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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 year beginning July 1, 1 4 1996, and ending June 30, 1997, the following amount, or so 1 5 much thereof as is necessary, to be used for the purpose 1 6 designated: 1 7 For salaries, support, maintenance, miscellaneous purposes, 1 8 and for not more than the following full-time equivalent 1 9 positions: 1 10 .................................................. $ 1,475,737 1 11 ............................................... FTEs 95.00 1 12 Sec. 2. CIVIL RIGHTS COMMISSION. There is appropriated 1 13 from the general fund of the state to the Iowa state civil 1 14 rights commission for the fiscal year beginning July 1, 1996, 1 15 and ending June 30, 1997, the following amount, or so much 1 16 thereof as is necessary, to be used for the purpose 1 17 designated: 1 18 For salaries, support, maintenance, miscellaneous purposes, 1 19 and for not more than the following full-time equivalent 1 20 positions: 1 21 .................................................. $ 1,141,692 1 22 ............................................... FTEs 36.00 1 23 If the anticipated amount of federal funding from the 1 24 federal equal employment opportunity commission and the 1 25 federal department of housing and urban development exceeds 1 26 $467,900 during the fiscal year beginning July 1, 1996, and 1 27 ending June 30, 1997, the Iowa state civil rights commission 1 28 may exceed the staffing level authorized by this section as 1 29 necessary to hire additional staff to process or to support 1 30 the processing of employment and housing complaints. 1 31 A first-time violation detected during or as a result of 1 32 random testing to detect civil rights violations shall not 1 33 result in assessment of a fine over $500.00. The intent of 1 34 civil rights testing shall be educational. If this provision 1 35 is determined to be illegal or unconstitutional by a court of 2 1 law, or if the provision would in any way jeopardize a federal 2 2 department of housing and urban development grant to the 2 3 commission, the provision shall not apply. 2 4 The questionnaire which the Iowa state civil rights 2 5 commission requires an employer to complete during the course 2 6 of an investigation, after a complaint against the employer 2 7 has been filed, shall be revised and shortened. 2 8 Sec. 3. DEPARTMENT OF ELDER AFFAIRS. There is 2 9 appropriated from the general fund of the state to the 2 10 department of elder affairs for the fiscal year beginning July 2 11 1, 1996, and ending June 30, 1997, the following amounts, or 2 12 so much thereof as is necessary, to be used for the purposes 2 13 designated: 2 14 1. For salaries, support, maintenance, miscellaneous 2 15 purposes, and for not more than the following full-time 2 16 equivalent positions: 2 17 .................................................. $ 450,918 2 18 ............................................... FTEs 28.00 2 19 2. For aging programs and services: 2 20 .................................................. $ 3,076,528 2 21 All funds appropriated in this subsection shall be received 2 22 and disbursed by the director of elder affairs for aging 2 23 programs and services, shall not be used by the department for 2 24 administrative purposes, not more than $151,654 shall be used 2 25 for area agencies on aging administrative purposes, and shall 2 26 be used for citizens of Iowa over 60 years of age for case 2 27 management for the frail elderly, mental health outreach, 2 28 Alzheimer's support, retired senior volunteer program, care 2 29 review committee coordination, employment, adult day care, 2 30 respite care, chore services, telephone reassurance, 2 31 information and assistance, and home repair services, 2 32 including the winterizing of homes, and for the construction 2 33 of entrance ramps which make residences accessible to the 2 34 physically handicapped. Funds appropriated in this subsection 2 35 may be used to supplement federal funds under federal 3 1 regulations. To receive funds appropriated in this 3 2 subsection, a local area agency on aging shall match the funds 3 3 with funds from other sources in accordance with rules adopted 3 4 by the department. Funds appropriated in this subsection may 3 5 be used for elderly services not specifically enumerated in 3 6 this subsection only if approved by an area agency on aging 3 7 for provision of the service within the area. 3 8 The department shall maintain policies and procedures 3 9 regarding Alzheimer's support and the retired senior volunteer 3 10 program. 3 11 Sec. 4. GOVERNOR'S ALLIANCE ON SUBSTANCE ABUSE. There is 3 12 appropriated from the general fund of the state to the 3 13 governor's alliance on substance abuse for the fiscal year 3 14 beginning July 1, 1996, and ending June 30, 1997, the 3 15 following amounts, or so much thereof as is necessary, to be 3 16 used for the purposes designated: 3 17 1. For salaries, support, maintenance, miscellaneous 3 18 purposes, and for not more than the following full-time 3 19 equivalent positions: 3 20 .................................................. $ 304,333 3 21 ............................................... FTEs 10.00 3 22 2. For the Iowa substance abuse clearinghouse in Cedar 3 23 Rapids for staff, materials, and operating expenses: 3 24 .................................................. $ 32,894 3 25 Sec. 5. DEPARTMENT OF PUBLIC HEALTH. There is 3 26 appropriated from the general fund of the state to the Iowa 3 27 department of public health for the fiscal year beginning July 3 28 1, 1996, and ending June 30, 1997, the following amounts, or 3 29 so much thereof as is necessary, to be used for the purposes 3 30 designated: 3 31 1. a. PLANNING AND ADMINISTRATION DIVISION 3 32 For salaries, support, maintenance, miscellaneous purposes, 3 33 and for not more than the following full-time equivalent 3 34 positions: 3 35 ................................................. $ 2,197,396 4 1 ............................................... FTEs 61.15 4 2 (1) Of the funds appropriated in this lettered paragraph, 4 3 $738,182 shall be used for the chronic renal disease program. 4 4 The types of assistance available to eligible recipients under 4 5 the program may include insurance premiums, travel 4 6 reimbursement, and prescription and nonprescription drugs. 4 7 The program expenditures shall not exceed this allocation. If 4 8 projected expenditures would exceed the allocation, the 4 9 department shall establish by administrative rule a mechanism 4 10 to reduce financial assistance under the renal disease program 4 11 in order to keep expenditures within the amount allocated in 4 12 this paragraph. 4 13 (2) Hospitals shall not collect fees for birth 4 14 certificates in excess of the fees as set out in the 4 15 administrative rules of the Iowa department of public health. 4 16 (3) Of the funds appropriated in this lettered paragraph, 4 17 $117,027 shall be used to provide regulatory oversight of 4 18 accountable health plans. 4 19 (4) Of the funds appropriated in this lettered paragraph, 4 20 $46,658 shall be used for the purchase, verification, 4 21 updating, and storage of health data information. 4 22 The department shall compile, correlate, and disseminate 4 23 data from health care providers, the state medical assistance 4 24 program, third-party payors, associations, and other 4 25 appropriate sources in furtherance of the purpose and intent 4 26 of this appropriation. 4 27 The department shall request and receive information from 4 28 other state agencies similar to that required of third-party 4 29 payors for the purpose of dissemination of health data. The 4 30 department may enter into agreements for studies on health- 4 31 related questions and provide or make data available to health 4 32 care providers, health care subscribers, third-party payors 4 33 and the general public. The department may purchase data for 4 34 the purpose of dissemination of health data information. The 4 35 department shall assure the confidentiality of the data col- 5 1 lected from other state agencies, hospitals, and third-party 5 2 payors under chapter 22. The compilation of data information 5 3 prepared for release or dissemination from the data collected 5 4 shall be a public record. The department shall adopt adminis- 5 5 trative rules to address a contracting process, define confi- 5 6 dential information, set fees to be charged for data, and 5 7 prescribe the forms upon which the information is to be made 5 8 available. 5 9 b. PROFESSIONAL LICENSURE 5 10 For salaries, support, maintenance, miscellaneous purposes, 5 11 and for not more than the following full-time equivalent 5 12 positions: 5 13 .................................................. $ 884,900 5 14 ............................................... FTEs 12.00 5 15 The director of public health, when estimating expenditure 5 16 requirements for the boards funded under this paragraph, shall 5 17 base the budget on 85 percent of the average annual fees 5 18 generated for the previous two fiscal years. The department 5 19 shall confer with the boards funded under this paragraph in 5 20 estimating the boards' annual fee generation and 5 21 administrative costs. When the department develops each 5 22 board's annual budget, a board's budget shall not exceed 85 5 23 percent of fees collected, based on the average of the 5 24 previous two fiscal years. The department may expend funds in 5 25 addition to amounts budgeted, if those additional expenditures 5 26 are directly the result of unanticipated litigation costs 5 27 arising from the discharge of the board's regulatory duties. 5 28 Before the department expends or encumbers an amount in excess 5 29 of the funds budgeted for a board, the director of the 5 30 department of management shall approve the expenditure or 5 31 encumbrance. The amounts necessary to fund the unanticipated 5 32 litigation in the fiscal year beginning July 1, 1996, shall 5 33 not exceed 5 percent of the average annual fees generated by 5 34 the board for the previous two fiscal years. 5 35 c. EMERGENCY MEDICAL SERVICES 6 1 For salaries, support, maintenance, and emergency medical 6 2 services training of emergency medical services (EMS) 6 3 personnel at the state, county, and local levels and for not 6 4 more than the following full-time equivalent positions: 6 5 .................................................. $ 1,022,360 6 6 ............................................... FTEs 12.00 6 7 If a person in the course of responding to an emergency 6 8 renders aid to an injured person and becomes exposed to bodily 6 9 fluids of the injured person, that emergency responder shall 6 10 be entitled to hepatitis testing and immunization in 6 11 accordance with the latest available medical technology to 6 12 determine if infection with hepatitis has occurred. The 6 13 person shall be entitled to reimbursement from the EMS funds 6 14 available under this lettered paragraph only if the 6 15 reimbursement is not available through any employer or third- 6 16 party payor. 6 17 2. HEALTH PROTECTION DIVISION 6 18 a. For salaries, support, maintenance, miscellaneous 6 19 purposes, and for not more than the following full-time 6 20 equivalent positions: 6 21 .................................................. $ 2,167,154 6 22 ............................................... FTEs 76.00 6 23 b. Of the funds appropriated in this subsection, $75,000 6 24 shall be used for chlamydia testing. 6 25 c. Of the funds appropriated in this subsection, $39,547 6 26 shall be used for the lead abatement program. 6 27 d. The state university of Iowa hospitals and clinics 6 28 shall not receive indirect costs from the funds appropriated 6 29 in this subsection. 6 30 3. SUBSTANCE ABUSE AND HEALTH PROMOTION DIVISION 6 31 a. For salaries, support, maintenance, miscellaneous 6 32 purposes, and for not more than the following full-time 6 33 equivalent positions: 6 34 .................................................. $ 633,306 6 35 ............................................... FTEs 47.35 7 1 (1) The division shall continue to coordinate with 7 2 substance abuse treatment and prevention providers regardless 7 3 of funding source to assure the delivery of substance abuse 7 4 treatment and prevention programs. 7 5 (2) The commission on substance abuse, in conjunction with 7 6 the division, shall continue to coordinate the delivery of 7 7 substance abuse services involving prevention, social and 7 8 medical detoxification, and other treatment by medical and 7 9 nonmedical providers to uninsured and court-ordered substance 7 10 abuse patients in all counties of the state. 7 11 b. Of the funds appropriated in this subsection, $15,000 7 12 is allocated to support the surveillance and reporting of 7 13 disabilities suffered by persons engaged in agriculture 7 14 resulting from diseases or injuries, including identifying the 7 15 amount and severity of agriculture-related injuries and 7 16 diseases in the state, identifying causal factors associated 7 17 with agriculture-related injuries and diseases, and evaluating 7 18 the effectiveness of intervention programs designed to reduce 7 19 injuries and diseases. The department shall cooperate with 7 20 the department of agriculture and land stewardship, Iowa state 7 21 university of science and technology, and the college of 7 22 medicine at the state university of Iowa in accomplishing 7 23 these duties. 7 24 c. For program grants: 7 25 .................................................. $ 7,990,159 7 26 (1) Of the funds appropriated in this lettered paragraph, 7 27 $193,500 shall be used for the provision of aftercare services 7 28 for persons completing substance abuse treatment. 7 29 (2) Of the funds appropriated in this lettered paragraph, 7 30 a minimum of $950,000 shall be used by the Iowa department of 7 31 public health to continue the integrated substance abuse 7 32 managed care system. 7 33 4. FAMILY AND COMMUNITY HEALTH DIVISION 7 34 a. For salaries, support, maintenance, miscellaneous 7 35 purposes, and for not more than the following full-time 8 1 equivalent positions: 8 2 ................................................. $ 3,415,041 8 3 ............................................... FTEs 71.00 8 4 (1) Of the funds appropriated in this lettered paragraph, 8 5 at least $587,865 shall be allocated by the division for the 8 6 birth defects and genetics counseling program and of these 8 7 funds, $279,402 is allocated for regional genetic counseling 8 8 services contracted from the state university of Iowa 8 9 hospitals and clinics under the control of the state board of 8 10 regents. 8 11 (2) Of the funds appropriated in this lettered paragraph, 8 12 the following amounts are allocated to the state university of 8 13 Iowa hospitals and clinics under the control of the state 8 14 board of regents for the following programs under the Iowa 8 15 specialized child health care services: 8 16 (a) Mobile and regional child health specialty clinics: 8 17 .................................................. $ 392,931 8 18 The regional clinic located in Sioux City shall maintain a 8 19 social worker component to assist the families of children 8 20 participating in the clinic program. 8 21 Of the funds allocated in this subparagraph, $97,937 shall 8 22 be used for a specialized medical home care program providing 8 23 care planning and coordination of community support services 8 24 for children who require technical medical care in the home. 8 25 (b) Muscular dystrophy and related genetic disease 8 26 programs: 8 27 .................................................. $ 115,613 8 28 (c) Statewide perinatal program: 8 29 .................................................. $ 61,693 8 30 (3) The birth defects and genetic counseling service shall 8 31 apply a sliding fee scale to determine the amount a person 8 32 receiving the services is required to pay for the services. 8 33 These fees shall be considered repayment receipts and used for 8 34 the program. 8 35 (4) The state university of Iowa hospitals and clinics 9 1 shall not receive indirect costs from the funds allocated in 9 2 this lettered paragraph. 9 3 (5) Of the funds appropriated in this lettered paragraph, 9 4 $1,001,209 shall be used for maternal and child health 9 5 services. 9 6 (6) If during the 1996-1997 fiscal year, the federal 9 7 government incorporates the special supplemental nutrition 9 8 program for women, infants, and children into a block grant, 9 9 the department of human services, Iowa department of public 9 10 health, or any other state agency which administers the block 9 11 grant shall require a competitive bid process for infant 9 12 formula purchased by or for families under the block grant. 9 13 (7) The Iowa department of public health shall administer 9 14 the statewide maternal and child health program, conduct 9 15 mobile and regional child health specialty clinics, and 9 16 conduct other activities to improve the health of low-income 9 17 women and children and to promote the welfare of children with 9 18 actual or potential handicapping conditions and chronic 9 19 illnesses in accordance with the requirements of Title V of 9 20 the federal Social Security Act. 9 21 (8) The department shall continue efforts to realize the 9 22 "Healthy Iowans 2000" goal of promoting prevention and health 9 23 promotion to improve the quality of life of Iowans and to hold 9 24 down health care costs and shall submit an annual "Healthy 9 25 Iowans 2000" progress report to the general assembly on 9 26 January 1 of each fiscal year. 9 27 (9) Of the funds appropriated in this lettered paragraph, 9 28 $165,391 is allocated for the office of rural health to 9 29 provide technical assistance to rural areas in the area of 9 30 health care delivery. 9 31 (10) Of the funds appropriated in this lettered paragraph, 9 32 $182,028 shall be used to develop, implement, and maintain 9 33 rural health provider recruitment and retention efforts. 9 34 b. Sudden infant death syndrome autopsies: 9 35 For reimbursing counties for expenses resulting from 10 1 autopsies of suspected victims of sudden infant death syndrome 10 2 required under section 331.802, subsection 3, paragraph "j": 10 3 .................................................. $ 9,675 10 4 c. For grants to local boards of health for the public 10 5 health nursing program: 10 6 .................................................. $ 2,511,871 10 7 (1) Funds appropriated in this lettered paragraph shall be 10 8 used to maintain and expand the existing public health nursing 10 9 program for elderly and low-income persons with the objective 10 10 of preventing or reducing inappropriate institutionalization. 10 11 The funds shall not be used for any other purpose. As used in 10 12 this lettered paragraph, "elderly person" means a person who 10 13 is 60 years of age or older and "low-income person" means a 10 14 person whose income and resources are below the guidelines 10 15 established by the department. 10 16 (2) One-fourth of the total amount to be allocated shall 10 17 be divided so that an equal amount is available for use in 10 18 each county in the state. Three-fourths of the total amount 10 19 to be allocated shall be divided so that the share available 10 20 for use in each county is proportionate to the number of 10 21 elderly and low-income persons living in that county in 10 22 relation to the total number of elderly and low-income persons 10 23 living in the state. 10 24 (3) In order to receive allocations under this lettered 10 25 paragraph, the local board of health having jurisdiction shall 10 26 prepare a proposal for the use of the allocated funds 10 27 available for that jurisdiction that will provide the maximum 10 28 benefits of expanded public health nursing care to elderly and 10 29 low-income persons in the jurisdiction. After approval of the 10 30 proposal by the department, the department shall enter into a 10 31 contract with the local board of health. The local board of 10 32 health shall subcontract with a nonprofit nurses' association, 10 33 an independent nonprofit agency, or a suitable local 10 34 governmental body to use the allocated funds to provide public 10 35 health nursing care. Local boards of health shall make an 11 1 effort to prevent duplication of services. 11 2 (4) If by July 30 of the fiscal year, the department is 11 3 unable to conclude contracts for use of the allocated funds in 11 4 a county, the department shall consider the unused funds 11 5 appropriated under this lettered paragraph an unallocated 11 6 pool. If the unallocated pool is $50,000 or more it shall be 11 7 reallocated to the counties in substantially the same manner 11 8 as the original allocations. The reallocated funds are 11 9 available for use in those counties during the period 11 10 beginning January 1 and ending June 30 of the fiscal year. If 11 11 the unallocated pool is less than $50,000, the department may 11 12 allocate the pool to counties with demonstrated special needs 11 13 for public health nursing. 11 14 (5) The department shall maintain rules governing the 11 15 expenditure of funds appropriated in this lettered paragraph. 11 16 The rules shall require each local agency receiving funds to 11 17 establish and use a sliding fee scale for those persons able 11 18 to pay for all or a portion of the cost of the care. 11 19 (6) The department shall annually evaluate the success of 11 20 the public health nursing program. The evaluation shall 11 21 include the extent to which the program reduced or prevented 11 22 inappropriate institutionalization, the extent to which the 11 23 program increased the availability of public health nursing 11 24 care to elderly and low-income persons, and the extent of 11 25 public health nursing care provided to elderly and low-income 11 26 persons. The department shall submit a report of each annual 11 27 evaluation to the governor and the general assembly. 11 28 d. For grants to county boards of supervisors for the home 11 29 care aide program: 11 30 .................................................. $ 8,586,716 11 31 Funds appropriated in this lettered paragraph shall be used 11 32 to provide home care aide services with emphasis on services 11 33 to elderly and persons below the poverty level and children 11 34 and adults in need of protective services with the objective 11 35 of preventing or reducing inappropriate institutionalization. 12 1 In addition, up to 15 percent of the funds appropriated in 12 2 this lettered paragraph may be used to provide chore services. 12 3 The funds shall not be used for any other purposes. In 12 4 providing services to elderly persons, the service provider 12 5 shall coordinate efforts with the integrated case management 12 6 for the frail elderly program of the department of elder 12 7 affairs. As used in this lettered paragraph: 12 8 (1) "Chore services" means services provided to 12 9 individuals or families, who, due to incapacity, or illness, 12 10 are unable to perform certain home maintenance functions. The 12 11 services include but are not limited to yard work such as 12 12 mowing lawns, raking leaves, and shoveling walks; window and 12 13 door maintenance such as hanging screen windows and doors, 12 14 replacing windowpanes, and washing windows; and minor repairs 12 15 to walls, floors, stairs, railings, and handles. It also 12 16 includes heavy house cleaning which includes cleaning attics 12 17 or basements to remove fire hazards, moving heavy furniture, 12 18 extensive wall washing, floor care or painting, and trash 12 19 removal. 12 20 (2) "Elderly person" means a person who is 60 years of age 12 21 or older. 12 22 (3) "Home care aide services" means services intended to 12 23 enhance the capacity of household members to attain or 12 24 maintain the independence of the household members and 12 25 provided by trained and supervised workers to individuals or 12 26 families, who, due to the absence, incapacity, or limitations 12 27 of the usual homemaker, are experiencing stress or crisis. 12 28 The services include but are not limited to essential 12 29 shopping, housekeeping, meal preparation, child care, respite 12 30 care, money management and consumer education, family 12 31 management, personal services, transportation, and providing 12 32 information, assistance, and household management. 12 33 (4) "Low-income person" means a person whose income and 12 34 resources are below the guidelines established by the 12 35 department. 13 1 (5) "Protective services" means those home care aide 13 2 services intended to stabilize a child's or an adult's 13 3 residential environment and relationships with relatives, 13 4 caretakers, and other persons or household members in order to 13 5 alleviate a situation involving abuse or neglect or to 13 6 otherwise protect the child or adult from a threat of abuse or 13 7 neglect. 13 8 The amount appropriated in this lettered paragraph shall be 13 9 allocated for use in the counties of the state. Fifteen 13 10 percent of the amount shall be divided so that an equal amount 13 11 is available for use in each county in the state. The 13 12 following percentages of the remaining amount shall be 13 13 allocated to each county according to that county's proportion 13 14 of residents with the following demographic characteristics: 13 15 60 percent according to the number of elderly persons living 13 16 in the county, 20 percent according to the number of persons 13 17 below the poverty level living in the county, and 20 percent 13 18 according to the number of substantiated cases of child abuse 13 19 in the county during the three most recent fiscal years for 13 20 which data is available. 13 21 In order to receive allocations in this lettered paragraph, 13 22 the county board of supervisors, after consultation with the 13 23 local boards of health, human services county cluster boards, 13 24 area agency on aging advisory council, local office of the 13 25 department of human services, and other in-home health care 13 26 provider agencies in the jurisdiction, shall prepare a 13 27 proposal for the use of the allocated funds available for that 13 28 jurisdiction that will provide the maximum benefits of home 13 29 care aide services to elderly and low-income persons and 13 30 children and adults in need of protective services in the 13 31 jurisdiction. An agency requesting service or financial 13 32 information about a current subcontractor shall provide 13 33 similar information concerning its own home care aide or chore 13 34 services program to the current subcontractor. The proposal 13 35 may provide that a maximum of 15 percent of the allocated 14 1 funds will be used to provide chore services. The proposal 14 2 shall include a statement assuring that children and adults in 14 3 need of protective services are given priority for home care 14 4 aide services and that the appropriate local agencies have 14 5 participated in the planning for the proposal. After approval 14 6 of the proposal by the department, the department shall enter 14 7 into a contract with the county board of supervisors or a 14 8 governmental body designated by the county board of 14 9 supervisors. The county board of supervisors or its designee 14 10 shall subcontract with a nonprofit nurses' association, an 14 11 independent nonprofit agency, the department of human 14 12 services, or a suitable local governmental body to use the 14 13 allocated funds to provide home care aide services and chore 14 14 services providing that the subcontract requires any service 14 15 provided away from the home to be documented in a report 14 16 available for review by the department, and that each home 14 17 care aide subcontracting agency shall maintain the direct 14 18 service workers' time assigned to direct client service at 70 14 19 percent or more of the workers' paid time and that not more 14 20 than 35 percent of the total cost of the service be included 14 21 in the combined costs for service administration and agency 14 22 administration. The subcontract shall require that each home 14 23 care aide subcontracting agency shall pay the employer's 14 24 contribution of social security and provide workers' 14 25 compensation coverage for persons providing direct home care 14 26 aide service and meet any other applicable legal requirements 14 27 of an employer-employee relationship. 14 28 If by July 30 of the fiscal year, the department is unable 14 29 to conclude contracts for use of the allocated funds in a 14 30 county, the department shall consider the unused funds 14 31 appropriated in this lettered paragraph an unallocated pool. 14 32 The department shall also identify any allocated funds which 14 33 the counties do not anticipate spending during the fiscal 14 34 year. If the amount of anticipated excess funds to any county 14 35 is substantial, the department and the county may agree to 15 1 return those excess funds, if the funds are other than program 15 2 revenues, to the department, and if returned, the department 15 3 shall consider the returned funds a part of the unallocated 15 4 pool. The department shall, prior to February 15 of the 15 5 fiscal year, reallocate the funds in the unallocated pool 15 6 among the counties in which the department has concluded 15 7 contracts under this lettered paragraph. The department shall 15 8 also review the first 10 months' expenditures for each county 15 9 in May of the fiscal year, to determine if any counties 15 10 possess contracted funds which they do not anticipate 15 11 spending. If such funds are identified and the county agrees 15 12 to release the funds, the released funds will be considered a 15 13 new reallocation pool. The department may, prior to June 1 of 15 14 the fiscal year, reallocate funds from this new reallocation 15 15 pool to those counties which have experienced a high 15 16 utilization of protective service hours for children and 15 17 dependent adults. 15 18 The department shall maintain rules governing the 15 19 expenditure of funds appropriated in this lettered paragraph. 15 20 The rules shall require each local agency receiving funds to 15 21 establish and use a sliding fee scale for those persons able 15 22 to pay for all or a portion of the cost of the services and 15 23 shall require the payments to be applied to the cost of the 15 24 services. The department shall also maintain rules for 15 25 standards regarding training, supervision, recordkeeping, 15 26 appeals, program evaluation, cost analysis, and financial 15 27 audits, and rules specifying reporting requirements. 15 28 The department shall annually evaluate the success of the 15 29 home care aide program. The evaluation shall include a 15 30 description of the program and its implementation, the extent 15 31 of local participation, the extent to which the program 15 32 reduced or prevented inappropriate institutionalization, the 15 33 extent to which the program provided or increased the 15 34 availability of home care aide services to elderly and low- 15 35 income persons and children and adults in need of protective 16 1 services, any problems and recommendations concerning the 16 2 program, and an analysis of the costs of services across the 16 3 state. The department shall submit a report of the annual 16 4 evaluation to the governor and the general assembly. 16 5 e. For the development and maintenance of well-elderly 16 6 clinics in the state: 16 7 .................................................. $ 585,337 16 8 The appropriation in this lettered paragraph shall be 16 9 distributed by a formula to well-elderly clinics located in 16 10 counties which provide funding on a matching basis for the 16 11 well-elderly clinics. 16 12 f. For the physician care for children program: 16 13 .................................................. $ 411,187 16 14 The physician services shall be subject to managed care and 16 15 selective contracting provisions and shall be used to provide 16 16 for the medical treatment of children and shall include 16 17 coverage of diagnostic procedures, prescription drugs, and 16 18 physician-ordered treatments necessary to treat an acute 16 19 condition. Services provided under this lettered paragraph 16 20 shall be reimbursed according to medical assistance 16 21 reimbursement rates. 16 22 g. For primary and preventive health care for children: 16 23 .................................................. $ 75,000 16 24 Funds appropriated in this lettered paragraph shall be for 16 25 the public purpose of providing a renewable grant, following a 16 26 request for proposals, to a statewide charitable organization 16 27 within the meaning of section 501(c)(3) of the Internal 16 28 Revenue Code which was organized prior to April 1, 1989, and 16 29 has as one of its purposes the sponsorship or support for 16 30 programs designed to improve the quality, awareness, and 16 31 availability of health care for the young, to serve as the 16 32 funding mechanism for the provision of primary health care and 16 33 preventive services to children in the state who are uninsured 16 34 and who are not eligible under any public plan of health 16 35 insurance, provided all of the following conditions are met: 17 1 (1) The organization shall provide a match of $4 in 17 2 advance of each state dollar provided. 17 3 (2) The organization coordinates services with new or 17 4 existing public programs and services provided by or funded by 17 5 appropriate state agencies in an effort to avoid inappropriate 17 6 duplication of services and ensure access to care to the 17 7 extent as is reasonably possible. The organization shall work 17 8 with the Iowa department of public health, family and 17 9 community health division, to ensure duplication is minimized. 17 10 (3) The organization's governing board includes in its 17 11 membership representatives from the executive and legislative 17 12 branches of state government. 17 13 (4) Grant funds are available as needed to provide 17 14 services and shall not be used for administrative costs of the 17 15 department or the grantee. 17 16 h. For the Iowa healthy family program under section 17 17 135.106: 17 18 .................................................. $ 952,000 17 19 The moneys appropriated in this lettered paragraph shall be 17 20 granted pursuant to 1992 Iowa Acts, Second Extraordinary 17 21 Session, chapter 1001, section 415, except that the grants 17 22 shall be extended through September 30, 1997. Notwithstanding 17 23 the provisions of 1992 Iowa Acts, Second Extraordinary 17 24 Session, chapter 1001, section 416, the use of mid-level 17 25 practitioners to improve access to prenatal care shall include 17 26 obstetrical-gynecological nurse practitioners and family nurse 17 27 practitioners focusing on maternal and child health. The 17 28 department is encouraged to expand funding eligibility under 17 29 the program to private physician and clinic-sponsored programs 17 30 servicing low-income populations. The administrative entities 17 31 of the Iowa healthy family program shall work collaboratively 17 32 to assure continuity of the provision of services from the 17 33 prenatal to the preschool period to an individual client by 17 34 having a single resource mother work with that client. The 17 35 department shall submit an annual report to the general 18 1 assembly concerning the efficiency of the healthy family 18 2 program and make any recommendations for improvements. Any 18 3 funds contracted to agencies under this paragraph which are 18 4 projected to be unused at the close of the fiscal year shall 18 5 be allowed to be reallocated within the healthy family program 18 6 by April 1, 1997. 18 7 The Iowa department of public health and the department of 18 8 human services shall determine if expenses under any portion 18 9 of the healthy family program would qualify for payment under 18 10 the medical assistance program and if so, shall apply to the 18 11 federal government for a medical assistance waiver. The Iowa 18 12 department of public health and the department of human 18 13 services shall evaluate the funding change's potential impact 18 14 upon clients of the healthy family program. 18 15 Of the funds appropriated in this lettered paragraph, a 18 16 minimum of $622,000 shall be used for the healthy 18 17 opportunities for parents to experience success program. If 18 18 funds are appropriated by the Seventy-sixth General Assembly, 18 19 1996 Session, in excess of $335,000, the excess funds shall be 18 20 used by the department to expand the program to counties of 18 21 greatest need. 18 22 i. For primary care provider recruitment and retention 18 23 endeavors: 18 24 .................................................. $ 235,000 18 25 5. STATE BOARD OF DENTAL EXAMINERS 18 26 For salaries, support, maintenance, miscellaneous purposes, 18 27 and for not more than the following full-time equivalent 18 28 positions: 18 29 .................................................. $ 309,768 18 30 ............................................... FTEs 4.00 18 31 6. STATE BOARD OF MEDICAL EXAMINERS 18 32 For salaries, support, maintenance, miscellaneous purposes, 18 33 and for not more than the following full-time equivalent 18 34 positions: 18 35 .................................................. $ 1,036,156 19 1 ............................................... FTEs 18.00 19 2 7. STATE BOARD OF NURSING EXAMINERS 19 3 For salaries, support, maintenance, miscellaneous purposes, 19 4 and for not more than the following full-time equivalent 19 5 positions: 19 6 .................................................. $ 981,403 19 7 ............................................... FTEs 18.00 19 8 8. STATE BOARD OF PHARMACY EXAMINERS 19 9 For salaries, support, maintenance, miscellaneous purposes, 19 10 and for not more than the following full-time equivalent 19 11 positions: 19 12 .................................................. $ 680,138 19 13 ............................................... FTEs 11.00 19 14 9. The state board of medical examiners, the state board 19 15 of pharmacy examiners, the state board of dental examiners, 19 16 and the state board of nursing examiners shall prepare 19 17 estimates of projected receipts to be generated by the 19 18 licensing, certification, and examination fees of each board 19 19 as well as a projection of the fairly apportioned 19 20 administrative costs and rental expenses attributable to each 19 21 board. Each board shall annually review and adjust its 19 22 schedule of fees so that, as nearly as possible, projected 19 23 receipts equal projected costs. 19 24 10. The state board of medical examiners, the state board 19 25 of pharmacy examiners, the state board of dental examiners, 19 26 and the state board of nursing examiners shall retain their 19 27 individual executive officers, but are strongly encouraged to 19 28 share administrative, clerical, and investigative staffs to 19 29 the greatest extent possible. 19 30 11. A local health care provider or nonprofit health care 19 31 organization seeking grant moneys administered by the Iowa 19 32 department of public health shall provide documentation that 19 33 the provider or organization has coordinated its services with 19 34 other local entities providing similar services. 19 35 12. Consolidation of state funding sources for public 20 1 health nursing, home care aid, and the senior health program 20 2 into a single contract for each county, as agreed upon by the 20 3 county board of supervisors and any boards of health within 20 4 the county, shall be available for implementation beginning 20 5 July 1, 1996. It is the department's goal to add federal 20 6 funding for health promotion as federal funds become 20 7 available. The department shall submit a report to the 20 8 general assembly on or before January 2, 1997, which shall 20 9 include an evaluation of the first year of the voluntary 20 10 demonstration project and a plan to expand statewide a single 20 11 source contract for each county beginning July 1, 1997. The 20 12 department may include other state and federal funding sources 20 13 with the understanding that local, city, or county funds not 20 14 be supplanted. 20 15 Sec. 6. DEPARTMENT OF HUMAN RIGHTS. There is appropriated 20 16 from the general fund of the state to the department of human 20 17 rights for the fiscal year beginning July 1, 1996, and ending 20 18 June 30, 1997, the following amounts, or so much thereof as is 20 19 necessary, to be used for the purposes designated: 20 20 1. CENTRAL ADMINISTRATION DIVISION 20 21 For salaries, support, maintenance, miscellaneous purposes, 20 22 and for not more than the following full-time equivalent 20 23 positions: 20 24 .................................................. $ 186,522 20 25 ............................................... FTEs 6.60 20 26 2. COMMUNITY ACTION AGENCIES DIVISION 20 27 For the expenses of the community action agencies 20 28 commission: 20 29 .................................................. $ 3,366 20 30 3. DEAF SERVICES DIVISION 20 31 For salaries, support, maintenance, miscellaneous purposes, 20 32 and for not more than the following full-time equivalent 20 33 positions: 20 34 .................................................. $ 256,167 20 35 ............................................... FTEs 7.00 21 1 The fees collected by the division for provision of 21 2 interpretation services by the division to obligated agencies 21 3 shall be disbursed pursuant to the provisions of section 8.32, 21 4 and shall be dedicated and used by the division for continued 21 5 and expanded interpretation services. 21 6 4. PERSONS WITH DISABILITIES DIVISION 21 7 For salaries, support, maintenance, miscellaneous purposes, 21 8 and for not more than the following full-time equivalent 21 9 positions: 21 10 .................................................. $ 97,765 21 11 ................................................FTEs 2.00 21 12 5. LATINO AFFAIRS DIVISION 21 13 For salaries, support, maintenance, miscellaneous purposes, 21 14 and for not more than the following full-time equivalent 21 15 positions: 21 16 .................................................. $ 142,442 21 17 ............................................... FTEs 3.00 21 18 6. STATUS OF WOMEN DIVISION 21 19 For salaries, support, maintenance, miscellaneous purposes, 21 20 and for not more than the following full-time equivalent 21 21 positions: 21 22 .................................................. $ 323,879 21 23 ............................................... FTEs 3.00 21 24 a. Of the funds appropriated in this subsection, at least 21 25 $125,775 shall be spent for the displaced homemaker program. 21 26 b. Of the funds appropriated in this subsection, at least 21 27 $42,570 shall be spent for domestic violence and sexual 21 28 assault-related grants. 21 29 6A. STATUS OF WOMEN DIVISION CONTINGENT APPROPRIATION 21 30 If the general assembly does not enact a statute creating a 21 31 department of workforce development with responsibility for 21 32 the mentoring project for family investment program 21 33 participants, the following amount for the division of the 21 34 status of women to implement the mentoring project under 21 35 section 239.22: 22 1 .................................................. $ 72,000 22 2 ..............................................FTEs 1.50 22 3 7. STATUS OF AFRICAN-AMERICANS DIVISION 22 4 For salaries, support, maintenance, miscellaneous purposes, 22 5 and for not more than the following full-time equivalent 22 6 positions: 22 7 .................................................. $ 105,390 22 8 ............................................... FTEs 2.00 22 9 8. CRIMINAL AND JUVENILE JUSTICE PLANNING DIVISION 22 10 For salaries, support, maintenance, miscellaneous purposes, 22 11 and for not more than the following full-time equivalent 22 12 positions: 22 13 .................................................. $ 378,021 22 14 ............................................... FTEs 10.05 22 15 a. The criminal and juvenile justice planning advisory 22 16 council and the juvenile justice advisory council shall 22 17 coordinate their efforts in carrying out their respective 22 18 duties relative to juvenile justice. 22 19 b. Of the funds appropriated in this subsection, at least 22 20 $36,300 shall be spent for expenses relating to the 22 21 administration of federal funds for juvenile assistance. It 22 22 is the intent of the general assembly that the department of 22 23 human rights employ sufficient staff to meet the federal 22 24 funding match requirements established by the federal office 22 25 for juvenile justice delinquency prevention. The governor's 22 26 advisory council on juvenile justice shall determine the 22 27 staffing level necessary to carry out federal and state 22 28 mandates for juvenile justice. 22 29 9. COMMUNITY GRANT FUND 22 30 For the community grant fund established under section 22 31 232.190 for the continuation of existing grants for the fiscal 22 32 year beginning July 1, 1996, and ending June 30, 1997, to be 22 33 used for the purposes of the community grant fund and for not 22 34 more than the following full-time equivalent positions: 22 35 .................................................. $ 1,600,000 23 1 ............................................... FTEs 1.43 23 2 10. SHARED STAFF. Except for the persons with 23 3 disabilities division which shall be administered by the 23 4 director of the department of human rights, the divisions of 23 5 the department of human rights shall retain their individual 23 6 administrators, but shall share staff to the greatest extent 23 7 possible. 23 8 Sec. 7. COMMISSION OF VETERANS AFFAIRS. There is 23 9 appropriated from the general fund of the state to the 23 10 commission of veterans affairs for the fiscal year beginning 23 11 July 1, 1996, and ending June 30, 1997, the following amounts, 23 12 or so much thereof as is necessary, to be used for the 23 13 purposes designated: 23 14 1. COMMISSION OF VETERANS AFFAIRS ADMINISTRATION 23 15 For salaries, support, maintenance, and miscellaneous 23 16 purposes, and for not more than the following full-time 23 17 equivalent positions: 23 18 .................................................. $ 289,510 23 19 ............................................... FTEs 5.00 23 20 The commission of veterans affairs may use the gifts 23 21 accepted by the chairperson of the commission of veterans 23 22 affairs, or designee, and other resources available to the 23 23 commission for use at its Camp Dodge office. The commission 23 24 shall report annually to the governor and the general assembly 23 25 on monetary gifts received by the commission for the Camp 23 26 Dodge office. 23 27 2. WAR ORPHANS 23 28 For the war orphans educational aid fund established 23 29 pursuant to chapter 35: 23 30 .................................................. $ 4,800 23 31 3. IOWA VETERANS HOME 23 32 For salaries, support, maintenance, and miscellaneous 23 33 purposes and for not more than the following full-time 23 34 equivalent positions: 23 35 .................................................. $ 38,900,388 24 1 ............................................... FTEs 800.82 24 2 a. The Iowa veterans home may use the gifts accepted by 24 3 the chairperson of the commission of veterans affairs and 24 4 other resources available to the commission for use at the 24 5 Iowa veterans home. 24 6 b. If medical assistance revenues are expanded at the Iowa 24 7 veterans home, and this expansion results in medical 24 8 assistance reimbursements which exceed the amount budgeted for 24 9 that purpose in the fiscal year beginning July 1, 1996, and 24 10 ending June 30, 1997, the Iowa veterans home may expend the 24 11 excess amounts to exceed the number of full-time equivalent 24 12 positions authorized in this section for the purpose of 24 13 meeting related certification requirements or to provide 24 14 additional beds. The expenditure of additional funds 24 15 received, as outlined in this paragraph, is subject to the 24 16 approval by the department of management. 24 17 Sec. 8. COMMUNITY GRANT FUND AND SUBSTANCE ABUSE GRANTS – 24 18 FISCAL YEAR 1996. There is appropriated from the unobligated 24 19 and unencumbered balance of the gamblers assistance fund for 24 20 the fiscal year beginning July 1, 1995, and ending June 30, 24 21 1996, the following amounts to be used for the purposes 24 22 designated: 24 23 1. COMMUNITY GRANT FUND 24 24 To the community grant fund established under section 24 25 232.190: 24 26 .................................................. $ 200,000 24 27 2. SUBSTANCE ABUSE GRANTS 24 28 To the Iowa department of public health for substance abuse 24 29 program grants administered by the department: 24 30 .................................................. $ 400,000 24 31 The appropriations made in this section shall be in 24 32 descending priority order and if the unobligated and 24 33 unencumbered balance of the fund is insufficient for both 24 34 appropriations, the appropriation in subsection 2 shall be 24 35 reduced accordingly. 25 1 Notwithstanding section 8.33, moneys appropriated in this 25 2 section shall not revert to the gamblers assistance fund but 25 3 shall remain available to be used for the purpose designated 25 4 in the fiscal year beginning July 1, 1996. 25 5 Sec. 9. DIRECT PURCHASE INCENTIVE. 25 6 1. If a department is able to demonstrate a 10 percent 25 7 savings resulting from a direct purchase of equipment which is 25 8 otherwise required to be purchased pursuant to a state 25 9 contract, the department, after consultation with the 25 10 department of general services, is authorized to make the 25 11 direct purchase, notwithstanding section 18.6, subsections 1 25 12 through 7, and subsections 9 through 14, and the dollar 25 13 limitation in subsection 8. To provide an incentive to 25 14 encourage departments to consider direct purchasing, 50 25 15 percent of the savings realized from the direct purchase may 25 16 be retained by a department, and the remaining 50 percent 25 17 shall be deposited into the general fund of the state. The 25 18 department of management shall monitor the savings for a one- 25 19 year period beginning on July 1, 1996, and submit a report at 25 20 the conclusion of the one-year period to the health and human 25 21 rights appropriations subcommittee. Prior to making a 25 22 purchase under this section, the department shall first 25 23 determine whether goods or services are available from a 25 24 targeted small business and preference shall be given to 25 25 making the purchases from targeted small businesses. 25 26 2. The provisions of this section shall apply to purchases 25 27 made with moneys appropriated in sections 1 through 7 of this 25 28 Act. 25 29 Sec. 10. Section 22.7, Code Supplement 1995, is amended by 25 30 adding the following new subsection: 25 31 NEW SUBSECTION. 33. Records of the Iowa department of 25 32 public health pertaining to participants in the gambling 25 33 treatment program except as otherwise provided in this 25 34 chapter. 25 35 Sec. 11. Section 99D.7, subsection 21, Code Supplement 26 1 1995, is amended to read as follows: 26 2 21. To cooperate with thegamblers assistancegambling 26 3 treatment program administered by thedepartment of human26 4servicesIowa department of public health to incorporate 26 5 information regarding thegamblers assistancegambling 26 6 treatment program and its toll-free telephone number in 26 7 printed materials distributed by the commission. The 26 8 commission may require licensees to have the information 26 9 available in a conspicuous place as a condition of licensure. 26 10 Sec. 12. Section 99E.9, subsection 8, Code Supplement 26 11 1995, is amended to read as follows: 26 12 8. The Iowa lottery board shall cooperate with the 26 13gamblers assistancegambling treatment program administered by 26 14 thedepartment of human servicesIowa department of public 26 15 health to incorporate information regarding thegamblers26 16assistancegambling treatment program and its toll-free 26 17 telephone number in printed materials distributed by the 26 18 board. 26 19 Sec. 13. Section 99E.10, subsection 1, paragraph a, Code 26 20 1995, is amended to read as follows: 26 21 a. An amount equal to three-tenths of one percent of the 26 22 gross lottery revenue shall be deposited in agamblers26 23assistancegambling treatment fund in the office of the 26 24 treasurer of state. The director ofhuman servicesthe Iowa 26 25 department of public health shall administer the fund and 26 26 shall provide that receipts are allocated on a monthly basis 26 27 to fund administrative costs and to provide programs which may 26 28 include, but are not limited to, outpatient and follow-up 26 29 treatment for persons affected by problem gambling, 26 30 rehabilitation and residential treatment programs, information 26 31 and referral services, and education and preventive services. 26 32 Sec. 14. Section 99E.10, subsection 1, paragraph a, Code 26 33 1995, is amended by adding the following new unnumbered 26 34 paragraph: 26 35 NEW UNNUMBERED PARAGRAPH. Of the moneys remaining in the 27 1 gambling treatment fund at the close of the fiscal year which 27 2 otherwise would remain unexpended or unobligated for the 27 3 purposes designated in this paragraph "a", up to four hundred 27 4 thousand dollars shall be used by the Iowa department of 27 5 public health for substance abuse program grants. 27 6 Sec. 15. Section 135.1, subsection 4, Code Supplement 27 7 1995, is amended to read as follows: 27 8 4. "Physician" means a person licensed to practice 27 9 medicine and surgery, osteopathic medicine and surgery, 27 10 osteopathy, chiropractic,orpodiatry, or optometry under the 27 11 laws of this state; but a person licensed as a physician and 27 12 surgeon shall be designated as a "physician" or "surgeon", a 27 13 person licensed as an osteopathic physician and surgeon shall 27 14 be designated as an "osteopathic physician" or "osteopathic 27 15 surgeon", a person licensed as an osteopath shall be 27 16 designated as an "osteopathic physician", a person licensed as 27 17 a chiropractor shall be designated as a "chiropractor",anda 27 18 person licensed as a podiatrist shall be designated as a 27 19 "podiatric physician", and a person licensed as an optometrist 27 20 shall be designated as an "optometrist". A definition or 27 21 designation contained in this subsection shall not be 27 22 interpreted to expand the scope of practice of such licensees. 27 23 Sec. 16. Section 232.190, subsection 1, Code 1995, is 27 24 amended to read as follows: 27 25 1. A community grant fund is established in the state 27 26 treasury under the control of the division of criminal and 27 27 juvenile justice planning of the department of human rights 27 28 for the purposes of awarding grants under this section. The 27 29 criminal and juvenile justice planning advisory council and 27 30 the juvenile justice advisory council shall assist the 27 31 division in administering grants awarded under this section. 27 32 The department of human services shall advise the division on 27 33 programs which meet the criteria established for grant 27 34 recipients. Not more thanonefive percent of the moneys 27 35 appropriated to the fund shall be used for administrative 28 1 purposes. 28 2 Sec. 17. 1993 Iowa Acts, chapter 55, section 1, subsection 28 3 3, is amended to read as follows: 28 4 3. The project shall be completed on or before June 30, 28 5 1997, and existing vital records shall be converted to the 28 6 electronic system by that date. Moneys appropriated pursuant 28 7 to this section which remainunexpendedunencumbered on June 28 8 30, 1997, shall revert to the general fund of the state. The 28 9 remaining encumbered moneys which remain unexpended on June 28 10 30, 1998, shall revert to the general fund of the state. For 28 11 the fiscal year beginning July 1, 1997, and succeeding fiscal 28 12 years, the provisions of section 144.46, requiring the vital 28 13 records fee to be set by rule based on the average 28 14 administrative costs, shall apply. 28 15 Sec. 18. INTERPRETIVE SERVICES STUDY. The legislative 28 16 council is requested to establish an interim committee to 28 17 evaluate the access to and quality of interpretive services 28 18 provided for the deaf and hard-of-hearing population. 28 19 Sec. 19. EFFECTIVE DATE. Section 8 of this Act, being 28 20 deemed of immediate importance, takes effect upon enactment. 28 21 SF 2448 28 22 rn/cc/26
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