Text: HSB00081 Text: HSB00083 Text: HSB00000 - HSB00099 Text: HSB Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Section 1. DEPARTMENT FOR THE BLIND. There is 1 2 appropriated from the general fund of the state to the 1 3 department for the blind for the fiscal biennium beginning 1 4 July 1, 1995, and ending June 30, 1997, the following amounts, 1 5 or so much thereof as is necessary, to be used for the 1 6 purposes designated: 1 7 For salaries, support, maintenance, and miscellaneous 1 8 purposes: 1 9 1995-96 FY ....................................... $ 1,393,346 1 10 1996-97 FY ....................................... $ 1,393,903 1 11 Sec. 2. CIVIL RIGHTS COMMISSION. There is appropriated 1 12 from the general fund of the state to the Iowa state civil 1 13 rights commission for the fiscal biennium beginning July 1, 1 14 1995, and ending June 30, 1997, the following amounts, or so 1 15 much thereof as is necessary, to be used for the purposes 1 16 designated: 1 17 For salaries, support, maintenance, and miscellaneous 1 18 purposes: 1 19 1995-96 FY ....................................... $ 1,120,068 1 20 1996-97 FY ....................................... $ 1,121,058 1 21 If the anticipated amount of federal funding from the 1 22 federal equal employment opportunity commission and the 1 23 federal department of housing and urban development exceeds 1 24 $457,900 during the fiscal year beginning July 1, 1995, or 1 25 $457,900 during the fiscal year beginning July 1, 1996, the 1 26 Iowa state civil rights commission may exceed their authorized 1 27 staffing level to hire additional staff to process or to 1 28 support the processing of employment and housing complaints. 1 29 Sec. 3. DEPARTMENT OF ELDER AFFAIRS. There is appro- 1 30 priated from the general fund of the state to the department 1 31 of elder affairs for the fiscal biennium beginning July 1, 1 32 1995, and ending June 30, 1997, the following amounts, or so 1 33 much thereof as is necessary, to be used for the purposes 1 34 designated: 1 35 1. For salaries, support, maintenance, and miscellaneous 2 1 purposes: 2 2 1995-96 FY ....................................... $ 444,877 2 3 1996-97 FY ....................................... $ 445,153 2 4 2. For aging programs and services: 2 5 1995-96 FY ....................................... $ 2,586,391 2 6 1996-97 FY ....................................... $ 2,586,391 2 7 All funds appropriated in this subsection shall be received 2 8 and disbursed by the director of elder affairs for aging 2 9 programs and services. These funds shall not be used by the 2 10 department for administrative purposes, and not more than 2 11 $151,654 for the fiscal year beginning July 1, 1995, and 2 12 $151,654 for the fiscal year beginning July 1, 1996 shall be 2 13 used for area agencies on aging administrative purposes, and 2 14 shall be used for citizens of Iowa over 60 years of age for 2 15 case management for the frail elderly, mental health outreach, 2 16 Alzheimer's support, retired senior volunteer program, care 2 17 review committee coordination, employment, adult day care, 2 18 respite care, chore services, telephone reassurance, 2 19 information and assistance, and home repair services, 2 20 including the winterizing of homes, and for the construction 2 21 of entrance ramps which make residences accessible to the 2 22 physically handicapped. Funds appropriated in this subsection 2 23 may be used to supplement federal funds under federal 2 24 regulations. Funds appropriated in this subsection may be 2 25 used for elderly services not specifically enumerated in this 2 26 subsection only if approved by an area agency on aging for 2 27 provision of the service within the area. 2 28 To receive funds appropriated in this subsection, a local 2 29 area agency on aging shall match the funds with funds from 2 30 other sources according to rules promulgated by the 2 31 department. The department shall maintain policies and 2 32 procedures regarding Alzheimer's support and the retired 2 33 senior volunteer program. 2 34 Sec. 4. DEPARTMENT OF PUBLIC HEALTH. There is 2 35 appropriated from the general fund of the state to the Iowa 3 1 department of public health for the fiscal biennium beginning 3 2 July 1, 1995, and ending June 30, 1997, the following amounts, 3 3 or so much thereof as is necessary, to be used for the 3 4 purposes designated: 3 5 1. a. PLANNING AND ADMINISTRATION DIVISION 3 6 For salaries, support, maintenance, and miscellaneous 3 7 purposes: 3 8 1995-96 FY ....................................... $ 2,105,427 3 9 1996-97 FY ....................................... $ 2,107,038 3 10 Of the funds appropriated in this lettered paragraph, 3 11 $744,842 for the fiscal year beginning July 1, 1995, and 3 12 $745,366 for the fiscal year beginning July 1, 1996, shall be 3 13 used for the chronic renal disease program. The types of 3 14 assistance available to eligible recipients under the program 3 15 may include hospital and medical expenses, home dialysis 3 16 supplies, insurance premiums, travel expenses, prescription 3 17 and nonprescription drugs, and lodging expenses for persons in 3 18 training. The program expenditures shall not exceed this 3 19 allocation. If projected expenditures will exceed the 3 20 allocation, the department shall establish by administrative 3 21 rule a mechanism to reduce financial assistance under the 3 22 renal disease program in order to keep expenditures within the 3 23 allocations. 3 24 Hospitals shall not collect fees for birth certificates in 3 25 excess of the fees as set out in the administrative rules of 3 26 the Iowa department of public health. 3 27 Of the funds appropriated in this lettered paragraph, 3 28 $112,987 for the fiscal year beginning July 1, 1995, and 3 29 $113,157 for the fiscal year beginning July 1, 1996, shall be 3 30 used to provide regulatory oversight of accountable health 3 31 plans. 3 32 b. PROFESSIONAL LICENSURE 3 33 For salaries, support, maintenance, and miscellaneous 3 34 purposes: 3 35 1995-96 FY ....................................... $ 765,272 4 1 1996-97 FY ....................................... $ 765,272 4 2 The director of public health, when estimating expenditure 4 3 requirements for the boards funded under this paragraph in 4 4 accordance with section 8.23, shall base the budget request on 4 5 85 percent of the average annual fees generated for the 4 6 previous two fiscal years. The department shall confer with 4 7 the boards funded under this lettered paragraph in estimating 4 8 the boards' annual fee generation and administrative costs. 4 9 When the department develops each board's annual budget, a 4 10 board's budget shall not exceed 85 percent of fees collected, 4 11 based on the average of the previous two years. The 4 12 department may expend funds in addition to amounts budgeted, 4 13 if those additional expenditures are directly the result of 4 14 unanticipated litigation costs arising from the discharge of 4 15 the board's regulatory duties. Before the department expends 4 16 or encumbers an amount in excess of the funds budgeted, the 4 17 director of the department of management shall approve the 4 18 expenditure or encumbrance. The amounts necessary to fund the 4 19 unanticipated litigation shall not exceed 5 percent of the 4 20 average annual fees generated for the previous two fiscal 4 21 years. 4 22 c. HEALTH DELIVERY SYSTEMS 4 23 (1) For salaries, support, maintenance, and miscellaneous 4 24 purposes: 4 25 1995-96 FY ....................................... $ 1,323,846 4 26 1996-97 FY ....................................... $ 1,324,389 4 27 (2) Of the funds appropriated in this lettered paragraph, 4 28 $167,310 for the fiscal year beginning July 1, 1995, and 4 29 $167,495 for the fiscal year beginning July 1, 1996, are 4 30 allocated for the office of rural health to provide technical 4 31 assistance to rural areas in the area of health care delivery. 4 32 (3) Of the funds appropriated in this lettered paragraph, 4 33 $1,021,792 for the fiscal year beginning July 1, 1995, and 4 34 $1,022,150 for the fiscal year beginning July 1, 1996, shall 4 35 be used for the training of emergency medical services (EMS) 5 1 personnel at the state, county, and local levels. 5 2 If a person in the course of responding to an emergency 5 3 renders aid to an injured person and becomes exposed to bodily 5 4 fluids of the injured person, that emergency responder shall 5 5 be entitled to hepatitis testing and immunization in 5 6 accordance with the latest available medical technology to 5 7 determine if infection with hepatitis has occurred. The 5 8 person shall be entitled to reimbursement from the EMS funds 5 9 available under this lettered paragraph only if the 5 10 reimbursement is not available through any employer or third- 5 11 party payor. 5 12 (4) Of the funds appropriated in this lettered paragraph, 5 13 $135,385 for the fiscal year beginning July 1, 1995, and 5 14 $135,385 for the fiscal year beginning July 1, 1996, shall be 5 15 used to develop, implement, and maintain rural health provider 5 16 recruitment and retention efforts. 5 17 d. CENTER FOR RURAL HEALTH AND PRIMARY CARE 5 18 For primary care provider recruitment and retention 5 19 endeavors: 5 20 1995-96 FY ....................................... $ 235,000 5 21 1996-97 FY ....................................... $ 235,000 5 22 e. HEALTH DATA COMMISSION 5 23 For the health data commission: 5 24 1995-96 FY ....................................... $ 240,250 5 25 1996-97 FY ....................................... $ 0 5 26 The funds appropriated in this lettered paragraph shall be 5 27 used for the collection, verification, updating, and storage 5 28 of data, including long-term care data, received pursuant to 5 29 chapters 145 and 255A, and for the production of mandated 5 30 reports. The health data commission shall establish a fee 5 31 schedule, in consultation with its consultant, for the costs 5 32 of providing data to organizations which request the data. 5 33 The fee established shall be based upon the marginal cost and 5 34 a portion of the fixed cost of providing the data. 5 35 Prior to December 1, 1995, the commission shall submit to 6 1 the general assembly a useful, comprehensive report for use by 6 2 members of the general assembly in making informed decisions 6 3 on public policy issues involving health. 6 4 f. HEALTH DATA INFORMATION 6 5 For the purchase, verification, updating, and storage of 6 6 health data information: 6 7 1995-96 FY ....................................... $ 0 6 8 1996-97 FY ....................................... $ 240,250 6 9 The department shall act as a statewide health data 6 10 clearinghouse for the compilation, correlation, and dissemina- 6 11 tion of data from health care providers, the state medicaid 6 12 program, third-party payers, and other appropriate sources in 6 13 furtherance of the purpose and intent of this appropriation. 6 14 The department shall request and receive information from 6 15 other state agencies similar to that required of third-party 6 16 payers for the purpose of dissemination of health data. The 6 17 department may enter into agreements for studies on health- 6 18 related questions and provide or make available data to health 6 19 care providers, health care subscribers, third-party payers 6 20 and the general public. The department may continue to 6 21 purchase data from all in-patient admissions to Iowa 6 22 hospitals. The department shall purchase data for the purpose 6 23 of dissemination of health data information. The department 6 24 shall assure the confidentiality of the data collected from 6 25 other state agencies, hospitals, and third-party payers under 6 26 chapter 22. The compilation of data information prepared for 6 27 release or dissemination from the data collected shall be 6 28 public record. The department shall write administrative 6 29 rules to address contracting process, define confidential 6 30 information, fees to be charged for data, and the forms that 6 31 the information is to be made available. 6 32 2. HEALTH PROTECTION DIVISION 6 33 a. For salaries, support, maintenance, and miscellaneous 6 34 purposes: 6 35 1995-96 FY ....................................... $ 2,236,507 7 1 1996-97 FY ....................................... $ 2,237,968 7 2 b. Of the funds appropriated in this subsection, $75,000 7 3 for the fiscal year beginning July 1, 1995, and $75,000 for 7 4 the fiscal year beginning July 1, 1996, shall be used for 7 5 chlamydia testing. 7 6 c. Of the funds appropriated in this subsection, $15,000 7 7 for the fiscal year beginning July 1, 1995, and $15,000 for 7 8 the fiscal year beginning July 1, 1996, are allocated to 7 9 support the surveillance and reporting of disabilities 7 10 suffered by persons engaged in agriculture resulting from 7 11 diseases or injuries, including identifying the amount and 7 12 severity of agriculture-related injuries and diseases in the 7 13 state, identifying causal factors associated with agriculture- 7 14 related injuries and diseases, and evaluating the 7 15 effectiveness of intervention programs designed to reduce 7 16 injuries and diseases. The department shall cooperate with 7 17 the department of agriculture and land stewardship, Iowa state 7 18 university of science and technology, and the college of 7 19 medicine at the state university of Iowa in accomplishing 7 20 these duties. 7 21 d. Of the funds appropriated in this subsection, $74,547 7 22 for the fiscal year beginning July 1, 1995, and $74,547 for 7 23 the fiscal year beginning July 1, 1996, shall be used for the 7 24 lead abatement program. 7 25 e. Of the funds appropriated in this subsection, $39,845 7 26 for the fiscal year beginning July 1, 1995, and $39,845 for 7 27 the fiscal year beginning July 1, 1996, shall be used for 7 28 radon program activities. The department shall also retain 7 29 $30,000 for the fiscal year beginning July 1, 1995, and 7 30 $30,000 for the fiscal year beginning July 1, 1996, of federal 7 31 radon funds for additional radon program activities. 7 32 f. The state university of Iowa hospitals and clinics 7 33 shall not receive indirect costs from the funds appropriated 7 34 in this subsection. 7 35 3. SUBSTANCE ABUSE AND HEALTH PROMOTION DIVISION 8 1 a. For salaries, support, maintenance, and miscellaneous 8 2 purposes: 8 3 1995-96 FY ....................................... $ 618,617 8 4 1996-97 FY ....................................... $ 619,228 8 5 (1) The division shall continue the task force composed of 8 6 substance abuse treatment and prevention providers regardless 8 7 of funding source to study treatment and prevention service 8 8 areas and the fiscal implications of awarding funds to more 8 9 than one provider per service area. 8 10 (2) By July 1, 1997, the commission on substance abuse, in 8 11 conjunction with the division, shall coordinate delivery of 8 12 substance abuse services involving prevention, social and 8 13 medical detoxification, and other treatment by medical and 8 14 nonmedical providers to uninsured and court-ordered substance 8 15 abuse patients in all counties of the state. 8 16 b. For program grants: 8 17 1995-96 FY ....................................... $ 8,390,159 8 18 1996-97 FY ....................................... $ 8,390,159 8 19 Of the funds appropriated in this lettered paragraph, 8 20 $193,500 for the fiscal year beginning July 1, 1995, and 8 21 $193,500 for the fiscal year beginning July 1, 1996, shall be 8 22 used for the provision of aftercare services for persons 8 23 completing substance abuse treatment. 8 24 Of the funds appropriated in this lettered paragraph, 8 25 $950,000 for the fiscal year beginning July 1, 1995, and 8 26 $950,000 for the fiscal year beginning July 1, 1996, shall be 8 27 transferred to the department of human services to implement 8 28 an integrated substance abuse managed care system. 8 29 The Iowa department of public health and the department of 8 30 human services shall collaborate with other appropriate state 8 31 agencies, shall consider the recommendations of the 1994 8 32 interim study committee findings and the recommendations of 8 33 the center for substance abuse technical assistance team in 8 34 the development of an integrated managed care system, and 8 35 shall assist in the submission of the HCFA waiver. As part of 9 1 this collaboration, the Iowa department of public health shall 9 2 request outside technical assistance to provide 9 3 recommendations on implementing this system. The Iowa 9 4 department of public health and the department of human 9 5 services shall implement an integrated managed care system by 9 6 July 1, 1995. 9 7 4. FAMILY AND COMMUNITY HEALTH DIVISION 9 8 a. For salaries, support, maintenance, and miscellaneous 9 9 purposes: 9 10 1995-96 FY ....................................... $ 3,067,180 9 11 1996-97 FY ....................................... $ 3,067,180 9 12 (1) Of the funds appropriated in this lettered paragraph, 9 13 at least $587,865 for the fiscal year beginning July 1, 1995, 9 14 and $587,865 for the fiscal year beginning July 1, 1996, shall 9 15 be allocated for the birth defects and genetics counseling 9 16 program and of these funds, $279,402 for the fiscal year 9 17 beginning July 1, 1995, and $279,402 for the fiscal year 9 18 beginning July 1, 1996, shall be allocated for regional 9 19 genetic counseling services contracted from the state 9 20 university of Iowa hospitals and clinics under the control of 9 21 the state board of regents. 9 22 (2) Of the funds appropriated in this lettered paragraph, 9 23 the following amounts shall be allocated to the state 9 24 university of Iowa hospitals and clinics under the control of 9 25 the state board of regents for the following programs under 9 26 the Iowa specialized child health care services: 9 27 (a) Mobile and regional child health specialty clinics: 9 28 1995-96 FY ....................................... $ 392,931 9 29 1996-97 FY ....................................... $ 392,931 9 30 The regional clinic located in Sioux City shall maintain a 9 31 social worker component to assist the families of children 9 32 participating in the clinic program. 9 33 (b) Muscular dystrophy and related genetic disease 9 34 programs: 9 35 1995-96 FY ....................................... $ 115,613 10 1 1996-97 FY ....................................... $ 115,613 10 2 (c) Statewide perinatal program: 10 3 1995-96 FY ....................................... $ 61,693 10 4 1996-97 FY ....................................... $ 61,693 10 5 (3) The birth defects and genetic counseling service shall 10 6 apply a sliding fee scale to determine the amount a person 10 7 receiving the services is required to pay for the services. 10 8 These fees shall be considered repayment receipts and used for 10 9 the program. 10 10 (4) Of the funds allocated to the mobile and regional 10 11 child health specialty clinics in subparagraph (2), 10 12 subparagraph subdivision (a), $97,937 for the fiscal year 10 13 beginning July 1, 1995, and $97,937 for the fiscal year 10 14 beginning July 1, 1996, shall be used for a specialized 10 15 medical home care program providing care planning and 10 16 coordination of community support services for children who 10 17 require technical medical care in the home. 10 18 (5) The state university of Iowa hospitals and clinics 10 19 shall not receive indirect costs from the funds for each 10 20 program. 10 21 (6) Of the funds appropriated in this lettered paragraph, 10 22 $1,001,209 for the fiscal year beginning July 1, 1995, and 10 23 $1,001,209 for the fiscal year beginning July 1, 1996, shall 10 24 be used for maternal and child health services. 10 25 (7) The Iowa department of public health shall administer 10 26 the statewide maternal and child health program, conduct 10 27 mobile and regional child health specialty clinics, and 10 28 conduct other activities to improve the health of low-income 10 29 women and children and to promote the welfare of children with 10 30 actual or potential handicapping conditions and chronic 10 31 illnesses in accordance with the requirements of Title V of 10 32 the federal Social Security Act. 10 33 (8) The department shall budget for each fiscal year of 10 34 the fiscal biennium beginning July 1, 1996, for the programs 10 35 in the family and community health division in accordance with 11 1 the performance-based budgeting method. Notwithstanding 11 2 section 8.23, the department is not required to submit a 11 3 budget for the programs using 75 percent based budgeting and 11 4 decision package methodology. 11 5 The department shall track the programs which were in the 11 6 family and community health division in the fiscal year 11 7 beginning July 1, 1991, in accordance with the program 11 8 performance-based budgeting method. 11 9 (9) The department shall continue efforts to realize the 11 10 "Healthy Iowans 2000" goal of promoting prevention and health 11 11 promotion to improve the quality of life of Iowans and to hold 11 12 down health care costs and shall submit an annual "Healthy 11 13 Iowans 2000" progress report to the general assembly on 11 14 January 1 of each fiscal year. 11 15 b. Sudden infant death syndrome autopsies: 11 16 For reimbursing counties for expenses resulting from 11 17 autopsies of suspected victims of sudden infant death syndrome 11 18 required under section 331.802, subsection 3, paragraph "j": 11 19 1995-96 FY ....................................... $ 9,675 11 20 1996-97 FY ....................................... $ 9,675 11 21 c. For grants to local boards of health for the public 11 22 health nursing program: 11 23 1995-96 FY ....................................... $ 2,511,871 11 24 1996-97 FY ....................................... $ 2,511,871 11 25 (1) Funds appropriated in this lettered paragraph shall be 11 26 used to maintain and expand the existing public health nursing 11 27 program for elderly and low-income persons with the objective 11 28 of preventing or reducing inappropriate institutionalization. 11 29 The funds shall not be used for any other purpose. As used in 11 30 this lettered paragraph, "elderly person" means a person who 11 31 is 60 years of age or older and "low-income person" means a 11 32 person whose income and resources are below the guidelines 11 33 established by the department. 11 34 (2) One-fourth of the total amount to be allocated shall 11 35 be divided so that an equal amount is available for use in 12 1 each county in the state. Three-fourths of the total amount 12 2 to be allocated shall be divided so that the share available 12 3 for use in each county is proportionate to the number of 12 4 elderly and low-income persons living in that county in 12 5 relation to the total number of elderly and low-income persons 12 6 living in the state. 12 7 (3) In order to receive allocations under this lettered 12 8 paragraph, the local board of health having jurisdiction shall 12 9 prepare a proposal for the use of the allocated funds 12 10 available for that jurisdiction that will provide the maximum 12 11 benefits of expanded public health nursing care to elderly and 12 12 low-income persons in the jurisdiction. After approval of the 12 13 proposal by the department, the department shall enter into a 12 14 contract with the local board of health. The local board of 12 15 health shall subcontract with a nonprofit nurses' association, 12 16 an independent nonprofit agency, or a suitable local 12 17 governmental body to use the allocated funds to provide public 12 18 health nursing care. Local boards of health shall make an 12 19 effort to prevent duplication of services. 12 20 (4) If by July 30 of the fiscal year, the department is 12 21 unable to conclude contracts for use of the allocated funds in 12 22 a county, the department shall consider the unused funds 12 23 appropriated under this lettered paragraph an unallocated 12 24 pool. If the unallocated pool is $50,000 for the fiscal year 12 25 beginning July 1, 1995, and $50,000 for the fiscal year 12 26 beginning July 1, 1996, it shall be reallocated to the 12 27 counties in substantially the same manner as the original 12 28 allocations. The reallocated funds are available for use in 12 29 those counties during the period beginning January 1 and 12 30 ending June 30 of the fiscal year. If the unallocated pool is 12 31 less than $50,000 for the fiscal year beginning July 1, 1995, 12 32 and $50,000 for the fiscal year beginning July 1, 1996, the 12 33 department may allocate it to counties with demonstrated 12 34 special needs for public health nursing. 12 35 (5) The department shall maintain rules governing the 13 1 expenditure of funds appropriated by this lettered paragraph. 13 2 The rules shall require each local agency receiving funds to 13 3 establish and use a sliding fee scale for those persons able 13 4 to pay for all or a portion of the cost of the care. 13 5 (6) The department shall annually evaluate the success of 13 6 the public health nursing program. The evaluation shall 13 7 include the extent to which the program reduced or prevented 13 8 inappropriate institutionalization, the extent to which the 13 9 program increased the availability of public health nursing 13 10 care to elderly and low-income persons, and the extent of 13 11 public health nursing care provided to elderly and low-income 13 12 persons. The department shall submit a report of each annual 13 13 evaluation to the governor and the general assembly. 13 14 d. For grants to county boards of supervisors for the home 13 15 care aide program: 13 16 1995-96 FY ....................................... $ 8,586,716 13 17 1996-97 FY ....................................... $ 8,586,716 13 18 Funds appropriated in this lettered paragraph shall be used 13 19 to provide home care aide services with emphasis on services 13 20 to elderly and persons below the poverty level and children 13 21 and adults in need of protective services with the objective 13 22 of preventing or reducing inappropriate institutionalization. 13 23 In addition for each fiscal year, up to 15 percent of the 13 24 funds appropriated in this lettered paragraph may be used to 13 25 provide chore services. The funds shall not be used for any 13 26 other purposes. In providing services to elderly persons, the 13 27 service provider shall coordinate efforts with the integrated 13 28 case management for the frail elderly program of the 13 29 department of elder affairs. As used in this lettered 13 30 paragraph: 13 31 (1) "Chore services" means services provided to 13 32 individuals or families, who, due to incapacity, or illness, 13 33 are unable to perform certain home maintenance functions. The 13 34 services include but are not limited to yard work such as 13 35 mowing lawns, raking leaves, and shoveling walks; window and 14 1 door maintenance such as hanging screen windows and doors, 14 2 replacing windowpanes, and washing windows; and minor repairs 14 3 to walls, floors, stairs, railings, and handles. It also 14 4 includes heavy house cleaning which includes cleaning attics 14 5 or basements to remove fire hazards, moving heavy furniture, 14 6 extensive wall washing, floor care or painting, and trash 14 7 removal. 14 8 (2) "Elderly person" means a person who is 60 years of age 14 9 or older. 14 10 (3) "Home care aide services" means services intended to 14 11 enhance the capacity of household members to attain or 14 12 maintain the independence of the household members and 14 13 provided by trained and supervised workers to individuals or 14 14 families, who, due to the absence, incapacity, or limitations 14 15 of the usual homemaker, are experiencing stress or crisis. 14 16 The services include but are not limited to essential 14 17 shopping, housekeeping, meal preparation, child care, respite 14 18 care, money management and consumer education, family 14 19 management, personal services, transportation and providing 14 20 information, assistance, and household management. 14 21 (4) "Low-income person" means a person whose income and 14 22 resources are below the guidelines established by the 14 23 department. 14 24 (5) "Protective services" means those home care aide 14 25 services intended to stabilize a child's or an adult's 14 26 residential environment and relationships with relatives, 14 27 caretakers, and other persons or household members in order to 14 28 alleviate a situation involving abuse or neglect or to 14 29 otherwise protect the child or adult from a threat of abuse or 14 30 neglect. 14 31 The amount appropriated in this lettered paragraph for each 14 32 fiscal year shall be allocated for use in the counties of the 14 33 state. Fifteen percent of the amount shall be divided so that 14 34 an equal amount is available for use in each county in the 14 35 state. The following percentages of the remaining amount 15 1 shall be allocated to each county according to that county's 15 2 proportion of residents with the following demographic 15 3 characteristics: 60 percent according to the number of 15 4 elderly persons living in the county, 20 percent according to 15 5 the number of persons below the poverty level living in the 15 6 county, and 20 percent according to the number of 15 7 substantiated cases of child abuse in the county during the 15 8 three most recent fiscal years for which data is available. 15 9 In order to receive allocations in this lettered paragraph, 15 10 the county board of supervisors, after consultation with the 15 11 local boards of health, human services county cluster boards, 15 12 area agency on aging advisory council, local office of the 15 13 department of human services, and other in-home health care 15 14 provider agencies in the jurisdiction, shall prepare a 15 15 proposal for the use of the allocated funds available for that 15 16 jurisdiction that will provide the maximum benefits of home 15 17 care aide services to elderly and low-income persons and 15 18 children and adults in need of protective services in the 15 19 jurisdiction. An agency requesting service or financial 15 20 information about a current subcontractor shall provide 15 21 similar information concerning its own home care aide or chore 15 22 services program to the current subcontractor. The proposal 15 23 may provide that a maximum of 15 percent of the allocated 15 24 funds will be used to provide chore services. The proposal 15 25 shall include a statement assuring that children and adults in 15 26 need of protective services are given priority for home care 15 27 aide services and that the appropriate local agencies have 15 28 participated in the planning for the proposal. After approval 15 29 of the proposal by the department, the department shall enter 15 30 into a contract with the county board of supervisors or a 15 31 governmental body designated by the county board of 15 32 supervisors. The county board of supervisors or its designee 15 33 shall subcontract with a nonprofit nurses' association, an 15 34 independent nonprofit agency, the department of human 15 35 services, or a suitable local governmental body to use the 16 1 allocated funds to provide home care aide services and chore 16 2 services providing that the subcontract requires any service 16 3 provided away from the home to be documented in a report 16 4 available for review by the department, and that each home 16 5 care aide subcontracting agency shall maintain the direct 16 6 service workers' time assigned to direct client service at 70 16 7 percent or more of the workers' paid time and that not more 16 8 than 35 percent of the total cost of the service be included 16 9 in the combined costs for service administration and agency 16 10 administration. The subcontract shall require that each home 16 11 care aide subcontracting agency shall pay the employer's 16 12 contribution of social security and provide workers' 16 13 compensation coverage for persons providing direct home care 16 14 aide service and meet any other applicable legal requirements 16 15 of an employer-employee relationship. 16 16 If by July 30 of the fiscal year, the department is unable 16 17 to conclude contracts for use of the allocated funds in a 16 18 county, the department shall consider the unused funds 16 19 appropriated in this lettered paragraph an unallocated pool. 16 20 The department shall also identify any allocated funds which 16 21 the counties do not anticipate spending during the fiscal 16 22 year. If the anticipated excess funds to any county are 16 23 substantial, the department and the county may agree to return 16 24 those excess funds, if the funds are other than program 16 25 revenues, to the department, and if returned, the department 16 26 shall consider the returned funds a part of the unallocated 16 27 pool. The department shall, prior to February 15 of the 16 28 fiscal year, reallocate the funds in the unallocated pool 16 29 among the counties in which the department has concluded 16 30 contracts under this lettered paragraph. The department shall 16 31 also review the first 10 months' expenditures for each county 16 32 in May of the fiscal year, to determine if any counties 16 33 possess contracted funds which they do not anticipate 16 34 spending. If such funds are identified and the county agrees 16 35 to release the funds, the released funds will be considered a 17 1 new reallocation pool. The department may, prior to June 1 of 17 2 the fiscal year, reallocate funds from this new reallocation 17 3 pool to those counties which have experienced a high 17 4 utilization of protective service hours for children and 17 5 dependent adults. 17 6 The department shall maintain rules governing the 17 7 expenditure of funds appropriated in this lettered paragraph. 17 8 The rules require each local agency receiving funds to 17 9 establish and use a sliding fee scale for those persons able 17 10 to pay for all or a portion of the cost of the services and 17 11 shall require the payments to be applied to the cost of the 17 12 services. The department shall also maintain rules for 17 13 standards regarding training, supervision, recordkeeping, 17 14 appeals, program evaluation, cost analysis, and financial 17 15 audits, and rules specifying reporting requirements. 17 16 The department shall annually evaluate the success of the 17 17 home care aide program. The evaluation shall include a 17 18 description of the program and its implementation, the extent 17 19 of local participation, the extent to which the program 17 20 reduced or prevented inappropriate institutionalization, the 17 21 extent to which the program provided or increased the 17 22 availability of home care aide services to elderly and low- 17 23 income persons and children and adults in need of protective 17 24 services, any problems and recommendations concerning the 17 25 program, and an analysis of the costs of services across the 17 26 state. The department shall submit a report of the annual 17 27 evaluation to the governor and the general assembly. 17 28 e. For the development and maintenance of well-elderly 17 29 clinics in the state: 17 30 1995-96 FY ....................................... $ 585,337 17 31 1996-97 FY ....................................... $ 585,337 17 32 Appropriations made in this lettered paragraph shall be 17 33 provided by a formula to well-elderly clinics located in 17 34 counties which provide funding on a matching basis for the 17 35 well-elderly clinics. 18 1 f. For the physician care for children program: 18 2 1995-96 FY ....................................... $ 411,187 18 3 1996-97 FY ....................................... $ 411,187 18 4 The physician services shall be subject to managed care and 18 5 selective contracting provisions and shall be used to provide 18 6 for the medical treatment of children and shall include 18 7 coverage of diagnostic procedures, prescription drugs, and 18 8 physician-ordered treatments necessary to treat an acute 18 9 condition. Services provided under this lettered paragraph 18 10 shall be reimbursed according to medical assistance 18 11 reimbursement rates. 18 12 g. For primary and preventive health care for children: 18 13 1995-96 FY ....................................... $ 75,000 18 14 1996-97 FY ....................................... $ 75,000 18 15 Funds appropriated in this lettered paragraph shall be for 18 16 the public purpose of providing a renewable grant, following a 18 17 request for proposals, to a statewide charitable organization 18 18 within the meaning of section 501(c)(3) of the Internal 18 19 Revenue Code which was organized prior to April 1, 1989, and 18 20 has as one of its purposes the sponsorship or support for 18 21 programs designed to improve the quality, awareness, and 18 22 availability of health care for the young, to serve as the 18 23 funding mechanism for the provision of primary health care and 18 24 preventive services to children in the state who are uninsured 18 25 and who are not eligible under any public plan of health 18 26 insurance, provided all of the following conditions are met: 18 27 (1) The organization shall provide a match of four dollars 18 28 in advance of each state dollar provided. 18 29 (2) The organization coordinates services with new or 18 30 existing public programs and services provided by or funded by 18 31 appropriate state agencies in an effort to avoid inappropriate 18 32 duplication of services and ensure access to care to the 18 33 extent as is reasonably possible. The organization shall work 18 34 with the Iowa department of public health, family and 18 35 community health division, to ensure duplication is minimized. 19 1 (3) The organization's governing board includes in its 19 2 membership representatives from the executive and legislative 19 3 branches of state government. 19 4 (4) Grant funds are available as needed to provide 19 5 services and shall not be used for administrative costs of the 19 6 department or the grantee. 19 7 h. For the healthy family program: 19 8 1995-96 FY ....................................... $ 525,000 19 9 1996-97 FY ....................................... $ 525,000 19 10 The moneys appropriated in this lettered paragraph shall be 19 11 granted pursuant to 1992 Iowa Acts, Second Extraordinary 19 12 Session, chapter 1001, section 415. The administrative 19 13 entities shall work collaboratively to assure continuity of 19 14 the provision of services from the prenatal to the preschool 19 15 period to an individual client by having a single resource 19 16 mother work with that client. The department shall submit an 19 17 annual report to the general assembly concerning the 19 18 efficiency of the program and make any recommendations for 19 19 improvements. 19 20 5. STATE BOARD OF DENTAL EXAMINERS 19 21 For salaries, support, maintenance, and miscellaneous 19 22 purposes: 19 23 1995-96 FY ....................................... $ 286,314 19 24 1996-97 FY ....................................... $ 281,434 19 25 6. STATE BOARD OF MEDICAL EXAMINERS 19 26 For salaries, support, maintenance, and miscellaneous 19 27 purposes: 19 28 1995-96 FY ....................................... $ 1,005,545 19 29 1996-97 FY ....................................... $ 1,006,008 19 30 7. STATE BOARD OF NURSING EXAMINERS 19 31 For salaries, support, maintenance, and miscellaneous 19 32 purposes: 19 33 1995-96 FY ....................................... $ 927,661 19 34 1996-97 FY ....................................... $ 918,455 19 35 8. STATE BOARD OF PHARMACY EXAMINERS 20 1 For salaries, support, maintenance, and miscellaneous 20 2 purposes: 20 3 1995-96 FY ....................................... $ 659,113 20 4 1996-97 FY ....................................... $ 659,681 20 5 9. The state board of medical examiners, the state board 20 6 of pharmacy examiners, the state board of dental examiners, 20 7 and the state board of nursing examiners shall prepare 20 8 estimates of projected receipts to be generated by the 20 9 licensing, certification, and examination fees of each board 20 10 as well as a projection of the fairly apportioned 20 11 administrative costs and rental expenses attributable to each 20 12 board. Each board shall annually review and adjust its 20 13 schedule of fees so that, as nearly as possible, projected 20 14 receipts equal projected costs. 20 15 10. The state board of medical examiners, the state board 20 16 of pharmacy examiners, the state board of dental examiners, 20 17 and the state board of nursing examiners shall retain their 20 18 individual executive officers, but are strongly encouraged to 20 19 share administrative, clerical, and investigative staffs to 20 20 the greatest extent possible. 20 21 11. A local health care provider or nonprofit health care 20 22 organization seeking grant moneys administered by the 20 23 department of public health shall provide documentation that 20 24 the provider or organization has coordinated its services with 20 25 other local entities providing similar services. 20 26 Sec. 5. DEPARTMENT OF HUMAN RIGHTS. There is appropriated 20 27 from the general fund of the state to the department of human 20 28 rights for the fiscal biennium beginning July 1, 1995, and 20 29 ending June 30, 1997, the following amounts, or so much 20 30 thereof as is necessary, to be used for the purposes 20 31 designated: 20 32 1. CENTRAL ADMINISTRATION DIVISION 20 33 For salaries, support, maintenance, and miscellaneous 20 34 purposes: 20 35 1995-96 FY ....................................... $ 183,145 21 1 1996-97 FY ....................................... $ 183,145 21 2 2. COMMUNITY ACTION AGENCIES DIVISION 21 3 For the expenses of the community action agencies 21 4 commission: 21 5 1995-96 FY ....................................... $ 3,401 21 6 1996-97 FY ....................................... $ 3,401 21 7 3. DEAF SERVICES DIVISION 21 8 For salaries, support, maintenance, and miscellaneous 21 9 purposes: 21 10 1995-96 FY ....................................... $ 291,686 21 11 1996-97 FY ....................................... $ 291,686 21 12 The fees collected by the division for provision of 21 13 interpretation services by the division to obligated agencies 21 14 shall be disbursed pursuant to the provisions of section 8.32, 21 15 and shall be dedicated and used by the division for the 21 16 provision of continued and expanded interpretation services. 21 17 4. PERSONS WITH DISABILITIES DIVISION 21 18 For salaries, support, maintenance, and miscellaneous 21 19 purposes: 21 20 1995-96 FY ....................................... $ 103,260 21 21 1996-97 FY ....................................... $ 103,260 21 22 5. LATINO AFFAIRS DIVISION 21 23 For salaries, support, maintenance, and miscellaneous 21 24 purposes: 21 25 1995-96 FY ....................................... $ 98,189 21 26 1996-97 FY ....................................... $ 98,189 21 27 6. STATUS OF WOMEN DIVISION 21 28 For salaries, support, maintenance, and miscellaneous 21 29 purposes: 21 30 1995-96 FY ....................................... $ 394,430 21 31 1996-97 FY ....................................... $ 394,430 21 32 a. Of the funds appropriated in this subsection, at least 21 33 $125,775 for the fiscal year beginning July 1, 1995, and 21 34 $125,775 for the fiscal year beginning July 1, 1996, shall be 21 35 spent for the displaced homemaker program. 22 1 b. Of the funds appropriated in this subsection, at least 22 2 $42,570 for the fiscal year beginning July 1, 1995, and 22 3 $42,570 for the fiscal year beginning July 1, 1996, shall be 22 4 spent for domestic violence and sexual assault-related grants. 22 5 c. Of the funds appropriated in this subsection, at least 22 6 $45,241 for the fiscal year beginning July 1, 1995, and 22 7 $45,241 for the fiscal year beginning July 1, 1996, shall be 22 8 spent for the mentoring project for family investment program 22 9 participants developed in accordance with section 239.22. 22 10 7. STATUS OF AFRICAN-AMERICANS DIVISION 22 11 For salaries, support, maintenance, and miscellaneous 22 12 purposes: 22 13 1995-96 FY ....................................... $ 100,304 22 14 1996-97 FY ....................................... $ 100,304 22 15 8. CRIMINAL AND JUVENILE JUSTICE PLANNING DIVISION 22 16 For salaries, support, maintenance, and miscellaneous 22 17 purposes: 22 18 1995-96 FY ....................................... $ 478,645 22 19 1996-97 FY ....................................... $ 478,645 22 20 a. The criminal and juvenile justice planning advisory 22 21 council and the juvenile justice advisory council shall 22 22 coordinate their efforts in carrying out their respective 22 23 duties relative to juvenile justice. 22 24 b. Of the funds appropriated in this subsection, at least 22 25 $36,300 for the fiscal year beginning July 1, 1995, and 22 26 $36,300 for the fiscal year beginning July 1, 1996, shall be 22 27 spent for expenses relating to the administration of federal 22 28 funds for juvenile assistance. It is the intent of the 22 29 general assembly that the department of human rights employ 22 30 sufficient staff to meet the federal funding match 22 31 requirements established by the federal office for juvenile 22 32 justice delinquency prevention. The governor's advisory 22 33 council on juvenile justice shall determine the staffing level 22 34 necessary to carry out federal and state mandates for juvenile 22 35 justice. 23 1 Sec. 6. COMMISSION OF VETERANS AFFAIRS. There is 23 2 appropriated from the general fund of the state to the 23 3 commission of veterans affairs for the fiscal biennium 23 4 beginning July 1, 1995, and ending June 30, 1997, the 23 5 following amounts, or so much thereof as is necessary, to be 23 6 used for the purposes designated: 23 7 1. COMMISSION OF VETERANS AFFAIRS ADMINISTRATION 23 8 For salaries, support, maintenance, and miscellaneous 23 9 purposes: 23 10 1995-96 FY ....................................... $ 213,057 23 11 1996-97 FY ....................................... $ 213,069 23 12 The commission of veterans affairs may use the gifts 23 13 accepted by the chairperson of the commission of veterans 23 14 affairs, or designee, and other resources available to the 23 15 commission for use at its Camp Dodge office. The commission 23 16 shall report annually to the governor and the general assembly 23 17 on monetary gifts received by the commission for the Camp 23 18 Dodge office. 23 19 2. WAR ORPHANS 23 20 For the war orphans educational aid fund established 23 21 pursuant to chapter 35: 23 22 1995-96 FY ....................................... $ 4,800 23 23 1996-97 FY ....................................... $ 4,800 23 24 3. IOWA VETERANS HOME 23 25 For salaries, support, maintenance, and miscellaneous 23 26 purposes: 23 27 1995-96 FY ....................................... $ 38,195,008 23 28 1996-97 FY ....................................... $ 38,369,120 23 29 The Iowa veterans home may use the gifts accepted by the 23 30 chairperson of the commission of veterans affairs and other 23 31 resources available to the commission for use at the Iowa 23 32 veterans home. 23 33 If medical assistance revenues are expanded at the Iowa 23 34 veterans home, and this expansion results in medical 23 35 assistance reimbursements which exceed the amount budgeted for 24 1 that purpose in the fiscal biennium beginning July 1, 1995, 24 2 and ending June 30, 1997, the Iowa veterans home may expend 24 3 the excess amounts to exceed the number of full-time 24 4 equivalent positions authorized for the purpose of meeting 24 5 related certification requirements or to provide additional 24 6 beds. The expenditure of additional funds received, as 24 7 outlined in this paragraph, is subject to the approval by the 24 8 department of management. 24 9 Sec. 7. GOVERNOR'S SUBSTANCE ABUSE PREVENTION COORDINATOR. 24 10 There is appropriated from the general fund of the state to 24 11 the office of the governor's substance abuse prevention 24 12 coordinator for the fiscal biennium beginning July 1, 1995, 24 13 and ending June 30, 1997, the following amounts, or so much 24 14 thereof as is necessary, to be used for the purposes 24 15 designated: 24 16 1. For salaries, support, maintenance, and miscellaneous 24 17 purposes: 24 18 1995-96 FY ....................................... $ 302,607 24 19 1996-97 FY ....................................... $ 302,550 24 20 2. For the Iowa substance abuse clearinghouse in Cedar 24 21 Rapids for staff, materials, and operating expenses: 24 22 1995-96 FY ....................................... $ 32,894 24 23 1996-97 FY ....................................... $ 32,894 24 24 Sec. 8. 1992 Iowa Acts, Second Extraordinary Session, 24 25 chapter 1001, section 416, unnumbered paragraph 1, and 24 26 subsection 4, are amended to read as follows: 24 27 There is appropriated from the general fund of the state to 24 28 the Iowa department of public health, for the fiscal year be- 24 29 ginning July 1, 1992, and ending June 30, 1993, the following 24 30 amount, or so much thereof as is necessary, for the purposes 24 31 designated: 24 32 .................................................. $665,00024 33 525,000 24 344. Of the moneys appropriated in this section, not more24 35than $140,000 shall be used to increase the use of mid-level25 1practitioners to improve access to prenatal health care. The25 2funds shall be used to issue three grants in equal amounts to25 3hospitals, public health programs, or maternal health clinics25 4to develop programs to provide services to pregnant women,25 5utilizing nurse midwives with hospital privileges and25 6physician support, in areas of the state with insufficient25 7availability of obstetrical services.25 8 EXPLANATION 25 9 This bill makes appropriations for the 1995-96 fiscal year 25 10 and the 1996-97 fiscal year to the department for the blind, 25 11 the civil rights commission, the state commission on veterans 25 12 affairs, the governor's substance abuse prevention 25 13 coordinator, and the departments of elder affairs, public 25 14 health, and human rights. 25 15 LSB 1094XG 76 25 16 mg/jw/5.3
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