S.F. _____ DIVISION I 1 APPROPRIATION REDUCTIONS 2 Section 1. EXECUTIVE AND JUDICIAL BRANCH APPROPRIATION 3 REDUCTIONS. 4 1. For the period beginning on the effective date of this 5 section and ending on June 30, 2018, the following departments 6 and agencies and the judicial branch are subject to a reduction 7 in expenditures made from appropriations from the general fund 8 in the following amounts: 9 a. Department of administrative services 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 62,560 11 b. Auditor of state 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 24,186 13 c. Department of commerce 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 37,299 15 d. Governor’s office 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 62,664 17 e. Governor’s office of drug control policy 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,174 19 f. Department of human rights 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 21,228 21 g. Department of inspections and appeals 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 307,122 23 In identifying and implementing the reduction pursuant 24 to this paragraph, the director of the department shall be 25 authorized to make allocations between department divisions 26 in the manner and to the extent as the director determines 27 appropriate, in consultation with the department of management. 28 h. State public defender 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 236,041 30 i. Department of management 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 67,887 32 j. Department of revenue 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 428,271 34 k. Secretary of state 35 -1- LSB 6134XC (5) 87 tm/rn 1/ 10

S.F. _____ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 94,575 1 l. Treasurer of state 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 27,768 3 m. Department of agriculture and land stewardship 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 566,064 5 n. Department of natural resources 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 123,373 7 o. Department of cultural affairs 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 155,679 9 p. Economic development authority 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 396,039 11 q. Iowa workforce development 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 423,039 13 r. Department for the blind 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 19,720 15 s. College student aid commission 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 94,172 17 t. Department of education 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,754,490 19 u. Community colleges 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,441,391 21 v. Vocational rehabilitation 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 163,416 23 w. Iowa public television 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 500,000 25 x. State university of Iowa 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 8,670,363 27 y. Iowa state university of science and technology 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,914,994 29 z. University of northern Iowa 30 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3,748,494 31 aa. Department on aging 32 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 330,036 33 ab. Department of public health 34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,388,613 35 -2- LSB 6134XC (5) 87 tm/rn 2/ 10

S.F. _____ ac. Department of human services 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 6,632,084 2 ad. Department of veterans affairs 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 36,877 4 ae. Iowa veterans home 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 65,164 6 af. Attorney general 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 378,471 8 ag. Iowa civil rights commission 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 31,293 10 ah. Department of corrections 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 3,405,688 12 ai. Department of public defense 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 177,579 14 aj. Department of homeland security and emergency 15 management 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 57,390 17 ak. Department of public safety 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 300,000 19 The department shall not apply any reduction to expenditures 20 made from appropriations to the division of the state patrol. 21 al. Judicial branch 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 4,835,445 23 2. The department of management, in consultation with 24 the departments and agencies and the judicial branch listed 25 in subsection 1, shall identify and implement the reductions 26 in subsection 1 with respect to the appropriate general fund 27 appropriations. Within fifteen days of the effective date of 28 this section, the department of management shall transmit a 29 report to the general assembly and legislative services agency 30 listing the appropriation reductions applied. 31 3. In order to implement the reductions in subsection 1, 32 the departments and agencies and the judicial branch may adjust 33 allocations made from appropriations that are being reduced. 34 4. In order to implement the reductions in subsection 1, the 35 -3- LSB 6134XC (5) 87 tm/rn 3/ 10

S.F. _____ department of management may reduce a standing appropriation to 1 a department or agency required to reduce expenditures pursuant 2 to subsection 1. 3 Sec. 2. LIMITATIONS OF STANDING APPROPRIATION —— FY 4 2017-2018. Notwithstanding the standing appropriation in the 5 following designated section for the fiscal year beginning July 6 1, 2017, and ending June 30, 2018, the amount appropriated from 7 the general fund of the state pursuant to the section for the 8 following designated purpose shall not exceed the following 9 amount: 10 For regional tourism marketing under section 99F.11, 11 subsection 3, paragraph “d”, subparagraph (2): 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 750,000 13 Sec. 3. TRANSFER —— IOWA SKILLED WORKER AND JOB CREATION 14 FUND. There is transferred from the Iowa skilled worker and 15 job creation fund created in section 8.75 to the general fund 16 of the state for the fiscal year beginning July 1, 2017, and 17 ending June 30, 2018, the following amount: 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 7,000,000 19 Sec. 4. REDUCTIONS —— CHILD AND FAMILY SERVICES. For the 20 fiscal year beginning July 1, 2017, and ending June 30, 2018, 21 the department of human services shall reduce expenditures made 22 from appropriations to the department for purposes of child and 23 family services by $2,206,785. 24 Sec. 5. SUPPLEMENTAL REIMBURSEMENT FOR GROUND EMERGENCY 25 MEDICAL TRANSPORTATION PROVIDED TO MEDICAID BENEFICIARIES. The 26 department of human services shall submit a Medicaid state 27 plan amendment to the centers for Medicare and Medicaid 28 services of the United States department of health and human 29 services to request authorization to establish and administer a 30 methodology to provide supplemental reimbursement to eligible 31 ground emergency medical transportation providers that provide 32 ground emergency medical transportation services to Medicaid 33 beneficiaries. Supplemental reimbursements shall be available 34 only for the uncompensated care costs incurred by eligible 35 -4- LSB 6134XC (5) 87 tm/rn 4/ 10

S.F. _____ ground emergency medical transportation providers for providing 1 ground emergency medical transportation services to Medicaid 2 beneficiaries. 3 Sec. 6. 2017 Iowa Acts, chapter 169, section 17, subsection 4 1, paragraph a, subparagraph (1) is amended to read as follows: 5 (1) For the purposes of providing assistance under the high 6 quality jobs program as described in section 15.335B : 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 15,900,000 8 8,900,000 9 Sec. 7. 2017 Iowa Acts, chapter 170, section 5, subsection 10 1, is amended to read as follows: 11 1. The appropriations made pursuant to section 2.12 for the 12 expenses of the general assembly and legislative agencies for 13 the fiscal year beginning July 1, 2017, and ending June 30, 14 2018, are reduced by the following amount: 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 400,000 16 1,000,000 17 Sec. 8. 2017 Iowa Acts, chapter 174, section 8, unnumbered 18 paragraphs 1 and 2, are amended to read as follows: 19 There is appropriated from the general fund of the state to 20 the department of human services for the fiscal year beginning 21 July 1, 2017, and ending June 30, 2018, the following amount, 22 or so much thereof as is necessary, to be used for the purpose 23 designated: 24 To be credited to the family investment program (FIP) 25 account and used for family investment program assistance under 26 chapter 239B : 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 43,004,480 28 42,634,480 29 Sec. 9. 2017 Iowa Acts, chapter 174, section 13, unnumbered 30 paragraphs 1 and 2, are amended to read as follows: 31 There is appropriated from the general fund of the state to 32 the department of human services for the fiscal year beginning 33 July 1, 2017, and ending June 30, 2018, the following amount, 34 or so much thereof as is necessary, to be used for the purpose 35 -5- LSB 6134XC (5) 87 tm/rn 5/ 10

S.F. _____ designated: 1 For medical contracts: 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 17,626,464 3 17,357,207 4 Sec. 10. 2017 Iowa Acts, chapter 174, section 13, subsection 5 5, unnumbered paragraph 1, is amended to read as follows: 6 Of the funds appropriated in this section, $950,000 $745,000 7 shall be credited to the autism support program fund created 8 in section 225D.2 to be used for the autism support program 9 created in chapter 225D , with the exception of the following 10 amounts of this allocation which shall be used as follows: 11 Sec. 11. 2017 Iowa Acts, chapter 174, section 13, subsection 12 5, paragraph c, is amended by striking the paragraph. 13 Sec. 12. 2017 Iowa Acts, chapter 174, section 14, subsection 14 1, is amended to read as follows: 15 1. There is appropriated from the general fund of the 16 state to the department of human services for the fiscal year 17 beginning July 1, 2017, and ending June 30, 2018, the following 18 amount, or so much thereof as is necessary, to be used for the 19 purpose designated: 20 For the state supplementary assistance program: 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 10,372,658 22 10,122,658 23 Sec. 13. 2017 Iowa Acts, chapter 174, section 15, subsection 24 1, is amended to read as follows: 25 1. There is appropriated from the general fund of the 26 state to the department of human services for the fiscal year 27 beginning July 1, 2017, and ending June 30, 2018, the following 28 amount, or so much thereof as is necessary, to be used for the 29 purpose designated: 30 For maintenance of the healthy and well kids in Iowa (hawk-i) 31 program pursuant to chapter 514I , including supplemental dental 32 services, for receipt of federal financial participation under 33 Tit. XXI of the federal Social Security Act, which creates the 34 children’s health insurance program: 35 -6- LSB 6134XC (5) 87 tm/rn 6/ 10

S.F. _____ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 8,518,452 1 8,418,452 2 Sec. 14. 2017 Iowa Acts, chapter 174, section 18, subsection 3 3, paragraph a, is amended to read as follows: 4 a. Of the funds appropriated in this section, up to 5 $35,736,649 $35,186,649 is allocated as the statewide 6 expenditure target under section 232.143 for group foster care 7 maintenance and services. If the department projects that such 8 expenditures for the fiscal year will be less than the target 9 amount allocated in this paragraph “a”, the department may 10 reallocate the excess to provide additional funding for shelter 11 care or the child welfare emergency services addressed with the 12 allocation for shelter care. 13 Sec. 15. 2017 Iowa Acts, chapter 174, section 21, subsection 14 1, is amended to read as follows: 15 1. There is appropriated from the general fund of the 16 state to the department of human services for the fiscal year 17 beginning July 1, 2017, and ending June 30, 2018, the following 18 amount, or so much thereof as is necessary, to be used for the 19 purpose designated: 20 For the family support subsidy program subject to the 21 enrollment restrictions in section 225C.37, subsection 3 : 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,069,282 23 949,282 24 Sec. 16. REPEAL. 2017 Iowa Acts, chapter 170, section 18, 25 is repealed. 26 DIVISION II 27 SUPPLEMENTAL APPROPRIATIONS 28 Sec. 17. INDIGENT DEFENSE. There is appropriated from the 29 general fund of the state to the office of the state public 30 defender of the department of inspections and appeals for the 31 fiscal year beginning July 1, 2017, and ending June 30, 2018, 32 the following amount, or so much thereof as is necessary to 33 supplement appropriations made for the following designated 34 purpose: 35 -7- LSB 6134XC (5) 87 tm/rn 7/ 10

S.F. _____ For payments on behalf of eligible adults and juveniles from 1 the indigent defense fund in accordance with section 815.11: 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,700,000 3 Sec. 18. UTILITY COSTS. There is appropriated from the 4 general fund of the state to the department of administrative 5 services for the fiscal year beginning July 1, 2017, and ending 6 June 30, 2018, the following amount, or so much thereof as is 7 necessary, to supplement appropriations made for the following 8 designated purpose: 9 For payment of utility costs: 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 451,871 11 Sec. 19. 2017 Iowa Acts, chapter 174, section 36, is amended 12 to read as follows: 13 SEC. 36. PHARMACEUTICAL SETTLEMENT ACCOUNT. There is 14 appropriated from the pharmaceutical settlement account created 15 in section 249A.33 to the department of human services for the 16 fiscal year beginning July 1, 2017, and ending June 30, 2018, 17 the following amount, or so much thereof as is necessary, to be 18 used for the purpose designated: 19 Notwithstanding any provision of law to the contrary, to 20 supplement the appropriations made in this Act for medical 21 contracts under the medical assistance program for the fiscal 22 year beginning July 1, 2017, and ending June 30, 2018: 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 800,000 24 864,257 25 DIVISION III 26 EFFECTIVE DATE 27 Sec. 20. EFFECTIVE UPON ENACTMENT. This Act, being deemed 28 of immediate importance, takes effect upon enactment. 29 EXPLANATION 30 The inclusion of this explanation does not constitute agreement with 31 the explanation’s substance by the members of the general assembly. 32 This bill relates to public funding and regulatory matters 33 and making, reducing, transferring, and supplementing 34 appropriations for expenditures for the fiscal year 2017-2018. 35 -8- LSB 6134XC (5) 87 tm/rn 8/ 10

S.F. _____ The bill is organized by divisions. 1 APPROPRIATION REDUCTIONS. For the fiscal year 2017-2018, 2 the bill limits expenditures made from appropriations from 3 the general fund for certain listed departments and agencies 4 and the judicial branch. The bill requires the department 5 of management, in consultation with the departments and 6 agencies and the judicial branch, to identify and implement 7 the reductions and to file a report with the general assembly 8 and the legislative services agency listing the appropriation 9 reductions applied within 15 days of the effective date 10 of the bill. The bill allows departments and agencies 11 and the judicial branch to adjust allocations made within 12 appropriations that are being reduced. The bill allows the 13 department of management to reduce standing appropriations to 14 such departments and agencies. 15 The bill limits a standing appropriation to the economic 16 development authority for purposes of regional tourism 17 marketing. 18 The bill transfers moneys from the Iowa skilled worker and 19 job creation fund to the general fund of the state for FY 20 2017-2018. 21 The bill requires the department of human services to reduce 22 expenditures made from appropriations to the department for FY 23 2017-2018 for purposes of child and family services. 24 The bill requires the department of human services to submit 25 a Medicaid state plan amendment to the centers for Medicare and 26 Medicaid services of the United States department of health 27 and human services to request authorization to establish and 28 administer a methodology to provide supplemental reimbursement 29 to eligible ground emergency medical transportation providers 30 that provide ground emergency medical transportation services 31 to Medicaid beneficiaries. 32 The bill reduces an appropriation to the economic 33 development authority from the Iowa skilled worker and job 34 creation fund for FY 2017-2018. 35 -9- LSB 6134XC (5) 87 tm/rn 9/ 10

S.F. _____ The bill increases the reduction to the standing unlimited 1 appropriation to the general assembly. 2 The bill reduces appropriations made to the department 3 of human services for FY 2017-2018 for purposes of family 4 investment program assistance, medical contracts, the state 5 supplementary assistance program, maintenance of the healthy 6 and well kids in Iowa (hawk-i) program, and the family support 7 subsidy program. The bill reduces an FY 2017-2018 allocation 8 from the medical contracts appropriation for purposes of the 9 autism support program fund and eliminates an FY 2017-2018 10 allocation from the same appropriation for purposes of a 11 continuing grant to a hospital-based provider. The bill 12 reduces an FY 2017-2018 allocation from the child and family 13 services appropriation for purposes of group foster care 14 maintenance and services. 15 The bill repeals an appropriation to the offices of the 16 governor and the lieutenant governor for the fiscal year 17 2017-2018 for expenses incurred during the gubernatorial 18 transition. 19 SUPPLEMENTAL APPROPRIATIONS. The bill makes supplemental 20 appropriations to the state public defender of the department 21 of inspections and appeals for payments on behalf of eligible 22 adults and juveniles from the indigent defense fund. 23 The bill makes supplemental appropriations to the department 24 of administrative services for payments of utility costs. 25 The bill increases the appropriation from the pharmaceutical 26 settlement account to the department of human services to 27 supplement the appropriations made for medical contracts under 28 the medical assistance program for FY 2017-2018. 29 EFFECTIVE DATE. The bill takes effect upon enactment. 30 -10- LSB 6134XC (5) 87 tm/rn 10/ 10