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PAG LIN 1 1 Amend Senate File 2448, as amended, passed, and 1 2 reprinted by the Senate, as follows: 1 3 #1. By striking everything after the enacting 1 4 clause and inserting the following: 1 5 "Section 1. DEPARTMENT FOR THE BLIND. There is 1 6 appropriated from the general fund of the state to the 1 7 department for the blind for the fiscal year beginning 1 8 July 1, 1996, and ending June 30, 1997, the following 1 9 amount, or so much thereof as is necessary, to be used 1 10 for the purpose designated: 1 11 For salaries, support, maintenance, miscellaneous 1 12 purposes, and for not more than the following full- 1 13 time equivalent positions: 1 14 .................................................. $ 1,458,496 1 15 ............................................... FTEs 95.00 1 16 Sec. 2. CIVIL RIGHTS COMMISSION. There is 1 17 appropriated from the general fund of the state to the 1 18 Iowa state civil rights commission for the fiscal year 1 19 beginning July 1, 1996, and ending June 30, 1997, the 1 20 following amount, or so much thereof as is necessary, 1 21 to be used for the purpose designated: 1 22 For salaries, support, maintenance, miscellaneous 1 23 purposes, and for not more than the following full- 1 24 time equivalent positions: 1 25 .................................................. $ 1,128,354 1 26 ............................................... FTEs 36.00 1 27 If the anticipated amount of federal funding from 1 28 the federal equal employment opportunity commission 1 29 and the federal department of housing and urban 1 30 development exceeds $467,900 during the fiscal year 1 31 beginning July 1, 1996, and ending June 30, 1997, the 1 32 Iowa state civil rights commission may exceed the 1 33 staffing level authorized by this section as necessary 1 34 to hire additional staff to process or to support the 1 35 processing of employment and housing complaints. 1 36 A first-time violation detected during or as a 1 37 result of random testing to detect civil rights 1 38 violations shall not result in adjudication or the 1 39 assessment of a fine. The intent of civil rights 1 40 testing shall be strictly educational. If this 1 41 provision is determined to be illegal or 1 42 unconstitutional by a court of law, or if the 1 43 provision would in any way jeopardize a federal 1 44 department of housing and urban development grant to 1 45 the commission, the provision shall not apply. 1 46 The questionnaire which the Iowa state civil rights 1 47 commission requires an employer to complete during the 1 48 course of an investigation, after a complaint against 1 49 the employer has been filed, shall be revised and 1 50 shortened. 2 1 Sec. 3. DEPARTMENT OF ELDER AFFAIRS. There is 2 2 appropriated from the general fund of the state to the 2 3 department of elder affairs for the fiscal year 2 4 beginning July 1, 1996, and ending June 30, 1997, the 2 5 following amounts, or so much thereof as is necessary, 2 6 to be used for the purposes designated: 2 7 1. For salaries, support, maintenance, 2 8 miscellaneous purposes, and for not more than the 2 9 following full-time equivalent positions: 2 10 .................................................. $ 445,650 2 11 ............................................... FTEs 28.00 2 12 2. For aging programs and services: 2 13 .................................................. $ 3,040,586 2 14 All funds appropriated in this subsection shall be 2 15 received and disbursed by the director of elder 2 16 affairs for aging programs and services, shall not be 2 17 used by the department for administrative purposes, 2 18 not more than $151,654 shall be used for area agencies 2 19 on aging administrative purposes, and shall be used 2 20 for citizens of Iowa over 60 years of age for case 2 21 management for the frail elderly, mental health 2 22 outreach, Alzheimer's support, retired senior 2 23 volunteer program, care review committee coordination, 2 24 employment, adult day care, respite care, chore 2 25 services, telephone reassurance, information and 2 26 assistance, and home repair services, including the 2 27 winterizing of homes, and for the construction of 2 28 entrance ramps which make residences accessible to the 2 29 physically handicapped. Funds appropriated in this 2 30 subsection may be used to supplement federal funds 2 31 under federal regulations. To receive funds 2 32 appropriated in this subsection, a local area agency 2 33 on aging shall match the funds with funds from other 2 34 sources in accordance with rules adopted by the 2 35 department. Funds appropriated in this subsection may 2 36 be used for elderly services not specifically 2 37 enumerated in this subsection only if approved by an 2 38 area agency on aging for provision of the service 2 39 within the area. 2 40 The department shall maintain policies and 2 41 procedures regarding Alzheimer's support and the 2 42 retired senior volunteer program. 2 43 Sec. 4. GOVERNOR'S ALLIANCE ON SUBSTANCE ABUSE. 2 44 There is appropriated from the general fund of the 2 45 state to the governor's alliance on substance abuse 2 46 for the fiscal year beginning July 1, 1996, and ending 2 47 June 30, 1997, the following amounts, or so much 2 48 thereof as is necessary, to be used for the purposes 2 49 designated: 2 50 1. For salaries, support, maintenance, 3 1 miscellaneous purposes, and for not more than the 3 2 following full-time equivalent positions: 3 3 .................................................. $ 300,778 3 4 ............................................... FTEs 10.00 3 5 2. For the Iowa substance abuse clearinghouse in 3 6 Cedar Rapids for staff, materials, and operating 3 7 expenses: 3 8 .................................................. $ 32,510 3 9 Sec. 5. DEPARTMENT OF PUBLIC HEALTH. There is 3 10 appropriated from the general fund of the state to the 3 11 Iowa department of public health for the fiscal year 3 12 beginning July 1, 1996, and ending June 30, 1997, the 3 13 following amounts, or so much thereof as is necessary, 3 14 to be used for the purposes designated: 3 15 1. a. PLANNING AND ADMINISTRATION DIVISION 3 16 For salaries, support, maintenance, miscellaneous 3 17 purposes, and for not more than the following full- 3 18 time equivalent positions: 3 19 ................................................. $ 2,171,724 3 20 ............................................... FTEs 61.15 3 21 (1) Of the funds appropriated in this lettered 3 22 paragraph, $738,182 shall be used for the chronic 3 23 renal disease program. The types of assistance 3 24 available to eligible recipients under the program may 3 25 include insurance premiums, travel reimbursement, and 3 26 prescription and nonprescription drugs. The program 3 27 expenditures shall not exceed this allocation. If 3 28 projected expenditures would exceed the allocation, 3 29 the department shall establish by administrative rule 3 30 a mechanism to reduce financial assistance under the 3 31 renal disease program in order to keep expenditures 3 32 within the amount allocated in this paragraph. 3 33 (2) Hospitals shall not collect fees for birth 3 34 certificates in excess of the fees as set out in the 3 35 administrative rules of the Iowa department of public 3 36 health. 3 37 (3) Of the funds appropriated in this lettered 3 38 paragraph, $117,027 shall be used to provide 3 39 regulatory oversight of accountable health plans. 3 40 (4) Of the funds appropriated in this lettered 3 41 paragraph, $46,658 shall be used for the purchase, 3 42 verification, updating, and storage of health data 3 43 information. 3 44 The department shall compile, correlate, and 3 45 disseminate data from health care providers, the state 3 46 medical assistance program, third-party payors, 3 47 associations, and other appropriate sources in 3 48 furtherance of the purpose and intent of this 3 49 appropriation. 3 50 The department shall request and receive 4 1 information from other state agencies similar to that 4 2 required of third-party payors for the purpose of 4 3 dissemination of health data. The department may 4 4 enter into agreements for studies on health-related 4 5 questions and provide or make data available to health 4 6 care providers, health care subscribers, third-party 4 7 payors and the general public. The department may 4 8 purchase data for the purpose of dissemination of 4 9 health data information. The department shall assure 4 10 the confidentiality of the data collected from other 4 11 state agencies, hospitals, and third-party payors 4 12 under chapter 22. The compilation of data information 4 13 prepared for release or dissemination from the data 4 14 collected shall be a public record. The department 4 15 shall adopt administrative rules to address a 4 16 contracting process, define confidential information, 4 17 set fees to be charged for data, and prescribe the 4 18 forms upon which the information is to be made 4 19 available. 4 20 b. PROFESSIONAL LICENSURE 4 21 For salaries, support, maintenance, miscellaneous 4 22 purposes, and for not more than the following full- 4 23 time equivalent positions: 4 24 .................................................. $ 986,242 4 25 ............................................... FTEs 12.00 4 26 The director of public health, when estimating 4 27 expenditure requirements for the boards funded under 4 28 this paragraph, shall base the budget on 85 percent of 4 29 the average annual fees generated for the previous two 4 30 fiscal years. The department shall confer with the 4 31 boards funded under this paragraph in estimating the 4 32 boards' annual fee generation and administrative 4 33 costs. When the department develops each board's 4 34 annual budget, a board's budget shall not exceed 85 4 35 percent of fees collected, based on the average of the 4 36 previous two fiscal years. The department may expend 4 37 funds in addition to amounts budgeted, if those 4 38 additional expenditures are directly the result of 4 39 unanticipated litigation costs arising from the 4 40 discharge of the board's regulatory duties. Before 4 41 the department expends or encumbers an amount in 4 42 excess of the funds budgeted for a board, the director 4 43 of the department of management shall approve the 4 44 expenditure or encumbrance. The amounts necessary to 4 45 fund the unanticipated litigation in the fiscal year 4 46 beginning July 1, 1996, shall not exceed 5 percent of 4 47 the average annual fees generated by the board for the 4 48 previous two fiscal years. 4 49 c. EMERGENCY MEDICAL SERVICES 4 50 For salaries, support, maintenance, and emergency 5 1 medical services training of emergency medical 5 2 services (EMS) personnel at the state, county, and 5 3 local levels and for not more than the following full- 5 4 time equivalent positions: 5 5 .................................................. $ 1,010,416 5 6 ............................................... FTEs 12.00 5 7 If a person in the course of responding to an 5 8 emergency renders aid to an injured person and becomes 5 9 exposed to bodily fluids of the injured person, that 5 10 emergency responder shall be entitled to hepatitis 5 11 testing and immunization in accordance with the latest 5 12 available medical technology to determine if infection 5 13 with hepatitis has occurred. The person shall be 5 14 entitled to reimbursement from the EMS funds available 5 15 under this lettered paragraph only if the 5 16 reimbursement is not available through any employer or 5 17 third-party payor. 5 18 2. HEALTH PROTECTION DIVISION 5 19 a. For salaries, support, maintenance, 5 20 miscellaneous purposes, and for not more than the 5 21 following full-time equivalent positions: 5 22 .................................................. $ 2,141,836 5 23 ............................................... FTEs 76.00 5 24 b. Of the funds appropriated in this subsection, 5 25 $75,000 shall be used for chlamydia testing. 5 26 c. Of the funds appropriated in this subsection, 5 27 $39,547 shall be used for the lead abatement program. 5 28 d. The state university of Iowa hospitals and 5 29 clinics shall not receive indirect costs from the 5 30 funds appropriated in this subsection. 5 31 3. SUBSTANCE ABUSE AND HEALTH PROMOTION DIVISION 5 32 a. For salaries, support, maintenance, 5 33 miscellaneous purposes, and for not more than the 5 34 following full-time equivalent positions: 5 35 .................................................. $ 625,907 5 36 ............................................... FTEs 47.35 5 37 (1) The division shall continue to coordinate with 5 38 substance abuse treatment and prevention providers 5 39 regardless of funding source to assure the delivery of 5 40 substance abuse treatment and prevention programs. 5 41 (2) The commission on substance abuse, in 5 42 conjunction with the division, shall continue to 5 43 coordinate the delivery of substance abuse services 5 44 involving prevention, social and medical 5 45 detoxification, and other treatment by medical and 5 46 nonmedical providers to uninsured and court-ordered 5 47 substance abuse patients in all counties of the state. 5 48 b. Of the funds appropriated in this subsection, 5 49 $15,000 is allocated to support the surveillance and 5 50 reporting of disabilities suffered by persons engaged 6 1 in agriculture resulting from diseases or injuries, 6 2 including identifying the amount and severity of 6 3 agriculture-related injuries and diseases in the 6 4 state, identifying causal factors associated with 6 5 agriculture-related injuries and diseases, and 6 6 evaluating the effectiveness of intervention programs 6 7 designed to reduce injuries and diseases. The 6 8 department shall cooperate with the department of 6 9 agriculture and land stewardship, Iowa state 6 10 university of science and technology, and the college 6 11 of medicine at the state university of Iowa in 6 12 accomplishing these duties. 6 13 c. For program grants: 6 14 .................................................. $ 8,296,812 6 15 (1) Of the funds appropriated in this lettered 6 16 paragraph, $193,500 shall be used for the provision of 6 17 aftercare services for persons completing substance 6 18 abuse treatment. 6 19 (2) Of the funds appropriated in this lettered 6 20 paragraph, a minimum of $950,000 shall be used by the 6 21 Iowa department of public health to continue the 6 22 integrated substance abuse managed care system. 6 23 4. FAMILY AND COMMUNITY HEALTH DIVISION 6 24 a. For salaries, support, maintenance, 6 25 miscellaneous purposes, and for not more than the 6 26 following full-time equivalent positions: 6 27 ................................................. $ 3,375,144 6 28 ............................................... FTEs 71.00 6 29 (1) Of the funds appropriated in this lettered 6 30 paragraph, at least $587,865 shall be allocated by the 6 31 division for the birth defects and genetics counseling 6 32 program and of these funds, $279,402 is allocated for 6 33 regional genetic counseling services contracted from 6 34 the state university of Iowa hospitals and clinics 6 35 under the control of the state board of regents. 6 36 (2) Of the funds appropriated in this lettered 6 37 paragraph, the following amounts are allocated to the 6 38 state university of Iowa hospitals and clinics under 6 39 the control of the state board of regents for the 6 40 following programs under the Iowa specialized child 6 41 health care services: 6 42 (a) Mobile and regional child health specialty 6 43 clinics: 6 44 .................................................. $ 392,931 6 45 The regional clinic located in Sioux City shall 6 46 maintain a social worker component to assist the 6 47 families of children participating in the clinic 6 48 program. 6 49 Of the funds allocated in this subparagraph, 6 50 $97,937 shall be used for a specialized medical home 7 1 care program providing care planning and coordination 7 2 of community support services for children who require 7 3 technical medical care in the home. 7 4 (b) Muscular dystrophy and related genetic disease 7 5 programs: 7 6 .................................................. $ 115,613 7 7 (c) Statewide perinatal program: 7 8 .................................................. $ 61,693 7 9 (3) The birth defects and genetic counseling 7 10 service shall apply a sliding fee scale to determine 7 11 the amount a person receiving the services is required 7 12 to pay for the services. These fees shall be 7 13 considered repayment receipts and used for the 7 14 program. 7 15 (4) The state university of Iowa hospitals and 7 16 clinics shall not receive indirect costs from the 7 17 funds allocated in this lettered paragraph. 7 18 (5) Of the funds appropriated in this lettered 7 19 paragraph, $1,001,209 shall be used for maternal and 7 20 child health services. 7 21 (6) If during the 1996-1997 fiscal year, the 7 22 federal government incorporates the special 7 23 supplemental nutrition program for women, infants, and 7 24 children into a block grant, the department of human 7 25 services, Iowa department of public health, or any 7 26 other state agency which administers the block grant 7 27 shall require a competitive bid process for infant 7 28 formula purchased by or for families under the block 7 29 grant. 7 30 (7) The Iowa department of public health shall 7 31 administer the statewide maternal and child health 7 32 program, conduct mobile and regional child health 7 33 specialty clinics, and conduct other activities to 7 34 improve the health of low-income women and children 7 35 and to promote the welfare of children with actual or 7 36 potential handicapping conditions and chronic 7 37 illnesses in accordance with the requirements of Title 7 38 V of the federal Social Security Act. 7 39 (8) The department shall continue efforts to 7 40 realize the "Healthy Iowans 2000" goal of promoting 7 41 prevention and health promotion to improve the quality 7 42 of life of Iowans and to hold down health care costs 7 43 and shall submit an annual "Healthy Iowans 2000" 7 44 progress report to the general assembly on January 1 7 45 of each fiscal year. 7 46 (9) Of the funds appropriated in this lettered 7 47 paragraph, $165,391 is allocated for the office of 7 48 rural health to provide technical assistance to rural 7 49 areas in the area of health care delivery. 7 50 (10) Of the funds appropriated in this lettered 8 1 paragraph, $182,028 shall be used to develop, 8 2 implement, and maintain rural health provider 8 3 recruitment and retention efforts. 8 4 b. Sudden infant death syndrome autopsies: 8 5 For reimbursing counties for expenses resulting 8 6 from autopsies of suspected victims of sudden infant 8 7 death syndrome required under section 331.802, 8 8 subsection 3, paragraph "j": 8 9 .................................................. $ 9,562 8 10 c. For grants to local boards of health for the 8 11 public health nursing program: 8 12 .................................................. $ 2,482,525 8 13 (1) Funds appropriated in this lettered paragraph 8 14 shall be used to maintain and expand the existing 8 15 public health nursing program for elderly and low- 8 16 income persons with the objective of preventing or 8 17 reducing inappropriate institutionalization. The 8 18 funds shall not be used for any other purpose. As 8 19 used in this lettered paragraph, "elderly person" 8 20 means a person who is 60 years of age or older and 8 21 "low-income person" means a person whose income and 8 22 resources are below the guidelines established by the 8 23 department. 8 24 (2) One-fourth of the total amount to be allocated 8 25 shall be divided so that an equal amount is available 8 26 for use in each county in the state. Three-fourths of 8 27 the total amount to be allocated shall be divided so 8 28 that the share available for use in each county is 8 29 proportionate to the number of elderly and low-income 8 30 persons living in that county in relation to the total 8 31 number of elderly and low-income persons living in the 8 32 state. 8 33 (3) In order to receive allocations under this 8 34 lettered paragraph, the local board of health having 8 35 jurisdiction shall prepare a proposal for the use of 8 36 the allocated funds available for that jurisdiction 8 37 that will provide the maximum benefits of expanded 8 38 public health nursing care to elderly and low-income 8 39 persons in the jurisdiction. After approval of the 8 40 proposal by the department, the department shall enter 8 41 into a contract with the local board of health. The 8 42 local board of health shall subcontract with a 8 43 nonprofit nurses' association, an independent 8 44 nonprofit agency, or a suitable local governmental 8 45 body to use the allocated funds to provide public 8 46 health nursing care. Local boards of health shall 8 47 make an effort to prevent duplication of services. 8 48 (4) If by July 30 of the fiscal year, the 8 49 department is unable to conclude contracts for use of 8 50 the allocated funds in a county, the department shall 9 1 consider the unused funds appropriated under this 9 2 lettered paragraph an unallocated pool. If the 9 3 unallocated pool is $50,000 or more it shall be 9 4 reallocated to the counties in substantially the same 9 5 manner as the original allocations. The reallocated 9 6 funds are available for use in those counties during 9 7 the period beginning January 1 and ending June 30 of 9 8 the fiscal year. If the unallocated pool is less than 9 9 $50,000, the department may allocate the pool to 9 10 counties with demonstrated special needs for public 9 11 health nursing. 9 12 (5) The department shall maintain rules governing 9 13 the expenditure of funds appropriated in this lettered 9 14 paragraph. The rules shall require each local agency 9 15 receiving funds to establish and use a sliding fee 9 16 scale for those persons able to pay for all or a 9 17 portion of the cost of the care. 9 18 (6) The department shall annually evaluate the 9 19 success of the public health nursing program. The 9 20 evaluation shall include the extent to which the 9 21 program reduced or prevented inappropriate 9 22 institutionalization, the extent to which the program 9 23 increased the availability of public health nursing 9 24 care to elderly and low-income persons, and the extent 9 25 of public health nursing care provided to elderly and 9 26 low-income persons. The department shall submit a 9 27 report of each annual evaluation to the governor and 9 28 the general assembly. 9 29 d. For grants to county boards of supervisors for 9 30 the home care aide program: 9 31 .................................................. $ 8,486,400 9 32 Funds appropriated in this lettered paragraph shall 9 33 be used to provide home care aide services with 9 34 emphasis on services to elderly and persons below the 9 35 poverty level and children and adults in need of 9 36 protective services with the objective of preventing 9 37 or reducing inappropriate institutionalization. In 9 38 addition, up to 15 percent of the funds appropriated 9 39 in this lettered paragraph may be used to provide 9 40 chore services. The funds shall not be used for any 9 41 other purposes. In providing services to elderly 9 42 persons, the service provider shall coordinate efforts 9 43 with the integrated case management for the frail 9 44 elderly program of the department of elder affairs. 9 45 As used in this lettered paragraph: 9 46 (1) "Chore services" means services provided to 9 47 individuals or families, who, due to incapacity, or 9 48 illness, are unable to perform certain home 9 49 maintenance functions. The services include but are 9 50 not limited to yard work such as mowing lawns, raking 10 1 leaves, and shoveling walks; window and door 10 2 maintenance such as hanging screen windows and doors, 10 3 replacing windowpanes, and washing windows; and minor 10 4 repairs to walls, floors, stairs, railings, and 10 5 handles. It also includes heavy house cleaning which 10 6 includes cleaning attics or basements to remove fire 10 7 hazards, moving heavy furniture, extensive wall 10 8 washing, floor care or painting, and trash removal. 10 9 (2) "Elderly person" means a person who is 60 10 10 years of age or older. 10 11 (3) "Home care aide services" means services 10 12 intended to enhance the capacity of household members 10 13 to attain or maintain the independence of the 10 14 household members and provided by trained and 10 15 supervised workers to individuals or families, who, 10 16 due to the absence, incapacity, or limitations of the 10 17 usual homemaker, are experiencing stress or crisis. 10 18 The services include but are not limited to essential 10 19 shopping, housekeeping, meal preparation, child care, 10 20 respite care, money management and consumer education, 10 21 family management, personal services, transportation, 10 22 and providing information, assistance, and household 10 23 management. 10 24 (4) "Low-income person" means a person whose 10 25 income and resources are below the guidelines 10 26 established by the department. 10 27 (5) "Protective services" means those home care 10 28 aide services intended to stabilize a child's or an 10 29 adult's residential environment and relationships with 10 30 relatives, caretakers, and other persons or household 10 31 members in order to alleviate a situation involving 10 32 abuse or neglect or to otherwise protect the child or 10 33 adult from a threat of abuse or neglect. 10 34 The amount appropriated in this lettered paragraph 10 35 shall be allocated for use in the counties of the 10 36 state. Fifteen percent of the amount shall be divided 10 37 so that an equal amount is available for use in each 10 38 county in the state. The following percentages of the 10 39 remaining amount shall be allocated to each county 10 40 according to that county's proportion of residents 10 41 with the following demographic characteristics: 60 10 42 percent according to the number of elderly persons 10 43 living in the county, 20 percent according to the 10 44 number of persons below the poverty level living in 10 45 the county, and 20 percent according to the number of 10 46 substantiated cases of child abuse in the county 10 47 during the three most recent fiscal years for which 10 48 data is available. 10 49 In order to receive allocations in this lettered 10 50 paragraph, the county board of supervisors, after 11 1 consultation with the local boards of health, human 11 2 services county cluster boards, area agency on aging 11 3 advisory council, local office of the department of 11 4 human services, and other in-home health care provider 11 5 agencies in the jurisdiction, shall prepare a proposal 11 6 for the use of the allocated funds available for that 11 7 jurisdiction that will provide the maximum benefits of 11 8 home care aide services to elderly and low-income 11 9 persons and children and adults in need of protective 11 10 services in the jurisdiction. An agency requesting 11 11 service or financial information about a current 11 12 subcontractor shall provide similar information 11 13 concerning its own home care aide or chore services 11 14 program to the current subcontractor. The proposal 11 15 may provide that a maximum of 15 percent of the 11 16 allocated funds will be used to provide chore 11 17 services. The proposal shall include a statement 11 18 assuring that children and adults in need of 11 19 protective services are given priority for home care 11 20 aide services and that the appropriate local agencies 11 21 have participated in the planning for the proposal. 11 22 After approval of the proposal by the department, the 11 23 department shall enter into a contract with the county 11 24 board of supervisors or a governmental body designated 11 25 by the county board of supervisors. The county board 11 26 of supervisors or its designee shall subcontract with 11 27 a nonprofit nurses' association, an independent 11 28 nonprofit agency, the department of human services, or 11 29 a suitable local governmental body to use the 11 30 allocated funds to provide home care aide services and 11 31 chore services providing that the subcontract requires 11 32 any service provided away from the home to be 11 33 documented in a report available for review by the 11 34 department, and that each home care aide 11 35 subcontracting agency shall maintain the direct 11 36 service workers' time assigned to direct client 11 37 service at 70 percent or more of the workers' paid 11 38 time and that not more than 35 percent of the total 11 39 cost of the service be included in the combined costs 11 40 for service administration and agency administration. 11 41 The subcontract shall require that each home care aide 11 42 subcontracting agency shall pay the employer's 11 43 contribution of social security and provide workers' 11 44 compensation coverage for persons providing direct 11 45 home care aide service and meet any other applicable 11 46 legal requirements of an employer-employee 11 47 relationship. 11 48 If by July 30 of the fiscal year, the department is 11 49 unable to conclude contracts for use of the allocated 11 50 funds in a county, the department shall consider the 12 1 unused funds appropriated in this lettered paragraph 12 2 an unallocated pool. The department shall also 12 3 identify any allocated funds which the counties do not 12 4 anticipate spending during the fiscal year. If the 12 5 amount of anticipated excess funds to any county is 12 6 substantial, the department and the county may agree 12 7 to return those excess funds, if the funds are other 12 8 than program revenues, to the department, and if 12 9 returned, the department shall consider the returned 12 10 funds a part of the unallocated pool. The department 12 11 shall, prior to February 15 of the fiscal year, 12 12 reallocate the funds in the unallocated pool among the 12 13 counties in which the department has concluded 12 14 contracts under this lettered paragraph. The 12 15 department shall also review the first 10 months' 12 16 expenditures for each county in May of the fiscal 12 17 year, to determine if any counties possess contracted 12 18 funds which they do not anticipate spending. If such 12 19 funds are identified and the county agrees to release 12 20 the funds, the released funds will be considered a new 12 21 reallocation pool. The department may, prior to June 12 22 1 of the fiscal year, reallocate funds from this new 12 23 reallocation pool to those counties which have 12 24 experienced a high utilization of protective service 12 25 hours for children and dependent adults. 12 26 The department shall maintain rules governing the 12 27 expenditure of funds appropriated in this lettered 12 28 paragraph. The rules shall require each local agency 12 29 receiving funds to establish and use a sliding fee 12 30 scale for those persons able to pay for all or a 12 31 portion of the cost of the services and shall require 12 32 the payments to be applied to the cost of the 12 33 services. The department shall also maintain rules 12 34 for standards regarding training, supervision, 12 35 recordkeeping, appeals, program evaluation, cost 12 36 analysis, and financial audits, and rules specifying 12 37 reporting requirements. 12 38 The department shall annually evaluate the success 12 39 of the home care aide program. The evaluation shall 12 40 include a description of the program and its 12 41 implementation, the extent of local participation, the 12 42 extent to which the program reduced or prevented 12 43 inappropriate institutionalization, the extent to 12 44 which the program provided or increased the 12 45 availability of home care aide services to elderly and 12 46 low-income persons and children and adults in need of 12 47 protective services, any problems and recommendations 12 48 concerning the program, and an analysis of the costs 12 49 of services across the state. The department shall 12 50 submit a report of the annual evaluation to the 13 1 governor and the general assembly. 13 2 e. For the development and maintenance of well- 13 3 elderly clinics in the state: 13 4 .................................................. $ 578,499 13 5 The appropriation in this lettered paragraph shall 13 6 be distributed by a formula to well-elderly clinics 13 7 located in counties which provide funding on a 13 8 matching basis for the well-elderly clinics. 13 9 f. For the physician care for children program: 13 10 .................................................. $ 406,383 13 11 The physician services shall be subject to managed 13 12 care and selective contracting provisions and shall be 13 13 used to provide for the medical treatment of children 13 14 and shall include coverage of diagnostic procedures, 13 15 prescription drugs, and physician-ordered treatments 13 16 necessary to treat an acute condition. Services 13 17 provided under this lettered paragraph shall be 13 18 reimbursed according to medical assistance 13 19 reimbursement rates. 13 20 g. For primary and preventive health care for 13 21 children: 13 22 .................................................. $ 74,124 13 23 Funds appropriated in this lettered paragraph shall 13 24 be for the public purpose of providing a renewable 13 25 grant, following a request for proposals, to a 13 26 statewide charitable organization within the meaning 13 27 of section 501(c)(3) of the Internal Revenue Code 13 28 which was organized prior to April 1, 1989, and has as 13 29 one of its purposes the sponsorship or support for 13 30 programs designed to improve the quality, awareness, 13 31 and availability of health care for the young, to 13 32 serve as the funding mechanism for the provision of 13 33 primary health care and preventive services to 13 34 children in the state who are uninsured and who are 13 35 not eligible under any public plan of health 13 36 insurance, provided all of the following conditions 13 37 are met: 13 38 (1) The organization shall provide a match of $4 13 39 in advance of each state dollar provided. 13 40 (2) The organization coordinates services with new 13 41 or existing public programs and services provided by 13 42 or funded by appropriate state agencies in an effort 13 43 to avoid inappropriate duplication of services and 13 44 ensure access to care to the extent as is reasonably 13 45 possible. The organization shall work with the Iowa 13 46 department of public health, family and community 13 47 health division, to ensure duplication is minimized. 13 48 (3) The organization's governing board includes in 13 49 its membership representatives from the executive and 13 50 legislative branches of state government. 14 1 (4) Grant funds are available as needed to provide 14 2 services and shall not be used for administrative 14 3 costs of the department or the grantee. 14 4 h. For the Iowa healthy family program under 14 5 section 135.106: 14 6 .................................................. $ 652,558 14 7 The moneys appropriated in this lettered paragraph 14 8 shall be granted pursuant to 1992 Iowa Acts, Second 14 9 Extraordinary Session, chapter 1001, section 415, 14 10 except that the grants shall be extended through 14 11 September 30, 1997. Notwithstanding the provisions of 14 12 1992 Iowa Acts, Second Extraordinary Session, chapter 14 13 1001, section 416, the use of mid-level practitioners 14 14 to improve access to prenatal care shall include 14 15 obstetrical-gynecological nurse practitioners and 14 16 family nurse practitioners focusing on maternal and 14 17 child health. The department is encouraged to expand 14 18 funding eligibility under the program to private 14 19 physician and clinic-sponsored programs servicing low- 14 20 income populations. The administrative entities of 14 21 the Iowa healthy family program shall work 14 22 collaboratively to assure continuity of the provision 14 23 of services from the prenatal to the preschool period 14 24 to an individual client by having a single resource 14 25 mother work with that client. The department shall 14 26 submit an annual report to the general assembly 14 27 concerning the efficiency of the healthy family 14 28 program and make any recommendations for improvements. 14 29 Any funds contracted to agencies under this paragraph 14 30 which are projected to be unused at the close of the 14 31 fiscal year shall be allowed to be reallocated within 14 32 the healthy family program by April 1, 1997. 14 33 The Iowa department of public health and the 14 34 department of human services shall determine if 14 35 expenses under any portion of the healthy family 14 36 program would qualify for payment under the medical 14 37 assistance program and if so, shall apply to the 14 38 federal government for a medical assistance waiver. 14 39 The Iowa department of public health and the 14 40 department of human services shall evaluate the 14 41 funding change's potential impact upon clients of the 14 42 healthy family program. 14 43 Of the funds appropriated in this lettered 14 44 paragraph, a minimum of $335,000 shall be used for the 14 45 healthy opportunities for parents to experience 14 46 success program. If funds are appropriated by the 14 47 Seventy-sixth General Assembly, 1996 Session, in 14 48 excess of $335,000, the excess funds shall be used by 14 49 the department to expand the program to counties of 14 50 greatest need. 15 1 i. For primary care provider recruitment and 15 2 retention endeavors: 15 3 .................................................. $ 232,255 15 4 5. STATE BOARD OF DENTAL EXAMINERS 15 5 For salaries, support, maintenance, miscellaneous 15 6 purposes, and for not more than the following full- 15 7 time equivalent positions: 15 8 .................................................. $ 306,149 15 9 ............................................... FTEs 4.00 15 10 6. STATE BOARD OF MEDICAL EXAMINERS 15 11 For salaries, support, maintenance, miscellaneous 15 12 purposes, and for not more than the following full- 15 13 time equivalent positions: 15 14 .................................................. $ 1,024,051 15 15 ............................................... FTEs 18.00 15 16 7. STATE BOARD OF NURSING EXAMINERS 15 17 For salaries, support, maintenance, miscellaneous 15 18 purposes, and for not more than the following full- 15 19 time equivalent positions: 15 20 .................................................. $ 969,938 15 21 ............................................... FTEs 18.00 15 22 8. STATE BOARD OF PHARMACY EXAMINERS 15 23 For salaries, support, maintenance, miscellaneous 15 24 purposes, and for not more than the following full- 15 25 time equivalent positions: 15 26 .................................................. $ 672,192 15 27 ............................................... FTEs 11.00 15 28 9. The state board of medical examiners, the state 15 29 board of pharmacy examiners, the state board of dental 15 30 examiners, and the state board of nursing examiners 15 31 shall prepare estimates of projected receipts to be 15 32 generated by the licensing, certification, and 15 33 examination fees of each board as well as a projection 15 34 of the fairly apportioned administrative costs and 15 35 rental expenses attributable to each board. Each 15 36 board shall annually review and adjust its schedule of 15 37 fees so that, as nearly as possible, projected 15 38 receipts equal projected costs. 15 39 10. The state board of medical examiners, the 15 40 state board of pharmacy examiners, the state board of 15 41 dental examiners, and the state board of nursing 15 42 examiners shall retain their individual executive 15 43 officers, but are strongly encouraged to share 15 44 administrative, clerical, and investigative staffs to 15 45 the greatest extent possible. 15 46 11. A local health care provider or nonprofit 15 47 health care organization seeking grant moneys 15 48 administered by the Iowa department of public health 15 49 shall provide documentation that the provider or 15 50 organization has coordinated its services with other 16 1 local entities providing similar services. 16 2 12. Consolidation of state funding sources for 16 3 public health nursing, home care aid, and the senior 16 4 health program into a single contract for each county, 16 5 as agreed upon by the county board of supervisors and 16 6 any boards of health within the county, shall be 16 7 available for implementation beginning July 1, 1996. 16 8 It is the department's goal to add federal funding for 16 9 health promotion as federal funds become available. 16 10 The department shall submit a report to the general 16 11 assembly on or before January 2, 1997, which shall 16 12 include an evaluation of the first year of the 16 13 voluntary demonstration project and a plan to expand 16 14 statewide a single source contract for each county 16 15 beginning July 1, 1997. The department may include 16 16 other state and federal funding sources with the 16 17 understanding that local, city, or county funds not be 16 18 supplanted. 16 19 Sec. 6. DEPARTMENT OF HUMAN RIGHTS. There is 16 20 appropriated from the general fund of the state to the 16 21 department of human rights for the fiscal year 16 22 beginning July 1, 1996, and ending June 30, 1997, the 16 23 following amounts, or so much thereof as is necessary, 16 24 to be used for the purposes designated: 16 25 1. CENTRAL ADMINISTRATION DIVISION 16 26 For salaries, support, maintenance, miscellaneous 16 27 purposes, and for not more than the following full- 16 28 time equivalent positions: 16 29 .................................................. $ 184,343 16 30 ............................................... FTEs 6.60 16 31 2. COMMUNITY ACTION AGENCIES DIVISION 16 32 For the expenses of the community action agencies 16 33 commission: 16 34 .................................................. $ 3,327 16 35 3. DEAF SERVICES DIVISION 16 36 For salaries, support, maintenance, miscellaneous 16 37 purposes, and for not more than the following full- 16 38 time equivalent positions: 16 39 .................................................. $ 253,174 16 40 ............................................... FTEs 7.00 16 41 The fees collected by the division for provision of 16 42 interpretation services by the division to obligated 16 43 agencies shall be disbursed pursuant to the provisions 16 44 of section 8.32, and shall be dedicated and used by 16 45 the division for continued and expanded interpretation 16 46 services. 16 47 The department shall conduct a study to evaluate 16 48 the access to and quality of interpretative services 16 49 provided for persons who are deaf or hard-of-hearing. 16 50 The study shall include input from persons who are 17 1 deaf or hard-of-hearing. A report of the department's 17 2 findings shall be submitted to the general assembly by 17 3 January 15, 1997. 17 4 4. PERSONS WITH DISABILITIES DIVISION 17 5 For salaries, support, maintenance, miscellaneous 17 6 purposes, and for not more than the following full- 17 7 time equivalent positions: 17 8 .................................................. $ 96,623 17 9 ................................................FTEs 2.00 17 10 5. LATINO AFFAIRS DIVISION 17 11 For salaries, support, maintenance, miscellaneous 17 12 purposes, and for not more than the following full- 17 13 time equivalent positions: 17 14 .................................................. $ 140,778 17 15 ............................................... FTEs 3.00 17 16 6. STATUS OF WOMEN DIVISION 17 17 For salaries, support, maintenance, miscellaneous 17 18 purposes, and for not more than the following full- 17 19 time equivalent positions: 17 20 .................................................. $ 320,095 17 21 ............................................... FTEs 3.00 17 22 a. Of the funds appropriated in this subsection, 17 23 at least $125,775 shall be spent for the displaced 17 24 homemaker program. 17 25 b. Of the funds appropriated in this subsection, 17 26 at least $42,570 shall be spent for domestic violence 17 27 and sexual assault-related grants. 17 28 6A. STATUS OF WOMEN DIVISION CONTINGENT 17 29 APPROPRIATION 17 30 If the general assembly does not enact a statute 17 31 creating a workforce development department with 17 32 responsibility for the mentoring project for family 17 33 investment program participants, the following amount 17 34 for the division of the status of women to implement 17 35 the mentoring project under section 239.22: 17 36 .................................................. $ 72,000 17 37 7. STATUS OF AFRICAN-AMERICANS DIVISION 17 38 For salaries, support, maintenance, miscellaneous 17 39 purposes, and for not more than the following full- 17 40 time equivalent positions: 17 41 .................................................. $ 104,159 17 42 ............................................... FTEs 2.00 17 43 8. CRIMINAL AND JUVENILE JUSTICE PLANNING DIVISION 17 44 For salaries, support, maintenance, miscellaneous 17 45 purposes, and for not more than the following full- 17 46 time equivalent positions: 17 47 .................................................. $ 472,648 17 48 ............................................... FTEs 10.05 17 49 a. The criminal and juvenile justice planning 17 50 advisory council and the juvenile justice advisory 18 1 council shall coordinate their efforts in carrying out 18 2 their respective duties relative to juvenile justice. 18 3 b. Of the funds appropriated in this subsection, 18 4 at least $36,300 shall be spent for expenses relating 18 5 to the administration of federal funds for juvenile 18 6 assistance. It is the intent of the general assembly 18 7 that the department of human rights employ sufficient 18 8 staff to meet the federal funding match requirements 18 9 established by the federal office for juvenile justice 18 10 delinquency prevention. The governor's advisory 18 11 council on juvenile justice shall determine the 18 12 staffing level necessary to carry out federal and 18 13 state mandates for juvenile justice. 18 14 9. COMMUNITY GRANT FUND 18 15 For the community grant fund established under 18 16 section 232.190 for the continuation of existing 18 17 grants for the fiscal year beginning July 1, 1996, and 18 18 ending June 30, 1997, to be used for the purposes of 18 19 the community grant fund and for not more than the 18 20 following full-time equivalent positions: 18 21 .................................................. $ 1,778,971 18 22 ............................................... FTEs 1.43 18 23 10. SHARED STAFF. Except for the persons with 18 24 disabilities division which shall be administered by 18 25 the director of the department of human rights, the 18 26 divisions of the department of human rights shall 18 27 retain their individual administrators, but shall 18 28 share staff to the greatest extent possible. 18 29 Sec. 7. COMMISSION OF VETERANS AFFAIRS. There is 18 30 appropriated from the general fund of the state to the 18 31 commission of veterans affairs for the fiscal year 18 32 beginning July 1, 1996, and ending June 30, 1997, the 18 33 following amounts, or so much thereof as is necessary, 18 34 to be used for the purposes designated: 18 35 1. COMMISSION OF VETERANS AFFAIRS ADMINISTRATION 18 36 For salaries, support, maintenance, and 18 37 miscellaneous purposes, and for not more than the 18 38 following full-time equivalent positions: 18 39 .................................................. $ 286,128 18 40 ............................................... FTEs 5.00 18 41 The commission of veterans affairs may use the 18 42 gifts accepted by the chairperson of the commission of 18 43 veterans affairs, or designee, and other resources 18 44 available to the commission for use at its Camp Dodge 18 45 office. The commission shall report annually to the 18 46 governor and the general assembly on monetary gifts 18 47 received by the commission for the Camp Dodge office. 18 48 2. WAR ORPHANS 18 49 For the war orphans educational aid fund 18 50 established pursuant to chapter 35: 19 1 .................................................. $ 4,744 19 2 3. IOWA VETERANS HOME 19 3 For salaries, support, maintenance, and 19 4 miscellaneous purposes and for not more than the 19 5 following full-time equivalent positions: 19 6 .................................................. $ 38,900,388 19 7 ............................................... FTEs 800.82 19 8 a. The Iowa veterans home may use the gifts 19 9 accepted by the chairperson of the commission of 19 10 veterans affairs and other resources available to the 19 11 commission for use at the Iowa veterans home. 19 12 b. If medical assistance revenues are expanded at 19 13 the Iowa veterans home, and this expansion results in 19 14 medical assistance reimbursements which exceed the 19 15 amount budgeted for that purpose in the fiscal year 19 16 beginning July 1, 1996, and ending June 30, 1997, the 19 17 Iowa veterans home may expend the excess amounts to 19 18 exceed the number of full-time equivalent positions 19 19 authorized in this section for the purpose of meeting 19 20 related certification requirements or to provide 19 21 additional beds. The expenditure of additional funds 19 22 received, as outlined in this paragraph, is subject to 19 23 the approval by the department of management. 19 24 Sec. 8. DIRECT PURCHASE INCENTIVE. 19 25 1. If a department is able to demonstrate a 10 19 26 percent savings resulting from a direct purchase of 19 27 equipment which is otherwise required to be purchased 19 28 pursuant to a state contract, the department, after 19 29 consultation with the department of general services, 19 30 is authorized to make the direct purchase, 19 31 notwithstanding section 18.6, subsections 1 through 7, 19 32 and subsections 9 through 14, and the dollar 19 33 limitation in subsection 8. To provide an incentive 19 34 to encourage departments to consider direct 19 35 purchasing, 50 percent of the savings realized from 19 36 the direct purchase may be retained by a department, 19 37 and the remaining 50 percent shall be deposited into 19 38 the general fund of the state. The department of 19 39 management shall monitor the savings for a one-year 19 40 period beginning on July 1, 1996, and submit a report 19 41 at the conclusion of the one-year period to the health 19 42 and human rights appropriations subcommittee. Prior 19 43 to making a purchase under this section, the 19 44 department shall first determine whether goods or 19 45 services are available from a targeted small business 19 46 and preference shall be given to making the purchases 19 47 from targeted small businesses. 19 48 2. The provisions of this section shall apply to 19 49 purchases made with moneys appropriated in sections 1 19 50 through 7 of this Act. 20 1 Sec. 9. Section 22.7, Code Supplement 1995, is 20 2 amended by adding the following new subsection: 20 3 NEW SUBSECTION. 33. Records of the Iowa 20 4 department of public health pertaining to participants 20 5 in the gambling treatment program except as otherwise 20 6 provided in this chapter. 20 7 Sec. 10. Section 99D.7, subsection 21, Code 20 8 Supplement 1995, is amended to read as follows: 20 9 21. To cooperate with thegamblers assistance20 10 gambling treatment program administered by the 20 11department of human servicesIowa department of public 20 12 health to incorporate information regarding the 20 13gamblers assistancegambling treatment program and its 20 14 toll-free telephone number in printed materials 20 15 distributed by the commission. The commission may 20 16 require licensees to have the information available in 20 17 a conspicuous place as a condition of licensure. 20 18 Sec. 11. Section 99E.9, subsection 8, Code 20 19 Supplement 1995, is amended to read as follows: 20 20 8. The Iowa lottery board shall cooperate with the 20 21gamblers assistancegambling treatment program 20 22 administered by thedepartment of human servicesIowa 20 23 department of public health to incorporate information 20 24 regarding thegamblers assistancegambling treatment 20 25 program and its toll-free telephone number in printed 20 26 materials distributed by the board. 20 27 Sec. 12. Section 99E.10, subsection 1, paragraph 20 28 a, Code 1995, is amended to read as follows: 20 29 a. An amount equal to three-tenths of one percent 20 30 of the gross lottery revenue shall be deposited in a 20 31gamblers assistancegambling treatment fund in the 20 32 office of the treasurer of state. The director of 20 33human servicesthe Iowa department of public health 20 34 shall administer the fund and shall provide that 20 35 receipts are allocated on a monthly basis to fund 20 36 administrative costs and to provide programs which may 20 37 include, but are not limited to, outpatient and 20 38 follow-up treatment for persons affected by problem 20 39 gambling, rehabilitation and residential treatment 20 40 programs, information and referral services, and 20 41 education and preventive services. 20 42 Sec. 13. Section 216A.2, subsection 5, Code 20 43 Supplement 1995, is amended by striking the subsection 20 44 and inserting in lieu thereof the following: 20 45 5. Appoint the administrator of each division in 20 46 cooperation and consultation with the commissions. 20 47 Each administrator shall be exempt from the merit 20 48 system provisions of chapter 19A. The director shall 20 49 set the salary of the division administrators within 20 50 the range set by the general assembly. 21 1 Sec. 14. Section 216A.2, subsection 8, Code 21 2 Supplement 1995, is amended by striking the subsection 21 3 and inserting in lieu thereof the following: 21 4 8. Establish goals and objectives for 21 5 administrators to assist in complying with policy set 21 6 by the commissions. 21 7 Sec. 15. Section 216A.2, Code Supplement 1995, is 21 8 amended by adding the following new subsections: 21 9 NEW SUBSECTION. 10. After consultation with the 21 10 appropriate commission, discipline or discharge an 21 11 administrator or employee, when determined 21 12 appropriate, provided the discharge or disciplinary 21 13 action conforms to existing statutory requirements, 21 14 and does not conflict with labor contract provisions. 21 15 NEW SUBSECTION. 11. Assign staff to obtain 21 16 maximum efficiency and coordination of duties to 21 17 facilitate the administration of functions required to 21 18 be performed by the various divisions. 21 19 Sec. 16. Section 216A.2, unnumbered paragraph 2, 21 20 Code Supplement 1995, is amended by striking the 21 21 paragraph and inserting in lieu thereof the following: 21 22 The terms of all division administrators in the 21 23 department shall terminate on July 1, 1996. 21 24 Sec. 17. Section 232.190, subsection 1, Code 1995, 21 25 is amended to read as follows: 21 26 1. A community grant fund is established in the 21 27 state treasury under the control of the division of 21 28 criminal and juvenile justice planning of the 21 29 department of human rights for the purposes of 21 30 awarding grants under this section. The criminal and 21 31 juvenile justice planning advisory council and the 21 32 juvenile justice advisory council shall assist the 21 33 division in administering grants awarded under this 21 34 section. The department of human services shall 21 35 advise the division on programs which meet the 21 36 criteria established for grant recipients. Not more 21 37 thanonefive percent of the moneys appropriated to 21 38 the fund shall be used for administrative purposes. 21 39 Sec. 18. 1993 Iowa Acts, chapter 55, section 1, 21 40 subsection 3, is amended to read as follows: 21 41 3. The project shall be completed on or before 21 42 June 30, 1997, and existing vital records shall be 21 43 converted to the electronic system by that date. 21 44 Moneys appropriated pursuant to this section which 21 45 remainunexpendedunencumbered on June 30, 1997, shall 21 46 revert to the general fund of the state. The 21 47 remaining encumbered moneys which remain unexpended on 21 48 June 30, 1998, shall revert to the general fund of the 21 49 state. For the fiscal year beginning July 1, 1997, 21 50 and succeeding fiscal years, the provisions of section 22 1 144.46, requiring the vital records fee to be set by 22 2 rule based on the average administrative costs, shall 22 3 apply. 22 4 Sec. 19. Section 216A.5, Code 1995, is repealed. 22 5 SF 2448H 22 6 rn/pk/25
Text: S05621 Text: S05623 Text: S05600 - S05699 Text: S Index Bills and Amendments: General Index Bill History: General Index
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