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House File 726 - IntroducedA Bill ForAn Act 1relating to services, treatment, research, education,
2and other activities relating to substance use disorder,
3mental health, and other conditions including opioid
4addiction and providing appropriations.
5BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
1 Section 1. IOWA BOARD OF PHARMACY — REDUCTION OF OPIOID
2MISUSE OR OVERUSE — OPIOID SETTLEMENT.
31. There is appropriated from the opioid settlement fund
4created in section 12.51 to the board of pharmacy for the
5fiscal year beginning July 1, 2023, and ending June 30, 2024,
6the following amounts, or so much thereof as is necessary, for
7the purposes designated:
8a. For the board of pharmacy to integrate the state’s
9prescription monitoring program with health care providers’
10electronic medical record or pharmacy dispensing systems to
11allow a seamless connection between the prescription monitoring
12program and those systems:
.................................................. $1360,000
14b. For the board of pharmacy to implement the opioid and
15naloxone education (ONE) program to provide resources to
16pharmacists to educate patients regarding opioid misuse and
17accidental overdose in order to decrease opioid prescription
18rates and the related addiction and overdose deaths in the
19state:
.................................................. $20450,000
212. If sufficient funds are not available through the opioid
22settlement fund created in section 12.51, there is appropriated
23from the Iowa coronavirus fiscal recovery fund created in
24section 8.57G to the board of pharmacy for the fiscal year
25beginning July 1, 2023, and ending June 30, 2024, an amount
26sufficient to provide the total amounts specified under
27subsection 1 for the purposes designated under this section.
283. Notwithstanding section 8.33, moneys appropriated in
29this section that remain unencumbered or unobligated at the
30close of the fiscal year shall not revert but shall remain
31available for the purposes designated until expended.
32 Sec. 2. INCREASED ACCESS TO NALOXONE — OPIOID SETTLEMENT.
331. There is appropriated from the opioid settlement fund
34created in section 12.51 for deposit in the opioid antagonist
35medication fund created in section 135.190A for the fiscal year
-1-1beginning July 1, 2023, and ending June 30, 2024, the following
2amount, or so much thereof as is necessary, for the purpose
3designated:
.................................................. $4250,000
52. The department of health and human services shall utilize
6the moneys appropriated for deposit under this section for the
7purchase, provision, maintenance, and replacement of opioid
8antagonist medication administered by first responders to
9persons experiencing an opioid-related overdose and to county
10health departments for distribution to accredited schools and
11institutions of higher education upon request.
123. If sufficient funds are not available through the
13opioid settlement fund created in section 12.51, there is
14appropriated from the Iowa coronavirus fiscal recovery fund
15created in section 8.57G for deposit in the opioid antagonist
16medication fund created in section 135.190A for the fiscal year
17beginning July 1, 2023, and ending June 30, 2024, for direct
18appropriation to the department of health and human services
19for the fiscal year beginning July 1, 2023, and ending June
2030, 2024, an amount sufficient to provide the total amount
21specified under subsection 1 for the purposes designated under
22this section.
234. Notwithstanding section 8.33, moneys appropriated in
24this section that remain unencumbered or unobligated at the
25close of the fiscal year shall not revert but shall remain
26available for the purposes designated until expended.
27 Sec. 3. SUBSTANCE USE DISORDER RECOVERY HIGH SCHOOLS —
28OPIOID SETTLEMENT.
291. There is appropriated from the opioid settlement fund
30created in section 12.51 to the department of health and human
31services for the fiscal year beginning July 1, 2023, and ending
32June 30, 2024, the following amount, or so much thereof as is
33necessary, for the purpose designated:
.................................................. $3450,000
352. The department of health and human services, in
-2-1collaboration with the department of education, shall study
2and make recommendations regarding the establishment of one or
3more public or private recovery high schools in Iowa designed
4for the education of students in recovery from substance
5use disorders or dependency or co-occurring disorders such
6as anxiety, depression, or attention deficit hyperactivity
7disorder. Such schools shall meet state requirements for
8awarding a secondary school diploma and support students
9engaged in a program of recovery. The department of health
10and human services shall complete the study and submit its
11recommendations to the governor and the general assembly by
12November 1, 2023. The recommendations shall include provisions
13for students to be eligible for education savings accounts
14without regard to family financial capacity.
153. If sufficient funds are not available through the opioid
16settlement fund created in section 12.51, there is appropriated
17from the Iowa coronavirus fiscal recovery fund created in
18section 8.57G for the fiscal year beginning July 1, 2023, and
19ending June 30, 2024, to the department of health and human
20services an amount sufficient to provide the total amount
21specified under subsection 1 for the purposes designated under
22this section.
234. Notwithstanding section 8.33, moneys appropriated in
24this section that remain unencumbered or unobligated at the
25close of the fiscal year shall not revert but shall remain
26available for the purposes designated until expended.
27 Sec. 4. SUBSTANCE USE DISORDER — PERSONS COMMITTED
28TO CORRECTIONAL INSTITUTIONS AND COUNTY JAILS — OPIOID
29SETTLEMENT.
301. a. There is appropriated from the opioid settlement
31fund created in section 12.51 to the department of health and
32human services, annually, an amount sufficient to implement
33this section.
34b. The department of health and human services shall
35transfer the amount appropriated under this section to the
-3-1department of corrections for use in subsidizing the costs of
2providing medication-assisted treatment to persons committed to
3department of corrections institutions or county jails being
4treated for opioid use disorder to purchase state-of-the-art
5urine sample cups for use in the drug monitoring programs and
6to fund efforts to fight hepatitis C, a potentially devastating
7but curable disease spread through intravenous needle use of
8opioids and other drugs in prison populations. If a county
9is receiving opioid settlement funds to otherwise cover the
10costs of medication-assisted treatment, the county shall match
11the funding provided under this section on a dollar-for-dollar
12basis.
132. If sufficient funds are not available through the
14opioid settlement fund created in section 12.51, there is
15appropriated from the Iowa coronavirus fiscal recovery fund
16created in section 8.57G to the department of health and human
17services for transfer to the department of corrections for the
18fiscal year beginning July 1, 2023, and ending June 30, 2024,
19an amount sufficient for the purposes designated under this
20section.
213. Notwithstanding section 8.33, moneys appropriated in
22this section that remain unencumbered or unobligated at the
23close of the fiscal year shall not revert but shall remain
24available for the purposes designated until expended.
25 Sec. 5. VETERANS COURTS — OPIOID SETTLEMENT.
261. There is appropriated from the opioid settlement fund
27created in section 12.51 to the department of veterans affairs
28for the fiscal year beginning July 1, 2023, and ending June 30,
292024, the following amount, or so much thereof as is necessary,
30for the purpose designated:
.................................................. $311,000,000
322. a. The moneys appropriated under this section shall
33be transferred to the judicial branch to establish a veterans
34court with a full-time outreach coordinator in each judicial
35district to provide court services to veterans and to integrate
-4-1court sanctions and incentives with substance use disorder
2treatment, mental health treatment, and transitional services
3for veterans in a judicially supervised setting.
4b. It is the intent of the general assembly that the
5jurisdiction of the veterans court may be exercised by any
6district judge and by any district associate judge who is
7designated by the chief judge of a judicial district as a judge
8of the veterans court. The chief judge shall designate one
9or more district judges and district associate judges to act
10as judges of the veterans court for a judicial district. The
11chief judge may designate a veterans court judge to preside in
12more than one county.
133. If sufficient funds are not available through the opioid
14settlement fund created in section 12.51, there is appropriated
15from the Iowa coronavirus fiscal recovery fund created in
16section 8.57G for the fiscal year beginning July 1, 2023, and
17ending June 30, 2024, to the department of veterans affairs for
18transfer to the judicial branch an amount sufficient to provide
19the total amount specified under subsection 1 for the purposes
20designated under this section.
214. Notwithstanding section 8.33, moneys appropriated in
22this section that remain unencumbered or unobligated at the
23close of the fiscal year shall not revert but shall remain
24available for the purposes designated until expended.
25 Sec. 6. STATE EMPLOYEE BENEFITS — SUBSTANCE USE DISORDER
26BENEFITS — USE OF OPIOIDS — OPIOID SETTLEMENT.
271. a. There is appropriated from the opioid settlement fund
28created in section 12.51 to the department of administrative
29services for the fiscal year beginning July 1, 2023, and ending
30June 30, 2024, the following amount, or so much thereof as is
31necessary, for the purposes designated:
.................................................. $32100,000
33b. The department of administrative services, in cooperation
34with any health insurance plans or health plan administrators
35of benefits extended to state employees, shall utilize the
-5-1funds appropriated in this subsection to create a model
2benefit plan designed to incentivize or otherwise promote the
3effective, evidence-based prescription and use of opioids to
4members receiving benefits through state plans, document the
5current use of benefits for substance use disorders, identify
6gaps or unnecessary restrictions in coverage, and expand
7access to evidence-based treatments and therapies, including
8nonpharmacological treatments.
93. If sufficient funds are not available through the opioid
10settlement fund created in section 12.51, there is appropriated
11from the Iowa coronavirus fiscal recovery fund created in
12section 8.57G to the department of administrative services
13for the fiscal year beginning July 1, 2023, and ending June
1430, 2024, an amount sufficient to provide the total amount
15specified under subsection 1 for the purposes designated under
16this section.
174. Notwithstanding section 8.33, moneys appropriated in
18this section that remain unencumbered or unobligated at the
19close of the fiscal year shall not revert but shall remain
20available for the purposes designated until expended.
21 Sec. 7. MEDICAID RECIPIENTS — SUBSTANCE USE DISORDER
22BENEFITS — USE OF OPIOIDS — OPIOID SETTLEMENT.
231. a. There is appropriated from the opioid settlement fund
24created in section 12.51 to the department of health and human
25services for the fiscal year beginning July 1, 2023, and ending
26June 30, 2024, the following amount, or so much thereof as is
27necessary, for the purposes designated:
.................................................. $28100,000
29b. The department of health and human services, in
30cooperation with Medicaid managed care organizations, shall
31utilize the funds appropriated under this section to design
32benefit plans to incentivize or otherwise promote the
33effective, evidence-based prescription and use of opioids to
34Medicaid recipients, document the current use of benefits
35for substance use disorders, identify gaps or unnecessary
-6-1restrictions in coverage, and expand access to evidence-based
2treatment and therapies, including nonpharmacological
3treatments. The department shall seek any Medicaid state plan
4amendment or waiver necessary to administer this subsection.
52. If sufficient funds are not available through the opioid
6settlement fund created in section 12.51, there is appropriated
7from the Iowa coronavirus fiscal recovery fund created in
8section 8.57G to the department of health and human services
9for the fiscal year beginning July 1, 2023, and ending June
1030, 2024, an amount sufficient to provide the total amount
11specified under subsection 1 for the purposes designated under
12this section.
133. Notwithstanding section 8.33, moneys appropriated in
14this section that remain unencumbered or unobligated at the
15close of the fiscal year shall not revert but shall remain
16available for the purposes designated until expended.
17 Sec. 8. SUBSTANCE USE DISORDER AND OPIOID USE RESEARCH AND
18EDUCATION — OPIOID SETTLEMENT.
191. There is appropriated from the opioid settlement fund
20created in section 12.51 to the following entities for the
21fiscal year beginning July 1, 2023, and ending June 30, 2024,
22the following amounts, or so much thereof as is necessary, for
23the purposes designated:
24a. To the department of health and human services:
25(1) To contract with the Iowa health care collaborative to
26do all of the following:
27(a) To develop and pilot protocols for the treatment
28of emergency room patients experiencing opioid or heroin
29overdoses, including the provision of peer counseling and
30advocacy:
.................................................. $31100,000
32(b) To reduce opioid exposure by educating doctors and
33hospitals, especially in rural areas, to adopt the enhanced
34recovery after surgery (ERAS) principles:
.................................................. $35100,000
-7- 1(2) For the psychiatric residency programs involved
2with coordinated, collaborative care at newly established,
3community-based behavioral health treatment facilities offering
4residential substance use disorder treatment for twenty-nine
5days or more:
.................................................. $61,000,000
7(3) To pilot the establishment and operation of three
8community-based syringe service programs developed to provide
9substance use prevention and response including linkages
10to substance use disorder treatment; vaccination, testing,
11and access to care for infectious diseases; and access to,
12education regarding the safe utilization of, and proper
13disposal of, fentanyl test strips, sterile syringes, and
14injection equipment:
.................................................. $15450,000
16The pilot program supported with the funding appropriated
17under this subparagraph is conditioned on the implementation
18of written agreements with local law enforcement agencies
19and county attorneys to refrain from charging or prosecuting
20program sponsors or participants for violations of section
21124.414.
22b. To the state board of regents:
23(1) To fund research on medication-assisted treatment for
24substance use disorders conducted at the university of Iowa
25college of public health to identify variability in outcomes,
26demonstrate efficacy of treatment, and refine evidence-based
27protocols:
.................................................. $28500,000
29(2) To fund research and education conducted at the
30university of Iowa Carver college of medicine for the
31nonnarcotic treatment of pain:
.................................................. $321,000,000
33c. To the department of public safety to establish and
34direct a task force, in collaboration with the department of
35health and human services, to make recommendations, based on
-8-1public health principles, to restructure the response of the
2state’s health and justice systems to illicit drug use and to
3individuals suffering from substance use disorders:
.................................................. $4500,000
5The department of public safety shall submit a report of the
6recommendations specified in this paragraph “c” to the governor
7and the general assembly by July 1, 2024.
82. If sufficient funds are not available through the opioid
9settlement fund created in section 12.51, there is appropriated
10from the Iowa coronavirus fiscal recovery fund created in
11section 8.57G to the entities specified in subsection 1,
12for the fiscal year beginning July 1, 2023, and ending June
1330, 2024, a sufficient amount to provide the total amounts
14specified to the entities specified under subsection 1 for the
15purposes designated under this section.
163. Notwithstanding section 8.33, moneys appropriated in
17this section that remain unencumbered or unobligated at the
18close of the fiscal year shall not revert but shall remain
19available for the purposes designated until the close of the
20succeeding fiscal year.
21 Sec. 9. PUBLIC HEALTH STRUCTURE AND INFRASTRUCTURE AND
22SUBSTANCE USE DISORDER PREVENTION AND TREATMENT — OPIOID
23SETTLEMENT.
241. There is appropriated from the opioid settlement fund
25created in section 12.51 to the university of Iowa college of
26public health for the fiscal year beginning July 1, 2023, and
27ending June 30, 2024, the following amounts, or so much thereof
28as is necessary, for the purposes designated:
29a. To conduct a comprehensive review and evaluation of
30the existing public health structure and infrastructure in
31Iowa, and to make recommendations for policy and funding to
32improve capacity of the state and local communities to address
33substance use and related issues:
.................................................. $34250,000
35b. To coordinate increased, systematic efforts with local
-9-1public health authorities to address the personal behaviors,
2societal conditions, and lack of access to services that are
3identified as risk factors for substance use disorders and
4related co-occurring health conditions:
.................................................. $51,000,000
6The amount appropriated may be used to provide grants to
7county boards of health to implement evidence-based community
8programming, policies, and collaborative projects with health
9care providers to address the identified risk factors.
10c. To provide paid internships for college of public
11health students paired with local health departments to
12support the development of local public health infrastructure,
13conduct community health needs assessments, and assist in
14the successful implementation of health improvement plans to
15address substance use disorders and co-occurring brain health
16and related conditions:
.................................................. $17500,000
182. If sufficient funds are not available through the
19opioid settlement fund created in section 12.51 to satisfy the
20appropriations under subsection 1, there is appropriated from
21the Iowa coronavirus fiscal recovery fund created in section
228.57G to the university of Iowa college of public health
23for the fiscal year beginning July 1, 2023, and ending June
2430, 2024, a sufficient amount to provide the total amounts
25specified under subsection 1 for the purposes designated under
26this section.
273. Notwithstanding section 8.33, moneys appropriated in
28this section that remain unencumbered or unobligated at the
29close of the fiscal year shall not revert but shall remain
30available for the purposes designated until the close of the
31succeeding fiscal year.
32 Sec. 10. SUBSTANCE USE DISORDER — RECOVERY HOUSING —
33SUPPORTIVE SERVICES — OPIOID SETTLEMENT.
341. a. There is appropriated from the opioid settlement fund
35created in section 12.51 to the department of health and human
-10-1services for the fiscal year beginning July 1, 2023, and ending
2June 30, 2024, the following amount, or so much thereof as is
3necessary, for the purpose designated:
.................................................. $42,000,000
5b. Moneys appropriated under this section shall be used
6by the department, in collaboration with the Iowa finance
7authority and community-based organizations, to engage in work
8to increase the availability of recovery housing throughout the
9state. The moneys shall be distributed as grants to recovery
10housing providers whose application for assistance is in
11accordance with a county community health needs assessment and
12health improvement plan. If a county is otherwise receiving
13opioid settlement funds, the county shall match the grant
14funding provided under this section on a dollar-for-dollar
15basis.
162. If sufficient funds are not available through the
17opioid settlement fund created in section 12.51 to satisfy the
18appropriations under subsection 1, there is appropriated from
19the Iowa coronavirus fiscal recovery fund created in section
208.57G to the department of health and human services for the
21fiscal year beginning July 1, 2023, and ending June 30, 2024, a
22sufficient amount to provide the total amount specified under
23subsection 1 for the purposes designated under this section.
243. Notwithstanding section 8.33, moneys appropriated in
25this section that remain unencumbered or unobligated at the
26close of the fiscal year shall not revert but shall remain
27available for the purposes designated until the close of the
28succeeding fiscal year.
29 Sec. 11. COMPREHENSIVE STUDY AND REPORT OF SUBSTANCE USE
30DISORDER TREATMENT COVERAGE, UTILIZATION, AND EXPENDITURES —
31OPIOID SETTLEMENT.
321. a. There is appropriated from the opioid settlement
33fund created in section 12.51 to the department of insurance
34and financial services for the fiscal year beginning July 1,
352023, and ending June 30, 2024, the following amount, or so
-11-1much thereof as is necessary, for the purposes designated:
.................................................. $2100,000
3b. The department of insurance and financial services shall
4utilize the funds appropriated under this subsection to perform
5a comprehensive study and prepare a comprehensive report on
6insurance coverage and payment policies for services related
7to the treatment of substance use disorders by commercial
8insurance companies and self-funded plans, as well as data
9on current utilization and expenditures associated with such
10benefit plans. The report shall be submitted to the general
11assembly by January 1, 2024.
122. If sufficient funds are not available through the opioid
13settlement fund created in section 12.51, there is appropriated
14from the Iowa coronavirus fiscal recovery fund created in
15section 8.57G to the department of insurance and financial
16services for the fiscal year beginning July 1, 2023, and ending
17June 30, 2024, an amount sufficient to provide the total amount
18specified under subsection 1 for the purposes designated under
19this section.
203. Notwithstanding section 8.33, moneys appropriated in
21this section that remain unencumbered or unobligated at the
22close of the fiscal year shall not revert but shall remain
23available for the purposes designated until the close of the
24succeeding fiscal year.
25 Sec. 12. TASK FORCE ON AN INTEGRATED SYSTEM FOR PREVENTION,
26TREATMENT, RECOVERY, AND RESOURCES — APPROPRIATIONS.
271. a. The director of health and human services
28shall convene a task force to research and develop policy
29recommendations to implement an integrated behavioral health
30and substance use disorder system and services structure that
31blends funding in the areas of prevention, treatment, recovery,
32and resources.
33b. The task force shall include the director of health
34and human services, appropriate departmental personnel, two
35representatives of each mental health and disability services
-12-1region appointed by the region, and three experts each
2representing the fields of prevention, treatment, and recovery
3selected by the department based on recommendations from the
4mental health and disability services region chief executive
5officers.
6c. The task force shall submit a report to the governor
7and the general assembly by June 30, 2024, including
8recommendations that address all of the following:
9(1) Prevention policy, including measures to ensure
10consistent and sustained funding for prevention activities,
11enhanced early intervention techniques, and a plan for
12well-rounded prevention programs that address alcohol,
13methamphetamine, opioid use, and co-occurring disorders.
14(2) Treatment policy, built on the premise that
15co-occurring issues are the norm rather than the exception,
16and includes methods to deliver services through integrated
17care models that regulate team-based care or close coordination
18between providers, use of dual treatment planning methods,
19standards for counselors to attain and practice with dual
20certification, licensure solutions for dual programs and
21practitioners, and effective treatment modalities for
22short-term and long-term outcomes.
23(3) Recovery policy, including practices to integrate
24co-occurring approaches in mobile crisis response and other
25crisis services, implementation of harm reduction practices,
26integration of feasible medication strategies to support
27mental health issues in alignment with substance use disorder
28recovery, and incentive programs to support recovery efforts.
29(4) Resource deployment policy including all of the
30following:
31(a) The combining and leveraging of state, regional,
32and local partnerships to optimize opioid settlement funds
33available to the state and counties.
34(b) Allocation of federal substance abuse and mental health
35services administration block grants for substance abuse
-13-1prevention and treatment and community mental health services.
2(c) Other related federal government and private funding
3opportunities.
4(5) Provisions for peer support workers consistent with
5the guidance of the federal substance abuse and mental health
6services administration’s bringing recovery supports to scale
7technical assistance center strategy.
8(6) Opportunities through the alignment of the department
9of health and human services to integrate the fragmented
10behavioral health and substance use disorder services systems
11into a system of comprehensive, whole-person care, that
12utilizes public funding more efficiently and increases the
13return on investment through enhanced community health for all
14Iowans.
152. There is appropriated from the opioid settlement fund
16created in section 12.51 to the department of health and
17human services, for task force support for the fiscal year
18beginning July 1, 2023, and ending June 30, 2024, the following
19amount, or so much thereof as is necessary, for the purposes
20designated:
.................................................. $21150,000
22The task force shall approve any contract for external
23assistance to the task force.
243. a. There is appropriated from the opioid settlement
25fund created in section 12.51 to the department of health and
26human services, for the fiscal year beginning July 1, 2024, and
27ending June 30, 2025, the following amount, or so much thereof
28as is necessary for the purposes designated:
.................................................. $2910,000,000
30b. For dollar-for-dollar matching grants to mental health
31and disability services regions to be used for long-term
32residential treatment and recovery services for persons
33diagnosed with one or more disorders including a substance use
34disorder in accordance with the recommendations of the task
35force convened under this section.
-14- 1c. Notwithstanding section 8.33, moneys appropriated in
2this subsection that remain unencumbered or unobligated at the
3close of the fiscal year shall not revert but shall remain
4available for the purposes designated until expended.
5 Sec. 13. IOWA FINANCE AUTHORITY — TRANSITIONAL HOUSING
6FOR ELIGIBLE SERVICE MEMBERS. There is appropriated from the
7opioid settlement fund established in section 12.51 to the
8Iowa finance authority for the fiscal year beginning July 1,
92023, and ending June 30, 2024, the following amount, or so
10much thereof as is necessary, to be used for the purposes
11designated:
12To provide grants, low-interest loans, and loan guarantees
13to veteran-led nonprofit organizations:
.................................................. $144,300,000
151. Amounts appropriated pursuant to this section shall be
16distributed to veteran-led nonprofit organizations provided
17that the organization meets all of the following conditions:
18a. The funds will be used to purchase land, construct
19housing, or furnish housing for the purpose of providing
20transitional housing to homeless veterans.
21b. The veterans receiving transitional housing benefits
22pursuant to paragraph “a” are suffering from or are at risk of
23opioid or other substance abuse disorder, post-traumatic stress
24disorder, or another mental illness or life disruption as the
25Iowa finance authority, in consultation with the department
26of health and human services and the department of veterans
27affairs, deems appropriate.
28c. The funds are used as a part of a wraparound health
29and social services program provided by or through the
30organization.
312. Notwithstanding section 8.33, moneys appropriated in
32this section that remain unencumbered or unobligated at the
33close of the fiscal year shall not revert but shall remain
34available for expenditure for the purposes designated until the
35close of the succeeding fiscal year.
-15-1EXPLANATION
2The inclusion of this explanation does not constitute agreement with
3the explanation’s substance by the members of the general assembly.
4This bill relates to services, treatment, research,
5education, and other activities relating to substance use
6disorders, mental health, and other conditions, including those
7relating to opioids, and provides appropriations.
8BOARD OF PHARMACY. The bill appropriates funds from the
9opioid settlement fund created in Code section 12.51 to the
10board of pharmacy for fiscal year 2023-2024 for the board of
11pharmacy to integrate the state’s prescription monitoring
12program with health care providers’ electronic medical record
13or pharmacy dispensing systems to allow a seamless connection
14between the prescription monitoring program and those systems;
15and for the board of pharmacy to implement the opioid and
16naloxone education (ONE) program to provide resources to
17pharmacists to educate patients regarding opioid misuse and
18accidental overdose in order to decrease opioid prescription
19rates and the related addiction and overdose deaths in the
20state. If sufficient funds are not available through the
21opioid settlement fund to satisfy the appropriations, there is
22appropriated from the Iowa coronavirus fiscal recovery fund
23created in Code section 8.57G to the board of pharmacy for
24fiscal year 2023-2024, an amount sufficient to provide the
25total amounts specified for the purposes designated. Funds
26appropriated shall not revert but shall remain available until
27the close of the succeeding fiscal year.
28ACCESS TO NALOXONE. The bill appropriates funds from the
29opioid settlement fund for deposit in the opioid antagonist
30medication fund created in Code section 135.190A for fiscal
31year 2023-2024 to be used by the department of health and human
32services (HHS) for the purchase, provision, maintenance, and
33replacement of opioid antagonist medication administered by
34first responders to persons experiencing an opioid-related
35overdose and to county health departments for distribution to
-16-1accredited schools and institutions of higher education upon
2request. If sufficient funds are not available through the
3opioid settlement fund to satisfy the appropriation, there
4is appropriated from the Iowa coronavirus fiscal recovery
5fund for fiscal year 2023-2024 for deposit in the opioid
6antagonist medication fund an amount sufficient to provide the
7total amount specified for the purposes designated. Funds
8appropriated shall not revert but shall remain available until
9the close of the succeeding fiscal year.
10RECOVERY HIGH SCHOOLS. The bill appropriates funds from the
11opioid settlement fund to HHS for fiscal year 2023-2024 to be
12used by HHS in collaboration with the department of education
13to study and make recommendations regarding the establishment
14of one or more public or private recovery high schools in
15Iowa designed for the education of students in recovery from
16substance use disorders or dependency or co-occurring disorders
17such as anxiety, depression, or attention deficit hyperactivity
18disorder. The schools must meet state requirements for
19awarding a secondary school diploma and support students
20engaged in a program of recovery. The department of health
21and human services shall complete the study and submit its
22recommendations to the governor and the general assembly by
23November 1, 2023. The recommendations shall include provisions
24for students to be eligible for education savings accounts
25without regard to family financial capacity. If sufficient
26funds are not available through the opioid settlement fund to
27satisfy the appropriation, there is appropriated from the Iowa
28coronavirus fiscal recovery fund for fiscal year 2023-2024 to
29HHS an amount sufficient to provide the total amount specified
30for the purposes designated. Funds appropriated shall not
31revert but shall remain available until the close of the
32succeeding fiscal year.
33CORRECTIONAL INSTITUTIONS AND COUNTY JAILS. The bill
34appropriates funds from the opioid settlement fund to
35HHS for fiscal year 2023-2024 for HHS to transfer to the
-17-1department of corrections for use in subsidizing the costs of
2providing medication-assisted treatment to persons confined
3to correctional institutions or county jails being treated
4for opioid use disorder, to purchase state-of-the-art urine
5sample cups for use in the drug monitoring programs, and to
6fund efforts to fight hepatitis C, a potentially devastating
7but curable disease spread through intravenous needle use
8of opioids and other drugs in prison populations. For
9counties, the funding is subject to a dollar-to-dollar match of
10county opioid settlement funds. If sufficient funds are not
11available through the opioid settlement fund to satisfy the
12appropriation, there is appropriated from the Iowa coronavirus
13fiscal recovery fund to HHS for transfer to the department of
14corrections for fiscal year 2023-2024 an amount sufficient to
15provide the total amount specified for the purposes designated.
16Funds appropriated shall not revert but shall remain available
17until the close of the succeeding fiscal year.
18VETERANS COURTS. The bill appropriates funds from the
19opioid settlement fund to the department of veterans affairs
20for fiscal year 2023-2024 to be transferred to the judicial
21branch to establish a veterans court with a full-time outreach
22coordinator in each judicial district to provide court services
23to veterans and to integrate court sanctions and incentives
24with substance use disorder treatment, mental health treatment,
25and transitional services for veterans in a judicially
26supervised setting. The jurisdiction of the veterans court
27may be exercised by any district judge and by any district
28associate judge who is designated by the chief judge of a
29judicial district as a judge of the veterans court. The chief
30judge shall designate one or more district judges and district
31associate judges to act as judges of the veterans courts for a
32judicial district. The chief judge may designate a veterans
33court judge to preside in more than one county. If sufficient
34funds are not available through the opioid settlement fund to
35satisfy the appropriation, there is appropriated from the Iowa
-18-1coronavirus fiscal recovery fund for fiscal year 2023-2024 to
2the department of veterans affairs for transfer to the judicial
3branch an amount sufficient to provide the total amount
4specified for the purposes designated. Funds appropriated
5shall not revert but shall remain available until the close of
6the succeeding fiscal year.
7STATE EMPLOYEE BENEFITS. The bill appropriates funds from
8the opioid settlement fund to the department of administrative
9services (DAS) for fiscal year 2023-2024 to be used by DAS
10in cooperation with any health insurance plans or health
11plan administrators of benefits extended to state employees
12to create a model benefit plan designed to incentivize or
13otherwise promote the effective, evidence-based prescription
14and use of opioids to members receiving benefits through state
15plans, document the current use of benefits for substance
16use disorders, identify gaps or unnecessary restrictions in
17coverage, and expand access to evidence-based treatments
18and therapies, including nonpharmacological treatments.
19If sufficient funds are not available through the opioid
20settlement fund to satisfy the appropriation, there is
21appropriated from the Iowa coronavirus fiscal recovery fund to
22DAS for fiscal year 2023-2024 an amount sufficient to provide
23the total amount specified for the purposes designated. Funds
24appropriated shall not revert but shall remain available until
25the close of the succeeding fiscal year.
26MEDICAID RECIPIENTS. The bill appropriates funds from
27the opioid settlement fund to HHS for fiscal year 2023-2024
28to be used by HHS, in cooperation with Medicaid managed care
29organizations, to design benefit plans to incentivize or
30otherwise promote the effective, evidence-based prescription
31and use of opioids to Medicaid recipients, document the
32current use of benefits for substance use disorders, identify
33gaps or unnecessary restrictions in coverage, and expand
34access to evidence-based treatment and therapies, including
35nonpharmacological treatments. The department of health and
-19-1human services shall seek any Medicaid state plan amendment
2or waiver necessary to administer this provision of the
3bill. If sufficient funds are not available through the
4opioid settlement fund to satisfy the appropriation, there is
5appropriated from the Iowa coronavirus fiscal recovery fund to
6HHS for fiscal year 2023-2024 an amount sufficient to provide
7the total amount specified for the purposes designated. Funds
8appropriated shall not revert but shall remain available until
9the close of the succeeding fiscal year.
10RESEARCH AND EDUCATION. The bill appropriates funds
11from the opioid settlement fund to HHS, the state board
12of regents, and the department of public safety. The
13appropriation to HHS is to contract with the Iowa health
14care collaborative to develop and pilot protocols for the
15treatment of emergency room patients experiencing opioid or
16heroin overdoses, including the provisions of peer counseling
17and advocacy and to reduce opioid exposure by educating
18doctors and hospitals, especially in rural areas, to adopt
19the enhanced recovery after surgery (ERAS) principles; for
20the psychiatric residency programs involved with coordinated,
21collaborative care at newly established, community-based
22behavioral health treatment facilities offering residential
23substance use disorder treatment for 29 days or more; and to
24pilot the establishment and operation of three community-based
25syringe service programs, conditioned on the implementation
26of written agreements with local law enforcement agencies
27and county attorneys to refrain from charging or prosecuting
28program sponsors or participants for violations of Code
29section 124.414 (drug paraphernalia). The appropriation to
30the state board of regents is to be used to fund research
31on medication-assisted treatment for substance use disorders
32conducted at the university of Iowa college of public health
33to identify variability in outcomes, demonstrate efficacy of
34treatment, and refine evidence-based protocols; and to fund
35research and education conducted at the university of Iowa
-20-1Carver college of medicine for the nonnarcotic treatment
2of pain. The appropriation to the department of public
3safety is to be used to establish and direct a task force,
4in collaboration with HHS, to make recommendations, based on
5public health principles, to restructure the response of the
6state’s health and justice systems to illicit drug use and to
7individuals suffering from substance use disorders, with a
8report submitted to the governor and the general assembly by
9July 1, 2024. If sufficient funds are not available through
10the opioid settlement fund to satisfy the appropriations, there
11is appropriated from the Iowa coronavirus fiscal recovery
12fund created in section 8.57G, to the entities specified for
13fiscal year 2023-2024, sufficient amounts to provide the total
14amounts specified to the entities specified for the purposes
15designated. Funds appropriated shall not revert but shall
16remain available until the close of the succeeding fiscal year.
17 PUBLIC HEALTH STRUCTURE AND INFRASTRUCTURE. The bill
18appropriates funds from the opioid settlement fund to the
19university of Iowa college of public health for fiscal year
202023-2024 to conduct a comprehensive review and evaluation of
21the existing public health structure and infrastructure in
22Iowa, and to make recommendations for policy and funding to
23improve capacity of the state and local communities to address
24substance use and related issues; to coordinate increased,
25systematic efforts with local public health authorities to
26address the personal behaviors, societal conditions, and lack
27of access to services that are identified as risk factors
28for substance use disorders and related co-occurring health
29conditions; and to provide paid internships for college of
30public health students paired with local health departments to
31support the development of local public health infrastructure,
32conduct community health needs assessments, and assist in
33the successful implementation of health improvement plans
34to address substance use disorders and co-occurring brain
35health and related conditions. If sufficient funds are not
-21-1available through the opioid settlement fund to satisfy the
2appropriations, there is appropriated from the Iowa coronavirus
3fiscal recovery fund to the university of Iowa college of
4public health for fiscal year 2023-2024 a sufficient amount
5to provide the total amounts specified for the purposes
6designated. Funds appropriated shall not revert but shall
7remain available until the close of the succeeding fiscal year.
8RECOVERY HOUSING. The bill appropriates funds from the
9opioid settlement fund to HHS for fiscal year 2023-2024, to be
10used by HHS, in collaboration with the Iowa finance authority
11and community-based organizations, to engage in work to
12increase the availability of recovery housing throughout the
13state. The moneys shall be distributed as grants to recovery
14housing providers whose application for assistance is in
15accordance with a county community health needs assessment and
16health improvement plan. A county otherwise receiving opioid
17settlement funds shall match the grant funding provided on a
18dollar-for-dollar basis. If sufficient funds are not available
19through the opioid settlement to satisfy the appropriation,
20there is appropriated from the Iowa coronavirus fiscal recovery
21fund to HHS for fiscal year 2023-2024, a sufficient amount to
22provide the total amount specified for the purposes designated.
23Funds appropriated shall not revert but shall remain available
24until the close of the succeeding fiscal year.
25INSURANCE COVERAGE STUDY — REPORT. The bill appropriates
26funds from the opioid settlement fund to the department of
27insurance and financial services, for fiscal year 2023-2024,
28for the department of insurance and financial services to
29perform a comprehensive study and prepare a comprehensive
30report on insurance coverage and payment policies for services
31related to the treatment of substance use disorders by
32commercial insurance companies and self-funded plans, as well
33as data on current utilization and expenditures associated
34with such benefit plans. The report shall be submitted
35to the general assembly by January 1, 2024. If sufficient
-22-1funds are not available through the opioid settlement fund to
2satisfy the appropriation, there is appropriated from the Iowa
3coronavirus fiscal recovery fund to the division of insurance
4of the department of commerce for fiscal year 2023-2024 an
5amount sufficient to provide the total amount specified for the
6purposes designated. Funds appropriated shall not revert but
7shall remain available until the close of the succeeding fiscal
8year.
9INTEGRATED SYSTEM FOR PREVENTION, TREATMENT, RECOVERY, AND
10RESOURCES. The bill requires the director of health and human
11services to convene a task force to develop recommendations
12regarding an integrated system for prevention, treatment,
13recovery, and resources. The bill specifies the membership
14of the task force, and requires the task force to submit a
15report to the governor and the general assembly by June 30,
162024, specifying recommendations for an integrated system
17that blends funding and provides an efficient system of
18comprehensive, whole-person care. The bill appropriates
19funding from the opioid settlement fund to support the task
20force and provides that the task force shall approve any
21contract for external assistance to the task force. The
22bill appropriates funds from the opioid settlement fund to
23the department of health and human services for FY 2024-2025
24to provide for dollar-for-dollar matching grants to mental
25health and disability services regions to be used for long-term
26residential treatment and recovery services in accordance with
27the recommendations of the task force. Moneys appropriated
28shall not revert but shall remain available for the purposes
29designated until the close of the succeeding fiscal year.
30TRANSITIONAL HOUSING FOR HOMELESS VETERANS. The bill
31relates to transitional housing for specified homeless
32veterans.
33The bill appropriates $4.3 million from the opioid
34settlement fund to the Iowa finance authority (IFA) for FY
352023-2024 to provide grants, low-interest loans, and loan
-23-1guarantees to veteran-led nonprofit organizations (VNO).
2The bill makes the distribution of such moneys appropriated
3to the IFA contingent on a VNO using the funds to purchase
4land, construct housing, or furnish housing for the purpose of
5providing transitional housing to homeless veterans; ensuring
6the veterans receiving such transitional housing benefits are
7suffering from or are at risk of opioid or other substance
8abuse disorder, post-traumatic stress disorder, or another
9mental illness or life disruption as the IFA, in consultation
10with the department of health and human services and the
11department of veterans affairs, deems appropriate; and that
12the funds are used as a part of a wraparound health and social
13services program provided by or through the VNO.
14All moneys appropriated pursuant to this section of the bill
15that remain unencumbered or unobligated at the close of the
16fiscal year shall not revert but shall remain available for
17expenditure for the purposes designated until the close of the
18succeeding fiscal year.
-24-pf/rn
2and other activities relating to substance use disorder,
3mental health, and other conditions including opioid
4addiction and providing appropriations.
5BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
1 Section 1. IOWA BOARD OF PHARMACY — REDUCTION OF OPIOID
2MISUSE OR OVERUSE — OPIOID SETTLEMENT.
31. There is appropriated from the opioid settlement fund
4created in section 12.51 to the board of pharmacy for the
5fiscal year beginning July 1, 2023, and ending June 30, 2024,
6the following amounts, or so much thereof as is necessary, for
7the purposes designated:
8a. For the board of pharmacy to integrate the state’s
9prescription monitoring program with health care providers’
10electronic medical record or pharmacy dispensing systems to
11allow a seamless connection between the prescription monitoring
12program and those systems:
.................................................. $1360,000
14b. For the board of pharmacy to implement the opioid and
15naloxone education (ONE) program to provide resources to
16pharmacists to educate patients regarding opioid misuse and
17accidental overdose in order to decrease opioid prescription
18rates and the related addiction and overdose deaths in the
19state:
.................................................. $20450,000
212. If sufficient funds are not available through the opioid
22settlement fund created in section 12.51, there is appropriated
23from the Iowa coronavirus fiscal recovery fund created in
24section 8.57G to the board of pharmacy for the fiscal year
25beginning July 1, 2023, and ending June 30, 2024, an amount
26sufficient to provide the total amounts specified under
27subsection 1 for the purposes designated under this section.
283. Notwithstanding section 8.33, moneys appropriated in
29this section that remain unencumbered or unobligated at the
30close of the fiscal year shall not revert but shall remain
31available for the purposes designated until expended.
32 Sec. 2. INCREASED ACCESS TO NALOXONE — OPIOID SETTLEMENT.
331. There is appropriated from the opioid settlement fund
34created in section 12.51 for deposit in the opioid antagonist
35medication fund created in section 135.190A for the fiscal year
-1-1beginning July 1, 2023, and ending June 30, 2024, the following
2amount, or so much thereof as is necessary, for the purpose
3designated:
.................................................. $4250,000
52. The department of health and human services shall utilize
6the moneys appropriated for deposit under this section for the
7purchase, provision, maintenance, and replacement of opioid
8antagonist medication administered by first responders to
9persons experiencing an opioid-related overdose and to county
10health departments for distribution to accredited schools and
11institutions of higher education upon request.
123. If sufficient funds are not available through the
13opioid settlement fund created in section 12.51, there is
14appropriated from the Iowa coronavirus fiscal recovery fund
15created in section 8.57G for deposit in the opioid antagonist
16medication fund created in section 135.190A for the fiscal year
17beginning July 1, 2023, and ending June 30, 2024, for direct
18appropriation to the department of health and human services
19for the fiscal year beginning July 1, 2023, and ending June
2030, 2024, an amount sufficient to provide the total amount
21specified under subsection 1 for the purposes designated under
22this section.
234. Notwithstanding section 8.33, moneys appropriated in
24this section that remain unencumbered or unobligated at the
25close of the fiscal year shall not revert but shall remain
26available for the purposes designated until expended.
27 Sec. 3. SUBSTANCE USE DISORDER RECOVERY HIGH SCHOOLS —
28OPIOID SETTLEMENT.
291. There is appropriated from the opioid settlement fund
30created in section 12.51 to the department of health and human
31services for the fiscal year beginning July 1, 2023, and ending
32June 30, 2024, the following amount, or so much thereof as is
33necessary, for the purpose designated:
.................................................. $3450,000
352. The department of health and human services, in
-2-1collaboration with the department of education, shall study
2and make recommendations regarding the establishment of one or
3more public or private recovery high schools in Iowa designed
4for the education of students in recovery from substance
5use disorders or dependency or co-occurring disorders such
6as anxiety, depression, or attention deficit hyperactivity
7disorder. Such schools shall meet state requirements for
8awarding a secondary school diploma and support students
9engaged in a program of recovery. The department of health
10and human services shall complete the study and submit its
11recommendations to the governor and the general assembly by
12November 1, 2023. The recommendations shall include provisions
13for students to be eligible for education savings accounts
14without regard to family financial capacity.
153. If sufficient funds are not available through the opioid
16settlement fund created in section 12.51, there is appropriated
17from the Iowa coronavirus fiscal recovery fund created in
18section 8.57G for the fiscal year beginning July 1, 2023, and
19ending June 30, 2024, to the department of health and human
20services an amount sufficient to provide the total amount
21specified under subsection 1 for the purposes designated under
22this section.
234. Notwithstanding section 8.33, moneys appropriated in
24this section that remain unencumbered or unobligated at the
25close of the fiscal year shall not revert but shall remain
26available for the purposes designated until expended.
27 Sec. 4. SUBSTANCE USE DISORDER — PERSONS COMMITTED
28TO CORRECTIONAL INSTITUTIONS AND COUNTY JAILS — OPIOID
29SETTLEMENT.
301. a. There is appropriated from the opioid settlement
31fund created in section 12.51 to the department of health and
32human services, annually, an amount sufficient to implement
33this section.
34b. The department of health and human services shall
35transfer the amount appropriated under this section to the
-3-1department of corrections for use in subsidizing the costs of
2providing medication-assisted treatment to persons committed to
3department of corrections institutions or county jails being
4treated for opioid use disorder to purchase state-of-the-art
5urine sample cups for use in the drug monitoring programs and
6to fund efforts to fight hepatitis C, a potentially devastating
7but curable disease spread through intravenous needle use of
8opioids and other drugs in prison populations. If a county
9is receiving opioid settlement funds to otherwise cover the
10costs of medication-assisted treatment, the county shall match
11the funding provided under this section on a dollar-for-dollar
12basis.
132. If sufficient funds are not available through the
14opioid settlement fund created in section 12.51, there is
15appropriated from the Iowa coronavirus fiscal recovery fund
16created in section 8.57G to the department of health and human
17services for transfer to the department of corrections for the
18fiscal year beginning July 1, 2023, and ending June 30, 2024,
19an amount sufficient for the purposes designated under this
20section.
213. Notwithstanding section 8.33, moneys appropriated in
22this section that remain unencumbered or unobligated at the
23close of the fiscal year shall not revert but shall remain
24available for the purposes designated until expended.
25 Sec. 5. VETERANS COURTS — OPIOID SETTLEMENT.
261. There is appropriated from the opioid settlement fund
27created in section 12.51 to the department of veterans affairs
28for the fiscal year beginning July 1, 2023, and ending June 30,
292024, the following amount, or so much thereof as is necessary,
30for the purpose designated:
.................................................. $311,000,000
322. a. The moneys appropriated under this section shall
33be transferred to the judicial branch to establish a veterans
34court with a full-time outreach coordinator in each judicial
35district to provide court services to veterans and to integrate
-4-1court sanctions and incentives with substance use disorder
2treatment, mental health treatment, and transitional services
3for veterans in a judicially supervised setting.
4b. It is the intent of the general assembly that the
5jurisdiction of the veterans court may be exercised by any
6district judge and by any district associate judge who is
7designated by the chief judge of a judicial district as a judge
8of the veterans court. The chief judge shall designate one
9or more district judges and district associate judges to act
10as judges of the veterans court for a judicial district. The
11chief judge may designate a veterans court judge to preside in
12more than one county.
133. If sufficient funds are not available through the opioid
14settlement fund created in section 12.51, there is appropriated
15from the Iowa coronavirus fiscal recovery fund created in
16section 8.57G for the fiscal year beginning July 1, 2023, and
17ending June 30, 2024, to the department of veterans affairs for
18transfer to the judicial branch an amount sufficient to provide
19the total amount specified under subsection 1 for the purposes
20designated under this section.
214. Notwithstanding section 8.33, moneys appropriated in
22this section that remain unencumbered or unobligated at the
23close of the fiscal year shall not revert but shall remain
24available for the purposes designated until expended.
25 Sec. 6. STATE EMPLOYEE BENEFITS — SUBSTANCE USE DISORDER
26BENEFITS — USE OF OPIOIDS — OPIOID SETTLEMENT.
271. a. There is appropriated from the opioid settlement fund
28created in section 12.51 to the department of administrative
29services for the fiscal year beginning July 1, 2023, and ending
30June 30, 2024, the following amount, or so much thereof as is
31necessary, for the purposes designated:
.................................................. $32100,000
33b. The department of administrative services, in cooperation
34with any health insurance plans or health plan administrators
35of benefits extended to state employees, shall utilize the
-5-1funds appropriated in this subsection to create a model
2benefit plan designed to incentivize or otherwise promote the
3effective, evidence-based prescription and use of opioids to
4members receiving benefits through state plans, document the
5current use of benefits for substance use disorders, identify
6gaps or unnecessary restrictions in coverage, and expand
7access to evidence-based treatments and therapies, including
8nonpharmacological treatments.
93. If sufficient funds are not available through the opioid
10settlement fund created in section 12.51, there is appropriated
11from the Iowa coronavirus fiscal recovery fund created in
12section 8.57G to the department of administrative services
13for the fiscal year beginning July 1, 2023, and ending June
1430, 2024, an amount sufficient to provide the total amount
15specified under subsection 1 for the purposes designated under
16this section.
174. Notwithstanding section 8.33, moneys appropriated in
18this section that remain unencumbered or unobligated at the
19close of the fiscal year shall not revert but shall remain
20available for the purposes designated until expended.
21 Sec. 7. MEDICAID RECIPIENTS — SUBSTANCE USE DISORDER
22BENEFITS — USE OF OPIOIDS — OPIOID SETTLEMENT.
231. a. There is appropriated from the opioid settlement fund
24created in section 12.51 to the department of health and human
25services for the fiscal year beginning July 1, 2023, and ending
26June 30, 2024, the following amount, or so much thereof as is
27necessary, for the purposes designated:
.................................................. $28100,000
29b. The department of health and human services, in
30cooperation with Medicaid managed care organizations, shall
31utilize the funds appropriated under this section to design
32benefit plans to incentivize or otherwise promote the
33effective, evidence-based prescription and use of opioids to
34Medicaid recipients, document the current use of benefits
35for substance use disorders, identify gaps or unnecessary
-6-1restrictions in coverage, and expand access to evidence-based
2treatment and therapies, including nonpharmacological
3treatments. The department shall seek any Medicaid state plan
4amendment or waiver necessary to administer this subsection.
52. If sufficient funds are not available through the opioid
6settlement fund created in section 12.51, there is appropriated
7from the Iowa coronavirus fiscal recovery fund created in
8section 8.57G to the department of health and human services
9for the fiscal year beginning July 1, 2023, and ending June
1030, 2024, an amount sufficient to provide the total amount
11specified under subsection 1 for the purposes designated under
12this section.
133. Notwithstanding section 8.33, moneys appropriated in
14this section that remain unencumbered or unobligated at the
15close of the fiscal year shall not revert but shall remain
16available for the purposes designated until expended.
17 Sec. 8. SUBSTANCE USE DISORDER AND OPIOID USE RESEARCH AND
18EDUCATION — OPIOID SETTLEMENT.
191. There is appropriated from the opioid settlement fund
20created in section 12.51 to the following entities for the
21fiscal year beginning July 1, 2023, and ending June 30, 2024,
22the following amounts, or so much thereof as is necessary, for
23the purposes designated:
24a. To the department of health and human services:
25(1) To contract with the Iowa health care collaborative to
26do all of the following:
27(a) To develop and pilot protocols for the treatment
28of emergency room patients experiencing opioid or heroin
29overdoses, including the provision of peer counseling and
30advocacy:
.................................................. $31100,000
32(b) To reduce opioid exposure by educating doctors and
33hospitals, especially in rural areas, to adopt the enhanced
34recovery after surgery (ERAS) principles:
.................................................. $35100,000
-7- 1(2) For the psychiatric residency programs involved
2with coordinated, collaborative care at newly established,
3community-based behavioral health treatment facilities offering
4residential substance use disorder treatment for twenty-nine
5days or more:
.................................................. $61,000,000
7(3) To pilot the establishment and operation of three
8community-based syringe service programs developed to provide
9substance use prevention and response including linkages
10to substance use disorder treatment; vaccination, testing,
11and access to care for infectious diseases; and access to,
12education regarding the safe utilization of, and proper
13disposal of, fentanyl test strips, sterile syringes, and
14injection equipment:
.................................................. $15450,000
16The pilot program supported with the funding appropriated
17under this subparagraph is conditioned on the implementation
18of written agreements with local law enforcement agencies
19and county attorneys to refrain from charging or prosecuting
20program sponsors or participants for violations of section
21124.414.
22b. To the state board of regents:
23(1) To fund research on medication-assisted treatment for
24substance use disorders conducted at the university of Iowa
25college of public health to identify variability in outcomes,
26demonstrate efficacy of treatment, and refine evidence-based
27protocols:
.................................................. $28500,000
29(2) To fund research and education conducted at the
30university of Iowa Carver college of medicine for the
31nonnarcotic treatment of pain:
.................................................. $321,000,000
33c. To the department of public safety to establish and
34direct a task force, in collaboration with the department of
35health and human services, to make recommendations, based on
-8-1public health principles, to restructure the response of the
2state’s health and justice systems to illicit drug use and to
3individuals suffering from substance use disorders:
.................................................. $4500,000
5The department of public safety shall submit a report of the
6recommendations specified in this paragraph “c” to the governor
7and the general assembly by July 1, 2024.
82. If sufficient funds are not available through the opioid
9settlement fund created in section 12.51, there is appropriated
10from the Iowa coronavirus fiscal recovery fund created in
11section 8.57G to the entities specified in subsection 1,
12for the fiscal year beginning July 1, 2023, and ending June
1330, 2024, a sufficient amount to provide the total amounts
14specified to the entities specified under subsection 1 for the
15purposes designated under this section.
163. Notwithstanding section 8.33, moneys appropriated in
17this section that remain unencumbered or unobligated at the
18close of the fiscal year shall not revert but shall remain
19available for the purposes designated until the close of the
20succeeding fiscal year.
21 Sec. 9. PUBLIC HEALTH STRUCTURE AND INFRASTRUCTURE AND
22SUBSTANCE USE DISORDER PREVENTION AND TREATMENT — OPIOID
23SETTLEMENT.
241. There is appropriated from the opioid settlement fund
25created in section 12.51 to the university of Iowa college of
26public health for the fiscal year beginning July 1, 2023, and
27ending June 30, 2024, the following amounts, or so much thereof
28as is necessary, for the purposes designated:
29a. To conduct a comprehensive review and evaluation of
30the existing public health structure and infrastructure in
31Iowa, and to make recommendations for policy and funding to
32improve capacity of the state and local communities to address
33substance use and related issues:
.................................................. $34250,000
35b. To coordinate increased, systematic efforts with local
-9-1public health authorities to address the personal behaviors,
2societal conditions, and lack of access to services that are
3identified as risk factors for substance use disorders and
4related co-occurring health conditions:
.................................................. $51,000,000
6The amount appropriated may be used to provide grants to
7county boards of health to implement evidence-based community
8programming, policies, and collaborative projects with health
9care providers to address the identified risk factors.
10c. To provide paid internships for college of public
11health students paired with local health departments to
12support the development of local public health infrastructure,
13conduct community health needs assessments, and assist in
14the successful implementation of health improvement plans to
15address substance use disorders and co-occurring brain health
16and related conditions:
.................................................. $17500,000
182. If sufficient funds are not available through the
19opioid settlement fund created in section 12.51 to satisfy the
20appropriations under subsection 1, there is appropriated from
21the Iowa coronavirus fiscal recovery fund created in section
228.57G to the university of Iowa college of public health
23for the fiscal year beginning July 1, 2023, and ending June
2430, 2024, a sufficient amount to provide the total amounts
25specified under subsection 1 for the purposes designated under
26this section.
273. Notwithstanding section 8.33, moneys appropriated in
28this section that remain unencumbered or unobligated at the
29close of the fiscal year shall not revert but shall remain
30available for the purposes designated until the close of the
31succeeding fiscal year.
32 Sec. 10. SUBSTANCE USE DISORDER — RECOVERY HOUSING —
33SUPPORTIVE SERVICES — OPIOID SETTLEMENT.
341. a. There is appropriated from the opioid settlement fund
35created in section 12.51 to the department of health and human
-10-1services for the fiscal year beginning July 1, 2023, and ending
2June 30, 2024, the following amount, or so much thereof as is
3necessary, for the purpose designated:
.................................................. $42,000,000
5b. Moneys appropriated under this section shall be used
6by the department, in collaboration with the Iowa finance
7authority and community-based organizations, to engage in work
8to increase the availability of recovery housing throughout the
9state. The moneys shall be distributed as grants to recovery
10housing providers whose application for assistance is in
11accordance with a county community health needs assessment and
12health improvement plan. If a county is otherwise receiving
13opioid settlement funds, the county shall match the grant
14funding provided under this section on a dollar-for-dollar
15basis.
162. If sufficient funds are not available through the
17opioid settlement fund created in section 12.51 to satisfy the
18appropriations under subsection 1, there is appropriated from
19the Iowa coronavirus fiscal recovery fund created in section
208.57G to the department of health and human services for the
21fiscal year beginning July 1, 2023, and ending June 30, 2024, a
22sufficient amount to provide the total amount specified under
23subsection 1 for the purposes designated under this section.
243. Notwithstanding section 8.33, moneys appropriated in
25this section that remain unencumbered or unobligated at the
26close of the fiscal year shall not revert but shall remain
27available for the purposes designated until the close of the
28succeeding fiscal year.
29 Sec. 11. COMPREHENSIVE STUDY AND REPORT OF SUBSTANCE USE
30DISORDER TREATMENT COVERAGE, UTILIZATION, AND EXPENDITURES —
31OPIOID SETTLEMENT.
321. a. There is appropriated from the opioid settlement
33fund created in section 12.51 to the department of insurance
34and financial services for the fiscal year beginning July 1,
352023, and ending June 30, 2024, the following amount, or so
-11-1much thereof as is necessary, for the purposes designated:
.................................................. $2100,000
3b. The department of insurance and financial services shall
4utilize the funds appropriated under this subsection to perform
5a comprehensive study and prepare a comprehensive report on
6insurance coverage and payment policies for services related
7to the treatment of substance use disorders by commercial
8insurance companies and self-funded plans, as well as data
9on current utilization and expenditures associated with such
10benefit plans. The report shall be submitted to the general
11assembly by January 1, 2024.
122. If sufficient funds are not available through the opioid
13settlement fund created in section 12.51, there is appropriated
14from the Iowa coronavirus fiscal recovery fund created in
15section 8.57G to the department of insurance and financial
16services for the fiscal year beginning July 1, 2023, and ending
17June 30, 2024, an amount sufficient to provide the total amount
18specified under subsection 1 for the purposes designated under
19this section.
203. Notwithstanding section 8.33, moneys appropriated in
21this section that remain unencumbered or unobligated at the
22close of the fiscal year shall not revert but shall remain
23available for the purposes designated until the close of the
24succeeding fiscal year.
25 Sec. 12. TASK FORCE ON AN INTEGRATED SYSTEM FOR PREVENTION,
26TREATMENT, RECOVERY, AND RESOURCES — APPROPRIATIONS.
271. a. The director of health and human services
28shall convene a task force to research and develop policy
29recommendations to implement an integrated behavioral health
30and substance use disorder system and services structure that
31blends funding in the areas of prevention, treatment, recovery,
32and resources.
33b. The task force shall include the director of health
34and human services, appropriate departmental personnel, two
35representatives of each mental health and disability services
-12-1region appointed by the region, and three experts each
2representing the fields of prevention, treatment, and recovery
3selected by the department based on recommendations from the
4mental health and disability services region chief executive
5officers.
6c. The task force shall submit a report to the governor
7and the general assembly by June 30, 2024, including
8recommendations that address all of the following:
9(1) Prevention policy, including measures to ensure
10consistent and sustained funding for prevention activities,
11enhanced early intervention techniques, and a plan for
12well-rounded prevention programs that address alcohol,
13methamphetamine, opioid use, and co-occurring disorders.
14(2) Treatment policy, built on the premise that
15co-occurring issues are the norm rather than the exception,
16and includes methods to deliver services through integrated
17care models that regulate team-based care or close coordination
18between providers, use of dual treatment planning methods,
19standards for counselors to attain and practice with dual
20certification, licensure solutions for dual programs and
21practitioners, and effective treatment modalities for
22short-term and long-term outcomes.
23(3) Recovery policy, including practices to integrate
24co-occurring approaches in mobile crisis response and other
25crisis services, implementation of harm reduction practices,
26integration of feasible medication strategies to support
27mental health issues in alignment with substance use disorder
28recovery, and incentive programs to support recovery efforts.
29(4) Resource deployment policy including all of the
30following:
31(a) The combining and leveraging of state, regional,
32and local partnerships to optimize opioid settlement funds
33available to the state and counties.
34(b) Allocation of federal substance abuse and mental health
35services administration block grants for substance abuse
-13-1prevention and treatment and community mental health services.
2(c) Other related federal government and private funding
3opportunities.
4(5) Provisions for peer support workers consistent with
5the guidance of the federal substance abuse and mental health
6services administration’s bringing recovery supports to scale
7technical assistance center strategy.
8(6) Opportunities through the alignment of the department
9of health and human services to integrate the fragmented
10behavioral health and substance use disorder services systems
11into a system of comprehensive, whole-person care, that
12utilizes public funding more efficiently and increases the
13return on investment through enhanced community health for all
14Iowans.
152. There is appropriated from the opioid settlement fund
16created in section 12.51 to the department of health and
17human services, for task force support for the fiscal year
18beginning July 1, 2023, and ending June 30, 2024, the following
19amount, or so much thereof as is necessary, for the purposes
20designated:
.................................................. $21150,000
22The task force shall approve any contract for external
23assistance to the task force.
243. a. There is appropriated from the opioid settlement
25fund created in section 12.51 to the department of health and
26human services, for the fiscal year beginning July 1, 2024, and
27ending June 30, 2025, the following amount, or so much thereof
28as is necessary for the purposes designated:
.................................................. $2910,000,000
30b. For dollar-for-dollar matching grants to mental health
31and disability services regions to be used for long-term
32residential treatment and recovery services for persons
33diagnosed with one or more disorders including a substance use
34disorder in accordance with the recommendations of the task
35force convened under this section.
-14- 1c. Notwithstanding section 8.33, moneys appropriated in
2this subsection that remain unencumbered or unobligated at the
3close of the fiscal year shall not revert but shall remain
4available for the purposes designated until expended.
5 Sec. 13. IOWA FINANCE AUTHORITY — TRANSITIONAL HOUSING
6FOR ELIGIBLE SERVICE MEMBERS. There is appropriated from the
7opioid settlement fund established in section 12.51 to the
8Iowa finance authority for the fiscal year beginning July 1,
92023, and ending June 30, 2024, the following amount, or so
10much thereof as is necessary, to be used for the purposes
11designated:
12To provide grants, low-interest loans, and loan guarantees
13to veteran-led nonprofit organizations:
.................................................. $144,300,000
151. Amounts appropriated pursuant to this section shall be
16distributed to veteran-led nonprofit organizations provided
17that the organization meets all of the following conditions:
18a. The funds will be used to purchase land, construct
19housing, or furnish housing for the purpose of providing
20transitional housing to homeless veterans.
21b. The veterans receiving transitional housing benefits
22pursuant to paragraph “a” are suffering from or are at risk of
23opioid or other substance abuse disorder, post-traumatic stress
24disorder, or another mental illness or life disruption as the
25Iowa finance authority, in consultation with the department
26of health and human services and the department of veterans
27affairs, deems appropriate.
28c. The funds are used as a part of a wraparound health
29and social services program provided by or through the
30organization.
312. Notwithstanding section 8.33, moneys appropriated in
32this section that remain unencumbered or unobligated at the
33close of the fiscal year shall not revert but shall remain
34available for expenditure for the purposes designated until the
35close of the succeeding fiscal year.
-15-1EXPLANATION
2The inclusion of this explanation does not constitute agreement with
3the explanation’s substance by the members of the general assembly.
4This bill relates to services, treatment, research,
5education, and other activities relating to substance use
6disorders, mental health, and other conditions, including those
7relating to opioids, and provides appropriations.
8BOARD OF PHARMACY. The bill appropriates funds from the
9opioid settlement fund created in Code section 12.51 to the
10board of pharmacy for fiscal year 2023-2024 for the board of
11pharmacy to integrate the state’s prescription monitoring
12program with health care providers’ electronic medical record
13or pharmacy dispensing systems to allow a seamless connection
14between the prescription monitoring program and those systems;
15and for the board of pharmacy to implement the opioid and
16naloxone education (ONE) program to provide resources to
17pharmacists to educate patients regarding opioid misuse and
18accidental overdose in order to decrease opioid prescription
19rates and the related addiction and overdose deaths in the
20state. If sufficient funds are not available through the
21opioid settlement fund to satisfy the appropriations, there is
22appropriated from the Iowa coronavirus fiscal recovery fund
23created in Code section 8.57G to the board of pharmacy for
24fiscal year 2023-2024, an amount sufficient to provide the
25total amounts specified for the purposes designated. Funds
26appropriated shall not revert but shall remain available until
27the close of the succeeding fiscal year.
28ACCESS TO NALOXONE. The bill appropriates funds from the
29opioid settlement fund for deposit in the opioid antagonist
30medication fund created in Code section 135.190A for fiscal
31year 2023-2024 to be used by the department of health and human
32services (HHS) for the purchase, provision, maintenance, and
33replacement of opioid antagonist medication administered by
34first responders to persons experiencing an opioid-related
35overdose and to county health departments for distribution to
-16-1accredited schools and institutions of higher education upon
2request. If sufficient funds are not available through the
3opioid settlement fund to satisfy the appropriation, there
4is appropriated from the Iowa coronavirus fiscal recovery
5fund for fiscal year 2023-2024 for deposit in the opioid
6antagonist medication fund an amount sufficient to provide the
7total amount specified for the purposes designated. Funds
8appropriated shall not revert but shall remain available until
9the close of the succeeding fiscal year.
10RECOVERY HIGH SCHOOLS. The bill appropriates funds from the
11opioid settlement fund to HHS for fiscal year 2023-2024 to be
12used by HHS in collaboration with the department of education
13to study and make recommendations regarding the establishment
14of one or more public or private recovery high schools in
15Iowa designed for the education of students in recovery from
16substance use disorders or dependency or co-occurring disorders
17such as anxiety, depression, or attention deficit hyperactivity
18disorder. The schools must meet state requirements for
19awarding a secondary school diploma and support students
20engaged in a program of recovery. The department of health
21and human services shall complete the study and submit its
22recommendations to the governor and the general assembly by
23November 1, 2023. The recommendations shall include provisions
24for students to be eligible for education savings accounts
25without regard to family financial capacity. If sufficient
26funds are not available through the opioid settlement fund to
27satisfy the appropriation, there is appropriated from the Iowa
28coronavirus fiscal recovery fund for fiscal year 2023-2024 to
29HHS an amount sufficient to provide the total amount specified
30for the purposes designated. Funds appropriated shall not
31revert but shall remain available until the close of the
32succeeding fiscal year.
33CORRECTIONAL INSTITUTIONS AND COUNTY JAILS. The bill
34appropriates funds from the opioid settlement fund to
35HHS for fiscal year 2023-2024 for HHS to transfer to the
-17-1department of corrections for use in subsidizing the costs of
2providing medication-assisted treatment to persons confined
3to correctional institutions or county jails being treated
4for opioid use disorder, to purchase state-of-the-art urine
5sample cups for use in the drug monitoring programs, and to
6fund efforts to fight hepatitis C, a potentially devastating
7but curable disease spread through intravenous needle use
8of opioids and other drugs in prison populations. For
9counties, the funding is subject to a dollar-to-dollar match of
10county opioid settlement funds. If sufficient funds are not
11available through the opioid settlement fund to satisfy the
12appropriation, there is appropriated from the Iowa coronavirus
13fiscal recovery fund to HHS for transfer to the department of
14corrections for fiscal year 2023-2024 an amount sufficient to
15provide the total amount specified for the purposes designated.
16Funds appropriated shall not revert but shall remain available
17until the close of the succeeding fiscal year.
18VETERANS COURTS. The bill appropriates funds from the
19opioid settlement fund to the department of veterans affairs
20for fiscal year 2023-2024 to be transferred to the judicial
21branch to establish a veterans court with a full-time outreach
22coordinator in each judicial district to provide court services
23to veterans and to integrate court sanctions and incentives
24with substance use disorder treatment, mental health treatment,
25and transitional services for veterans in a judicially
26supervised setting. The jurisdiction of the veterans court
27may be exercised by any district judge and by any district
28associate judge who is designated by the chief judge of a
29judicial district as a judge of the veterans court. The chief
30judge shall designate one or more district judges and district
31associate judges to act as judges of the veterans courts for a
32judicial district. The chief judge may designate a veterans
33court judge to preside in more than one county. If sufficient
34funds are not available through the opioid settlement fund to
35satisfy the appropriation, there is appropriated from the Iowa
-18-1coronavirus fiscal recovery fund for fiscal year 2023-2024 to
2the department of veterans affairs for transfer to the judicial
3branch an amount sufficient to provide the total amount
4specified for the purposes designated. Funds appropriated
5shall not revert but shall remain available until the close of
6the succeeding fiscal year.
7STATE EMPLOYEE BENEFITS. The bill appropriates funds from
8the opioid settlement fund to the department of administrative
9services (DAS) for fiscal year 2023-2024 to be used by DAS
10in cooperation with any health insurance plans or health
11plan administrators of benefits extended to state employees
12to create a model benefit plan designed to incentivize or
13otherwise promote the effective, evidence-based prescription
14and use of opioids to members receiving benefits through state
15plans, document the current use of benefits for substance
16use disorders, identify gaps or unnecessary restrictions in
17coverage, and expand access to evidence-based treatments
18and therapies, including nonpharmacological treatments.
19If sufficient funds are not available through the opioid
20settlement fund to satisfy the appropriation, there is
21appropriated from the Iowa coronavirus fiscal recovery fund to
22DAS for fiscal year 2023-2024 an amount sufficient to provide
23the total amount specified for the purposes designated. Funds
24appropriated shall not revert but shall remain available until
25the close of the succeeding fiscal year.
26MEDICAID RECIPIENTS. The bill appropriates funds from
27the opioid settlement fund to HHS for fiscal year 2023-2024
28to be used by HHS, in cooperation with Medicaid managed care
29organizations, to design benefit plans to incentivize or
30otherwise promote the effective, evidence-based prescription
31and use of opioids to Medicaid recipients, document the
32current use of benefits for substance use disorders, identify
33gaps or unnecessary restrictions in coverage, and expand
34access to evidence-based treatment and therapies, including
35nonpharmacological treatments. The department of health and
-19-1human services shall seek any Medicaid state plan amendment
2or waiver necessary to administer this provision of the
3bill. If sufficient funds are not available through the
4opioid settlement fund to satisfy the appropriation, there is
5appropriated from the Iowa coronavirus fiscal recovery fund to
6HHS for fiscal year 2023-2024 an amount sufficient to provide
7the total amount specified for the purposes designated. Funds
8appropriated shall not revert but shall remain available until
9the close of the succeeding fiscal year.
10RESEARCH AND EDUCATION. The bill appropriates funds
11from the opioid settlement fund to HHS, the state board
12of regents, and the department of public safety. The
13appropriation to HHS is to contract with the Iowa health
14care collaborative to develop and pilot protocols for the
15treatment of emergency room patients experiencing opioid or
16heroin overdoses, including the provisions of peer counseling
17and advocacy and to reduce opioid exposure by educating
18doctors and hospitals, especially in rural areas, to adopt
19the enhanced recovery after surgery (ERAS) principles; for
20the psychiatric residency programs involved with coordinated,
21collaborative care at newly established, community-based
22behavioral health treatment facilities offering residential
23substance use disorder treatment for 29 days or more; and to
24pilot the establishment and operation of three community-based
25syringe service programs, conditioned on the implementation
26of written agreements with local law enforcement agencies
27and county attorneys to refrain from charging or prosecuting
28program sponsors or participants for violations of Code
29section 124.414 (drug paraphernalia). The appropriation to
30the state board of regents is to be used to fund research
31on medication-assisted treatment for substance use disorders
32conducted at the university of Iowa college of public health
33to identify variability in outcomes, demonstrate efficacy of
34treatment, and refine evidence-based protocols; and to fund
35research and education conducted at the university of Iowa
-20-1Carver college of medicine for the nonnarcotic treatment
2of pain. The appropriation to the department of public
3safety is to be used to establish and direct a task force,
4in collaboration with HHS, to make recommendations, based on
5public health principles, to restructure the response of the
6state’s health and justice systems to illicit drug use and to
7individuals suffering from substance use disorders, with a
8report submitted to the governor and the general assembly by
9July 1, 2024. If sufficient funds are not available through
10the opioid settlement fund to satisfy the appropriations, there
11is appropriated from the Iowa coronavirus fiscal recovery
12fund created in section 8.57G, to the entities specified for
13fiscal year 2023-2024, sufficient amounts to provide the total
14amounts specified to the entities specified for the purposes
15designated. Funds appropriated shall not revert but shall
16remain available until the close of the succeeding fiscal year.
17 PUBLIC HEALTH STRUCTURE AND INFRASTRUCTURE. The bill
18appropriates funds from the opioid settlement fund to the
19university of Iowa college of public health for fiscal year
202023-2024 to conduct a comprehensive review and evaluation of
21the existing public health structure and infrastructure in
22Iowa, and to make recommendations for policy and funding to
23improve capacity of the state and local communities to address
24substance use and related issues; to coordinate increased,
25systematic efforts with local public health authorities to
26address the personal behaviors, societal conditions, and lack
27of access to services that are identified as risk factors
28for substance use disorders and related co-occurring health
29conditions; and to provide paid internships for college of
30public health students paired with local health departments to
31support the development of local public health infrastructure,
32conduct community health needs assessments, and assist in
33the successful implementation of health improvement plans
34to address substance use disorders and co-occurring brain
35health and related conditions. If sufficient funds are not
-21-1available through the opioid settlement fund to satisfy the
2appropriations, there is appropriated from the Iowa coronavirus
3fiscal recovery fund to the university of Iowa college of
4public health for fiscal year 2023-2024 a sufficient amount
5to provide the total amounts specified for the purposes
6designated. Funds appropriated shall not revert but shall
7remain available until the close of the succeeding fiscal year.
8RECOVERY HOUSING. The bill appropriates funds from the
9opioid settlement fund to HHS for fiscal year 2023-2024, to be
10used by HHS, in collaboration with the Iowa finance authority
11and community-based organizations, to engage in work to
12increase the availability of recovery housing throughout the
13state. The moneys shall be distributed as grants to recovery
14housing providers whose application for assistance is in
15accordance with a county community health needs assessment and
16health improvement plan. A county otherwise receiving opioid
17settlement funds shall match the grant funding provided on a
18dollar-for-dollar basis. If sufficient funds are not available
19through the opioid settlement to satisfy the appropriation,
20there is appropriated from the Iowa coronavirus fiscal recovery
21fund to HHS for fiscal year 2023-2024, a sufficient amount to
22provide the total amount specified for the purposes designated.
23Funds appropriated shall not revert but shall remain available
24until the close of the succeeding fiscal year.
25INSURANCE COVERAGE STUDY — REPORT. The bill appropriates
26funds from the opioid settlement fund to the department of
27insurance and financial services, for fiscal year 2023-2024,
28for the department of insurance and financial services to
29perform a comprehensive study and prepare a comprehensive
30report on insurance coverage and payment policies for services
31related to the treatment of substance use disorders by
32commercial insurance companies and self-funded plans, as well
33as data on current utilization and expenditures associated
34with such benefit plans. The report shall be submitted
35to the general assembly by January 1, 2024. If sufficient
-22-1funds are not available through the opioid settlement fund to
2satisfy the appropriation, there is appropriated from the Iowa
3coronavirus fiscal recovery fund to the division of insurance
4of the department of commerce for fiscal year 2023-2024 an
5amount sufficient to provide the total amount specified for the
6purposes designated. Funds appropriated shall not revert but
7shall remain available until the close of the succeeding fiscal
8year.
9INTEGRATED SYSTEM FOR PREVENTION, TREATMENT, RECOVERY, AND
10RESOURCES. The bill requires the director of health and human
11services to convene a task force to develop recommendations
12regarding an integrated system for prevention, treatment,
13recovery, and resources. The bill specifies the membership
14of the task force, and requires the task force to submit a
15report to the governor and the general assembly by June 30,
162024, specifying recommendations for an integrated system
17that blends funding and provides an efficient system of
18comprehensive, whole-person care. The bill appropriates
19funding from the opioid settlement fund to support the task
20force and provides that the task force shall approve any
21contract for external assistance to the task force. The
22bill appropriates funds from the opioid settlement fund to
23the department of health and human services for FY 2024-2025
24to provide for dollar-for-dollar matching grants to mental
25health and disability services regions to be used for long-term
26residential treatment and recovery services in accordance with
27the recommendations of the task force. Moneys appropriated
28shall not revert but shall remain available for the purposes
29designated until the close of the succeeding fiscal year.
30TRANSITIONAL HOUSING FOR HOMELESS VETERANS. The bill
31relates to transitional housing for specified homeless
32veterans.
33The bill appropriates $4.3 million from the opioid
34settlement fund to the Iowa finance authority (IFA) for FY
352023-2024 to provide grants, low-interest loans, and loan
-23-1guarantees to veteran-led nonprofit organizations (VNO).
2The bill makes the distribution of such moneys appropriated
3to the IFA contingent on a VNO using the funds to purchase
4land, construct housing, or furnish housing for the purpose of
5providing transitional housing to homeless veterans; ensuring
6the veterans receiving such transitional housing benefits are
7suffering from or are at risk of opioid or other substance
8abuse disorder, post-traumatic stress disorder, or another
9mental illness or life disruption as the IFA, in consultation
10with the department of health and human services and the
11department of veterans affairs, deems appropriate; and that
12the funds are used as a part of a wraparound health and social
13services program provided by or through the VNO.
14All moneys appropriated pursuant to this section of the bill
15that remain unencumbered or unobligated at the close of the
16fiscal year shall not revert but shall remain available for
17expenditure for the purposes designated until the close of the
18succeeding fiscal year.
-24-pf/rn