiscal
year
beginning
July
1,
2015,
shall
be
transferred
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to
the
appropriation
in
this
Act
for
medical
contracts
to
be
used
for
the
purpose
of
that
appropriation
for
the
succeeding
fiscal
year.
Sec.
62.
EFFECTIVE
DATE.
The
section
of
this
division
of
this
Act
providing
for
transfer
of
moneys
in
the
autism
support
fund
that
remain
unexpended
or
unobligated
at
the
close
of
the
fiscal
year
beginning
July
1,
2015,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
Sec.
63.
RETROACTIVE
APPLICABILITY.
The
section
of
this
division
of
this
Act
providing
for
transfer
of
moneys
in
the
autism
support
fund
that
remain
unexpended
or
unobligated
at
the
close
of
the
fiscal
year
beginning
July
1,
2015,
is
retroactively
applicable
to
July
1,
2015.
DIVISION
XIII
CHILDREN’S
MENTAL
HEALTH
AND
WELL-BEING
Sec.
64.
CHILDREN’S
MENTAL
HEALTH
CRISIS
SERVICES
——
PLANNING
GRANTS.
1.
The
department
of
human
services
shall
establish
a
request
for
proposals
process,
in
cooperation
with
the
departments
of
public
health
and
education
and
the
judicial
branch,
which
shall
be
based
upon
recommendations
for
children’s
mental
health
crisis
services
described
in
the
children’s
mental
health
and
well-being
workgroup
final
report
submitted
to
the
department
on
December
15,
2015.
2.
Planning
grants
shall
be
awarded
to
two
lead
entities.
Each
lead
entity
should
be
a
member
of
a
specifically
designated
coalition
of
three
to
four
other
entities
that
propose
to
serve
different
geographically
defined
areas
of
the
state,
but
a
lead
entity
shall
not
be
a
mental
health
and
disability
services
region.
3.
The
request
for
proposals
shall
require
each
grantee
to
develop
a
plan
for
children’s
mental
health
crisis
services
for
the
grantee’s
defined
geographic
area
that
includes
all
of
the
following:
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a.
Identification
of
the
existing
children’s
mental
health
crisis
services
in
the
defined
area.
b.
Identification
of
gaps
in
children’s
mental
health
crisis
services
in
the
defined
area.
c.
A
plan
for
collection
of
data
that
demonstrates
the
effects
of
children’s
mental
health
crisis
services
through
the
collection
of
outcome
data
and
surveys
of
the
children
affected
and
their
families.
d.
A
method
for
using
federal,
state,
and
other
funding
including
funding
currently
available,
to
implement
and
support
children’s
mental
health
crisis
services.
e.
Utilization
of
collaborative
processes
developed
from
the
recommendations
from
the
children’s
mental
health
and
well-being
workgroup
final
report
submitted
to
the
department
on
December
15,
2015.
f.
A
recommendation
for
any
additional
state
funding
needed
to
establish
a
children’s
mental
health
crisis
service
system
in
the
defined
area.
g.
A
recommendation
for
statewide
standard
requirements
for
children’s
mental
health
crisis
services,
as
defined
in
the
children’s
mental
health
and
well-being
workgroup
final
report
submitted
to
the
department
of
human
services
on
December
15,
2015,
including
but
not
limited
to
all
of
the
following:
(1)
Standardized
primary
care
practitioner
screenings.
(2)
Standardized
mental
health
crisis
screenings.
(3)
Standardized
mental
health
and
substance
use
disorder
assessments.
(4)
Requirements
for
certain
inpatient
psychiatric
hospitals
and
psychiatric
medical
institutions
for
children
to
accept
and
treat
all
children
regardless
of
the
acuity
of
their
condition.
4.
Each
grantee
shall
submit
a
report
to
the
department
by
December
15,
2016.
The
department
shall
combine
the
essentials
of
each
report
and
shall
submit
a
report
to
the
general
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assembly
by
January
15,
2017,
regarding
the
department’s
conclusions
and
recommendations.
Sec.
65.
CHILDREN’S
WELL-BEING
LEARNING
LABS.
The
department
of
human
services,
utilizing
existing
departmental
resources
and
with
the
continued
assistance
of
a
private
child
welfare
foundation
focused
on
improving
child
well-being,
shall
study
and
collect
data
on
emerging,
collaborative
efforts
in
existing
programs
engaged
in
addressing
well-being
for
children
with
complex
needs
and
their
families
in
communities
across
the
state.
The
department
shall
establish
guidelines
based
upon
recommendations
in
the
children’s
mental
health
and
well-being
workgroup
final
report
submitted
to
the
department
on
December
15,
2015,
to
select
three
to
five
such
programs
to
be
designated
learning
labs
to
enable
the
department
to
engage
in
a
multi-site
learning
process
during
the
2016
calendar
year
with
a
goal
of
creating
an
expansive
structured
learning
network.
The
department
shall
submit
a
report
with
recommendations
including
lessons
learned,
suggested
program
design
refinements,
and
implications
for
funding,
policy
changes,
and
best
practices
to
the
general
assembly
by
January
15,
2017.
Sec.
66.
DEPARTMENT
OF
HUMAN
SERVICES
——
ADDITIONAL
STUDY
REPORTS.
The
department
of
human
services
shall,
in
consultation
with
the
department
of
public
health,
the
mental
health
and
disability
services
commission,
and
the
mental
health
planning
council,
submit
a
report
with
recommendations
to
the
general
assembly
by
December
15,
2016,
regarding
all
of
the
following:
1.
The
creation
and
implementation
of
a
statewide
children’s
mental
health
crisis
service
system
to
include
but
not
be
limited
to
an
inventory
of
all
current
children’s
mental
health
crisis
service
systems
in
the
state
including
children’s
mental
health
crisis
service
system
telephone
lines.
The
report
shall
include
recommendations
regarding
proposed
changes
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to
improve
the
effectiveness
of
and
access
to
children’s
mental
health
crisis
services.
2.
The
development
and
implementation
of
a
children’s
mental
health
public
education
and
awareness
campaign
that
targets
the
reduction
of
stigma
for
children
with
mental
illness
and
that
supports
children
with
mental
illness
and
their
families
in
seeking
effective
treatment.
The
plan
shall
include
potential
methods
for
funding
such
a
campaign.
Sec.
67.
CHILDREN’S
MENTAL
HEALTH
AND
WELL-BEING
ADVISORY
COMMITTEE.
The
department
of
human
services
shall
create
and
provide
support
to
a
children’s
mental
health
and
well-being
advisory
committee
to
continue
the
coordinated
efforts
of
the
children’s
mental
health
subcommittee
and
the
children’s
well-being
subcommittee
of
the
children’s
mental
health
and
well-being
workgroup.
Consideration
shall
be
given
to
continued
service
by
members
of
the
children’s
mental
health
and
well-being
workgroup
created
pursuant
to
2015
Iowa
Acts,
ch.
137,
and
representatives
from
the
departments
of
human
services,
public
health,
and
education;
the
judicial
branch;
and
other
appropriate
stakeholders
designated
by
the
director.
The
advisory
committee
shall
do
all
of
the
following:
1.
Provide
guidance
regarding
implementation
of
the
recommendations
in
the
children’s
mental
health
and
well-being
workgroup
final
report
submitted
to
the
department
on
December
15,
2015,
and
subsequent
reports
required
by
this
Act.
2.
Select
and
study
additional
children’s
well-being
learning
labs
to
assure
a
continued
commitment
to
joint
learning
and
comparison
for
all
learning
lab
sites.
DIVISION
XIV
OPIOID
ANTAGONIST
REVISION
Sec.
68.
Section
135.190,
subsection
1,
as
enacted
by
2016
Iowa
Acts,
Senate
File
2218,
section
1,
is
amended
by
adding
the
following
new
paragraph:
NEW
PARAGRAPH
.
0a.
“Licensed
health
care
professional”
means
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the
same
as
defined
in
section
280.16.
Sec.
69.
Section
135.190,
as
enacted
by
2016
Iowa
Acts,
Senate
File
2218,
section
1,
is
amended
by
adding
the
following
new
subsections:
NEW
SUBSECTION
.
1A.
a.
Notwithstanding
any
other
provision
of
law
to
the
contrary,
a
licensed
health
care
professional
may
prescribe
an
opioid
antagonist
to
a
person
in
a
position
to
assist.
b.
(1)
Notwithstanding
any
other
provision
of
law
to
the
contrary,
a
pharmacist
licensed
under
chapter
155A
may,
by
standing
order
or
through
collaborative
agreement,
dispense,
furnish,
or
otherwise
provide
an
opioid
antagonist
to
a
person
in
a
position
to
assist.
(2)
A
pharmacist
who
dispenses,
furnishes,
or
otherwise
provides
an
opioid
antagonist
pursuant
to
a
valid
prescription,
standing
order,
or
collaborative
agreement
shall
provide
instruction
to
the
recipient
in
accordance
with
any
protocols
and
instructions
developed
by
the
department
under
this
section.
NEW
SUBSECTION
.
4.
The
department
may
adopt
rules
pursuant
to
chapter
17A
to
implement
and
administer
this
section.
Sec.
70.
Section
135.190,
subsection
3,
as
enacted
by
2016
Iowa
Acts,
Senate
File
2218,
section
1,
is
amended
to
read
as
follows:
3.
A
person
in
a
position
to
assist
or
a
prescriber
of
an
opioid
antagonist
who
has
acted
reasonably
and
in
good
faith
shall
not
be
liable
for
any
injury
arising
from
the
provision,
administration,
or
assistance
in
the
administration
of
an
opioid
antagonist
as
provided
in
this
section.
Sec.
71.
Section
147A.18,
subsections
1
and
5,
as
enacted
by
2016
Iowa
Acts,
Senate
File
2218,
section
3,
are
amended
to
read
as
follows:
1.
a.
Notwithstanding
any
other
provision
of
law
to
the
contrary,
a
licensed
health
care
professional
may
prescribe
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an
opioid
antagonist
in
the
name
of
a
service
program,
law
enforcement
agency,
or
fire
department
to
be
maintained
for
use
as
provided
in
this
section.
b.
(1)
Notwithstanding
any
other
provision
of
law
to
the
contrary,
a
pharmacist
licensed
under
chapter
155A
may,
by
standing
order
or
through
collaborative
agreement,
dispense,
furnish,
or
otherwise
provide
an
opioid
antagonist
in
the
name
of
a
service
program,
law
enforcement
agency,
or
fire
department
to
be
maintained
for
use
as
provided
in
this
section.
(2)
A
pharmacist
who
dispenses,
furnishes,
or
otherwise
provides
an
opioid
antagonist
pursuant
to
a
valid
prescription,
standing
order,
or
collaborative
agreement
shall
provide
instruction
to
the
recipient
in
accordance
with
the
protocols
and
instructions
developed
by
the
department
under
this
section.
5.
The
department
shall
may
adopt
rules
pursuant
to
chapter
17A
to
implement
and
administer
this
section
,
including
but
not
limited
to
standards
and
procedures
for
the
prescription,
distribution,
storage,
replacement,
and
administration
of
opioid
antagonists,
and
for
the
training
and
authorization
to
be
required
for
first
responders
to
administer
an
opioid
antagonist
.
Sec.
72.
OPIOID
ANTAGONIST
IMPLEMENTATION
CONTINGENCY.
2016
Iowa
Acts,
Senate
File
2218,
section
4,
is
repealed.
Sec.
73.
2016
Iowa
Acts,
Senate
File
2218,
as
enacted,
is
amended
by
adding
the
following
new
section:
NEW
SECTION
.
SEC.
___.
EFFECTIVE
UPON
ENACTMENT.
This
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
Sec.
74.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
Sec.
75.
RETROACTIVE
APPLICABILITY.
This
division
of
this
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Act
applies
retroactively
to
April
6,
2016.
DIVISION
XV
NURSING
GRANT
PROGRAMS
Sec.
76.
Section
135.178,
Code
2016,
is
amended
to
read
as
follows:
135.178
Nurse
residency
state
matching
grants
program
——
repeal
.
1.
The
department
shall
establish
a
nurse
residency
state
matching
grants
program
to
provide
matching
state
funding
to
sponsors
of
nurse
residency
programs
in
this
state
to
establish,
expand,
or
support
nurse
residency
programs
that
meet
standards
adopted
by
rule
of
the
department.
Funding
for
the
program
may
be
provided
through
the
health
care
workforce
shortage
fund
or
the
nurse
residency
state
matching
grants
program
account
created
in
section
135.175
.
The
department,
in
cooperation
with
the
Iowa
board
of
nursing,
the
department
of
education,
Iowa
institutions
of
higher
education
with
board
of
nursing-approved
programs
to
educate
nurses,
and
the
Iowa
nurses
association,
shall
adopt
rules
pursuant
to
chapter
17A
to
establish
minimum
standards
for
nurse
residency
programs
to
be
eligible
for
a
matching
grant
that
address
all
of
the
following:
a.
1.
Eligibility
requirements
for
and
qualifications
of
a
sponsor
of
a
nurse
residency
program
to
receive
a
grant,
including
that
the
program
includes
both
rural
and
urban
components.
b.
2.
The
application
process
for
the
grant.
c.
3.
Criteria
for
preference
in
awarding
of
the
grants.
d.
4.
Determination
of
the
amount
of
a
grant.
e.
5.
Use
of
the
funds
awarded.
Funds
may
be
used
to
pay
the
costs
of
establishing,
expanding,
or
supporting
a
nurse
residency
program
as
specified
in
this
section
,
including
but
not
limited
to
the
costs
associated
with
residency
stipends
and
nursing
faculty
stipends.
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2.
This
section
is
repealed
June
30,
2016.
Sec.
77.
Section
261.129,
Code
2016,
is
amended
to
read
as
follows:
261.129
Iowa
needs
nurses
now
initiative
——
repeal
.
1.
Nurse
educator
incentive
payment
program.
a.
The
commission
shall
establish
a
nurse
educator
incentive
payment
program.
Funding
for
the
program
may
be
provided
through
the
health
care
workforce
shortage
fund
or
the
health
care
professional
and
Iowa
needs
nurses
now
initiative
account
created
in
section
135.175
.
For
the
purposes
of
this
subsection
,
“nurse
educator”
means
a
registered
nurse
who
holds
a
master’s
degree
or
doctorate
degree
and
is
employed
as
a
faculty
member
who
teaches
nursing
in
a
nursing
education
program
as
provided
in
655
IAC
2.6
at
a
community
college,
an
accredited
private
institution,
or
an
institution
of
higher
education
governed
by
the
state
board
of
regents.
b.
The
program
shall
consist
of
incentive
payments
to
recruit
and
retain
nurse
educators.
The
program
shall
provide
for
incentive
payments
of
up
to
twenty
thousand
dollars
for
a
nurse
educator
who
remains
teaching
in
a
qualifying
teaching
position
for
a
period
of
not
less
than
four
consecutive
academic
years.
c.
The
nurse
educator
and
the
commission
shall
enter
into
an
agreement
specifying
the
obligations
of
the
nurse
educator
and
the
commission.
If
the
nurse
educator
leaves
the
qualifying
teaching
position
prior
to
teaching
for
four
consecutive
academic
years,
the
nurse
educator
shall
be
liable
to
repay
the
incentive
payment
amount
to
the
state,
plus
interest
as
specified
by
rule.
However,
if
the
nurse
educator
leaves
the
qualifying
teaching
position
involuntarily,
the
nurse
educator
shall
be
liable
to
repay
only
a
pro
rata
amount
of
the
incentive
payment
based
on
incompleted
years
of
service.
d.
The
commission,
in
consultation
with
the
department
of
public
health,
the
board
of
nursing,
the
department
of
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education,
and
the
Iowa
nurses
association,
shall
adopt
rules
pursuant
to
chapter
17A
relating
to
the
establishment
and
administration
of
the
nurse
educator
incentive
payment
program.
The
rules
shall
include
provisions
specifying
what
constitutes
a
qualifying
teaching
position.
2.
Nursing
faculty
fellowship
program.
a.
The
commission
shall
establish
a
nursing
faculty
fellowship
program
to
provide
funds
to
nursing
schools
in
the
state,
including
but
not
limited
to
nursing
schools
located
at
community
colleges,
for
fellowships
for
individuals
employed
in
qualifying
positions
on
the
nursing
faculty.
Funding
for
the
program
may
be
provided
through
the
health
care
workforce
shortage
fund
or
the
health
care
professional
and
the
Iowa
needs
nurses
now
initiative
account
created
in
section
135.175
.
The
program
shall
be
designed
to
assist
nursing
schools
in
filling
vacancies
in
qualifying
positions
throughout
the
state.
b.
The
commission,
in
consultation
with
the
department
of
public
health,
the
board
of
nursing,
the
department
of
education,
and
the
Iowa
nurses
association,
and
in
cooperation
with
nursing
schools
throughout
the
state,
shall
develop
a
distribution
formula
which
shall
provide
that
no
more
than
thirty
percent
of
the
available
moneys
are
awarded
to
a
single
nursing
school.
Additionally,
the
program
shall
limit
funding
for
a
qualifying
position
in
a
nursing
school
to
no
more
than
ten
thousand
dollars
per
year
for
up
to
three
years.
c.
The
commission,
in
consultation
with
the
department
of
public
health,
the
board
of
nursing,
the
department
of
education,
and
the
Iowa
nurses
association,
shall
adopt
rules
pursuant
to
chapter
17A
to
administer
the
program.
The
rules
shall
include
provisions
specifying
what
constitutes
a
qualifying
position
at
a
nursing
school.
d.
In
determining
eligibility
for
a
fellowship,
the
commission
shall
consider
all
of
the
following:
(1)
The
length
of
time
a
qualifying
position
has
gone
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unfilled
at
a
nursing
school.
(2)
Documented
recruiting
efforts
by
a
nursing
school.
(3)
The
geographic
location
of
a
nursing
school.
(4)
The
type
of
nursing
program
offered
at
the
nursing
school,
including
associate,
bachelor’s,
master’s,
or
doctoral
degrees
in
nursing,
and
the
need
for
the
specific
nursing
program
in
the
state.
3.
Nurse
educator
scholarship
program.
a.
The
commission
shall
establish
a
nurse
educator
scholarship
program.
Funding
for
the
program
may
be
provided
through
the
health
care
workforce
shortage
fund
or
the
health
care
professional
and
the
Iowa
needs
nurses
now
initiative
account
created
in
section
135.175
.
The
goal
of
the
nurse
educator
scholarship
program
is
to
address
the
waiting
list
of
qualified
applicants
to
Iowa’s
nursing
schools
by
providing
incentives
for
the
training
of
additional
nursing
educators.
For
the
purposes
of
this
subsection
,
“nurse
educator”
means
a
registered
nurse
who
holds
a
master’s
degree
or
doctorate
degree
and
is
employed
as
a
faculty
member
who
teaches
nursing
in
a
nursing
education
program
as
provided
in
655
IAC
2.6
at
a
community
college,
an
accredited
private
institution,
or
an
institution
of
higher
education
governed
by
the
state
board
of
regents.
b.
The
program
shall
consist
of
scholarships
to
further
advance
the
education
of
nurses
to
become
nurse
educators.
The
program
shall
provide
for
scholarship
payments
in
an
amount
established
by
rule
for
students
who
are
preparing
to
teach
in
qualifying
teaching
positions.
c.
The
commission,
in
consultation
with
the
department
of
public
health,
the
board
of
nursing,
the
department
of
education,
and
the
Iowa
nurses
association,
shall
adopt
rules
pursuant
to
chapter
17A
relating
to
the
establishment
and
administration
of
the
nurse
educator
scholarship
program.
The
rules
shall
include
provisions
specifying
what
constitutes
a
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qualifying
teaching
position
and
the
amount
of
any
scholarship.
4.
Nurse
educator
scholarship-in-exchange-for-service
program.
a.
The
commission
shall
establish
a
nurse
educator
scholarship-in-exchange-for-service
program.
Funding
for
the
program
may
be
provided
through
the
health
care
workforce
shortage
fund
or
the
health
care
professional
and
Iowa
needs
nurses
now
initiative
account
created
in
section
135.175
.
The
goal
of
the
nurse
educator
scholarship-in-exchange-for-service
program
is
to
address
the
waiting
list
of
qualified
applicants
to
Iowa’s
nursing
schools
by
providing
incentives
for
the
education
of
additional
nursing
educators.
For
the
purposes
of
this
subsection
,
“nurse
educator”
means
a
registered
nurse
who
holds
a
master’s
degree
or
doctorate
degree
and
is
employed
as
a
faculty
member
who
teaches
nursing
in
a
nursing
education
program
as
provided
in
655
IAC
2.6
at
a
community
college,
an
accredited
private
institution,
or
an
institution
of
higher
education
governed
by
the
state
board
of
regents.
b.
The
program
shall
consist
of
scholarships
to
further
advance
the
education
of
nurses
to
become
nurse
educators.
The
program
shall
provide
for
scholarship-in-exchange-for-service
payments
in
an
amount
established
by
rule
for
students
who
are
preparing
to
teach
in
qualifying
teaching
positions
for
a
period
of
not
less
than
four
consecutive
academic
years.
c.
The
scholarship-in-exchange-for-service
recipient
and
the
commission
shall
enter
into
an
agreement
specifying
the
obligations
of
the
applicant
and
the
commission.
If
the
nurse
educator
leaves
the
qualifying
teaching
position
prior
to
teaching
for
four
consecutive
academic
years,
the
nurse
educator
shall
be
liable
to
repay
the
scholarship-in-exchange-for-service
amount
to
the
state
plus
interest
as
specified
by
rule.
However,
if
the
nurse
educator
leaves
the
qualified
teaching
position
involuntarily,
the
nurse
educator
shall
be
liable
to
repay
only
a
pro
rata
amount
of
the
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scholarship
based
on
incomplete
years
of
service.
d.
The
receipt
of
a
nurse
educator
scholarship-in-exchange-for-service
shall
not
impact
eligibility
of
an
individual
for
other
financial
incentives
including
but
not
limited
to
loan
forgiveness
programs.
e.
The
commission,
in
consultation
with
the
department
of
public
health,
the
board
of
nursing,
the
department
of
education,
and
the
Iowa
nurses
association,
shall
adopt
rules
pursuant
to
chapter
17A
relating
to
the
establishment
and
administration
of
the
nurse
educator
scholarship-in-exchange-for-service
program.
The
rules
shall
include
the
provisions
specifying
what
constitutes
a
qualifying
teaching
position
and
the
amount
of
any
scholarship-in-exchange-for-service.
5.
Repeal.
This
section
is
repealed
June
30,
2016.
Sec.
78.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
Sec.
79.
RETROACTIVE
APPLICABILITY.
This
division
of
this
Act
is
retroactively
applicable
to
June
30,
2016.
DIVISION
XVI
NON-STATE
GOVERNMENT-OWNED
NURSING
FACILITY
UPPER
PAYMENT
LIMIT
SUPPLEMENTAL
PAYMENT
PROGRAM
Sec.
80.
Section
249L.2,
Code
2016,
is
amended
by
adding
the
following
new
subsections:
NEW
SUBSECTION
.
5A.
“Non-state
governmental
entity”
means
a
hospital
authority,
hospital
district,
health
care
district,
city,
or
county.
NEW
SUBSECTION
.
5B.
“Non-state
government-owned
nursing
facility”
means
a
nursing
facility
owned
or
operated
by
a
non-state
governmental
entity
for
which
a
non-state
governmental
entity
holds
the
nursing
facility’s
license
and
is
party
to
the
nursing
facility’s
Medicaid
contract.
Sec.
81.
Section
249L.2,
subsection
6,
Code
2016,
is
amended
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to
read
as
follows:
6.
“Nursing
facility”
means
a
licensed
nursing
facility
as
defined
in
section
135C.1
that
is
a
freestanding
facility
or
a
nursing
facility
operated
by
a
hospital
licensed
pursuant
to
chapter
135B
,
but
does
not
include
a
distinct-part
skilled
nursing
unit
or
a
swing-bed
unit
operated
by
a
hospital,
or
a
nursing
facility
owned
by
the
state
or
federal
government
or
other
governmental
unit
.
“Nursing
facility”
includes
a
non-state
government-owned
nursing
facility
if
the
nursing
facility
participates
in
the
non-state
government-owned
nursing
facility
upper
payment
limit
supplemental
payment
program.
Sec.
82.
NON-STATE
GOVERNMENT-OWNED
NURSING
FACILITY
UPPER
PAYMENT
LIMIT
SUPPLEMENTAL
PAYMENT
PROGRAM.
1.
The
department
of
human
services
shall
submit,
to
the
centers
for
Medicare
and
Medicaid
services
(CMS)
of
the
United
States
department
of
health
and
human
services,
a
Medicaid
state
plan
amendment
to
allow
qualifying
non-state
government-owned
nursing
facilities
to
receive
a
supplemental
payment
in
accordance
with
the
upper
payment
limit
requirements
pursuant
to
42
C.F.R.
§447.272.
The
supplemental
payment
shall
be
in
addition
to
the
greater
of
the
Medicaid
fee-for-service
per
diem
reimbursement
rate
or
the
per
diem
payment
established
for
the
nursing
facility
under
a
Medicaid
managed
care
contract.
2.
At
a
minimum,
the
Medicaid
state
plan
amendment
shall
provide
for
all
of
the
following:
a.
A
non-state
governmental
entity
shall
provide
the
state
share
of
the
expected
supplemental
payment
in
the
form
of
an
intergovernmental
transfer
to
the
state.
b.
The
state
shall
claim
federal
matching
funds
and
shall
make
supplemental
payments
to
eligible
non-state
governmental
entities
based
on
the
supplemental
amount
as
calculated
by
the
state
for
each
nursing
facility
for
which
a
non-state
governmental
entity
owns
the
nursing
facility’s
license.
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A
managed
care
contractor
shall
not
retain
any
portion
of
the
supplemental
payment,
but
shall
treat
the
supplemental
payment
as
a
pass
through
payment
to
the
eligible
non-state
governmental
entity.
c.
The
supplemental
payment
program
shall
be
budget
neutral
to
the
state.
No
general
fund
revenue
shall
be
expended
under
the
program
including
for
costs
of
administration.
If
payments
under
the
program
result
in
overpayment
to
a
nursing
facility,
or
if
CMS
disallows
federal
participation
related
to
a
nursing
facility’s
receipt
or
use
of
supplemental
payments
authorized
under
the
program,
the
state
may
recoup
an
amount
equivalent
to
the
amount
of
supplemental
payments
overpaid
or
disallowed.
Supplemental
payments
shall
be
subject
to
any
adjustment
for
payments
made
in
error,
including
but
not
limited
to
adjustments
made
by
state
or
federal
law,
and
the
state
may
recoup
an
amount
equivalent
to
any
such
adjustment.
d.
A
nursing
facility
participating
in
the
program
shall
notify
the
state
of
any
changes
in
ownership
that
may
affect
the
nursing
facility’s
continued
eligibility
for
the
program
within
thirty
days
of
any
such
change.
e.
No
portion
of
the
supplemental
payment
paid
to
a
participating
nursing
facility
may
be
used
for
contingent
fees.
Expenditures
for
development
fees,
legal
fees,
or
consulting
fees
shall
not
exceed
five
percent
of
the
supplemental
funds
received,
annually,
and
any
such
expenditures
shall
be
reported
to
the
department
of
human
services,
and
included
in
the
department’s
annual
report
pursuant
to
subsection
3.
f.
The
supplemental
payment
paid
to
a
participating
nursing
facility
shall
only
be
used
as
specified
in
state
and
federal
law.
Supplemental
payments
paid
to
a
participating
nursing
facility
shall
only
be
used
as
follows:
(1)
A
portion
of
the
amount
received
may
be
used
for
nursing
facility
quality
improvement
initiatives
including
but
not
limited
to
educational
scholarships
and
nonmandatory
training.
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Priority
in
the
awarding
of
contracts
for
such
training
shall
be
for
Iowa-based
organizations.
(2)
A
portion
of
the
amount
received
may
be
used
for
nursing
facility
remodeling
or
renovation.
Priority
in
the
awarding
of
contracts
for
such
remodeling
or
renovations
shall
be
for
Iowa-based
organizations
and
skilled
laborers.
(3)
A
portion
of
the
amount
received
may
be
used
for
health
information
technology
infrastructure
and
software.
Priority
in
the
awarding
of
contracts
for
such
health
information
technology
infrastructure
and
software
shall
be
for
Iowa-based
organizations.
(4)
A
portion
of
the
amount
received
may
be
used
for
endowments
to
offset
costs
associated
with
maintenance
of
hospitals
licensed
under
chapter
135B
and
nursing
facilities
licensed
under
chapter
135C.
g.
A
non-state
governmental
entity
shall
only
be
eligible
for
supplemental
payments
attributable
to
up
to
10
percent
of
the
potential
non-state
government-owned
nursing
facilities
licensed
in
the
state.
3.
Following
receipt
of
approval
and
implementation
of
the
program,
the
department
shall
submit
a
report
to
the
governor
and
the
general
assembly,
annually,
on
or
before
December
15,
regarding
the
program.
The
report
shall
include,
at
a
minimum,
the
name
and
location
of
participating
non-state
governmental
entities
and
the
non-state
government-owned
nursing
facilities
with
which
the
non-state
governmental
entities
have
partnered
to
participate
in
the
program;
the
amount
of
the
matching
funds
provided
by
each
non-state
governmental
entity;
the
net
supplemental
payment
amount
received
by
each
participating
non-governmental
entity
and
non-state
government-owned
nursing
facility;
and
the
amount
expended
for
each
of
the
specified
categories
of
approved
expenditure.
4.
The
department
of
human
services
shall
work
collaboratively
with
representatives
of
nursing
facilities,
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hospitals,
and
other
affected
stakeholders
in
adopting
administrative
rules,
and
in
implementing
and
administering
this
program.
5.
As
used
in
this
section:
a.
“Non-state
governmental
entity”
means
a
hospital
authority,
hospital
district,
health
care
district,
city,
or
county.
b.
“Non-state
government-owned
nursing
facility”
means
a
nursing
facility
owned
or
operated
by
a
non-state
governmental
entity
for
which
a
non-state
governmental
entity
holds
the
nursing
facility’s
license
and
is
party
to
the
nursing
facility’s
Medicaid
contract.
Sec.
83.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
Sec.
84.
IMPLEMENTATION
PROVISIONS.
1.
The
section
of
this
division
of
this
Act
directing
the
department
of
human
services
to
submit
a
Medicaid
state
plan
amendment
to
CMS
shall
be
implemented
as
soon
as
possible
following
enactment,
consistent
with
all
applicable
federal
requirements.
2.
The
sections
of
this
division
of
this
Act
amending
section
249L.2,
shall
only
be
implemented
upon
receipt
by
the
department
of
human
services
of
approval
of
the
Medicaid
state
plan
amendment
by
the
centers
for
Medicare
and
Medicaid
services
of
the
United
States
department
of
health
and
human
services,
and
if
such
approval
is
received,
are
applicable
no
earlier
than
the
first
day
of
the
calendar
quarter
following
the
date
of
receipt
of
such
approval.
DIVISION
XVII
TRAUMA
CARE
SYSTEM
Sec.
85.
Section
147A.23,
subsection
2,
paragraph
c,
Code
2016,
is
amended
to
read
as
follows:
c.
(1)
Upon
verification
and
the
issuance
of
a
certificate
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of
verification,
a
hospital
or
emergency
care
facility
agrees
to
maintain
a
level
of
commitment
and
resources
sufficient
to
meet
responsibilities
and
standards
as
required
by
the
trauma
care
criteria
established
by
rule
under
this
subchapter
.
Verifications
are
valid
for
a
period
of
three
years
or
as
determined
by
the
department
and
are
renewable.
As
part
of
the
verification
and
renewal
process,
the
department
may
conduct
periodic
on-site
reviews
of
the
services
and
facilities
of
the
hospital
or
emergency
care
facility.
(2)
Notwithstanding
subparagraph
(1),
the
department
shall
not
decrease
a
level
II
certificate
of
verification
issued
to
a
trauma
care
facility
by
the
department
on
or
before
July
1,
2015,
unless
the
facility
subsequently
fails
to
comply
with
the
trauma
care
criteria
established
in
administrative
rules
in
effect
on
July
1,
2015.
Sec.
86.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
Sec.
87.
RETROACTIVE
APPLICABILITY.
This
division
of
this
Act
applies
retroactively
to
June
30,
2015.
DIVISION
XVIII
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REGIONS
——
FUNDING
Sec.
88.
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REGIONS
——
FUNDING.
1.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
a
grant
to
a
five-county
mental
health
and
disability
services
region
with
a
population
of
between
290,000
to
300,000
as
determined
by
the
latest
federal
decennial
census,
for
the
provision
of
mental
health
and
disability
services
within
the
region:
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
500,000
The
moneys
appropriated
in
this
subsection
are
contingent
upon
the
continuation
of
sustainable
service
funding
relationships
between
all
counties
in
the
region
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017.
The
department
and
the
region
shall
enter
into
a
memorandum
of
understanding
regarding
the
use
of
the
moneys
by
the
region
prior
to
the
region’s
receipt
of
moneys
under
this
subsection.
2.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
human
services
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
For
a
grant
to
a
single-county
mental
health
and
disability
services
region
with
a
population
of
over
350,000
as
determined
by
the
latest
federal
decennial
census,
for
the
provision
of
mental
health
and
disability
services
within
the
region:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,500,000
The
department
shall
work
with
the
region
awarded
moneys
pursuant
to
this
subsection
to
a
complete
a
three-year
sustainable
cash
flow
funding
plan
for
the
delivery
of
mental
health
and
disability
services
in
the
region
to
be
submitted
to
the
department
by
November
15,
2016.
The
department
and
the
region
shall
enter
into
a
memorandum
of
understanding
regarding
the
use
of
the
moneys
and
detailing
the
provisions
of
the
plan
prior
to
the
region’s
receipt
of
moneys
under
this
subsection.
3.
The
department
shall
distribute
moneys
appropriated
in
this
section
within
60
days
of
the
date
of
signing
of
the
memorandum
of
understanding
between
the
department
and
each
region.
4.
Moneys
awarded
under
this
section
shall
be
used
by
the
regions
consistent
with
each
region’s
service
system
management
plan
as
approved
by
the
department.
DIVISION
XIX
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MENTAL
HEALTH
AND
DISABILITY
SERVICES
REDESIGN
PROGRESS
REPORT
Sec.
89.
MENTAL
HEALTH
AND
DISABILITY
SERVICES
REDESIGN
PROGRESS
REPORT.
The
department
of
human
services
shall
review
and
report
progress
on
the
implementation
of
the
adult
mental
health
and
disability
services
redesign
and
shall
identify
any
challenges
faced
in
achieving
the
goals
of
the
redesign.
The
progress
report
shall
include
but
not
be
limited
to
information
regarding
the
mental
health
and
disability
services
regional
service
system
including
governance,
management,
and
administration;
the
implementation
of
best
practices
including
evidence-based
best
practices;
the
availability
of,
access
to,
and
provision
of
initial
core
services
and
additional
core
services
to
and
for
required
core
service
populations
and
additional
core
service
populations;
and
the
financial
stability
and
fiscal
viability
of
the
redesign.
The
department
shall
submit
its
report
with
findings
to
the
governor
and
the
general
assembly
no
later
than
November
15,
2016.
DIVISION
XX
REFUGEERISE
AMERICORPS
PROGRAM
Sec.
90.
Section
15H.5,
subsection
5,
paragraph
a,
Code
2016,
is
amended
to
read
as
follows:
a.
Funding
for
the
Iowa
summer
youth
corps
program,
the
Iowa
green
corps
program
established
pursuant
to
section
15H.6
,
and
the
Iowa
reading
corps
program
established
pursuant
to
section
15H.7
,
and
the
RefugeeRISE
AmeriCorps
program
established
pursuant
to
section
15H.8,
shall
be
obtained
from
private
sector,
and
local,
state,
and
federal
government
sources,
or
from
other
available
funds
credited
to
the
community
programs
account,
which
shall
be
created
within
the
economic
development
authority
under
the
authority
of
the
commission.
Moneys
available
in
the
account
for
a
fiscal
year
are
appropriated
to
the
commission
to
be
used
for
the
programs.
The
commission
may
establish
an
escrow
account
within
the
authority
and
obligate
moneys
within
that
escrow
account
for
tuition
or
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program
payments
to
be
made
beyond
the
term
of
any
fiscal
year.
Notwithstanding
section
12C.7,
subsection
2
,
interest
earned
on
moneys
in
the
community
programs
account
shall
be
credited
to
the
account.
Notwithstanding
section
8.33
,
moneys
in
the
community
programs
account
or
escrow
account
shall
not
revert
to
the
general
fund
but
shall
remain
available
for
expenditure
in
future
fiscal
years.
Sec.
91.
NEW
SECTION
.
15H.8
RefugeeRISE
AmeriCorps
program.
1.
a.
The
Iowa
commission
on
volunteer
service,
in
collaboration
with
the
department
of
human
services,
shall
establish
a
Refugee
Rebuild,
Integrate,
Serve,
Empower
(RefugeeRISE)
AmeriCorps
program
to
increase
community
integration
and
engagement
for
diverse
refugee
communities
in
rural
and
urban
areas
across
the
state.
b.
The
commission,
in
collaboration
with
the
department
of
human
services,
may
adopt
rules
pursuant
to
chapter
17A
to
implement
and
administer
this
section.
2.
The
commission
may
use
moneys
in
and
lawfully
available
to
the
community
programs
account
created
in
section
15H.5
to
fund
the
program.
3.
The
commission
shall
submit
an
annual
report
to
the
general
assembly
and
the
department
of
human
services
relating
to
the
efficacy
of
the
program.
DIVISION
XXI
MENINGOCOCCAL
IMMUNIZATION
Sec.
92.
Section
139A.8,
subsection
2,
Code
2016,
is
amended
by
adding
the
following
new
paragraph:
NEW
PARAGRAPH
.
e.
A
person
shall
not
be
enrolled
in
school
in
the
seventh
grade
or
twelfth
grade
in
Iowa
without
evidence
of
adequate
immunization
against
meningococcal
disease
in
accordance
with
standards
approved
by
the
United
States
public
health
service
of
the
United
States
department
of
health
and
human
services
for
such
biological
products
and
is
in
accordance
with
immunization
practices
recommended
by
the
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advisory
committee
on
immunization
practices
of
the
centers
for
disease
control
and
prevention.
DIVISION
XXII
MEDICAID
MANAGED
CARE
OVERSIGHT
REPORTING
AND
PUBLIC
POSTING
OF
REPORTS
——
CONSUMER
PROTECTION,
OUTCOME
ACHIEVEMENT,
AND
PROGRAM
INTEGRITY
INFORMATION
Sec.
93.
DEPARTMENT
OF
HUMAN
SERVICES
——
REPORTS.
The
department
of
human
services
shall
submit
to
the
chairpersons
and
ranking
members
of
the
human
resources
committees
of
the
senate
and
the
house
of
representatives
and
to
the
chairpersons
and
ranking
members
of
the
joint
appropriations
subcommittee
on
health
and
human
services,
quarterly
reports,
and
an
annual
report
beginning
December
15,
2016,
and
annually
by
December
15,
thereafter,
regarding
Medicaid
program
consumer
protections,
outcome
achievement,
and
program
integrity
as
specified
in
this
division.
The
reports
shall
be
based
on
and
updated
to
include
the
most
recent
information
available.
The
reports
shall
include
an
executive
summary
of
the
information
and
data
compiled,
an
analysis
of
the
information
and
data,
and
any
trends
or
issues
identified
through
such
analysis,
to
the
extent
such
information
is
not
otherwise
considered
confidential
or
protected
information
pursuant
to
federal
or
state
law.
The
joint
appropriations
subcommittee
on
health
and
human
services
shall
dedicate
a
meeting
of
the
subcommittee
during
the
subsequent
session
of
the
general
assembly
to
review
the
annual
report.
1.
CONSUMER
PROTECTION.
The
general
assembly
recognizes
the
need
for
ongoing
review
of
Medicaid
member
engagement
with
and
feedback
regarding
Medicaid
managed
care.
The
Iowa
high
quality
health
care
initiative
shall
ensure
access
to
medically
necessary
services
and
shall
ensure
that
Medicaid
members
are
fully
engaged
in
their
own
health
care
in
order
to
achieve
overall
positive
health
outcomes.
The
consumer
protection
component
of
the
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reports
submitted
as
required
under
this
section
shall
be
based
on
all
of
the
following
reports
relating
to
member
and
provider
services:
a.
Member
enrollment
and
disenrollment.
b.
Member
grievances
and
appeals
including
all
of
the
following:
(1)
The
percentage
of
grievances
and
appeals
resolved
timely.
(2)
The
number
of
grievances
and
appeals
received.
c.
Member
call
center
performance
including
the
service
level
for
members,
providers,
and
pharmacy.
d.
Prior
authorization
denials
and
modifications
including
all
of
the
following:
(1)
The
percentage
of
prior
authorizations
approved,
denied,
and
modified.
(2)
The
percentage
of
prior
authorizations
processed
within
required
timeframes.
e.
Provider
network
access
including
key
gaps
in
provider
coverage
based
on
contract
time,
distance
standards,
and
market
share.
f.
Care
coordination
and
case
management,
including
the
ratio
of
members
to
care
coordinators
or
case
managers,
and
the
average
number
of
contacts
made
with
members
per
reporting
period.
g.
Level
of
care
and
functional
assessments,
including
the
percentage
of
level
of
care
assessments
completed
timely.
h.
Population-specific
reporting
including
all
of
the
following:
(1)
General
population,
including
adults
and
children.
(2)
Special
needs,
including
adults
and
children.
(3)
Behavioral
health,
including
adults
and
children.
(4)
Elderly.
i.
Number
of
individuals
served
on
the
home
and
community-based
services
(HCBS)
waivers
by
waiver
type,
and
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HCBS
waiver
waiting
list
reductions
or
increases.
2.
OUTCOME
ACHIEVEMENT.
The
primary
focus
of
the
general
assembly
in
moving
to
Medicaid
managed
care
is
to
improve
the
quality
of
care
and
outcomes
for
Medicaid
members.
The
state
has
demonstrated
how
preventive
services
and
the
coordination
of
care
for
all
of
a
Medicaid
member’s
treatment
significantly
improve
the
health
and
well-being
of
the
state’s
most
vulnerable
citizens.
In
order
to
ensure
continued
improvement,
ongoing
review
of
member
outcomes
as
well
as
of
the
process
that
supports
a
strong
provider
network
is
necessary.
The
outcome
achievement
component
of
the
reports
submitted
as
required
under
this
section
shall
be
based
on
all
of
the
following
reports:
a.
Contract
management
including
all
of
the
following:
(1)
Claims
processing
including
all
of
the
following:
(a)
The
percentage
of
claims
paid,
denied,
and
disputed,
and
the
ten
most
common
reasons
for
claims
denials.
(b)
The
percentage
of
claims
adjudicated
timely.
(2)
Encounter
data
including
all
of
the
following:
(a)
Timeliness.
(b)
Completeness.
(c)
Accuracy.
(3)
Value-based
purchasing
(VBP)
enrollment
including
the
percentage
of
members
covered
by
a
VBP
arrangement.
(4)
Financial
information
including
all
of
the
following:
(a)
Managed
care
organization
capitation
payments.
(b)
The
medical
loss
ratio,
administrative
loss
ratio,
and
underwriting
ratio.
(c)
Program
cost
savings.
(5)
Utilization
of
health
care
services
by
diagnostic
related
group
and
ambulatory
payment
classification
as
well
as
total
claims
volume.
(6)
Utilization
of
value-added
services.
(7)
Payment
of
claims
by
department-identified
provider
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type.
b.
Member
health
outcomes
including
all
of
the
following:
(1)
Annual
health
care
effectiveness
and
information
set
(HEDIS)
performance.
(2)
Other
quality
measures
including
all
of
the
following:
(a)
Behavioral
health.
(b)
Children’s
health
outcomes.
(c)
Prenatal
and
birth
outcomes.
(d)
Chronic
condition
management.
(e)
Adult
preventative
care.
(3)
Value
index
score
(VIS)
performance.
(4)
Annual
consumer
assessment
of
health
care
providers
and
systems
(CAHPS)
performance.
(5)
Utilization
information
including
all
of
the
following:
(a)
Inpatient
hospital
admissions
and
potential
preventative
admissions.
(b)
Readmissions.
(c)
Outpatient
visits.
(d)
Emergency
department
visits
and
potentially
preventable
emergency
department
visits.
c.
Consumer
satisfaction
survey.
3.
PROGRAM
INTEGRITY.
a.
The
Medicaid
program
has
traditionally
included
comprehensive
oversight
and
program
integrity
controls.
Under
Medicaid
managed
care,
federal,
state,
and
contractual
safeguards
will
continue
to
be
incorporated
to
prevent,
detect,
and
eliminate
provider
fraud,
waste,
and
abuse
to
maintain
a
sustainable
Medicaid
program.
The
program
integrity
component
of
the
reports
submitted
as
required
under
this
section
shall
be
based
on
all
of
the
following
reports
relating
to
program
integrity:
(1)
The
level
of
fraud,
waste,
and
abuse
identified
by
the
managed
care
organizations.
(2)
Managed
care
organization
adherence
to
the
program
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integrity
plan,
including
identification
of
program
overpayments.
(3)
Notification
of
the
state
by
the
managed
care
organizations
regarding
fraud,
waste,
and
abuse.
(4)
The
impact
of
program
activities
on
capitation
payments.
(5)
Enrollment
and
payment
information
including
all
of
the
following:
(a)
Eligibility.
(b)
Third-party
liability.
(6)
Managed
care
organization
reserves
compared
to
minimum
reserves
required
by
the
insurance
division
of
the
department
of
commerce.
(7)
A
summary
report
by
the
insurance
division
of
the
department
of
commerce
including
information
relating
to
health
maintenance
organization
licensure,
the
annual
independent
audit,
insurance
division
reporting,
and
reinsurance.
b.
The
results
of
any
external
quality
review
organization
review
shall
be
submitted
directly
to
the
governor,
the
general
assembly,
and
the
health
policy
oversight
committee
created
in
section
2.45.
c.
The
department
of
human
services
shall
require
each
Medicaid
managed
care
organization
to
authorize
the
national
committee
for
quality
assurance
(NCQA)
to
submit
directly
to
the
governor,
the
general
assembly,
and
the
health
policy
oversight
committee
created
in
section
2.45,
the
evaluation
report
upon
which
the
Medicaid
managed
care
organization’s
NCQA
accreditation
was
granted,
and
any
subsequent
evaluations
of
the
Medicaid
managed
care
organization.
4.
INCLUSION
OF
INFORMATION
FROM
OTHER
OVERSIGHT
ENTITIES.
The
council
on
human
services,
the
medical
assistance
advisory
council,
the
hawk-i
board,
the
mental
health
and
disability
services
commission,
and
the
office
of
long-term
care
ombudsman
shall
regularly
review
Medicaid
managed
care
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as
it
relates
to
the
entity’s
respective
statutory
duties.
These
entities
shall
submit
executive
summaries
of
pertinent
information
regarding
their
deliberations
during
the
prior
year
relating
to
Medicaid
managed
care
to
the
department
of
human
services
no
later
than
November
15,
annually,
for
inclusion
in
the
annual
report
submitted
as
required
under
this
section.
5.
PUBLIC
POSTING
OF
INFORMATION
REPORTED.
The
department
of
human
services
shall
post
all
of
the
reports
specified
under
this
section,
as
the
information
becomes
available
and
to
the
extent
such
information
is
not
otherwise
considered
confidential
or
protected
information
pursuant
to
federal
or
state
law,
on
the
Iowa
health
link
internet
site.
Sec.
94.
ADDITIONAL
OVERSIGHT.
1.
The
council
on
human
services,
the
medical
assistance
advisory
council,
and
the
hawk-i
board
shall
submit
to
the
chairpersons
and
ranking
members
of
the
human
resources
committees
of
the
senate
and
the
house
of
representatives
and
to
the
chairpersons
and
ranking
members
of
the
joint
appropriations
subcommittee
on
health
and
human
services,
on
a
quarterly
basis,
minutes
of
their
respective
meetings
during
which
the
council
or
board
addressed
Medicaid
managed
care.
2.
The
director
of
human
services
shall
submit
the
compilation
of
the
input
and
recommendations
from
stakeholders
and
Medicaid
members
attending
the
public
meetings
convened
pursuant
to
2015
Iowa
Acts,
chapter
137,
section
63,
to
the
chairpersons
and
ranking
members
of
the
human
resources
committees
of
the
senate
and
the
house
of
representatives
and
to
the
chairpersons
and
ranking
members
of
the
joint
appropriations
subcommittee
on
health
and
human
services,
on
a
quarterly
basis.
Sec.
95.
PROGRAM
POLICY
IMPROVEMENT.
The
department
of
human
services
shall
ensure
that
Medicaid
managed
care
organizations
comply
with
all
of
the
following:
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1.
In
accordance
with
42
C.F.R.
§438.420,
a
Medicaid
managed
care
organization,
upon
a
recipient’s
request,
shall
continue
a
recipient’s
benefits
during
an
appeal
process.
If,
as
allowed
when
final
resolution
of
an
appeal
is
adverse
to
the
Medicaid
recipient,
the
Medicaid
managed
care
organization
chooses
to
recover
the
costs
of
the
services
furnished
to
the
recipient
while
an
appeal
is
pending,
the
Medicaid
managed
care
organization
shall
provide
adequate
prior
notice
of
potential
recovery
of
costs
to
the
recipient
at
the
time
the
appeal
is
filed.
2.
A
Medicaid
managed
care
organization
shall
allow
providers
to
appeal
on
a
recipient’s
behalf
if
the
recipient
designates
the
provider
as
the
recipient’s
representative.
3.
a.
A
Medicaid
managed
care
organization
may
include
as
a
primary
care
provider
any
provider
designated
by
the
state
as
a
primary
care
provider,
subject
to
a
provider’s
respective
state
certification
standards,
including
but
not
limited
to
all
of
the
following:
(1)
A
physician
who
is
a
family
or
general
practitioner,
a
pediatrician,
an
internist,
an
obstetrician,
or
a
gynecologist.
(2)
An
advanced
registered
nurse
practitioner.
(3)
A
physician
assistant.
(4)
A
chiropractor
licensed
pursuant
to
chapter
151.
b.
A
Medicaid
managed
care
organization
shall
not
impose
more
restrictive,
scope
of
practice
requirements
or
standards
of
practice
on
a
primary
care
provider
than
those
prescribed
by
state
law
as
a
prerequisite
for
participation
in
the
managed
care
organization’s
provider
network.
Sec.
96.
SINGLE-CASE
AGREEMENT.
A
Medicaid
managed
care
organization
shall,
at
the
request
of
a
Medicaid
recipient,
attempt
to
negotiate
in
good
faith
a
single-case
agreement
with
a
recipient’s
out-of-network
provider,
including
a
provider
outside
of
the
state,
to
provide
for
continuity
of
care
when
the
recipient
has
an
existing
relationship
with
such
provider.
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If
a
provider
of
a
medically
necessary
service
is
not
available
within
the
managed
care
organization’s
network,
the
managed
care
organization
shall,
at
the
request
of
a
Medicaid
recipient,
attempt
to
negotiate
in
good
faith
a
single-case
agreement
with
an
out-of-network
provider,
regardless
of
the
existence
of
an
established
relationship
between
the
recipient
and
the
provider.
HEALTH
POLICY
OVERSIGHT
COMMITTEE
Sec.
97.
Section
2.45,
subsection
6,
Code
2016,
is
amended
to
read
as
follows:
6.
The
legislative
health
policy
oversight
committee,
which
shall
be
composed
of
ten
members
of
the
general
assembly,
consisting
of
five
members
from
each
house,
to
be
appointed
by
the
legislative
council.
The
legislative
health
policy
oversight
committee
shall
receive
updates
and
review
data,
public
input
and
concerns,
and
make
recommendations
for
improvements
to
and
changes
in
law
or
rule
regarding
meet
at
least
two
times,
annually,
during
the
legislative
interim
to
provide
continuing
oversight
for
Medicaid
managed
care
,
and
to
ensure
effective
and
efficient
administration
of
the
program,
address
stakeholder
concerns,
monitor
program
costs
and
expenditures,
and
make
recommendations
.
MANAGED
CARE
OMBUDSMAN
Sec.
98.
Section
231.44,
Code
2016,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
3A.
The
office
of
long-term
care
ombudsman
and
representatives
of
the
office,
when
providing
assistance
and
advocacy
services
under
this
section,
shall
be
considered
a
health
oversight
agency
as
defined
in
45
C.F.R.
§164.501
for
the
purposes
of
health
oversight
activities
as
described
in
45
C.F.R.
§164.512(d).
Recipient
information
available
to
the
office
of
long-term
care
ombudsman
and
representatives
of
the
office
under
this
subsection
shall
be
limited
to
the
recipient’s
protected
health
information
as
defined
in
45
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C.F.R.
§160.103
for
the
purpose
of
recipient
case
resolution.
When
providing
assistance
and
advocacy
services
under
this
section,
the
office
of
long-term
care
ombudsman
shall
act
as
an
independent
agency,
and
the
office
of
long-term
care
ombudsman
and
representatives
of
the
office
shall
be
free
of
any
undue
influence
that
restrains
the
ability
of
the
office
or
the
office’s
representatives
from
providing
such
services
and
assistance.
The
office
of
long-term
care
ombudsman
shall
adopt
rules
applicable
to
long-term
care
ombudsmen
providing
assistance
and
advocacy
services
under
this
section
to
authorize
such
ombudsmen
to
function
in
a
manner
consistent
with
long-term
care
ombudsmen
under
the
federal
Act.
MEDICAL
ASSISTANCE
ADVISORY
COUNCIL
Sec.
99.
Section
249A.4B,
Code
2016,
is
amended
to
read
as
follows:
249A.4B
Medical
assistance
advisory
council.
1.
A
medical
assistance
advisory
council
is
created
to
comply
with
42
C.F.R.
§431.12
based
on
section
1902(a)(4)
of
the
federal
Social
Security
Act
and
to
advise
the
director
about
health
and
medical
care
services
under
the
medical
assistance
program.
The
council
shall
meet
no
more
than
quarterly.
The
director
of
public
health
and
a
public
member
of
the
council
selected
by
the
public
members
of
the
council
specified
in
subsection
2,
paragraph
“b”
,
shall
serve
as
chairperson
co-chairpersons
of
the
council.
2.
The
council
shall
include
all
of
the
following
voting
members:
a.
The
president,
or
the
president’s
representative,
of
each
of
the
following
professional
or
business
entities,
or
a
member
of
each
of
the
following
professional
or
business
entities,
selected
by
the
entity:
(1)
The
Iowa
medical
society.
(2)
The
Iowa
osteopathic
medical
association.
(3)
The
Iowa
academy
of
family
physicians.
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(4)
The
Iowa
chapter
of
the
American
academy
of
pediatrics.
(5)
The
Iowa
physical
therapy
association.
(6)
The
Iowa
dental
association.
(7)
The
Iowa
nurses
association.
(8)
The
Iowa
pharmacy
association.
(9)
The
Iowa
podiatric
medical
society.
(10)
The
Iowa
optometric
association.
(11)
The
Iowa
association
of
community
providers.
(12)
The
Iowa
psychological
association.
(13)
The
Iowa
psychiatric
society.
(14)
The
Iowa
chapter
of
the
national
association
of
social
workers.
(15)
The
coalition
for
family
and
children’s
services
in
Iowa.
(16)
The
Iowa
hospital
association.
(17)
The
Iowa
association
of
rural
health
clinics.
(18)
The
Iowa
primary
care
association.
(19)
Free
clinics
of
Iowa.
(20)
The
opticians’
association
of
Iowa,
inc.
(21)
The
Iowa
association
of
hearing
health
professionals.
(22)
The
Iowa
speech
and
hearing
association.
(23)
The
Iowa
health
care
association.
(24)
The
Iowa
association
of
area
agencies
on
aging.
(25)
AARP.
(26)
The
Iowa
caregivers
association.
(27)
The
Iowa
coalition
of
home
and
community-based
services
for
seniors.
(28)
The
Iowa
adult
day
services
association.
(29)
Leading
age
Iowa.
(30)
The
Iowa
association
for
home
care.
(31)
The
Iowa
council
of
health
care
centers.
(32)
The
Iowa
physician
assistant
society.
(33)
The
Iowa
association
of
nurse
practitioners.
(34)
The
Iowa
nurse
practitioner
society.
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(35)
The
Iowa
occupational
therapy
association.
(36)
The
ARC
of
Iowa,
formerly
known
as
the
association
for
retarded
citizens
of
Iowa.
(37)
The
national
alliance
for
the
mentally
ill
of
Iowa
on
mental
illness
.
(38)
The
Iowa
state
association
of
counties.
(39)
The
Iowa
developmental
disabilities
council.
(40)
The
Iowa
chiropractic
society.
(41)
The
Iowa
academy
of
nutrition
and
dietetics.
(42)
The
Iowa
behavioral
health
association.
(43)
The
midwest
association
for
medical
equipment
services
or
an
affiliated
Iowa
organization.
b.
Public
Ten
public
representatives
which
may
include
members
of
consumer
groups,
including
recipients
of
medical
assistance
or
their
families,
consumer
organizations,
and
others,
equal
in
number
to
the
number
of
representatives
of
the
professional
and
business
entities
specifically
represented
under
paragraph
“a”
,
appointed
by
the
governor
for
staggered
terms
of
two
years
each,
none
of
whom
shall
be
members
of,
or
practitioners
of,
or
have
a
pecuniary
interest
in
any
of
the
professional
or
business
entities
specifically
represented
under
paragraph
“a”
,
and
a
majority
of
whom
shall
be
current
or
former
recipients
of
medical
assistance
or
members
of
the
families
of
current
or
former
recipients.
c.
A
member
of
the
hawk-i
board
created
in
section
514I.5,
selected
by
the
members
of
the
hawk-i
board.
3.
The
council
shall
include
all
of
the
following
nonvoting
members:
c.
a.
The
director
of
public
health,
or
the
director’s
designee.
d.
b.
The
director
of
the
department
on
aging,
or
the
director’s
designee.
c.
The
long-term
care
ombudsman,
or
the
long-term
care
ombudsman’s
designee.
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e.
d.
The
dean
of
Des
Moines
university
——
osteopathic
medical
center,
or
the
dean’s
designee.
f.
e.
The
dean
of
the
university
of
Iowa
college
of
medicine,
or
the
dean’s
designee.
g.
f.
The
following
members
of
the
general
assembly,
each
for
a
term
of
two
years
as
provided
in
section
69.16B
:
(1)
Two
members
of
the
house
of
representatives,
one
appointed
by
the
speaker
of
the
house
of
representatives
and
one
appointed
by
the
minority
leader
of
the
house
of
representatives
from
their
respective
parties.
(2)
Two
members
of
the
senate,
one
appointed
by
the
president
of
the
senate
after
consultation
with
the
majority
leader
of
the
senate
and
one
appointed
by
the
minority
leader
of
the
senate.
3.
4.
a.
An
executive
committee
of
the
council
is
created
and
shall
consist
of
the
following
members
of
the
council:
(1)
Five
of
the
professional
or
business
entity
members
designated
pursuant
to
subsection
2
,
paragraph
“a”
,
and
selected
by
the
members
specified
under
that
paragraph
,
as
voting
members
.
(2)
Five
of
the
public
members
appointed
pursuant
to
subsection
2
,
paragraph
“b”
,
and
selected
by
the
members
specified
under
that
paragraph
,
as
voting
members
.
Of
the
five
public
members,
at
least
one
member
shall
be
a
recipient
of
medical
assistance.
(3)
The
director
of
public
health,
or
the
director’s
designee
,
as
a
nonvoting
member
.
b.
The
executive
committee
shall
meet
on
a
monthly
basis.
The
director
of
public
health
and
the
public
member
serving
as
co-chairperson
of
the
council
shall
serve
as
chairperson
co-chairpersons
of
the
executive
committee.
c.
Based
upon
the
deliberations
of
the
council
and
the
executive
committee,
the
executive
committee
shall
make
recommendations
to
the
director
regarding
the
budget,
policy,
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and
administration
of
the
medical
assistance
program.
4.
5.
For
each
council
meeting,
other
than
those
held
during
the
time
the
general
assembly
is
in
session,
each
legislative
member
of
the
council
shall
be
reimbursed
for
actual
travel
and
other
necessary
expenses
and
shall
receive
a
per
diem
as
specified
in
section
7E.6
for
each
day
in
attendance,
as
shall
the
members
of
the
council
or
the
executive
committee
who
are
recipients
or
the
family
members
of
recipients
of
medical
assistance,
regardless
of
whether
the
general
assembly
is
in
session.
5.
6.
The
department
shall
provide
staff
support
and
independent
technical
assistance
to
the
council
and
the
executive
committee.
6.
7.
The
director
shall
consider
the
recommendations
offered
by
the
council
and
the
executive
committee
in
the
director’s
preparation
of
medical
assistance
budget
recommendations
to
the
council
on
human
services
pursuant
to
section
217.3
and
in
implementation
of
medical
assistance
program
policies.
Sec.
100.
APPOINTMENT
OF
PUBLIC
REPRESENTATIVES
TO
MEDICAL
ASSISTANCE
ADVISORY
COUNCIL
——
2016.
The
director
of
human
services
shall
make
recommendations
to
the
governor
for
appointment
of
public
representatives
to
the
medical
assistance
advisory
council
pursuant
to
section
249A.4B,
subsection
1,
paragraph
“b”,
in
order
to
fill
all
public
representative
positions
on
the
council
no
later
than
June
30,
2016.
Sec.
101.
EFFECTIVE
UPON
ENACTMENT.
The
following
provision
of
this
division
of
this
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment:
1.
The
section
of
this
division
of
this
Act
directing
the
appointment
of
public
representatives
to
the
medical
assistance
advisory
council
no
later
than
June
30,
2016.
CONTINUATION
OF
STATEWIDE
PUBLIC
MEETINGS
Sec.
102.
2015
Iowa
Acts,
chapter
137,
section
63,
is
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amended
to
read
as
follows:
SEC.
63.
HEALTH
POLICY
OVERSIGHT
——
MEDICAID
MANAGED
CARE.
1.
The
department
of
human
services
shall
partner
with
appropriate
stakeholders
to
convene
monthly
statewide
public
meetings
beginning
in
March
2016,
and
bi-monthly
statewide
public
meetings
beginning
March
2017
and
continuing
through
December
31,
2017,
to
receive
input
and
recommendations
from
stakeholders
and
members
of
the
public
regarding
Medicaid
managed
care
,
beginning
in
March
2016
.
The
meetings
shall
be
held
in
both
rural
and
urban
areas,
in
small
communities
and
large
population
centers,
and
in
a
manner
that
is
geographically
balanced.
The
department
shall
encourage
representatives
of
Medicaid
managed
care
organizations
to
attend
the
public
meetings.
The
input
and
recommendations
of
the
public
meetings
shall
be
compiled
by
the
department
of
human
services
and
submitted
to
the
executive
committee
of
the
medical
assistance
advisory
council
created
in
section
249A.4B
.
2.
a.
The
executive
committee
of
the
medical
assistance
advisory
council
shall
review
the
compilation
of
the
input
and
recommendations
of
the
public
meetings
convened
pursuant
to
subsection
1,
and
shall
submit
recommendations
based
upon
the
compilation
to
the
director
of
human
services
on
a
quarterly
basis
through
December
31,
2017
.
b.
The
director
of
human
services
shall
submit
the
compilation
and
the
recommendations
made
under
paragraph
“a”
to
the
legislative
health
policy
oversight
committee
created
in
section
2.45
through
December
31,
2017
.
Sec.
103.
EFFECTIVE
UPON
ENACTMENT.
The
sections
of
this
division
of
this
Act
amending
2015
Iowa
Acts,
chapter
137,
section
63,
being
deemed
of
immediate
importance,
takes
effect
upon
enactment.
HAWK-I
PROGRAM
Sec.
104.
Section
514I.5,
subsection
8,
paragraph
d,
Code
2016,
is
amended
by
adding
the
following
new
subparagraph:
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NEW
SUBPARAGRAPH
.
(17)
Occupational
therapy.
Sec.
105.
Section
514I.5,
Code
2016,
is
amended
by
adding
the
following
new
subsection:
NEW
SUBSECTION
.
10.
The
hawk-i
board
shall
monitor
the
capacity
of
Medicaid
managed
care
organizations
to
specifically
and
appropriately
address
the
unique
needs
of
children
and
children’s
health
delivery.
DIVISION
XXIII
FOOD
PROGRAM
Sec.
106.
IOWA
EMERGENCY
FOOD
PURCHASE
PROGRAM.
There
is
appropriated
from
the
general
fund
of
the
state
to
the
department
of
agriculture
and
land
stewardship
for
the
fiscal
year
beginning
July
1,
2016,
and
ending
June
30,
2017,
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
1.
For
purposes
of
supporting
an
Iowa
emergency
food
purchase
program:
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
100,000
2.
The
purpose
of
the
Iowa
emergency
food
purchase
program
is
to
relieve
situations
of
emergency
experienced
by
families
or
individuals
who
reside
in
this
state,
including
low-income
families
and
individuals
and
unemployed
families
and
individuals,
by
distributing
food
to
those
persons.
3.
The
Iowa
emergency
food
purchase
program
shall
be
managed
by
an
Iowa
food
bank
association
selected
by
the
department.
The
department
may
enter
into
a
contract
with
the
Iowa
food
bank
association.
The
Iowa
food
bank
association
managing
the
program
shall
distribute
food
under
the
program
to
emergency
feeding
organizations
in
this
state.
The
Iowa
food
bank
association
shall
report
to
the
department
as
required
by
the
department.
4.
The
moneys
appropriated
in
this
section
shall
be
allocated
to
support
the
Iowa
emergency
food
purchase
program
only
to
the
extent
that
the
allocated
moneys
are
matched
on
a
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dollar-for-dollar
basis.
5.
“Iowa
food
bank
association”
means
a
private
nonprofit
entity
that
meets
all
of
the
following
requirements:
a.
The
association
is
organized
under
chapter
504.
b.
The
association
qualifies
under
section
501(c)(3)
of
the
Internal
Revenue
Code
as
an
organization
exempt
from
federal
income
tax
under
section
501(a)
of
the
Internal
Revenue
Code.
c.
The
association’s
members
include
food
banks,
or
affiliations
of
food
banks,
that
together
serve
all
counties
in
this
state.
d.
The
association’s
principal
office
is
located
in
this
state.
>
ON
THE
PART
OF
THE
HOUSE:
______________________________
DAVE
HEATON,
CHAIRPERSON
______________________________
JOEL
FRY
______________________________
LINDA
MILLER
ON
THE
PART
OF
THE
SENATE:
______________________________
AMANDA
RAGAN,
CHAIRPERSON
______________________________
JOE
BOLKCOM
______________________________
ROBERT
E.
DVORSKY
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