Senate
Study
Bill
1253
-
Introduced
SENATE/HOUSE
FILE
_____
BY
(PROPOSED
GOVERNOR
BUDGET
BILL)
A
BILL
FOR
An
Act
relating
to
appropriations
for
health
and
human
services
1
and
veterans,
including
other
related
appropriations
and
2
provisions
and
including
effective
date
and
retroactive
and
3
other
applicability
date
provisions.
4
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
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DIVISION
I
1
DEPARTMENT
ON
AGING
——
FY
2019-2020
2
Section
1.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
3
the
general
fund
of
the
state
to
the
department
on
aging
for
4
the
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
5
2020,
the
following
amount,
or
so
much
thereof
as
is
necessary,
6
to
be
used
for
the
purposes
designated:
7
For
aging
programs
for
the
department
on
aging
and
area
8
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
9
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
10
aging
and
disabilities
resource
center,
and
other
services
11
which
may
include
but
are
not
limited
to
adult
day
services,
12
respite
care,
chore
services,
information
and
assistance,
13
and
material
aid,
for
information
and
options
counseling
for
14
persons
with
disabilities
who
are
18
years
of
age
or
older,
15
and
for
salaries,
support,
administration,
maintenance,
and
16
miscellaneous
purposes:
17
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$
11,042,924
18
1.
Funds
appropriated
in
this
section
may
be
used
to
19
supplement
federal
funds
under
federal
regulations.
To
20
receive
funds
appropriated
in
this
section,
a
local
area
21
agency
on
aging
shall
match
the
funds
with
moneys
from
other
22
sources
according
to
rules
adopted
by
the
department.
Funds
23
appropriated
in
this
section
may
be
used
for
elderly
services
24
not
specifically
enumerated
in
this
section
only
if
approved
25
by
an
area
agency
on
aging
for
provision
of
the
service
within
26
the
area.
27
2.
Of
the
funds
appropriated
in
this
section,
$279,946
is
28
transferred
to
the
economic
development
authority
for
the
Iowa
29
commission
on
volunteer
services
to
be
used
for
the
retired
and
30
senior
volunteer
program.
31
3.
a.
The
department
on
aging
shall
establish
and
enforce
32
procedures
relating
to
expenditure
of
state
and
federal
funds
33
by
area
agencies
on
aging
that
require
compliance
with
both
34
state
and
federal
laws,
rules,
and
regulations,
including
but
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not
limited
to
all
of
the
following:
1
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
2
or
services
received
or
performed
prior
to
the
end
of
the
3
fiscal
period
designated
for
use
of
the
funds.
4
(2)
Prohibiting
prepayment
for
goods
or
services
not
5
received
or
performed
prior
to
the
end
of
the
fiscal
period
6
designated
for
use
of
the
funds.
7
(3)
Prohibiting
the
prepayment
for
goods
or
services
8
not
defined
specifically
by
good
or
service,
time
period,
or
9
recipient.
10
(4)
Prohibiting
the
establishment
of
accounts
from
which
11
future
goods
or
services
which
are
not
defined
specifically
by
12
good
or
service,
time
period,
or
recipient,
may
be
purchased.
13
b.
The
procedures
shall
provide
that
if
any
funds
are
14
expended
in
a
manner
that
is
not
in
compliance
with
the
15
procedures
and
applicable
federal
and
state
laws,
rules,
and
16
regulations,
and
are
subsequently
subject
to
repayment,
the
17
area
agency
on
aging
expending
such
funds
in
contravention
of
18
such
procedures,
laws,
rules
and
regulations,
not
the
state,
19
shall
be
liable
for
such
repayment.
20
4.
Of
the
funds
appropriated
in
this
section,
at
least
21
$600,000
shall
be
used
to
fund
home
and
community-based
22
services
through
the
area
agencies
on
aging
that
enable
older
23
individuals
to
avoid
more
costly
utilization
of
residential
or
24
institutional
services
and
remain
in
their
own
homes.
25
5.
Of
the
funds
appropriated
in
this
section,
$812,537
shall
26
be
used
for
the
purposes
of
chapter
231E
and
to
administer
27
the
prevention
of
elder
abuse,
neglect,
and
exploitation
28
program
pursuant
to
section
231.56A
,
in
accordance
with
the
29
requirements
of
the
federal
Older
Americans
Act
of
1965,
42
30
U.S.C.
§3001
et
seq.,
as
amended.
31
6.
Of
the
funds
appropriated
in
this
section,
$1,000,000
32
shall
be
used
to
fund
continuation
of
the
aging
and
disability
33
resource
center
lifelong
links
to
provide
individuals
and
34
caregivers
with
information
and
services
to
plan
for
and
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maintain
independence.
1
7.
Of
the
funds
appropriated
in
this
section,
$100,000
2
shall
be
used
by
the
department
on
aging,
in
collaboration
with
3
the
department
of
human
services
and
affected
stakeholders,
to
4
continue
the
pilot
initiative
to
provide
long-term
care
options
5
counseling
utilizing
support
planning
protocols,
to
assist
6
non-Medicaid
eligible
consumers
who
indicate
a
preference
7
to
return
to
the
community
and
are
deemed
appropriate
for
8
discharge,
to
return
to
their
community
following
a
nursing
9
facility
stay.
10
DIVISION
II
11
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2019-2020
12
Sec.
2.
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
There
is
13
appropriated
from
the
general
fund
of
the
state
to
the
office
14
of
long-term
care
ombudsman
for
the
fiscal
year
beginning
July
15
1,
2019,
and
ending
June
30,
2020,
the
following
amount,
or
16
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
17
designated:
18
For
salaries,
support,
administration,
maintenance,
and
19
miscellaneous
purposes:
20
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.
$
1,149,821
21
DIVISION
III
22
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2019-2020
23
Sec.
3.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
appropriated
24
from
the
general
fund
of
the
state
to
the
department
of
public
25
health
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
26
June
30,
2020,
the
following
amounts,
or
so
much
thereof
as
is
27
necessary,
to
be
used
for
the
purposes
designated:
28
1.
ADDICTIVE
DISORDERS
29
For
reducing
the
prevalence
of
the
use
of
tobacco,
alcohol,
30
and
other
drugs,
and
treating
individuals
affected
by
addictive
31
behaviors,
including
gambling:
32
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.
$
25,110,594
33
a.
Of
the
funds
appropriated
in
this
subsection,
$4,021,225
34
shall
be
used
for
the
tobacco
use
prevention
and
control
35
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initiative,
including
efforts
at
the
state
and
local
levels,
1
as
provided
in
chapter
142A
.
The
commission
on
tobacco
use
2
prevention
and
control
established
pursuant
to
section
142A.3
3
shall
advise
the
director
of
public
health
in
prioritizing
4
funding
needs
and
the
allocation
of
moneys
appropriated
for
5
the
programs
and
initiatives.
Activities
of
the
programs
6
and
initiatives
shall
be
in
alignment
with
the
United
States
7
centers
for
disease
control
and
prevention
best
practices
8
for
comprehensive
tobacco
control
programs
that
include
9
the
goals
of
preventing
youth
initiation
of
tobacco
usage,
10
reducing
exposure
to
secondhand
smoke,
and
promotion
of
tobacco
11
cessation.
12
b.
(1)
Of
the
funds
appropriated
in
this
subsection,
13
$21,089,369
shall
be
used
for
problem
gambling
and
14
substance-related
disorder
prevention,
treatment,
and
recovery
15
services,
including
a
24-hour
helpline,
public
information
16
resources,
professional
training,
youth
prevention,
and
program
17
evaluation.
18
(2)
Of
the
amount
allocated
under
this
paragraph,
not
19
more
than
$306,250
shall
be
utilized
by
the
department
of
20
public
health,
in
collaboration
with
the
department
of
human
21
services,
to
support
establishment
and
maintenance
of
a
single
22
statewide
24-hour
crisis
hotline
for
the
Iowa
children’s
mental
23
health
system
that
incorporates
warmline
services
which
may
be
24
provided
through
expansion
of
existing
capabilities
maintained
25
by
the
department
of
public
health
as
required
pursuant
to
2018
26
Iowa
Acts,
chapter
1056,
section
16.
27
c.
The
requirement
of
section
123.17,
subsection
5
,
is
met
28
by
the
appropriations
and
allocations
made
in
this
division
of
29
this
Act
for
purposes
of
substance-related
disorder
treatment
30
and
addictive
disorders
for
the
fiscal
year
beginning
July
1,
31
2019.
32
2.
HEALTHY
CHILDREN
AND
FAMILIES
33
For
promoting
the
optimum
health
status
for
children,
34
adolescents
from
birth
through
21
years
of
age,
and
families:
35
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.
$
5,820,625
1
3.
CHRONIC
CONDITIONS
2
For
serving
individuals
identified
as
having
chronic
3
conditions
or
special
health
care
needs:
4
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.
$
4,228,109
5
4.
COMMUNITY
CAPACITY
6
For
strengthening
the
health
care
delivery
system
at
the
7
local
level:
8
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.
$
4,970,152
9
a.
Of
the
funds
appropriated
in
this
subsection,
$2,000,000
10
shall
be
deposited
in
the
medical
residency
training
account
11
created
in
section
135.175,
subsection
5,
paragraph
“a”,
and
12
is
appropriated
from
the
account
to
the
department
of
public
13
health
to
be
used
for
the
purposes
of
the
medical
residency
14
training
state
matching
grants
program
as
specified
in
section
15
135.176.
16
b.
Of
the
funds
appropriated
in
this
subsection,
$799,454
17
is
allocated
for
the
purposes
of
health
care
and
public
health
18
workforce
initiatives,
and
of
this
amount,
$250,000
shall
be
19
used
for
the
public
purpose
of
providing
funding
to
Des
Moines
20
university
to
continue
a
provider
education
project
to
provide
21
primary
care
physicians
with
the
training
and
skills
necessary
22
to
recognize
the
signs
of
mental
illness
in
patients.
23
5.
ESSENTIAL
PUBLIC
HEALTH
SERVICES
24
a.
To
provide
public
health
services
that
reduce
risks
25
and
invest
in
promoting
and
protecting
good
health
over
the
26
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
27
vulnerable
populations:
28
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.
$
7,962,464
29
b.
Of
the
funds
appropriated
in
this
subsection,
$300,000
is
30
allocated
for
performance
improvement
activities.
31
6.
INFECTIOUS
DISEASES
32
For
reducing
the
incidence
and
prevalence
of
communicable
33
diseases:
34
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.
$
1,796,426
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7.
PUBLIC
PROTECTION
1
a.
For
protecting
the
health
and
safety
of
the
public
2
through
establishing
standards
and
enforcing
regulations:
3
.
.
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.
$
4,095,139
4
b.
Of
the
funds
appropriated
in
this
subsection,
not
more
5
than
$304,700
shall
be
credited
to
the
emergency
medical
6
services
fund
created
in
section
135.25
.
Moneys
in
the
7
emergency
medical
services
fund
are
appropriated
to
the
8
department
to
be
used
for
the
purposes
of
the
fund.
9
8.
RESOURCE
MANAGEMENT
10
For
establishing
and
sustaining
the
overall
ability
of
the
11
department
to
deliver
services
to
the
public:
12
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.
$
971,215
13
9.
MISCELLANEOUS
PROVISIONS
14
The
university
of
Iowa
hospitals
and
clinics
under
the
15
control
of
the
state
board
of
regents
shall
not
receive
16
indirect
costs
from
the
funds
appropriated
in
this
section.
17
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
18
department
shall
be
on
at
least
a
quarterly
basis.
19
DIVISION
IV
20
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2019-2020
21
Sec.
4.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
22
appropriated
from
the
general
fund
of
the
state
to
the
23
department
of
veterans
affairs
for
the
fiscal
year
beginning
24
July
1,
2019,
and
ending
June
30,
2020,
the
following
amounts,
25
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
26
designated:
27
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
28
For
salaries,
support,
maintenance,
and
miscellaneous
29
purposes:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,225,500
31
2.
IOWA
VETERANS
HOME
32
For
salaries,
support,
maintenance,
and
miscellaneous
33
purposes:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,162,976
35
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S.F.
_____
H.F.
_____
a.
The
Iowa
veterans
home
billings
involving
the
department
1
of
human
services
shall
be
submitted
to
the
department
on
at
2
least
a
monthly
basis.
3
b.
Within
available
resources
and
in
conformance
with
4
associated
state
and
federal
program
eligibility
requirements,
5
the
Iowa
veterans
home
may
implement
measures
to
provide
6
financial
assistance
to
or
on
behalf
of
veterans
or
their
7
spouses
who
are
participating
in
the
community
reentry
program.
8
c.
The
Iowa
veterans
home
expenditure
report
shall
be
9
submitted
monthly
to
the
legislative
services
agency.
10
d.
The
Iowa
veterans
home
shall
continue
to
include
in
the
11
annual
discharge
report
applicant
information
to
provide
for
12
the
collection
of
demographic
information
including
but
not
13
limited
to
the
number
of
individuals
applying
for
admission
and
14
admitted
or
denied
admittance
and
the
basis
for
the
admission
15
or
denial;
the
age,
gender,
and
race
of
such
individuals;
16
and
the
level
of
care
for
which
such
individuals
applied
for
17
admission
including
residential
or
nursing
level
of
care.
18
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
19
For
transfer
to
the
Iowa
finance
authority
for
the
20
continuation
of
the
home
ownership
assistance
program
for
21
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
22
the
United
States,
pursuant
to
section
16.54
:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
24
Sec.
5.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
AFFAIRS
25
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
standing
26
appropriation
in
section
35A.16
for
the
fiscal
year
beginning
27
July
1,
2019,
and
ending
June
30,
2020,
the
amount
appropriated
28
from
the
general
fund
of
the
state
pursuant
to
that
section
29
for
the
following
designated
purposes
shall
not
exceed
the
30
following
amount:
31
For
the
county
commissions
of
veteran
affairs
fund
under
32
section
35A.16
:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
990,000
34
DIVISION
V
35
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S.F.
_____
H.F.
_____
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2019-2020
1
Sec.
6.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
2
GRANT.
There
is
appropriated
from
the
fund
created
in
section
3
8.41
to
the
department
of
human
services
for
the
fiscal
year
4
beginning
July
1,
2019,
and
ending
June
30,
2020,
from
moneys
5
received
under
the
federal
temporary
assistance
for
needy
6
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
7
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
8
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
9
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
10
purposes
designated:
11
1.
To
be
credited
to
the
family
investment
program
account
12
and
used
for
assistance
under
the
family
investment
program
13
under
chapter
239B
:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,524,006
15
2.
To
be
credited
to
the
family
investment
program
account
16
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
17
program
and
implementing
family
investment
agreements
in
18
accordance
with
chapter
239B
:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,412,060
20
3.
To
be
used
for
the
family
development
and
21
self-sufficiency
grant
program
in
accordance
with
section
22
216A.107
:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,898,980
24
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
25
subsection
that
remain
unencumbered
or
unobligated
at
the
close
26
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
27
for
expenditure
for
the
purposes
designated
until
the
close
of
28
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
29
encumbered
or
obligated
on
or
before
September
30,
2020,
the
30
moneys
shall
revert.
31
4.
For
field
operations:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
33
5.
For
general
administration:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
35
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118
S.F.
_____
H.F.
_____
6.
For
state
child
care
assistance:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,166,826
2
a.
Of
the
funds
appropriated
in
this
subsection,
3
$26,205,412
is
transferred
to
the
child
care
and
development
4
block
grant
appropriation
made
by
the
Eighty-eighth
General
5
Assembly,
2019
session,
for
the
federal
fiscal
year
beginning
6
October
1,
2019,
and
ending
September
30,
2020.
Of
this
7
amount,
$200,000
shall
be
used
for
provision
of
educational
8
opportunities
to
registered
child
care
home
providers
in
order
9
to
improve
services
and
programs
offered
by
this
category
10
of
providers
and
to
increase
the
number
of
providers.
The
11
department
may
contract
with
institutions
of
higher
education
12
or
child
care
resource
and
referral
centers
to
provide
13
the
educational
opportunities.
Allowable
administrative
14
costs
under
the
contracts
shall
not
exceed
5
percent.
The
15
application
for
a
grant
shall
not
exceed
two
pages
in
length.
16
b.
Any
funds
appropriated
in
this
subsection
remaining
17
unallocated
shall
be
used
for
state
child
care
assistance
18
payments
for
families
who
are
employed
including
but
not
19
limited
to
individuals
enrolled
in
the
family
investment
20
program.
21
7.
For
child
and
family
services:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,380,654
23
8.
For
child
abuse
prevention
grants:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
25
9.
For
pregnancy
prevention
grants
on
the
condition
that
26
family
planning
services
are
funded:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,913,203
28
Pregnancy
prevention
grants
shall
be
awarded
to
programs
29
in
existence
on
or
before
July
1,
2019,
if
the
programs
have
30
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
31
pregnancy
prevention
programs
which
are
developed
after
July
32
1,
2019,
if
the
programs
are
based
on
existing
models
that
33
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
34
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
35
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_____
H.F.
_____
section
14,
subsections
1
and
2
,
including
the
requirement
that
1
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
2
the
awarding
of
grants
shall
be
given
to
programs
that
serve
3
areas
of
the
state
which
demonstrate
the
highest
percentage
of
4
unplanned
pregnancies
of
females
of
childbearing
age
within
the
5
geographic
area
to
be
served
by
the
grant.
6
10.
For
technology
needs
and
other
resources
necessary
7
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
8
management
requirements:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
10
11.
a.
Notwithstanding
any
provision
to
the
contrary,
11
including
but
not
limited
to
requirements
in
section
8.41
or
12
provisions
in
2018
or
2019
Iowa
Acts
regarding
the
receipt
and
13
appropriation
of
federal
block
grants,
federal
funds
from
the
14
temporary
assistance
for
needy
families
block
grant
received
by
15
the
state
and
not
otherwise
appropriated
in
this
section
and
16
remaining
available
for
the
fiscal
year
beginning
July
1,
2019,
17
are
appropriated
to
the
department
of
human
services
to
the
18
extent
as
may
be
necessary
to
be
used
in
the
following
priority
19
order:
the
family
investment
program,
for
state
child
care
20
assistance
program
payments
for
families
who
are
employed,
and
21
for
the
family
investment
program
share
of
system
costs
for
22
eligibility
determination
and
related
functions.
The
federal
23
funds
appropriated
in
this
paragraph
“a”
shall
be
expended
24
only
after
all
other
funds
appropriated
in
subsection
1
for
25
assistance
under
the
family
investment
program,
in
subsection
26
6
for
state
child
care
assistance,
or
in
subsection
10
for
27
technology
costs
related
to
the
family
investment
program,
28
as
applicable,
have
been
expended.
For
the
purposes
of
this
29
subsection,
the
funds
appropriated
in
subsection
6,
paragraph
30
“a”,
for
transfer
to
the
child
care
and
development
block
grant
31
appropriation
are
considered
fully
expended
when
the
full
32
amount
has
been
transferred.
33
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
34
legislative
services
agency
and
department
of
management
of
35
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S.F.
_____
H.F.
_____
the
amount
of
funds
appropriated
in
this
subsection
that
was
1
expended
in
the
prior
quarter.
2
12.
Of
the
amounts
appropriated
in
this
section,
3
$12,962,008
for
the
fiscal
year
beginning
July
1,
2019,
is
4
transferred
to
the
appropriation
of
the
federal
social
services
5
block
grant
made
to
the
department
of
human
services
for
that
6
fiscal
year.
7
13.
For
continuation
of
the
program
providing
categorical
8
eligibility
for
the
food
assistance
program
as
specified
9
for
the
program
in
the
section
of
this
division
of
this
Act
10
relating
to
the
family
investment
program
account:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,236
12
14.
The
department
may
transfer
funds
allocated
in
this
13
section
to
the
appropriations
made
in
this
division
of
this
Act
14
for
the
same
fiscal
year
for
general
administration
and
field
15
operations
for
resources
necessary
to
implement
and
operate
the
16
services
referred
to
in
this
section
and
those
funded
in
the
17
appropriation
made
in
this
division
of
this
Act
for
the
same
18
fiscal
year
for
the
family
investment
program
from
the
general
19
fund
of
the
state.
20
15.
With
the
exception
of
moneys
allocated
under
this
21
section
for
the
family
development
and
self-sufficiency
grant
22
program,
to
the
extent
moneys
allocated
in
this
section
are
23
deemed
by
the
department
not
to
be
necessary
to
support
the
24
purposes
for
which
they
are
allocated,
such
moneys
may
be
25
used
in
the
same
fiscal
year
for
any
other
purpose
for
which
26
funds
are
allocated
in
this
section
or
in
section
7
of
this
27
division
for
the
family
investment
program
account.
If
there
28
are
conflicting
needs,
priority
shall
first
be
given
to
the
29
family
investment
program
account
as
specified
under
subsection
30
1
of
this
section
and
used
for
the
purposes
of
assistance
under
31
the
family
investment
program
in
accordance
with
chapter
239B
,
32
followed
by
state
child
care
assistance
program
payments
for
33
families
who
are
employed,
followed
by
other
priorities
as
34
specified
by
the
department.
35
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_____
H.F.
_____
Sec.
7.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
1
1.
Moneys
credited
to
the
family
investment
program
(FIP)
2
account
for
the
fiscal
year
beginning
July
1,
2019,
and
3
ending
June
30,
2020,
shall
be
used
to
provide
assistance
in
4
accordance
with
chapter
239B
.
5
2.
The
department
may
use
a
portion
of
the
moneys
credited
6
to
the
FIP
account
under
this
section
as
necessary
for
7
salaries,
support,
maintenance,
and
miscellaneous
purposes.
8
3.
The
department
may
transfer
funds
allocated
in
9
subsection
4,
excluding
the
allocation
under
subsection
4,
10
paragraph
“b”,
to
the
appropriations
made
in
this
division
of
11
this
Act
for
the
same
fiscal
year
for
general
administration
12
and
field
operations
for
resources
necessary
to
implement
13
and
operate
the
services
referred
to
in
this
section
and
14
those
funded
in
the
appropriations
made
in
section
6
for
the
15
temporary
assistance
for
needy
families
block
grant
and
in
16
section
8
for
the
family
investment
program
from
the
general
17
fund
of
the
state
in
this
division
of
this
Act
for
the
same
18
fiscal
year.
19
4.
Moneys
appropriated
in
this
division
of
this
Act
and
20
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
21
1,
2019,
and
ending
June
30,
2020,
are
allocated
as
follows:
22
a.
To
be
retained
by
the
department
of
human
services
to
23
be
used
for
coordinating
with
the
department
of
human
rights
24
to
more
effectively
serve
participants
in
FIP
and
other
shared
25
clients
and
to
meet
federal
reporting
requirements
under
the
26
federal
temporary
assistance
for
needy
families
block
grant:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,000
28
b.
To
the
department
of
human
rights
for
staffing,
29
administration,
and
implementation
of
the
family
development
30
and
self-sufficiency
grant
program
in
accordance
with
section
31
216A.107
:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,192,834
33
(1)
Of
the
funds
allocated
for
the
family
development
34
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
35
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not
more
than
5
percent
of
the
funds
shall
be
used
for
the
1
administration
of
the
grant
program.
2
(2)
The
department
of
human
rights
may
continue
to
implement
3
the
family
development
and
self-sufficiency
grant
program
4
statewide
during
fiscal
year
2019-2020.
5
(3)
The
department
of
human
rights
may
engage
in
activities
6
to
strengthen
and
improve
family
outcomes
measures
and
7
data
collection
systems
under
the
family
development
and
8
self-sufficiency
grant
program.
9
c.
For
the
diversion
subaccount
of
the
FIP
account:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
815,000
11
A
portion
of
the
moneys
allocated
for
the
subaccount
may
12
be
used
for
field
operations,
salaries,
data
management
13
system
development,
and
implementation
costs
and
support
14
deemed
necessary
by
the
director
of
human
services
in
order
to
15
administer
the
FIP
diversion
program.
To
the
extent
moneys
16
allocated
in
this
paragraph
“c”
are
deemed
by
the
department
17
not
to
be
necessary
to
support
diversion
activities,
such
18
moneys
may
be
used
for
other
efforts
intended
to
increase
19
engagement
by
family
investment
program
participants
in
work,
20
education,
or
training
activities,
or
for
the
purposes
of
21
assistance
under
the
family
investment
program
in
accordance
22
with
chapter
239B
.
23
d.
For
the
food
assistance
employment
and
training
program:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
25
(1)
The
department
shall
apply
the
federal
supplemental
26
nutrition
assistance
program
(SNAP)
employment
and
training
27
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
28
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
29
provisions
for
the
claiming
of
allowable
federal
reimbursement
30
funds
from
the
United
States
department
of
agriculture
31
pursuant
to
the
federal
SNAP
employment
and
training
program
32
for
providing
education,
employment,
and
training
services
33
for
eligible
food
assistance
program
participants,
including
34
but
not
limited
to
related
dependent
care
and
transportation
35
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expenses.
1
(2)
The
department
shall
continue
the
categorical
federal
2
food
assistance
program
eligibility
at
160
percent
of
the
3
federal
poverty
level
and
continue
to
eliminate
the
asset
test
4
from
eligibility
requirements,
consistent
with
federal
food
5
assistance
program
requirements.
The
department
shall
include
6
as
many
food
assistance
households
as
is
allowed
by
federal
7
law.
The
eligibility
provisions
shall
conform
to
all
federal
8
requirements
including
requirements
addressing
individuals
who
9
are
incarcerated
or
otherwise
ineligible.
10
e.
For
the
JOBS
program:
11
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,018,258
12
5.
Of
the
child
support
collections
assigned
under
FIP,
13
an
amount
equal
to
the
federal
share
of
support
collections
14
shall
be
credited
to
the
child
support
recovery
appropriation
15
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
16
assigned
child
support
collections
received
by
the
child
17
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
18
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
19
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
20
payments
account.
If
as
a
consequence
of
the
appropriations
21
and
allocations
made
in
this
section
the
resulting
amounts
22
are
insufficient
to
sustain
cash
assistance
payments
and
meet
23
federal
maintenance
of
effort
requirements,
the
department
24
shall
seek
supplemental
funding.
If
child
support
collections
25
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
26
determined
not
to
be
required
for
maintenance
of
effort,
the
27
state
share
of
either
amount
may
be
transferred
to
or
retained
28
in
the
child
support
payments
account.
29
6.
The
department
may
adopt
emergency
rules
for
the
family
30
investment,
JOBS,
food
assistance,
and
medical
assistance
31
programs
if
necessary
to
comply
with
federal
requirements.
32
Sec.
8.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
33
is
appropriated
from
the
general
fund
of
the
state
to
the
34
department
of
human
services
for
the
fiscal
year
beginning
July
35
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_____
H.F.
_____
1,
2019,
and
ending
June
30,
2020,
the
following
amount,
or
1
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
2
designated:
3
To
be
credited
to
the
family
investment
program
(FIP)
4
account
and
used
for
family
investment
program
assistance
under
5
chapter
239B
:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,365,715
7
1.
Of
the
funds
appropriated
in
this
section,
$6,606,198
is
8
allocated
for
the
JOBS
program.
9
2.
Of
the
funds
appropriated
in
this
section,
$3,313,854
is
10
allocated
for
the
family
development
and
self-sufficiency
grant
11
program.
12
3.
Notwithstanding
section
8.39
,
for
the
fiscal
year
13
beginning
July
1,
2019,
if
necessary
to
meet
federal
14
maintenance
of
effort
requirements
or
to
transfer
federal
15
temporary
assistance
for
needy
families
block
grant
funding
16
to
be
used
for
purposes
of
the
federal
social
services
block
17
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
18
receiving
federal
funding
or
to
implement,
in
accordance
with
19
this
division
of
this
Act,
activities
currently
funded
with
20
juvenile
court
services,
county,
or
community
moneys
and
state
21
moneys
used
in
combination
with
such
moneys;
to
comply
with
22
federal
requirements;
or
to
maximize
the
use
of
federal
funds,
23
the
department
of
human
services
may
transfer
funds
within
or
24
between
any
of
the
appropriations
made
in
this
division
of
this
25
Act
and
appropriations
in
law
for
the
federal
social
services
26
block
grant
to
the
department
for
the
following
purposes,
27
provided
that
the
combined
amount
of
state
and
federal
28
temporary
assistance
for
needy
families
block
grant
funding
29
for
each
appropriation
remains
the
same
before
and
after
the
30
transfer:
31
a.
For
the
family
investment
program.
32
b.
For
state
child
care
assistance.
33
c.
For
child
and
family
services.
34
d.
For
field
operations.
35
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e.
For
general
administration.
1
This
subsection
shall
not
be
construed
to
prohibit
the
use
2
of
existing
state
transfer
authority
for
other
purposes.
The
3
department
shall
report
any
transfers
made
pursuant
to
this
4
subsection
to
the
legislative
services
agency.
5
4.
Of
the
funds
appropriated
in
this
section,
$195,678
shall
6
be
used
for
continuation
of
a
grant
to
an
Iowa-based
nonprofit
7
organization
with
a
history
of
providing
tax
preparation
8
assistance
to
low-income
Iowans
in
order
to
expand
the
usage
of
9
the
earned
income
tax
credit.
The
purpose
of
the
grant
is
to
10
supply
this
assistance
to
underserved
areas
of
the
state.
11
5.
Of
the
funds
appropriated
in
this
section,
$70,000
12
shall
be
used
for
the
continuation
of
the
parenting
program
as
13
specified
in
441
IAC
ch.
100
,
relating
to
parental
obligations,
14
in
which
the
child
support
recovery
unit
participates,
to
15
support
the
efforts
of
a
nonprofit
organization
committed
16
to
strengthening
the
community
through
youth
development,
17
healthy
living,
and
social
responsibility
headquartered
in
18
a
county
with
a
population
over
350,000
according
to
the
19
latest
certified
federal
census.
The
funds
allocated
in
this
20
subsection
shall
be
used
by
the
recipient
organization
to
21
develop
a
larger
community
effort,
through
public
and
private
22
partnerships,
to
support
a
broad-based
multi-county
parenthood
23
initiative
that
promotes
payment
of
child
support
obligations,
24
improved
family
relationships,
and
full-time
employment.
25
6.
The
department
may
transfer
funds
appropriated
in
this
26
section,
excluding
the
allocation
in
subsection
2
for
the
27
family
development
and
self-sufficiency
grant
program,
to
the
28
appropriations
made
in
this
division
of
this
Act
for
general
29
administration
and
field
operations
as
necessary
to
administer
30
this
section,
section
6
for
the
temporary
assistance
for
needy
31
families
block
grant,
and
section
7
for
the
family
investment
32
program
account.
33
Sec.
9.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
34
from
the
general
fund
of
the
state
to
the
department
of
human
35
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_____
H.F.
_____
services
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
1
June
30,
2020,
the
following
amount,
or
so
much
thereof
as
is
2
necessary,
to
be
used
for
the
purposes
designated:
3
For
child
support
recovery,
including
salaries,
support,
4
maintenance,
and
miscellaneous
purposes:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,749,697
6
1.
The
department
shall
expend
up
to
$24,329,
including
7
federal
financial
participation,
for
the
fiscal
year
beginning
8
July
1,
2019,
for
a
child
support
public
awareness
campaign.
9
The
department
and
the
office
of
the
attorney
general
shall
10
cooperate
in
continuation
of
the
campaign.
The
public
11
awareness
campaign
shall
emphasize,
through
a
variety
of
12
media
activities,
the
importance
of
maximum
involvement
of
13
both
parents
in
the
lives
of
their
children
as
well
as
the
14
importance
of
payment
of
child
support
obligations.
15
2.
Federal
access
and
visitation
grant
moneys
shall
be
16
issued
directly
to
private
not-for-profit
agencies
that
provide
17
services
designed
to
increase
compliance
with
the
child
access
18
provisions
of
court
orders,
including
but
not
limited
to
19
neutral
visitation
sites
and
mediation
services.
20
3.
The
appropriation
made
to
the
department
for
child
21
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
22
manner
necessary
for
purposes
of
cash
flow
management,
and
for
23
cash
flow
management
purposes
the
department
may
temporarily
24
draw
more
than
the
amount
appropriated,
provided
the
amount
25
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
26
Sec.
10.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE
——
27
FY
2019-2020.
Any
funds
remaining
in
the
health
care
trust
28
fund
created
in
section
453A.35A
for
the
fiscal
year
beginning
29
July
1,
2019,
and
ending
June
30,
2020,
are
appropriated
to
30
the
department
of
human
services
to
supplement
the
medical
31
assistance
program
appropriations
made
in
this
division
of
this
32
Act,
for
medical
assistance
reimbursement
and
associated
costs,
33
including
program
administration
and
costs
associated
with
34
program
implementation.
35
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_____
H.F.
_____
Sec.
11.
MEDICAID
FRAUD
FUND
——
MEDICAL
ASSISTANCE
——
FY
1
2019-2020.
Any
funds
remaining
in
the
Medicaid
fraud
fund
2
created
in
section
249A.50
for
the
fiscal
year
beginning
3
July
1,
2019,
and
ending
June
30,
2020,
are
appropriated
to
4
the
department
of
human
services
to
supplement
the
medical
5
assistance
appropriations
made
in
this
division
of
this
Act,
6
for
medical
assistance
reimbursement
and
associated
costs,
7
including
program
administration
and
costs
associated
with
8
program
implementation.
9
Sec.
12.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
the
10
general
fund
of
the
state
to
the
department
of
human
services
11
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
12
2020,
the
following
amount,
or
so
much
thereof
as
is
necessary,
13
to
be
used
for
the
purpose
designated:
14
For
medical
assistance
program
reimbursement
and
associated
15
costs
as
specifically
provided
in
the
reimbursement
16
methodologies
in
effect
on
June
30,
2019,
except
as
otherwise
17
expressly
authorized
by
law,
consistent
with
options
under
18
federal
law
and
regulations,
and
contingent
upon
receipt
of
19
approval
from
the
office
of
the
governor
of
reimbursement
for
20
each
abortion
performed
under
the
program:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,409,929,895
22
1.
Iowans
support
reducing
the
number
of
abortions
23
performed
in
our
state.
Funds
appropriated
under
this
section
24
shall
not
be
used
for
abortions,
unless
otherwise
authorized
25
under
this
section.
26
2.
The
provisions
of
this
section
relating
to
abortions
27
shall
also
apply
to
the
Iowa
health
and
wellness
plan
created
28
pursuant
to
chapter
249N
.
29
3.
The
department
shall
utilize
not
more
than
$60,000
of
30
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
31
health
insurance
premium
payment
program
as
established
in
1992
32
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
33
409,
subsection
6
.
Of
the
funds
allocated
in
this
subsection,
34
not
more
than
$5,000
may
be
expended
for
administrative
35
-18-
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1013XG
(15)
88
pf/tm
18/
118
S.F.
_____
H.F.
_____
purposes.
1
4.
Of
the
funds
appropriated
in
this
Act
to
the
department
2
of
public
health
for
addictive
disorders,
$950,000
for
3
the
fiscal
year
beginning
July
1,
2019,
is
transferred
4
to
the
department
of
human
services
for
an
integrated
5
substance-related
disorder
managed
care
system.
The
6
departments
of
human
services
and
public
health
shall
7
work
together
to
maintain
the
level
of
mental
health
and
8
substance-related
disorder
treatment
services
provided
by
the
9
managed
care
contractors.
Each
department
shall
take
the
steps
10
necessary
to
continue
the
federal
waivers
as
necessary
to
11
maintain
the
level
of
services.
12
5.
a.
The
department
shall
aggressively
pursue
options
for
13
providing
medical
assistance
or
other
assistance
to
individuals
14
with
special
needs
who
become
ineligible
to
continue
receiving
15
services
under
the
early
and
periodic
screening,
diagnostic,
16
and
treatment
program
under
the
medical
assistance
program
17
due
to
becoming
21
years
of
age
who
have
been
approved
for
18
additional
assistance
through
the
department’s
exception
to
19
policy
provisions,
but
who
have
health
care
needs
in
excess
20
of
the
funding
available
through
the
exception
to
policy
21
provisions.
22
b.
Of
the
funds
appropriated
in
this
section,
$100,000
23
shall
be
used
for
participation
in
one
or
more
pilot
projects
24
operated
by
a
private
provider
to
allow
the
individual
or
25
individuals
to
receive
service
in
the
community
in
accordance
26
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
27
(1999),
for
the
purpose
of
providing
medical
assistance
or
28
other
assistance
to
individuals
with
special
needs
who
become
29
ineligible
to
continue
receiving
services
under
the
early
and
30
periodic
screening,
diagnostic,
and
treatment
program
under
31
the
medical
assistance
program
due
to
becoming
21
years
of
32
age
who
have
been
approved
for
additional
assistance
through
33
the
department’s
exception
to
policy
provisions,
but
who
have
34
health
care
needs
in
excess
of
the
funding
available
through
35
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88
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118
S.F.
_____
H.F.
_____
the
exception
to
the
policy
provisions.
1
6.
Of
the
funds
appropriated
in
this
section,
up
to
2
$3,050,082
may
be
transferred
to
the
field
operations
or
3
general
administration
appropriations
in
this
division
of
this
4
Act
for
operational
costs
associated
with
Part
D
of
the
federal
5
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
6
of
2003,
Pub.
L.
No.
108-173.
7
7.
Of
the
funds
appropriated
in
this
section,
up
to
$442,100
8
may
be
transferred
to
the
appropriation
in
this
division
9
of
this
Act
for
medical
contracts
to
be
used
for
clinical
10
assessment
services
and
prior
authorization
of
services.
11
8.
A
portion
of
the
funds
appropriated
in
this
section
12
may
be
transferred
to
the
appropriations
in
this
division
of
13
this
Act
for
general
administration,
medical
contracts,
the
14
children’s
health
insurance
program,
or
field
operations
to
be
15
used
for
the
state
match
cost
to
comply
with
the
payment
error
16
rate
measurement
(PERM)
program
for
both
the
medical
assistance
17
and
children’s
health
insurance
programs
as
developed
by
the
18
centers
for
Medicare
and
Medicaid
services
of
the
United
States
19
department
of
health
and
human
services
to
comply
with
the
20
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
21
No.
107-300,
and
to
support
other
reviews
and
quality
control
22
activities
to
improve
the
integrity
of
these
programs.
23
9.
The
department
shall
continue
to
implement
the
24
recommendations
of
the
assuring
better
child
health
and
25
development
initiative
II
(ABCDII)
clinical
panel
to
the
26
Iowa
early
and
periodic
screening,
diagnostic,
and
treatment
27
services
healthy
mental
development
collaborative
board
28
regarding
changes
to
billing
procedures,
codes,
and
eligible
29
service
providers.
30
10.
Of
the
funds
appropriated
in
this
section,
a
sufficient
31
amount
is
allocated
to
supplement
the
incomes
of
residents
of
32
nursing
facilities,
intermediate
care
facilities
for
persons
33
with
mental
illness,
and
intermediate
care
facilities
for
34
persons
with
an
intellectual
disability,
with
incomes
of
less
35
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118
S.F.
_____
H.F.
_____
than
$50
in
the
amount
necessary
for
the
residents
to
receive
a
1
personal
needs
allowance
of
$50
per
month
pursuant
to
section
2
249A.30A
.
3
11.
a.
Hospitals
that
meet
the
conditions
specified
4
in
subparagraphs
(1)
and
(2)
shall
either
certify
public
5
expenditures
or
transfer
to
the
medical
assistance
program
6
an
amount
equal
to
provide
the
nonfederal
share
for
a
7
disproportionate
share
hospital
payment
in
an
amount
up
to
the
8
hospital-specific
limit
as
approved
in
the
Medicaid
state
plan.
9
The
hospitals
that
meet
the
conditions
specified
shall
receive
10
and
retain
100
percent
of
the
total
disproportionate
share
11
hospital
payment
in
an
amount
up
to
the
hospital-specific
limit
12
as
approved
in
the
Medicaid
state
plan.
13
(1)
The
hospital
qualifies
for
disproportionate
share
and
14
graduate
medical
education
payments.
15
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
16
than
500
beds
and
eight
or
more
distinct
residency
specialty
17
or
subspecialty
programs
recognized
by
the
American
college
of
18
graduate
medical
education.
19
b.
Distribution
of
the
disproportionate
share
payments
20
shall
be
made
on
a
monthly
basis.
The
total
amount
of
21
disproportionate
share
payments
including
graduate
medical
22
education,
enhanced
disproportionate
share,
and
Iowa
23
state-owned
teaching
hospital
payments
shall
not
exceed
the
24
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
25
In
addition,
the
total
amount
of
all
disproportionate
26
share
payments
shall
not
exceed
the
hospital-specific
27
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
28
12.
One
hundred
percent
of
the
nonfederal
share
of
payments
29
to
area
education
agencies
that
are
medical
assistance
30
providers
for
medical
assistance-covered
services
provided
to
31
medical
assistance-covered
children,
shall
be
made
from
the
32
appropriation
made
in
this
section.
33
13.
A
portion
of
the
funds
appropriated
in
this
section
34
may
be
transferred
to
the
appropriation
in
this
division
of
35
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118
S.F.
_____
H.F.
_____
this
Act
for
medical
contracts
to
be
used
for
administrative
1
activities
associated
with
the
money
follows
the
person
2
demonstration
project.
3
14.
Of
the
funds
appropriated
in
this
section,
$349,011
4
shall
be
used
for
the
administration
of
the
health
insurance
5
premium
payment
program,
including
salaries,
support,
6
maintenance,
and
miscellaneous
purposes.
7
15.
a.
The
department
may
increase
the
amounts
allocated
8
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
9
associated
with
the
medical
assistance
program,
as
necessary,
10
to
implement
cost
containment
strategies.
The
department
shall
11
report
any
such
increase
to
the
legislative
services
agency
and
12
the
department
of
management.
13
b.
If
the
savings
to
the
medical
assistance
program
from
14
cost
containment
efforts
exceed
the
cost
for
the
fiscal
15
year
beginning
July
1,
2019,
the
department
may
transfer
any
16
savings
generated
for
the
fiscal
year
due
to
medical
assistance
17
program
cost
containment
efforts
to
the
appropriation
18
made
in
this
division
of
this
Act
for
medical
contracts
or
19
general
administration
to
defray
the
increased
contract
costs
20
associated
with
implementing
such
efforts.
21
16.
For
the
fiscal
year
beginning
July
1,
2019,
and
ending
22
June
30,
2020,
the
replacement
generation
tax
revenues
required
23
to
be
deposited
in
the
property
tax
relief
fund
pursuant
to
24
section
437A.8,
subsection
4
,
paragraph
“d”,
and
section
25
437A.15,
subsection
3
,
paragraph
“f”,
shall
instead
be
credited
26
to
and
supplement
the
appropriation
made
in
this
section
and
27
used
for
the
allocations
made
in
this
section.
28
17.
a.
Of
the
funds
appropriated
in
this
section,
up
29
to
$50,000
may
be
transferred
by
the
department
to
the
30
appropriation
made
in
this
division
of
this
Act
to
the
31
department
for
the
same
fiscal
year
for
general
administration
32
to
be
used
for
associated
administrative
expenses
and
for
not
33
more
than
one
full-time
equivalent
position,
in
addition
to
34
those
authorized
for
the
same
fiscal
year,
to
be
assigned
to
35
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_____
H.F.
_____
implementing
the
children’s
mental
health
home
project.
1
b.
Of
the
funds
appropriated
in
this
section,
up
to
$400,000
2
may
be
transferred
by
the
department
to
the
appropriation
made
3
to
the
department
in
this
division
of
this
Act
for
the
same
4
fiscal
year
for
Medicaid
program-related
general
administration
5
planning
and
implementation
activities.
The
funds
may
be
used
6
for
contracts
or
for
personnel
in
addition
to
the
amounts
7
appropriated
for
and
the
positions
authorized
for
general
8
administration
for
the
fiscal
year.
9
c.
Of
the
funds
appropriated
in
this
section,
up
to
10
$3,000,000
may
be
transferred
by
the
department
to
the
11
appropriations
made
in
this
division
of
this
Act
for
the
same
12
fiscal
year
for
general
administration
or
medical
contracts
13
to
be
used
to
support
the
development
and
implementation
of
14
standardized
assessment
tools
for
persons
with
mental
illness,
15
an
intellectual
disability,
a
developmental
disability,
or
a
16
brain
injury.
17
18.
Of
the
funds
appropriated
in
this
section,
$150,000
18
shall
be
used
for
lodging
expenses
associated
with
care
19
provided
at
the
university
of
Iowa
hospitals
and
clinics
for
20
patients
with
cancer
whose
travel
distance
is
30
miles
or
more
21
and
whose
income
is
at
or
below
200
percent
of
the
federal
22
poverty
level
as
defined
by
the
most
recently
revised
poverty
23
income
guidelines
published
by
the
United
States
department
of
24
health
and
human
services.
The
department
of
human
services
25
shall
establish
the
maximum
number
of
overnight
stays
and
the
26
maximum
rate
reimbursed
for
overnight
lodging,
which
may
be
27
based
on
the
state
employee
rate
established
by
the
department
28
of
administrative
services.
The
funds
allocated
in
this
29
subsection
shall
not
be
used
as
nonfederal
share
matching
30
funds.
31
19.
Of
the
funds
appropriated
in
this
section,
up
to
32
$3,383,880
shall
be
used
for
administration
of
the
state
family
33
planning
services
program
pursuant
to
section
217.41B,
and
34
of
this
amount,
the
department
may
use
up
to
$200,000
for
35
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118
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_____
H.F.
_____
administrative
expenses.
1
20.
The
department
shall
report
the
implementation
of
2
any
cost
containment
strategies
to
the
individuals
specified
3
in
this
division
of
this
Act
for
submission
of
reports
upon
4
implementation.
5
21.
The
department
shall
report
the
implementation
of
any
6
process
improvement
changes
and
any
related
cost
reductions
7
to
the
individuals
specified
in
this
division
of
this
Act
for
8
submission
of
reports
upon
implementation.
9
22.
Of
the
funds
appropriated
in
this
section,
$1,545,530
10
shall
be
used
and
may
be
transferred
to
other
appropriations
11
in
this
division
of
this
Act
as
necessary
to
administer
the
12
provisions
in
the
division
of
this
Act
relating
to
Medicaid
13
program
administration.
14
23.
The
department
shall
continue
to
implement
and
15
administer
the
provisions
of
2018
Iowa
Acts,
chapter
1056.
Of
16
the
funds
appropriated
in
this
section,
up
to
$39,069
may
be
17
transferred
to
the
department
of
inspections
and
appeals
for
18
inspection
costs.
19
24.
Of
the
funds
appropriated
in
this
section,
up
to
20
$1,200,000
shall
be
used
to
implement
reductions
in
the
waiting
21
list
for
the
children’s
mental
health
home
and
community-based
22
services
waiver.
23
Sec.
13.
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,
2019,
and
ending
June
30,
26
2020,
the
following
amount,
or
so
much
thereof
as
is
necessary,
27
to
be
used
for
the
purpose
designated:
28
For
medical
contracts:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
17,992,530
30
1.
The
department
of
inspections
and
appeals
shall
31
provide
all
state
matching
funds
for
survey
and
certification
32
activities
performed
by
the
department
of
inspections
33
and
appeals.
The
department
of
human
services
is
solely
34
responsible
for
distributing
the
federal
matching
funds
for
35
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H.F.
_____
such
activities.
1
2.
Of
the
funds
appropriated
in
this
section,
$50,000
shall
2
be
used
for
continuation
of
home
and
community-based
services
3
waiver
quality
assurance
programs,
including
the
review
and
4
streamlining
of
processes
and
policies
related
to
oversight
and
5
quality
management
to
meet
state
and
federal
requirements.
6
3.
Of
the
amount
appropriated
in
this
section,
up
to
7
$200,000
may
be
transferred
to
the
appropriation
for
general
8
administration
in
this
division
of
this
Act
to
be
used
for
9
additional
full-time
equivalent
positions
in
the
development
of
10
key
health
initiatives
such
as
cost
containment,
development
11
and
oversight
of
managed
care
programs,
and
development
of
12
health
strategies
targeted
toward
improved
quality
and
reduced
13
costs
in
the
Medicaid
program.
14
4.
Of
the
funds
appropriated
in
this
section,
$1,000,000
15
shall
be
used
for
planning
and
development,
in
cooperation
with
16
the
department
of
public
health,
of
a
phased-in
program
to
17
provide
a
dental
home
for
children.
18
5.
a.
Of
the
funds
appropriated
in
this
section,
$573,000
19
shall
be
credited
to
the
autism
support
program
fund
created
20
in
section
225D.2
to
be
used
for
the
autism
support
program
21
created
in
chapter
225D
,
with
the
exception
of
the
following
22
amounts
of
this
allocation
which
shall
be
used
as
follows:
23
b.
Of
the
funds
allocated
in
this
subsection,
$25,000
24
shall
be
used
for
the
public
purpose
of
continuation
of
a
25
grant
to
a
nonprofit
provider
of
child
welfare
services
that
26
has
been
in
existence
for
more
than
115
years,
is
located
in
27
a
county
with
a
population
between
200,000
and
220,000
in
the
28
latest
certified
federal
census,
is
licensed
as
a
psychiatric
29
medical
institution
for
children,
and
provides
school-based
30
programming,
to
be
used
for
support
services
for
children
with
31
autism
spectrum
disorder
and
their
families.
32
Sec.
14.
STATE
SUPPLEMENTARY
ASSISTANCE.
33
1.
There
is
appropriated
from
the
general
fund
of
the
34
state
to
the
department
of
human
services
for
the
fiscal
year
35
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S.F.
_____
H.F.
_____
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
1
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
2
purpose
designated:
3
For
the
state
supplementary
assistance
program:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,812,909
5
2.
The
department
shall
increase
the
personal
needs
6
allowance
for
residents
of
residential
care
facilities
by
the
7
same
percentage
and
at
the
same
time
as
federal
supplemental
8
security
income
and
federal
social
security
benefits
are
9
increased
due
to
a
recognized
increase
in
the
cost
of
living.
10
The
department
may
adopt
emergency
rules
to
implement
this
11
subsection.
12
3.
If
during
the
fiscal
year
beginning
July
1,
2019,
13
the
department
projects
that
state
supplementary
assistance
14
expenditures
for
a
calendar
year
will
not
meet
the
federal
15
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
16
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
17
§1382g,
the
department
may
take
actions
including
but
not
18
limited
to
increasing
the
personal
needs
allowance
for
19
residential
care
facility
residents
and
making
programmatic
20
adjustments
or
upward
adjustments
of
the
residential
care
21
facility
or
in-home
health-related
care
reimbursement
rates
22
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
23
requirements
are
met.
In
addition,
the
department
may
make
24
other
programmatic
and
rate
adjustments
necessary
to
remain
25
within
the
amount
appropriated
in
this
section
while
ensuring
26
compliance
with
federal
requirements.
The
department
may
adopt
27
emergency
rules
to
implement
the
provisions
of
this
subsection.
28
4.
Notwithstanding
section
8.33
,
moneys
appropriated
in
29
this
section
that
remain
unencumbered
or
unobligated
at
the
30
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
31
available
for
expenditure
for
the
purposes
designated
until
the
32
close
of
the
succeeding
fiscal
year.
33
Sec.
15.
CHILDREN’S
HEALTH
INSURANCE
PROGRAM.
34
1.
There
is
appropriated
from
the
general
fund
of
the
35
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118
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H.F.
_____
state
to
the
department
of
human
services
for
the
fiscal
year
1
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
2
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
3
purpose
designated:
4
For
maintenance
of
the
healthy
and
well
kids
in
Iowa
(hawk-i)
5
program
pursuant
to
chapter
514I
,
including
supplemental
dental
6
services,
for
receipt
of
federal
financial
participation
under
7
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
8
children’s
health
insurance
program:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,361,112
10
2.
Of
the
funds
appropriated
in
this
section,
up
to
$79,486
11
is
allocated
for
continuation
of
the
contract
for
outreach
with
12
the
department
of
public
health.
13
3.
A
portion
of
the
funds
appropriated
in
this
section
may
14
be
transferred
to
the
appropriations
made
in
this
division
of
15
this
Act
for
field
operations
or
medical
contracts
to
be
used
16
for
the
integration
of
hawk-i
program
eligibility,
payment,
and
17
administrative
functions
under
the
purview
of
the
department
18
of
human
services,
including
for
the
Medicaid
management
19
information
system
upgrade.
20
Sec.
16.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
21
from
the
general
fund
of
the
state
to
the
department
of
human
22
services
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
23
June
30,
2020,
the
following
amount,
or
so
much
thereof
as
is
24
necessary,
to
be
used
for
the
purpose
designated:
25
For
child
care
programs:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,816,931
27
1.
Of
the
funds
appropriated
in
this
section,
$34,966,931
28
shall
be
used
for
state
child
care
assistance
in
accordance
29
with
section
237A.13
.
30
2.
Nothing
in
this
section
shall
be
construed
or
is
31
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
32
to
persons
who
are
eligible
for
assistance
due
to
an
income
33
level
consistent
with
the
waiting
list
requirements
of
section
34
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
35
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H.F.
_____
this
section
is
limited
to
the
extent
of
the
funds
appropriated
1
in
this
section.
2
3.
A
list
of
the
registered
and
licensed
child
care
3
facilities
operating
in
the
area
served
by
a
child
care
4
resource
and
referral
service
shall
be
made
available
to
the
5
families
receiving
state
child
care
assistance
in
that
area.
6
4.
Of
the
funds
appropriated
in
this
section,
$5,850,000
7
shall
be
credited
to
the
early
childhood
programs
grants
8
account
in
the
early
childhood
Iowa
fund
created
in
section
9
256I.11
.
The
moneys
shall
be
distributed
for
funding
of
10
community-based
early
childhood
programs
targeted
to
children
11
from
birth
through
five
years
of
age
developed
by
early
12
childhood
Iowa
areas
in
accordance
with
approved
community
13
plans
as
provided
in
section
256I.8
.
14
5.
The
department
may
use
any
of
the
funds
appropriated
15
in
this
section
as
a
match
to
obtain
federal
funds
for
use
in
16
expanding
child
care
assistance
and
related
programs.
For
17
the
purpose
of
expenditures
of
state
and
federal
child
care
18
funding,
funds
shall
be
considered
obligated
at
the
time
19
expenditures
are
projected
or
are
allocated
to
the
department’s
20
service
areas.
Projections
shall
be
based
on
current
and
21
projected
caseload
growth,
current
and
projected
provider
22
rates,
staffing
requirements
for
eligibility
determination
23
and
management
of
program
requirements
including
data
systems
24
management,
staffing
requirements
for
administration
of
the
25
program,
contractual
and
grant
obligations
and
any
transfers
26
to
other
state
agencies,
and
obligations
for
decategorization
27
or
innovation
projects.
28
6.
A
portion
of
the
state
match
for
the
federal
child
care
29
and
development
block
grant
shall
be
provided
as
necessary
to
30
meet
federal
matching
funds
requirements
through
the
state
31
general
fund
appropriation
made
for
child
development
grants
32
and
other
programs
for
at-risk
children
in
section
279.51
.
33
7.
If
a
uniform
reduction
ordered
by
the
governor
under
34
section
8.31
or
other
operation
of
law,
transfer,
or
federal
35
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_____
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_____
funding
reduction
reduces
the
appropriation
made
in
this
1
section
for
the
fiscal
year,
the
percentage
reduction
in
the
2
amount
paid
out
to
or
on
behalf
of
the
families
participating
3
in
the
state
child
care
assistance
program
shall
be
equal
to
or
4
less
than
the
percentage
reduction
made
for
any
other
purpose
5
payable
from
the
appropriation
made
in
this
section
and
the
6
federal
funding
relating
to
it.
The
percentage
reduction
to
7
the
other
allocations
made
in
this
section
shall
be
the
same
as
8
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
9
change
of
the
federal
funding
reduction,
as
applicable.
If
10
there
is
an
unanticipated
increase
in
federal
funding
provided
11
for
state
child
care
services,
the
entire
amount
of
the
12
increase,
except
as
necessary
to
meet
federal
requirements
13
including
quality
set
asides,
shall
be
used
for
state
child
14
care
assistance
payments.
If
the
appropriations
made
for
15
purposes
of
the
state
child
care
assistance
program
for
the
16
fiscal
year
are
determined
to
be
insufficient,
it
is
the
intent
17
of
the
general
assembly
to
appropriate
sufficient
funding
for
18
the
fiscal
year
in
order
to
avoid
establishment
of
waiting
list
19
requirements.
20
8.
Notwithstanding
section
8.33
,
moneys
advanced
for
21
purposes
of
the
programs
developed
by
early
childhood
Iowa
22
areas,
advanced
for
purposes
of
wraparound
child
care,
or
23
received
from
the
federal
appropriations
made
for
the
purposes
24
of
this
section
that
remain
unencumbered
or
unobligated
at
the
25
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
26
remain
available
for
expenditure
for
the
purposes
designated
27
until
the
close
of
the
succeeding
fiscal
year.
28
Sec.
17.
JUVENILE
INSTITUTION.
There
is
appropriated
29
from
the
general
fund
of
the
state
to
the
department
of
human
30
services
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
31
June
30,
2020,
the
following
amounts,
or
so
much
thereof
as
is
32
necessary,
to
be
used
for
the
purposes
designated:
33
1.
For
operation
of
the
state
training
school
at
Eldora
and
34
for
salaries,
support,
maintenance,
and
miscellaneous
purposes:
35
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S.F.
_____
H.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,920,907
1
Of
the
funds
appropriated
in
this
subsection,
$91,150
shall
2
be
used
for
distribution
to
licensed
classroom
teachers
at
this
3
and
other
institutions
under
the
control
of
the
department
of
4
human
services
based
upon
the
average
student
yearly
enrollment
5
at
each
institution
as
determined
by
the
department.
6
2.
A
portion
of
the
moneys
appropriated
in
this
section
7
shall
be
used
by
the
state
training
school
at
Eldora
for
8
grants
for
adolescent
pregnancy
prevention
activities
at
the
9
institution
in
the
fiscal
year
beginning
July
1,
2019.
10
3.
Of
the
funds
appropriated
in
this
subsection,
$212,000
11
shall
be
used
by
the
state
training
school
at
Eldora
for
a
12
substance
use
disorder
training
program
at
the
institution
for
13
the
fiscal
year
beginning
July
1,
2019.
14
Sec.
18.
CHILD
AND
FAMILY
SERVICES.
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,
2019,
and
ending
June
30,
2020,
the
following
18
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
19
purpose
designated:
20
For
child
and
family
services:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
89,078,185
22
2.
The
department
may
transfer
funds
appropriated
in
this
23
section
as
necessary
to
pay
the
nonfederal
costs
of
services
24
reimbursed
under
the
medical
assistance
program,
state
child
25
care
assistance
program,
or
the
family
investment
program
which
26
are
provided
to
children
who
would
otherwise
receive
services
27
paid
under
the
appropriation
in
this
section.
The
department
28
may
transfer
funds
appropriated
in
this
section
to
the
29
appropriations
made
in
this
division
of
this
Act
for
general
30
administration
and
for
field
operations
for
resources
necessary
31
to
implement
and
operate
the
services
funded
in
this
section.
32
3.
a.
Of
the
funds
appropriated
in
this
section,
up
to
33
$34,536,648
is
allocated
as
the
statewide
expenditure
target
34
under
section
232.143
for
group
foster
care
maintenance
and
35
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H.F.
_____
services.
If
the
department
projects
that
such
expenditures
1
for
the
fiscal
year
will
be
less
than
the
target
amount
2
allocated
in
this
paragraph
“a”,
the
department
may
reallocate
3
the
excess
to
provide
additional
funding
for
family
foster
4
care,
independent
living,
family
safety,
risk
and
permanency
5
services,
shelter
care,
or
the
child
welfare
emergency
services
6
addressed
with
the
allocation
for
shelter
care.
7
b.
If
at
any
time
after
September
30,
2019,
annualization
8
of
a
service
area’s
current
expenditures
indicates
a
service
9
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
10
target
under
section
232.143
by
more
than
5
percent,
the
11
department
and
juvenile
court
services
shall
examine
all
12
group
foster
care
placements
in
that
service
area
in
order
to
13
identify
those
which
might
be
appropriate
for
termination.
14
In
addition,
any
aftercare
services
believed
to
be
needed
15
for
the
children
whose
placements
may
be
terminated
shall
be
16
identified.
The
department
and
juvenile
court
services
shall
17
initiate
action
to
set
dispositional
review
hearings
for
the
18
placements
identified.
In
such
a
dispositional
review
hearing,
19
the
juvenile
court
shall
determine
whether
needed
aftercare
20
services
are
available
and
whether
termination
of
the
placement
21
is
in
the
best
interest
of
the
child
and
the
community.
22
4.
In
accordance
with
the
provisions
of
section
232.188
,
23
the
department
shall
continue
the
child
welfare
and
juvenile
24
justice
funding
initiative
during
fiscal
year
2019-2020.
Of
25
the
funds
appropriated
in
this
section,
$1,717,753
is
allocated
26
specifically
for
expenditure
for
fiscal
year
2019-2020
through
27
the
decategorization
services
funding
pools
and
governance
28
boards
established
pursuant
to
section
232.188
.
29
5.
A
portion
of
the
funds
appropriated
in
this
section
30
may
be
used
for
emergency
family
assistance
to
provide
other
31
resources
required
for
a
family
participating
in
a
family
32
preservation
or
reunification
project
or
successor
project
to
33
stay
together
or
to
be
reunified.
34
6.
Of
the
funds
appropriated
in
this
section,
a
sufficient
35
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_____
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amount
is
allocated
for
shelter
care
and
the
child
welfare
1
emergency
services
contracting
implemented
to
provide
for
or
2
prevent
the
need
for
shelter
care.
3
7.
Federal
funds
received
by
the
state
during
the
fiscal
4
year
beginning
July
1,
2019,
as
the
result
of
the
expenditure
5
of
state
funds
appropriated
during
a
previous
state
fiscal
6
year
for
a
service
or
activity
funded
under
this
section
are
7
appropriated
to
the
department
to
be
used
as
additional
funding
8
for
services
and
purposes
provided
for
under
this
section.
9
Notwithstanding
section
8.33
,
moneys
received
in
accordance
10
with
this
subsection
that
remain
unencumbered
or
unobligated
at
11
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
12
shall
remain
available
for
the
purposes
designated
until
the
13
close
of
the
succeeding
fiscal
year.
14
8.
a.
Of
the
funds
appropriated
in
this
section,
up
to
15
$3,290,000
is
allocated
for
the
payment
of
the
expenses
of
16
court-ordered
services
provided
to
juveniles
who
are
under
the
17
supervision
of
juvenile
court
services,
which
expenses
are
a
18
charge
upon
the
state
pursuant
to
section
232.141,
subsection
19
4
.
Of
the
amount
allocated
in
this
paragraph
“a”,
up
to
20
$1,556,287
shall
be
made
available
to
provide
school-based
21
supervision
of
children
adjudicated
under
chapter
232
,
of
which
22
not
more
than
$15,000
may
be
used
for
the
purpose
of
training.
23
A
portion
of
the
cost
of
each
school-based
liaison
officer
24
shall
be
paid
by
the
school
district
or
other
funding
source
as
25
approved
by
the
chief
juvenile
court
officer.
26
b.
Of
the
funds
appropriated
in
this
section,
up
to
$748,985
27
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
28
services
provided
to
children
who
are
under
the
supervision
29
of
the
department,
which
expenses
are
a
charge
upon
the
state
30
pursuant
to
section
232.141,
subsection
4
.
31
c.
Notwithstanding
section
232.141
or
any
other
provision
32
of
law
to
the
contrary,
the
amounts
allocated
in
this
33
subsection
shall
be
distributed
to
the
judicial
districts
34
as
determined
by
the
state
court
administrator
and
to
the
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department’s
service
areas
as
determined
by
the
administrator
1
of
the
department
of
human
services’
division
of
child
and
2
family
services.
The
state
court
administrator
and
the
3
division
administrator
shall
make
the
determination
of
the
4
distribution
amounts
on
or
before
June
15,
2019.
5
d.
Notwithstanding
chapter
232
or
any
other
provision
of
6
law
to
the
contrary,
a
district
or
juvenile
court
shall
not
7
order
any
service
which
is
a
charge
upon
the
state
pursuant
8
to
section
232.141
if
there
are
insufficient
court-ordered
9
services
funds
available
in
the
district
court
or
departmental
10
service
area
distribution
amounts
to
pay
for
the
service.
The
11
chief
juvenile
court
officer
and
the
departmental
service
area
12
manager
shall
encourage
use
of
the
funds
allocated
in
this
13
subsection
such
that
there
are
sufficient
funds
to
pay
for
14
all
court-related
services
during
the
entire
year.
The
chief
15
juvenile
court
officers
and
departmental
service
area
managers
16
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
17
in
the
distribution
amounts
and
shall
cooperatively
request
the
18
state
court
administrator
or
division
administrator
to
transfer
19
funds
between
the
judicial
districts’
or
departmental
service
20
areas’
distribution
amounts
as
prudent.
21
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
22
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
23
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
24
entered
under
chapter
232
which
is
a
charge
upon
the
state
25
under
section
232.141,
subsection
4
.
26
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
27
$83,000
may
be
used
by
the
judicial
branch
for
administration
28
of
the
requirements
under
this
subsection.
29
g.
Of
the
funds
allocated
in
this
subsection,
$17,000
30
shall
be
used
by
the
department
of
human
services
to
support
31
the
interstate
commission
for
juveniles
in
accordance
with
32
the
interstate
compact
for
juveniles
as
provided
in
section
33
232.173
.
34
9.
Of
the
funds
appropriated
in
this
section,
$12,253,227
is
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_____
H.F.
_____
allocated
for
juvenile
delinquent
graduated
sanctions
services.
1
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
2
services
to
earn
a
federal
Tit.
IV-E
match
for
juvenile
court
3
services
administration
may
be
used
for
the
juvenile
delinquent
4
graduated
sanctions
services.
5
10.
Of
the
funds
appropriated
in
this
section,
$1,658,285
is
6
transferred
to
the
department
of
public
health
to
be
used
for
7
the
child
protection
center
grant
program
for
child
protection
8
centers
located
in
Iowa
in
accordance
with
section
135.118
.
9
The
grant
amounts
under
the
program
shall
be
equalized
so
that
10
each
center
receives
a
uniform
base
amount
of
$245,000,
and
so
11
that
the
remaining
funds
are
awarded
through
a
funding
formula
12
based
upon
the
volume
of
children
served.
13
11.
If
the
department
receives
federal
approval
to
14
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
15
Security
Act
to
enable
providers
to
serve
children
who
remain
16
in
the
children’s
families
and
communities,
for
purposes
of
17
eligibility
under
the
medical
assistance
program
through
25
18
years
of
age,
children
who
participate
in
the
waiver
shall
be
19
considered
to
be
placed
in
foster
care.
20
12.
Of
the
funds
appropriated
in
this
section,
$4,025,167
is
21
allocated
for
the
preparation
for
adult
living
program
pursuant
22
to
section
234.46
.
23
13.
Of
the
funds
appropriated
in
this
section,
$227,337
24
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
25
a
nonprofit
human
services
organization
providing
services
to
26
individuals
and
families
in
multiple
locations
in
southwest
27
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
28
sensitive
support
and
forensic
interviews,
medical
exams,
needs
29
assessments,
and
referrals
for
victims
of
child
abuse
and
their
30
nonoffending
family
members.
31
14.
Of
the
funds
appropriated
in
this
section,
$300,620
32
is
allocated
for
the
foster
care
youth
council
approach
of
33
providing
a
support
network
to
children
placed
in
foster
care.
34
15.
Of
the
funds
appropriated
in
this
section,
$202,000
is
35
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H.F.
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allocated
for
use
pursuant
to
section
235A.1
for
continuation
1
of
the
initiative
to
address
child
sexual
abuse
implemented
2
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
3
21
.
4
16.
Of
the
funds
appropriated
in
this
section,
$630,240
is
5
allocated
for
the
community
partnership
for
child
protection
6
sites.
7
17.
Of
the
funds
appropriated
in
this
section,
$371,250
8
is
allocated
for
the
department’s
minority
youth
and
family
9
projects
under
the
redesign
of
the
child
welfare
system.
10
18.
Of
the
funds
appropriated
in
this
section,
$851,595
11
is
allocated
for
funding
of
the
community
circle
of
care
12
collaboration
for
children
and
youth
in
northeast
Iowa.
13
19.
Of
the
funds
appropriated
in
this
section,
at
least
14
$147,158
shall
be
used
for
the
continuation
of
the
child
15
welfare
provider
training
academy,
a
collaboration
between
the
16
coalition
for
family
and
children’s
services
in
Iowa
and
the
17
department.
18
20.
Of
the
funds
appropriated
in
this
section,
$211,872
19
shall
be
used
for
continuation
of
the
central
Iowa
system
of
20
care
program
grant
through
June
30,
2020.
21
21.
Of
the
funds
appropriated
in
this
section,
$235,000
22
shall
be
used
for
the
public
purpose
of
the
continuation
23
and
expansion
of
a
system
of
care
program
grant
implemented
24
in
Cerro
Gordo
and
Linn
counties
to
utilize
a
comprehensive
25
and
long-term
approach
for
helping
children
and
families
by
26
addressing
the
key
areas
in
a
child’s
life
of
childhood
basic
27
needs,
education
and
work,
family,
and
community.
28
22.
Of
the
funds
appropriated
in
this
section,
$110,000
29
shall
be
used
for
the
public
purpose
of
funding
community-based
30
services
and
other
supports
with
a
system
of
care
approach
31
for
children
with
a
serious
emotional
disturbance
and
their
32
families
through
a
nonprofit
provider
of
child
welfare
services
33
that
has
been
in
existence
for
more
than
115
years,
is
located
34
in
a
county
with
a
population
of
more
than
200,000
but
less
35
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_____
H.F.
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than
220,000
according
to
the
latest
certified
federal
census,
1
is
licensed
as
a
psychiatric
medical
institution
for
children,
2
and
was
a
system
of
care
grantee
prior
to
July
1,
2019.
3
23.
If
a
separate
funding
source
is
identified
that
reduces
4
the
need
for
state
funds
within
an
allocation
under
this
5
section,
the
allocated
state
funds
may
be
redistributed
to
6
other
allocations
under
this
section
for
the
same
fiscal
year.
7
Sec.
19.
ADOPTION
SUBSIDY.
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,
2019,
and
ending
June
30,
2020,
the
following
11
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
12
purpose
designated:
13
a.
For
adoption
subsidy
payments
and
services:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,596,007
15
b.
(1)
The
funds
appropriated
in
this
section
shall
be
used
16
as
authorized
or
allowed
by
federal
law
or
regulation
for
any
17
of
the
following
purposes:
18
(a)
For
adoption
subsidy
payments
and
related
costs.
19
(b)
For
post-adoption
services
and
for
other
purposes
under
20
Tit.
IV-B
or
Tit.
IV-E
of
the
federal
Social
Security
Act.
21
(2)
The
department
of
human
services
may
transfer
funds
22
appropriated
in
this
subsection
to
the
appropriation
for
23
child
and
family
services
in
this
Act
for
the
purposes
of
24
post-adoption
services
as
specified
in
this
paragraph
“b”.
25
c.
Notwithstanding
section
8.33
,
moneys
corresponding
to
26
the
state
savings
resulting
from
implementation
of
the
federal
27
Fostering
Connections
to
Success
and
Increasing
Adoptions
Act
28
of
2008,
Pub.
L.
No.
110-351,
and
successor
legislation,
as
29
determined
in
accordance
with
42
U.S.C.
§673(a)(8),
that
remain
30
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year,
31
shall
not
revert
to
any
fund
but
shall
remain
available
for
the
32
purposes
designated
in
this
subsection
until
expended.
The
33
amount
of
such
savings
and
any
corresponding
funds
remaining
34
at
the
close
of
the
fiscal
year
shall
be
determined
separately
35
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_____
H.F.
_____
and
any
changes
in
either
amount
between
fiscal
years
shall
not
1
result
in
an
unfunded
need.
2
2.
The
department
may
transfer
funds
appropriated
in
3
this
section
to
the
appropriation
made
in
this
division
of
4
this
Act
for
general
administration
for
costs
paid
from
the
5
appropriation
relating
to
adoption
subsidy.
6
3.
Federal
funds
received
by
the
state
during
the
7
fiscal
year
beginning
July
1,
2019,
as
the
result
of
the
8
expenditure
of
state
funds
during
a
previous
state
fiscal
9
year
for
a
service
or
activity
funded
under
this
section
are
10
appropriated
to
the
department
to
be
used
as
additional
funding
11
for
the
services
and
activities
funded
under
this
section.
12
Notwithstanding
section
8.33
,
moneys
received
in
accordance
13
with
this
subsection
that
remain
unencumbered
or
unobligated
14
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
15
but
shall
remain
available
for
expenditure
for
the
purposes
16
designated
until
the
close
of
the
succeeding
fiscal
year.
17
Sec.
20.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
18
in
the
juvenile
detention
home
fund
created
in
section
232.142
19
during
the
fiscal
year
beginning
July
1,
2019,
and
ending
June
20
30,
2020,
are
appropriated
to
the
department
of
human
services
21
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
22
2020,
for
distribution
of
an
amount
equal
to
a
percentage
of
23
the
costs
of
the
establishment,
improvement,
operation,
and
24
maintenance
of
county
or
multicounty
juvenile
detention
homes
25
in
the
fiscal
year
beginning
July
1,
2018.
Moneys
appropriated
26
for
distribution
in
accordance
with
this
section
shall
be
27
allocated
among
eligible
detention
homes,
prorated
on
the
basis
28
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
29
eligible
detention
homes
in
the
fiscal
year
beginning
July
30
1,
2018.
The
percentage
figure
shall
be
determined
by
the
31
department
based
on
the
amount
available
for
distribution
for
32
the
fund.
Notwithstanding
section
232.142,
subsection
3
,
the
33
financial
aid
payable
by
the
state
under
that
provision
for
the
34
fiscal
year
beginning
July
1,
2019,
shall
be
limited
to
the
35
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_____
H.F.
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amount
appropriated
for
the
purposes
of
this
section.
1
Sec.
21.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
2
1.
There
is
appropriated
from
the
general
fund
of
the
3
state
to
the
department
of
human
services
for
the
fiscal
year
4
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
5
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
6
purpose
designated:
7
For
the
family
support
subsidy
program
subject
to
the
8
enrollment
restrictions
in
section
225C.37,
subsection
3
:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
949,282
10
2.
At
least
$819,275
of
the
moneys
appropriated
in
this
11
section
is
transferred
to
the
department
of
public
health
for
12
the
family
support
center
component
of
the
comprehensive
family
13
support
program
under
chapter
225C
,
subchapter
V.
14
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
15
funding
available
for
the
family
support
subsidy
program
16
is
reduced
from
the
amount
initially
used
to
establish
the
17
figure
for
the
number
of
family
members
for
whom
a
subsidy
18
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
19
notwithstanding
section
225C.38,
subsection
2
,
the
department
20
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
21
of
funding
available.
22
Sec.
22.
CONNER
DECREE.
There
is
appropriated
from
the
23
general
fund
of
the
state
to
the
department
of
human
services
24
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
25
2020,
the
following
amount,
or
so
much
thereof
as
is
necessary,
26
to
be
used
for
the
purpose
designated:
27
For
building
community
capacity
through
the
coordination
28
and
provision
of
training
opportunities
in
accordance
with
the
29
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
30
Iowa,
July
14,
1994):
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,632
32
Sec.
23.
MENTAL
HEALTH
INSTITUTES.
33
1.
There
is
appropriated
from
the
general
fund
of
the
34
state
to
the
department
of
human
services
for
the
fiscal
year
35
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118
S.F.
_____
H.F.
_____
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
1
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
2
purposes
designated:
3
a.
For
operation
of
the
state
mental
health
institute
at
4
Cherokee
as
required
by
chapters
218
and
226
for
salaries,
5
support,
maintenance,
and
miscellaneous
purposes:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,216,149
7
b.
For
operation
of
the
state
mental
health
institute
at
8
Independence
as
required
by
chapters
218
and
226
for
salaries,
9
support,
maintenance,
and
miscellaneous
purposes:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,165,110
11
2.
Notwithstanding
sections
218.78
and
249A.11
,
any
revenue
12
received
from
the
state
mental
health
institute
at
Cherokee
or
13
the
state
mental
health
institute
at
Independence
pursuant
to
14
42
C.F.R
§438.6(e)
may
be
retained
and
expended
by
the
mental
15
health
institute.
16
3.
Notwithstanding
any
provision
of
law
to
the
contrary,
17
a
Medicaid
member
residing
at
the
state
mental
health
18
institute
at
Cherokee
or
the
state
mental
health
institute
19
at
Independence
shall
retain
Medicaid
eligibility
during
20
the
period
of
the
Medicaid
member’s
stay
for
which
federal
21
financial
participation
is
available.
22
Sec.
24.
STATE
RESOURCE
CENTERS.
23
1.
There
is
appropriated
from
the
general
fund
of
the
24
state
to
the
department
of
human
services
for
the
fiscal
year
25
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
26
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
27
purposes
designated:
28
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
29
support,
maintenance,
and
miscellaneous
purposes:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,048,348
31
b.
For
the
state
resource
center
at
Woodward
for
salaries,
32
support,
maintenance,
and
miscellaneous
purposes:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,872,356
34
2.
The
department
may
continue
to
bill
for
state
resource
35
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S.F.
_____
H.F.
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center
services
utilizing
a
scope
of
services
approach
used
for
1
private
providers
of
intermediate
care
facilities
for
persons
2
with
an
intellectual
disability
services,
in
a
manner
which
3
does
not
shift
costs
between
the
medical
assistance
program,
4
counties,
or
other
sources
of
funding
for
the
state
resource
5
centers.
6
3.
The
state
resource
centers
may
expand
the
time-limited
7
assessment
and
respite
services
during
the
fiscal
year.
8
4.
If
the
department’s
administration
and
the
department
9
of
management
concur
with
a
finding
by
a
state
resource
10
center’s
superintendent
that
projected
revenues
can
reasonably
11
be
expected
to
pay
the
salary
and
support
costs
for
a
new
12
employee
position,
or
that
such
costs
for
adding
a
particular
13
number
of
new
positions
for
the
fiscal
year
would
be
less
14
than
the
overtime
costs
if
new
positions
would
not
be
added,
15
the
superintendent
may
add
the
new
position
or
positions.
If
16
the
vacant
positions
available
to
a
resource
center
do
not
17
include
the
position
classification
desired
to
be
filled,
the
18
state
resource
center’s
superintendent
may
reclassify
any
19
vacant
position
as
necessary
to
fill
the
desired
position.
The
20
superintendents
of
the
state
resource
centers
may,
by
mutual
21
agreement,
pool
vacant
positions
and
position
classifications
22
during
the
course
of
the
fiscal
year
in
order
to
assist
one
23
another
in
filling
necessary
positions.
24
5.
If
existing
capacity
limitations
are
reached
in
25
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
26
a
special
need
for
which
a
payment
source
or
other
funding
27
is
available
for
the
service
or
to
address
the
special
need,
28
and
facilities
for
the
service
or
to
address
the
special
need
29
can
be
provided
within
the
available
payment
source
or
other
30
funding,
the
superintendent
of
a
state
resource
center
may
31
authorize
opening
not
more
than
two
units
or
other
facilities
32
and
begin
implementing
the
service
or
addressing
the
special
33
need
during
fiscal
year
2019-2020.
34
Sec.
25.
SEXUALLY
VIOLENT
PREDATORS.
35
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H.F.
_____
1.
There
is
appropriated
from
the
general
fund
of
the
1
state
to
the
department
of
human
services
for
the
fiscal
year
2
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
3
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
4
purpose
designated:
5
For
costs
associated
with
the
commitment
and
treatment
of
6
sexually
violent
predators
in
the
unit
located
at
the
state
7
mental
health
institute
at
Cherokee,
including
costs
of
legal
8
services
and
other
associated
costs,
including
salaries,
9
support,
maintenance,
and
miscellaneous
purposes:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,053,093
11
2.
Unless
specifically
prohibited
by
law,
if
the
amount
12
charged
provides
for
recoupment
of
at
least
the
entire
amount
13
of
direct
and
indirect
costs,
the
department
of
human
services
14
may
contract
with
other
states
to
provide
care
and
treatment
15
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
16
violent
predators
at
Cherokee.
The
moneys
received
under
17
such
a
contract
shall
be
considered
to
be
repayment
receipts
18
and
used
for
the
purposes
of
the
appropriation
made
in
this
19
section.
20
Sec.
26.
FIELD
OPERATIONS.
There
is
appropriated
from
the
21
general
fund
of
the
state
to
the
department
of
human
services
22
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
23
2020,
the
following
amount,
or
so
much
thereof
as
is
necessary,
24
to
be
used
for
the
purposes
designated:
25
For
field
operations,
including
salaries,
support,
26
maintenance,
and
miscellaneous
purposes:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
53,923,195
28
Priority
in
filling
full-time
equivalent
positions
shall
be
29
given
to
those
positions
related
to
child
protection
services
30
and
eligibility
determination
for
low-income
families.
31
Sec.
27.
GENERAL
ADMINISTRATION.
There
is
appropriated
32
from
the
general
fund
of
the
state
to
the
department
of
human
33
services
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
34
June
30,
2020,
the
following
amount,
or
so
much
thereof
as
is
35
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118
S.F.
_____
H.F.
_____
necessary,
to
be
used
for
the
purpose
designated:
1
For
general
administration,
including
salaries,
support,
2
maintenance,
and
miscellaneous
purposes:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,833,040
4
1.
The
department
shall
report
at
least
monthly
to
the
5
legislative
services
agency
concerning
the
department’s
6
operational
and
program
expenditures.
7
2.
Of
the
funds
appropriated
in
this
section,
$150,000
shall
8
be
used
to
continue
the
contract
for
the
provision
of
a
program
9
to
provide
technical
assistance,
support,
and
consultation
to
10
providers
of
habilitation
services
and
home
and
community-based
11
services
waiver
services
for
adults
with
disabilities
under
the
12
medical
assistance
program.
13
3.
Of
the
funds
appropriated
in
this
section,
$50,000
14
is
transferred
to
the
Iowa
finance
authority
to
be
used
15
for
administrative
support
of
the
council
on
homelessness
16
established
in
section
16.2D
and
for
the
council
to
fulfill
its
17
duties
in
addressing
and
reducing
homelessness
in
the
state.
18
4.
Of
the
funds
appropriated
in
this
section,
$200,000
shall
19
be
transferred
to
and
deposited
in
the
administrative
fund
of
20
the
Iowa
ABLE
savings
plan
trust
created
in
section
12I.4
,
to
21
be
used
for
implementation
and
administration
activities
of
the
22
Iowa
ABLE
savings
plan
trust.
23
5.
Of
the
funds
appropriated
in
this
section,
$200,000
is
24
transferred
to
the
economic
development
authority
for
the
Iowa
25
commission
on
volunteer
services
to
continue
to
be
used
for
26
RefugeeRISE
AmeriCorps
program
established
under
section
15H.8
27
for
member
recruitment
and
training
to
improve
the
economic
28
well-being
and
health
of
economically
disadvantaged
refugees
in
29
local
communities
across
Iowa.
Funds
transferred
may
be
used
30
to
supplement
federal
funds
under
federal
regulations.
31
6.
Of
the
funds
appropriated
in
this
section,
up
to
$300,000
32
shall
be
used
as
follows:
33
a.
To
fund
not
more
than
one
full-time
equivalent
position
34
to
address
the
department’s
responsibility
to
support
the
work
35
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118
S.F.
_____
H.F.
_____
of
the
children’s
system
state
board
and
implementation
of
the
1
services
required
pursuant
to
2018
Iowa
Acts,
chapter
1056,
2
section
13.
3
b.
To
support
the
cost
of
establishing
and
implementing
new
4
or
additional
services
required
pursuant
to
2018
Iowa
Acts,
5
chapter
1056,
and
any
legislation
enacted
by
the
2019
general
6
assembly
establishing
a
children’s
mental
health
system.
7
c.
Of
the
amount,
$32,000
shall
be
transferred
to
8
the
department
of
public
health
to
support
the
costs
of
9
establishing
and
implementing
new
or
additional
services
10
required
pursuant
to
2018
Iowa
Acts,
chapter
1056,
and
any
11
legislation
enacted
by
the
2019
general
assembly
establishing
a
12
children’s
mental
health
system.
13
Sec.
28.
DEPARTMENT-WIDE
DUTIES.
There
is
appropriated
14
from
the
general
fund
of
the
state
to
the
department
of
human
15
services
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
16
June
30,
2020,
the
following
amount,
or
so
much
thereof
as
is
17
necessary,
to
be
used
for
the
purposes
designated:
18
For
salaries,
support,
maintenance,
and
miscellaneous
19
purposes
at
facilities
under
the
purview
of
the
department
of
20
human
services:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,879,274
22
Sec.
29.
CORPORATE
TECHNOLOGY.
There
is
appropriated
23
from
the
general
fund
of
the
state
to
the
department
of
human
24
services
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
25
June
30,
2020,
the
following
amount,
or
so
much
thereof
as
is
26
necessary,
to
be
used
for
the
purposes
designated:
27
For
the
purchase
of
department-wide
technology
and
software
28
update
needs:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,530,413
30
Sec.
30.
VOLUNTEERS.
There
is
appropriated
from
the
general
31
fund
of
the
state
to
the
department
of
human
services
for
the
32
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
2020,
33
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
34
used
for
the
purpose
designated:
35
-43-
LSB
1013XG
(15)
88
pf/tm
43/
118
S.F.
_____
H.F.
_____
For
development
and
coordination
of
volunteer
services:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
84,686
2
Sec.
31.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
3
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
4
DEPARTMENT
OF
HUMAN
SERVICES.
5
1.
a.
(1)
(a)
For
the
fiscal
year
beginning
July
1,
6
2019,
the
department
shall
rebase
case-mix
nursing
facility
7
rates
effective
July
1,
2019,
to
the
extent
possible
within
the
8
state
funding,
including
the
$8,479,942,
appropriated
for
this
9
purpose.
10
(b)
For
the
fiscal
year
beginning
July
1,
2019,
non-case-mix
11
and
special
population
nursing
facilities
shall
be
reimbursed
12
in
accordance
with
the
methodology
in
effect
on
June
30
of
the
13
prior
fiscal
year.
14
(c)
For
managed
care
claims,
the
department
of
human
15
services
shall
adjust
the
payment
rate
floor
for
nursing
16
facilities,
annually,
to
maintain
a
rate
floor
that
is
no
17
lower
than
the
Medicaid
fee-for-service
case-mix
adjusted
18
rate
calculated
in
accordance
with
subparagraph
division
19
(a)
and
441
IAC
81.6
.
The
department
shall
then
calculate
20
adjusted
reimbursement
rates,
including
but
not
limited
to
21
add-on-payments,
annually,
and
shall
notify
Medicaid
managed
22
care
organizations
of
the
adjusted
reimbursement
rates
within
23
30
days
of
determining
the
adjusted
reimbursement
rates.
Any
24
adjustment
of
reimbursement
rates
under
this
subparagraph
25
division
shall
be
budget
neutral
to
the
state
budget.
26
(d)
For
the
fiscal
year
beginning
July
1,
2019,
Medicaid
27
managed
care
long-term
services
and
supports
capitation
28
rates
shall
be
adjusted
to
reflect
the
rebasing
pursuant
to
29
subparagraph
division
(a)
for
the
patient
populations
residing
30
in
Medicaid-certified
nursing
facilities.
31
(2)
Medicaid
managed
care
organizations
shall
adjust
32
facility-specific
rates
based
upon
payment
rate
listings
issued
33
by
the
department.
The
rate
adjustments
shall
be
applied
34
retroactively
based
upon
the
effective
date
of
the
rate
letter
35
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1013XG
(15)
88
pf/tm
44/
118
S.F.
_____
H.F.
_____
issued
by
the
department.
A
Medicaid
managed
care
organization
1
shall
honor
all
retroactive
rate
adjustments
including
when
2
specific
provider
rates
are
delayed
or
amended.
3
b.
(1)
For
the
fiscal
year
beginning
July
1,
2019,
4
the
department
shall
establish
the
pharmacy
dispensing
fee
5
reimbursement
at
$10.07
per
prescription,
until
a
cost
of
6
dispensing
survey
is
completed.
The
actual
dispensing
fee
7
shall
be
determined
by
a
cost
of
dispensing
survey
performed
8
by
the
department
and
required
to
be
completed
by
all
medical
9
assistance
program
participating
pharmacies
every
two
years,
10
adjusted
as
necessary
to
maintain
expenditures
within
the
11
amount
appropriated
to
the
department
for
this
purpose
for
the
12
fiscal
year.
13
(2)
The
department
shall
utilize
an
average
acquisition
14
cost
reimbursement
methodology
for
all
drugs
covered
under
the
15
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
16
chapter
1133,
section
33
.
17
c.
(1)
For
the
fiscal
year
beginning
July
1,
2019,
18
reimbursement
rates
for
outpatient
hospital
services
shall
19
remain
at
the
rates
in
effect
on
June
30,
2019,
subject
to
20
Medicaid
program
upper
payment
limit
rules,
and
adjusted
21
as
necessary
to
maintain
expenditures
within
the
amount
22
appropriated
to
the
department
for
this
purpose
for
the
fiscal
23
year.
24
(2)
For
the
fiscal
year
beginning
July
1,
2019,
25
reimbursement
rates
for
inpatient
hospital
services
shall
26
remain
at
the
rates
in
effect
on
June
30,
2019,
subject
to
27
Medicaid
program
upper
payment
limit
rules,
and
adjusted
28
as
necessary
to
maintain
expenditures
within
the
amount
29
appropriated
to
the
department
for
this
purpose
for
the
fiscal
30
year.
31
(3)
For
the
fiscal
year
beginning
July
1,
2019,
the
graduate
32
medical
education
and
disproportionate
share
hospital
fund
33
shall
remain
at
the
amount
in
effect
on
June
30,
2019,
except
34
that
the
portion
of
the
fund
attributable
to
graduate
medical
35
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1013XG
(15)
88
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118
S.F.
_____
H.F.
_____
education
shall
be
reduced
in
an
amount
that
reflects
the
1
elimination
of
graduate
medical
education
payments
made
to
2
out-of-state
hospitals.
3
(4)
In
order
to
ensure
the
efficient
use
of
limited
state
4
funds
in
procuring
health
care
services
for
low-income
Iowans,
5
funds
appropriated
in
this
Act
for
hospital
services
shall
6
not
be
used
for
activities
which
would
be
excluded
from
a
7
determination
of
reasonable
costs
under
the
federal
Medicare
8
program
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
9
d.
For
the
fiscal
year
beginning
July
1,
2019,
reimbursement
10
rates
for
hospices
and
acute
mental
hospitals
shall
be
11
increased
in
accordance
with
increases
under
the
federal
12
Medicare
program
or
as
supported
by
their
Medicare
audited
13
costs.
14
e.
For
the
fiscal
year
beginning
July
1,
2019,
independent
15
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
16
using
the
same
methodology
in
effect
on
June
30,
2019.
17
f.
(1)
For
the
fiscal
year
beginning
July
1,
2019,
18
reimbursement
rates
for
home
health
agencies
shall
be
rebased,
19
to
the
extent
possible,
within
the
state
funding
appropriated
20
for
this
purpose,
and
shall
continue
to
be
based
on
the
21
Medicare
low
utilization
payment
adjustment
(LUPA)
methodology
22
with
state
geographic
wage
adjustments
to
reflect
the
most
23
recent
Medicare
LUPA
rates
to
the
extent
possible
within
the
24
state
funding
appropriated
for
this
purpose.
25
(2)
For
the
fiscal
year
beginning
July
1,
2019,
rates
for
26
private
duty
nursing
and
personal
care
services
under
the
early
27
and
periodic
screening,
diagnostic,
and
treatment
program
28
benefit
shall
be
calculated
based
on
the
methodology
in
effect
29
on
June
30,
2019.
30
g.
For
the
fiscal
year
beginning
July
1,
2019,
federally
31
qualified
health
centers
and
rural
health
clinics
shall
receive
32
cost-based
reimbursement
for
100
percent
of
the
reasonable
33
costs
for
the
provision
of
services
to
recipients
of
medical
34
assistance.
35
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1013XG
(15)
88
pf/tm
46/
118
S.F.
_____
H.F.
_____
h.
For
the
fiscal
year
beginning
July
1,
2019,
the
1
reimbursement
rates
for
dental
services
shall
remain
at
the
2
rates
in
effect
on
June
30,
2019.
3
i.
(1)
For
the
fiscal
year
beginning
July
1,
2019,
4
reimbursement
rates
for
non-state-owned
psychiatric
medical
5
institutions
for
children
shall
be
based
on
the
reimbursement
6
methodology
in
effect
on
June
30,
2019.
7
(2)
As
a
condition
of
participation
in
the
medical
8
assistance
program,
enrolled
providers
shall
accept
the
medical
9
assistance
reimbursement
rate
for
any
covered
goods
or
services
10
provided
to
recipients
of
medical
assistance
who
are
children
11
under
the
custody
of
a
psychiatric
medical
institution
for
12
children.
13
j.
For
the
fiscal
year
beginning
July
1,
2019,
unless
14
otherwise
specified
in
this
Act,
all
noninstitutional
medical
15
assistance
provider
reimbursement
rates
shall
remain
at
the
16
rates
in
effect
on
June
30,
2019,
except
for
area
education
17
agencies,
local
education
agencies,
infant
and
toddler
18
services
providers,
home
and
community-based
services
providers
19
including
consumer-directed
attendant
care
providers
under
a
20
section
1915(c)
or
1915(i)
waiver,
targeted
case
management
21
providers,
and
those
providers
whose
rates
are
required
to
be
22
determined
pursuant
to
section
249A.20
,
or
to
meet
federal
23
mental
health
parity
requirements.
24
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
25
fiscal
year
beginning
July
1,
2019,
the
reimbursement
rate
for
26
anesthesiologists
shall
remain
at
the
rates
in
effect
on
June
27
30,
2019,
and
updated
on
January
1,
2020,
to
align
with
the
28
most
current
Iowa
Medicare
anesthesia
rate.
29
l.
Notwithstanding
section
249A.20
,
for
the
fiscal
year
30
beginning
July
1,
2019,
the
average
reimbursement
rate
for
31
health
care
providers
eligible
for
use
of
the
federal
Medicare
32
resource-based
relative
value
scale
reimbursement
methodology
33
under
section
249A.20
shall
remain
at
the
rate
in
effect
on
34
June
30,
2019;
however,
this
rate
shall
not
exceed
the
maximum
35
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1013XG
(15)
88
pf/tm
47/
118
S.F.
_____
H.F.
_____
level
authorized
by
the
federal
government.
1
m.
For
the
fiscal
year
beginning
July
1,
2019,
the
2
reimbursement
rate
for
residential
care
facilities
shall
not
3
be
less
than
the
minimum
payment
level
as
established
by
the
4
federal
government
to
meet
the
federally
mandated
maintenance
5
of
effort
requirement.
The
flat
reimbursement
rate
for
6
facilities
electing
not
to
file
annual
cost
reports
shall
not
7
be
less
than
the
minimum
payment
level
as
established
by
the
8
federal
government
to
meet
the
federally
mandated
maintenance
9
of
effort
requirement.
10
n.
For
the
fiscal
year
beginning
July
1,
2019,
the
11
reimbursement
rates
for
inpatient
mental
health
services
12
provided
at
hospitals
shall
remain
at
the
rates
in
effect
on
13
June
30,
2019,
subject
to
Medicaid
program
upper
payment
limit
14
rules;
and
psychiatrists
shall
be
reimbursed
at
the
medical
15
assistance
program
fee-for-service
rate
in
effect
on
June
30,
16
2019.
17
o.
For
the
fiscal
year
beginning
July
1,
2019,
community
18
mental
health
centers
may
choose
to
be
reimbursed
for
the
19
services
provided
to
recipients
of
medical
assistance
through
20
either
of
the
following
options:
21
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
22
(2)
In
accordance
with
the
alternative
reimbursement
rate
23
methodology
approved
by
the
department
of
human
services
in
24
effect
on
June
30,
2019.
25
p.
For
the
fiscal
year
beginning
July
1,
2019,
the
26
reimbursement
rate
for
providers
of
family
planning
services
27
that
are
eligible
to
receive
a
90
percent
federal
match
shall
28
remain
at
the
rates
in
effect
on
June
30,
2019.
29
q.
Unless
otherwise
subject
to
a
tiered
rate
methodology,
30
for
the
fiscal
year
beginning
July
1,
2019,
the
upper
31
limits
and
reimbursement
rates
for
providers
of
home
and
32
community-based
services
waiver
services
shall
be
reimbursed
33
using
the
reimbursement
methodology
in
effect
on
June
30,
2019.
34
r.
For
the
fiscal
year
beginning
July
1,
2019,
the
35
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1013XG
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88
pf/tm
48/
118
S.F.
_____
H.F.
_____
reimbursement
rates
for
emergency
medical
service
providers
1
shall
remain
at
the
rates
in
effect
on
June
30,
2019.
2
s.
For
the
fiscal
year
beginning
July
1,
2019,
reimbursement
3
rates
for
substance-related
disorder
treatment
programs
4
licensed
under
section
125.13
shall
remain
at
the
rates
in
5
effect
on
June
30,
2019.
6
2.
For
the
fiscal
year
beginning
July
1,
2019,
the
7
reimbursement
rate
for
providers
reimbursed
under
the
8
in-home-related
care
program
shall
not
be
less
than
the
minimum
9
payment
level
as
established
by
the
federal
government
to
meet
10
the
federally
mandated
maintenance
of
effort
requirement.
11
3.
Unless
otherwise
directed
in
this
section,
when
the
12
department’s
reimbursement
methodology
for
any
provider
13
reimbursed
in
accordance
with
this
section
includes
an
14
inflation
factor,
this
factor
shall
not
exceed
the
amount
15
by
which
the
consumer
price
index
for
all
urban
consumers
16
increased
during
the
calendar
year
ending
December
31,
2002.
17
4.
Notwithstanding
section
234.38
,
for
the
fiscal
18
year
beginning
July
1,
2019,
the
foster
family
basic
daily
19
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
20
children
ages
0
through
5
years
shall
be
$16.78,
the
rate
for
21
children
ages
6
through
11
years
shall
be
$17.45,
the
rate
for
22
children
ages
12
through
15
years
shall
be
$19.10,
and
the
23
rate
for
children
and
young
adults
ages
16
and
older
shall
24
be
$19.35.
For
youth
ages
18
to
21
who
have
exited
foster
25
care,
the
preparation
for
adult
living
program
maintenance
rate
26
shall
be
$602.70
per
month.
The
maximum
payment
for
adoption
27
subsidy
nonrecurring
expenses
shall
be
limited
to
$500
and
the
28
disallowance
of
additional
amounts
for
court
costs
and
other
29
related
legal
expenses
implemented
pursuant
to
2010
Iowa
Acts,
30
chapter
1031,
section
408
,
shall
be
continued.
31
5.
For
the
fiscal
year
beginning
July
1,
2019,
the
maximum
32
reimbursement
rates
for
social
services
providers
under
33
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2019,
34
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
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each
service,
whichever
is
less.
However,
if
a
new
service
1
or
service
provider
is
added
after
June
30,
2019,
the
initial
2
reimbursement
rate
for
the
service
or
provider
shall
be
based
3
upon
a
weighted
average
of
provider
rates
for
similar
services.
4
6.
a.
For
the
fiscal
year
beginning
July
1,
2019,
the
5
reimbursement
rates
for
resource
family
recruitment
and
6
retention
contractors
shall
be
established
by
contract.
7
b.
For
the
fiscal
year
beginning
July
1,
2019,
the
8
reimbursement
rates
for
supervised
apartment
living
foster
care
9
providers
shall
be
established
by
contract.
10
7.
For
the
fiscal
year
beginning
July
1,
2019,
the
11
reimbursement
rate
for
group
foster
care
providers
shall
be
the
12
combined
service
and
maintenance
reimbursement
rate
established
13
by
contract.
14
8.
The
group
foster
care
reimbursement
rates
paid
for
15
placement
of
children
out
of
state
shall
be
calculated
16
according
to
the
same
rate-setting
principles
as
those
used
for
17
in-state
providers,
unless
the
director
of
human
services
or
18
the
director’s
designee
determines
that
appropriate
care
cannot
19
be
provided
within
the
state.
The
payment
of
the
daily
rate
20
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
21
which
service
is
provided.
22
9.
a.
For
the
fiscal
year
beginning
July
1,
2019,
the
23
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
24
emergency
services
implemented
to
provide
or
prevent
the
need
25
for
shelter
care
shall
be
established
by
contract.
26
b.
For
the
fiscal
year
beginning
July
1,
2019,
the
combined
27
service
and
maintenance
components
of
the
reimbursement
rate
28
paid
for
shelter
care
services
shall
be
based
on
the
financial
29
and
statistical
report
submitted
to
the
department.
The
30
maximum
reimbursement
rate
shall
be
$101.83
per
day.
The
31
department
shall
reimburse
a
shelter
care
provider
at
the
32
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
33
to
exceed
the
maximum
reimbursement
rate.
34
c.
Notwithstanding
section
232.141,
subsection
8
,
for
the
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fiscal
year
beginning
July
1,
2019,
the
amount
of
the
statewide
1
average
of
the
actual
and
allowable
rates
for
reimbursement
of
2
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
3
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
4
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
5
2018.
6
10.
For
the
fiscal
year
beginning
July
1,
2019,
the
7
department
shall
calculate
reimbursement
rates
for
intermediate
8
care
facilities
for
persons
with
an
intellectual
disability
9
at
the
80th
percentile.
Beginning
July
1,
2019,
the
rate
10
calculation
methodology
shall
utilize
the
consumer
price
index
11
inflation
factor
applicable
to
the
fiscal
year
beginning
July
12
1,
2019.
13
11.
Effective
July
1,
2019,
the
child
care
provider
14
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
15
30,
2019.
The
department
shall
set
rates
in
a
manner
so
as
16
to
provide
incentives
for
a
nonregistered
provider
to
become
17
registered
by
applying
any
increase
only
to
registered
and
18
licensed
providers.
19
12.
The
department
may
adopt
emergency
rules
to
implement
20
this
section.
21
Sec.
32.
TRANSFER
OF
MEDICAID
MANAGED
CARE
SAVINGS
BETWEEN
22
APPROPRIATIONS
——
FY
2019-2020.
Notwithstanding
section
8.39,
23
subsection
1,
for
the
fiscal
year
beginning
July
1,
2019,
24
and
ending
June
30,
2020,
if
savings
resulting
from
Medicaid
25
managed
care
initiatives
accrue
to
the
medical
contracts
or
26
children’s
health
insurance
program
appropriation
from
the
27
general
fund
of
the
state
and
not
to
the
medical
assistance
28
appropriation
from
the
general
fund
of
the
state
under
this
29
division
of
this
Act,
such
savings
may
be
transferred
to
such
30
medical
assistance
appropriation
for
the
same
fiscal
year
31
without
prior
written
consent
and
approval
of
the
governor
and
32
the
director
of
the
department
of
management.
The
department
33
of
human
services
shall
report
any
transfers
made
pursuant
to
34
this
section
to
the
legislative
services
agency.
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Sec.
33.
EMERGENCY
RULES.
1
1.
If
specifically
authorized
by
a
provision
of
this
2
division
of
this
Act,
the
department
of
human
services
or
3
the
mental
health
and
disability
services
commission
may
4
adopt
administrative
rules
under
section
17A.4,
subsection
5
3
,
and
section
17A.5,
subsection
2
,
paragraph
“b”,
to
6
implement
the
provisions
of
this
division
of
this
Act
and
7
the
rules
shall
become
effective
immediately
upon
filing
or
8
on
a
later
effective
date
specified
in
the
rules,
unless
the
9
effective
date
of
the
rules
is
delayed
or
the
applicability
10
of
the
rules
is
suspended
by
the
administrative
rules
review
11
committee.
Any
rules
adopted
in
accordance
with
this
section
12
shall
not
take
effect
before
the
rules
are
reviewed
by
the
13
administrative
rules
review
committee.
The
delay
authority
14
provided
to
the
administrative
rules
review
committee
under
15
section
17A.4,
subsection
7
,
and
section
17A.8,
subsection
9
,
16
shall
be
applicable
to
a
delay
imposed
under
this
section,
17
notwithstanding
a
provision
in
those
sections
making
them
18
inapplicable
to
section
17A.5,
subsection
2
,
paragraph
“b”.
19
Any
rules
adopted
in
accordance
with
the
provisions
of
this
20
section
shall
also
be
published
as
a
notice
of
intended
action
21
as
provided
in
section
17A.4
.
22
2.
If
during
a
fiscal
year,
the
department
of
human
23
services
is
adopting
rules
in
accordance
with
this
section
24
or
as
otherwise
directed
or
authorized
by
state
law,
and
the
25
rules
will
result
in
an
expenditure
increase
beyond
the
amount
26
anticipated
in
the
budget
process
or
if
the
expenditure
was
27
not
addressed
in
the
budget
process
for
the
fiscal
year,
the
28
department
shall
notify
the
persons
designated
by
this
division
29
of
this
Act
for
submission
of
reports,
the
chairpersons
and
30
ranking
members
of
the
committees
on
appropriations,
and
31
the
department
of
management
concerning
the
rules
and
the
32
expenditure
increase.
The
notification
shall
be
provided
at
33
least
30
calendar
days
prior
to
the
date
notice
of
the
rules
34
is
submitted
to
the
administrative
rules
coordinator
and
the
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administrative
code
editor.
1
Sec.
34.
REPORTS.
Any
reports
or
other
information
2
required
to
be
compiled
and
submitted
under
this
Act
during
the
3
fiscal
year
beginning
July
1,
2019,
shall
be
submitted
to
the
4
chairpersons
and
ranking
members
of
the
joint
appropriations
5
subcommittee
on
health
and
human
services,
the
legislative
6
services
agency,
and
the
legislative
caucus
staffs
on
or
7
before
the
dates
specified
for
submission
of
the
reports
or
8
information.
9
Sec.
35.
EFFECTIVE
UPON
ENACTMENT.
The
following
10
provisions
of
this
division
of
this
Act,
being
deemed
of
11
immediate
importance,
take
effect
upon
enactment:
12
1.
The
provision
relating
to
section
232.141
and
directing
13
the
state
court
administrator
and
the
division
administrator
of
14
the
department
of
human
services
division
of
child
and
family
15
services
to
make
the
determination,
by
June
15,
2019,
of
the
16
distribution
of
funds
allocated
for
the
payment
of
the
expenses
17
of
court-ordered
services
provided
to
juveniles
which
are
a
18
charge
upon
the
state.
19
DIVISION
VI
20
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2019-2020
21
Sec.
36.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
22
appropriated
from
the
pharmaceutical
settlement
account
created
23
in
section
249A.33
to
the
department
of
human
services
for
the
24
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
2020,
25
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
26
used
for
the
purpose
designated:
27
Notwithstanding
any
provision
of
law
to
the
contrary,
to
28
supplement
the
appropriations
made
in
this
Act
for
medical
29
contracts
under
the
medical
assistance
program
for
the
fiscal
30
year
beginning
July
1,
2019,
and
ending
June
30,
2020:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
234,193
32
Sec.
37.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
33
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
34
subject
to
the
availability
of
funds,
there
is
appropriated
35
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H.F.
_____
from
the
quality
assurance
trust
fund
created
in
section
1
249L.4
to
the
department
of
human
services
for
the
fiscal
year
2
beginning
July
1,
2019,
and
ending
June
30,
2020,
the
following
3
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
4
designated:
5
To
supplement
the
appropriation
made
in
this
Act
from
the
6
general
fund
of
the
state
to
the
department
of
human
services
7
for
medical
assistance
for
the
same
fiscal
year:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
58,570,397
9
Sec.
38.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
10
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
11
the
contrary
and
subject
to
the
availability
of
funds,
there
is
12
appropriated
from
the
hospital
health
care
access
trust
fund
13
created
in
section
249M.4
to
the
department
of
human
services
14
for
the
fiscal
year
beginning
July
1,
2019,
and
ending
June
15
30,
2020,
the
following
amounts,
or
so
much
thereof
as
is
16
necessary,
for
the
purposes
designated:
17
To
supplement
the
appropriation
made
in
this
Act
from
the
18
general
fund
of
the
state
to
the
department
of
human
services
19
for
medical
assistance
for
the
same
fiscal
year:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,920,554
21
Sec.
39.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
22
FOR
FY
2019-2020.
Notwithstanding
section
8.33
,
if
moneys
23
appropriated
for
purposes
of
the
medical
assistance
program
for
24
the
fiscal
year
beginning
July
1,
2019,
and
ending
June
30,
25
2020,
from
the
general
fund
of
the
state,
the
quality
assurance
26
trust
fund
and
the
hospital
health
care
access
trust
fund,
are
27
in
excess
of
actual
expenditures
for
the
medical
assistance
28
program
and
remain
unencumbered
or
unobligated
at
the
close
29
of
the
fiscal
year,
the
excess
moneys
shall
not
revert
but
30
shall
remain
available
for
expenditure
for
the
purposes
of
the
31
medical
assistance
program
until
the
close
of
the
succeeding
32
fiscal
year.
33
DIVISION
VII
34
DEPARTMENT
ON
AGING
——
FY
2020-2021
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Sec.
40.
DEPARTMENT
ON
AGING.
There
is
appropriated
from
1
the
general
fund
of
the
state
to
the
department
on
aging
for
2
the
fiscal
year
beginning
July
1,
2020,
and
ending
June
30,
3
2021,
the
following
amount,
or
so
much
thereof
as
is
necessary,
4
to
be
used
for
the
purposes
designated:
5
For
aging
programs
for
the
department
on
aging
and
area
6
agencies
on
aging
to
provide
citizens
of
Iowa
who
are
60
years
7
of
age
and
older
with
case
management
for
frail
elders,
Iowa’s
8
aging
and
disabilities
resource
center,
and
other
services
9
which
may
include
but
are
not
limited
to
adult
day
services,
10
respite
care,
chore
services,
information
and
assistance,
11
and
material
aid,
for
information
and
options
counseling
for
12
persons
with
disabilities
who
are
18
years
of
age
or
older,
13
and
for
salaries,
support,
administration,
maintenance,
and
14
miscellaneous
purposes:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
11,042,924
16
1.
Funds
appropriated
in
this
section
may
be
used
to
17
supplement
federal
funds
under
federal
regulations.
To
18
receive
funds
appropriated
in
this
section,
a
local
area
19
agency
on
aging
shall
match
the
funds
with
moneys
from
other
20
sources
according
to
rules
adopted
by
the
department.
Funds
21
appropriated
in
this
section
may
be
used
for
elderly
services
22
not
specifically
enumerated
in
this
section
only
if
approved
23
by
an
area
agency
on
aging
for
provision
of
the
service
within
24
the
area.
25
2.
Of
the
funds
appropriated
in
this
section,
$279,946
is
26
transferred
to
the
economic
development
authority
for
the
Iowa
27
commission
on
volunteer
services
to
be
used
for
the
retired
and
28
senior
volunteer
program.
29
3.
a.
The
department
on
aging
shall
establish
and
enforce
30
procedures
relating
to
expenditure
of
state
and
federal
funds
31
by
area
agencies
on
aging
that
require
compliance
with
both
32
state
and
federal
laws,
rules,
and
regulations,
including
but
33
not
limited
to
all
of
the
following:
34
(1)
Requiring
that
expenditures
are
incurred
only
for
goods
35
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or
services
received
or
performed
prior
to
the
end
of
the
1
fiscal
period
designated
for
use
of
the
funds.
2
(2)
Prohibiting
prepayment
for
goods
or
services
not
3
received
or
performed
prior
to
the
end
of
the
fiscal
period
4
designated
for
use
of
the
funds.
5
(3)
Prohibiting
the
prepayment
for
goods
or
services
6
not
defined
specifically
by
good
or
service,
time
period,
or
7
recipient.
8
(4)
Prohibiting
the
establishment
of
accounts
from
which
9
future
goods
or
services
which
are
not
defined
specifically
by
10
good
or
service,
time
period,
or
recipient,
may
be
purchased.
11
b.
The
procedures
shall
provide
that
if
any
funds
are
12
expended
in
a
manner
that
is
not
in
compliance
with
the
13
procedures
and
applicable
federal
and
state
laws,
rules,
and
14
regulations,
and
are
subsequently
subject
to
repayment,
the
15
area
agency
on
aging
expending
such
funds
in
contravention
of
16
such
procedures,
laws,
rules
and
regulations,
not
the
state,
17
shall
be
liable
for
such
repayment.
18
4.
Of
the
funds
appropriated
in
this
section,
at
least
19
$600,000
shall
be
used
to
fund
home
and
community-based
20
services
through
the
area
agencies
on
aging
that
enable
older
21
individuals
to
avoid
more
costly
utilization
of
residential
or
22
institutional
services
and
remain
in
their
own
homes.
23
5.
Of
the
funds
appropriated
in
this
section,
$812,537
shall
24
be
used
for
the
purposes
of
chapter
231E
and
to
administer
25
the
prevention
of
elder
abuse,
neglect,
and
exploitation
26
program
pursuant
to
section
231.56A
,
in
accordance
with
the
27
requirements
of
the
federal
Older
Americans
Act
of
1965,
42
28
U.S.C.
§3001
et
seq.,
as
amended.
29
6.
Of
the
funds
appropriated
in
this
section,
$1,000,000
30
shall
be
used
to
fund
continuation
of
the
aging
and
disability
31
resource
center
lifelong
links
to
provide
individuals
and
32
caregivers
with
information
and
services
to
plan
for
and
33
maintain
independence.
34
7.
Of
the
funds
appropriated
in
this
section,
$100,000
35
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1013XG
(15)
88
pf/tm
56/
118
S.F.
_____
H.F.
_____
shall
be
used
by
the
department
on
aging,
in
collaboration
with
1
the
department
of
human
services
and
affected
stakeholders,
to
2
continue
the
pilot
initiative
to
provide
long-term
care
options
3
counseling
utilizing
support
planning
protocols,
to
assist
4
non-Medicaid
eligible
consumers
who
indicate
a
preference
5
to
return
to
the
community
and
are
deemed
appropriate
for
6
discharge,
to
return
to
their
community
following
a
nursing
7
facility
stay.
8
DIVISION
VIII
9
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN
——
FY
2020-2021
10
Sec.
41.
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
There
is
11
appropriated
from
the
general
fund
of
the
state
to
the
office
12
of
long-term
care
ombudsman
for
the
fiscal
year
beginning
July
13
1,
2020,
and
ending
June
30,
2021,
the
following
amount,
or
14
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
15
designated:
16
For
salaries,
support,
administration,
maintenance,
and
17
miscellaneous
purposes:
18
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,149,821
19
DIVISION
IX
20
DEPARTMENT
OF
PUBLIC
HEALTH
——
FY
2020-2021
21
Sec.
42.
DEPARTMENT
OF
PUBLIC
HEALTH.
There
is
appropriated
22
from
the
general
fund
of
the
state
to
the
department
of
public
23
health
for
the
fiscal
year
beginning
July
1,
2020,
and
ending
24
June
30,
2021,
the
following
amounts,
or
so
much
thereof
as
is
25
necessary,
to
be
used
for
the
purposes
designated:
26
1.
ADDICTIVE
DISORDERS
27
For
reducing
the
prevalence
of
the
use
of
tobacco,
alcohol,
28
and
other
drugs,
and
treating
individuals
affected
by
addictive
29
behaviors,
including
gambling:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
25,049,544
31
a.
Of
the
funds
appropriated
in
this
subsection,
$4,021,225
32
shall
be
used
for
the
tobacco
use
prevention
and
control
33
initiative,
including
efforts
at
the
state
and
local
levels,
34
as
provided
in
chapter
142A
.
The
commission
on
tobacco
use
35
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88
pf/tm
57/
118
S.F.
_____
H.F.
_____
prevention
and
control
established
pursuant
to
section
142A.3
1
shall
advise
the
director
of
public
health
in
prioritizing
2
funding
needs
and
the
allocation
of
moneys
appropriated
for
3
the
programs
and
initiatives.
Activities
of
the
programs
4
and
initiatives
shall
be
in
alignment
with
the
United
States
5
centers
for
disease
control
and
prevention
best
practices
6
for
comprehensive
tobacco
control
programs
that
include
7
the
goals
of
preventing
youth
initiation
of
tobacco
usage,
8
reducing
exposure
to
secondhand
smoke,
and
promotion
of
tobacco
9
cessation.
10
b.
(1)
Of
the
funds
appropriated
in
this
subsection,
11
$21,028,319
shall
be
used
for
problem
gambling
and
12
substance-related
disorder
prevention,
treatment,
and
recovery
13
services,
including
a
24-hour
helpline,
public
information
14
resources,
professional
training,
youth
prevention,
and
program
15
evaluation.
16
(2)
Of
the
amount
allocated
under
this
paragraph,
not
17
more
than
$245,200
shall
be
utilized
by
the
department
of
18
public
health,
in
collaboration
with
the
department
of
human
19
services,
to
support
establishment
and
maintenance
of
a
single
20
statewide
24-hour
crisis
hotline
for
the
Iowa
children’s
mental
21
health
system
that
incorporates
warmline
services
which
may
be
22
provided
through
expansion
of
existing
capabilities
maintained
23
by
the
department
of
public
health
as
required
pursuant
to
2018
24
Iowa
Acts,
chapter
1056,
section
16.
25
c.
The
requirement
of
section
123.17,
subsection
5
,
is
met
26
by
the
appropriations
and
allocations
made
in
this
division
of
27
this
Act
for
purposes
of
substance-related
disorder
treatment
28
and
addictive
disorders
for
the
fiscal
year
beginning
July
1,
29
2020.
30
2.
HEALTHY
CHILDREN
AND
FAMILIES
31
For
promoting
the
optimum
health
status
for
children,
32
adolescents
from
birth
through
21
years
of
age,
and
families:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,820,625
34
3.
CHRONIC
CONDITIONS
35
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1013XG
(15)
88
pf/tm
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118
S.F.
_____
H.F.
_____
For
serving
individuals
identified
as
having
chronic
1
conditions
or
special
health
care
needs:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,228,109
3
4.
COMMUNITY
CAPACITY
4
For
strengthening
the
health
care
delivery
system
at
the
5
local
level:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,970,152
7
a.
Of
the
funds
appropriated
in
this
subsection,
$2,000,000
8
shall
be
deposited
in
the
medical
residency
training
account
9
created
in
section
135.175,
subsection
5
,
paragraph
“a”,
and
10
is
appropriated
from
the
account
to
the
department
of
public
11
health
to
be
used
for
the
purposes
of
the
medical
residency
12
training
state
matching
grants
program
as
specified
in
section
13
135.176
.
14
b.
Of
the
funds
appropriated
in
this
subsection,
$799,454
15
is
allocated
for
the
purposes
of
health
care
and
public
health
16
workforce
initiatives,
and
of
this
amount,
$250,000
shall
be
17
used
for
the
public
purpose
of
providing
funding
to
Des
Moines
18
university
to
continue
a
provider
education
project
to
provide
19
primary
care
physicians
with
the
training
and
skills
necessary
20
to
recognize
the
signs
of
mental
illness
in
patients.
21
5.
ESSENTIAL
PUBLIC
HEALTH
SERVICES
22
a.
To
provide
public
health
services
that
reduce
risks
23
and
invest
in
promoting
and
protecting
good
health
over
the
24
course
of
a
lifetime
with
a
priority
given
to
older
Iowans
and
25
vulnerable
populations:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,962,464
27
b.
Of
the
funds
appropriated
in
this
subsection,
$300,000
is
28
allocated
for
performance
improvement
activities.
29
6.
INFECTIOUS
DISEASES
30
For
reducing
the
incidence
and
prevalence
of
communicable
31
diseases:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,796,426
33
7.
PUBLIC
PROTECTION
34
a.
For
protecting
the
health
and
safety
of
the
public
35
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1013XG
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88
pf/tm
59/
118
S.F.
_____
H.F.
_____
through
establishing
standards
and
enforcing
regulations:
1
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,095,139
2
b.
Of
the
funds
appropriated
in
this
subsection,
not
more
3
than
$304,700
shall
be
credited
to
the
emergency
medical
4
services
fund
created
in
section
135.25.
Moneys
in
the
5
emergency
medical
services
fund
are
appropriated
to
the
6
department
to
be
used
for
the
purposes
of
the
fund.
7
8.
RESOURCE
MANAGEMENT
8
For
establishing
and
sustaining
the
overall
ability
of
the
9
department
to
deliver
services
to
the
public:
10
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
971,215
11
9.
MISCELLANEOUS
PROVISIONS
12
The
university
of
Iowa
hospitals
and
clinics
under
the
13
control
of
the
state
board
of
regents
shall
not
receive
14
indirect
costs
from
the
funds
appropriated
in
this
section.
15
The
university
of
Iowa
hospitals
and
clinics
billings
to
the
16
department
shall
be
on
at
least
a
quarterly
basis.
17
DIVISION
X
18
DEPARTMENT
OF
VETERANS
AFFAIRS
——
FY
2020-2021
19
Sec.
43.
DEPARTMENT
OF
VETERANS
AFFAIRS.
There
is
20
appropriated
from
the
general
fund
of
the
state
to
the
21
department
of
veterans
affairs
for
the
fiscal
year
beginning
22
July
1,
2020,
and
ending
June
30,
2021,
the
following
amounts,
23
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
purposes
24
designated:
25
1.
DEPARTMENT
OF
VETERANS
AFFAIRS
ADMINISTRATION
26
For
salaries,
support,
maintenance,
and
miscellaneous
27
purposes:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,225,500
29
2.
IOWA
VETERANS
HOME
30
For
salaries,
support,
maintenance,
and
miscellaneous
31
purposes:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,162,976
33
a.
The
Iowa
veterans
home
billings
involving
the
department
34
of
human
services
shall
be
submitted
to
the
department
on
at
35
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1013XG
(15)
88
pf/tm
60/
118
S.F.
_____
H.F.
_____
least
a
monthly
basis.
1
b.
Within
available
resources
and
in
conformance
with
2
associated
state
and
federal
program
eligibility
requirements,
3
the
Iowa
veterans
home
may
implement
measures
to
provide
4
financial
assistance
to
or
on
behalf
of
veterans
or
their
5
spouses
who
are
participating
in
the
community
reentry
program.
6
c.
The
Iowa
veterans
home
expenditure
report
shall
be
7
submitted
monthly
to
the
legislative
services
agency.
8
d.
The
Iowa
veterans
home
shall
continue
to
include
in
the
9
annual
discharge
report
applicant
information
and
to
provide
10
for
the
collection
of
demographic
information
including
but
not
11
limited
to
the
number
of
individuals
applying
for
admission
and
12
admitted
or
denied
admittance
and
the
basis
for
the
admission
13
or
denial;
the
age,
gender,
and
race
of
such
individuals;
14
and
the
level
of
care
for
which
such
individuals
applied
for
15
admission
including
residential
or
nursing
level
of
care.
16
3.
HOME
OWNERSHIP
ASSISTANCE
PROGRAM
17
For
transfer
to
the
Iowa
finance
authority
for
the
18
continuation
of
the
home
ownership
assistance
program
for
19
persons
who
are
or
were
eligible
members
of
the
armed
forces
of
20
the
United
States,
pursuant
to
section
16.54
:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,000,000
22
Sec.
44.
LIMITATION
OF
COUNTY
COMMISSIONS
OF
VETERAN
23
AFFAIRS
FUND
STANDING
APPROPRIATIONS.
Notwithstanding
the
24
standing
appropriation
in
section
35A.16
for
the
fiscal
year
25
beginning
July
1,
2020,
and
ending
June
30,
2021,
the
amount
26
appropriated
from
the
general
fund
of
the
state
pursuant
to
27
that
section
for
the
following
designated
purposes
shall
not
28
exceed
the
following
amount:
29
For
the
county
commissions
of
veteran
affairs
fund
under
30
section
35A.16
:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
990,000
32
DIVISION
XI
33
DEPARTMENT
OF
HUMAN
SERVICES
——
FY
2020-2021
34
Sec.
45.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
35
-61-
LSB
1013XG
(15)
88
pf/tm
61/
118
S.F.
_____
H.F.
_____
GRANT.
There
is
appropriated
from
the
fund
created
in
section
1
8.41
to
the
department
of
human
services
for
the
fiscal
year
2
beginning
July
1,
2020,
and
ending
June
30,
2021,
from
moneys
3
received
under
the
federal
temporary
assistance
for
needy
4
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
5
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
6
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
7
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
8
purposes
designated:
9
1.
To
be
credited
to
the
family
investment
program
account
10
and
used
for
assistance
under
the
family
investment
program
11
under
chapter
239B
:
12
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,524,006
13
2.
To
be
credited
to
the
family
investment
program
account
14
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
15
program
and
implementing
family
investment
agreements
in
16
accordance
with
chapter
239B
:
17
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,412,060
18
3.
To
be
used
for
the
family
development
and
19
self-sufficiency
grant
program
in
accordance
with
section
20
216A.107
:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,898,980
22
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
23
subsection
that
remain
unencumbered
or
unobligated
at
the
close
24
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
25
for
expenditure
for
the
purposes
designated
until
the
close
of
26
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
27
encumbered
or
obligated
on
or
before
September
30,
2021,
the
28
moneys
shall
revert.
29
4.
For
field
operations:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
31
5.
For
general
administration:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
33
6.
For
state
child
care
assistance:
34
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,166,826
35
-62-
LSB
1013XG
(15)
88
pf/tm
62/
118
S.F.
_____
H.F.
_____
a.
Of
the
funds
appropriated
in
this
subsection,
1
$26,205,412
is
transferred
to
the
child
care
and
development
2
block
grant
appropriation
made
by
the
Eighty-eighth
General
3
Assembly,
2020
session,
for
the
federal
fiscal
year
beginning
4
October
1,
2020,
and
ending
September
30,
2021.
Of
this
5
amount,
$200,000
shall
be
used
for
provision
of
educational
6
opportunities
to
registered
child
care
home
providers
in
order
7
to
improve
services
and
programs
offered
by
this
category
8
of
providers
and
to
increase
the
number
of
providers.
The
9
department
may
contract
with
institutions
of
higher
education
10
or
child
care
resource
and
referral
centers
to
provide
11
the
educational
opportunities.
Allowable
administrative
12
costs
under
the
contracts
shall
not
exceed
5
percent.
The
13
application
for
a
grant
shall
not
exceed
two
pages
in
length.
14
b.
Any
funds
appropriated
in
this
subsection
remaining
15
unallocated
shall
be
used
for
state
child
care
assistance
16
payments
for
families
who
are
employed
including
but
not
17
limited
to
individuals
enrolled
in
the
family
investment
18
program.
19
7.
For
child
and
family
services:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,380,654
21
8.
For
child
abuse
prevention
grants:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
23
9.
For
pregnancy
prevention
grants
on
the
condition
that
24
family
planning
services
are
funded:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,913,203
26
Pregnancy
prevention
grants
shall
be
awarded
to
programs
27
in
existence
on
or
before
July
1,
2020,
if
the
programs
have
28
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
29
pregnancy
prevention
programs
which
are
developed
after
July
30
1,
2020,
if
the
programs
are
based
on
existing
models
that
31
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
32
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
33
section
14,
subsections
1
and
2
,
including
the
requirement
that
34
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
35
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pf/tm
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118
S.F.
_____
H.F.
_____
the
awarding
of
grants
shall
be
given
to
programs
that
serve
1
areas
of
the
state
which
demonstrate
the
highest
percentage
of
2
unplanned
pregnancies
of
females
of
childbearing
age
within
the
3
geographic
area
to
be
served
by
the
grant.
4
10.
For
technology
needs
and
other
resources
necessary
5
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
6
management
requirements:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
8
11.
a.
Notwithstanding
any
provision
to
the
contrary,
9
including
but
not
limited
to
requirements
in
section
8.41
or
10
provisions
in
2019
or
2020
Iowa
Acts
regarding
the
receipt
and
11
appropriation
of
federal
block
grants,
federal
funds
from
the
12
temporary
assistance
for
needy
families
block
grant
received
by
13
the
state
and
not
otherwise
appropriated
in
this
section
and
14
remaining
available
for
the
fiscal
year
beginning
July
1,
2020,
15
are
appropriated
to
the
department
of
human
services
to
the
16
extent
as
may
be
necessary
to
be
used
in
the
following
priority
17
order:
the
family
investment
program,
for
state
child
care
18
assistance
program
payments
for
families
who
are
employed,
and
19
for
the
family
investment
program
share
of
system
costs
for
20
eligibility
determination
and
related
functions.
The
federal
21
funds
appropriated
in
this
paragraph
“a”
shall
be
expended
22
only
after
all
other
funds
appropriated
in
subsection
1
for
23
assistance
under
the
family
investment
program,
in
subsection
24
6
for
state
child
care
assistance,
or
in
subsection
10
for
25
technology
costs
related
to
the
family
investment
program,
26
as
applicable,
have
been
expended.
For
the
purposes
of
this
27
subsection,
the
funds
appropriated
in
subsection
6,
paragraph
28
“a”,
for
transfer
to
the
child
care
and
development
block
grant
29
appropriation
are
considered
fully
expended
when
the
full
30
amount
has
been
transferred.
31
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
32
legislative
services
agency
and
department
of
management
of
33
the
amount
of
funds
appropriated
in
this
subsection
that
was
34
expended
in
the
prior
quarter.
35
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1013XG
(15)
88
pf/tm
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118
S.F.
_____
H.F.
_____
12.
Of
the
amounts
appropriated
in
this
section,
1
$12,962,008
for
the
fiscal
year
beginning
July
1,
2020,
is
2
transferred
to
the
appropriation
of
the
federal
social
services
3
block
grant
made
to
the
department
of
human
services
for
that
4
fiscal
year.
5
13.
For
continuation
of
the
program
providing
categorical
6
eligibility
for
the
food
assistance
program
as
specified
7
for
the
program
in
the
section
of
this
division
of
this
Act
8
relating
to
the
family
investment
program
account:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,236
10
14.
The
department
may
transfer
funds
allocated
in
this
11
section
to
the
appropriations
made
in
this
division
of
this
Act
12
for
the
same
fiscal
year
for
general
administration
and
field
13
operations
for
resources
necessary
to
implement
and
operate
the
14
services
referred
to
in
this
section
and
those
funded
in
the
15
appropriation
made
in
this
division
of
this
Act
for
the
same
16
fiscal
year
for
the
family
investment
program
from
the
general
17
fund
of
the
state.
18
15.
With
the
exception
of
moneys
allocated
under
this
19
section
for
the
family
development
and
self-sufficiency
grant
20
program,
to
the
extent
moneys
allocated
in
this
section
are
21
deemed
by
the
department
not
to
be
necessary
to
support
the
22
purposes
for
which
they
are
allocated,
such
moneys
may
be
23
used
in
the
same
fiscal
year
for
any
other
purpose
for
which
24
funds
are
allocated
in
this
section
or
in
section
46
of
this
25
division
for
the
family
investment
program
account.
If
there
26
are
conflicting
needs,
priority
shall
first
be
given
to
the
27
family
investment
program
account
as
specified
under
subsection
28
1
of
this
section
and
used
for
the
purposes
of
assistance
under
29
the
family
investment
program
under
chapter
239B
,
followed
by
30
state
child
care
assistance
program
payments
for
families
who
31
are
employed,
followed
by
other
priorities
as
specified
by
the
32
department.
33
Sec.
46.
FAMILY
INVESTMENT
PROGRAM
ACCOUNT.
34
1.
Moneys
credited
to
the
family
investment
program
(FIP)
35
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1013XG
(15)
88
pf/tm
65/
118
S.F.
_____
H.F.
_____
account
for
the
fiscal
year
beginning
July
1,
2020,
and
1
ending
June
30,
2021,
shall
be
used
to
provide
assistance
in
2
accordance
with
chapter
239B
.
3
2.
The
department
may
use
a
portion
of
the
moneys
credited
4
to
the
FIP
account
under
this
section
as
necessary
for
5
salaries,
support,
maintenance,
and
miscellaneous
purposes.
6
3.
The
department
may
transfer
funds
allocated
in
7
subsection
4,
excluding
the
allocation
under
subsection
4,
8
paragraph
“b”,
to
the
appropriations
made
in
this
division
of
9
this
Act
for
the
same
fiscal
year
for
general
administration
10
and
field
operations
for
resources
necessary
to
implement
11
and
operate
the
services
referred
to
in
this
section
and
12
those
funded
in
the
appropriations
made
in
section
45
for
the
13
temporary
assistance
for
needy
families
block
grant
and
in
14
section
47
for
the
family
investment
program
from
the
general
15
fund
of
the
state
in
this
division
of
this
Act
for
the
same
16
fiscal
year.
17
4.
Moneys
appropriated
in
this
division
of
this
Act
and
18
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
19
1,
2020,
and
ending
June
30,
2021,
are
allocated
as
follows:
20
a.
To
be
retained
by
the
department
of
human
services
to
21
be
used
for
coordinating
with
the
department
of
human
rights
22
to
more
effectively
serve
participants
in
FIP
and
other
shared
23
clients
and
to
meet
federal
reporting
requirements
under
the
24
federal
temporary
assistance
for
needy
families
block
grant:
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
20,000
26
b.
To
the
department
of
human
rights
for
staffing,
27
administration,
and
implementation
of
the
family
development
28
and
self-sufficiency
grant
program
in
accordance
with
section
29
216A.107
:
30
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,192,834
31
(1)
Of
the
funds
allocated
for
the
family
development
32
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
33
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
34
administration
of
the
grant
program.
35
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1013XG
(15)
88
pf/tm
66/
118
S.F.
_____
H.F.
_____
(2)
The
department
of
human
rights
may
continue
to
implement
1
the
family
development
and
self-sufficiency
grant
program
2
statewide
during
fiscal
year
2020-2021.
3
(3)
The
department
of
human
rights
may
engage
in
activities
4
to
strengthen
and
improve
family
outcomes
measures
and
5
data
collection
systems
under
the
family
development
and
6
self-sufficiency
grant
program.
7
c.
For
the
diversion
subaccount
of
the
FIP
account:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
815,000
9
A
portion
of
the
moneys
allocated
for
the
subaccount
may
10
be
used
for
field
operations,
salaries,
data
management
11
system
development,
and
implementation
costs
and
support
12
deemed
necessary
by
the
director
of
human
services
in
order
to
13
administer
the
FIP
diversion
program.
To
the
extent
moneys
14
allocated
in
this
paragraph
“c”
are
deemed
by
the
department
15
not
to
be
necessary
to
support
diversion
activities,
such
16
moneys
may
be
used
for
other
efforts
intended
to
increase
17
engagement
by
family
investment
program
participants
in
work,
18
education,
or
training
activities,
or
for
the
purposes
of
19
assistance
under
the
family
investment
program
in
accordance
20
with
chapter
239B
.
21
d.
For
the
food
assistance
employment
and
training
program:
22
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
23
(1)
The
department
shall
apply
the
federal
supplemental
24
nutrition
assistance
program
(SNAP)
employment
and
training
25
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
26
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
27
provisions
for
the
claiming
of
allowable
federal
reimbursement
28
funds
from
the
United
States
department
of
agriculture
29
pursuant
to
the
federal
SNAP
employment
and
training
program
30
for
providing
education,
employment,
and
training
services
31
for
eligible
food
assistance
program
participants,
including
32
but
not
limited
to
related
dependent
care
and
transportation
33
expenses.
34
(2)
The
department
shall
continue
the
categorical
federal
35
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_____
H.F.
_____
food
assistance
program
eligibility
at
160
percent
of
the
1
federal
poverty
level
and
continue
to
eliminate
the
asset
test
2
from
eligibility
requirements,
consistent
with
federal
food
3
assistance
program
requirements.
The
department
shall
include
4
as
many
food
assistance
households
as
is
allowed
by
federal
5
law.
The
eligibility
provisions
shall
conform
to
all
federal
6
requirements
including
requirements
addressing
individuals
who
7
are
incarcerated
or
otherwise
ineligible.
8
e.
For
the
JOBS
program:
9
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,005,109
10
5.
Of
the
child
support
collections
assigned
under
FIP,
11
an
amount
equal
to
the
federal
share
of
support
collections
12
shall
be
credited
to
the
child
support
recovery
appropriation
13
made
in
this
division
of
this
Act.
Of
the
remainder
of
the
14
assigned
child
support
collections
received
by
the
child
15
support
recovery
unit,
a
portion
shall
be
credited
to
the
FIP
16
account,
a
portion
may
be
used
to
increase
recoveries,
and
a
17
portion
may
be
used
to
sustain
cash
flow
in
the
child
support
18
payments
account.
If
as
a
consequence
of
the
appropriations
19
and
allocations
made
in
this
section
the
resulting
amounts
20
are
insufficient
to
sustain
cash
assistance
payments
and
meet
21
federal
maintenance
of
effort
requirements,
the
department
22
shall
seek
supplemental
funding.
If
child
support
collections
23
assigned
under
FIP
are
greater
than
estimated
or
are
otherwise
24
determined
not
to
be
required
for
maintenance
of
effort,
the
25
state
share
of
either
amount
may
be
transferred
to
or
retained
26
in
the
child
support
payments
account.
27
6.
The
department
may
adopt
emergency
rules
for
the
family
28
investment,
JOBS,
food
assistance,
and
medical
assistance
29
programs
if
necessary
to
comply
with
federal
requirements.
30
Sec.
47.
FAMILY
INVESTMENT
PROGRAM
GENERAL
FUND.
There
31
is
appropriated
from
the
general
fund
of
the
state
to
the
32
department
of
human
services
for
the
fiscal
year
beginning
July
33
1,
2020,
and
ending
June
30,
2021,
the
following
amount,
or
34
so
much
thereof
as
is
necessary,
to
be
used
for
the
purpose
35
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118
S.F.
_____
H.F.
_____
designated:
1
To
be
credited
to
the
family
investment
program
(FIP)
2
account
and
used
for
family
investment
program
assistance
under
3
chapter
239B
:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,365,715
5
1.
Of
the
funds
appropriated
in
this
section,
$6,593,049
is
6
allocated
for
the
JOBS
program.
7
2.
Of
the
funds
appropriated
in
this
section,
$3,313,854
is
8
allocated
for
the
family
development
and
self-sufficiency
grant
9
program.
10
3.
Notwithstanding
section
8.39
,
for
the
fiscal
year
11
beginning
July
1,
2020,
if
necessary
to
meet
federal
12
maintenance
of
effort
requirements
or
to
transfer
federal
13
temporary
assistance
for
needy
families
block
grant
funding
14
to
be
used
for
purposes
of
the
federal
social
services
block
15
grant
or
to
meet
cash
flow
needs
resulting
from
delays
in
16
receiving
federal
funding
or
to
implement,
in
accordance
with
17
this
division
of
this
Act,
activities
currently
funded
with
18
juvenile
court
services,
county,
or
community
moneys
and
state
19
moneys
used
in
combination
with
such
moneys;
to
comply
with
20
federal
requirements;
or
to
maximize
the
use
of
federal
funds,
21
the
department
of
human
services
may
transfer
funds
within
or
22
between
any
of
the
appropriations
made
in
this
division
of
this
23
Act
and
appropriations
in
law
for
the
federal
social
services
24
block
grant
to
the
department
for
the
following
purposes,
25
provided
that
the
combined
amount
of
state
and
federal
26
temporary
assistance
for
needy
families
block
grant
funding
27
for
each
appropriation
remains
the
same
before
and
after
the
28
transfer:
29
a.
For
the
family
investment
program.
30
b.
For
state
child
care
assistance.
31
c.
For
child
and
family
services.
32
d.
For
field
operations.
33
e.
For
general
administration.
34
This
subsection
shall
not
be
construed
to
prohibit
the
use
35
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118
S.F.
_____
H.F.
_____
of
existing
state
transfer
authority
for
other
purposes.
The
1
department
shall
report
any
transfers
made
pursuant
to
this
2
subsection
to
the
legislative
services
agency.
3
4.
Of
the
funds
appropriated
in
this
section,
$195,678
shall
4
be
used
for
continuation
of
a
grant
to
an
Iowa-based
nonprofit
5
organization
with
a
history
of
providing
tax
preparation
6
assistance
to
low-income
Iowans
in
order
to
expand
the
usage
of
7
the
earned
income
tax
credit.
The
purpose
of
the
grant
is
to
8
supply
this
assistance
to
underserved
areas
of
the
state.
9
5.
Of
the
funds
appropriated
in
this
section,
$70,000
shall
10
be
used
for
the
continuation
of
the
parenting
program,
as
11
specified
in
441
IAC
ch.
100
,
relating
to
parental
obligations,
12
in
which
the
child
support
recovery
unit
participates,
to
13
support
the
efforts
of
a
nonprofit
organization
committed
14
to
strengthening
the
community
through
youth
development,
15
healthy
living,
and
social
responsibility
headquartered
in
16
a
county
with
a
population
over
350,000
according
to
the
17
latest
certified
federal
census.
The
funds
allocated
in
this
18
subsection
shall
be
used
by
the
recipient
organization
to
19
develop
a
larger
community
effort,
through
public
and
private
20
partnerships,
to
support
a
broad-based
multi-county
parenthood
21
initiative
that
promotes
payment
of
child
support
obligations,
22
improved
family
relationships,
and
full-time
employment.
23
6.
The
department
may
transfer
funds
appropriated
in
this
24
section,
excluding
the
allocation
in
subsection
2
for
the
25
family
development
and
self-sufficiency
grant
program,
to
the
26
appropriations
made
in
this
division
of
this
Act
for
general
27
administration
and
field
operations
as
necessary
to
administer
28
this
section,
section
45
for
the
temporary
assistance
for
needy
29
families
block
grant,
and
section
46
for
the
family
investment
30
program
account.
31
Sec.
48.
CHILD
SUPPORT
RECOVERY.
There
is
appropriated
32
from
the
general
fund
of
the
state
to
the
department
of
human
33
services
for
the
fiscal
year
beginning
July
1,
2020,
and
ending
34
June
30,
2021,
the
following
amount,
or
so
much
thereof
as
is
35
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118
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_____
H.F.
_____
necessary,
to
be
used
for
the
purposes
designated:
1
For
child
support
recovery,
including
salaries,
support,
2
maintenance,
and
miscellaneous
purposes:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,943,998
4
1.
The
department
shall
expend
up
to
$24,329,
including
5
federal
financial
participation,
for
the
fiscal
year
beginning
6
July
1,
2020,
for
a
child
support
public
awareness
campaign.
7
The
department
and
the
office
of
the
attorney
general
shall
8
cooperate
in
continuation
of
the
campaign.
The
public
9
awareness
campaign
shall
emphasize,
through
a
variety
of
10
media
activities,
the
importance
of
maximum
involvement
of
11
both
parents
in
the
lives
of
their
children
as
well
as
the
12
importance
of
payment
of
child
support
obligations.
13
2.
Federal
access
and
visitation
grant
moneys
shall
be
14
issued
directly
to
private
not-for-profit
agencies
that
provide
15
services
designed
to
increase
compliance
with
the
child
access
16
provisions
of
court
orders,
including
but
not
limited
to
17
neutral
visitation
sites
and
mediation
services.
18
3.
The
appropriation
made
to
the
department
for
child
19
support
recovery
may
be
used
throughout
the
fiscal
year
in
the
20
manner
necessary
for
purposes
of
cash
flow
management,
and
for
21
cash
flow
management
purposes
the
department
may
temporarily
22
draw
more
than
the
amount
appropriated,
provided
the
amount
23
appropriated
is
not
exceeded
at
the
close
of
the
fiscal
year.
24
Sec.
49.
HEALTH
CARE
TRUST
FUND
——
MEDICAL
ASSISTANCE
——
25
FY
2020-2021.
Any
funds
remaining
in
the
health
care
trust
26
fund
created
in
section
453A.35A
for
the
fiscal
year
beginning
27
July
1,
2020,
and
ending
June
30,
2021,
are
appropriated
to
28
the
department
of
human
services
to
supplement
the
medical
29
assistance
program
appropriations
made
in
this
division
of
this
30
Act,
for
medical
assistance
reimbursement
and
associated
costs,
31
including
program
administration
and
costs
associated
with
32
program
implementation.
33
Sec.
50.
MEDICAID
FRAUD
FUND
——
MEDICAL
ASSISTANCE
——
FY
34
2020-2021.
Any
funds
remaining
in
the
Medicaid
fraud
fund
35
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118
S.F.
_____
H.F.
_____
created
in
section
249A.50
for
the
fiscal
year
beginning
1
July
1,
2020,
and
ending
June
30,
2021,
are
appropriated
to
2
the
department
of
human
services
to
supplement
the
medical
3
assistance
appropriations
made
in
this
division
of
this
Act,
4
for
medical
assistance
reimbursement
and
associated
costs,
5
including
program
administration
and
costs
associated
with
6
program
implementation.
7
Sec.
51.
MEDICAL
ASSISTANCE.
There
is
appropriated
from
the
8
general
fund
of
the
state
to
the
department
of
human
services
9
for
the
fiscal
year
beginning
July
1,
2020,
and
ending
June
30,
10
2021,
the
following
amount,
or
so
much
thereof
as
is
necessary,
11
to
be
used
for
the
purpose
designated:
12
For
medical
assistance
program
reimbursement
and
associated
13
costs
as
specifically
provided
in
the
reimbursement
14
methodologies
in
effect
on
June
30,
2020,
except
as
otherwise
15
expressly
authorized
by
law,
consistent
with
options
under
16
federal
law
and
regulations,
and
contingent
upon
receipt
of
17
approval
from
the
office
of
the
governor
of
reimbursement
for
18
each
abortion
performed
under
the
program:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,456,223,889
20
1.
Iowans
support
reducing
the
number
of
abortions
21
performed
in
our
state.
Funds
appropriated
under
this
section
22
shall
not
be
used
for
abortions,
unless
otherwise
authorized
23
under
this
section.
24
2.
The
provisions
of
this
section
relating
to
abortions
25
shall
also
apply
to
the
Iowa
health
and
wellness
plan
created
26
pursuant
to
chapter
249N
.
27
3.
The
department
shall
utilize
not
more
than
$60,000
of
28
the
funds
appropriated
in
this
section
to
continue
the
AIDS/HIV
29
health
insurance
premium
payment
program
as
established
in
1992
30
Iowa
Acts,
Second
Extraordinary
Session,
chapter
1001,
section
31
409,
subsection
6
.
Of
the
funds
allocated
in
this
subsection,
32
not
more
than
$5,000
may
be
expended
for
administrative
33
purposes.
34
4.
Of
the
funds
appropriated
in
this
Act
to
the
department
35
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118
S.F.
_____
H.F.
_____
of
public
health
for
addictive
disorders,
$950,000
for
1
the
fiscal
year
beginning
July
1,
2020,
is
transferred
2
to
the
department
of
human
services
for
an
integrated
3
substance-related
disorder
managed
care
system.
The
4
departments
of
human
services
and
public
health
shall
5
work
together
to
maintain
the
level
of
mental
health
and
6
substance-related
disorder
treatment
services
provided
by
the
7
managed
care
contractors.
Each
department
shall
take
the
steps
8
necessary
to
continue
the
federal
waivers
as
necessary
to
9
maintain
the
level
of
services.
10
5.
a.
The
department
shall
aggressively
pursue
options
for
11
providing
medical
assistance
or
other
assistance
to
individuals
12
with
special
needs
who
become
ineligible
to
continue
receiving
13
services
under
the
early
and
periodic
screening,
diagnostic,
14
and
treatment
program
under
the
medical
assistance
program
15
due
to
becoming
21
years
of
age
who
have
been
approved
for
16
additional
assistance
through
the
department’s
exception
to
17
policy
provisions,
but
who
have
health
care
needs
in
excess
18
of
the
funding
available
through
the
exception
to
policy
19
provisions.
20
b.
Of
the
funds
appropriated
in
this
section,
$100,000
21
shall
be
used
for
participation
in
one
or
more
pilot
projects
22
operated
by
a
private
provider
to
allow
the
individual
or
23
individuals
to
receive
service
in
the
community
in
accordance
24
with
principles
established
in
Olmstead
v.
L.C.,
527
U.S.
581
25
(1999),
for
the
purpose
of
providing
medical
assistance
or
26
other
assistance
to
individuals
with
special
needs
who
become
27
ineligible
to
continue
receiving
services
under
the
early
and
28
periodic
screening,
diagnostic,
and
treatment
program
under
29
the
medical
assistance
program
due
to
becoming
21
years
of
30
age
who
have
been
approved
for
additional
assistance
through
31
the
department’s
exception
to
policy
provisions,
but
who
have
32
health
care
needs
in
excess
of
the
funding
available
through
33
the
exception
to
the
policy
provisions.
34
6.
Of
the
funds
appropriated
in
this
section,
up
to
35
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_____
H.F.
_____
$3,050,082
may
be
transferred
to
the
field
operations
or
1
general
administration
appropriations
in
this
division
of
this
2
Act
for
operational
costs
associated
with
Part
D
of
the
federal
3
Medicare
Prescription
Drug
Improvement
and
Modernization
Act
4
of
2003,
Pub.
L.
No.
108-173.
5
7.
Of
the
funds
appropriated
in
this
section,
up
to
$442,100
6
may
be
transferred
to
the
appropriation
in
this
division
7
of
this
Act
for
medical
contracts
to
be
used
for
clinical
8
assessment
services
and
prior
authorization
of
services.
9
8.
A
portion
of
the
funds
appropriated
in
this
section
10
may
be
transferred
to
the
appropriations
in
this
division
of
11
this
Act
for
general
administration,
medical
contracts,
the
12
children’s
health
insurance
program,
or
field
operations
to
be
13
used
for
the
state
match
cost
to
comply
with
the
payment
error
14
rate
measurement
(PERM)
program
for
both
the
medical
assistance
15
and
children’s
health
insurance
programs
as
developed
by
the
16
centers
for
Medicare
and
Medicaid
services
of
the
United
States
17
department
of
health
and
human
services
to
comply
with
the
18
federal
Improper
Payments
Information
Act
of
2002,
Pub.
L.
19
No.
107-300,
and
to
support
other
reviews
and
quality
control
20
activities
to
improve
the
integrity
of
these
programs.
21
9.
The
department
shall
continue
to
implement
the
22
recommendations
of
the
assuring
better
child
health
and
23
development
initiative
II
(ABCDII)
clinical
panel
to
the
24
Iowa
early
and
periodic
screening,
diagnostic,
and
treatment
25
services
healthy
mental
development
collaborative
board
26
regarding
changes
to
billing
procedures,
codes,
and
eligible
27
service
providers.
28
10.
Of
the
funds
appropriated
in
this
section,
a
sufficient
29
amount
is
allocated
to
supplement
the
incomes
of
residents
of
30
nursing
facilities,
intermediate
care
facilities
for
persons
31
with
mental
illness,
and
intermediate
care
facilities
for
32
persons
with
an
intellectual
disability,
with
incomes
of
less
33
than
$50
in
the
amount
necessary
for
the
residents
to
receive
a
34
personal
needs
allowance
of
$50
per
month
pursuant
to
section
35
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249A.30A
.
1
11.
a.
Hospitals
that
meet
the
conditions
specified
2
in
subparagraphs
(1)
and
(2)
shall
either
certify
public
3
expenditures
or
transfer
to
the
medical
assistance
program
4
an
amount
equal
to
provide
the
nonfederal
share
for
a
5
disproportionate
share
hospital
payment
in
an
amount
up
to
the
6
hospital-specific
limit
as
approved
in
the
Medicaid
state
plan.
7
The
hospitals
that
meet
the
conditions
specified
shall
receive
8
and
retain
100
percent
of
the
total
disproportionate
share
9
hospital
payment
in
an
amount
up
to
the
hospital-specific
limit
10
as
approved
in
the
Medicaid
state
plan.
11
(1)
The
hospital
qualifies
for
disproportionate
share
and
12
graduate
medical
education
payments.
13
(2)
The
hospital
is
an
Iowa
state-owned
hospital
with
more
14
than
500
beds
and
eight
or
more
distinct
residency
specialty
15
or
subspecialty
programs
recognized
by
the
American
college
of
16
graduate
medical
education.
17
b.
Distribution
of
the
disproportionate
share
payments
18
shall
be
made
on
a
monthly
basis.
The
total
amount
of
19
disproportionate
share
payments
including
graduate
medical
20
education,
enhanced
disproportionate
share,
and
Iowa
21
state-owned
teaching
hospital
payments
shall
not
exceed
the
22
amount
of
the
state’s
allotment
under
Pub.
L.
No.
102-234.
23
In
addition,
the
total
amount
of
all
disproportionate
24
share
payments
shall
not
exceed
the
hospital-specific
25
disproportionate
share
limits
under
Pub.
L.
No.
103-66.
26
12.
One
hundred
percent
of
the
nonfederal
share
of
payments
27
to
area
education
agencies
that
are
medical
assistance
28
providers
for
medical
assistance-covered
services
provided
to
29
medical
assistance-covered
children,
shall
be
made
from
the
30
appropriation
made
in
this
section.
31
13.
A
portion
of
the
funds
appropriated
in
this
section
32
may
be
transferred
to
the
appropriation
in
this
division
of
33
this
Act
for
medical
contracts
to
be
used
for
administrative
34
activities
associated
with
the
money
follows
the
person
35
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_____
H.F.
_____
demonstration
project.
1
14.
Of
the
funds
appropriated
in
this
section,
$349,011
2
shall
be
used
for
the
administration
of
the
health
insurance
3
premium
payment
program,
including
salaries,
support,
4
maintenance,
and
miscellaneous
purposes.
5
15.
a.
The
department
may
increase
the
amounts
allocated
6
for
salaries,
support,
maintenance,
and
miscellaneous
purposes
7
associated
with
the
medical
assistance
program,
as
necessary,
8
to
implement
cost
containment
strategies.
The
department
shall
9
report
any
such
increase
to
the
legislative
services
agency
and
10
the
department
of
management.
11
b.
If
the
savings
to
the
medical
assistance
program
from
12
cost
containment
efforts
exceed
the
cost
for
the
fiscal
13
year
beginning
July
1,
2020,
the
department
may
transfer
any
14
savings
generated
for
the
fiscal
year
due
to
medical
assistance
15
program
cost
containment
efforts
to
the
appropriation
16
made
in
this
division
of
this
Act
for
medical
contracts
or
17
general
administration
to
defray
the
increased
contract
costs
18
associated
with
implementing
such
efforts.
19
16.
For
the
fiscal
year
beginning
July
1,
2020,
and
ending
20
June
30,
2021,
the
replacement
generation
tax
revenues
required
21
to
be
deposited
in
the
property
tax
relief
fund
pursuant
to
22
section
437A.8,
subsection
4
,
paragraph
“d”,
and
section
23
437A.15,
subsection
3
,
paragraph
“f”,
shall
instead
be
credited
24
to
and
supplement
the
appropriation
made
in
this
section
and
25
used
for
the
allocations
made
in
this
section.
26
17.
a.
Of
the
funds
appropriated
in
this
section,
up
27
to
$50,000
may
be
transferred
by
the
department
to
the
28
appropriation
made
in
this
division
of
this
Act
to
the
29
department
for
the
same
fiscal
year
for
general
administration
30
to
be
used
for
associated
administrative
expenses
and
for
not
31
more
than
one
full-time
equivalent
position,
in
addition
to
32
those
authorized
for
the
same
fiscal
year,
to
be
assigned
to
33
implementing
the
children’s
mental
health
home
project.
34
b.
Of
the
funds
appropriated
in
this
section,
up
to
$400,000
35
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_____
H.F.
_____
may
be
transferred
by
the
department
to
the
appropriation
made
1
to
the
department
in
this
division
of
this
Act
for
the
same
2
fiscal
year
for
Medicaid
program-related
general
administration
3
planning
and
implementation
activities.
The
funds
may
be
used
4
for
contracts
or
for
personnel
in
addition
to
the
amounts
5
appropriated
for
and
the
positions
authorized
for
general
6
administration
for
the
fiscal
year.
7
c.
Of
the
funds
appropriated
in
this
section,
up
to
8
$3,000,000
may
be
transferred
by
the
department
to
the
9
appropriations
made
in
this
division
of
this
Act
for
the
same
10
fiscal
year
for
general
administration
or
medical
contracts
11
to
be
used
to
support
the
development
and
implementation
of
12
standardized
assessment
tools
for
persons
with
mental
illness,
13
an
intellectual
disability,
a
developmental
disability,
or
a
14
brain
injury.
15
18.
Of
the
funds
appropriated
in
this
section,
$150,000
16
shall
be
used
for
lodging
expenses
associated
with
care
17
provided
at
the
university
of
Iowa
hospitals
and
clinics
for
18
patients
with
cancer
whose
travel
distance
is
30
miles
or
more
19
and
whose
income
is
at
or
below
200
percent
of
the
federal
20
poverty
level
as
defined
by
the
most
recently
revised
poverty
21
income
guidelines
published
by
the
United
States
department
of
22
health
and
human
services.
The
department
of
human
services
23
shall
establish
the
maximum
number
of
overnight
stays
and
the
24
maximum
rate
reimbursed
for
overnight
lodging,
which
may
be
25
based
on
the
state
employee
rate
established
by
the
department
26
of
administrative
services.
The
funds
allocated
in
this
27
subsection
shall
not
be
used
as
nonfederal
share
matching
28
funds.
29
19.
Of
the
funds
appropriated
in
this
section,
up
to
30
$3,383,880
shall
be
used
for
administration
of
the
state
31
family
planning
services
program
pursuant
to
section
217.41B,
32
and
of
this
amount
the
department
may
use
up
to
$200,000
for
33
administrative
expenses.
34
20.
The
department
shall
report
the
implementation
of
35
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_____
H.F.
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any
cost
containment
strategies
to
the
individuals
specified
1
in
this
division
of
this
Act
for
submission
of
reports
upon
2
implementation.
3
21.
The
department
shall
report
the
implementation
of
any
4
process
improvement
changes
and
any
related
cost
reductions
5
to
the
individuals
specified
in
this
division
of
this
Act
for
6
submission
of
reports
upon
implementation.
7
22.
Of
the
funds
appropriated
in
this
section,
$1,545,530
8
shall
be
used
and
may
be
transferred
to
other
appropriations
9
in
this
division
of
this
Act
as
necessary
to
administer
the
10
provisions
in
the
division
of
this
Act
relating
to
Medicaid
11
program
administration.
12
23.
The
department
shall
continue
to
implement
and
13
administer
the
provisions
of
2018
Iowa
Acts,
chapter
1056.
Of
14
the
funds
appropriated
in
this
section,
up
to
$39,069
may
be
15
transferred
to
the
department
of
inspections
and
appeals
for
16
inspection
costs.
17
Sec.
52.
MEDICAL
CONTRACTS.
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,
2020,
and
ending
June
30,
20
2021,
the
following
amount,
or
so
much
thereof
as
is
necessary,
21
to
be
used
for
the
purpose
designated:
22
For
medical
contracts:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
18,264,987
24
1.
The
department
of
inspections
and
appeals
shall
25
provide
all
state
matching
funds
for
survey
and
certification
26
activities
performed
by
the
department
of
inspections
27
and
appeals.
The
department
of
human
services
is
solely
28
responsible
for
distributing
the
federal
matching
funds
for
29
such
activities.
30
2.
Of
the
funds
appropriated
in
this
section,
$50,000
shall
31
be
used
for
continuation
of
home
and
community-based
services
32
waiver
quality
assurance
programs,
including
the
review
and
33
streamlining
of
processes
and
policies
related
to
oversight
and
34
quality
management
to
meet
state
and
federal
requirements.
35
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H.F.
_____
3.
Of
the
amount
appropriated
in
this
section,
up
to
1
$200,000
may
be
transferred
to
the
appropriation
for
general
2
administration
in
this
division
of
this
Act
to
be
used
for
3
additional
full-time
equivalent
positions
in
the
development
of
4
key
health
initiatives
such
as
cost
containment,
development
5
and
oversight
of
managed
care
programs,
and
development
of
6
health
strategies
targeted
toward
improved
quality
and
reduced
7
costs
in
the
Medicaid
program.
8
4.
Of
the
funds
appropriated
in
this
section,
$1,000,000
9
shall
be
used
for
planning
and
development,
in
cooperation
with
10
the
department
of
public
health,
of
a
phased-in
program
to
11
provide
a
dental
home
for
children.
12
5.
a.
Of
the
funds
appropriated
in
this
section,
$573,000
13
shall
be
credited
to
the
autism
support
program
fund
created
14
in
section
225D.2
to
be
used
for
the
autism
support
program
15
created
in
chapter
225D
,
with
the
exception
of
the
following
16
amounts
of
this
allocation
which
shall
be
used
as
follows:
17
b.
Of
the
funds
allocated
in
this
subsection,
$25,000
shall
18
be
used
for
the
public
purpose
of
continuation
of
a
grant
to
19
a
non
profit
provider
of
child
welfare
services
that
has
been
20
in
existence
for
more
than
115
years,
is
located
in
a
county
21
with
a
population
between
200,000
and
220,000
according
to
the
22
latest
certified
federal
census,
is
licensed
as
a
psychiatric
23
medical
institution
for
children,
and
provides
school-based
24
programming,
to
be
used
for
support
services
for
children
with
25
autism
spectrum
disorder
and
their
families.
26
Sec.
53.
STATE
SUPPLEMENTARY
ASSISTANCE.
27
1.
There
is
appropriated
from
the
general
fund
of
the
28
state
to
the
department
of
human
services
for
the
fiscal
year
29
beginning
July
1,
2020,
and
ending
June
30,
2021,
the
following
30
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
31
purpose
designated:
32
For
the
state
supplementary
assistance
program:
33
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
7,176,606
34
2.
The
department
shall
increase
the
personal
needs
35
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118
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_____
H.F.
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allowance
for
residents
of
residential
care
facilities
by
the
1
same
percentage
and
at
the
same
time
as
federal
supplemental
2
security
income
and
federal
social
security
benefits
are
3
increased
due
to
a
recognized
increase
in
the
cost
of
living.
4
The
department
may
adopt
emergency
rules
to
implement
this
5
subsection.
6
3.
If
during
the
fiscal
year
beginning
July
1,
2020,
7
the
department
projects
that
state
supplementary
assistance
8
expenditures
for
a
calendar
year
will
not
meet
the
federal
9
pass-through
requirement
specified
in
Tit.
XVI
of
the
federal
10
Social
Security
Act,
section
1618,
as
codified
in
42
U.S.C.
11
§1382g,
the
department
may
take
actions
including
but
not
12
limited
to
increasing
the
personal
needs
allowance
for
13
residential
care
facility
residents
and
making
programmatic
14
adjustments
or
upward
adjustments
of
the
residential
care
15
facility
or
in-home
health-related
care
reimbursement
rates
16
prescribed
in
this
division
of
this
Act
to
ensure
that
federal
17
requirements
are
met.
In
addition,
the
department
may
make
18
other
programmatic
and
rate
adjustments
necessary
to
remain
19
within
the
amount
appropriated
in
this
section
while
ensuring
20
compliance
with
federal
requirements.
The
department
may
adopt
21
emergency
rules
to
implement
the
provisions
of
this
subsection.
22
4.
Notwithstanding
section
8.33
,
moneys
appropriated
in
23
this
section
that
remain
unencumbered
or
unobligated
at
the
24
close
of
the
fiscal
year
shall
not
revert
but
shall
remain
25
available
for
expenditure
for
the
purposes
designated
until
the
26
close
of
the
succeeding
fiscal
year.
27
Sec.
54.
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,
2020,
and
ending
June
30,
2021,
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
,
including
supplemental
dental
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services,
for
receipt
of
federal
financial
participation
under
1
Tit.
XXI
of
the
federal
Social
Security
Act,
which
creates
the
2
children’s
health
insurance
program:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
38,267,453
4
2.
Of
the
funds
appropriated
in
this
section,
up
to
$148,455
5
is
allocated
for
continuation
of
the
contract
for
outreach
with
6
the
department
of
public
health.
7
3.
A
portion
of
the
funds
appropriated
in
this
section
may
8
be
transferred
to
the
appropriations
made
in
this
division
of
9
this
Act
for
field
operations
or
medical
contracts
to
be
used
10
for
the
integration
of
hawk-i
program
eligibility,
payment,
and
11
administrative
functions
under
the
purview
of
the
department
12
of
human
services,
including
for
the
Medicaid
management
13
information
system
upgrade.
14
Sec.
55.
CHILD
CARE
ASSISTANCE.
There
is
appropriated
15
from
the
general
fund
of
the
state
to
the
department
of
human
16
services
for
the
fiscal
year
beginning
July
1,
2020,
and
ending
17
June
30,
2021,
the
following
amount,
or
so
much
thereof
as
is
18
necessary,
to
be
used
for
the
purpose
designated:
19
For
child
care
programs:
20
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,816,931
21
1.
Of
the
funds
appropriated
in
this
section,
$34,966,931
22
shall
be
used
for
state
child
care
assistance
in
accordance
23
with
section
237A.13
.
24
2.
Nothing
in
this
section
shall
be
construed
or
is
25
intended
as
or
shall
imply
a
grant
of
entitlement
for
services
26
to
persons
who
are
eligible
for
assistance
due
to
an
income
27
level
consistent
with
the
waiting
list
requirements
of
section
28
237A.13
.
Any
state
obligation
to
provide
services
pursuant
to
29
this
section
is
limited
to
the
extent
of
the
funds
appropriated
30
in
this
section.
31
3.
A
list
of
the
registered
and
licensed
child
care
32
facilities
operating
in
the
area
served
by
a
child
care
33
resource
and
referral
service
shall
be
made
available
to
the
34
families
receiving
state
child
care
assistance
in
that
area.
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4.
Of
the
funds
appropriated
in
this
section,
$5,850,000
1
shall
be
credited
to
the
early
childhood
programs
grants
2
account
in
the
early
childhood
Iowa
fund
created
in
section
3
256I.11
.
The
moneys
shall
be
distributed
for
funding
of
4
community-based
early
childhood
programs
targeted
to
children
5
from
birth
through
five
years
of
age
developed
by
early
6
childhood
Iowa
areas
in
accordance
with
approved
community
7
plans
as
provided
in
section
256I.8
.
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.
If
a
uniform
reduction
ordered
by
the
governor
under
28
section
8.31
or
other
operation
of
law,
transfer,
or
federal
29
funding
reduction
reduces
the
appropriation
made
in
this
30
section
for
the
fiscal
year,
the
percentage
reduction
in
the
31
amount
paid
out
to
or
on
behalf
of
the
families
participating
32
in
the
state
child
care
assistance
program
shall
be
equal
to
or
33
less
than
the
percentage
reduction
made
for
any
other
purpose
34
payable
from
the
appropriation
made
in
this
section
and
the
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federal
funding
relating
to
it.
The
percentage
reduction
to
1
the
other
allocations
made
in
this
section
shall
be
the
same
as
2
the
uniform
reduction
ordered
by
the
governor
or
the
percentage
3
change
of
the
federal
funding
reduction,
as
applicable.
If
4
there
is
an
unanticipated
increase
in
federal
funding
provided
5
for
state
child
care
services,
the
entire
amount
of
the
6
increase,
except
as
necessary
to
meet
federal
requirements
7
including
quality
set
asides,
shall
be
used
for
state
child
8
care
assistance
payments.
If
the
appropriations
made
for
9
purposes
of
the
state
child
care
assistance
program
for
the
10
fiscal
year
are
determined
to
be
insufficient,
it
is
the
intent
11
of
the
general
assembly
to
appropriate
sufficient
funding
for
12
the
fiscal
year
in
order
to
avoid
establishment
of
waiting
list
13
requirements.
14
8.
Notwithstanding
section
8.33
,
moneys
advanced
for
15
purposes
of
the
programs
developed
by
early
childhood
Iowa
16
areas,
advanced
for
purposes
of
wraparound
child
care,
or
17
received
from
the
federal
appropriations
made
for
the
purposes
18
of
this
section
that
remain
unencumbered
or
unobligated
at
the
19
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
shall
20
remain
available
for
expenditure
for
the
purposes
designated
21
until
the
close
of
the
succeeding
fiscal
year.
22
Sec.
56.
JUVENILE
INSTITUTION.
There
is
appropriated
23
from
the
general
fund
of
the
state
to
the
department
of
human
24
services
for
the
fiscal
year
beginning
July
1,
2020,
and
ending
25
June
30,
2021,
the
following
amounts,
or
so
much
thereof
as
is
26
necessary,
to
be
used
for
the
purposes
designated:
27
1.
For
operation
of
the
state
training
school
at
Eldora
and
28
for
salaries,
support,
maintenance,
and
miscellaneous
purposes:
29
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,965,806
30
Of
the
funds
appropriated
in
this
subsection,
$91,150
shall
31
be
used
for
distribution
to
licensed
classroom
teachers
at
this
32
and
other
institutions
under
the
control
of
the
department
of
33
human
services
based
upon
the
average
student
yearly
enrollment
34
at
each
institution
as
determined
by
the
department.
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2.
A
portion
of
the
moneys
appropriated
in
this
section
1
shall
be
used
by
the
state
training
school
at
Eldora
for
2
grants
for
adolescent
pregnancy
prevention
activities
at
the
3
institution
in
the
fiscal
year
beginning
July
1,
2020.
4
3.
Of
the
funds
appropriated
in
this
subsection,
$212,000
5
shall
be
used
by
the
state
training
school
at
Eldora
for
a
6
substance
use
disorder
treatment
program
at
the
institution
in
7
the
fiscal
year
beginning
July
1,
2020.
8
Sec.
57.
CHILD
AND
FAMILY
SERVICES.
9
1.
There
is
appropriated
from
the
general
fund
of
the
10
state
to
the
department
of
human
services
for
the
fiscal
year
11
beginning
July
1,
2020,
and
ending
June
30,
2021,
the
following
12
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
13
purpose
designated:
14
For
child
and
family
services:
15
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
89,078,185
16
2.
The
department
may
transfer
funds
appropriated
in
this
17
section
as
necessary
to
pay
the
nonfederal
costs
of
services
18
reimbursed
under
the
medical
assistance
program,
state
child
19
care
assistance
program,
or
the
family
investment
program
which
20
are
provided
to
children
who
would
otherwise
receive
services
21
paid
under
the
appropriation
in
this
section.
The
department
22
may
transfer
funds
appropriated
in
this
section
to
the
23
appropriations
made
in
this
division
of
this
Act
for
general
24
administration
and
for
field
operations
for
resources
necessary
25
to
implement
and
operate
the
services
funded
in
this
section.
26
3.
a.
Of
the
funds
appropriated
in
this
section,
up
to
27
$34,536,648
is
allocated
as
the
statewide
expenditure
target
28
under
section
232.143
for
group
foster
care
maintenance
and
29
services.
If
the
department
projects
that
such
expenditures
30
for
the
fiscal
year
will
be
less
than
the
target
amount
31
allocated
in
this
paragraph
“a”,
the
department
may
reallocate
32
the
excess
to
provide
additional
funding
for
family
foster
33
care,
independent
living,
family
safety,
risk
and
permanency
34
services,
shelter
care,
or
the
child
welfare
emergency
services
35
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addressed
with
the
allocation
for
shelter
care.
1
b.
If
at
any
time
after
September
30,
2020,
annualization
2
of
a
service
area’s
current
expenditures
indicates
a
service
3
area
is
at
risk
of
exceeding
its
group
foster
care
expenditure
4
target
under
section
232.143
by
more
than
5
percent,
the
5
department
and
juvenile
court
services
shall
examine
all
6
group
foster
care
placements
in
that
service
area
in
order
to
7
identify
those
which
might
be
appropriate
for
termination.
8
In
addition,
any
aftercare
services
believed
to
be
needed
9
for
the
children
whose
placements
may
be
terminated
shall
be
10
identified.
The
department
and
juvenile
court
services
shall
11
initiate
action
to
set
dispositional
review
hearings
for
the
12
placements
identified.
In
such
a
dispositional
review
hearing,
13
the
juvenile
court
shall
determine
whether
needed
aftercare
14
services
are
available
and
whether
termination
of
the
placement
15
is
in
the
best
interest
of
the
child
and
the
community.
16
4.
In
accordance
with
the
provisions
of
section
232.188
,
17
the
department
shall
continue
the
child
welfare
and
juvenile
18
justice
funding
initiative
during
fiscal
year
2020-2021.
Of
19
the
funds
appropriated
in
this
section,
$1,717,753
is
allocated
20
specifically
for
expenditure
for
fiscal
year
2020-2021
through
21
the
decategorization
services
funding
pools
and
governance
22
boards
established
pursuant
to
section
232.188
.
23
5.
A
portion
of
the
funds
appropriated
in
this
section
24
may
be
used
for
emergency
family
assistance
to
provide
other
25
resources
required
for
a
family
participating
in
a
family
26
preservation
or
reunification
project
or
successor
project
to
27
stay
together
or
to
be
reunified.
28
6.
Of
the
funds
appropriated
in
this
section,
a
sufficient
29
amount
is
allocated
for
shelter
care
and
the
child
welfare
30
emergency
services
contracting
implemented
to
provide
for
or
31
prevent
the
need
for
shelter
care.
32
7.
Federal
funds
received
by
the
state
during
the
fiscal
33
year
beginning
July
1,
2020,
as
the
result
of
the
expenditure
34
of
state
funds
appropriated
during
a
previous
state
fiscal
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year
for
a
service
or
activity
funded
under
this
section
are
1
appropriated
to
the
department
to
be
used
as
additional
funding
2
for
services
and
purposes
provided
for
under
this
section.
3
Notwithstanding
section
8.33
,
moneys
received
in
accordance
4
with
this
subsection
that
remain
unencumbered
or
unobligated
at
5
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
but
6
shall
remain
available
for
the
purposes
designated
until
the
7
close
of
the
succeeding
fiscal
year.
8
8.
a.
Of
the
funds
appropriated
in
this
section,
up
to
9
$3,290,000
is
allocated
for
the
payment
of
the
expenses
of
10
court-ordered
services
provided
to
juveniles
who
are
under
the
11
supervision
of
juvenile
court
services,
which
expenses
are
a
12
charge
upon
the
state
pursuant
to
section
232.141,
subsection
13
4
.
Of
the
amount
allocated
in
this
paragraph
“a”,
up
to
14
$1,556,287
shall
be
made
available
to
provide
school-based
15
supervision
of
children
adjudicated
under
chapter
232
,
of
which
16
not
more
than
$15,000
may
be
used
for
the
purpose
of
training.
17
A
portion
of
the
cost
of
each
school-based
liaison
officer
18
shall
be
paid
by
the
school
district
or
other
funding
source
as
19
approved
by
the
chief
juvenile
court
officer.
20
b.
Of
the
funds
appropriated
in
this
section,
up
to
$748,985
21
is
allocated
for
the
payment
of
the
expenses
of
court-ordered
22
services
provided
to
children
who
are
under
the
supervision
23
of
the
department,
which
expenses
are
a
charge
upon
the
state
24
pursuant
to
section
232.141,
subsection
4
.
25
c.
Notwithstanding
section
232.141
or
any
other
provision
26
of
law
to
the
contrary,
the
amounts
allocated
in
this
27
subsection
shall
be
distributed
to
the
judicial
districts
28
as
determined
by
the
state
court
administrator
and
to
the
29
department’s
service
areas
as
determined
by
the
administrator
30
of
the
department
of
human
services’
division
of
child
and
31
family
services.
The
state
court
administrator
and
the
32
division
administrator
shall
make
the
determination
of
the
33
distribution
amounts
on
or
before
June
15,
2020.
34
d.
Notwithstanding
chapter
232
or
any
other
provision
of
35
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law
to
the
contrary,
a
district
or
juvenile
court
shall
not
1
order
any
service
which
is
a
charge
upon
the
state
pursuant
2
to
section
232.141
if
there
are
insufficient
court-ordered
3
services
funds
available
in
the
district
court
or
departmental
4
service
area
distribution
amounts
to
pay
for
the
service.
The
5
chief
juvenile
court
officer
and
the
departmental
service
area
6
manager
shall
encourage
use
of
the
funds
allocated
in
this
7
subsection
such
that
there
are
sufficient
funds
to
pay
for
8
all
court-related
services
during
the
entire
year.
The
chief
9
juvenile
court
officers
and
departmental
service
area
managers
10
shall
attempt
to
anticipate
potential
surpluses
and
shortfalls
11
in
the
distribution
amounts
and
shall
cooperatively
request
the
12
state
court
administrator
or
division
administrator
to
transfer
13
funds
between
the
judicial
districts’
or
departmental
service
14
areas’
distribution
amounts
as
prudent.
15
e.
Notwithstanding
any
provision
of
law
to
the
contrary,
16
a
district
or
juvenile
court
shall
not
order
a
county
to
pay
17
for
any
service
provided
to
a
juvenile
pursuant
to
an
order
18
entered
under
chapter
232
which
is
a
charge
upon
the
state
19
under
section
232.141,
subsection
4
.
20
f.
Of
the
funds
allocated
in
this
subsection,
not
more
than
21
$83,000
may
be
used
by
the
judicial
branch
for
administration
22
of
the
requirements
under
this
subsection.
23
g.
Of
the
funds
allocated
in
this
subsection,
$17,000
24
shall
be
used
by
the
department
of
human
services
to
support
25
the
interstate
commission
for
juveniles
in
accordance
with
26
the
interstate
compact
for
juveniles
as
provided
in
section
27
232.173
.
28
9.
Of
the
funds
appropriated
in
this
section,
$12,253,227
is
29
allocated
for
juvenile
delinquent
graduated
sanctions
services.
30
Any
state
funds
saved
as
a
result
of
efforts
by
juvenile
court
31
services
to
earn
a
federal
Tit.
IV-E
match
for
juvenile
court
32
services
administration
may
be
used
for
the
juvenile
delinquent
33
graduated
sanctions
services.
34
10.
Of
the
funds
appropriated
in
this
section,
$1,658,285
is
35
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transferred
to
the
department
of
public
health
to
be
used
for
1
the
child
protection
center
grant
program
for
child
protection
2
centers
located
in
Iowa
in
accordance
with
section
135.118
.
3
The
grant
amounts
under
the
program
shall
be
equalized
so
that
4
each
center
receives
a
uniform
base
amount
of
$245,000,
and
so
5
that
the
remaining
funds
are
awarded
through
a
funding
formula
6
based
upon
the
volume
of
children
served.
7
11.
If
the
department
receives
federal
approval
to
8
implement
a
waiver
under
Tit.
IV-E
of
the
federal
Social
9
Security
Act
to
enable
providers
to
serve
children
who
remain
10
in
the
children’s
families
and
communities,
for
purposes
of
11
eligibility
under
the
medical
assistance
program
through
25
12
years
of
age,
children
who
participate
in
the
waiver
shall
be
13
considered
to
be
placed
in
foster
care.
14
12.
Of
the
funds
appropriated
in
this
section,
$4,025,167
is
15
allocated
for
the
preparation
for
adult
living
program
pursuant
16
to
section
234.46
.
17
13.
Of
the
funds
appropriated
in
this
section,
$227,337
18
shall
be
used
for
the
public
purpose
of
continuing
a
grant
to
19
a
nonprofit
human
services
organization
providing
services
to
20
individuals
and
families
in
multiple
locations
in
southwest
21
Iowa
and
Nebraska
for
support
of
a
project
providing
immediate,
22
sensitive
support
and
forensic
interviews,
medical
exams,
needs
23
assessments,
and
referrals
for
victims
of
child
abuse
and
their
24
nonoffending
family
members.
25
14.
Of
the
funds
appropriated
in
this
section,
$300,620
26
is
allocated
for
the
foster
care
youth
council
approach
of
27
providing
a
support
network
to
children
placed
in
foster
care.
28
15.
Of
the
funds
appropriated
in
this
section,
$202,000
is
29
allocated
for
use
pursuant
to
section
235A.1
for
continuation
30
of
the
initiative
to
address
child
sexual
abuse
implemented
31
pursuant
to
2007
Iowa
Acts,
chapter
218,
section
18,
subsection
32
21
.
33
16.
Of
the
funds
appropriated
in
this
section,
$630,240
is
34
allocated
for
the
community
partnership
for
child
protection
35
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sites.
1
17.
Of
the
funds
appropriated
in
this
section,
$371,250
2
is
allocated
for
the
department’s
minority
youth
and
family
3
projects
under
the
redesign
of
the
child
welfare
system.
4
18.
Of
the
funds
appropriated
in
this
section,
$851,595
5
is
allocated
for
funding
of
the
community
circle
of
care
6
collaboration
for
children
and
youth
in
northeast
Iowa.
7
19.
Of
the
funds
appropriated
in
this
section,
at
least
8
$147,158
shall
be
used
for
the
continuation
of
the
child
9
welfare
provider
training
academy,
a
collaboration
between
the
10
coalition
for
family
and
children’s
services
in
Iowa
and
the
11
department.
12
20.
Of
the
funds
appropriated
in
this
section,
$211,872
13
shall
be
used
for
continuation
of
the
central
Iowa
system
of
14
care
program
grant
through
June
30,
2021.
15
21.
Of
the
funds
appropriated
in
this
section,
$235,000
16
shall
be
used
for
the
public
purpose
of
the
continuation
17
and
expansion
of
a
system
of
care
program
grant
implemented
18
in
Cerro
Gordo
and
Linn
counties
to
utilize
a
comprehensive
19
and
long-term
approach
for
helping
children
and
families
by
20
addressing
the
key
areas
in
a
child’s
life
of
childhood
basic
21
needs,
education
and
work,
family,
and
community.
22
22.
Of
the
funds
appropriated
in
this
section,
$110,000
23
shall
be
used
for
the
public
purpose
of
funding
community-based
24
services
and
other
supports
with
a
system
of
care
approach
25
for
children
with
a
serious
emotional
disturbance
and
their
26
families
through
a
nonprofit
provider
of
child
welfare
services
27
that
has
been
in
existence
for
more
than
115
years,
is
located
28
in
a
county
with
a
population
of
more
than
200,000
but
less
29
than
220,000
according
to
the
latest
certified
federal
census,
30
is
licensed
as
a
psychiatric
medical
institution
for
children,
31
and
was
a
system
of
care
grantee
prior
to
July
1,
2020.
32
23.
If
a
separate
funding
source
is
identified
that
reduces
33
the
need
for
state
funds
within
an
allocation
under
this
34
section,
the
allocated
state
funds
may
be
redistributed
to
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other
allocations
under
this
section
for
the
same
fiscal
year.
1
Sec.
58.
ADOPTION
SUBSIDY.
2
1.
There
is
appropriated
from
the
general
fund
of
the
3
state
to
the
department
of
human
services
for
the
fiscal
year
4
beginning
July
1,
2020,
and
ending
June
30,
2021,
the
following
5
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
6
purpose
designated:
7
a.
For
adoption
subsidy
payments
and
services:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
40,752,396
9
b.
(1)
The
funds
appropriated
in
this
section
shall
be
used
10
as
authorized
or
allowed
by
federal
law
or
regulation
for
any
11
of
the
following
purposes:
12
(a)
For
adoption
subsidy
payments
and
related
costs.
13
(b)
For
post-adoption
services
and
for
other
purposes
under
14
Tit.
IV-B
or
Tit.
IV-E
of
the
federal
Social
Security
Act.
15
(2)
The
department
of
human
services
may
transfer
funds
16
appropriated
in
this
subsection
to
the
appropriation
for
17
child
and
family
services
in
this
Act
for
the
purposes
of
18
post-adoption
services
as
specified
in
this
paragraph
“b”.
19
c.
Notwithstanding
section
8.33
,
moneys
corresponding
to
20
the
state
savings
resulting
from
implementation
of
the
federal
21
Fostering
Connections
to
Success
and
Increasing
Adoptions
Act
22
of
2008,
Pub.
L.
No.
110-351,
and
successor
legislation,
as
23
determined
in
accordance
with
42
U.S.C.
§673(a)(8),
that
remain
24
unencumbered
or
unobligated
at
the
close
of
the
fiscal
year,
25
shall
not
revert
to
any
fund
but
shall
remain
available
for
the
26
purposes
designated
in
this
subsection
until
expended.
The
27
amount
of
such
savings
and
any
corresponding
funds
remaining
28
at
the
close
of
the
fiscal
year
shall
be
determined
separately
29
and
any
changes
in
either
amount
between
fiscal
years
shall
not
30
result
in
an
unfunded
need.
31
2.
The
department
may
transfer
funds
appropriated
in
32
this
section
to
the
appropriation
made
in
this
division
of
33
this
Act
for
general
administration
for
costs
paid
from
the
34
appropriation
relating
to
adoption
subsidy.
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3.
Federal
funds
received
by
the
state
during
the
1
fiscal
year
beginning
July
1,
2020,
as
the
result
of
the
2
expenditure
of
state
funds
during
a
previous
state
fiscal
3
year
for
a
service
or
activity
funded
under
this
section
are
4
appropriated
to
the
department
to
be
used
as
additional
funding
5
for
the
services
and
activities
funded
under
this
section.
6
Notwithstanding
section
8.33
,
moneys
received
in
accordance
7
with
this
subsection
that
remain
unencumbered
or
unobligated
8
at
the
close
of
the
fiscal
year
shall
not
revert
to
any
fund
9
but
shall
remain
available
for
expenditure
for
the
purposes
10
designated
until
the
close
of
the
succeeding
fiscal
year.
11
Sec.
59.
JUVENILE
DETENTION
HOME
FUND.
Moneys
deposited
12
in
the
juvenile
detention
home
fund
created
in
section
232.142
13
during
the
fiscal
year
beginning
July
1,
2020,
and
ending
June
14
30,
2021,
are
appropriated
to
the
department
of
human
services
15
for
the
fiscal
year
beginning
July
1,
2020,
and
ending
June
30,
16
2021,
for
distribution
of
an
amount
equal
to
a
percentage
of
17
the
costs
of
the
establishment,
improvement,
operation,
and
18
maintenance
of
county
or
multicounty
juvenile
detention
homes
19
in
the
fiscal
year
beginning
July
1,
2019.
Moneys
appropriated
20
for
distribution
in
accordance
with
this
section
shall
be
21
allocated
among
eligible
detention
homes,
prorated
on
the
basis
22
of
an
eligible
detention
home’s
proportion
of
the
costs
of
all
23
eligible
detention
homes
in
the
fiscal
year
beginning
July
24
1,
2019.
The
percentage
figure
shall
be
determined
by
the
25
department
based
on
the
amount
available
for
distribution
for
26
the
fund.
Notwithstanding
section
232.142,
subsection
3
,
the
27
financial
aid
payable
by
the
state
under
that
provision
for
the
28
fiscal
year
beginning
July
1,
2020,
shall
be
limited
to
the
29
amount
appropriated
for
the
purposes
of
this
section.
30
Sec.
60.
FAMILY
SUPPORT
SUBSIDY
PROGRAM.
31
1.
There
is
appropriated
from
the
general
fund
of
the
32
state
to
the
department
of
human
services
for
the
fiscal
year
33
beginning
July
1,
2020,
and
ending
June
30,
2021,
the
following
34
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
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purpose
designated:
1
For
the
family
support
subsidy
program
subject
to
the
2
enrollment
restrictions
in
section
225C.37,
subsection
3
:
3
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
949,282
4
2.
At
least
$859,364
of
the
moneys
appropriated
in
this
5
section
is
transferred
to
the
department
of
public
health
for
6
the
family
support
center
component
of
the
comprehensive
family
7
support
program
under
chapter
225C
,
subchapter
V.
8
3.
If
at
any
time
during
the
fiscal
year,
the
amount
of
9
funding
available
for
the
family
support
subsidy
program
10
is
reduced
from
the
amount
initially
used
to
establish
the
11
figure
for
the
number
of
family
members
for
whom
a
subsidy
12
is
to
be
provided
at
any
one
time
during
the
fiscal
year,
13
notwithstanding
section
225C.38,
subsection
2
,
the
department
14
shall
revise
the
figure
as
necessary
to
conform
to
the
amount
15
of
funding
available.
16
Sec.
61.
CONNER
DECREE.
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,
2020,
and
ending
June
30,
19
2021,
the
following
amount,
or
so
much
thereof
as
is
necessary,
20
to
be
used
for
the
purpose
designated:
21
For
building
community
capacity
through
the
coordination
22
and
provision
of
training
opportunities
in
accordance
with
the
23
consent
decree
of
Conner
v.
Branstad,
No.
4-86-CV-30871(S.D.
24
Iowa,
July
14,
1994):
25
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,632
26
Sec.
62.
MENTAL
HEALTH
INSTITUTES.
27
1.
There
is
appropriated
from
the
general
fund
of
the
28
state
to
the
department
of
human
services
for
the
fiscal
year
29
beginning
July
1,
2020,
and
ending
June
30,
2021,
the
following
30
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
31
purposes
designated:
32
a.
For
operation
of
the
state
mental
health
institute
at
33
Cherokee
as
required
by
chapters
218
and
226
for
salaries,
34
support,
maintenance,
and
miscellaneous
purposes:
35
-92-
LSB
1013XG
(15)
88
pf/tm
92/
118
S.F.
_____
H.F.
_____
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,293,758
1
b.
For
operation
of
the
state
mental
health
institute
at
2
Independence
as
required
by
chapters
218
and
226
for
salaries,
3
support,
maintenance,
and
miscellaneous
purposes:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
19,262,041
5
2.
Notwithstanding
sections
218.78
and
249A.11
,
any
revenue
6
received
from
the
state
mental
health
institute
at
Cherokee
or
7
the
state
mental
health
institute
at
Independence
pursuant
to
8
42
C.F.R
§438.6(e)
may
be
retained
and
expended
by
the
mental
9
health
institute.
10
3.
Notwithstanding
any
provision
of
law
to
the
contrary,
11
a
Medicaid
member
residing
at
the
state
mental
health
12
institute
at
Cherokee
or
the
state
mental
health
institute
13
at
Independence
shall
retain
Medicaid
eligibility
during
14
the
period
of
the
Medicaid
member’s
stay
for
which
federal
15
financial
participation
is
available.
16
Sec.
63.
STATE
RESOURCE
CENTERS.
17
1.
There
is
appropriated
from
the
general
fund
of
the
18
state
to
the
department
of
human
services
for
the
fiscal
year
19
beginning
July
1,
2020,
and
ending
June
30,
2021,
the
following
20
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
21
purposes
designated:
22
a.
For
the
state
resource
center
at
Glenwood
for
salaries,
23
support,
maintenance,
and
miscellaneous
purposes:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
16,105,964
25
b.
For
the
state
resource
center
at
Woodward
for
salaries,
26
support,
maintenance,
and
miscellaneous
purposes:
27
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
10,912,712
28
2.
The
department
may
continue
to
bill
for
state
resource
29
center
services
utilizing
a
scope
of
services
approach
used
for
30
private
providers
of
intermediate
care
facilities
for
persons
31
with
an
intellectual
disability
services,
in
a
manner
which
32
does
not
shift
costs
between
the
medical
assistance
program,
33
counties,
or
other
sources
of
funding
for
the
state
resource
34
centers.
35
-93-
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1013XG
(15)
88
pf/tm
93/
118
S.F.
_____
H.F.
_____
3.
The
state
resource
centers
may
expand
the
time-limited
1
assessment
and
respite
services
during
the
fiscal
year.
2
4.
If
the
department’s
administration
and
the
department
3
of
management
concur
with
a
finding
by
a
state
resource
4
center’s
superintendent
that
projected
revenues
can
reasonably
5
be
expected
to
pay
the
salary
and
support
costs
for
a
new
6
employee
position,
or
that
such
costs
for
adding
a
particular
7
number
of
new
positions
for
the
fiscal
year
would
be
less
8
than
the
overtime
costs
if
new
positions
would
not
be
added,
9
the
superintendent
may
add
the
new
position
or
positions.
If
10
the
vacant
positions
available
to
a
resource
center
do
not
11
include
the
position
classification
desired
to
be
filled,
the
12
state
resource
center’s
superintendent
may
reclassify
any
13
vacant
position
as
necessary
to
fill
the
desired
position.
The
14
superintendents
of
the
state
resource
centers
may,
by
mutual
15
agreement,
pool
vacant
positions
and
position
classifications
16
during
the
course
of
the
fiscal
year
in
order
to
assist
one
17
another
in
filling
necessary
positions.
18
5.
If
existing
capacity
limitations
are
reached
in
19
operating
units,
a
waiting
list
is
in
effect
for
a
service
or
20
a
special
need
for
which
a
payment
source
or
other
funding
21
is
available
for
the
service
or
to
address
the
special
need,
22
and
facilities
for
the
service
or
to
address
the
special
need
23
can
be
provided
within
the
available
payment
source
or
other
24
funding,
the
superintendent
of
a
state
resource
center
may
25
authorize
opening
not
more
than
two
units
or
other
facilities
26
and
begin
implementing
the
service
or
addressing
the
special
27
need
during
fiscal
year
2020-2021.
28
Sec.
64.
SEXUALLY
VIOLENT
PREDATORS.
29
1.
There
is
appropriated
from
the
general
fund
of
the
30
state
to
the
department
of
human
services
for
the
fiscal
year
31
beginning
July
1,
2020,
and
ending
June
30,
2021,
the
following
32
amount,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
33
purpose
designated:
34
For
costs
associated
with
the
commitment
and
treatment
of
35
-94-
LSB
1013XG
(15)
88
pf/tm
94/
118
S.F.
_____
H.F.
_____
sexually
violent
predators
in
the
unit
located
at
the
state
1
mental
health
institute
at
Cherokee,
including
costs
of
legal
2
services
and
other
associated
costs,
including
salaries,
3
support,
maintenance,
and
miscellaneous
purposes:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,313,977
5
2.
Unless
specifically
prohibited
by
law,
if
the
amount
6
charged
provides
for
recoupment
of
at
least
the
entire
amount
7
of
direct
and
indirect
costs,
the
department
of
human
services
8
may
contract
with
other
states
to
provide
care
and
treatment
9
of
persons
placed
by
the
other
states
at
the
unit
for
sexually
10
violent
predators
at
Cherokee.
The
moneys
received
under
11
such
a
contract
shall
be
considered
to
be
repayment
receipts
12
and
used
for
the
purposes
of
the
appropriation
made
in
this
13
section.
14
Sec.
65.
FIELD
OPERATIONS.
There
is
appropriated
from
the
15
general
fund
of
the
state
to
the
department
of
human
services
16
for
the
fiscal
year
beginning
July
1,
2020,
and
ending
June
30,
17
2021,
the
following
amount,
or
so
much
thereof
as
is
necessary,
18
to
be
used
for
the
purposes
designated:
19
For
field
operations,
including
salaries,
support,
20
maintenance,
and
miscellaneous
purposes:
21
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
53,923,195
22
Priority
in
filling
full-time
equivalent
positions
shall
be
23
given
to
those
positions
related
to
child
protection
services
24
and
eligibility
determination
for
low-income
families.
25
Sec.
66.
GENERAL
ADMINISTRATION.
There
is
appropriated
26
from
the
general
fund
of
the
state
to
the
department
of
human
27
services
for
the
fiscal
year
beginning
July
1,
2020,
and
ending
28
June
30,
2021,
the
following
amount,
or
so
much
thereof
as
is
29
necessary,
to
be
used
for
the
purpose
designated:
30
For
general
administration,
including
salaries,
support,
31
maintenance,
and
miscellaneous
purposes:
32
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
13,833,040
33
1.
The
department
shall
report
at
least
monthly
to
the
34
legislative
services
agency
concerning
the
department’s
35
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1013XG
(15)
88
pf/tm
95/
118
S.F.
_____
H.F.
_____
operational
and
program
expenditures.
1
2.
Of
the
funds
appropriated
in
this
section,
$150,000
shall
2
be
used
to
continue
the
contract
for
the
provision
of
a
program
3
to
provide
technical
assistance,
support,
and
consultation
to
4
providers
of
habilitation
services
and
home
and
community-based
5
services
waiver
services
for
adults
with
disabilities
under
the
6
medical
assistance
program.
7
3.
Of
the
funds
appropriated
in
this
section,
$50,000
8
is
transferred
to
the
Iowa
finance
authority
to
be
used
9
for
administrative
support
of
the
council
on
homelessness
10
established
in
section
16.2D
and
for
the
council
to
fulfill
its
11
duties
in
addressing
and
reducing
homelessness
in
the
state.
12
4.
Of
the
funds
appropriated
in
this
section,
$200,000
shall
13
be
transferred
to
and
deposited
in
the
administrative
fund
of
14
the
Iowa
ABLE
savings
plan
trust
created
in
section
12I.4
,
to
15
be
used
for
implementation
and
administration
activities
of
the
16
Iowa
ABLE
savings
plan
trust.
17
5.
Of
the
funds
appropriated
in
this
section,
$200,000
is
18
transferred
to
the
economic
development
authority
for
the
Iowa
19
commission
on
volunteer
services
to
continue
to
be
used
for
20
RefugeeRISE
AmeriCorps
program
established
under
section
15H.8
21
for
member
recruitment
and
training
to
improve
the
economic
22
well-being
and
health
of
economically
disadvantaged
refugees
in
23
local
communities
across
Iowa.
Funds
transferred
may
be
used
24
to
supplement
federal
funds
under
federal
regulations.
25
6.
Of
the
funds
appropriated
in
this
section,
up
to
$300,000
26
shall
be
used
as
follows:
27
a.
To
fund
not
more
than
one
full-time
equivalent
position
28
to
address
the
department’s
responsibility
to
support
the
work
29
of
the
children’s
system
state
board
and
implementation
of
the
30
services
required
pursuant
to
2018
Iowa
Acts,
chapter
1056,
31
section
13.
32
b.
To
support
the
cost
of
establishing
and
implementing
33
new
or
additional
services
required
pursuant
to
2018
Iowa
34
Acts,
chapter
1056,
and
any
legislation
enacted
by
the
2019
or
35
-96-
LSB
1013XG
(15)
88
pf/tm
96/
118
S.F.
_____
H.F.
_____
2020
general
assembly
establishing
a
children’s
mental
health
1
system.
2
c.
Of
the
amount,
$32,000
shall
be
transferred
to
3
the
department
of
public
health
to
support
the
costs
of
4
establishing
and
implementing
new
or
additional
services
5
required
pursuant
to
2018
Iowa
Acts,
chapter
1056,
and
any
6
legislation
enacted
by
the
2019
or
2020
general
assembly
7
establishing
a
children’s
mental
health
system.
8
Sec.
67.
DEPARTMENT-WIDE
DUTIES.
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,
2020,
and
ending
11
June
30,
2021,
the
following
amount,
or
so
much
thereof
as
is
12
necessary,
to
be
used
for
the
purposes
designated:
13
For
salaries,
support,
maintenance,
and
miscellaneous
14
purposes
at
facilities
under
the
purview
of
the
department
of
15
human
services:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,879,274
17
Sec.
68.
CORPORATE
TECHNOLOGY.
There
is
appropriated
18
from
the
general
fund
of
the
state
to
the
department
of
human
19
services
for
the
fiscal
year
beginning
July
1,
2020,
and
ending
20
June
30,
2021,
the
following
amount,
or
so
much
thereof
as
is
21
necessary,
to
be
used
for
the
purposes
designated:
22
For
the
purchase
of
department-wide
technology
and
software
23
update
needs:
24
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,530,413
25
Sec.
69.
VOLUNTEERS.
There
is
appropriated
from
the
general
26
fund
of
the
state
to
the
department
of
human
services
for
the
27
fiscal
year
beginning
July
1,
2020,
and
ending
June
30,
2021,
28
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
29
used
for
the
purpose
designated:
30
For
development
and
coordination
of
volunteer
services:
31
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
84,686
32
Sec.
70.
MEDICAL
ASSISTANCE,
STATE
SUPPLEMENTARY
33
ASSISTANCE,
AND
SOCIAL
SERVICE
PROVIDERS
REIMBURSED
UNDER
THE
34
DEPARTMENT
OF
HUMAN
SERVICES.
35
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1013XG
(15)
88
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118
S.F.
_____
H.F.
_____
1.
a.
(1)
For
the
fiscal
year
beginning
July
1,
2020,
1
case-mix,
non-case
mix,
and
special
population
nursing
2
facilities
shall
be
reimbursed
in
accordance
with
the
3
methodology
in
effect
on
June
30,
2020.
4
(2)
For
managed
care
claims,
the
department
of
human
5
services
shall
adjust
the
payment
rate
floor
for
nursing
6
facilities,
annually,
to
maintain
a
rate
floor
that
is
no
7
lower
than
the
Medicaid
fee-for-service
case-mix
adjusted
rate
8
calculated
in
accordance
with
441
IAC
81.6
.
The
department
9
shall
then
calculate
adjusted
reimbursement
rates,
including
10
but
not
limited
to
add-on-payments,
annually,
and
shall
11
notify
Medicaid
managed
care
organizations
of
the
adjusted
12
reimbursement
rates
within
30
days
of
determining
the
adjusted
13
reimbursement
rates.
Any
adjustment
of
reimbursement
rates
14
under
this
subparagraph
division
shall
be
budget
neutral
to
the
15
state
budget.
16
b.
(1)
For
the
fiscal
year
beginning
July
1,
2020,
17
the
department
shall
establish
the
pharmacy
dispensing
fee
18
reimbursement
at
$10.07
per
prescription,
until
a
cost
of
19
dispensing
survey
is
completed.
The
actual
dispensing
fee
20
shall
be
determined
by
a
cost
of
dispensing
survey
performed
21
by
the
department
and
required
to
be
completed
by
all
medical
22
assistance
program
participating
pharmacies
every
two
years,
23
adjusted
as
necessary
to
maintain
expenditures
within
the
24
amount
appropriated
to
the
department
for
this
purpose
for
the
25
fiscal
year.
26
(2)
The
department
shall
utilize
an
average
acquisition
27
cost
reimbursement
methodology
for
all
drugs
covered
under
the
28
medical
assistance
program
in
accordance
with
2012
Iowa
Acts,
29
chapter
1133,
section
33
.
30
c.
(1)
For
the
fiscal
year
beginning
July
1,
2020,
31
reimbursement
rates
for
outpatient
hospital
services
shall
32
be
rebased
effective
January
1,
2021,
subject
to
Medicaid
33
program
upper
payment
limit
rules,
and
adjusted
as
necessary
34
to
maintain
expenditures
within
the
amount
appropriated
to
the
35
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department
for
this
purpose
for
the
fiscal
year.
1
(2)
For
the
fiscal
year
beginning
July
1,
2020,
2
reimbursement
rates
for
inpatient
hospital
services
shall
3
remain
at
the
rates
in
effect
on
June
30,
2020,
subject
to
4
Medicaid
program
upper
payment
limit
rules,
and
adjusted
5
as
necessary
to
maintain
expenditures
within
the
amount
6
appropriated
to
the
department
for
this
purpose
for
the
fiscal
7
year.
8
(3)
For
the
fiscal
year
beginning
July
1,
2020,
the
graduate
9
medical
education
and
disproportionate
share
hospital
fund
10
shall
remain
at
the
amount
in
effect
on
June
30,
2020,
except
11
that
the
portion
of
the
fund
attributable
to
graduate
medical
12
education
shall
be
reduced
in
an
amount
that
reflects
the
13
elimination
of
graduate
medical
education
payments
made
to
14
out-of-state
hospitals.
15
(4)
In
order
to
ensure
the
efficient
use
of
limited
state
16
funds
in
procuring
health
care
services
for
low-income
Iowans,
17
funds
appropriated
in
this
Act
for
hospital
services
shall
18
not
be
used
for
activities
which
would
be
excluded
from
a
19
determination
of
reasonable
costs
under
the
federal
Medicare
20
program
pursuant
to
42
U.S.C.
§1395x(v)(1)(N).
21
d.
For
the
fiscal
year
beginning
July
1,
2020,
reimbursement
22
rates
for
hospices
and
acute
mental
hospitals
shall
be
23
increased
in
accordance
with
increases
under
the
federal
24
Medicare
program
or
as
supported
by
their
Medicare
audited
25
costs.
26
e.
For
the
fiscal
year
beginning
July
1,
2020,
independent
27
laboratories
and
rehabilitation
agencies
shall
be
reimbursed
28
using
the
same
methodology
in
effect
on
June
30,
2020.
29
f.
(1)
For
the
fiscal
year
beginning
July
1,
2020,
30
reimbursement
rates
for
home
health
agencies
shall
continue
to
31
be
based
on
the
Medicare
low
utilization
payment
adjustment
32
(LUPA)
methodology
with
state
geographic
wage
adjustments.
33
(2)
For
the
fiscal
year
beginning
July
1,
2020,
rates
for
34
private
duty
nursing
and
personal
care
services
under
the
early
35
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and
periodic
screening,
diagnostic,
and
treatment
program
1
benefit
shall
be
calculated
based
on
the
methodology
in
effect
2
on
June
30,
2020.
3
g.
For
the
fiscal
year
beginning
July
1,
2020,
federally
4
qualified
health
centers
and
rural
health
clinics
shall
receive
5
cost-based
reimbursement
for
100
percent
of
the
reasonable
6
costs
for
the
provision
of
services
to
recipients
of
medical
7
assistance.
8
h.
For
the
fiscal
year
beginning
July
1,
2020,
the
9
reimbursement
rates
for
dental
services
shall
remain
at
the
10
rates
in
effect
on
June
30,
2020.
11
i.
(1)
For
the
fiscal
year
beginning
July
1,
2020,
12
reimbursement
rates
for
the
non-state-owned
psychiatric
medical
13
institution
for
children
shall
be
based
on
the
methodology
in
14
effect
on
June
30,
2020.
15
(2)
As
a
condition
of
participation
in
the
medical
16
assistance
program,
enrolled
providers
shall
accept
the
medical
17
assistance
reimbursement
rate
for
any
covered
goods
or
services
18
provided
to
recipients
of
medical
assistance
who
are
children
19
under
the
custody
of
a
psychiatric
medical
institution
for
20
children.
21
j.
For
the
fiscal
year
beginning
July
1,
2020,
unless
22
otherwise
specified
in
this
Act,
all
noninstitutional
medical
23
assistance
provider
reimbursement
rates
shall
remain
at
the
24
rates
in
effect
on
June
30,
2020,
except
for
area
education
25
agencies,
local
education
agencies,
infant
and
toddler
26
services
providers,
home
and
community-based
services
providers
27
including
consumer-directed
attendant
care
providers
under
a
28
section
1915(c)
or
1915(i)
waiver,
targeted
case
management
29
providers,
those
providers
whose
rates
are
required
to
be
30
determined
pursuant
to
section
249A.20
,
or
to
meet
federal
31
mental
health
parity
requirements.
32
k.
Notwithstanding
any
provision
to
the
contrary,
for
the
33
fiscal
year
beginning
July
1,
2020,
the
reimbursement
rate
for
34
anesthesiologists
shall
remain
at
the
rate
in
effect
on
June
35
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H.F.
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30,
2020,
and
updated
on
January
1,
2021,
to
align
with
the
1
most
current
Iowa
Medicare
anesthesia
base
rate.
2
l.
Notwithstanding
section
249A.20
,
for
the
fiscal
year
3
beginning
July
1,
2020,
the
average
reimbursement
rate
for
4
health
care
providers
eligible
for
use
of
the
federal
Medicare
5
resource-based
relative
value
scale
reimbursement
methodology
6
under
section
249A.20
shall
remain
at
the
rate
in
effect
on
7
June
30,
2020;
however,
this
rate
shall
not
exceed
the
maximum
8
level
authorized
by
the
federal
government.
9
m.
For
the
fiscal
year
beginning
July
1,
2020,
the
10
reimbursement
rate
for
residential
care
facilities
shall
not
11
be
less
than
the
minimum
payment
level
as
established
by
the
12
federal
government
to
meet
the
federally
mandated
maintenance
13
of
effort
requirement.
The
flat
reimbursement
rate
for
14
facilities
electing
not
to
file
annual
cost
reports
shall
not
15
be
less
than
the
minimum
payment
level
as
established
by
the
16
federal
government
to
meet
the
federally
mandated
maintenance
17
of
effort
requirement.
18
n.
For
the
fiscal
year
beginning
July
1,
2020,
the
19
reimbursement
rates
for
inpatient
mental
health
services
20
provided
at
hospitals
shall
remain
at
the
rates
in
effect
on
21
June
30,
2020,
subject
to
Medicaid
program
upper
payment
limit
22
rules;
and
psychiatrists
shall
be
reimbursed
at
the
medical
23
assistance
program
fee-for-service
rate
in
effect
on
June
30,
24
2020.
25
o.
For
the
fiscal
year
beginning
July
1,
2020,
community
26
mental
health
centers
may
choose
to
be
reimbursed
for
the
27
services
provided
to
recipients
of
medical
assistance
through
28
either
of
the
following
options:
29
(1)
For
100
percent
of
the
reasonable
costs
of
the
services.
30
(2)
In
accordance
with
the
alternative
reimbursement
rate
31
methodology
approved
by
the
department
of
human
services
in
32
effect
on
June
30,
2020.
33
p.
For
the
fiscal
year
beginning
July
1,
2020,
the
34
reimbursement
rate
for
providers
of
family
planning
services
35
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H.F.
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that
are
eligible
to
receive
a
90
percent
federal
match
shall
1
remain
at
the
rates
in
effect
on
June
30,
2020.
2
q.
Unless
otherwise
subject
to
a
tiered
rate
methodology,
3
for
the
fiscal
year
beginning
July
1,
2020,
the
upper
4
limits
and
reimbursement
rates
for
providers
of
home
and
5
community-based
services
waiver
services
shall
be
reimbursed
6
using
the
reimbursement
methodology
in
effect
on
June
30,
2020.
7
r.
For
the
fiscal
year
beginning
July
1,
2020,
the
8
reimbursement
rates
for
emergency
medical
service
providers
9
shall
remain
at
the
rates
in
effect
on
June
30,
2020.
10
s.
For
the
fiscal
year
beginning
July
1,
2020,
reimbursement
11
rates
for
substance-related
disorder
treatment
programs
12
licensed
under
section
125.13
shall
remain
at
the
rates
in
13
effect
on
June
30,
2020.
14
2.
For
the
fiscal
year
beginning
July
1,
2020,
the
15
reimbursement
rate
for
providers
reimbursed
under
the
16
in-home-related
care
program
shall
not
be
less
than
the
minimum
17
payment
level
as
established
by
the
federal
government
to
meet
18
the
federally
mandated
maintenance
of
effort
requirement.
19
3.
Unless
otherwise
directed
in
this
section,
when
the
20
department’s
reimbursement
methodology
for
any
provider
21
reimbursed
in
accordance
with
this
section
includes
an
22
inflation
factor,
this
factor
shall
not
exceed
the
amount
23
by
which
the
consumer
price
index
for
all
urban
consumers
24
increased
during
the
calendar
year
ending
December
31,
2002.
25
4.
Notwithstanding
section
234.38
,
for
the
fiscal
26
year
beginning
July
1,
2020,
the
foster
family
basic
daily
27
maintenance
rate
and
the
maximum
adoption
subsidy
rate
for
28
children
ages
0
through
5
years
shall
be
$16.78,
the
rate
for
29
children
ages
6
through
11
years
shall
be
$17.45,
the
rate
for
30
children
ages
12
through
15
years
shall
be
$19.10,
and
the
31
rate
for
children
and
young
adults
ages
16
and
older
shall
32
be
$19.35.
For
youth
ages
18
to
21
who
have
exited
foster
33
care,
the
preparation
for
adult
living
program
maintenance
rate
34
shall
be
$602.70
per
month.
The
maximum
payment
for
adoption
35
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subsidy
nonrecurring
expenses
shall
be
limited
to
$500
and
the
1
disallowance
of
additional
amounts
for
court
costs
and
other
2
related
legal
expenses
implemented
pursuant
to
2010
Iowa
Acts,
3
chapter
1031,
section
408
,
shall
be
continued.
4
5.
For
the
fiscal
year
beginning
July
1,
2020,
the
maximum
5
reimbursement
rates
for
social
services
providers
under
6
contract
shall
remain
at
the
rates
in
effect
on
June
30,
2020,
7
or
the
provider’s
actual
and
allowable
cost
plus
inflation
for
8
each
service,
whichever
is
less.
However,
if
a
new
service
9
or
service
provider
is
added
after
June
30,
2020,
the
initial
10
reimbursement
rate
for
the
service
or
provider
shall
be
based
11
upon
a
weighted
average
of
provider
rates
for
similar
services.
12
6.
a.
For
the
fiscal
year
beginning
July
1,
2020,
the
13
reimbursement
rates
for
resource
family
recruitment
and
14
retention
contractors
shall
be
established
by
contract.
15
b.
For
the
fiscal
year
beginning
July
1,
2020,
the
16
reimbursement
rates
for
supervised
apartment
living
foster
care
17
providers
shall
be
established
by
contract.
18
7.
For
the
fiscal
year
beginning
July
1,
2019,
the
19
reimbursement
rate
for
group
foster
care
providers
shall
be
the
20
combined
service
and
maintenance
reimbursement
rate
established
21
by
contract.
22
8.
The
group
foster
care
reimbursement
rates
paid
for
23
placement
of
children
out
of
state
shall
be
calculated
24
according
to
the
same
rate-setting
principles
as
those
used
for
25
in-state
providers,
unless
the
director
of
human
services
or
26
the
director’s
designee
determines
that
appropriate
care
cannot
27
be
provided
within
the
state.
The
payment
of
the
daily
rate
28
shall
be
based
on
the
number
of
days
in
the
calendar
month
in
29
which
service
is
provided.
30
9.
a.
For
the
fiscal
year
beginning
July
1,
2020,
the
31
reimbursement
rate
paid
for
shelter
care
and
the
child
welfare
32
emergency
services
implemented
to
provide
or
prevent
the
need
33
for
shelter
care
shall
be
established
by
contract.
34
b.
For
the
fiscal
year
beginning
July
1,
2020,
the
combined
35
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service
and
maintenance
components
of
the
reimbursement
rate
1
paid
for
shelter
care
services
shall
be
based
on
the
financial
2
and
statistical
report
submitted
to
the
department.
The
3
maximum
reimbursement
rate
shall
be
$101.83
per
day.
The
4
department
shall
reimburse
a
shelter
care
provider
at
the
5
provider’s
actual
and
allowable
unit
cost,
plus
inflation,
not
6
to
exceed
the
maximum
reimbursement
rate.
7
c.
Notwithstanding
section
232.141,
subsection
8
,
for
the
8
fiscal
year
beginning
July
1,
2020,
the
amount
of
the
statewide
9
average
of
the
actual
and
allowable
rates
for
reimbursement
of
10
juvenile
shelter
care
homes
that
is
utilized
for
the
limitation
11
on
recovery
of
unpaid
costs
shall
remain
at
the
amount
in
12
effect
for
this
purpose
in
the
fiscal
year
beginning
July
1,
13
2019.
14
10.
For
the
fiscal
year
beginning
July
1,
2020,
the
15
department
shall
calculate
reimbursement
rates
for
intermediate
16
care
facilities
for
persons
with
an
intellectual
disability
17
at
the
80th
percentile.
Beginning
July
1,
2020,
the
rate
18
calculation
methodology
shall
utilize
the
consumer
price
index
19
inflation
factor
applicable
to
the
fiscal
year
beginning
July
20
1,
2020.
21
11.
Effective
July
1,
2020,
the
child
care
provider
22
reimbursement
rates
shall
remain
at
the
rates
in
effect
on
June
23
30,
2020.
The
department
shall
set
rates
in
a
manner
so
as
24
to
provide
incentives
for
a
nonregistered
provider
to
become
25
registered
by
applying
any
increase
only
to
registered
and
26
licensed
providers.
27
12.
The
department
may
adopt
emergency
rules
to
implement
28
this
section.
29
Sec.
71.
TRANSFER
OF
MEDICAID
MANAGED
CARE
SAVINGS
BETWEEN
30
APPROPRIATIONS
——
FY
2020-2021.
Notwithstanding
section
8.39,
31
subsection
1,
for
the
fiscal
year
beginning
July
1,
2020,
32
and
ending
June
30,
2021,
if
savings
resulting
from
Medicaid
33
managed
care
initiatives
accrue
to
the
medical
contracts
or
34
children’s
health
insurance
program
appropriation
from
the
35
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general
fund
of
the
state
and
not
to
the
medical
assistance
1
appropriation
from
the
general
fund
of
the
state
under
this
2
division
of
this
Act,
such
savings
may
be
transferred
to
such
3
medical
assistance
appropriation
for
the
same
fiscal
year
4
without
prior
written
consent
and
approval
of
the
governor
and
5
the
director
of
the
department
of
management.
The
department
6
of
human
services
shall
report
any
transfers
made
pursuant
to
7
this
section
to
the
legislative
services
agency.
8
Sec.
72.
EMERGENCY
RULES.
9
1.
If
specifically
authorized
by
a
provision
of
this
10
division
of
this
Act,
the
department
of
human
services
or
11
the
mental
health
and
disability
services
commission
may
12
adopt
administrative
rules
under
section
17A.4,
subsection
13
3
,
and
section
17A.5,
subsection
2
,
paragraph
“b”,
to
14
implement
the
provisions
of
this
division
of
this
Act
and
15
the
rules
shall
become
effective
immediately
upon
filing
or
16
on
a
later
effective
date
specified
in
the
rules,
unless
the
17
effective
date
of
the
rules
is
delayed
or
the
applicability
18
of
the
rules
is
suspended
by
the
administrative
rules
review
19
committee.
Any
rules
adopted
in
accordance
with
this
section
20
shall
not
take
effect
before
the
rules
are
reviewed
by
the
21
administrative
rules
review
committee.
The
delay
authority
22
provided
to
the
administrative
rules
review
committee
under
23
section
17A.4,
subsection
7
,
and
section
17A.8,
subsection
9
,
24
shall
be
applicable
to
a
delay
imposed
under
this
section,
25
notwithstanding
a
provision
in
those
sections
making
them
26
inapplicable
to
section
17A.5,
subsection
2
,
paragraph
“b”.
27
Any
rules
adopted
in
accordance
with
the
provisions
of
this
28
section
shall
also
be
published
as
a
notice
of
intended
action
29
as
provided
in
section
17A.4
.
30
2.
If
during
a
fiscal
year,
the
department
of
human
31
services
is
adopting
rules
in
accordance
with
this
section
32
or
as
otherwise
directed
or
authorized
by
state
law,
and
the
33
rules
will
result
in
an
expenditure
increase
beyond
the
amount
34
anticipated
in
the
budget
process
or
if
the
expenditure
was
35
-105-
LSB
1013XG
(15)
88
pf/tm
105/
118
S.F.
_____
H.F.
_____
not
addressed
in
the
budget
process
for
the
fiscal
year,
the
1
department
shall
notify
the
persons
designated
by
this
division
2
of
this
Act
for
submission
of
reports,
the
chairpersons
and
3
ranking
members
of
the
committees
on
appropriations,
and
4
the
department
of
management
concerning
the
rules
and
the
5
expenditure
increase.
The
notification
shall
be
provided
at
6
least
30
calendar
days
prior
to
the
date
notice
of
the
rules
7
is
submitted
to
the
administrative
rules
coordinator
and
the
8
administrative
code
editor.
9
Sec.
73.
REPORTS.
Any
reports
or
other
information
10
required
to
be
compiled
and
submitted
under
this
Act
during
the
11
fiscal
year
beginning
July
1,
2020,
shall
be
submitted
to
the
12
chairpersons
and
ranking
members
of
the
joint
appropriations
13
subcommittee
on
health
and
human
services,
the
legislative
14
services
agency,
and
the
legislative
caucus
staffs
on
or
15
before
the
dates
specified
for
submission
of
the
reports
or
16
information.
17
Sec.
74.
EFFECTIVE
UPON
ENACTMENT.
The
following
18
provisions
of
this
division
of
this
Act,
being
deemed
of
19
immediate
importance,
take
effect
upon
enactment:
20
1.
The
provision
relating
to
section
232.141
and
directing
21
the
state
court
administrator
and
the
division
administrator
of
22
the
department
of
human
services
division
of
child
and
family
23
services
to
make
the
determination,
by
June
15,
2020,
of
the
24
distribution
of
funds
allocated
for
the
payment
of
the
expenses
25
of
court-ordered
services
provided
to
juveniles
which
are
a
26
charge
upon
the
state.
27
DIVISION
XII
28
HEALTH
CARE
ACCOUNTS
AND
FUNDS
——
FY
2020-2021
29
Sec.
75.
PHARMACEUTICAL
SETTLEMENT
ACCOUNT.
There
is
30
appropriated
from
the
pharmaceutical
settlement
account
created
31
in
section
249A.33
to
the
department
of
human
services
for
the
32
fiscal
year
beginning
July
1,
2020,
and
ending
June
30,
2021,
33
the
following
amount,
or
so
much
thereof
as
is
necessary,
to
be
34
used
for
the
purpose
designated:
35
-106-
LSB
1013XG
(15)
88
pf/tm
106/
118
S.F.
_____
H.F.
_____
Notwithstanding
any
provision
of
law
to
the
contrary,
to
1
supplement
the
appropriations
made
in
this
Act
for
medical
2
contracts
under
the
medical
assistance
program
for
the
fiscal
3
year
beginning
July
1,
2020,
and
ending
June
30,
2021:
4
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
234,193
5
Sec.
76.
QUALITY
ASSURANCE
TRUST
FUND
——
DEPARTMENT
OF
HUMAN
6
SERVICES.
Notwithstanding
any
provision
to
the
contrary
and
7
subject
to
the
availability
of
funds,
there
is
appropriated
8
from
the
quality
assurance
trust
fund
created
in
section
9
249L.4
to
the
department
of
human
services
for
the
fiscal
year
10
beginning
July
1,
2020,
and
ending
June
30,
2021,
the
following
11
amounts,
or
so
much
thereof
as
is
necessary,
for
the
purposes
12
designated:
13
To
supplement
the
appropriation
made
in
this
Act
from
the
14
general
fund
of
the
state
to
the
department
of
human
services
15
for
medical
assistance
for
the
same
fiscal
year:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
58,570,397
17
Sec.
77.
HOSPITAL
HEALTH
CARE
ACCESS
TRUST
FUND
——
18
DEPARTMENT
OF
HUMAN
SERVICES.
Notwithstanding
any
provision
to
19
the
contrary
and
subject
to
the
availability
of
funds,
there
is
20
appropriated
from
the
hospital
health
care
access
trust
fund
21
created
in
section
249M.4
to
the
department
of
human
services
22
for
the
fiscal
year
beginning
July
1,
2020,
and
ending
June
23
30,
2021,
the
following
amounts,
or
so
much
thereof
as
is
24
necessary,
for
the
purposes
designated:
25
To
supplement
the
appropriation
made
in
this
Act
from
the
26
general
fund
of
the
state
to
the
department
of
human
services
27
for
medical
assistance
for
the
same
fiscal
year:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
33,920,554
29
Sec.
78.
MEDICAL
ASSISTANCE
PROGRAM
——
NONREVERSION
30
FOR
FY
2020-2021.
Notwithstanding
section
8.33
,
if
moneys
31
appropriated
for
purposes
of
the
medical
assistance
program
for
32
the
fiscal
year
beginning
July
1,
2020,
and
ending
June
30,
33
2021,
from
the
general
fund
of
the
state,
the
quality
assurance
34
trust
fund
and
the
hospital
health
care
access
trust
fund,
are
35
-107-
LSB
1013XG
(15)
88
pf/tm
107/
118
S.F.
_____
H.F.
_____
in
excess
of
actual
expenditures
for
the
medical
assistance
1
program
and
remain
unencumbered
or
unobligated
at
the
close
2
of
the
fiscal
year,
the
excess
moneys
shall
not
revert
but
3
shall
remain
available
for
expenditure
for
the
purposes
of
the
4
medical
assistance
program
until
the
close
of
the
succeeding
5
fiscal
year.
6
DIVISION
XIII
7
IOWA
DEPARTMENT
ON
AGING
——
MEDICAID
CLAIMING
8
Sec.
79.
IOWA
DEPARTMENT
ON
AGING
——
MEDICAID
CLAIMING.
The
9
department
on
aging
and
the
department
of
human
services
shall
10
continue
to
collaborate
to
develop
a
cost
allocation
plan
11
requesting
Medicaid
administrative
funding
to
provide
for
the
12
claiming
of
federal
financial
participation
for
aging
and
13
disability
resource
center
activities
that
are
performed
to
14
assist
with
administration
of
the
Medicaid
program.
By
January
15
1,
2021,
the
department
of
human
services
shall
submit
to
16
the
centers
for
Medicare
and
Medicaid
services
of
the
United
17
States
department
of
health
and
human
services
any
Medicaid
18
state
plan
amendment
as
necessary
and
shall
enter
into
any
19
interagency
agreement
with
the
department
on
aging
to
implement
20
this
section.
21
DIVISION
XIV
22
DECATEGORIZATION
23
Sec.
80.
DECATEGORIZATION
CARRYOVER
FUNDING
FY
2017
——
24
TRANSFER
TO
MEDICAID
PROGRAM.
Notwithstanding
section
232.188,
25
subsection
5,
paragraph
“b”,
any
state-appropriated
moneys
in
26
the
funding
pool
that
remained
unencumbered
or
unobligated
27
at
the
close
of
the
fiscal
year
beginning
July
1,
2016,
and
28
were
deemed
carryover
funding
to
remain
available
for
the
two
29
succeeding
fiscal
years
that
still
remain
unencumbered
or
30
unobligated
at
the
close
of
the
fiscal
year
beginning
July
1,
31
2018,
shall
not
revert
but
shall
be
transferred
to
the
medical
32
assistance
program
for
the
fiscal
year
beginning
July
1,
2019.
33
Sec.
81.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
34
deemed
of
immediate
importance,
takes
effect
upon
enactment.
35
-108-
LSB
1013XG
(15)
88
pf/tm
108/
118
S.F.
_____
H.F.
_____
Sec.
82.
RETROACTIVE
APPLICABILITY.
This
division
of
this
1
Act
applies
retroactively
to
July
1,
2018.
2
DIVISION
XV
3
DECATEGORIZATION
4
Sec.
83.
DECATEGORIZATION
CARRYOVER
FUNDING
FY
2018
——
5
TRANSFER
TO
MEDICAID
PROGRAM.
Notwithstanding
section
232.188,
6
subsection
5,
paragraph
“b”,
any
state-appropriated
moneys
in
7
the
funding
pool
that
remained
unencumbered
or
unobligated
8
at
the
close
of
the
fiscal
year
beginning
July
1,
2017,
and
9
were
deemed
carryover
funding
to
remain
available
for
the
two
10
succeeding
fiscal
years
that
still
remain
unencumbered
or
11
unobligated
at
the
close
of
the
fiscal
year
beginning
July
1,
12
2019,
shall
not
revert
but
shall
be
transferred
to
the
medical
13
assistance
program
for
the
fiscal
year
beginning
July
1,
2020.
14
Sec.
84.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
15
deemed
of
immediate
importance,
takes
effect
upon
enactment.
16
Sec.
85.
RETROACTIVE
APPLICABILITY.
This
division
of
this
17
Act
applies
retroactively
to
July
1,
2019.
18
DIVISION
XVI
19
PRIOR
APPROPRIATIONS
AND
OTHER
PROVISIONS
20
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
(TANF)
21
Sec.
86.
2017
Iowa
Acts,
chapter
174,
section
45,
as
amended
22
by
2018
Iowa
Acts,
chapter
1165,
section
10,
is
amended
to
read
23
as
follows:
24
SEC.
45.
TEMPORARY
ASSISTANCE
FOR
NEEDY
FAMILIES
BLOCK
25
GRANT.
There
is
appropriated
from
the
fund
created
in
section
26
8.41
to
the
department
of
human
services
for
the
fiscal
year
27
beginning
July
1,
2018,
and
ending
June
30,
2019,
from
moneys
28
received
under
the
federal
temporary
assistance
for
needy
29
families
(TANF)
block
grant
pursuant
to
the
federal
Personal
30
Responsibility
and
Work
Opportunity
Reconciliation
Act
of
1996,
31
Pub.
L.
No.
104-193,
and
successor
legislation,
the
following
32
amounts,
or
so
much
thereof
as
is
necessary,
to
be
used
for
the
33
purposes
designated:
34
1.
To
be
credited
to
the
family
investment
program
account
35
-109-
LSB
1013XG
(15)
88
pf/tm
109/
118
S.F.
_____
H.F.
_____
and
used
for
assistance
under
the
family
investment
program
1
under
chapter
239B
:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
4,539,006
3
4,025,108
4
2.
To
be
credited
to
the
family
investment
program
account
5
and
used
for
the
job
opportunities
and
basic
skills
(JOBS)
6
program
and
implementing
family
investment
agreements
in
7
accordance
with
chapter
239B
:
8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,412,060
9
5,192,060
10
3.
To
be
used
for
the
family
development
and
11
self-sufficiency
grant
program
in
accordance
with
section
12
216A.107
:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
2,883,980
14
2,898,980
15
Notwithstanding
section
8.33
,
moneys
appropriated
in
this
16
subsection
that
remain
unencumbered
or
unobligated
at
the
close
17
of
the
fiscal
year
shall
not
revert
but
shall
remain
available
18
for
expenditure
for
the
purposes
designated
until
the
close
of
19
the
succeeding
fiscal
year.
However,
unless
such
moneys
are
20
encumbered
or
obligated
on
or
before
September
30,
2019,
the
21
moneys
shall
revert.
22
4.
For
field
operations:
23
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
31,296,232
24
32,465,681
25
5.
For
general
administration:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
3,744,000
27
6.
For
state
child
care
assistance:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
47,166,826
29
a.
Of
the
funds
appropriated
in
this
subsection,
30
$26,205,412
is
transferred
to
the
child
care
and
development
31
block
grant
appropriation
made
by
the
Eighty-seventh
General
32
Assembly,
2018
session,
for
the
federal
fiscal
year
beginning
33
October
1,
2018,
and
ending
September
30,
2019.
Of
this
34
amount,
$200,000
shall
be
used
for
provision
of
educational
35
-110-
LSB
1013XG
(15)
88
pf/tm
110/
118
S.F.
_____
H.F.
_____
opportunities
to
registered
child
care
home
providers
in
order
1
to
improve
services
and
programs
offered
by
this
category
2
of
providers
and
to
increase
the
number
of
providers.
The
3
department
may
contract
with
institutions
of
higher
education
4
or
child
care
resource
and
referral
centers
to
provide
5
the
educational
opportunities.
Allowable
administrative
6
costs
under
the
contracts
shall
not
exceed
5
percent.
The
7
application
for
a
grant
shall
not
exceed
two
pages
in
length.
8
b.
Any
funds
appropriated
in
this
subsection
remaining
9
unallocated
shall
be
used
for
state
child
care
assistance
10
payments
for
families
who
are
employed
including
but
not
11
limited
to
individuals
enrolled
in
the
family
investment
12
program.
13
7.
For
child
and
family
services:
14
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
32,380,654
15
8.
For
child
abuse
prevention
grants:
16
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
125,000
17
9.
For
pregnancy
prevention
grants
on
the
condition
that
18
family
planning
services
are
funded:
19
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,913,203
20
1,890,203
21
Pregnancy
prevention
grants
shall
be
awarded
to
programs
22
in
existence
on
or
before
July
1,
2018,
if
the
programs
have
23
demonstrated
positive
outcomes.
Grants
shall
be
awarded
to
24
pregnancy
prevention
programs
which
are
developed
after
July
25
1,
2018,
if
the
programs
are
based
on
existing
models
that
26
have
demonstrated
positive
outcomes.
Grants
shall
comply
with
27
the
requirements
provided
in
1997
Iowa
Acts,
chapter
208,
28
section
14,
subsections
1
and
2
,
including
the
requirement
that
29
grant
programs
must
emphasize
sexual
abstinence.
Priority
in
30
the
awarding
of
grants
shall
be
given
to
programs
that
serve
31
areas
of
the
state
which
demonstrate
the
highest
percentage
of
32
unplanned
pregnancies
of
females
of
childbearing
age
within
the
33
geographic
area
to
be
served
by
the
grant.
34
10.
For
technology
needs
and
other
resources
necessary
35
-111-
LSB
1013XG
(15)
88
pf/tm
111/
118
S.F.
_____
H.F.
_____
to
meet
federal
welfare
reform
reporting,
tracking,
and
case
1
management
requirements:
2
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,037,186
3
862,186
4
11.
a.
Notwithstanding
any
provision
to
the
contrary,
5
including
but
not
limited
to
requirements
in
section
8.41
or
6
provisions
in
2017
or
2018
Iowa
Acts
regarding
the
receipt
and
7
appropriation
of
federal
block
grants,
federal
funds
from
the
8
temporary
assistance
for
needy
families
block
grant
received
by
9
the
state
and
not
otherwise
appropriated
in
this
section
and
10
remaining
available
for
the
fiscal
year
beginning
July
1,
2018,
11
are
appropriated
to
the
department
of
human
services
to
the
12
extent
as
may
be
necessary
to
be
used
in
the
following
priority
13
order:
the
family
investment
program,
for
state
child
care
14
assistance
program
payments
for
families
who
are
employed,
and
15
for
the
family
investment
program
share
of
system
costs
for
16
eligibility
determination
and
related
functions.
The
federal
17
funds
appropriated
in
this
paragraph
“a”
shall
be
expended
18
only
after
all
other
funds
appropriated
in
subsection
1
for
19
assistance
under
the
family
investment
program,
in
subsection
6
20
for
child
care
assistance,
or
in
subsection
10
for
technology
21
costs
related
to
the
family
investment
program,
as
applicable,
22
have
been
expended.
For
the
purposes
of
this
subsection,
the
23
funds
appropriated
in
subsection
6,
paragraph
“a”,
for
transfer
24
to
the
child
care
and
development
block
grant
appropriation
25
are
considered
fully
expended
when
the
full
amount
has
been
26
transferred.
27
b.
The
department
shall,
on
a
quarterly
basis,
advise
the
28
legislative
services
agency
and
department
of
management
of
29
the
amount
of
funds
appropriated
in
this
subsection
that
was
30
expended
in
the
prior
quarter.
31
12.
Of
the
amounts
appropriated
in
this
section,
32
$12,962,008
for
the
fiscal
year
beginning
July
1,
2018,
is
33
transferred
to
the
appropriation
of
the
federal
social
services
34
block
grant
made
to
the
department
of
human
services
for
that
35
-112-
LSB
1013XG
(15)
88
pf/tm
112/
118
S.F.
_____
H.F.
_____
fiscal
year.
1
13.
For
continuation
of
the
program
providing
categorical
2
eligibility
for
the
food
assistance
program
as
specified
3
for
the
program
in
the
section
of
this
division
of
this
Act
4
relating
to
the
family
investment
program
account:
5
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
14,236
6
13,000
7
14.
The
department
may
transfer
funds
allocated
in
this
8
section
to
the
appropriations
made
in
this
division
of
this
Act
9
for
the
same
fiscal
year
for
general
administration
and
field
10
operations
for
resources
necessary
to
implement
and
operate
the
11
services
referred
to
in
this
section
and
those
funded
in
the
12
appropriation
made
in
this
division
of
this
Act
for
the
same
13
fiscal
year
for
the
family
investment
program
from
the
general
14
fund
of
the
state.
15
15.
With
the
exception
of
moneys
allocated
under
this
16
section
for
the
family
development
and
self-sufficiency
grant
17
program,
to
the
extent
moneys
allocated
in
this
section
are
18
deemed
by
the
department
not
to
be
necessary
to
support
the
19
purposes
for
which
they
are
allocated,
such
moneys
may
be
20
used
in
the
same
fiscal
year
for
any
other
purpose
for
which
21
funds
are
allocated
in
this
section
or
in
section
7
of
this
22
division
for
the
family
investment
program
account.
If
there
23
are
conflicting
needs,
priority
shall
first
be
given
to
the
24
family
investment
program
account
as
specified
under
subsection
25
1
of
this
section
and
used
for
the
purposes
of
assistance
under
26
the
family
investment
program
under
chapter
239B
,
followed
by
27
state
child
care
assistance
program
payments
for
families
who
28
are
employed,
followed
by
other
priorities
as
specified
by
the
29
department.
30
FAMILY
INVESTMENT
PROGRAM
ADJUSTMENTS
31
Sec.
87.
2017
Iowa
Acts,
chapter
174,
section
46,
subsection
32
4,
as
amended
by
2018
Iowa
Acts,
chapter
1165,
section
11,
is
33
amended
to
read
as
follows:
34
4.
Moneys
appropriated
in
this
division
of
this
Act
and
35
-113-
LSB
1013XG
(15)
88
pf/tm
113/
118
S.F.
_____
H.F.
_____
credited
to
the
FIP
account
for
the
fiscal
year
beginning
July
1
1,
2018,
and
ending
June
30,
2019,
are
allocated
as
follows:
2
a.
To
be
retained
by
the
department
of
human
services
to
3
be
used
for
coordinating
with
the
department
of
human
rights
4
to
more
effectively
serve
participants
in
FIP
and
other
shared
5
clients
and
to
meet
federal
reporting
requirements
under
the
6
federal
temporary
assistance
for
needy
families
block
grant:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
5,000
8
20,000
9
b.
To
the
department
of
human
rights
for
staffing,
10
administration,
and
implementation
of
the
family
development
11
and
self-sufficiency
grant
program
in
accordance
with
section
12
216A.107
:
13
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
6,192,834
14
(1)
Of
the
funds
allocated
for
the
family
development
15
and
self-sufficiency
grant
program
in
this
paragraph
“b”,
16
not
more
than
5
percent
of
the
funds
shall
be
used
for
the
17
administration
of
the
grant
program.
18
(2)
The
department
of
human
rights
may
continue
to
implement
19
the
family
development
and
self-sufficiency
grant
program
20
statewide
during
fiscal
year
2018-2019.
21
(3)
The
department
of
human
rights
may
engage
in
activities
22
to
strengthen
and
improve
family
outcomes
measures
and
23
data
collection
systems
under
the
family
development
and
24
self-sufficiency
grant
program.
25
c.
For
the
diversion
subaccount
of
the
FIP
account:
26
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
749,694
27
815,000
28
A
portion
of
the
moneys
allocated
for
the
subaccount
may
29
be
used
for
field
operations,
salaries,
data
management
30
system
development,
and
implementation
costs
and
support
31
deemed
necessary
by
the
director
of
human
services
in
order
to
32
administer
the
FIP
diversion
program.
To
the
extent
moneys
33
allocated
in
this
paragraph
“c”
are
deemed
by
the
department
34
not
to
be
necessary
to
support
diversion
activities,
such
35
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LSB
1013XG
(15)
88
pf/tm
114/
118
S.F.
_____
H.F.
_____
moneys
may
be
used
for
other
efforts
intended
to
increase
1
engagement
by
family
investment
program
participants
in
work,
2
education,
or
training
activities,
or
for
the
purposes
of
3
assistance
under
the
family
investment
program
in
accordance
4
with
chapter
239B
.
5
d.
For
the
food
assistance
employment
and
training
program:
6
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
66,588
7
(1)
The
department
shall
apply
the
federal
supplemental
8
nutrition
assistance
program
(SNAP)
employment
and
training
9
state
plan
in
order
to
maximize
to
the
fullest
extent
permitted
10
by
federal
law
the
use
of
the
50
percent
federal
reimbursement
11
provisions
for
the
claiming
of
allowable
federal
reimbursement
12
funds
from
the
United
States
department
of
agriculture
13
pursuant
to
the
federal
SNAP
employment
and
training
program
14
for
providing
education,
employment,
and
training
services
15
for
eligible
food
assistance
program
participants,
including
16
but
not
limited
to
related
dependent
care
and
transportation
17
expenses.
18
(2)
The
department
shall
continue
the
categorical
federal
19
food
assistance
program
eligibility
at
160
percent
of
the
20
federal
poverty
level
and
continue
to
eliminate
the
asset
test
21
from
eligibility
requirements,
consistent
with
federal
food
22
assistance
program
requirements.
The
department
shall
include
23
as
many
food
assistance
households
as
is
allowed
by
federal
24
law.
The
eligibility
provisions
shall
conform
to
all
federal
25
requirements
including
requirements
addressing
individuals
who
26
are
incarcerated
or
otherwise
ineligible.
27
e.
For
the
JOBS
program:
28
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
12,139,821
29
11,919,821
30
MEDICAL
ASSISTANCE
PROGRAM
ADJUSTMENT
31
Sec.
88.
2017
Iowa
Acts,
chapter
174,
section
51,
unnumbered
32
paragraph
2,
as
amended
by
2018
Iowa
Acts,
chapter
1165,
33
section
18,
unnumbered
paragraph
2,
is
amended
to
read
as
34
follows:
35
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LSB
1013XG
(15)
88
pf/tm
115/
118
S.F.
_____
H.F.
_____
For
medical
assistance
program
reimbursement
and
associated
1
costs
as
specifically
provided
in
the
reimbursement
2
methodologies
in
effect
on
June
30,
2018,
except
as
otherwise
3
expressly
authorized
by
law,
consistent
with
options
under
4
federal
law
and
regulations,
and
contingent
upon
receipt
of
5
approval
from
the
office
of
the
governor
of
reimbursement
for
6
each
abortion
performed
under
the
program:
7
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
$
1,337,841,375
8
1,478,966,820
9
GROUP
FOSTER
CARE
REALLOCATION
10
Sec.
89.
2017
Iowa
Acts,
chapter
174,
section
57,
subsection
11
3,
paragraph
a,
as
amended
by
2018
Iowa
Acts,
chapter
1165,
12
section
28,
is
amended
to
read
as
follows:
13
3.
a.
Of
the
funds
appropriated
in
this
section,
up
to
14
$34,536,648
is
allocated
as
the
statewide
expenditure
target
15
under
section
232.143
for
group
foster
care
maintenance
and
16
services.
If
the
department
projects
that
such
expenditures
17
for
the
fiscal
year
will
be
less
than
the
target
amount
18
allocated
in
this
paragraph
“a”,
the
department
may
reallocate
19
the
excess
to
provide
additional
funding
for
family
foster
20
care,
independent
living,
family
safety,
risk
and
permanency
21
services,
shelter
care
,
or
the
child
welfare
emergency
services
22
addressed
with
the
allocation
for
shelter
care.
23
SHELTER
CARE
ALLOCATION
24
Sec.
90.
2017
Iowa
Acts,
chapter
174,
section
57,
subsection
25
6,
as
amended
by
2018
Iowa
Acts,
chapter
1165,
section
28,
is
26
amended
to
read
as
follows:
27
6.
Notwithstanding
section
234.35
or
any
other
provision
of
28
law
to
the
contrary,
state
funding
Of
the
funds
appropriated
29
in
this
section,
a
sufficient
amount
is
allocated
for
shelter
30
care
and
the
child
welfare
emergency
services
contracting
31
implemented
to
provide
for
or
prevent
the
need
for
shelter
care
32
shall
be
limited
to
$8,096,158
.
33
OTHER
FUNDING
FOR
CHILD
WELFARE
SERVICES
34
Sec.
91.
2017
Iowa
Acts,
chapter
174,
section
57,
subsection
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6,
as
amended
by
2018
Iowa
Acts,
chapter
1165,
section
28,
is
1
amended
by
adding
the
following
new
subsection:
2
NEW
SUBSECTION
.
24.
If
a
separate
funding
source
is
3
identified
that
reduces
the
need
for
state
funds
within
an
4
allocation
under
this
section,
the
allocated
state
funds
may
be
5
redistributed
to
other
allocations
under
this
section
for
the
6
same
fiscal
year.
7
Sec.
92.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
8
deemed
of
immediate
importance,
takes
effect
upon
enactment.
9
Sec.
93.
RETROACTIVE
APPLICABILITY.
This
division
of
this
10
Act
applies
retroactively
to
July
1,
2018.
11
DIVISION
XVII
12
HOSPITAL
HEALTH
CARE
ACCESS
ASSESSMENT
PROGRAM
FUTURE
REPEAL
13
Sec.
94.
Section
249M.5,
Code
2019,
is
amended
to
read
as
14
follows:
15
249M.5
Future
repeal.
16
This
chapter
is
repealed
July
1,
2019
2021
.
17
Sec.
95.
EFFECTIVE
DATE.
This
division
of
this
Act,
being
18
deemed
of
immediate
importance,
takes
effect
upon
enactment.
19
EXPLANATION
20
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
21
the
explanation’s
substance
by
the
members
of
the
general
assembly.
22
This
bill
relates
to
appropriations
for
health
and
human
23
services
for
fiscal
years
2019-2020
and
2020-2021
to
the
24
department
of
veterans
affairs,
Iowa
veterans
home,
department
25
on
aging
(IDA),
office
of
long-term
care
ombudsman,
department
26
of
public
health
(DPH),
Iowa
finance
authority,
department
of
27
human
rights,
and
department
of
human
services
(DHS).
The
bill
28
is
organized
into
divisions
for
each
fiscal
year.
29
DEPARTMENT
ON
AGING.
This
division
makes
appropriations
30
from
the
general
fund
of
the
state
to
the
department
on
aging.
31
OFFICE
OF
LONG-TERM
CARE
OMBUDSMAN.
This
division
makes
32
appropriations
from
the
general
fund
of
the
state
to
the
office
33
of
long-term
care
ombudsman.
34
DEPARTMENT
OF
PUBLIC
HEALTH.
This
division
makes
35
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appropriations
from
the
general
fund
of
the
state
to
the
1
department
of
public
health.
2
DEPARTMENT
OF
VETERANS
AFFAIRS
AND
IOWA
VETERANS
HOME.
This
3
division
makes
appropriations
from
the
general
fund
of
the
4
state
to
the
department
of
veterans
affairs
for
administration,
5
the
Iowa
veterans
home,
for
transfer
to
the
Iowa
finance
6
authority
for
the
home
ownership
assistance
program,
and
for
7
the
county
commissions
of
veteran
affairs.
8
DEPARTMENT
OF
HUMAN
SERVICES.
This
division
makes
9
appropriations
from
the
general
fund
of
the
state
and
the
10
federal
temporary
assistance
for
needy
families
block
11
grant
to
DHS.
The
allocation
for
the
family
development
12
and
self-sufficiency
grant
program
is
made
directly
to
13
the
department
of
human
rights.
The
reimbursement
section
14
addresses
reimbursement
for
providers
reimbursed
by
the
15
department
of
human
services.
16
HEALTH
CARE
ACCOUNTS
AND
FUNDS.
This
division
makes
certain
17
health-related
appropriations.
A
number
of
the
appropriations
18
are
made
for
purposes
of
the
Medicaid
program
in
addition
to
19
the
general
fund
appropriations
made
for
this
purpose
for
the
20
same
fiscal
year.
21
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