Senate
Study
Bill
3235
-
Introduced
SENATE/HOUSE
FILE
_____
BY
(PROPOSED
GOVERNOR’S
BUDGET
BILL)
A
BILL
FOR
An
Act
relating
to
and
making
appropriations
for
health
and
1
human
services
and
including
other
related
provisions
and
2
appropriations,
and
providing
effective,
retroactive,
and
3
applicability
date
provisions.
4
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
5
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DIVISION
I
1
GENERAL
FUND
AND
BLOCK
GRANT
APPROPRIATIONS
2
ELDER
AFFAIRS
3
Section
1.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
4
the
general
fund
of
the
state
to
the
department
on
aging
for
5
the
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
6
2011,
the
following
amount,
or
so
much
thereof
as
is
necessary,
7
to
be
used
for
the
purposes
designated:
8
For
aging
programs
for
the
department
on
aging
and
area
9
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
10
of
age
and
older
with
case
management
for
the
frail
elderly,
11
resident
advocate
committee
coordination,
employment,
and
other
12
services
which
may
include
but
are
not
limited
to
adult
day
13
services,
respite
care,
chore
services,
telephone
reassurance,
14
information
and
assistance,
and
home
repair
services,
and
15
for
the
construction
of
entrance
ramps
which
make
residences
16
accessible
to
the
physically
handicapped,
and
for
salaries,
17
support,
administration,
maintenance,
and
miscellaneous
18
purposes:
19
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$
4,462,407
20
1.
Funds
appropriated
in
this
section
may
be
used
to
21
supplement
federal
funds
under
federal
regulations.
To
22
receive
funds
appropriated
in
this
section,
a
local
area
23
agency
on
aging
shall
match
the
funds
with
moneys
from
other
24
sources
according
to
rules
adopted
by
the
department.
Funds
25
appropriated
in
this
section
may
be
used
for
elderly
services
26
not
specifically
enumerated
in
this
section
only
if
approved
27
by
an
area
agency
on
aging
for
provision
of
the
service
within
28
the
area.
29
2.
Of
the
funds
appropriated
in
this
section,
$1,246,514
30
shall
be
transferred
to
the
department
of
human
services
in
31
equal
amounts
on
a
quarterly
basis
for
reimbursement
of
case
32
management
services
provided
under
the
medical
assistance
33
elderly
waiver.
34
3.
Of
the
funds
appropriated
in
this
section,
$179,961
shall
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be
transferred
to
the
department
of
economic
development
for
1
the
Iowa
commission
on
volunteer
services
to
be
used
for
the
2
retired
and
senior
volunteer
program.
3
DIVISION
II
4
HEALTH
5
Sec.
2.
DEPARTMENT
OF
PUBLIC
HEALTH.
The
allocations
6
made
in
this
section
may
include
amounts
carried
forward
from
7
appropriations
and
allocations
made
for
the
same
purposes
in
8
the
previous
fiscal
year.
There
is
appropriated
from
the
9
general
fund
of
the
state
to
the
department
of
public
health
10
for
the
fiscal
year
beginning
July
1,
2010,
and
ending
June
11
30,
2011,
the
following
amounts,
or
so
much
thereof
as
is
12
necessary,
to
be
used
for
the
purposes
designated:
13
1.
ADDICTIVE
DISORDERS
14
For
reducing
the
prevalence
of
use
of
tobacco,
alcohol,
and
15
other
drugs,
and
treating
individuals
affected
by
addictive
16
behaviors,
including
gambling:
17
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$
28,414,782
18
a.
Of
the
funds
appropriated
in
this
subsection,
$6,675,393
19
shall
be
used
for
the
tobacco
use
prevention
and
control
20
initiative,
including
efforts
at
the
state
and
local
levels,
as
21
provided
in
chapter
142A.
22
(1)
The
director
of
public
health
shall
dedicate
sufficient
23
resources
to
promote
and
ensure
retailer
compliance
with
24
tobacco
laws
and
ordinances
relating
to
persons
under
18
25
years
of
age,
and
shall
prioritize
the
state’s
compliance
in
26
the
allocation
of
available
funds
to
comply
with
42
U.S.C.
27
§
300x-26
and
section
453A.2.
28
(2)
The
director
of
public
health
shall
provide
for
29
enforcement
of
tobacco
laws,
regulations,
and
ordinances
30
under
a
chapter
28D
agreement
entered
into
between
the
Iowa
31
department
of
public
health
and
the
alcoholic
beverages
32
division
of
the
department
of
commerce.
33
b.
Of
the
funds
appropriated
in
this
subsection,
34
$17,661,354
shall
be
used
for
substance
abuse
treatment
and
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prevention.
1
It
is
the
intent
of
the
general
assembly
that
from
the
moneys
2
allocated
in
this
lettered
paragraph
persons
with
a
dual
3
diagnosis
of
substance
abuse
and
gambling
addictions
shall
be
4
given
priority
in
treatment
services.
5
c.
Of
the
funds
appropriated
in
this
subsection,
$4,078,035
6
shall
be
used
for
funding
of
gambling
treatment,
including
7
administrative
costs
and
to
provide
programs
which
may
include
8
but
are
not
limited
to
outpatient
and
follow-up
treatment
9
for
persons
affected
by
problem
gambling,
rehabilitation
and
10
residential
treatment
programs,
information
and
referral
11
services,
education
and
preventive
services,
and
financial
12
management
services.
13
2.
HEALTHY
CHILDREN
AND
FAMILIES
14
For
promoting
the
optimum
health
status
for
children,
15
adolescents
from
birth
through
21
years
of
age,
and
families:
16
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$
2,353,517
17
3.
CHRONIC
CONDITIONS
18
For
serving
individuals
identified
as
having
chronic
19
conditions
or
special
health
care
needs:
20
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$
2,802,255
21
4.
COMMUNITY
CAPACITY
22
For
strengthening
the
health
care
delivery
system
at
the
23
local
level:
24
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$
3,728,162
25
a.
Of
the
funds
appropriated
in
this
subsection,
$63,592
26
is
allocated
for
a
child
vision
screening
program
implemented
27
through
the
university
of
Iowa
hospitals
and
clinics
in
28
collaboration
with
community
empowerment
areas.
29
b.
Of
the
funds
appropriated
in
this
subsection,
$129,741
is
30
allocated
for
continuation
of
an
initiative
implemented
at
the
31
university
of
Iowa
and
$117,142
is
allocated
for
continuation
32
of
an
initiative
at
the
state
mental
health
institute
at
33
Cherokee
to
expand
and
improve
the
workforce
engaged
in
34
mental
health
treatment
and
services.
The
initiatives
shall
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receive
input
from
the
university
of
Iowa,
the
department
1
of
human
services,
the
department
of
public
health,
and
the
2
mental
health,
mental
retardation,
developmental
disabilities,
3
and
brain
injury
commission
to
address
the
focus
of
the
4
initiatives.
5
c.
Of
the
funds
appropriated
in
this
subsection,
$1,264,812
6
shall
be
used
for
essential
public
health
services
that
promote
7
healthy
aging
throughout
the
lifespan,
contracted
through
a
8
formula
for
local
boards
of
health,
to
enhance
health
promotion
9
and
disease
prevention
services.
10
d.
Of
the
funds
appropriated
in
this
subsection,
$75,000
11
shall
be
deposited
in
the
governmental
public
health
system
12
fund
created
in
section
135A.8
to
be
used
for
the
purposes
of
13
the
fund.
14
5.
ELDERLY
WELLNESS
15
For
promotion
of
healthy
aging
and
optimization
of
the
16
health
of
older
adults:
17
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$
8,345,779
18
6.
ENVIRONMENTAL
HAZARDS
19
For
reducing
the
public’s
exposure
to
hazards
in
the
20
environment,
primarily
chemical
hazards:
21
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.
$
965,950
22
7.
INFECTIOUS
DISEASES
23
For
reducing
the
incidence
and
prevalence
of
communicable
24
diseases:
25
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$
1,605,967
26
8.
PUBLIC
PROTECTION
27
For
protecting
the
health
and
safety
of
the
public
through
28
establishing
standards
and
enforcing
regulations:
29
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$
3,236,235
30
Of
the
funds
appropriated
in
this
subsection,
not
more
than
31
$471,690
shall
be
credited
to
the
emergency
medical
services
32
fund
created
in
section
135.25.
Moneys
in
the
emergency
33
medical
services
fund
are
appropriated
to
the
department
to
be
34
used
for
the
purposes
of
the
fund.
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9.
RESOURCE
MANAGEMENT
1
For
establishing
and
sustaining
the
overall
ability
of
the
2
department
to
deliver
services
to
the
public:
3
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$
956,265
4
The
university
of
Iowa
hospitals
and
clinics
under
the
5
control
of
the
state
board
of
regents
shall
not
receive
6
indirect
costs
from
the
funds
appropriated
in
this
section.
7
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
8
department
shall
be
on
at
least
a
quarterly
basis.
9
DIVISION
III
10
DEPARTMENT
OF
VETERANS
AFFAIRS
11
Sec.
3.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
12
appropriated
from
the
general
fund
of
the
state
to
the
13
department
of
veterans
affairs
for
the
fiscal
year
beginning
14
July
1,
2010,
and
ending
June
30,
2011,
the
following
amounts,
15
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
16
designated:
17
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
18
For
salaries,
support,
maintenance,
and
miscellaneous
19
purposes,
including
the
war
orphans
educational
assistance
fund
20
created
in
section
35.8:
21
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$
960,453
22
2.
IOWA
VETERANS
HOME
23
For
salaries,
support,
maintenance,
and
miscellaneous
24
purposes:
25
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$
9,630,846
26
a.
The
Iowa
veterans
home
billings
involving
the
department
27
of
human
services
shall
be
submitted
to
the
department
on
at
28
least
a
monthly
basis.
29
b.
If
there
is
a
change
in
the
employer
of
employees
30
providing
services
at
the
Iowa
veterans
home
under
a
collective
31
bargaining
agreement,
such
employees
and
the
agreement
shall
32
be
continued
by
the
successor
employer
as
though
there
had
not
33
been
a
change
in
employer.
34
3.
STATE
EDUCATIONAL
ASSISTANCE
——
CHILDREN
OF
DECEASED
35
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VETERANS
1
For
provision
of
educational
assistance
pursuant
to
section
2
35.9:
3
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$
12,731
4
Sec.
4.
LIMITATION
OF
COUNTY
COMMISSION
OF
VETERANS
AFFAIRS
5
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
standing
6
appropriation
in
the
following
designated
section
for
the
7
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
2011,
8
the
amounts
appropriated
from
the
general
fund
of
the
state
9
pursuant
to
that
section
for
the
following
designated
purposes
10
shall
not
exceed
the
following
amount:
11
For
the
county
commissions
of
veterans
affairs
fund
under
12
section
35A.16:
13
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$
900,000
14
DIVISION
IV
15
HUMAN
SERVICES
16
Sec.
5.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
17
GRANT.
There
is
appropriated
from
the
fund
created
in
section
18
8.41
to
the
department
of
human
services
for
the
fiscal
year
19
beginning
July
1,
2010,
and
ending
June
30,
2011,
from
moneys
20
received
under
the
federal
temporary
assistance
for
needy
21
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
22
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
23
Pub.
L.
No.
104-193,
and
successor
legislation,
and
from
moneys
24
received
under
the
emergency
contingency
fund
for
temporary
25
assistance
for
needy
families
state
program
established
26
pursuant
to
the
federal
American
Recovery
and
Reinvestment
Act
27
of
2009,
Pub.
L.
No.
111-5,
§
2101,
the
following
amounts,
or
28
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
29
designated:
30
1.
To
be
credited
to
the
family
investment
program
account
31
and
used
for
assistance
under
the
family
investment
program
32
under
chapter
239B:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
36,761,953
34
2.
To
be
credited
to
the
family
investment
program
account
35
-6-
LSB
5100XG
(32)
83
pf/jp
6/
67
S.F.
_____
H.F.
_____
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
1
program
and
implementing
family
investment
agreements
in
2
accordance
with
chapter
239B:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,084,528
4
3.
To
be
used
for
the
family
development
and
5
self-sufficiency
grant
program
in
accordance
with
section
6
216A.107:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,448,980
8
4.
For
field
operations:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,694,894
10
5.
For
general
administration:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
12
6.
For
local
administrative
costs:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,094,915
14
7.
For
state
child
care
assistance:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,382,687
16
a.
Of
the
funds
appropriated
in
this
subsection,
17
$12,382,687
shall
be
transferred
to
the
child
care
and
18
development
block
grant
appropriation
made
by
the
Eighty-third
19
General
Assembly,
2010
Session,
for
the
federal
fiscal
20
year
beginning
October
1,
2010,
and
ending
September
30,
21
2011.
Of
this
amount,
$200,000
shall
be
used
for
provision
22
of
educational
opportunities
to
registered
child
care
home
23
providers
in
order
to
improve
services
and
programs
offered
24
by
this
category
of
providers
and
to
increase
the
number
of
25
providers.
The
department
may
contract
with
institutions
26
of
higher
education
or
child
care
resource
and
referral
27
centers
to
provide
the
educational
opportunities.
Allowable
28
administrative
costs
under
the
contracts
shall
not
exceed
5
29
percent.
The
application
for
a
grant
shall
not
exceed
two
30
pages
in
length.
31
b.
If
the
moneys
received
under
the
federal
temporary
32
assistance
for
needy
families
(TANF)
block
grant
pursuant
33
to
the
federal
Personal
Responsibility
and
Work
Opportunity
34
Reconciliation
Act
of
1996,
Pub.
L.
No.
104-193
and
successor
35
-7-
LSB
5100XG
(32)
83
pf/jp
7/
67
S.F.
_____
H.F.
_____
legislation,
and
from
moneys
received
under
the
emergency
1
contingency
fund
for
temporary
assistance
for
needy
families
2
state
program
established
pursuant
to
the
federal
American
3
Recovery
and
Reinvestment
Act
of
2009,
Pub.
L.
No.
111-5
§
2101
4
are
determined
to
exceed
the
needs
of
the
family
investment
5
program
and
other
appropriations
made
in
this
section,
the
6
department
may
use
such
funds
as
may
be
available
for
state
7
child
care
assistance
payments
for
individuals
enrolled
in
the
8
family
investment
program.
9
8.
For
mental
health
and
developmental
disabilities
10
community
services:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,894,052
12
9.
For
child
and
family
services:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,084,430
14
10.
For
child
abuse
prevention
grants:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
16
11.
For
pregnancy
prevention
grants
on
the
condition
that
17
family
planning
services
are
funded:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,327,878
19
Pregnancy
prevention
grants
shall
be
awarded
to
programs
20
in
existence
on
or
before
July
1,
2010,
if
the
programs
are
21
comprehensive
in
scope
and
have
demonstrated
positive
outcomes.
22
Grants
shall
be
awarded
to
pregnancy
prevention
programs
23
which
are
developed
after
July
1,
2010,
if
the
programs
are
24
comprehensive
in
scope
and
are
based
on
existing
models
that
25
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
26
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
27
section
14,
subsections
1
and
2,
including
the
requirement
that
28
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
29
the
awarding
of
grants
shall
be
given
to
programs
that
serve
30
areas
of
the
state
which
demonstrate
the
highest
percentage
of
31
unplanned
pregnancies
of
females
of
childbearing
age
within
the
32
geographic
area
to
be
served
by
the
grant.
33
12.
For
technology
needs
and
other
resources
necessary
34
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
35
-8-
LSB
5100XG
(32)
83
pf/jp
8/
67
S.F.
_____
H.F.
_____
management
requirements:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
2
13.
To
be
credited
to
the
state
child
care
assistance
3
appropriation
made
in
this
section
to
be
used
for
funding
of
4
community-based
early
childhood
programs
targeted
to
children
5
from
birth
through
five
years
of
age
developed
by
community
6
empowerment
areas
as
provided
in
section
28.9:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,850,000
8
a.
The
department
shall
transfer
TANF
block
grant
funding
9
appropriated
and
allocated
in
this
subsection
to
the
child
care
10
and
development
block
grant
appropriation
in
accordance
with
11
federal
law
as
necessary
to
comply
with
the
provisions
of
this
12
subsection.
13
b.
Of
the
amounts
appropriated
in
this
section,
$12,962,008
14
for
the
fiscal
year
beginning
July
1,
2010,
shall
be
15
transferred
to
the
appropriation
of
the
federal
social
services
16
block
grant
made
for
that
fiscal
year.
17
c.
The
department
may
transfer
funds
allocated
in
this
18
section
to
the
appropriations
made
in
this
Act
for
general
19
administration
and
field
operations
for
resources
necessary
to
20
implement
and
operate
the
services
referred
to
in
this
section
21
and
those
funded
in
the
appropriation
made
in
this
division
of
22
this
Act
for
the
family
investment
program
from
the
general
23
fund
of
the
state.
24
14.
Notwithstanding
any
provision
to
the
contrary,
25
including
but
not
limited
to
requirements
in
section
8.41
or
26
provisions
in
2009
or
2010
Iowa
Acts
regarding
the
receipt
27
and
appropriation
of
federal
block
grants,
federal
funds
28
from
the
emergency
contingency
fund
for
temporary
assistance
29
for
needy
families
state
program
established
pursuant
to
the
30
federal
American
Recovery
and
Reinvestment
Act
of
2009,
Pub.
31
L.
No.
111-5
§
2101,
received
by
the
state
during
the
fiscal
32
year
beginning
July
1,
2009,
and
ending
June
30,
2010,
not
33
otherwise
appropriated
in
this
section
and
remaining
available
34
as
of
July
1,
2010,
and
received
by
the
state
during
the
fiscal
35
-9-
LSB
5100XG
(32)
83
pf/jp
9/
67
S.F.
_____
H.F.
_____
year
beginning
July
1,
2010,
and
ending
June
30,
2011,
are
1
appropriated
to
the
extent
as
may
be
necessary
to
fully
fund
2
the
family
investment
program
during
the
fiscal
year
beginning
3
July
1,
2010,
and
ending
June
30,
2011.
4
a.
The
federal
funds
appropriated
in
this
subsection
5
shall
be
expended
only
after
all
other
funds
appropriated
in
6
subsection
1
for
assistance
under
the
family
investment
program
7
under
chapter
239B
have
been
expended.
8
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
9
legislative
services
agency
and
department
of
management
of
10
the
amount
of
funds
appropriated
in
this
subsection
that
was
11
expended
in
the
prior
quarter.
12
Sec.
6.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
13
1.
Moneys
credited
to
the
family
investment
program
(FIP)
14
account
for
the
fiscal
year
beginning
July
1,
2010,
and
15
ending
June
30,
2011,
shall
be
used
to
provide
assistance
in
16
accordance
with
chapter
239B.
17
2.
The
department
may
use
a
portion
of
the
moneys
credited
18
to
the
FIP
account
under
this
section
as
necessary
for
19
salaries,
support,
maintenance,
and
miscellaneous
purposes.
20
3.
The
department
may
transfer
funds
allocated
in
21
this
section
to
the
appropriations
in
this
Act
for
general
22
administration
and
field
operations
for
resources
necessary
to
23
implement
and
operate
the
services
referred
to
in
this
section
24
and
those
funded
in
the
appropriation
made
in
this
division
of
25
this
Act
for
the
family
investment
program
from
the
general
26
fund
of
the
state.
27
4.
Moneys
appropriated
in
this
division
of
this
Act
and
28
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
29
1,
2010,
and
ending
June
30,
2011,
are
allocated
as
follows:
30
a.
To
be
retained
by
the
department
of
human
services
to
31
be
used
for
coordinating
with
the
department
of
human
rights
32
to
more
effectively
serve
participants
in
the
FIP
program
and
33
other
shared
clients
and
to
meet
federal
reporting
requirements
34
under
the
federal
temporary
assistance
for
needy
families
block
35
-10-
LSB
5100XG
(32)
83
pf/jp
10/
67
S.F.
_____
H.F.
_____
grant:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,000
2
b.
To
the
department
of
human
rights
for
staffing,
3
administration,
and
implementation
of
the
family
development
4
and
self-sufficiency
grant
program
in
accordance
with
section
5
216A.107:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,947,251
7
(1)
Of
the
funds
allocated
for
the
family
development
and
8
self-sufficiency
grant
program
in
this
lettered
paragraph,
9
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
10
administration
of
the
grant
program.
11
(2)
The
department
of
human
rights
may
continue
to
implement
12
the
family
development
and
self-sufficiency
grant
program
13
statewide
during
fiscal
year
2010-2011.
14
c.
For
the
diversion
subaccount
of
the
FIP
account:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,698,400
16
A
portion
of
the
moneys
allocated
for
the
subaccount
may
17
be
used
for
field
operations
salaries,
data
management
system
18
development,
and
implementation
costs
and
support
deemed
19
necessary
by
the
director
of
human
services
in
order
to
20
administer
the
FIP
diversion
program.
21
d.
For
the
food
stamp
employment
and
training
program:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
68,059
23
The
department
shall
amend
the
food
stamp
employment
and
24
training
state
plan
in
order
to
maximize
to
the
fullest
extent
25
permitted
by
federal
law
the
use
of
the
fifty-fifty
match
26
provisions
for
the
claiming
of
allowable
federal
matching
funds
27
from
the
United
States
department
of
agriculture
pursuant
28
to
the
federal
food
stamp
employment
and
training
program
29
for
providing
education,
employment,
and
training
services
30
for
eligible
food
assistance
program
participants,
including
31
but
not
limited
to
related
dependent
care
and
transportation
32
expenses.
33
e.
For
the
JOBS
program:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
21,325,993
35
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_____
H.F.
_____
5.
Of
the
child
support
collections
assigned
under
FIP,
1
an
amount
equal
to
the
federal
share
of
support
collections
2
shall
be
credited
to
the
child
support
recovery
appropriation
3
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
4
assigned
child
support
collections
received
by
the
child
5
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
6
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
7
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
8
payments
account.
If
as
a
consequence
of
the
appropriations
9
and
allocations
made
in
this
section
the
resulting
amounts
10
are
insufficient
to
sustain
cash
assistance
payments
and
meet
11
federal
maintenance
of
effort
requirements,
the
department
12
shall
seek
supplemental
funding.
If
child
support
collections
13
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
14
determined
not
to
be
required
for
maintenance
of
effort,
the
15
state
share
of
either
amount
may
be
transferred
to
or
retained
16
in
the
child
support
payment
account.
17
6.
The
department
may
adopt
emergency
rules
for
the
family
18
investment,
JOBS,
food
stamp,
and
medical
assistance
programs
19
if
necessary
to
comply
with
federal
requirements.
20
Sec.
7.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
21
is
appropriated
from
the
general
fund
of
the
state
to
the
22
department
of
human
services
for
the
fiscal
year
beginning
July
23
1,
2010,
and
ending
June
30,
2011,
the
following
amount,
or
24
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
25
designated:
26
To
be
credited
to
the
family
investment
program
(FIP)
27
account
and
used
for
family
investment
program
assistance
under
28
chapter
239B:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,735,539
30
1.
Of
the
funds
appropriated
in
this
section,
$8,241,465
is
31
allocated
for
the
JOBS
program.
32
2.
Of
the
funds
appropriated
in
this
section,
$2,518,271
is
33
allocated
for
the
family
development
and
self-sufficiency
grant
34
program.
35
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H.F.
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3.
a.
Of
the
funds
appropriated
in
this
section,
$112,331
1
shall
be
used
for
continuation
of
a
grant
to
an
Iowa-based
2
nonprofit
organization
with
a
history
of
providing
tax
3
preparation
assistance
to
low-income
Iowans
in
order
to
expand
4
the
usage
of
the
earned
income
tax
credit.
The
purpose
of
the
5
grant
is
to
supply
this
assistance
to
underserved
areas
of
the
6
state.
The
grant
shall
be
provided
to
an
organization
that
7
has
existing
national
foundation
support
for
supplying
such
8
assistance
that
can
also
secure
local
charitable
match
funding.
9
b.
The
general
assembly
supports
efforts
by
the
10
organization
receiving
funding
under
this
subsection
to
create
11
a
statewide
earned
income
tax
credit
coalition
to
expand
the
12
usage
of
the
tax
credit
through
new
and
enhanced
outreach
and
13
marketing
strategies,
as
well
as
identify
new
local
sites
and
14
human
and
financial
resources.
15
4.
Of
the
funds
appropriated
in
this
section,
$602,109
shall
16
be
used
for
pregnancy
prevention
grants
in
accordance
with
17
the
appropriation
of
federal
temporary
assistance
for
needy
18
families
funding
for
purposes
of
the
grants
in
this
division
19
of
this
Act.
20
5.
Notwithstanding
section
8.39,
for
the
fiscal
year
21
beginning
July
1,
2010,
if
necessary
to
meet
federal
22
maintenance
of
effort
requirements
or
to
transfer
federal
23
temporary
assistance
for
needy
families
block
grant
funding
24
to
be
used
for
purposes
of
the
federal
social
services
block
25
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
26
receiving
federal
funding
or
to
implement,
in
accordance
with
27
this
division
of
this
Act,
activities
currently
funded
with
28
juvenile
court
services,
county,
or
community
moneys
and
state
29
moneys
used
in
combination
with
such
moneys,
the
department
30
of
human
services
may
transfer
funds
within
or
between
any
31
of
the
appropriations
made
in
this
division
of
this
Act
and
32
appropriations
in
law
for
the
federal
social
services
block
33
grant
to
the
department
for
the
following
purposes,
provided
34
that
the
combined
amount
of
state
and
federal
temporary
35
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_____
H.F.
_____
assistance
for
needy
families
block
grant
funding
for
each
1
appropriation
remains
the
same
before
and
after
the
transfer:
2
a.
For
the
family
investment
program.
3
b.
For
child
care
assistance.
4
c.
For
child
and
family
services.
5
d.
For
field
operations.
6
e.
For
general
administration.
7
f.
MH/MR/DD/BI
community
services
(local
purchase).
8
This
subsection
shall
not
be
construed
to
prohibit
the
use
9
of
existing
state
transfer
authority
for
other
purposes.
The
10
department
shall
report
any
transfers
made
pursuant
to
this
11
subsection
to
the
legislative
services
agency.
12
Sec.
8.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
13
from
the
general
fund
of
the
state
to
the
department
of
human
14
services
for
the
fiscal
year
beginning
July
1,
2010,
and
ending
15
June
30,
2011,
the
following
amount,
or
so
much
thereof
as
is
16
necessary,
to
be
used
for
the
purposes
designated:
17
For
child
support
recovery,
including
salaries,
support,
18
maintenance,
and
miscellaneous
purposes:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,078,414
20
1.
The
department
shall
expend
up
to
$24,329,
including
21
federal
financial
participation,
for
the
fiscal
year
beginning
22
July
1,
2010,
for
a
child
support
public
awareness
campaign.
23
The
department
and
the
office
of
the
attorney
general
shall
24
cooperate
in
continuation
of
the
campaign.
The
public
25
awareness
campaign
shall
emphasize,
through
a
variety
of
26
media
activities,
the
importance
of
maximum
involvement
of
27
both
parents
in
the
lives
of
their
children
as
well
as
the
28
importance
of
payment
of
child
support
obligations.
29
2.
Federal
access
and
visitation
grant
moneys
shall
be
30
issued
directly
to
private
not-for-profit
agencies
that
provide
31
services
designed
to
increase
compliance
with
the
child
access
32
provisions
of
court
orders,
including
but
not
limited
to
33
neutral
visitation
sites
and
mediation
services.
34
3.
The
appropriation
made
to
the
department
for
child
35
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_____
H.F.
_____
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
1
manner
necessary
for
purposes
of
cash
flow
management,
and
for
2
cash
flow
management
purposes
the
department
may
temporarily
3
draw
more
than
the
amount
appropriated,
provided
the
amount
4
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
5
4.
With
the
exception
of
the
funding
amount
specified,
6
the
requirements
established
under
2001
Iowa
Acts,
chapter
7
191,
section
3,
subsection
5,
paragraph
“c”,
subparagraph
(3),
8
shall
be
applicable
to
parental
obligation
pilot
projects
for
9
the
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
10
2011.
Notwithstanding
441
IAC
100.8,
as
in
effect
on
June
30,
11
2009,
providing
for
termination
of
rules
relating
to
the
pilot
12
projects
the
earlier
of
October
1,
2006,
or
when
legislative
13
authority
is
discontinued,
the
rules
relating
to
the
pilot
14
projects,
as
in
effect
on
June
30,
2009,
shall
remain
in
effect
15
until
June
30,
2011.
16
Sec.
9.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
the
17
general
fund
of
the
state
to
the
department
of
human
services
18
for
the
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
19
2011,
the
following
amount,
or
so
much
thereof
as
is
necessary,
20
to
be
used
for
the
purpose
designated:
21
For
medical
assistance
reimbursement
and
associated
costs
22
as
specifically
provided
in
the
reimbursement
methodologies
23
in
effect
on
June
30,
2010,
except
as
otherwise
expressly
24
authorized
by
law,
including
reimbursement
for
abortion
25
services
which
shall
be
available
under
the
medical
assistance
26
program
only
for
those
abortions
which
are
medically
necessary:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$790,982,609
28
1.
Medically
necessary
abortions
are
those
performed
under
29
any
of
the
following
conditions:
30
a.
The
attending
physician
certifies
that
continuing
the
31
pregnancy
would
endanger
the
life
of
the
pregnant
woman.
32
b.
The
attending
physician
certifies
that
the
fetus
is
33
physically
deformed,
mentally
deficient,
or
afflicted
with
a
34
congenital
illness.
35
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H.F.
_____
c.
The
pregnancy
is
the
result
of
a
rape
which
is
reported
1
within
45
days
of
the
incident
to
a
law
enforcement
agency
or
2
public
or
private
health
agency
which
may
include
a
family
3
physician.
4
d.
The
pregnancy
is
the
result
of
incest
which
is
reported
5
within
150
days
of
the
incident
to
a
law
enforcement
agency
6
or
public
or
private
health
agency
which
may
include
a
family
7
physician.
8
e.
Any
spontaneous
abortion,
commonly
known
as
a
9
miscarriage,
if
not
all
of
the
products
of
conception
are
10
expelled.
11
2.
The
department
shall
utilize
not
more
than
$60,000
of
12
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
13
health
insurance
premium
payment
program
as
established
in
1992
14
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
15
409,
subsection
6.
Of
the
funds
allocated
in
this
subsection,
16
not
more
than
$5,000
may
be
expended
for
administrative
17
purposes.
18
3.
Of
the
funds
appropriated
in
this
Act
to
the
department
19
of
public
health
for
addictive
disorders,
$950,000
for
the
20
fiscal
year
beginning
July
1,
2010,
shall
be
transferred
to
21
the
department
of
human
services
for
an
integrated
substance
22
abuse
managed
care
system.
The
department
shall
not
assume
23
management
of
the
substance
abuse
system
in
place
of
the
24
managed
care
contractor
unless
such
a
change
in
approach
is
25
specifically
authorized
in
law.
The
departments
of
human
26
services
and
public
health
shall
work
together
to
maintain
27
the
level
of
mental
health
and
substance
abuse
services
28
provided
by
the
managed
care
contractor
through
the
Iowa
plan
29
for
behavioral
health.
Each
department
shall
take
the
steps
30
necessary
to
continue
the
federal
waivers
as
necessary
to
31
maintain
the
level
of
services.
32
4.
a.
The
department
shall
aggressively
pursue
options
for
33
providing
medical
assistance
or
other
assistance
to
individuals
34
with
special
needs
who
become
ineligible
to
continue
receiving
35
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_____
H.F.
_____
services
under
the
early
and
periodic
screening,
diagnosis,
and
1
treatment
program
under
the
medical
assistance
program
due
to
2
becoming
21
years
of
age
who
have
been
approved
for
additional
3
assistance
through
the
department’s
exception
to
policy
4
provisions,
but
who
have
health
care
needs
in
excess
of
the
5
funding
available
through
the
exception
to
policy
provisions.
6
b.
Of
the
funds
appropriated
in
this
section,
$100,000
7
shall
be
used
for
participation
in
one
or
more
pilot
projects
8
operated
by
a
private
provider
to
allow
the
individual
or
9
individuals
to
receive
service
in
the
community
in
accordance
10
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
11
(1999),
for
the
purpose
of
providing
medical
assistance
or
12
other
assistance
to
individuals
with
special
needs
who
become
13
ineligible
to
continue
receiving
services
under
the
early
and
14
periodic
screening,
diagnosis,
and
treatment
program
under
15
the
medical
assistance
program
due
to
becoming
21
years
of
16
age
who
have
been
approved
for
additional
assistance
through
17
the
department’s
exception
to
policy
provisions,
but
who
have
18
health
care
needs
in
excess
of
the
funding
available
through
19
the
exception
to
the
policy
provisions.
20
5.
Of
the
funds
appropriated
in
this
section,
up
to
21
$3,050,082
may
be
transferred
to
the
field
operations
22
or
general
administration
appropriations
in
this
Act
for
23
operational
costs
associated
with
Part
D
of
the
federal
24
Medicare
Prescription
Drug,
Improvement,
and
Modernization
Act
25
of
2003,
Pub.
L.
No.
108-173.
26
6.
Of
the
funds
appropriated
in
this
section,
not
more
27
than
$166,600
shall
be
used
to
enhance
outreach
efforts.
The
28
department
may
transfer
funds
allocated
in
this
subsection
to
29
the
appropriations
in
this
division
of
this
Act
for
general
30
administration,
the
state
children’s
health
insurance
program,
31
or
medical
contracts,
as
necessary,
to
implement
the
outreach
32
efforts.
33
7.
Of
the
funds
appropriated
in
this
section,
up
to
$442,100
34
may
be
transferred
to
the
appropriation
in
this
Act
for
medical
35
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S.F.
_____
H.F.
_____
contracts
to
be
used
for
clinical
assessment
services
related
1
to
remedial
services
in
accordance
with
federal
law.
2
8.
A
portion
of
the
funds
appropriated
in
this
section
may
3
be
transferred
to
the
appropriations
in
this
division
of
this
4
Act
for
general
administration,
medical
contracts,
the
state
5
children’s
health
insurance
program,
or
field
operations
to
be
6
used
for
the
state
match
cost
to
comply
with
the
payment
error
7
rate
measurement
(PERM)
program
for
both
the
medical
assistance
8
and
state
children’s
health
insurance
programs
as
developed
by
9
the
centers
for
Medicare
and
Medicaid
services
of
the
United
10
States
department
of
health
and
human
services
to
comply
with
11
the
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
12
No.
107-300.
13
9.
It
is
the
intent
of
the
general
assembly
that
the
14
department
continue
to
implement
the
recommendations
of
15
the
assuring
better
child
health
and
development
initiative
16
II
(ABCDII)
clinical
panel
to
the
Iowa
early
and
periodic
17
screening,
diagnostic,
and
treatment
services
healthy
mental
18
development
collaborative
board
regarding
changes
to
billing
19
procedures,
codes,
and
eligible
service
providers.
20
10.
Of
the
funds
appropriated
in
this
section,
a
sufficient
21
amount
is
allocated
to
supplement
the
incomes
of
residents
of
22
nursing
facilities,
intermediate
care
facilities
for
persons
23
with
mental
illness,
and
intermediate
care
facilities
for
24
persons
with
mental
retardation,
with
incomes
of
less
than
$50
25
in
the
amount
necessary
for
the
residents
to
receive
a
personal
26
needs
allowance
of
$50
per
month
pursuant
to
section
249A.30A.
27
11.
Of
the
funds
appropriated
in
this
section,
the
following
28
amounts
shall
be
transferred
to
appropriations
made
in
this
29
division
of
this
Act
to
the
state
mental
health
institutes:
30
a.
Cherokee
mental
health
institute
..........
$
9,098,425
31
b.
Clarinda
mental
health
institute
..........
$
1,977,305
32
c.
Independence
mental
health
institute
......
$
9,045,894
33
d.
Mount
Pleasant
mental
health
institute
....
$
5,752,587
34
12.
a.
Of
the
funds
appropriated
in
this
section,
35
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_____
H.F.
_____
$7,108,069
is
allocated
for
state
match
for
disproportionate
1
share
hospital
payment
of
$19,133,430
to
hospitals
that
meet
2
both
of
the
following
conditions:
3
(1)
The
hospital
qualifies
for
disproportionate
share
and
4
graduate
medical
education
payments.
5
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
6
than
500
beds
and
eight
or
more
distinct
residency
specialty
7
or
subspecialty
programs
recognized
by
the
American
college
of
8
graduate
medical
education.
9
b.
Distribution
of
the
disproportionate
share
payment
10
shall
be
made
on
a
monthly
basis.
The
total
amount
of
11
disproportionate
share
payments
including
graduate
medical
12
education,
enhanced
disproportionate
share,
and
Iowa
13
state-owned
teaching
hospital
payments
shall
not
exceed
the
14
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
15
In
addition,
the
total
amount
of
all
disproportionate
16
share
payments
shall
not
exceed
the
hospital-specific
17
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
18
13.
Of
the
funds
appropriated
in
this
section,
up
to
19
$4,601,848
may
be
transferred
to
the
IowaCare
account
created
20
in
section
249J.24.
21
14.
Of
the
funds
appropriated
in
this
section,
$200,000
22
shall
be
used
for
the
Iowa
chronic
care
consortium
pursuant
to
23
2003
Iowa
Acts,
chapter
112,
section
12,
as
amended
by
2003
24
Iowa
Acts,
chapter
179,
sections
166
and
167.
25
15.
One
hundred
percent
of
the
nonfederal
share
of
payments
26
to
area
education
agencies
that
are
medical
assistance
27
providers
for
medical
assistance-covered
services
provided
to
28
medical
assistance-covered
children,
shall
be
made
from
the
29
appropriation
made
in
this
section.
30
16.
Any
new
or
renewed
contract
entered
into
by
the
31
department
with
a
third
party
to
administer
behavioral
health
32
services
under
the
medical
assistance
program
shall
provide
33
that
any
interest
earned
on
payments
from
the
state
during
34
the
state
fiscal
year
shall
be
remitted
to
the
department
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H.F.
_____
and
treated
as
recoveries
to
offset
the
costs
of
the
medical
1
assistance
program.
2
17.
The
department
shall
continue
to
implement
the
3
provisions
in
2007
Iowa
Acts,
chapter
218,
section
124
and
4
section
126,
as
amended
by
2008
Iowa
Acts,
chapter
1188,
5
section
55,
relating
to
eligibility
for
certain
persons
with
6
disabilities
under
the
medical
assistance
program
in
accordance
7
with
the
federal
Family
Opportunity
Act.
8
18.
A
portion
of
the
funds
appropriated
in
this
section
9
may
be
transferred
to
the
appropriation
in
this
division
of
10
this
Act
for
medical
contracts
to
be
used
for
administrative
11
activities
associated
with
the
money
follows
the
person
12
demonstration
project.
13
Sec.
10.
HEALTH
INSURANCE
PREMIUM
PAYMENT
PROGRAM.
There
14
is
appropriated
from
the
general
fund
of
the
state
to
the
15
department
of
human
services
for
the
fiscal
year
beginning
July
16
1,
2010,
and
ending
June
30,
2011,
the
following
amount,
or
17
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
18
designated:
19
For
administration
of
the
health
insurance
premium
payment
20
program,
including
salaries,
support,
maintenance,
and
21
miscellaneous
purposes:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
457,210
23
Sec.
11.
MEDICAL
CONTRACTS.
There
is
appropriated
from
the
24
general
fund
of
the
state
to
the
department
of
human
services
25
for
the
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
26
2011,
the
following
amount,
or
so
much
thereof
as
is
necessary,
27
to
be
used
for
the
purpose
designated:
28
For
medical
contracts,
including
salaries,
support,
29
maintenance,
and
miscellaneous
purposes:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,413,090
31
Sec.
12.
STATE
SUPPLEMENTARY
ASSISTANCE.
32
1.
There
is
appropriated
from
the
general
fund
of
the
33
state
to
the
department
of
human
services
for
the
fiscal
year
34
beginning
July
1,
2010,
and
ending
June
30,
2011,
the
following
35
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S.F.
_____
H.F.
_____
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
1
purpose
designated:
2
For
the
state
supplementary
assistance
program:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
18,259,235
4
2.
The
department
shall
increase
the
personal
needs
5
allowance
for
residents
of
residential
care
facilities
by
the
6
same
percentage
and
at
the
same
time
as
federal
supplemental
7
security
income
and
federal
social
security
benefits
are
8
increased
due
to
a
recognized
increase
in
the
cost
of
living.
9
The
department
may
adopt
emergency
rules
to
implement
this
10
subsection.
11
3.
If
during
the
fiscal
year
beginning
July
1,
2010,
12
the
department
projects
that
state
supplementary
assistance
13
expenditures
for
a
calendar
year
will
not
meet
the
federal
14
pass-through
requirement
specified
in
Title
XVI
of
the
15
federal
Social
Security
Act,
section
1618,
as
codified
in
42
16
U.S.C.
§
1382g,
the
department
may
take
actions
including
but
17
not
limited
to
increasing
the
personal
needs
allowance
for
18
residential
care
facility
residents
and
making
programmatic
19
adjustments
or
upward
adjustments
of
the
residential
care
20
facility
or
in-home
health-related
care
reimbursement
rates
21
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
22
requirements
are
met.
In
addition,
the
department
may
make
23
other
programmatic
and
rate
adjustments
necessary
to
remain
24
within
the
amount
appropriated
in
this
section
while
ensuring
25
compliance
with
federal
requirements.
The
department
may
adopt
26
emergency
rules
to
implement
the
provisions
of
this
subsection.
27
Sec.
13.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
28
1.
There
is
appropriated
from
the
general
fund
of
the
29
state
to
the
department
of
human
services
for
the
fiscal
year
30
beginning
July
1,
2010,
and
ending
June
30,
2011,
the
following
31
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
32
purpose
designated:
33
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
34
program
pursuant
to
chapter
514I
for
receipt
of
federal
35
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_____
H.F.
_____
financial
participation
under
Title
XXI
of
the
federal
Social
1
Security
Act,
which
creates
the
children’s
health
insurance
2
program:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
23,637,040
4
2.
Of
the
funds
appropriated
in
this
section,
$128,950
is
5
allocated
for
continuation
of
the
contract
for
advertising
and
6
outreach
with
the
department
of
public
health
and
$90,050
is
7
allocated
for
other
advertising
and
outreach.
8
Sec.
14.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
9
from
the
general
fund
of
the
state
to
the
department
of
human
10
services
for
the
fiscal
year
beginning
July
1,
2010,
and
ending
11
June
30,
2011,
the
following
amount,
or
so
much
thereof
as
is
12
necessary,
to
be
used
for
the
purpose
designated:
13
For
child
care
programs:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,768,964
15
1.
Of
the
funds
appropriated
in
this
section,
$30,956,537
16
shall
be
used
for
state
child
care
assistance
in
accordance
17
with
section
237A.13.
It
is
the
intent
of
the
general
assembly
18
to
appropriate
sufficient
funding
for
the
state
child
care
19
assistance
program
for
the
fiscal
year
beginning
July
1,
2010,
20
in
order
to
avoid
establishment
of
waiting
list
requirements
21
by
the
department
in
the
preceding
fiscal
year
in
anticipation
22
that
enhanced
funding
under
the
federal
American
Recovery
and
23
Reinvestment
Act
of
2009
will
not
be
replaced
for
the
fiscal
24
year
beginning
July
1,
2010.
25
2.
Nothing
in
this
section
shall
be
construed
or
is
26
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
27
to
persons
who
are
eligible
for
assistance
due
to
an
income
28
level
consistent
with
the
waiting
list
requirements
of
section
29
237A.13.
Any
state
obligation
to
provide
services
pursuant
to
30
this
section
is
limited
to
the
extent
of
the
funds
appropriated
31
in
this
section.
32
3.
Of
the
funds
appropriated
in
this
section,
$432,453
is
33
allocated
for
the
statewide
program
for
child
care
resource
34
and
referral
services
under
section
237A.26.
A
list
of
the
35
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H.F.
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registered
and
licensed
child
care
facilities
operating
in
the
1
area
served
by
a
child
care
resource
and
referral
service
shall
2
be
made
available
to
the
families
receiving
state
child
care
3
assistance
in
that
area.
4
4.
Of
the
funds
appropriated
in
this
section,
$936,974
5
is
allocated
for
child
care
quality
improvement
initiatives
6
including
but
not
limited
to
the
voluntary
quality
rating
7
system
in
accordance
with
section
237A.30.
8
5.
The
department
may
use
any
of
the
funds
appropriated
9
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
10
expanding
child
care
assistance
and
related
programs.
For
11
the
purpose
of
expenditures
of
state
and
federal
child
care
12
funding,
funds
shall
be
considered
obligated
at
the
time
13
expenditures
are
projected
or
are
allocated
to
the
department’s
14
service
areas.
Projections
shall
be
based
on
current
and
15
projected
caseload
growth,
current
and
projected
provider
16
rates,
staffing
requirements
for
eligibility
determination
17
and
management
of
program
requirements
including
data
systems
18
management,
staffing
requirements
for
administration
of
the
19
program,
contractual
and
grant
obligations
and
any
transfers
20
to
other
state
agencies,
and
obligations
for
decategorization
21
or
innovation
projects.
22
6.
A
portion
of
the
state
match
for
the
federal
child
care
23
and
development
block
grant
shall
be
provided
as
necessary
to
24
meet
federal
matching
funds
requirements
through
the
state
25
general
fund
appropriation
made
for
child
development
grants
26
and
other
programs
for
at-risk
children
in
section
279.51.
27
7.
Of
the
funds
appropriated
in
this
section,
$350,000
shall
28
be
allocated
to
a
county
with
a
population
of
more
than
300,000
29
to
be
used
for
continuation
of
a
grant
to
support
child
care
30
center
services
provided
to
children
with
mental,
physical,
or
31
emotional
challenges
in
order
for
the
children
to
remain
in
a
32
home
or
family
setting.
33
8.
Of
the
amount
allocated
in
subsection
1,
$93,000
shall
34
be
used
for
the
public
purpose
of
providing
a
grant
to
a
35
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S.F.
_____
H.F.
_____
neighborhood
affordable
housing
and
services
organization
1
established
in
a
county
with
a
population
of
more
than
350,000,
2
that
provides
at
least
300
apartment
units
to
house
more
3
than
1,000
residents,
of
which
more
than
80
percent
belong
4
to
a
minority
population
and
at
least
95
percent
are
headed
5
by
a
single
parent
and
have
an
income
below
federal
poverty
6
guidelines,
to
be
used
for
child
development
programming
for
7
children
residing
in
the
housing.
8
9.
Notwithstanding
section
8.33,
moneys
appropriated
in
9
this
section
or
received
from
the
federal
appropriations
made
10
for
the
purposes
of
this
section
that
remain
unencumbered
or
11
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
12
to
any
fund
but
shall
remain
available
for
expenditure
for
the
13
purposes
designated
until
the
close
of
the
succeeding
fiscal
14
year.
15
Sec.
15.
JUVENILE
INSTITUTIONS.
There
is
appropriated
16
from
the
general
fund
of
the
state
to
the
department
of
human
17
services
for
the
fiscal
year
beginning
July
1,
2010,
and
ending
18
June
30,
2011,
the
following
amounts,
or
so
much
thereof
as
is
19
necessary,
to
be
used
for
the
purposes
designated:
20
1.
For
operation
of
the
Iowa
juvenile
home
at
Toledo,
21
including
salaries,
support,
maintenance,
and
miscellaneous
22
purposes:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,189,283
24
2.
For
operation
of
the
state
training
school
at
Eldora,
25
including
salaries,
support,
maintenance,
and
miscellaneous
26
purposes:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,536,008
28
3.
A
portion
of
the
moneys
appropriated
in
this
section
29
shall
be
used
by
the
state
training
school
and
by
the
Iowa
30
juvenile
home
for
grants
for
adolescent
pregnancy
prevention
31
activities
at
the
institutions
in
the
fiscal
year
beginning
32
July
1,
2010.
33
Sec.
16.
CHILD
AND
FAMILY
SERVICES.
34
1.
There
is
appropriated
from
the
general
fund
of
the
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_____
H.F.
_____
state
to
the
department
of
human
services
for
the
fiscal
year
1
beginning
July
1,
2010,
and
ending
June
30,
2011,
the
following
2
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
3
purpose
designated:
4
For
child
and
family
services:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
80,425,523
6
2.
In
order
to
address
a
reduction
of
$5,200,000
from
the
7
amount
allocated
under
the
appropriation
made
for
the
purposes
8
of
this
section
in
prior
years
for
purposes
of
juvenile
9
delinquent
graduated
sanction
services,
up
to
$5,200,000
of
the
10
amount
of
federal
temporary
assistance
for
needy
families
block
11
grant
funding
appropriated
in
this
division
of
this
Act
for
12
child
and
family
services
shall
be
made
available
for
purposes
13
of
juvenile
delinquent
graduated
sanction
services.
14
3.
The
department
may
transfer
funds
appropriated
in
this
15
section
as
necessary
to
pay
the
nonfederal
costs
of
services
16
reimbursed
under
the
medical
assistance
program,
state
child
17
care
assistance
program,
or
the
family
investment
program
which
18
are
provided
to
children
who
would
otherwise
receive
services
19
paid
under
the
appropriation
in
this
section.
The
department
20
may
transfer
funds
appropriated
in
this
section
to
the
21
appropriations
made
in
this
division
of
this
Act
for
general
22
administration
and
for
field
operations
for
resources
necessary
23
to
implement
and
operate
the
services
funded
in
this
section.
24
4.
a.
Of
the
funds
appropriated
in
this
section,
up
to
25
$29,204,611
is
allocated
as
the
statewide
expenditure
target
26
under
section
232.143
for
group
foster
care
maintenance
and
27
services.
If
the
department
projects
that
such
expenditures
28
for
the
fiscal
year
will
be
less
than
the
target
amount
29
allocated
in
this
lettered
paragraph,
the
department
may
30
reallocate
the
excess
to
provide
additional
funding
for
shelter
31
care
or
the
child
welfare
emergency
services
addressed
with
the
32
allocation
for
shelter
care.
33
b.
If
at
any
time
after
September
30,
2010,
annualization
34
of
a
service
area’s
current
expenditures
indicates
a
service
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area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
1
target
under
section
232.143
by
more
than
5
percent,
the
2
department
and
juvenile
court
services
shall
examine
all
3
group
foster
care
placements
in
that
service
area
in
order
to
4
identify
those
which
might
be
appropriate
for
termination.
5
In
addition,
any
aftercare
services
believed
to
be
needed
6
for
the
children
whose
placements
may
be
terminated
shall
be
7
identified.
The
department
and
juvenile
court
services
shall
8
initiate
action
to
set
dispositional
review
hearings
for
the
9
placements
identified.
In
such
a
dispositional
review
hearing,
10
the
juvenile
court
shall
determine
whether
needed
aftercare
11
services
are
available
and
whether
termination
of
the
placement
12
is
in
the
best
interest
of
the
child
and
the
community.
13
5.
In
accordance
with
the
provisions
of
section
232.188,
14
the
department
shall
continue
the
child
welfare
and
juvenile
15
justice
funding
initiative
during
fiscal
year
2010-2011.
Of
16
the
funds
appropriated
in
this
section,
$1,717,753
is
allocated
17
specifically
for
expenditure
for
fiscal
year
2010-2011
through
18
the
decategorization
service
funding
pools
and
governance
19
boards
established
pursuant
to
section
232.188.
20
6.
A
portion
of
the
funds
appropriated
in
this
section
21
may
be
used
for
emergency
family
assistance
to
provide
other
22
resources
required
for
a
family
participating
in
a
family
23
preservation
or
reunification
project
or
successor
project
to
24
stay
together
or
to
be
reunified.
25
7.
Notwithstanding
section
234.35
or
any
other
provision
of
26
law
to
the
contrary,
state
funding
for
shelter
care
shall
be
27
limited
to
$8,394,147.
The
department
may
continue
or
amend
28
shelter
care
provider
contracts
to
include
the
child
welfare
29
emergency
services
for
children
who
might
otherwise
be
served
30
in
shelter
care
that
were
implemented
pursuant
to
2008
Iowa
31
Acts,
chapter
1187,
section
16,
subsection
7.
32
8.
Except
for
federal
funds
provided
by
the
federal
American
33
Recovery
and
Reinvestment
Act
of
2009,
federal
funds
received
34
by
the
state
during
the
fiscal
year
beginning
July
1,
2010,
35
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_____
H.F.
_____
as
the
result
of
the
expenditure
of
state
funds
appropriated
1
during
a
previous
state
fiscal
year
for
a
service
or
activity
2
funded
under
this
section
are
appropriated
to
the
department
3
to
be
used
as
additional
funding
for
services
and
purposes
4
provided
for
under
this
section.
Notwithstanding
section
8.33,
5
moneys
received
in
accordance
with
this
subsection
that
remain
6
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year
7
shall
not
revert
to
any
fund
but
shall
remain
available
for
the
8
purposes
designated
until
the
close
of
the
succeeding
fiscal
9
year.
10
9.
Of
the
funds
appropriated
in
this
section,
at
least
11
$3,696,285
shall
be
used
for
protective
child
care
assistance.
12
10.
a.
Of
the
funds
appropriated
in
this
section,
up
to
13
$2,062,488
is
allocated
for
the
payment
of
the
expenses
of
14
court-ordered
services
provided
to
juveniles
who
are
under
the
15
supervision
of
juvenile
court
services,
which
expenses
are
a
16
charge
upon
the
state
pursuant
to
section
232.141,
subsection
17
4.
Of
the
amount
allocated
in
this
lettered
paragraph,
up
to
18
$1,556,287
shall
be
made
available
to
provide
school-based
19
supervision
of
children
adjudicated
under
chapter
232,
of
which
20
not
more
than
$15,000
may
be
used
for
the
purpose
of
training.
21
A
portion
of
the
cost
of
each
school-based
liaison
officer
22
shall
be
paid
by
the
school
district
or
other
funding
source
as
23
approved
by
the
chief
juvenile
court
officer.
24
b.
Of
the
funds
appropriated
in
this
section,
up
to
$748,985
25
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
26
services
provided
to
children
who
are
under
the
supervision
27
of
the
department,
which
expenses
are
a
charge
upon
the
state
28
pursuant
to
section
232.141,
subsection
4.
29
c.
Notwithstanding
section
232.141
or
any
other
provision
30
of
law
to
the
contrary,
the
amounts
allocated
in
this
31
subsection
shall
be
distributed
to
the
judicial
districts
32
as
determined
by
the
state
court
administrator
and
to
the
33
department’s
service
areas
as
determined
by
the
administrator
34
of
the
department’s
division
of
child
and
family
services.
The
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_____
H.F.
_____
state
court
administrator
and
the
division
administrator
shall
1
make
the
determination
of
the
distribution
amounts
on
or
before
2
June
15,
2010.
3
d.
Notwithstanding
chapter
232
or
any
other
provision
of
4
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
5
order
any
service
which
is
a
charge
upon
the
state
pursuant
6
to
section
232.141
if
there
are
insufficient
court-ordered
7
services
funds
available
in
the
district
court
or
departmental
8
service
area
distribution
amounts
to
pay
for
the
service.
The
9
chief
juvenile
court
officer
and
the
departmental
service
area
10
manager
shall
encourage
use
of
the
funds
allocated
in
this
11
subsection
such
that
there
are
sufficient
funds
to
pay
for
12
all
court-related
services
during
the
entire
year.
The
chief
13
juvenile
court
officers
and
departmental
service
area
managers
14
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
15
in
the
distribution
amounts
and
shall
cooperatively
request
the
16
state
court
administrator
or
division
administrator
to
transfer
17
funds
between
the
judicial
districts’
or
departmental
service
18
areas’
distribution
amounts
as
prudent.
19
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
20
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
21
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
22
entered
under
chapter
232
which
is
a
charge
upon
the
state
23
under
section
232.141,
subsection
4.
24
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
25
$100,000
may
be
used
by
the
judicial
branch
for
administration
26
of
the
requirements
under
this
subsection.
27
11.
Of
the
funds
appropriated
in
this
section,
$988,285
28
shall
be
transferred
to
the
department
of
public
health
to
29
be
used
for
the
child
protection
center
grant
program
in
30
accordance
with
section
135.118.
31
12.
If
the
department
receives
federal
approval
to
32
implement
a
waiver
under
Title
IV-E
of
the
federal
Social
33
Security
Act
to
enable
providers
to
serve
children
who
remain
34
in
the
children’s
families
and
communities,
for
purposes
of
35
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_____
H.F.
_____
eligibility
under
the
medical
assistance
program,
children
who
1
participate
in
the
waiver
shall
be
considered
to
be
placed
in
2
foster
care.
3
13.
Of
the
funds
appropriated
in
this
section,
$2,875,281
is
4
allocated
for
the
preparation
for
adult
living
program
pursuant
5
to
section
234.46.
6
14.
Of
the
funds
appropriated
in
this
section,
$520,150
7
shall
be
used
for
juvenile
drug
courts.
The
amount
allocated
8
in
this
subsection
shall
be
distributed
as
follows:
9
To
the
judicial
branch
for
salaries
to
assist
with
the
10
operation
of
juvenile
drug
court
programs
operated
in
the
11
following
jurisdictions:
12
a.
Marshall
county:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,708
14
b.
Woodbury
county:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,682
16
c.
Polk
county:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
195,892
18
d.
The
third
judicial
district:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
67,934
20
e.
The
eighth
judicial
district:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
67,934
22
15.
Of
the
funds
appropriated
in
this
section,
$227,306
23
shall
be
used
for
the
public
purpose
of
providing
a
grant
to
24
a
nonprofit
human
services
organization
providing
services
to
25
individuals
and
families
in
multiple
locations
in
southwest
26
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
27
sensitive
support
and
forensic
interviews,
medical
exams,
needs
28
assessments,
and
referrals
for
victims
of
child
abuse
and
their
29
nonoffending
family
members.
30
16.
Of
the
funds
appropriated
in
this
section,
$125,590
31
is
allocated
for
the
elevate
approach
of
providing
a
support
32
network
to
children
placed
in
foster
care.
33
17.
Of
the
funds
appropriated
in
this
section,
$202,000
is
34
allocated
for
use
pursuant
to
section
235A.1
for
continuation
35
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_____
H.F.
_____
of
the
initiative
to
address
child
sexual
abuse
implemented
1
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
2
21.
3
18.
Of
the
funds
appropriated
in
this
section,
$630,240
is
4
allocated
for
the
community
partnership
for
child
protection
5
sites.
6
19.
Of
the
funds
appropriated
in
this
section,
$371,250
7
is
allocated
for
the
department’s
minority
youth
and
family
8
projects
under
the
redesign
of
the
child
welfare
system.
9
20.
Of
the
funds
appropriated
in
this
section,
$300,000
10
is
allocated
for
funding
of
the
state
match
for
the
federal
11
substance
abuse
and
mental
health
services
administration
12
(SAMHSA)
system
of
care
grant.
13
21.
Of
the
funds
appropriated
in
this
section,
$80,000
shall
14
be
transferred
to
the
appropriation
made
in
this
division
of
15
this
Act
for
the
family
support
subsidy
program
to
supplement
16
that
appropriation.
17
Sec.
17.
ADOPTION
SUBSIDY.
18
1.
There
is
appropriated
from
the
general
fund
of
the
19
state
to
the
department
of
human
services
for
the
fiscal
year
20
beginning
July
1,
2010,
and
ending
June
30,
2011,
the
following
21
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
22
purpose
designated:
23
For
adoption
subsidy
payments
and
services:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
34,202,696
25
2.
The
department
may
transfer
funds
appropriated
in
this
26
section
to
the
appropriation
made
in
this
Act
for
general
27
administration
for
costs
paid
from
the
appropriation
relating
28
to
adoption
subsidy.
29
3.
Except
for
federal
funds
provided
by
the
federal
American
30
Recovery
and
Reinvestment
Act
of
2009,
federal
funds
received
31
by
the
state
during
the
fiscal
year
beginning
July
1,
2010,
as
32
the
result
of
the
expenditure
of
state
funds
during
a
previous
33
state
fiscal
year
for
a
service
or
activity
funded
under
this
34
section
are
appropriated
to
the
department
to
be
used
as
35
-30-
LSB
5100XG
(32)
83
pf/jp
30/
67
S.F.
_____
H.F.
_____
additional
funding
for
the
services
and
activities
funded
under
1
this
section.
Notwithstanding
section
8.33,
moneys
received
2
in
accordance
with
this
subsection
that
remain
unencumbered
or
3
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
4
to
any
fund
but
shall
remain
available
for
expenditure
for
the
5
purposes
designated
until
the
close
of
the
succeeding
fiscal
6
year.
7
Sec.
18.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
8
in
the
juvenile
detention
home
fund
created
in
section
232.142
9
during
the
fiscal
year
beginning
July
1,
2010,
and
ending
June
10
30,
2011,
are
appropriated
to
the
department
of
human
services
11
for
the
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
12
2011,
for
distribution
as
follows:
13
1.
For
funding
core
department
of
human
services’
juvenile
14
delinquent
graduated
sanction
services:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
16
2.
The
remainder,
for
distribution
to
county
or
multicounty
17
juvenile
detention
homes
in
an
amount
equal
to
a
percentage
of
18
the
costs
of
the
establishment,
improvement,
operation,
and
19
maintenance
of
county
or
multicounty
juvenile
detention
homes
20
in
the
fiscal
year
beginning
July
1,
2009.
Moneys
designated
21
for
distribution
in
accordance
with
this
subsection
shall
be
22
allocated
among
eligible
detention
homes,
prorated
on
the
basis
23
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
24
eligible
detention
homes
in
the
fiscal
year
beginning
July
25
1,
2009.
The
percentage
figure
shall
be
determined
by
the
26
department
based
on
the
amount
available
for
distribution
for
27
the
fund.
Notwithstanding
section
232.142,
subsection
3,
the
28
financial
aid
payable
by
the
state
under
that
provision
for
the
29
fiscal
year
beginning
July
1,
2010,
shall
be
limited
to
the
30
amount
distributed
for
the
purposes
of
this
subsection.
31
Sec.
19.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
32
1.
There
is
appropriated
from
the
general
fund
of
the
33
state
to
the
department
of
human
services
for
the
fiscal
year
34
beginning
July
1,
2010,
and
ending
June
30,
2011,
the
following
35
-31-
LSB
5100XG
(32)
83
pf/jp
31/
67
S.F.
_____
H.F.
_____
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
1
purpose
designated:
2
For
the
family
support
subsidy
program:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,522,998
4
2.
The
department
shall
use
at
least
$342,215
of
the
moneys
5
appropriated
in
this
section
for
the
family
support
center
6
component
of
the
comprehensive
family
support
program
under
7
section
225C.47.
Not
more
than
$25,000
of
the
amount
allocated
8
in
this
subsection
shall
be
used
for
administrative
costs.
9
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
10
funding
available
for
the
family
support
subsidy
program
11
is
reduced
from
the
amount
initially
used
to
establish
the
12
figure
for
the
number
of
family
members
for
whom
a
subsidy
13
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
14
notwithstanding
section
225C.38,
subsection
2,
the
department
15
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
16
of
funding
available.
17
Sec.
20.
CONNER
DECREE.
There
is
appropriated
from
the
18
general
fund
of
the
state
to
the
department
of
human
services
19
for
the
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
20
2011,
the
following
amount,
or
so
much
thereof
as
is
necessary,
21
to
be
used
for
the
purpose
designated:
22
For
building
community
capacity
through
the
coordination
23
and
provision
of
training
opportunities
in
accordance
with
the
24
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
25
Iowa,
July
14,
1994):
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,622
27
Sec.
21.
MENTAL
HEALTH
INSTITUTES.
There
is
appropriated
28
from
the
general
fund
of
the
state
to
the
department
of
human
29
services
for
the
fiscal
year
beginning
July
1,
2010,
and
ending
30
June
30,
2011,
the
following
amounts,
or
so
much
thereof
as
is
31
necessary,
to
be
used
for
the
purposes
designated:
32
1.
For
the
state
mental
health
institute
at
Cherokee
for
33
salaries,
support,
maintenance,
and
miscellaneous
purposes:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,892,468
35
-32-
LSB
5100XG
(32)
83
pf/jp
32/
67
S.F.
_____
H.F.
_____
2.
For
the
state
mental
health
institute
at
Clarinda
for
1
salaries,
support,
maintenance,
and
miscellaneous
purposes:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,604,601
3
3.
For
the
state
mental
health
institute
at
Independence
for
4
salaries,
support,
maintenance,
and
miscellaneous
purposes:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,553,210
6
4.
For
the
state
mental
health
institute
at
Mount
Pleasant
7
for
salaries,
support,
maintenance,
and
miscellaneous
purposes:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,614,663
9
Sec.
22.
STATE
RESOURCE
CENTERS.
10
1.
There
is
appropriated
from
the
general
fund
of
the
11
state
to
the
department
of
human
services
for
the
fiscal
year
12
beginning
July
1,
2010,
and
ending
June
30,
2011,
the
following
13
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
14
purposes
designated:
15
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
16
support,
maintenance,
and
miscellaneous
purposes:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
15,489,063
18
b.
For
the
state
resource
center
at
Woodward
for
salaries,
19
support,
maintenance,
and
miscellaneous
purposes:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
9,703,456
21
2.
The
department
may
continue
to
bill
for
state
resource
22
center
services
utilizing
a
scope
of
services
approach
used
for
23
private
providers
of
ICFMR
services,
in
a
manner
which
does
not
24
shift
costs
between
the
medical
assistance
program,
counties,
25
or
other
sources
of
funding
for
the
state
resource
centers.
26
3.
The
state
resource
centers
may
expand
the
time-limited
27
assessment
and
respite
services
during
the
fiscal
year.
28
4.
If
the
department’s
administration
and
the
department
29
of
management
concur
with
a
finding
by
a
state
resource
30
center’s
superintendent
that
projected
revenues
can
reasonably
31
be
expected
to
pay
the
salary
and
support
costs
for
a
new
32
employee
position,
or
that
such
costs
for
adding
a
particular
33
number
of
new
positions
for
the
fiscal
year
would
be
less
34
than
the
overtime
costs
if
new
positions
would
not
be
added,
35
-33-
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5100XG
(32)
83
pf/jp
33/
67
S.F.
_____
H.F.
_____
the
superintendent
may
add
the
new
position
or
positions.
If
1
the
vacant
positions
available
to
a
resource
center
do
not
2
include
the
position
classification
desired
to
be
filled,
the
3
state
resource
center’s
superintendent
may
reclassify
any
4
vacant
position
as
necessary
to
fill
the
desired
position.
The
5
superintendents
of
the
state
resource
centers
may,
by
mutual
6
agreement,
pool
vacant
positions
and
position
classifications
7
during
the
course
of
the
fiscal
year
in
order
to
assist
one
8
another
in
filling
necessary
positions.
9
5.
If
existing
capacity
limitations
are
reached
in
10
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
11
a
special
need
for
which
a
payment
source
or
other
funding
12
is
available
for
the
service
or
to
address
the
special
need,
13
and
facilities
for
the
service
or
to
address
the
special
need
14
can
be
provided
within
the
available
payment
source
or
other
15
funding,
the
superintendent
of
a
state
resource
center
may
16
authorize
opening
not
more
than
two
units
or
other
facilities
17
and
begin
implementing
the
service
or
addressing
the
special
18
need
during
fiscal
year
2010-2011.
19
Sec.
23.
MI/MR/DD
STATE
CASES.
20
1.
There
is
appropriated
from
the
general
fund
of
the
21
state
to
the
department
of
human
services
for
the
fiscal
year
22
beginning
July
1,
2010,
and
ending
June
30,
2011,
the
following
23
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
24
purpose
designated:
25
For
distribution
to
counties
for
state
case
services
26
for
persons
with
mental
illness,
mental
retardation,
and
27
developmental
disabilities
in
accordance
with
section
331.440:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,295,207
29
2.
For
the
fiscal
year
beginning
July
1,
2010,
and
ending
30
June
30,
2011,
$200,000
is
allocated
for
state
case
services
31
from
the
amounts
appropriated
from
the
fund
created
in
section
32
8.41
to
the
department
of
human
services
from
moneys
received
33
from
the
federal
government
under
42
U.S.C.
ch.
6A,
subch.
34
XVII,
part
B,
subpart.
i,
relating
to
the
community
mental
35
-34-
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5100XG
(32)
83
pf/jp
34/
67
S.F.
_____
H.F.
_____
health
center
block
grant,
for
the
federal
fiscal
years
1
beginning
October
1,
2009,
and
ending
September
30,
2010,
2
beginning
October
1,
2010,
and
ending
September
30,
2011,
and
3
beginning
October
1,
2011,
and
ending
September
30,
2012.
The
4
allocation
made
in
this
subsection
shall
be
made
prior
to
any
5
other
allocation
of
the
appropriated
federal
funds.
6
3.
For
the
fiscal
year
beginning
July
1,
2010,
to
the
7
extent
the
appropriation
made
in
this
section
and
other
funding
8
provided
for
state
case
services
and
other
support,
as
defined
9
in
section
331.440,
and
the
other
funding
available
in
the
10
county’s
services
fund
under
section
331.424A
are
insufficient
11
to
pay
the
costs
of
such
services
and
other
support,
a
county
12
of
residence
may
implement
a
waiting
list
or
other
measures
to
13
maintain
expenditures
within
the
available
funding.
14
4.
Notwithstanding
section
8.33,
moneys
appropriated
in
15
this
section
that
remain
unencumbered
or
unobligated
at
the
16
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
17
available
for
expenditure
for
the
purposes
designated
until
the
18
close
of
the
succeeding
fiscal
year.
19
Sec.
24.
MENTAL
HEALTH
AND
DEVELOPMENTAL
DISABILITIES
20
——
COMMUNITY
SERVICES
FUND.
There
is
appropriated
from
21
the
general
fund
of
the
state
to
the
mental
health
and
22
developmental
disabilities
community
services
fund
created
in
23
section
225C.7
for
the
fiscal
year
beginning
July
1,
2010,
and
24
ending
June
30,
2011,
the
following
amount,
or
so
much
thereof
25
as
is
necessary,
to
be
used
for
the
purpose
designated:
26
For
mental
health
and
developmental
disabilities
community
27
services
in
accordance
with
this
division
of
this
Act:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,211,100
29
1.
Of
the
funds
appropriated
in
this
section,
$14,187,556
30
shall
be
allocated
to
counties
for
funding
of
community-based
31
mental
health
and
developmental
disabilities
services.
The
32
moneys
shall
be
allocated
to
a
county
as
follows:
33
a.
Fifty
percent
based
upon
the
county’s
proportion
of
the
34
state’s
population
of
persons
with
an
annual
income
which
is
35
-35-
LSB
5100XG
(32)
83
pf/jp
35/
67
S.F.
_____
H.F.
_____
equal
to
or
less
than
the
poverty
guideline
established
by
the
1
federal
office
of
management
and
budget.
2
b.
Fifty
percent
based
upon
the
county’s
proportion
of
the
3
state’s
general
population.
4
2.
a.
A
county
shall
utilize
the
funding
the
county
5
receives
pursuant
to
subsection
1
for
services
provided
to
6
persons
with
a
disability,
as
defined
in
section
225C.2.
7
However,
no
more
than
50
percent
of
the
funding
shall
be
used
8
for
services
provided
to
any
one
of
the
service
populations.
9
b.
A
county
shall
use
at
least
50
percent
of
the
funding
the
10
county
receives
under
subsection
1
for
contemporary
services
11
provided
to
persons
with
a
disability,
as
described
in
rules
12
adopted
by
the
department.
13
3.
Of
the
funds
appropriated
in
this
section,
$23,544
14
shall
be
used
to
support
the
Iowa
compass
program
providing
15
computerized
information
and
referral
services
for
Iowans
with
16
disabilities
and
their
families.
17
4.
a.
Funding
appropriated
for
purposes
of
the
federal
18
social
services
block
grant
is
allocated
for
distribution
19
to
counties
for
local
purchase
of
services
for
persons
with
20
mental
illness
or
mental
retardation
or
other
developmental
21
disability.
22
b.
The
funds
allocated
in
this
subsection
shall
be
expended
23
by
counties
in
accordance
with
the
county’s
county
management
24
plan
approved
by
the
board
of
supervisors.
A
county
without
25
an
approved
county
management
plan
shall
not
receive
allocated
26
funds
until
the
county’s
management
plan
is
approved.
27
c.
The
funds
provided
by
this
subsection
shall
be
allocated
28
to
each
county
as
follows:
29
(1)
Fifty
percent
based
upon
the
county’s
proportion
of
the
30
state’s
population
of
persons
with
an
annual
income
which
is
31
equal
to
or
less
than
the
poverty
guideline
established
by
the
32
federal
office
of
management
and
budget.
33
(2)
Fifty
percent
based
upon
the
amount
provided
to
the
34
county
for
local
purchase
of
services
in
the
preceding
fiscal
35
-36-
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5100XG
(32)
83
pf/jp
36/
67
S.F.
_____
H.F.
_____
year.
1
5.
A
county
is
eligible
for
funds
under
this
section
if
the
2
county
qualifies
for
a
state
payment
as
described
in
section
3
331.439.
4
6.
The
most
recent
population
estimates
issued
by
the
United
5
States
bureau
of
the
census
shall
be
applied
for
the
population
6
factors
utilized
in
this
section.
7
Sec.
25.
SEXUALLY
VIOLENT
PREDATORS.
8
1.
There
is
appropriated
from
the
general
fund
of
the
9
state
to
the
department
of
human
services
for
the
fiscal
year
10
beginning
July
1,
2010,
and
ending
June
30,
2011,
the
following
11
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
12
purpose
designated:
13
For
costs
associated
with
the
commitment
and
treatment
of
14
sexually
violent
predators
in
the
unit
located
at
the
state
15
mental
health
institute
at
Cherokee,
including
costs
of
legal
16
services
and
other
associated
costs,
including
salaries,
17
support,
maintenance,
and
miscellaneous
purposes:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,174,184
19
2.
Unless
specifically
prohibited
by
law,
if
the
amount
20
charged
provides
for
recoupment
of
at
least
the
entire
amount
21
of
direct
and
indirect
costs,
the
department
of
human
services
22
may
contract
with
other
states
to
provide
care
and
treatment
23
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
24
violent
predators
at
Cherokee.
The
moneys
received
under
25
such
a
contract
shall
be
considered
to
be
repayment
receipts
26
and
used
for
the
purposes
of
the
appropriation
made
in
this
27
section.
28
Sec.
26.
FIELD
OPERATIONS.
There
is
appropriated
from
the
29
general
fund
of
the
state
to
the
department
of
human
services
30
for
the
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
31
2011,
the
following
amount,
or
so
much
thereof
as
is
necessary,
32
to
be
used
for
the
purposes
designated:
33
For
field
operations,
including
salaries,
support,
34
maintenance,
and
miscellaneous
purposes:
35
-37-
LSB
5100XG
(32)
83
pf/jp
37/
67
S.F.
_____
H.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
56,729,548
1
Priority
in
filling
full-time
equivalent
positions
shall
be
2
given
to
those
positions
related
to
child
protection
services
3
and
eligibility
determination
for
low-income
families.
4
Sec.
27.
GENERAL
ADMINISTRATION.
There
is
appropriated
5
from
the
general
fund
of
the
state
to
the
department
of
human
6
services
for
the
fiscal
year
beginning
July
1,
2010,
and
ending
7
June
30,
2011,
the
following
amount,
or
so
much
thereof
as
is
8
necessary,
to
be
used
for
the
purpose
designated:
9
For
general
administration,
including
salaries,
support,
10
maintenance,
and
miscellaneous
purposes:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,727,271
12
1.
Of
the
funds
appropriated
in
this
section,
$43,700
is
13
allocated
for
the
prevention
of
disabilities
policy
council
14
established
in
section
225B.3.
15
2.
The
department
shall
report
at
least
monthly
to
the
16
legislative
services
agency
concerning
the
department’s
17
operational
and
program
expenditures.
18
Sec.
28.
VOLUNTEERS.
There
is
appropriated
from
the
general
19
fund
of
the
state
to
the
department
of
human
services
for
the
20
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
2011,
21
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
22
used
for
the
purpose
designated:
23
For
development
and
coordination
of
volunteer
services:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
84,660
25
Sec.
29.
PREGNANCY
COUNSELING
AND
SUPPORT
SERVICES
PROGRAM
26
——
APPROPRIATION.
There
is
appropriated
from
the
general
fund
27
of
the
state
to
the
department
of
human
services
for
the
fiscal
28
year
beginning
July
1,
2010,
and
ending
June
30,
2011,
the
29
following
amount,
or
so
much
thereof
as
is
necessary,
for
the
30
purpose
designated:
31
For
a
pregnancy
counseling
and
support
services
program
as
32
specified
in
this
section:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
71,688
34
The
department
of
human
services
shall
continue
the
35
-38-
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5100XG
(32)
83
pf/jp
38/
67
S.F.
_____
H.F.
_____
pregnancy
counseling
and
support
services
program
to
provide
1
core
services
consisting
of
information,
education,
counseling,
2
and
support
services
to
women
who
experience
unplanned
3
pregnancies
by
supporting
childbirth,
assisting
pregnant
women
4
in
remaining
healthy
and
maintaining
a
healthy
pregnancy
5
while
deciding
whether
to
keep
the
child
or
place
the
child
6
for
adoption,
and
assisting
women
after
the
birth
of
a
child
7
that
was
implemented
pursuant
to
2008
Iowa
Acts,
chapter
1187,
8
section
30.
9
Sec.
30.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
10
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
11
DEPARTMENT
OF
HUMAN
SERVICES.
12
1.
a.
(1)
For
the
fiscal
year
beginning
July
1,
2010,
13
the
total
state
funding
amount
for
the
nursing
facility
budget
14
shall
not
exceed
$152,840,140.
15
(2)
The
department,
in
cooperation
with
nursing
facility
16
representatives,
shall
review
projections
for
state
funding
17
expenditures
for
reimbursement
of
nursing
facilities
on
a
18
quarterly
basis
and
the
department
shall
determine
if
an
19
adjustment
to
the
medical
assistance
reimbursement
rate
is
20
necessary
in
order
to
provide
reimbursement
within
the
state
21
funding
amount.
Any
temporary
enhanced
federal
financial
22
participation
that
may
become
available
to
the
Iowa
medical
23
assistance
program
during
the
fiscal
year
shall
not
be
used
24
in
projecting
the
nursing
facility
budget.
Notwithstanding
25
2001
Iowa
Acts,
chapter
192,
section
4,
subsection
2,
paragraph
26
“c”,
and
subsection
3,
paragraph
“a”,
subparagraph
(2),
27
if
the
state
funding
expenditures
for
the
nursing
facility
28
budget
for
the
fiscal
year
beginning
July
1,
2010,
are
29
projected
to
exceed
the
amount
specified
in
subparagraph
(1),
30
the
department
shall
adjust
the
reimbursement
for
nursing
31
facilities
reimbursed
under
the
case-mix
reimbursement
system
32
to
maintain
expenditures
of
the
nursing
facility
budget
33
within
the
specified
amount.
The
department
shall
revise
34
such
reimbursement
as
necessary
to
adjust
the
annual
nursing
35
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(32)
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67
S.F.
_____
H.F.
_____
facility
pay-for-performance
payments
in
accordance
with
2001
1
Iowa
Acts,
chapter
192,
section
4,
subsection
4,
as
amended
2
by
2008
Iowa
Acts,
chapter
1187,
section
33,
and
as
amended
3
by
2009
Iowa
Acts,
chapter
182,
section
33,
to
implement
a
4
pay-for-performance
payment.
5
b.
For
the
fiscal
year
beginning
July
1,
2010,
the
6
department
shall
reimburse
pharmacy
dispensing
fees
using
a
7
single
rate
of
$4.34
per
prescription
or
the
pharmacy’s
usual
8
and
customary
fee,
whichever
is
lower.
9
c.
(1)
For
the
fiscal
year
beginning
July
1,
2010,
10
reimbursement
rates
for
outpatient
hospital
services
shall
11
remain
at
the
rates
in
effect
on
June
30,
2010.
12
(2)
For
the
fiscal
year
beginning
July
1,
2010,
13
reimbursement
rates
for
inpatient
hospital
services
shall
14
remain
at
the
rates
in
effect
on
June
30,
2010.
The
Iowa
15
hospital
association
shall
submit
information
to
the
general
16
assembly’s
standing
committees
on
government
oversight
during
17
the
2011
session
of
the
general
assembly
regarding
actions
18
taken
to
increase
compensation
and
other
costs
of
employment
19
for
hospital
staff
who
provide
direct
care
to
patients.
20
(3)
For
the
fiscal
year
beginning
July
1,
2010,
the
graduate
21
medical
education
and
disproportionate
share
hospital
fund
22
shall
remain
at
the
amount
in
effect
on
June
30,
2010.
23
(4)
In
order
to
ensure
the
efficient
use
of
limited
state
24
funds
in
procuring
health
care
services
for
low-income
Iowans,
25
funds
appropriated
in
this
Act
for
hospital
services
shall
26
not
be
used
for
activities
which
would
be
excluded
from
a
27
determination
of
reasonable
costs
under
the
federal
Medicare
28
program
pursuant
to
42
U.S.C.
§
1395X(v)(1)(N).
29
d.
For
the
fiscal
year
beginning
July
1,
2010,
reimbursement
30
rates
for
rural
health
clinics,
hospices,
independent
31
laboratories,
rehabilitation
agencies,
and
acute
mental
32
hospitals
shall
be
increased
in
accordance
with
increases
under
33
the
federal
Medicare
program
or
as
supported
by
their
Medicare
34
audited
costs.
35
-40-
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83
pf/jp
40/
67
S.F.
_____
H.F.
_____
e.
For
the
fiscal
year
beginning
July
1,
2010,
reimbursement
1
rates
for
home
health
agencies
shall
remain
at
the
rates
in
2
effect
on
June
30,
2010,
not
to
exceed
a
home
health
agency’s
3
actual
allowable
cost.
4
f.
For
the
fiscal
year
beginning
July
1,
2010,
federally
5
qualified
health
centers
shall
receive
cost-based
reimbursement
6
for
100
percent
of
the
reasonable
costs
for
the
provision
of
7
services
to
recipients
of
medical
assistance.
8
g.
For
the
fiscal
year
beginning
July
1,
2010,
the
9
reimbursement
rates
for
dental
services
shall
remain
at
the
10
rates
in
effect
on
June
30,
2010.
11
h.
For
the
fiscal
year
beginning
July
1,
2010,
the
maximum
12
reimbursement
rates
for
nonstate-operated
psychiatric
medical
13
institutions
for
children
shall
remain
at
the
rate
in
effect
14
on
June
30,
2010.
15
i.
For
the
fiscal
year
beginning
July
1,
2010,
unless
16
otherwise
specified
in
this
Act,
all
noninstitutional
medical
17
assistance
provider
reimbursement
rates
shall
remain
at
the
18
rates
in
effect
on
June
30,
2010,
except
for
area
education
19
agencies,
local
education
agencies,
infant
and
toddler
services
20
providers,
and
those
providers
whose
rates
are
required
to
be
21
determined
pursuant
to
section
249A.20.
22
j.
Notwithstanding
any
provision
to
the
contrary,
for
the
23
fiscal
year
beginning
July
1,
2010,
the
reimbursement
rate
for
24
anesthesiologists
shall
remain
at
the
rate
in
effect
on
June
25
30,
2010.
26
k.
Notwithstanding
section
249A.20,
for
the
fiscal
year
27
beginning
July
1,
2010,
the
average
reimbursement
rate
for
28
health
care
providers
eligible
for
use
of
the
federal
Medicare
29
resource-based
relative
value
scale
reimbursement
methodology
30
under
that
section
shall
remain
at
the
rate
in
effect
on
June
31
30,
2010;
however,
this
rate
shall
not
exceed
the
maximum
level
32
authorized
by
the
federal
government.
33
l.
For
the
fiscal
year
beginning
July
1,
2010,
the
34
reimbursement
rate
for
residential
care
facilities
shall
not
35
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5100XG
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83
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67
S.F.
_____
H.F.
_____
be
less
than
the
minimum
payment
level
as
established
by
the
1
federal
government
to
meet
the
federally
mandated
maintenance
2
of
effort
requirement.
The
flat
reimbursement
rate
for
3
facilities
electing
not
to
file
semiannual
cost
reports
shall
4
not
be
less
than
the
minimum
payment
level
as
established
5
by
the
federal
government
to
meet
the
federally
mandated
6
maintenance
of
effort
requirement.
7
m.
For
the
fiscal
year
beginning
July
1,
2010,
inpatient
8
mental
health
services
provided
at
hospitals
shall
be
9
reimbursed
at
the
cost
of
the
services,
subject
to
Medicaid
10
program
upper
payment
limit
rules;
community
mental
health
11
centers
and
providers
of
mental
health
services
to
county
12
residents
pursuant
to
a
waiver
approved
under
section
225C.7,
13
subsection
3,
shall
be
reimbursed
at
100
percent
of
the
14
reasonable
costs
for
the
provision
of
services
to
recipients
of
15
medical
assistance;
and
psychiatrists
shall
be
reimbursed
at
16
the
medical
assistance
program
fee
for
service
rate.
However,
17
the
rates
shall
not
exceed
the
rates
in
effect
on
June
30,
18
2010.
19
n.
For
the
fiscal
year
beginning
July
1,
2010,
the
20
reimbursement
rate
for
consumer-directed
attendant
care
shall
21
remain
at
the
rates
in
effect
on
June
30,
2010.
22
o.
For
the
fiscal
year
beginning
July
1,
2010,
the
23
reimbursement
rate
for
providers
of
family
planning
services
24
that
are
eligible
to
receive
a
90
percent
federal
match
shall
25
remain
at
the
rates
in
effect
on
June
30,
2010.
26
p.
The
department
shall
continue
the
reduction
in
payments
27
to
medical
assistance
program
providers
for
the
fiscal
year
28
beginning
July
1,
2010,
and
ending
June
30,
2011,
in
the
29
percentage
amount
applicable
to
the
respective
provider
as
30
specified
under
Executive
Order
19.
31
2.
For
the
fiscal
year
beginning
July
1,
2010,
the
32
reimbursement
rate
for
providers
reimbursed
under
the
33
in-home-related
care
program
shall
not
be
less
than
the
minimum
34
payment
level
as
established
by
the
federal
government
to
meet
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the
federally
mandated
maintenance
of
effort
requirement.
1
3.
Unless
otherwise
directed
in
this
section,
when
the
2
department’s
reimbursement
methodology
for
any
provider
3
reimbursed
in
accordance
with
this
section
includes
an
4
inflation
factor,
this
factor
shall
not
exceed
the
amount
5
by
which
the
consumer
price
index
for
all
urban
consumers
6
increased
during
the
calendar
year
ending
December
31,
2002.
7
4.
For
the
fiscal
year
beginning
July
1,
2010,
8
notwithstanding
section
234.38,
the
foster
family
basic
daily
9
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
10
children
ages
0
through
5
years
shall
be
$15.54,
the
rate
for
11
children
ages
6
through
11
years
shall
be
$16.16,
the
rate
for
12
children
ages
12
through
15
years
shall
be
$17.69,
and
the
13
rate
for
children
and
young
adults
ages
16
and
older
shall
be
14
$17.93.
The
maximum
supervised
apartment
living
foster
care
15
rate
and
the
preparation
for
adult
living
program
maintenance
16
rate
for
children
and
young
adults
ages
16
and
older
shall
be
17
$18.87.
18
5.
For
the
fiscal
year
beginning
July
1,
2010,
the
maximum
19
reimbursement
rates
for
social
services
providers
reimbursed
20
under
a
purchase
of
social
services
contract
shall
remain
at
21
the
rates
in
effect
on
June
30,
2010,
or
the
provider’s
actual
22
and
allowable
cost
plus
inflation
for
each
service,
whichever
23
is
less.
However,
the
rates
may
be
adjusted
under
any
of
the
24
following
circumstances:
25
a.
If
a
new
service
was
added
after
June
30,
2010,
the
26
initial
reimbursement
rate
for
the
service
shall
be
based
upon
27
actual
and
allowable
costs.
28
b.
If
a
social
service
provider
loses
a
source
of
income
29
used
to
determine
the
reimbursement
rate
for
the
provider,
30
the
provider’s
reimbursement
rate
may
be
adjusted
to
reflect
31
the
loss
of
income,
provided
that
the
lost
income
was
used
to
32
support
actual
and
allowable
costs
of
a
service
purchased
under
33
a
purchase
of
service
contract.
34
6.
For
the
fiscal
year
beginning
July
1,
2010,
the
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reimbursement
rates
for
family-centered
service
providers,
1
family
foster
care
service
providers,
group
foster
care
service
2
providers,
and
the
resource
family
recruitment
and
retention
3
contractor
shall
remain
at
the
rates
in
effect
on
June
30,
4
2010.
5
7.
The
group
foster
care
reimbursement
rates
paid
for
6
placement
of
children
out
of
state
shall
be
calculated
7
according
to
the
same
rate-setting
principles
as
those
used
for
8
in-state
providers,
unless
the
director
of
human
services
or
9
the
director’s
designee
determines
that
appropriate
care
cannot
10
be
provided
within
the
state.
The
payment
of
the
daily
rate
11
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
12
which
service
is
provided.
13
8.
For
the
fiscal
year
beginning
July
1,
2010,
remedial
14
service
providers
shall
receive
the
same
level
of
reimbursement
15
under
the
same
methodology
in
effect
on
June
30,
2010.
16
9.
a.
For
the
fiscal
year
beginning
July
1,
2010,
17
the
combined
service
and
maintenance
components
of
the
18
reimbursement
rate
paid
for
shelter
care
services
and
19
alternative
child
welfare
emergency
services
purchased
under
20
a
contract
shall
be
based
on
the
financial
and
statistical
21
report
submitted
to
the
department.
The
maximum
reimbursement
22
rate
shall
be
$87.74
per
day.
The
department
shall
reimburse
23
a
shelter
care
provider
at
the
provider’s
actual
and
24
allowable
unit
cost,
plus
inflation,
not
to
exceed
the
maximum
25
reimbursement
rate.
26
b.
Notwithstanding
section
232.141,
subsection
8,
for
the
27
fiscal
year
beginning
July
1,
2010,
the
amount
of
the
statewide
28
average
of
the
actual
and
allowable
rates
for
reimbursement
of
29
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
30
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
31
effect
for
this
purpose
in
the
preceding
fiscal
year.
32
10.
For
the
fiscal
year
beginning
July
1,
2010,
the
33
department
shall
calculate
reimbursement
rates
for
intermediate
34
care
facilities
for
persons
with
mental
retardation
at
the
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80th
percentile.
Beginning
July
1,
2010,
the
rate
calculation
1
methodology
shall
utilize
the
consumer
price
index
inflation
2
factor
applicable
to
the
fiscal
year
beginning
July
1,
2010.
3
11.
For
the
fiscal
year
beginning
July
1,
2010,
for
child
4
care
providers
reimbursed
under
the
state
child
care
assistance
5
program,
the
department
shall
set
provider
reimbursement
6
rates
based
on
the
rate
reimbursement
survey
completed
in
7
December
2004.
Effective
July
1,
2010,
the
child
care
provider
8
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
9
30,
2010.
The
department
shall
set
rates
in
a
manner
so
as
10
to
provide
incentives
for
a
nonregistered
provider
to
become
11
registered
by
applying
the
increase
only
to
registered
and
12
licensed
providers.
13
12.
For
the
fiscal
year
beginning
July
1,
2010,
14
reimbursements
for
providers
reimbursed
by
the
department
of
15
human
services
may
be
modified
if
appropriated
funding
is
16
allocated
for
that
purpose
from
the
senior
living
trust
fund
17
created
in
section
249H.4.
18
13.
The
department
may
adopt
emergency
rules
to
implement
19
this
section.
20
Sec.
31.
EMERGENCY
RULES.
21
1.
If
specifically
authorized
by
a
provision
of
this
22
division
of
this
Act,
the
department
of
human
services
or
the
23
mental
health,
mental
retardation,
developmental
disabilities,
24
and
brain
injury
commission
may
adopt
administrative
rules
25
under
section
17A.4,
subsection
3,
and
section
17A.5,
26
subsection
2,
paragraph
“b”
,
to
implement
the
provisions
and
27
the
rules
shall
become
effective
immediately
upon
filing
or
28
on
a
later
effective
date
specified
in
the
rules,
unless
the
29
effective
date
is
delayed
by
the
administrative
rules
review
30
committee.
Any
rules
adopted
in
accordance
with
this
section
31
shall
not
take
effect
before
the
rules
are
reviewed
by
the
32
administrative
rules
review
committee.
The
delay
authority
33
provided
to
the
administrative
rules
review
committee
under
34
section
17A.4,
subsection
7,
and
section
17A.8,
subsection
9,
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shall
be
applicable
to
a
delay
imposed
under
this
section,
1
notwithstanding
a
provision
in
those
sections
making
them
2
inapplicable
to
section
17A.5,
subsection
2,
paragraph
“b”
.
3
Any
rules
adopted
in
accordance
with
the
provisions
of
this
4
section
shall
also
be
published
as
notice
of
intended
action
5
as
provided
in
section
17A.4.
6
2.
If
during
the
fiscal
year
beginning
July
1,
2010,
the
7
department
of
human
services
is
adopting
rules
in
accordance
8
with
this
section
or
as
otherwise
directed
or
authorized
by
9
state
law,
and
the
rules
will
result
in
an
expenditure
increase
10
beyond
the
amount
anticipated
in
the
budget
process
or
if
the
11
expenditure
was
not
addressed
in
the
budget
process
for
the
12
fiscal
year,
the
department
shall
notify
the
persons
designated
13
by
this
division
of
this
Act
for
submission
of
reports,
14
the
chairpersons
and
ranking
members
of
the
committees
on
15
appropriations,
and
the
department
of
management
concerning
the
16
rules
and
the
expenditure
increase.
The
notification
shall
be
17
provided
at
least
30
calendar
days
prior
to
the
date
notice
of
18
the
rules
is
submitted
to
the
administrative
rules
coordinator
19
and
the
administrative
code
editor.
20
Sec.
32.
REPORTS.
Any
reports
or
information
required
to
be
21
compiled
and
submitted
under
this
Act
shall
be
submitted
to
the
22
chairpersons
and
ranking
members
of
the
joint
appropriations
23
subcommittee
on
health
and
human
services,
the
legislative
24
services
agency,
and
the
legislative
caucus
staffs
on
or
25
before
the
dates
specified
for
submission
of
the
reports
or
26
information.
27
Sec.
33.
EFFECTIVE
DATE.
The
following
provisions
of
this
28
division
of
this
Act,
being
deemed
of
immediate
importance,
29
take
effect
upon
enactment:
30
The
provision
under
the
appropriation
for
child
and
family
31
services,
relating
to
requirements
of
section
232.143
for
32
representatives
of
the
department
of
human
services
and
33
juvenile
court
services
to
establish
a
plan
for
continuing
34
group
foster
care
expenditures
for
fiscal
year
2010-2011.
35
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S.F.
_____
H.F.
_____
DIVISION
V
1
SENIOR
LIVING
TRUST
FUND,
2
PHARMACEUTICAL
SETTLEMENT
ACCOUNT,
3
IOWACARE
ACCOUNT,
AND
HEALTH
CARE
4
TRANSFORMATION
ACCOUNT
5
Sec.
34.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
6
the
senior
living
trust
fund
created
in
section
249H.4
to
the
7
department
on
aging
for
the
fiscal
year
beginning
July
1,
2010,
8
and
ending
June
30,
2011,
the
following
amount,
or
so
much
9
thereof
as
is
necessary,
to
be
used
for
the
purpose
designated:
10
For
the
development
and
implementation
of
a
comprehensive
11
senior
living
program,
and
including
program
administration
and
12
costs
associated
with
implementation:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
8,486,698
14
1.
Of
the
funds
appropriated
in
this
section,
$1,010,000
15
shall
be
transferred
to
the
department
of
human
services
in
16
equal
amounts
on
a
quarterly
basis
for
reimbursement
of
case
17
management
services
provided
under
the
medical
assistance
18
elderly
waiver.
19
2.
Notwithstanding
section
249H.7,
the
department
on
aging
20
shall
distribute
funds
appropriated
in
this
section
in
a
21
manner
that
will
supplement
and
maximize
federal
funds
under
22
the
federal
Older
Americans
Act
and
shall
not
use
the
amount
23
distributed
for
any
administrative
purposes
of
either
the
24
department
on
aging
or
the
area
agencies
on
aging.
25
Sec.
35.
DEPARTMENT
OF
INSPECTIONS
AND
APPEALS.
There
26
is
appropriated
from
the
senior
living
trust
fund
created
in
27
section
249H.4
to
the
department
of
inspections
and
appeals
for
28
the
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
29
2011,
the
following
amount,
or
so
much
thereof
as
is
necessary,
30
to
be
used
for
the
purpose
designated:
31
For
the
inspection
and
certification
of
assisted
living
32
facilities
and
adult
day
care
services,
including
program
33
administration
and
costs
associated
with
implementation:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,339,527
35
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S.F.
_____
H.F.
_____
Sec.
36.
IOWA
FINANCE
AUTHORITY.
There
is
appropriated
1
from
the
senior
living
trust
fund
created
in
section
249H.4
to
2
the
Iowa
finance
authority
for
the
fiscal
year
beginning
July
3
1,
2010,
and
ending
June
30,
2011,
the
following
amount,
or
4
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
5
designated:
6
For
the
rent
subsidy
program,
to
provide
reimbursement
for
7
rent
expenses
to
eligible
persons:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
700,000
9
Participation
in
the
rent
subsidy
program
shall
be
limited
10
to
only
those
persons
who
meet
the
requirements
for
the
nursing
11
facility
level
of
care
for
home
and
community-based
services
12
waiver
services
as
in
effect
on
July
1,
2010,
and
to
those
13
individuals
who
are
eligible
for
the
federal
money
follows
the
14
person
grant
program
under
the
medical
assistance
program.
Of
15
the
funds
appropriated
in
this
section,
not
more
than
$35,000
16
may
be
used
for
administrative
costs.
17
Sec.
37.
DEPARTMENT
OF
HUMAN
SERVICES.
Any
funds
remaining
18
in
the
senior
living
trust
fund
created
in
section
249H.4
19
following
the
appropriations
from
the
senior
living
trust
20
fund
made
in
this
division
of
this
Act
to
the
department
on
21
aging,
the
department
of
inspections
and
appeals,
and
the
Iowa
22
finance
authority,
for
the
fiscal
year
beginning
July
1,
2010,
23
and
ending
June
30,
2011,
are
appropriated
to
the
department
24
of
human
services
to
supplement
the
medical
assistance
25
program
appropriations
made
in
this
Act,
including
program
26
administration
and
costs
associated
with
implementation.
In
27
order
to
carry
out
the
purposes
of
this
section,
the
department
28
may
transfer
funds
appropriated
in
this
section
to
supplement
29
other
appropriations
made
to
the
department
of
human
services.
30
Sec.
38.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
31
appropriated
from
the
pharmaceutical
settlement
account
created
32
in
section
249A.33
to
the
department
of
human
services
for
the
33
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
2011,
34
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
35
-48-
LSB
5100XG
(32)
83
pf/jp
48/
67
S.F.
_____
H.F.
_____
used
for
the
purpose
designated:
1
To
supplement
the
appropriations
made
for
medical
contracts
2
under
the
medical
assistance
program:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,298,191
4
Sec.
39.
APPROPRIATIONS
FROM
IOWACARE
ACCOUNT.
5
1.
There
is
appropriated
from
the
IowaCare
account
6
created
in
section
249J.24
to
the
state
board
of
regents
for
7
distribution
to
the
university
of
Iowa
hospitals
and
clinics
8
for
the
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
9
2011,
the
following
amount,
or
so
much
thereof
as
is
necessary,
10
to
be
used
for
the
purposes
designated:
11
For
salaries,
support,
maintenance,
equipment,
and
12
miscellaneous
purposes,
for
the
provision
of
medical
and
13
surgical
treatment
of
indigent
patients,
for
provision
of
14
services
to
members
of
the
expansion
population
pursuant
to
15
chapter
249J,
and
for
medical
education:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
27,284,584
17
a.
Funds
appropriated
in
this
subsection
shall
not
be
used
18
to
perform
abortions
except
medically
necessary
abortions,
and
19
shall
not
be
used
to
operate
the
early
termination
of
pregnancy
20
clinic
except
for
the
performance
of
medically
necessary
21
abortions.
For
the
purpose
of
this
subsection,
an
abortion
is
22
the
purposeful
interruption
of
pregnancy
with
the
intention
23
other
than
to
produce
a
live-born
infant
or
to
remove
a
dead
24
fetus,
and
a
medically
necessary
abortion
is
one
performed
25
under
one
of
the
following
conditions:
26
(1)
The
attending
physician
certifies
that
continuing
the
27
pregnancy
would
endanger
the
life
of
the
pregnant
woman.
28
(2)
The
attending
physician
certifies
that
the
fetus
is
29
physically
deformed,
mentally
deficient,
or
afflicted
with
a
30
congenital
illness.
31
(3)
The
pregnancy
is
the
result
of
a
rape
which
is
reported
32
within
45
days
of
the
incident
to
a
law
enforcement
agency
or
33
public
or
private
health
agency
which
may
include
a
family
34
physician.
35
-49-
LSB
5100XG
(32)
83
pf/jp
49/
67
S.F.
_____
H.F.
_____
(4)
The
pregnancy
is
the
result
of
incest
which
is
reported
1
within
150
days
of
the
incident
to
a
law
enforcement
agency
2
or
public
or
private
health
agency
which
may
include
a
family
3
physician.
4
(5)
The
abortion
is
a
spontaneous
abortion,
commonly
known
5
as
a
miscarriage,
wherein
not
all
of
the
products
of
conception
6
are
expelled.
7
b.
Notwithstanding
any
provision
of
law
to
the
contrary,
the
8
amount
appropriated
in
this
subsection
shall
be
allocated
in
9
twelve
equal
monthly
payments
as
provided
in
section
249J.24.
10
2.
There
is
appropriated
from
the
IowaCare
account
11
created
in
section
249J.24
to
the
state
board
of
regents
for
12
distribution
to
the
university
of
Iowa
hospitals
and
clinics
13
for
the
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
14
2011,
the
following
amount,
or
so
much
thereof
as
is
necessary,
15
to
be
used
for
the
purposes
designated:
16
For
salaries,
support,
maintenance,
equipment,
and
17
miscellaneous
purposes,
for
the
provision
of
medical
and
18
surgical
treatment
of
indigent
patients,
for
provision
of
19
services
to
members
of
the
expansion
population
pursuant
to
20
chapter
249J,
and
for
medical
education:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,020,131
22
The
amount
appropriated
in
this
subsection
shall
be
23
distributed
only
if
expansion
population
claims
adjudicated
24
and
paid
by
the
Iowa
Medicaid
enterprise
exceed
the
amount
25
of
the
appropriation
made
to
the
state
board
of
regents
for
26
distribution
to
the
university
of
Iowa
hospitals
and
clinics
27
in
subsection
1.
The
amount
appropriated
in
this
subsection
28
shall
be
distributed
monthly
for
expansion
population
claims
29
adjudicated
and
approved
for
payment
by
the
Iowa
Medicaid
30
enterprise
using
medical
assistance
program
reimbursement
31
rates.
32
3.
There
is
appropriated
from
the
IowaCare
account
created
33
in
section
249J.24
to
the
department
of
human
services
for
the
34
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
2011,
35
-50-
LSB
5100XG
(32)
83
pf/jp
50/
67
S.F.
_____
H.F.
_____
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
1
used
for
the
purposes
designated:
2
For
distribution
to
a
publicly
owned
acute
care
teaching
3
hospital
located
in
a
county
with
a
population
over
350,000
for
4
the
provision
of
medical
and
surgical
treatment
of
indigent
5
patients,
for
provision
of
services
to
members
of
the
expansion
6
population
pursuant
to
chapter
249J,
and
for
medical
education:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
46,000,000
8
a.
Notwithstanding
any
provision
of
law
to
the
contrary,
9
the
amount
appropriated
in
this
subsection
shall
be
allocated
10
in
twelve
equal
monthly
payments
as
provided
in
section
11
249J.24.
Any
amount
appropriated
in
this
subsection
in
excess
12
of
$41,000,000
shall
be
allocated
only
if
federal
funds
are
13
available
to
match
the
amount
allocated.
14
b.
Notwithstanding
the
total
amount
of
proceeds
distributed
15
pursuant
to
section
249J.24,
subsection
6,
paragraph
“a”
,
16
unnumbered
paragraph
1,
for
the
fiscal
year
beginning
July
17
1,
2010,
and
ending
June
30,
2011,
the
county
treasurer
of
a
18
county
with
a
population
of
over
350,000
in
which
a
publicly
19
owned
acute
care
teaching
hospital
is
located
shall
distribute
20
the
proceeds
collected
pursuant
to
section
347.7
in
a
total
21
amount
of
$38,000,000,
which
would
otherwise
be
distributed
to
22
the
county
hospital,
to
the
treasurer
of
state
for
deposit
in
23
the
IowaCare
account.
24
c.
(1)
Notwithstanding
the
amount
collected
and
25
distributed
for
deposit
in
the
IowaCare
account
pursuant
to
26
section
249J.24,
subsection
6,
paragraph
“a”
,
subparagraph
27
(1),
the
first
$19,000,000
in
proceeds
collected
pursuant
to
28
section
347.7
between
July
1,
2010,
and
December
31,
2010,
29
shall
be
distributed
to
the
treasurer
of
state
for
deposit
in
30
the
IowaCare
account
and
collections
during
this
time
period
in
31
excess
of
$19,000,000
shall
be
distributed
to
the
acute
care
32
teaching
hospital
identified
in
this
subsection.
33
(2)
Notwithstanding
the
amount
collected
and
distributed
34
for
deposit
in
the
IowaCare
account
pursuant
to
section
35
-51-
LSB
5100XG
(32)
83
pf/jp
51/
67
S.F.
_____
H.F.
_____
249J.24,
subsection
6,
paragraph
“a”
,
subparagraph
(2),
1
the
first
$19,000,000
in
collections
pursuant
to
section
2
347.7
between
January
1,
2011,
and
June
30,
2011,
shall
be
3
distributed
to
the
treasurer
of
state
for
deposit
in
the
4
IowaCare
account
and
collections
during
this
time
period
in
5
excess
of
$19,000,000
shall
be
distributed
to
the
acute
care
6
teaching
hospital
identified
in
this
subsection.
7
Sec.
40.
APPROPRIATIONS
FROM
ACCOUNT
FOR
HEALTH
CARE
8
TRANSFORMATION
——
DEPARTMENT
OF
HUMAN
SERVICES.
9
Notwithstanding
any
provision
to
the
contrary,
there
is
10
appropriated
from
the
account
for
health
care
transformation
11
created
in
section
249J.23
to
the
department
of
human
services
12
for
the
fiscal
year
beginning
July
1,
2010,
and
ending
June
13
30,
2011,
the
following
amounts,
or
so
much
thereof
as
is
14
necessary,
to
be
used
for
the
purposes
designated:
15
1.
For
the
costs
of
medical
examinations
and
development
of
16
personal
health
improvement
plans
for
the
expansion
population
17
pursuant
to
section
249J.6:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
556,800
19
2.
For
the
provision
of
a
medical
information
hotline
for
20
the
expansion
population
as
provided
in
section
249J.6:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
100,000
22
3.
For
other
health
promotion
partnership
activities
23
pursuant
to
section
249J.14:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
600,000
25
4.
For
the
costs
related
to
audits,
performance
26
evaluations,
and
studies
required
pursuant
to
chapter
249J:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
28
5.
For
administrative
costs
associated
with
chapter
249J:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,132,412
30
6.
For
planning
and
development,
in
cooperation
with
the
31
department
of
public
health,
of
a
phased-in
program
to
provide
32
a
dental
home
for
children
in
accordance
with
section
249J.14,
33
subsection
7:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,000,000
35
-52-
LSB
5100XG
(32)
83
pf/jp
52/
67
S.F.
_____
H.F.
_____
7.
For
continuation
of
the
establishment
of
the
tuition
1
assistance
for
individuals
serving
individuals
with
2
disabilities
pilot
program,
as
enacted
in
2008
Iowa
Acts,
3
chapter
1187,
section
130:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
50,000
5
8.
For
medical
contracts:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,300,000
7
9.
For
payment
to
the
publicly
owned
acute
care
teaching
8
hospital
located
in
a
county
with
a
population
of
over
350,000
9
that
is
a
participating
provider
pursuant
to
chapter
249J:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
290,000
11
Disbursements
under
this
subsection
shall
be
made
monthly.
12
The
hospital
shall
submit
a
report
following
the
close
of
the
13
fiscal
year
regarding
use
of
the
funds
appropriated
in
this
14
subsection
to
the
persons
specified
in
this
Act
to
receive
15
reports.
16
Notwithstanding
section
8.39,
subsection
1,
without
the
17
prior
written
consent
and
approval
of
the
governor
and
the
18
director
of
the
department
of
management,
the
director
of
human
19
services
may
transfer
funds
among
the
appropriations
made
in
20
this
section
as
necessary
to
carry
out
the
purposes
of
the
21
account
for
health
care
transformation.
The
department
shall
22
report
any
transfers
made
pursuant
to
this
section
to
the
23
legislative
services
agency.
24
Sec.
41.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
FOR
25
FY
2011-2012.
Notwithstanding
any
section
8.33,
if
moneys
26
appropriated
for
purposes
of
the
medical
assistance
program
for
27
the
fiscal
year
beginning
July
1,
2010,
and
ending
June
30,
28
2011,
from
the
general
fund
of
the
state,
the
senior
living
29
trust
fund,
the
health
care
trust
fund,
and
the
property
30
tax
relief
fund
are
in
excess
of
actual
expenditures
for
31
the
medical
assistance
program
and
remain
unencumbered
or
32
unobligated
at
the
close
of
the
fiscal
year,
the
excess
moneys
33
shall
not
revert
but
shall
remain
available
for
expenditure
for
34
the
purposes
of
the
medical
assistance
program
until
the
close
35
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_____
H.F.
_____
of
the
succeeding
fiscal
year.
1
DIVISION
VI
2
MH/MR/DD
SERVICES
3
ALLOWED
GROWTH
FUNDING
4
FY
2010-2011
5
Sec.
42.
2009
Iowa
Acts,
chapter
179,
section
1,
is
amended
6
to
read
as
follows:
7
SECTION
1.
COUNTY
MENTAL
HEALTH,
MENTAL
RETARDATION,
AND
8
DEVELOPMENTAL
DISABILITIES
ALLOWED
GROWTH
APPROPRIATION
AND
9
ALLOCATIONS
——
FISCAL
YEAR
2010-2011.
10
1.
There
is
appropriated
from
the
general
fund
of
the
11
state
to
the
department
of
human
services
for
the
fiscal
year
12
beginning
July
1,
2010,
and
ending
June
30,
2011,
the
following
13
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
14
purpose
designated:
15
For
distribution
to
counties
of
the
county
mental
health,
16
mental
retardation,
and
developmental
disabilities
allowed
17
growth
factor
adjustment
for
fiscal
year
2010-2011
as
provided
18
in
this
section
in
lieu
of
the
allowed
growth
factor
provisions
19
of
section
331.438,
subsection
2,
and
section
331.439,
20
subsection
3,
and
chapter
426B
:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
62,157,491
22
48,697,893
23
2.
The
amount
appropriated
in
this
section
shall
be
24
allocated
as
provided
in
a
later
enactment
of
the
general
25
assembly.
26
Sec.
43.
2009
Iowa
Acts,
chapter
179,
section
1,
as
27
amended
by
this
division
of
this
Act,
is
amended
by
adding
the
28
following
new
subsections:
29
NEW
SUBSECTION
.
1.
Of
the
amount
appropriated
in
this
30
section,
$146,750
shall
be
used
for
assistance
to
the
counties
31
with
limited
county
mental
health,
mental
retardation,
and
32
developmental
disabilities
services
fund
balances
which
were
33
selected
in
accordance
with
2000
Iowa
Acts,
chapter
1221,
34
section
3,
to
receive
such
assistance,
in
the
same
amount
35
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_____
H.F.
_____
provided
during
the
fiscal
year
beginning
July
1,
2000,
1
and
ending
June
30,
2001,
to
pay
reimbursement
increases
in
2
accordance
with
2000
Iowa
Acts,
chapter
1221,
section
3.
3
NEW
SUBSECTION
.
2.
Of
the
amount
appropriated
in
this
4
section,
$12,000,000
shall
be
distributed
as
provided
in
this
5
subsection.
6
a.
To
be
eligible
to
receive
a
distribution
under
this
7
subsection,
a
county
must
meet
the
following
requirements:
8
(1)
The
county
is
levying
for
the
maximum
amount
allowed
9
for
the
county’s
mental
health,
mental
retardation,
and
10
developmental
disabilities
services
fund
under
section
331.424A
11
for
taxes
due
and
payable
in
the
fiscal
year
beginning
July
1,
12
2010,
or
the
county
is
levying
for
at
least
90
percent
of
the
13
maximum
amount
allowed
for
the
county’s
services
fund
and
that
14
levy
rate
is
more
than
$2
per
$1,000
of
the
assessed
value
of
15
all
taxable
property
in
the
county.
16
(2)
In
the
fiscal
year
beginning
July
1,
2008,
the
17
county’s
mental
health,
mental
retardation,
and
developmental
18
disabilities
services
fund
ending
balance
under
generally
19
accepted
accounting
principles
was
equal
to
or
less
than
15
20
percent
of
the
county’s
actual
gross
expenditures
for
that
21
fiscal
year.
22
b.
A
county’s
allocation
of
the
amount
appropriated
in
23
this
subsection
shall
be
determined
based
upon
the
county’s
24
proportion
of
the
general
population
of
the
counties
eligible
25
to
receive
an
allocation
under
this
subsection.
The
most
26
recent
population
estimates
issued
by
the
United
States
bureau
27
of
the
census
shall
be
applied
in
determining
population
for
28
the
purposes
of
this
paragraph.
29
c.
The
allocations
made
pursuant
to
this
subsection
30
are
subject
to
the
distribution
provisions
and
withholding
31
requirements
established
in
this
section
for
the
county
mental
32
health,
mental
retardation,
and
developmental
disabilities
33
allowed
growth
factor
adjustment
for
the
fiscal
year
beginning
34
July
1,
2010.
35
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_____
H.F.
_____
NEW
SUBSECTION
.
3.
The
following
amount
of
the
funding
1
appropriated
in
this
section
is
the
allowed
growth
factor
2
adjustment
for
fiscal
year
2010-2011,
and
shall
be
credited
to
3
the
allowed
growth
funding
pool
created
in
the
property
tax
4
relief
fund
and
for
distribution
in
accordance
with
section
5
426B.5,
subsection
1:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
36,551,143
7
NEW
SUBSECTION
.
4.
The
following
formula
amounts
shall
be
8
utilized
only
to
calculate
preliminary
distribution
amounts
for
9
the
allowed
growth
factor
adjustment
for
fiscal
year
2010-2011
10
under
this
section
by
applying
the
indicated
formula
provisions
11
to
the
formula
amounts
and
producing
a
preliminary
distribution
12
total
for
each
county:
13
a.
For
calculation
of
a
distribution
amount
for
eligible
14
counties
from
the
allowed
growth
funding
pool
created
in
the
15
property
tax
relief
fund
in
accordance
with
the
requirements
in
16
section
426B.5,
subsection
1:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
49,626,596
18
b.
For
calculation
of
a
distribution
amount
for
counties
19
from
the
mental
health
and
developmental
disabilities
(MH/DD)
20
community
services
fund
in
accordance
with
the
formula
provided
21
in
the
appropriation
made
for
the
MH/DD
community
services
fund
22
for
the
fiscal
year
beginning
July
1,
2010:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,187,556
24
NEW
SUBSECTION
.
5.
After
applying
the
applicable
statutory
25
distribution
formulas
to
the
amounts
indicated
in
subsection
26
4
for
purposes
of
producing
preliminary
distribution
totals,
27
the
department
of
human
services
shall
apply
a
withholding
28
factor
to
adjust
an
eligible
individual
county’s
preliminary
29
distribution
total.
In
order
to
be
eligible
for
a
distribution
30
under
this
section,
a
county
must
be
levying
90
percent
or
more
31
of
the
maximum
amount
allowed
for
the
county’s
mental
health,
32
mental
retardation,
and
developmental
disabilities
services
33
fund
under
section
331.424A
for
taxes
due
and
payable
in
the
34
fiscal
year
for
which
the
distribution
is
payable.
An
ending
35
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_____
H.F.
_____
balance
percentage
for
each
county
shall
be
determined
by
1
expressing
the
county’s
ending
balance
on
a
modified
accrual
2
basis
under
generally
accepted
accounting
principles
for
the
3
fiscal
year
beginning
July
1,
2008,
in
the
county’s
mental
4
health,
mental
retardation,
and
developmental
disabilities
5
services
fund
created
under
section
331.424A,
as
a
percentage
6
of
the
county’s
gross
expenditures
from
that
fund
for
that
7
fiscal
year.
If
a
county
borrowed
moneys
for
purposes
of
8
providing
services
from
the
county’s
services
fund
on
or
9
before
July
1,
2008,
and
the
county’s
services
fund
ending
10
balance
for
that
fiscal
year
includes
the
loan
proceeds
or
an
11
amount
designated
in
the
county
budget
to
service
the
loan
for
12
the
borrowed
moneys,
those
amounts
shall
not
be
considered
13
to
be
part
of
the
county’s
ending
balance
for
purposes
of
14
calculating
an
ending
balance
percentage
under
this
subsection.
15
The
withholding
factor
for
a
county
shall
be
the
following
16
applicable
percent:
17
a.
For
an
ending
balance
percentage
of
less
than
5
percent,
18
a
withholding
factor
of
0
percent.
In
addition,
a
county
19
that
is
subject
to
this
lettered
paragraph
shall
receive
20
an
inflation
adjustment
equal
to
3
percent
of
the
gross
21
expenditures
reported
for
the
county’s
services
fund
for
the
22
fiscal
year.
23
b.
For
an
ending
balance
percentage
of
5
percent
or
more
but
24
less
than
10
percent,
a
withholding
factor
of
0
percent.
In
25
addition,
a
county
that
is
subject
to
this
lettered
paragraph
26
shall
receive
an
inflation
adjustment
equal
to
2
percent
of
the
27
gross
expenditures
reported
for
the
county’s
services
fund
for
28
the
fiscal
year.
29
c.
For
an
ending
balance
percentage
of
10
percent
or
more
30
but
less
than
25
percent,
a
withholding
factor
of
25
percent.
31
However,
for
counties
with
an
ending
balance
percentage
of
10
32
percent
or
more
but
less
than
15
percent,
the
amount
withheld
33
shall
be
limited
to
the
amount
by
which
the
county’s
ending
34
balance
was
in
excess
of
the
ending
balance
percentage
of
10
35
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_____
percent.
1
d.
For
an
ending
balance
percentage
of
25
percent
or
more,
2
a
withholding
percentage
of
100
percent.
3
NEW
SUBSECTION
.
6.
The
total
withholding
amounts
applied
4
pursuant
to
subsection
5
shall
be
equal
to
a
withholding
target
5
amount
of
$13,675,453.
If
the
department
of
human
services
6
determines
that
the
amount
to
be
withheld
in
accordance
with
7
subsection
6
is
not
equal
to
the
target
withholding
amount,
8
the
department
shall
adjust
the
withholding
factors
listed
in
9
subsection
6
as
necessary
to
achieve
the
target
withholding
10
amount.
However,
in
making
such
adjustments
to
the
withholding
11
factors,
the
department
shall
strive
to
minimize
changes
to
12
the
withholding
factors
for
those
ending
balance
percentage
13
ranges
that
are
lower
than
others
and
shall
not
adjust
the
14
zero
withholding
factor
or
the
inflation
adjustment
percentage
15
specified
in
subsection
5,
paragraph
“a”.
16
DIVISION
VII
17
HEALTH
CARE
TRUST
FUND
APPROPRIATIONS
——
18
HEALTH
CARE
ACTIVITIES
19
Sec.
44.
DEPARTMENT
OF
PUBLIC
HEALTH.
In
addition
to
20
any
other
appropriation
made
in
this
Act
for
the
purposes
21
designated,
there
is
appropriated
from
the
health
care
trust
22
fund
created
in
section
453A.35A
to
the
department
of
public
23
health
for
the
fiscal
year
beginning
July
1,
2010,
and
ending
24
June
30,
2011,
the
following
amounts,
or
so
much
thereof
as
is
25
necessary,
for
the
purposes
designated:
26
1.
ADDICTIVE
DISORDERS
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,473,823
28
a.
Of
the
funds
appropriated
in
this
subsection,
$1,437,890
29
shall
be
used
for
tobacco
use
prevention,
cessation,
and
30
treatment.
The
department
shall
utilize
the
funds
to
provide
31
for
a
variety
of
activities
related
to
tobacco
use
prevention,
32
cessation,
and
treatment
including
to
support
Quitline
33
Iowa,
QuitNet
cessation
counseling
and
education,
grants
to
34
school
districts
and
community
organizations
to
support
Just
35
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S.F.
_____
H.F.
_____
Eliminate
Lies
youth
chapters
and
youth
tobacco
prevention
1
activities,
the
Just
Eliminate
Lies
tobacco
prevention
media
2
campaign,
nicotine
replacement
therapy,
and
other
prevention
3
and
cessation
materials
and
media
promotion.
Of
the
funds
4
allocated
in
this
lettered
paragraph,
not
more
than
$148,262
5
may
be
utilized
by
the
department
for
administrative
purposes.
6
b.
Of
the
funds
appropriated
in
this
subsection,
$1,035,933
7
shall
be
used
for
substance
abuse
treatment
activities.
8
2.
HEALTHY
CHILDREN
AND
FAMILIES
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
444,217
10
a.
Of
the
funds
appropriated
in
this
subsection,
$159,057
11
shall
be
used
to
address
the
healthy
mental
development
of
12
children
from
birth
through
five
years
of
age
through
local
13
evidence-based
strategies
that
engage
both
the
public
and
14
private
sectors
in
promoting
healthy
development,
prevention,
15
and
treatment
for
children.
16
b.
Of
the
funds
appropriated
in
this
subsection,
$129,279
17
shall
be
used
for
childhood
obesity
prevention.
18
c.
Of
the
funds
appropriated
in
this
subsection,
$155,881
19
shall
be
used
to
provide
audiological
services
and
hearing
20
aids
for
children.
The
department
may
enter
into
a
contract
21
to
administer
this
paragraph.
22
3.
CHRONIC
CONDITIONS
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
899,297
24
a.
Of
the
funds
appropriated
in
this
subsection,
$344,944
25
shall
be
used
for
child
health
specialty
clinics.
26
b.
Of
the
funds
appropriated
in
this
subsection,
$554,353
27
shall
be
used
for
the
comprehensive
cancer
control
program
to
28
reduce
the
burden
of
cancer
in
Iowa
through
prevention,
early
29
detection,
effective
treatment,
and
ensuring
quality
of
life.
30
The
department
shall
utilize
one
of
the
full-time
equivalent
31
positions
authorized
in
this
subsection
for
administration
of
32
the
activities
related
to
the
comprehensive
cancer
control
33
program.
34
4.
COMMUNITY
CAPACITY
35
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S.F.
_____
H.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,448,456
1
a.
Of
the
funds
appropriated
in
this
subsection,
$55,215
2
shall
be
deposited
in
the
governmental
public
health
system
3
fund
created
in
section
135A.8
to
be
used
for
the
purposes
of
4
the
fund.
5
b.
Of
the
funds
appropriated
in
this
subsection,
$143,150
6
shall
be
used
for
the
mental
health
professional
shortage
area
7
program
implemented
pursuant
to
section
135.80.
8
c.
Of
the
funds
appropriated
in
this
subsection,
9
$40,900
shall
be
used
for
a
grant
to
a
statewide
association
10
of
psychologists
that
is
affiliated
with
the
American
11
psychological
association
to
be
used
for
continuation
of
a
12
program
to
rotate
intern
psychologists
in
placements
in
urban
13
and
rural
mental
health
professional
shortage
areas,
as
defined
14
in
section
135.80.
15
d.
Of
the
funds
appropriated
in
this
subsection,
$1,203,608
16
shall
be
allocated
to
the
Iowa
collaborative
safety
net
17
provider
network
established
pursuant
to
section
135.153.
18
e.
Of
the
funds
appropriated
in
this
subsection,
$450,000
19
shall
be
used
to
continue
funding
for
the
community
health
20
center
incubation
grant
program.
Funds
shall
be
utilized
by
21
the
recipient
of
the
grant
in
the
previous
fiscal
year
to
22
ensure
continuation
of
affordable
primary
and
preventive
health
23
care
services
to
the
uninsured
and
underserved
in
northwest
24
Iowa.
25
f.
(1)
Of
the
funds
appropriated
in
this
subsection,
26
$555,583
shall
be
used
for
continued
implementation
of
27
the
recommendations
of
the
direct
care
worker
task
force
28
established
pursuant
to
2005
Iowa
Acts,
chapter
88,
based
upon
29
the
report
submitted
to
the
governor
and
the
general
assembly
30
in
December
2006.
31
(2)
The
funds
appropriated
in
this
subsection
shall
also
32
be
used
for
allocation
to
an
independent
statewide
direct
33
care
worker
association
for
education,
outreach,
leadership
34
development,
mentoring,
scholarships,
and
other
initiatives
35
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_____
H.F.
_____
intended
to
enhance
the
recruitment
and
retention
of
direct
1
care
workers
in
health
and
long-term
care.
2
Sec.
45.
DEPARTMENT
OF
HUMAN
SERVICES.
In
addition
to
3
any
other
appropriation
made
in
this
Act
for
the
purposes
4
designated,
there
is
appropriated
from
the
health
care
trust
5
fund
created
in
section
453A.35A
to
the
department
of
human
6
services
for
the
fiscal
year
beginning
July
1,
2010,
and
ending
7
June
30,
2011,
the
following
amount,
or
so
much
thereof
as
is
8
necessary,
for
the
purpose
designated:
9
MEDICAL
ASSISTANCE
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$100,650,740
11
Sec.
46.
Section
453A.35,
subsection
1,
Code
Supplement
12
2009,
is
amended
to
read
as
follows:
13
1.
The
proceeds
derived
from
the
sale
of
stamps
and
the
14
payment
of
taxes,
fees,
and
penalties
provided
for
under
this
15
chapter,
and
the
permit
fees
received
from
all
permits
issued
16
by
the
department,
shall
be
credited
to
the
general
fund
of
17
the
state.
However,
of
the
revenues
generated
from
the
tax
on
18
cigarettes
pursuant
to
section
453A.6,
subsection
1,
and
from
19
the
tax
on
tobacco
products
as
specified
in
section
453A.43,
20
subsections
1,
2,
3,
and
4,
and
credited
to
the
general
fund
21
of
the
state
under
this
subsection,
there
is
appropriated,
22
annually,
to
the
health
care
trust
fund
created
in
section
23
453A.35A,
the
first
one
hundred
seventeen
six
million
seven
24
hundred
ninety-six
sixteen
thousand
four
hundred
dollars.
25
DIVISION
VIII
26
PRIOR
APPROPRIATION
CHANGES
27
Sec.
47.
2008
Iowa
Acts,
chapter
1188,
section
16,
as
28
amended
by
2009
Iowa
Acts,
chapter
182,
section
84,
is
amended
29
to
read
as
follows:
30
SEC.
16.
MEDICAL
ASSISTANCE,
HAWK-I,
AND
HAWK-I
EXPANSION
31
PROGRAMS
——
COVERING
CHILDREN
——
APPROPRIATION.
There
32
is
appropriated
from
the
general
fund
of
the
state
to
the
33
department
of
human
services
for
the
designated
fiscal
years,
34
the
following
amounts,
or
so
much
thereof
as
is
necessary,
for
35
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67
S.F.
_____
H.F.
_____
the
purpose
designated:
1
To
cover
children
as
provided
in
this
Act
under
the
medical
2
assistance,
hawk-i,
and
hawk-i
expansion
programs
and
outreach
3
under
the
current
structure
of
the
programs:
4
FY
2008-2009
....................................
$
4,800,000
5
FY
2009-2010
....................................
$
4,207,001
6
FY
2010-2011
....................................
$
24,800,000
7
10,049,532
8
TEMPORARY
ASSISTANCE
FOR
NEEDY
9
FAMILIES
BLOCK
GRANT
10
Sec.
48.
2009
Iowa
Acts,
chapter
182,
section
5,
is
amended
11
by
adding
the
following
new
subsection:
12
NEW
SUBSECTION
.
15.
Notwithstanding
section
8.33,
moneys
13
appropriated
in
this
section
that
remain
unencumbered
or
14
unobligated
at
the
close
of
the
fiscal
year
shall
not
revert
15
but
shall
remain
available
for
expenditure
for
the
family
16
investment
program
until
the
close
of
the
succeeding
fiscal
17
year.
18
BEHAVIORAL
HEALTH
SERVICES
19
ACCOUNT
——
MEDICAL
ASSISTANCE
20
Sec.
49.
2009
Iowa
Acts,
chapter
182,
section
9,
subsection
21
16,
paragraph
b,
is
amended
to
read
as
follows:
22
b.
The
department
shall
continue
to
maintain
a
separate
23
account
within
the
medical
assistance
budget
for
the
deposit
24
of
all
funds
remitted
pursuant
to
a
contract
with
a
third
25
party
to
administer
behavioral
health
services
under
the
26
medical
assistance
program
established
pursuant
to
2008
Iowa
27
Acts,
chapter
1187,
section
9,
subsection
20.
Notwithstanding
28
section
8.33,
other
than
funds
remaining
from
the
appropriation
29
allocations
made
for
implementation
of
the
emergency
mental
30
health
crisis
services
and
system
and
for
implementation
of
31
the
mental
health
services
system
for
children
and
youth,
32
in
2008
Iowa
Acts,
chapter
1187,
section
9,
subsection
20,
33
paragraph
“c”,
subparagraphs
(1)
and
(2),
as
authorized
in
2009
34
Iowa
Acts,
chapter
182,
section
72,
funds
remaining
in
the
35
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67
S.F.
_____
H.F.
_____
account
that
remain
unencumbered
or
unobligated
at
the
end
of
1
any
the
fiscal
year
shall
not
revert
but
shall
remain
available
2
in
succeeding
fiscal
years
and
shall
be
used
only
in
accordance
3
with
appropriations
from
the
account
for
health
and
human
4
services-related
purposes
are
appropriated
to
the
department
to
5
be
used
for
the
medical
assistance
program
.
6
Sec.
50.
EFFECTIVE
UPON
ENACTMENT.
This
division
of
this
7
Act,
being
deemed
of
immediate
importance,
takes
effect
upon
8
enactment.
9
DIVISION
IX
10
STANDING
APPROPRIATIONS
——
RELATED
11
CHANGES
12
Sec.
51.
LIMITATION
OF
STANDING
APPROPRIATIONS.
13
Notwithstanding
the
standing
appropriations
in
the
following
14
designated
sections
for
the
fiscal
year
beginning
July
1,
15
2010,
and
ending
June
30,
2011,
the
amounts
appropriated
from
16
the
general
fund
of
the
state
or
the
mental
health
property
17
tax
relief
fund
pursuant
to
these
sections
for
the
following
18
designated
purposes
shall
not
exceed
the
following
amounts:
19
1.
For
the
center
for
congenital
and
inherited
disorders
20
central
registry
under
section
144.13A,
subsection
4,
paragraph
21
“a”
:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
182,044
23
2.
For
primary
and
secondary
child
abuse
prevention
24
programs
under
section
144.13A,
subsection
4,
paragraph
“a”
:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
217,772
26
3.
For
the
property
tax
relief
fund
in
section
426B.1,
27
subsection
2:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
58,399,911
29
4.
For
the
appropriation
made
from
the
property
tax
relief
30
fund
to
supplement
the
medical
assistance
program
in
section
31
426B.1,
subsection
3:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,271,911
33
Sec.
52.
MENTAL
HEALTH
PROPERTY
TAX
RELIEF
FUND
——
CASH
34
RESERVE
APPROPRIATION.
There
is
appropriated
from
the
cash
35
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67
S.F.
_____
H.F.
_____
reserve
fund
created
in
section
8.56
to
the
property
tax
relief
1
fund
created
in
section
426B.1
for
the
fiscal
year
beginning
2
July
1,
2010,
and
ending
June
30,
2011,
the
following
amount
3
or
so
much
thereof
as
is
necessary
to
be
used
for
the
purposes
4
designated:
5
In
lieu
of
an
equal
amount
of
the
appropriation
made
from
the
6
general
fund
of
the
state
to
the
property
tax
relief
fund
for
7
the
fiscal
year
in
section
426B.1,
subsection
2:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
22,792,000
9
DIVISION
X
10
AREA
EDUCATION
AGENCIES
——
MEDICAL
11
ASSISTANCE
PROGRAM
12
Sec.
53.
Section
256B.15,
subsection
7,
Code
2009,
is
13
amended
to
read
as
follows:
14
7.
The
area
education
agencies
shall
transfer
to
the
15
department
of
education
human
services
an
amount
equal
to
16
eighty-four
percent
the
nonfederal
share
of
the
payments
to
17
be
received
from
the
medical
assistance
program
provided
18
pursuant
to
chapter
249A.
The
nonfederal
share
amount
shall
19
be
transferred
to
the
medical
assistance
program
account
prior
20
to
payment
of
claims.
This
requirement
does
not
apply
to
21
medical
assistance
reimbursement
for
services
provided
by
an
22
area
education
agency
under
part
C
of
the
federal
Individuals
23
With
Disabilities
Education
Act.
Funds
received
under
this
24
section
shall
not
be
considered
or
included
as
part
of
the
area
25
education
agencies’
budgets
when
calculating
funds
that
are
to
26
be
received
by
area
education
agencies
during
a
fiscal
year.
27
EXPLANATION
28
This
bill
relates
to
and
makes
appropriations
for
health
29
and
human
services
for
fiscal
year
2010-2011
to
the
department
30
of
veterans
affairs,
the
Iowa
veterans
home,
the
department
on
31
aging,
the
department
of
public
health,
Iowa
finance
authority,
32
state
board
of
regents,
department
of
inspections
and
appeals,
33
and
the
department
of
human
services.
34
GENERAL
FUND
AND
BLOCK
GRANT
APPROPRIATIONS.
This
division
35
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67
S.F.
_____
H.F.
_____
appropriates
funding
from
the
general
fund
of
the
state
for
the
1
department
on
aging,
the
department
of
public
health,
and
the
2
department
of
veterans
affairs.
3
The
division
appropriates
funding
from
the
general
fund
4
of
the
state
and
the
federal
temporary
assistance
for
needy
5
families
block
grant
to
the
department
of
human
services.
The
6
allocation
for
the
family
development
and
self-sufficiency
7
grant
program
is
made
directly
to
the
department
of
human
8
rights.
9
The
reimbursement
section
addresses
reimbursement
for
10
providers
reimbursed
by
the
department
of
human
services.
11
SENIOR
LIVING
TRUST
FUND,
PHARMACEUTICAL
SETTLEMENT
ACCOUNT,
12
IOWACARE
ACCOUNT,
HEALTH
CARE
TRANSFORMATION
ACCOUNT,
AND
13
PROPERTY
TAX
RELIEF
FUND.
This
division
makes
appropriations
14
for
fiscal
year
2009-2010
from
the
senior
living
trust
fund
to
15
the
department
on
aging,
the
department
of
human
services,
the
16
department
of
inspections
and
appeals,
and
the
Iowa
finance
17
authority.
18
The
division
makes
an
appropriation
from
the
pharmaceutical
19
settlement
account
to
the
department
of
human
services
to
20
supplement
the
medical
contracts
appropriation.
21
The
division
makes
appropriations
from
the
IowaCare
22
account
to
the
state
board
of
regents
for
distribution
to
the
23
university
of
Iowa
hospitals
and
clinics
and
to
the
department
24
of
human
services
for
distribution
to
a
publicly
owned
acute
25
care
teaching
hospital
in
a
county
with
a
population
over
26
350,000
related
to
the
IowaCare
program
and
indigent
care.
The
27
division
makes
an
appropriation
to
the
department
of
human
28
services
from
the
health
care
transformation
account
for
29
various
health
care
reform
initiatives.
30
The
division
provides
that
if
the
total
amount
appropriated
31
from
all
sources
for
the
medical
assistance
program
for
fiscal
32
year
2009-2010
exceeds
the
amount
needed,
the
excess
remains
33
available
to
be
used
for
the
program
in
the
succeeding
fiscal
34
year.
35
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67
S.F.
_____
H.F.
_____
MH/MR/DD
SERVICES
ALLOWED
GROWTH
FUNDING
——
FISCAL
YEAR
1
2010-2011.
This
division
allocates
the
appropriation
made
in
2
2009
Iowa
Acts,
chapter
179,
for
distribution
to
counties
for
3
adult
mental
illness,
mental
retardation,
and
developmental
4
disabilities
services
allowed
growth
for
FY
2010-2011.
5
HEALTH
CARE
TRUST
FUND.
This
division
includes
provisions
6
relating
to
health
care
and
makes
appropriations
from
the
7
health
care
trust
fund.
8
Appropriations
are
made
from
the
health
care
trust
fund
9
to
the
department
of
public
health
for
addictive
disorders,
10
healthy
children
and
families,
chronic
conditions,
and
11
community
capacity.
12
Funds
are
appropriated
from
the
health
care
trust
fund
to
13
the
department
of
human
services
for
the
medical
assistance
14
program.
15
Code
section
453A.35
is
amended
to
reduce
the
amount
of
16
tobacco-related
revenue
appropriated
to
the
health
care
trust
17
fund.
18
PRIOR
APPROPRIATIONS
——
CHANGES.
This
division
amends
19
appropriations
made
in
prior
years.
20
The
final
year
of
a
multiyear
appropriation
made
for
21
covering
children
in
2008
Acts,
chapter
1188,
is
reduced.
If
22
moneys
from
the
appropriations
of
federal
temporary
assistance
23
for
needy
families
block
grant
made
in
2009
Iowa
Acts,
chapter
24
182,
section
5,
remain
unexpended,
they
do
not
revert
but
25
remain
available
for
expenditure
for
the
family
investment
26
program
for
the
succeeding
fiscal
year.
27
Moneys
remaining
available
in
the
account
created
for
funds
28
relating
to
the
contract
for
behavioral
health
services
under
29
the
Medicaid
program
are
appropriated
for
the
Medicaid
program
30
instead
of
remaining
available
for
future
appropriation
as
31
originally
provided
in
2009
Iowa
Acts,
chapter
182,
section
32
9.
An
exception
is
included
for
the
allocations
made
from
33
the
account
for
implementation
of
the
emergency
mental
health
34
crisis
services
system
and
for
implementation
of
the
mental
35
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S.F.
_____
H.F.
_____
health
services
system
for
children
and
youth,
which
under
2009
1
Iowa
Acts,
chapter
182,
section
72,
do
not
revert
until
the
2
close
of
FY
2010-2011.
3
This
division
takes
effect
upon
enactment.
4
STANDING
APPROPRIATION
——
RELATED
CHANGES.
The
standing
5
appropriations
made
for
the
following
purposes
are
reduced
6
to
specified
amounts:
center
for
congenital
and
inherited
7
disorders
central
registry,
primary
and
secondary
child
8
abuse
prevention
programs,
property
tax
relief
fund,
and
from
9
the
property
tax
relief
fund
for
the
Medicaid
program.
In
10
addition,
an
appropriation
is
made
from
the
cash
reserve
fund
11
in
lieu
of
a
portion
of
the
general
fund
appropriation
for
the
12
property
tax
relief
fund.
13
AREA
EDUCATION
AGENCIES
——
MEDICAL
ASSISTANCE
PROGRAM.
This
14
division
amends
Code
section
256B.15
to
require
area
education
15
agencies
to
transfer
an
amount
equal
to
the
nonfederal
share,
16
prior
to
payment
of
claims,
to
the
department
of
human
services
17
instead
of
the
department
of
education.
18
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