Text: SSB00343 Text: SSB00345 Text: SSB00300 - SSB00399 Text: SSB Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Section 1. FAMILY INVESTMENT PROGRAM. There is 1 2 appropriated from the general fund of the state to the 1 3 department of human services for the fiscal year beginning 1 4 July 1, 1995, and ending June 30, 1996, the following amount, 1 5 or so much thereof as is necessary, to be used for the purpose 1 6 designated: 1 7 For assistance under the family investment program under 1 8 chapter 239: 1 9 .................................................. $ 32,820,032 1 10 1. The department shall continue the special needs program 1 11 under the family investment program. 1 12 2. Notwithstanding section 239.6, the department is not 1 13 required to reconsider eligibility of family investment 1 14 program recipients every six months if a federal waiver is 1 15 granted. 1 16 3. The department may adopt administrative rules for the 1 17 family investment, food stamp, and medical assistance programs 1 18 to change or delete welfare reform initiatives that threaten 1 19 the integrity or continuation of the program or that are not 1 20 cost-effective. Prior to the adoption of rules, the 1 21 department shall consult with the welfare reform council, 1 22 members of the public involved in development of the policy 1 23 established in the 1993 session of the Seventy-fifth General 1 24 Assembly, and the chairpersons and ranking members of the 1 25 human resources committees of the senate and the house of 1 26 representatives. 1 27 4. The department shall consolidate the individual 1 28 planning and agreement provisions of the family investment 1 29 program and the family development and self-sufficiency grant 1 30 program to ensure service coordination by providing that if a 1 31 recipient is participating in the grant program, the 1 32 recipient's family investment agreement shall be developed or 1 33 revised in consultation with the family development and self- 1 34 sufficiency grant program worker. 1 35 Sec. 2. EMERGENCY ASSISTANCE. There is appropriated from 2 1 the general fund of the state to the department of human 2 2 services for the fiscal year beginning July 1, 1995, and 2 3 ending June 30, 1996, the following amount, or so much thereof 2 4 as is necessary, to be used for the purpose designated: 2 5 For emergency assistance to families with dependent 2 6 children for homeless prevention programs: 2 7 .................................................. $ 1,767,500 2 8 1. The emergency assistance provided for in this section 2 9 shall be available beginning October 1 of the fiscal year and 2 10 shall be provided only if all other publicly funded resources 2 11 have been exhausted. Specifically, emergency assistance is 2 12 the program of last resort and shall not supplant assistance 2 13 provided by the low-income home energy assistance program 2 14 (LIHEAP), county general relief, and veterans affairs 2 15 programs. The department shall establish a $500 maximum 2 16 payment, per family, in a twelve-month period. The emergency 2 17 assistance includes, but is not limited to, assisting people 2 18 who face eviction, potential eviction, or foreclosure, utility 2 19 shutoff or fuel shortage, loss of heating energy supply or 2 20 equipment, homelessness, utility or rental deposits, or other 2 21 specified crisis which threatens family or living 2 22 arrangements. The emergency assistance shall be available to 2 23 migrant families who would otherwise meet eligibility 2 24 criteria. The department may adopt administrative rules to 2 25 implement the program including eligibility criteria and 2 26 benefit levels. The department may contract for the 2 27 administration and delivery of the program. The program shall 2 28 be terminated when funds are exhausted. 2 29 2. For the fiscal year beginning July 1, 1995, the 2 30 department shall establish a process for the state to receive 2 31 refunds of rent deposits for emergency assistance recipients 2 32 which were paid by persons other than the state. The refunds 2 33 received by the department under this subsection shall be 2 34 deposited with the moneys of the appropriation made in this 2 35 section and used as additional funds. Notwithstanding section 3 1 8.33, moneys received by the department under this subsection 3 2 which remain unobligated or unexpended at the close of the 3 3 fiscal year shall not revert to the general fund of the state 3 4 but shall remain available for expenditure in the succeeding 3 5 fiscal year. 3 6 Sec. 3. MEDICAL ASSISTANCE. There is appropriated from 3 7 the general fund of the state to the department of human 3 8 services for the fiscal year beginning July 1, 1995, and 3 9 ending June 30, 1996, the following amount, or so much thereof 3 10 as is necessary, to be used for the purpose designated: 3 11 For medical assistance, including reimbursement for 3 12 abortion services, which shall be available under the medical 3 13 assistance program only for those abortions which are 3 14 medically necessary: 3 15 .................................................. $351,496,521 3 16 1. Medically necessary abortions are those performed under 3 17 any of the following conditions: 3 18 a. The attending physician certifies that continuing the 3 19 pregnancy would endanger the life of the pregnant woman. 3 20 b. The attending physician certifies that the fetus is 3 21 physically deformed, mentally deficient, or afflicted with a 3 22 congenital illness. 3 23 c. The pregnancy is the result of a rape which is reported 3 24 within 45 days of the incident to a law enforcement agency or 3 25 public or private health agency which may include a family 3 26 physician. 3 27 d. The pregnancy is the result of incest which is reported 3 28 within 150 days of the incident to a law enforcement agency or 3 29 public or private health agency which may include a family 3 30 physician. 3 31 e. Any spontaneous abortion, commonly known as a 3 32 miscarriage, if not all of the products of conception are 3 33 expelled. 3 34 2. Notwithstanding section 8.39, the department may 3 35 transfer funds appropriated in this section to a separate 4 1 account established in the department's case management unit 4 2 for expenditures required to provide case management services 4 3 for mental health, mental retardation, and developmental 4 4 disabilities services under medical assistance which are 4 5 jointly funded by the state and county, pending final 4 6 settlement of the expenditures. Funds received by the case 4 7 management unit in settlement of the expenditures shall be 4 8 used to replace the transferred funds and are available for 4 9 the purposes for which the funds were appropriated in this 4 10 section. 4 11 3. If a medical assistance recipient is more than 17 years 4 12 of age and is receiving care which is reimbursed under a 4 13 federally approved home and community-based services waiver 4 14 but would otherwise be approved for care in an intermediate 4 15 care facility for the mentally retarded, the recipient's 4 16 county of legal settlement shall reimburse the department on a 4 17 monthly basis for the portion of the recipient's cost of care 4 18 which is not paid from federal funds. 4 19 4. a. The county of legal settlement shall be billed for 4 20 50 percent of the nonfederal share of the cost of case 4 21 management provided for adults, day treatment, and partial 4 22 hospitalization in accordance with sections 249A.26 and 4 23 249A.27, and 100 percent of the nonfederal share of the cost 4 24 of care which is reimbursed under a federally approved home 4 25 and community-based waiver that would otherwise be approved 4 26 for provision in an intermediate care facility for the 4 27 mentally retarded, provided under the medical assistance 4 28 program for persons with mental retardation, a developmental 4 29 disability, or chronic mental illness. The state shall have 4 30 responsibility for the remaining 50 percent of the nonfederal 4 31 share of the cost of case management provided for adults, day 4 32 treatment, and partial hospitalization. For persons without a 4 33 county of legal settlement, the state shall have 4 34 responsibility for 100 percent of the nonfederal share of the 4 35 cost of case management provided for adults, day treatment, 5 1 partial hospitalization, and the home and community-based 5 2 waiver services. Those services specified in this subsection 5 3 shall be billed to a county only if the services are provided 5 4 outside of a managed care contract. 5 5 b. The state shall pay the entire nonfederal share of the 5 6 costs for case management services provided to persons 17 5 7 years of age and younger who are served in a medical 5 8 assistance home and community-based waiver program for persons 5 9 with mental retardation. 5 10 c. Medical assistance funding for case management services 5 11 for eligible persons 17 years of age and younger shall also be 5 12 provided to persons residing in counties with child welfare 5 13 decategorization projects implemented in accordance with 5 14 section 232.188, provided these projects have included these 5 15 persons in their service plan and the decategorization project 5 16 county is willing to provide the nonfederal share of costs. 5 17 d. The state shall pay the entire nonfederal share of 5 18 intermediate care facilities for the mentally retarded (ICFMR) 5 19 costs for eligible persons 17 years of age and younger. 5 20 e. When paying the necessary and legal expenses of 5 21 intermediate care facilities for the mentally retarded 5 22 (ICFMR), the cost payment requirements of section 222.60 shall 5 23 be considered fulfilled when payment is made in accordance 5 24 with the medical assistance payment rates established for 5 25 ICFMRs by the department and the state or a county of legal 5 26 settlement is not obligated for any amount in excess of the 5 27 rates. 5 28 5. The department may adopt and implement administrative 5 29 rules regarding a prepaid mental health services plan for 5 30 medical assistance patients. The rules shall include but not 5 31 be limited to service provider standards, service 5 32 reimbursement, and funding mechanisms. Notwithstanding the 5 33 provisions of subsection 4, paragraph "a", of this section and 5 34 section 249A.26, requiring counties to pay all or part of the 5 35 nonfederal share of certain services provided to persons with 6 1 disabilities under the medical assistance program, the state 6 2 shall pay 100 percent of the nonfederal share of any services 6 3 included in the plan implemented pursuant to this subsection. 6 4 6. The department shall utilize not more than $60,000 of 6 5 the funds appropriated in this section to continue the 6 6 AIDS/HIV health insurance premium payment program as 6 7 established in 1992 Iowa Acts, Second Extraordinary Session, 6 8 Chapter 1001, section 409, subsection 6. Of the funds 6 9 allocated in this subsection, not more than $10,000 may be 6 10 expended for administrative purposes. 6 11 7. Contingent upon federal approval of a waiver, the 6 12 department shall adopt administrative rules to establish the 6 13 requirements for the alternative nursing home pilot project. 6 14 8. The department of human services shall develop and 6 15 implement a medical assistance home and community-based waiver 6 16 for persons with brain injury who currently reside in a 6 17 medical institution and who have been residents of a medical 6 18 institution for a minimum of thirty days. 6 19 9. Of the funds appropriated to the Iowa department of 6 20 health for substance abuse grants, $950,000 for the fiscal 6 21 year beginning July 1, 1995, shall be transferred to the 6 22 department of human services to implement an integrated 6 23 substance abuse managed care system. The department of human 6 24 services in conjunction with the Iowa department of health and 6 25 other appropriate state agencies may adopt and implement 6 26 administrative rules to establish a prepaid substance abuse 6 27 treatment plan for medical assistance recipients. The rules 6 28 shall include but are not limited to defining the structure of 6 29 the program, establishing the scope of services to be provided 6 30 in the program, including, but not limited to, establishing 6 31 client eligibility for prepaid substance abuse treatment 6 32 services, establishing the basis and the rate of reimbursement 6 33 for the program, defining the expected outcome measures of the 6 34 program, and defining a client appeals process. However, 6 35 nothing in the rules shall condition provider eligibility to 7 1 render services under this program upon the scope of services 7 2 rendered by a provider or upon provider licensure, 7 3 certification, or corporate structure. The department of 7 4 human services and the Iowa department of public health shall 7 5 evaluate methods for inclusion of court-ordered detoxification 7 6 services in the substance abuse managed care program and shall 7 7 provide recommendations regarding inclusion of the services in 7 8 the program to the general assembly on or before December 1, 7 9 1995. 7 10 10. The department shall require prior authorization for 7 11 any brand name prescription drug which has an "A" rated 7 12 generic bioequivalent as determined by the federal food and 7 13 drug administration. The department shall establish an 7 14 educational program through the drug utilization review 7 15 commission to review and encourage the use of these "A" rated 7 16 generic equivalents within the medical assistance program. 7 17 11. The department of human services shall, when it is 7 18 economically beneficial, implement maximum allowable costs for 7 19 multiple source drugs in accordance with federal guidelines. 7 20 12. The department shall implement strategies to address 7 21 administrative and provider concerns associated with 7 22 discretionary medical assistance provided to individuals and 7 23 families pursuant to section 249A.3, subsection 4, and the 7 24 provisions relating to the expenditure of income to a level 7 25 which qualifies the individual or family as eligible for par- 7 26 ticipation in the medical assistance program. The department 7 27 shall submit a report regarding the strategies implemented to 7 28 the general assembly on or before November 30, 1995. 7 29 13. The department may seek qualification of supervised 7 30 community treatment for children under the medical assistance 7 31 program. 7 32 Sec. 4. MEDICAL CONTRACTS. There is appropriated from the 7 33 general fund of the state to the department of human services 7 34 for the fiscal year beginning July 1, 1995, and ending June 7 35 30, 1996, the following amount, or so much thereof as is 8 1 necessary, to be used for the purpose designated: 8 2 For medical contracts: 8 3 .................................................. $ 6,226,400 8 4 1. The department shall continue to contract for drug 8 5 utilization review under the medical assistance program. 8 6 2. The department may use not more than $22,500 of the 8 7 funds appropriated in this section for contracting for the 8 8 rebasing-recalibration of the ambulatory patient grouping 8 9 system. 8 10 3. The department may use not more than $75,000 of the 8 11 funds appropriated in this section for the independent 8 12 evaluation of the prepaid mental health services plan. 8 13 Sec. 5. STATE SUPPLEMENTARY ASSISTANCE. There is 8 14 appropriated from the general fund of the state to the 8 15 department of human services for the fiscal year beginning 8 16 July 1, 1995, and ending June 30, 1996, the following amount, 8 17 or so much thereof as is necessary, to be used for the purpose 8 18 designated: 8 19 For state supplementary assistance: 8 20 .................................................. $ 19,115,000 8 21 1. The department shall increase the personal needs 8 22 allowance for residents of residential care facilities by the 8 23 same percentage and at the same time as federal supplemental 8 24 security income and federal social security benefits are 8 25 increased due to a recognized increase in the cost of living. 8 26 The department may adopt administrative rules to implement 8 27 this subsection. 8 28 2. a. If during the fiscal year beginning July 1, 1995, 8 29 the department projects that state supplementary assistance 8 30 expenditures for a calendar year will not meet the federal 8 31 pass-along requirement specified in Title XVI of the federal 8 32 Social Security Act, section 1618, as codified in 42 U.S.C. } 8 33 1382g, or that expenditures in the fiscal year will exceed the 8 34 amount appropriated, the department may take actions including 8 35 but not limited to increasing the personal needs allowance for 9 1 residential care facility residents and making programmatic 9 2 adjustments or upward adjustments of the residential care 9 3 facility or in-home health-related care reimbursement rates 9 4 prescribed in this Act to ensure that federal requirements are 9 5 met. The department may adopt emergency rules to implement 9 6 the provisions of this subsection. 9 7 b. If during the fiscal year beginning July 1, 1995, the 9 8 department projects that state supplementary assistance 9 9 expenditures will exceed the amount appropriated, the 9 10 department may transfer funds appropriated in this Act for 9 11 medical assistance for the purposes of the state supplementary 9 12 assistance program. However, funds shall only be transferred 9 13 from the medical assistance appropriation if the funds 9 14 transferred are projected to be in excess of the funds 9 15 necessary for the medical assistance program. 9 16 Sec. 6. CHILD DAY CARE ASSISTANCE. There is appropriated 9 17 from the general fund of the state to the department of human 9 18 services for the fiscal year beginning July 1, 1995, and 9 19 ending June 30, 1996, the following amount, or so much thereof 9 20 as is necessary, to be used for the purposes designated: 9 21 For protective child day care assistance and state child 9 22 care assistance: 9 23 .................................................. $ 8,747,259 9 24 1. Of the funds appropriated in this section, $2,496,286 9 25 shall be used for protective child day care assistance. 9 26 2. Of the funds appropriated in this section, $3,930,934 9 27 shall be used for state child care assistance. 9 28 3. Based upon the availability of the funding provided in 9 29 subsection 2 the department shall establish waiting lists for 9 30 state child care assistance in descending order of 9 31 prioritization as follows: 9 32 a. Families who are at or below 100 percent of the federal 9 33 poverty level and are employed at least 30 hours a week. 9 34 b. Parents under the age of 21 who are employed full-time 9 35 or part-time or who are participating in an approved training 10 1 program or who are enrolled in an education program. 10 2 c. Families who are at or below 155 percent of the federal 10 3 poverty level who have a special needs child. 10 4 d. Families who are at or below 100 percent of the federal 10 5 poverty level who are employed part-time at least 20 hours per 10 6 week. 10 7 4. a. For state child care assistance, eligibility shall 10 8 be limited to children whose family income is equal to or less 10 9 than 100 percent of the federal office of management and 10 10 budget poverty guidelines. However, on or after October 1, 10 11 1995, the department may increase the income eligibility limit 10 12 to be equal to or less than 75 percent of the Iowa median 10 13 family income. 10 14 b. The department may adopt administrative rules to comply 10 15 with the federal child care development block grant and 10 16 federal at-risk child care program; to streamline the existing 10 17 day care program; and to deliver the services within state and 10 18 federal funds appropriated. 10 19 c. Nothing in this section shall be construed or is 10 20 intended as, or shall imply, a grant of entitlement for 10 21 services to persons who are eligible for assistance due to an 10 22 income level consistent with the requirements of this section. 10 23 Any state obligation to provide services pursuant to this 10 24 section is limited to the extent of the funds appropriated in 10 25 this section. 10 26 5. The department shall develop, in cooperation with child 10 27 day care resource and referral services and with the state 10 28 child day care advisory council, incentives to encourage the 10 29 registration of child day care providers and shall report the 10 30 recommendations developed to the chairpersons and the ranking 10 31 members of the joint appropriations subcommittee on human 10 32 services on or before January 1, 1996. 10 33 6. Of the funds appropriated in this section, $640,270 is 10 34 allocated for the statewide program for child day care 10 35 resource and referral services under section 237A.26. 11 1 7. The department may use any of the funds appropriated in 11 2 this section as a match to obtain federal funds for use in 11 3 expanding child day care assistance and related programs. 11 4 8. Of the funds appropriated in this section, $1,679,769 11 5 shall be used for transitional child care assistance. 11 6 9. During the 1995-1996 fiscal year, the department shall 11 7 utilize the moneys deposited in the child day care credit fund 11 8 created in section 237A.28 for state child care assistance, in 11 9 addition to the moneys appropriated for that purpose in this 11 10 section. 11 11 Sec. 7. JOBS PROGRAM. There is appropriated from the 11 12 general fund of the state to the department of human services 11 13 for the fiscal year beginning July 1, 1995, and ending June 11 14 30, 1996, the following amount, or so much thereof as is 11 15 necessary, to be used for the purposes designated: 11 16 For the federal-state job opportunities and basic skills 11 17 (JOBS) program, food stamp employment and training program, 11 18 family development and self-sufficiency grants, 11 19 entrepreneurial training, and implementing family investment 11 20 agreements, in accordance with this section: 11 21 .................................................. $ 11,935,189 11 22 1. Of the funds appropriated in this section, $11,025,889 11 23 is allocated for the JOBS program. 11 24 2. The department shall continue to contract for services 11 25 in developing, delivering, and monitoring an entrepreneural 11 26 training waiver program to provide technical assistance in 11 27 self-employment training to families which receive assistance 11 28 under the family investment program, contingent upon federal 11 29 approval of waiver renewal requests. 11 30 3. Of the funds appropriated in this section, $129,985 is 11 31 allocated for the food stamp employment and training program. 11 32 4. Of the funds appropriated in this section, $779,315 is 11 33 allocated to the family development and self-sufficiency grant 11 34 program as provided under section 217.12. 11 35 a. Not more than 5 percent of the funds allocated in this 12 1 subsection shall be used for the administration of the grant 12 2 program. 12 3 b. Federal funding matched by state, county, or other 12 4 funding which is not appropriated in this section shall be 12 5 deposited in the department's JOBS account. If the match 12 6 funding is generated by a family development and self- 12 7 sufficiency grantee, the federal funding received shall be 12 8 used to expand the family development and self-sufficiency 12 9 grant program. If the match funding is generated by another 12 10 source, the federal funding received shall be used to expand 12 11 the grant program or the JOBS program. The department may 12 12 adopt administrative rules to implement the provisions of this 12 13 paragraph. 12 14 c. Based upon the annual evaluation report concerning each 12 15 grantee funded by this allocation, the family development and 12 16 self-sufficiency council may use funds allocated to renew 12 17 grants. 12 18 Sec. 8. CHILD SUPPORT RECOVERY. There is appropriated 12 19 from the general fund of the state to the department of human 12 20 services for the fiscal year beginning July 1, 1995, and 12 21 ending June 30, 1996, the following amount, or so much thereof 12 22 as is necessary, to be used for the purposes designated: 12 23 For child support recovery, including salaries, support, 12 24 maintenance, and miscellaneous purposes and for not more than 12 25 the following full-time equivalent positions: 12 26 .................................................. $ 6,397,505 12 27 ............................................... FTEs 226.22 12 28 1. The director of human services, within the limitations 12 29 of the funds appropriated in this section, or funds 12 30 transferred from the family investment program for this 12 31 purpose, shall establish new positions and add employees to 12 32 the child support recovery unit if the director determines 12 33 that both the current and additional employees together can 12 34 reasonably be expected to maintain or increase net state 12 35 revenue at or beyond the budgeted level. If the director adds 13 1 employees, the department shall demonstrate the cost- 13 2 effectiveness of the current and additional employees by 13 3 reporting to the joint appropriations subcommittee on human 13 4 services the ratio of the total amount of administrative costs 13 5 for child support recoveries to the total amount of the child 13 6 support recovered. 13 7 2. Nonpublic assistance application and user fees received 13 8 by the child support recovery program are appropriated and 13 9 shall be used for the purposes of the child support recovery 13 10 program. The director of human services may add positions if 13 11 fees collected relating to the new positions are sufficient to 13 12 pay the salaries and support for the positions. The director 13 13 shall report any positions added pursuant to this subsection 13 14 to the chairpersons and ranking members of the joint 13 15 appropriations subcommittee on human services and the 13 16 legislative fiscal bureau. 13 17 3. The director of human services, in consultation with 13 18 the department of management and the legislative fiscal 13 19 committee, is authorized to receive and deposit state child 13 20 support incentive earnings in the manner specified under 13 21 applicable federal requirements. 13 22 4. The director of human services may establish new 13 23 positions and add state employees to the child support 13 24 recovery unit if the director determines the employees are 13 25 necessary to replace county-funded positions eliminated due to 13 26 termination, reduction, or nonrenewal of a chapter 28E 13 27 contract. However, the director must also determine that the 13 28 resulting increase in the state share of child support 13 29 recovery incentives exceeds the cost of the positions, the 13 30 positions are necessary to ensure continued federal funding of 13 31 the program, or the new positions can reasonably be expected 13 32 to recover more than twice the amount of money to pay the 13 33 salaries and support for the new positions. 13 34 5. The child support recovery unit shall continue to work 13 35 with the judicial department to determine the feasibility of a 14 1 pilot project utilizing a court-appointed referee for judicial 14 2 determinations on child support matters. The extent and 14 3 location of any pilot project shall be jointly developed by 14 4 the judicial department and the child support recovery unit. 14 5 6. The department shall spend up to $50,000, including 14 6 federal financial participation, for the fiscal year beginning 14 7 July 1, 1995, for continuation of the child support public 14 8 awareness campaign. The department shall continue to 14 9 cooperate with the office of the attorney general in 14 10 continuation of the campaign. 14 11 7. The department shall continue the pilot program option 14 12 to provide and supervise a community service pilot project for 14 13 absent parents who are ordered by the court to perform 14 14 community service for failure to pay child support pursuant to 14 15 section 598.23A. 14 16 8. The director of human services may enter a contract 14 17 with private collection agencies to collect support payments 14 18 for cases which have been identified by the department as 14 19 difficult collection cases if the department determines that 14 20 this form of collection is more cost effective than 14 21 departmental collection methods. The director may use a 14 22 portion of the state share of funds collected through this 14 23 means to pay the costs of any contracts authorized under this 14 24 subsection. 14 25 9. The department shall employ at least one full-time 14 26 equivalent position to respond to telephone inquiries during 14 27 all weekly business hours. 14 28 Sec. 9. JUVENILE INSTITUTIONS. There is appropriated from 14 29 the general fund of the state to the department of human 14 30 services for the fiscal year beginning July 1, 1995, and 14 31 ending June 30, 1996, the following amount, or so much thereof 14 32 as is necessary, to be used for the purposes designated: 14 33 For the operation of the state training school and the Iowa 14 34 juvenile home, including salaries, support, maintenance, and 14 35 miscellaneous purposes and for not more than the following 15 1 full-time equivalent positions: 15 2 For the state juvenile institutions: 15 3 .................................................. $ 13,487,062 15 4 ............................................... FTEs 320.77 15 5 1. The following amounts of the funds appropriated and 15 6 full-time equivalent positions authorized in this section are 15 7 allocated for the Iowa juvenile home at Toledo: 15 8 .................................................. $ 4,984,184 15 9 ............................................... FTEs 118.54 15 10 2. The following amounts of the funds appropriated and 15 11 full-time equivalent positions authorized in this section are 15 12 allocated for the state training school at Eldora: 15 13 .................................................. $ 8,502,878 15 14 ............................................... FTEs 202.23 15 15 3. During the fiscal year beginning July 1, 1995, the 15 16 population levels at the state juvenile institutions shall not 15 17 exceed the population guidelines established under 1990 Iowa 15 18 Acts, chapter 1239, section 21. 15 19 4. Each state juvenile institution shall apply for 15 20 adolescent pregnancy prevention grants for the fiscal year 15 21 beginning July 1, 1995. 15 22 5. Within the funds appropriated in this section, the 15 23 department may reallocate funds as necessary to best fulfill 15 24 the needs of the institutions provided for in the 15 25 appropriation. 15 26 Sec. 10. CHILD AND FAMILY SERVICES. There is appropriated 15 27 from the general fund of the state to the department of human 15 28 services for the fiscal year beginning July 1, 1995, and 15 29 ending June 30, 1996, the following amount, or so much thereof 15 30 as is necessary, to be used for the purpose designated: 15 31 For child and family services: 15 32 ................................................. $ 83,384,244 15 33 1. The department may transfer moneys appropriated in this 15 34 section as necessary to pay the nonfederal costs of services 15 35 reimbursed under medical assistance or the family investment 16 1 program which are provided to children who would otherwise 16 2 receive services paid under the appropriation in this section. 16 3 The department may transfer funds appropriated in this section 16 4 to the appropriations in this Act for general administration 16 5 and for field operations for resources necessary to implement 16 6 and operate the services funded in this section. 16 7 2. a. Of the funds appropriated in this section, up to 16 8 $20,937,703 is allocated for group foster care maintenance and 16 9 services. For the fiscal year beginning July 1, 1995, the 16 10 statewide target, as provided in section 232.143, for the 16 11 daily average number of children placed in group foster care 16 12 services which are a charge upon or paid for by the state 16 13 shall be 1,220. Notwithstanding the statewide target 16 14 established in this subsection and sections 232.52, 232.102, 16 15 232.117, 232.127, and 232.182, a target established in a 16 16 region's group foster care plan developed pursuant to section 16 17 232.143 may be exceeded, a group foster care placement may be 16 18 ordered, and state payment may be made if a clinical 16 19 assessment and consultation team finds that the placement is 16 20 necessary to meet the child's needs. The department and the 16 21 courts shall work together to ensure that a region's group 16 22 foster care expenditures shall not exceed the funds allocated 16 23 to the region for group foster care placements in the 1995- 16 24 1996 fiscal year. However, regions may transfer bed days 16 25 between regions as necessary to meet group foster care needs. 16 26 The department may adopt administrative rules to implement the 16 27 provisions of this paragraph. 16 28 b. In each quarter of the fiscal year, the department 16 29 shall compare the actual number of group foster care 16 30 placements in a region and the targets allocated to the region 16 31 for that quarter. The department shall develop a methodology 16 32 to provide, within the funds allocated in this subsection, 16 33 fiscal incentives to regions which have reduced the number or 16 34 length of group foster care placements. 16 35 c. The department shall report quarterly to the 17 1 legislative fiscal bureau concerning the status of each 17 2 region's efforts to limit the number of group foster care 17 3 placements in accordance with the regional plan established 17 4 pursuant to section 232.143. 17 5 d. Notwithstanding the formula specified in section 17 6 232.143, subsection 1, the department and the judicial 17 7 department shall develop a formula for allocating a portion of 17 8 the statewide target to each of the department's regions based 17 9 on factors determined by the department and the judicial 17 10 department which may include but are not limited to historical 17 11 usage of group foster care beds and indicators of need for 17 12 group foster care placements. The formula shall be 17 13 established by May 1, 1995. The department may adopt 17 14 administrative rules to implement the provisions of this 17 15 paragraph. 17 16 e. The department shall not certify any additional 17 17 enhanced residential treatment beds, unless the director of 17 18 human services approves the beds as necessary, based on the 17 19 type of children to be served and the location of the enhanced 17 20 residential treatment beds. 17 21 f. (1) Of the funds appropriated in this section, not 17 22 more than $6,439,398 is allocated as the state match funding 17 23 for psychiatric medical institutions for children. 17 24 (2) Based upon the director's decision pursuant to 1994 17 25 Iowa Acts, chapter 1186, section 10, subsection 19, regarding 17 26 the managed care approaches for determining service necessity 17 27 for children served by psychiatric medical institutions for 17 28 children (PMICs), the department may transfer all or a portion 17 29 of the moneys appropriated in this section for PMICs to the 17 30 appropriation in this Act for medical assistance and may amend 17 31 the managed mental health care contract to include PMICs, and 17 32 may increase the statewide target for group foster care 17 33 placements in paragraph "a" of this subsection, accordingly. 17 34 The department may adopt administrative rules to implement the 17 35 provisions of this subsection. 18 1 g. Of the funds allocated in this subsection, not more 18 2 than $995,764 is allocated as the state match funding for 50 18 3 highly structured juvenile program beds. 18 4 3. The department shall establish a goal that not more 18 5 than 15 percent of the children placed in foster care funded 18 6 under the federal Social Security Act, Title IV-E, may be 18 7 placed in foster care for a period of more than 24 months. 18 8 4. In accordance with the provisions of section 232.188, 18 9 the department shall continue the program to decategorize 18 10 child welfare services in additional counties or clusters of 18 11 counties. 18 12 5. Of the funds appropriated in this section, up to 18 13 $96,512 is allocated for continued foster care services to a 18 14 child who is 18 years of age or older in accordance with the 18 15 provisions of section 234.35, subsection 4, paragraph "c". 18 16 However, if funding in this appropriation would remain 18 17 unobligated at the end of the fiscal year, the allocation in 18 18 this subsection may be exceeded to the extent necessary to 18 19 provide the continued foster care services. The department 18 20 shall distribute the moneys allocated in this subsection to 18 21 the departmental regions based on each region's proportion of 18 22 the total number of children placed in foster care on March 31 18 23 preceding the beginning of the fiscal year, who, during the 18 24 fiscal year would no longer be eligible for foster care due to 18 25 age. 18 26 6. Notwithstanding section 232.142, subsection 3, the 18 27 financial aid paid by the state for the establishment, 18 28 improvements, operation, and maintenance of county or 18 29 multicounty juvenile detention homes in the fiscal year 18 30 beginning July 1, 1995, shall be limited to $872,500. Funds 18 31 allocated in this subsection shall be prorated among eligible 18 32 detention homes. 18 33 7. The amount of the appropriation made in this section 18 34 available for foster care is based upon expansion of the 18 35 number of children in foster care who are eligible for federal 19 1 supplemental security income (SSI). The department may use up 19 2 to $300,000 of those funds to enter into a performance-based 19 3 contract to secure SSI benefits for children placed in foster 19 4 care. The contract shall include provisions for training of 19 5 department of human services and juvenile court staff, 19 6 completion of applications, tracking of application results, 19 7 and representation during the appeals process whenever an 19 8 appeal is necessary to secure SSI benefits. Notwithstanding 19 9 section 217.30 and section 232.2, subsection 11, and any other 19 10 provision of law to the contrary, the director or the 19 11 director's designee on behalf of a child in foster care may 19 12 release medical, mental health, substance abuse, or any other 19 13 information necessary only to determine the child's 19 14 eligibility for SSI benefits, and may sign releases for the 19 15 information. In any release of information made pursuant to 19 16 this subsection, confidentiality shall be maintained to the 19 17 maximum extent possible. 19 18 8. A portion of the funds appropriated in this section may 19 19 be used for emergency family assistance to provide other 19 20 resources required for a family participating in a family 19 21 preservation or reunification project to stay together or to 19 22 be reunified. 19 23 9. Notwithstanding section 234.35, subsection 1, for the 19 24 fiscal year beginning July 1, 1995, state funding for shelter 19 25 care paid pursuant to section 234.35, subsection 1, paragraph 19 26 "h", shall be limited to $3,383,736. The department may adopt 19 27 administrative rules to implement the provisions of this 19 28 subsection. 19 29 10. Of the funds appropriated in this section, not more 19 30 than $512,862 may be used to develop and maintain the state's 19 31 implementation of the national adoption and foster care 19 32 information system pursuant to the requirements of Pub. L. No. 19 33 99-509. The department may transfer funds as necessary from 19 34 the appropriations in this Act for field operations and 19 35 general administration to implement this subsection. Moneys 20 1 allocated in accordance with this subsection shall be 20 2 considered encumbered for the purposes of section 8.33. 20 3 11. Of the funds appropriated in this section, a portion 20 4 may be used for respite services to families of children with 20 5 mental retardation or other developmental disabilities, who 20 6 would otherwise enter or continue group care or foster family 20 7 home placement. The department may adopt administrative rules 20 8 to implement the provisions of this subsection. 20 9 12. Of the funds appropriated in this section, up to 20 10 $673,217 may be used as determined by the department for any 20 11 of the following purposes: 20 12 a. For general administration of the department to improve 20 13 staff training efforts. 20 14 b. For oversight of termination of parental rights and 20 15 permanency planning efforts on a statewide basis. 20 16 c. For personnel, assigned by the attorney general, to 20 17 provide additional services relating to termination of 20 18 parental rights and child in need of assistance cases. 20 19 d. For specialized permanency planning field operations 20 20 staff. 20 21 13. The department may adopt administrative rules to 20 22 implement outcome-based child welfare services pilot projects. 20 23 The rules may include, but are not limited to, the development 20 24 of program descriptions, provider licensing and certification 20 25 standards, reimbursement and payment amounts, contract 20 26 requirements, assessment and service necessity requirements, 20 27 eligibility criteria, claims submission procedures, and 20 28 accountability standards. 20 29 14. Of the funds appropriated in this section, up to 20 30 $300,000 may be used to develop a performance-based monitoring 20 31 program to evaluate and improve outcomes for children and 20 32 families. The department may adopt administrative rules to 20 33 implement this subsection. 20 34 15. The department may develop, within the funds 20 35 available, a pilot kinship care project to enhance family 21 1 involvement in the development of the permanency plan required 21 2 under chapter 232 for children who are removed from their 21 3 homes. The project components may include family involvement 21 4 before and after removal of the child and shall stress safety 21 5 for the child. 21 6 16. Within the funds appropriated in this section, the 21 7 department may develop a subsidized guardianship program to 21 8 provide financial assistance to guardians of children who have 21 9 a permanency order under section 232.104, subsection 2, 21 10 paragraph "d", subparagraph (1), in cases in which all of the 21 11 following conditions exist: 21 12 a. The option of reunification has been eliminated and 21 13 termination of parental rights is not appropriate. 21 14 b. The child has lived with the potential guardian for at 21 15 least six months. 21 16 c. The child is either 14 years of age or older or, if 21 17 under 14 years of age, is part of a sibling group and cannot 21 18 be made available for adoption. 21 19 d. The placement does not require departmental 21 20 supervision. 21 21 The financial assistance provided shall be in the same 21 22 amount as provided for family foster care. For purposes of 21 23 medical assistance and child support recovery, these payments 21 24 shall be considered foster care payments. 21 25 17. Of the funds appropriated in this section, up to 21 26 $175,000 may be used to establish and maintain a truancy pilot 21 27 initiative in the fifth judicial district which shall be 21 28 directed to keeping targeted youth in school by providing 21 29 noneducational supportive and therapy services both inside and 21 30 outside the school setting. The department may adopt 21 31 administrative rules to implement supportive and therapy 21 32 services in the truancy pilot initiative. The rules may 21 33 include, but are not limited to, the development of program 21 34 descriptions, certification standards, reimbursement, contract 21 35 requirements, and eligibility and accountability standards. 22 1 Sec. 11. COMMUNITY-BASED PROGRAMS. There is appropriated 22 2 from the general fund of the state to the department of human 22 3 services for the fiscal year beginning July 1, 1995, and 22 4 ending June 30, 1996, the following amount, or so much thereof 22 5 as is necessary, to be used for the purpose designated: 22 6 For community-based programs, on the condition that family 22 7 planning services are funded, including salaries, support, 22 8 maintenance, and miscellaneous purposes and for not more than 22 9 the following full-time equivalent positions: 22 10 .................................................. $ 2,627,823 22 11 ............................................... FTEs 1.0 22 12 1. Of the funds appropriated in this section, $756,048 22 13 shall be used for adolescent pregnancy prevention grants, 22 14 including not more than $156,048 for programs to prevent 22 15 second or subsequent pregnancies during the adolescent years 22 16 and to provide support services for pregnant or parenting 22 17 adolescents. Rules adopted by the department may allow for 22 18 revision of existing grant categories and the addition of 22 19 grant categories which allow for the development and 22 20 initiation of a statewide adolescent pregnancy prevention 22 21 campaign and of a statewide assessment or evaluation grant. 22 22 2. Of the funds appropriated in this section, $300,000 22 23 shall be used for grants to community or regional groups which 22 24 demonstrate broad-based representation from community 22 25 representatives including but not limited to schools, 22 26 churches, human service-related organizations, and businesses. 22 27 Priority in the awarding of grants shall be given to groups 22 28 which provide services to both urban and rural areas within 22 29 the proximity of the community or region and which provide 22 30 age-appropriate programs adapted for both male and female 22 31 youth at the elementary, middle, and high school levels. A 22 32 program shall focus on the prevention of initial pregnancies 22 33 during the adolescent years by emphasizing sexual abstinence 22 34 as the only completely safe and effective means of avoiding 22 35 pregnancy and sexually transmitted diseases and by providing 23 1 information regarding the comparative failure rates of 23 2 contraceptives, and by emphasizing responsible decision making 23 3 in relationships, managing of peer and social pressures, 23 4 development of self-esteem, the costs and responsibilities of 23 5 parenting, and information regarding the alternative of 23 6 adoption for placement of a child. The program shall also 23 7 include an evaluation and assessment component which includes 23 8 evaluation of and recommendations for improvement of the 23 9 program by the youth and parents involved. Evaluation and 23 10 assessment reports shall be provided to the department of 23 11 human services, at a time determined by the department in the 23 12 grant award. Community or regional groups interested in 23 13 applying for a grant under this subsection may be issued a 23 14 planning grant or may utilize grant moneys for the costs of 23 15 technical assistance to analyze community needs, match service 23 16 providers to needs, negotiate service provision strategies, or 23 17 other assistance to focus grant services provided under this 23 18 subsection. The technical assistance may be provided by 23 19 organizations affiliated with institutions under the authority 23 20 of the state board of regents or other organizations 23 21 experienced in providing technical assistance concerning 23 22 similar services. 23 23 3. Of the funds appropriated in this section, $732,789 23 24 shall be used by the department for child abuse prevention 23 25 grants. 23 26 4. Of the funds appropriated in this section, an 23 27 additional $100,000, based upon the amount allocated in the 23 28 previous fiscal year, shall be used for family planning 23 29 services. 23 30 Sec. 12. COURT-ORDERED SERVICES PROVIDED TO JUVENILES. 23 31 There is appropriated from the general fund of the state to 23 32 the department of human services for the fiscal year beginning 23 33 July 1, 1995, and ending June 30, 1996, the following amount, 23 34 or so much thereof as is necessary, to be used for the purpose 23 35 designated: 24 1 Payment of the expenses of court-ordered services provided 24 2 to juveniles which are a charge upon the state pursuant to 24 3 section 232.141, subsection 4: 24 4 .................................................. $ 3,090,000 24 5 1. Notwithstanding section 232.141 or any other provision 24 6 of law, the funds appropriated in this section shall be 24 7 allocated to the judicial districts as determined by the state 24 8 court administrator. The state court administrator shall make 24 9 the determination on the allocations on or before June 15. 24 10 2. a. Each judicial district shall continue the planning 24 11 group for the court-ordered services for juveniles provided in 24 12 that district which was established pursuant to 1991 Iowa 24 13 Acts, chapter 267, section 119. A planning group shall 24 14 continue to perform its duties as specified in that law. 24 15 Reimbursement rates for providers of court-ordered evaluation 24 16 and treatment services paid under section 232.141, subsection 24 17 4, shall be negotiated with providers by each judicial 24 18 district's planning group. 24 19 b. Each district planning group shall submit an annual 24 20 report in January to the state court administrator and the 24 21 department of human services. The report shall cover the 24 22 preceding fiscal year and shall include a preliminary report 24 23 on the current fiscal year. The administrator and the 24 24 department shall compile these reports and submit the reports 24 25 to the chairpersons and ranking members of the joint 24 26 appropriations subcommittee on human services and the 24 27 legislative fiscal bureau. 24 28 3. The department of human services shall develop policies 24 29 and procedures to ensure that the funds appropriated in this 24 30 section are spent only after all other reasonable actions have 24 31 been taken to utilize other funding sources and community- 24 32 based services. The policies and procedures shall be designed 24 33 to achieve the following objectives relating to services 24 34 provided under chapter 232: 24 35 a. Maximize the utilization of funds which may be 25 1 available from the medical assistance program including usage 25 2 of the early and periodic screening, diagnosis, and treatment 25 3 (EPSDT) program. 25 4 b. Recover payments from any third-party insurance carrier 25 5 which is liable for coverage of the services, including health 25 6 insurance coverage. 25 7 c. Pursue development of agreements with regularly 25 8 utilized out-of-state service providers which are intended to 25 9 reduce per diem costs paid to those providers. 25 10 4. The department of human services, in consultation with 25 11 the state court administrator and the judicial district 25 12 planning groups, shall compile a monthly report describing 25 13 spending in the districts for court-ordered services for 25 14 juveniles, including the utilization of the medical assistance 25 15 program. The reports shall be submitted on or before the 25 16 twentieth day of each month to the chairpersons and ranking 25 17 members of the joint appropriations subcommittee on human 25 18 services and the legislative fiscal bureau. 25 19 5. Notwithstanding chapter 232 or any other provision of 25 20 law, a district or juvenile court in a department of human 25 21 services district shall not order any service which is a 25 22 charge upon the state pursuant to section 232.141 if there are 25 23 insufficient court-ordered services funds available in the 25 24 district allocation to pay for the service. The chief 25 25 juvenile court officer shall work with the judicial district 25 26 planning group to encourage use of the funds appropriated in 25 27 this section such that there are sufficient funds to pay for 25 28 all court-related services during the entire year. The eight 25 29 chief juvenile court officers shall attempt to anticipate 25 30 potential surpluses and shortfalls in the allocations and 25 31 shall cooperatively request the state court administrator to 25 32 transfer funds between the districts' allocations as prudent. 25 33 6. Notwithstanding any provision of law to the contrary, a 25 34 district or juvenile court shall not order a county to pay for 25 35 any service provided to a juvenile pursuant to an order 26 1 entered under chapter 232 which is a charge upon the state 26 2 under section 232.141, subsection 4. 26 3 7. Of the funds appropriated in this section, not more 26 4 than $200,000 may be used by the judicial department for 26 5 administration of the requirements under this section and for 26 6 travel associated with court-ordered placements which are a 26 7 charge upon the state pursuant to section 232.141, subsection 26 8 4. 26 9 8. Of the funds appropriated in this section, not more 26 10 than $400,000 may be transferred to the appropriation in this 26 11 Act for child and family services and used to provide school- 26 12 based supervision of children adjudicated under chapter 232. 26 13 Sec. 13. MENTAL HEALTH INSTITUTES. There is appropriated 26 14 from the general fund of the state to the department of human 26 15 services for the fiscal year beginning July 1, 1995, and 26 16 ending June 30, 1996, the following amount, or so much thereof 26 17 as is necessary, to be used for the purposes designated: 26 18 For the state mental health institutes for salaries, 26 19 support, maintenance, and miscellaneous purposes and for not 26 20 more than the following full-time equivalent positions: 26 21 .................................................. $ 43,214,775 26 22 ............................................... FTEs 954.75 26 23 1. The funds appropriated and full-time equivalent 26 24 positions authorized in this section are allocated as follows: 26 25 a. State mental health institute at Cherokee: 26 26 .................................................. $ 14,842,902 26 27 ............................................... FTEs 331.13 26 28 b. State mental health institute at Clarinda: 26 29 .................................................. $ 6,009,326 26 30 ............................................... FTEs 136.82 26 31 c. State mental health institute at Independence: 26 32 .................................................. $ 17,594,062 26 33 ............................................... FTEs 401.82 26 34 d. State mental health institute at Mount Pleasant: 26 35 .................................................. $ 4,768,485 27 1 ............................................... FTEs 84.98 27 2 2. Within the funds appropriated in this section, the 27 3 department may reallocate funds as necessary to best fulfill 27 4 the needs of the institutions provided for in the 27 5 appropriation. 27 6 3. As part of the discharge planning process at the state 27 7 mental health institutes, the department shall provide 27 8 assistance in obtaining eligibility for federal supplemental 27 9 security income (SSI) to those individuals whose care at a 27 10 state mental health institute is the financial responsibility 27 11 of the state. 27 12 Sec. 14. HOSPITAL-SCHOOLS. There is appropriated from the 27 13 general fund of the state to the department of human services 27 14 for the fiscal year beginning July 1, 1995, and ending June 27 15 30, 1996, the following amount, or so much thereof as is 27 16 necessary, to be used for the purposes designated: 27 17 For the state hospital-schools, for salaries, support, 27 18 maintenance, and miscellaneous purposes and for not more than 27 19 the following full-time equivalent positions: 27 20 .................................................. $ 66,276,739 27 21 ............................................... FTEs 1,666.00 27 22 1. The funds appropriated and full-time equivalent 27 23 positions authorized in this section are allocated as follows: 27 24 a. State hospital-school at Glenwood: 27 25 .................................................. $ 35,838,799 27 26 ............................................... FTEs 910.00 27 27 b. State hospital-school at Woodward: 27 28 .................................................. $ 30,437,940 27 29 ............................................... FTEs 756.00 27 30 2. Within the funds appropriated in this section, the 27 31 department may reallocate funds as necessary to best fulfill 27 32 the needs of the institutions provided for in the 27 33 appropriation. 27 34 Sec. 15. MENTAL ILLNESS SPECIAL SERVICES. There is 27 35 appropriated from the general fund of the state to the 28 1 department of human services for the fiscal year beginning 28 2 July 1, 1995, and ending June 30, 1996, the following amount, 28 3 or so much thereof as is necessary, to be used for the purpose 28 4 designated: 28 5 For mental illness special services: 28 6 1995-96 FY ....................................... $ 121,220 28 7 1. The department and the Iowa finance authority shall 28 8 develop methods to implement the financing for existing 28 9 community-based facilities and to implement financing for the 28 10 development of affordable community-based housing facilities. 28 11 The department shall assure that clients are referred to the 28 12 housing as it is developed. 28 13 2. The funds appropriated in this section are to provide 28 14 funds for construction and start-up costs to develop community 28 15 living arrangements to provide for persons with mental illness 28 16 who are homeless. These funds may be used to match federal 28 17 Stewart B. McKinney Homeless Assistance Act grant funds. 28 18 Sec. 16. FAMILY SUPPORT SUBSIDY PROGRAM. There is 28 19 appropriated from the general fund of the state to the 28 20 department of human services for the fiscal year beginning 28 21 July 1, 1995, and ending June 30, 1996, the following amount, 28 22 or so much thereof as is necessary, to be used for the purpose 28 23 designated: 28 24 For the family support subsidy program: 28 25 .................................................. $ 1,116,236 28 26 Sec. 17. SPECIAL NEEDS GRANTS. There is appropriated from 28 27 the general fund of the state to the department of human 28 28 services for the fiscal year beginning July 1, 1995, and 28 29 ending June 30, 1996, the following amount, or so much thereof 28 30 as is necessary, to be used for the purpose designated: 28 31 To provide special needs grants to families with a family 28 32 member at home who has a developmental disability or to a 28 33 person with a developmental disability: 28 34 .................................................. $ 53,212 28 35 Grants must be used by a family to defray special costs of 29 1 caring for the family member to prevent out-of-home placement 29 2 of the family member or to provide for independent living 29 3 costs. A grant may provide up to $5,000 per person for costs 29 4 associated with an assistive animal. The grants may be 29 5 administered by a private nonprofit agency which serves people 29 6 statewide provided that no administrative costs are received 29 7 by the agency. Regular reports regarding the special needs 29 8 grants with the family support subsidy program and an annual 29 9 report concerning the characteristics of the grantees shall be 29 10 provided to the legislative fiscal bureau. 29 11 Sec. 18. MI/MR/DD STATE CASES. There is appropriated from 29 12 the general fund of the state to the department of human 29 13 services for the fiscal year beginning July 1, 1995, and 29 14 ending June 30, 1996, the following amount, or so much thereof 29 15 as is necessary, to be used for the purposes designated: 29 16 For purchase of local services for persons with mental 29 17 illness, mental retardation, and developmental disabilities 29 18 where the client has no established county of legal 29 19 settlement: 29 20 .................................................. $ 5,473,492 29 21 Sec. 19. MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES &endash; 29 22 COMMUNITY SERVICES FUND. There is appropriated from the 29 23 general fund of the state to the mental health and 29 24 developmental disabilities services fund created in section 29 25 225C.7 for the fiscal year beginning July 1, 1995, and ending 29 26 June 30, 1996, the following amount, or so much thereof as is 29 27 necessary, to be used for the purpose designated: 29 28 For mental health and developmental disabilities community 29 29 services in accordance with this Act: 29 30 ................................................. $ 16,239,182 29 31 1. Of the funds appropriated in this section, $15,888,182 29 32 shall be allocated to counties for funding of community-based 29 33 mental illness, mental retardation, developmental 29 34 disabilities, and brain injury services. The moneys shall be 29 35 allocated to a county as follows: 30 1 a. Fifty percent based upon the county's proportion of the 30 2 state's population of persons with an annual income which is 30 3 equal to or less than the poverty guideline established by the 30 4 federal office of management and budget. 30 5 b. Fifty percent based upon the county's proportion of the 30 6 state's general population. 30 7 2. a. A county shall utilize the funding the county 30 8 receives pursuant to subsection 1 for services provided to 30 9 persons with mental illness, mental retardation, developmental 30 10 disability, and brain injury (MI/MR/DD/BI). However, no more 30 11 than 50 percent of the funding shall be used for services 30 12 provided to any one of the service populations. 30 13 b. A county shall use at least 50 percent of the funding 30 14 the county receives under subsection 1 for contemporary 30 15 services provided to persons with MI/MR/DD/BI. 30 16 c. The mental health and developmental disabilities 30 17 commission shall adopt rules pursuant to chapter 17A 30 18 describing the contemporary services. The commission may 30 19 adopt administrative rules to implement this subsection. 30 20 3. Of the funds appropriated in this section, $30,000 30 21 shall be used to support the Iowa compass program providing 30 22 computerized information and referral services for Iowans with 30 23 disabilities and their families. 30 24 4. The department shall submit an annual report concerning 30 25 each population served and each service funded in this section 30 26 to the chairpersons and ranking members of the joint 30 27 appropriations subcommittee on human services and the 30 28 legislative fiscal bureau. 30 29 5. a. A mental health and developmental disabilities 30 30 planning council established pursuant to section 225C.18 shall 30 31 develop plans for the provision of services for the fiscal 30 32 year beginning July 1, 1995, for persons with MI/MR/DD/BI in 30 33 the county or counties comprising the planning council. 30 34 b. County MI/MR/DD/BI expenditure reports for the prior 30 35 fiscal year are due to the department on or before October 15, 31 1 1995. The county MI/MR/DD/BI plan for the fiscal year 31 2 beginning July 1, 1995, is due to the department on or before 31 3 April 1, 1995. 31 4 6. a. Funding from the federal social services block 31 5 grant in the amount of $13,038,763 is allocated for 31 6 distribution to counties for local purchase of services for 31 7 persons with mental illness or mental retardation or other 31 8 developmental disability. 31 9 b. The funds allocated in this subsection shall be 31 10 expended by counties in accordance with eligibility guidelines 31 11 established in the department's rules outlining general 31 12 provisions for service administration. Services eligible for 31 13 payment with funds allocated in this subsection are limited to 31 14 any of the following which are provided in accordance with the 31 15 department's administrative rules for the services: adult 31 16 support, adult day care, administrative support for 31 17 volunteers, community supervised apartment living 31 18 arrangements, residential services for adults, sheltered work, 31 19 supported employment, supported work training, transportation, 31 20 and work activity. 31 21 c. In purchasing services with funds allocated in this 31 22 subsection, a county shall designate a person to provide for 31 23 eligibility determination and development of a case plan for 31 24 individuals for whom the services are purchased. The 31 25 designated person shall be a medical assistance case manager 31 26 serving the person's county of residence. If an individual 31 27 does not have a case manager, the individual's eligibility 31 28 shall be determined by a social services caseworker of the 31 29 department serving the individual's county of residence. The 31 30 case plan shall be developed in accordance with the 31 31 department's rules outlining general provisions for service 31 32 administration. 31 33 d. Services purchased with funds allocated in this 31 34 subsection must be the result of a referral by the person who 31 35 identified the services in developing the individual's case 32 1 plan. 32 2 e. Services purchased with funds allocated in this 32 3 subsection must be under a purchase of service contract 32 4 established in accordance with the department's administrative 32 5 rules for purchase of service. 32 6 f. The funds provided by this subsection shall be 32 7 allocated to each county as follows: 32 8 (1) Fifty percent based upon the county's proportion of 32 9 the state's population of persons with an annual income which 32 10 is equal to or less than the poverty guideline established by 32 11 the federal office of management and budget. 32 12 (2) Fifty percent based upon the amount provided to the 32 13 county for local purchase services in the preceding fiscal 32 14 year. 32 15 g. Each county shall submit to the department a plan for 32 16 funding of the services eligible for payment under this 32 17 subsection. The plan may provide for allocation of the funds 32 18 for one or more of the eligible services. The plan shall 32 19 identify the funding amount the county allocates for each 32 20 service and the time period for which the funding will be 32 21 available. Only those services which have funding allocated 32 22 in the plan are eligible for payment with funds provided in 32 23 this subsection. 32 24 h. A county shall provide advance notice to the individual 32 25 receiving services, the service provider, and the person 32 26 responsible for developing the case plan of the date the 32 27 county determines that funding will no longer be available for 32 28 a service. 32 29 i. Moneys allocated to a county pursuant to paragraph "f" 32 30 shall be provided to the county as claims are submitted to the 32 31 state. 32 32 j. The moneys provided under this subsection do not 32 33 establish an entitlement to the services funded under this 32 34 subsection. 32 35 Sec. 20. PERSONAL ASSISTANCE &endash; FAMILY SUPPORT. There is 33 1 appropriated from the general fund of the state to the 33 2 department of human services for the fiscal year beginning 33 3 July 1, 1995, and ending June 30, 1996, the following amount 33 4 or so much thereof as is necessary, to be used for the purpose 33 5 designated: 33 6 For implementing a pilot project for the personal 33 7 assistance services program in accordance with this section: 33 8 .................................................. $ 250,000 33 9 1. The funds appropriated in this section shall be used by 33 10 the division of mental health and developmental disabilities 33 11 to implement a pilot project for the personal assistance 33 12 services program under section 225C.46 in an urban and a rural 33 13 area. The moneys may be used for costs to develop a federal 33 14 waiver under medical assistance or other expenditures 33 15 necessary to develop the personal assistance program in the 33 16 most appropriate and cost-effective manner. The pilot project 33 17 and the waiver shall not be implemented in a manner that would 33 18 require additional county or state costs for assistance 33 19 provided to an individual served under the pilot project or 33 20 the waiver. 33 21 2. In cooperation with the personal assistance and family 33 22 support services council, the Iowa family support initiative, 33 23 and the governor's planning council for developmental 33 24 disabilities, the department shall apply for any federal funds 33 25 made available through the federal Families of Children with 33 26 Disabilities Support Act of 1994, provided no new state or 33 27 county funds are needed to match the federal funds. The 33 28 department may use funds from existing programs as matching 33 29 funds, provided the program goals are consistent and 33 30 reductions in services for program recipients do not occur. 33 31 The department shall use the personal assistance and family 33 32 support services council to meet any federal requirements for 33 33 a state board policy group, or may use a subgroup of the 33 34 council if necessary for meeting federal specifications on 33 35 size, composition, configuration, or functioning relating to a 34 1 federal requirement for a policy group. The department's 34 2 planning for a comprehensive family support initiative under 34 3 section 225C.47 and this subsection shall address options for 34 4 a means test eligibility requirement and for local review of 34 5 eligibility by existing bodies such as the mental health and 34 6 developmental disabilities regional planning councils created 34 7 pursuant to section 225C.18. 34 8 Sec. 21. FIELD OPERATIONS. There is appropriated from the 34 9 general fund of the state to the department of human services 34 10 for the fiscal year beginning July 1, 1995, and ending June 34 11 30, 1996, the following amount, or so much thereof as is 34 12 necessary, to be used for the purpose designated: 34 13 For field operations, including salaries, support, 34 14 maintenance, and miscellaneous purposes and for not more than 34 15 the following full-time equivalent positions: 34 16 .................................................. $ 37,846,205 34 17 ............................................... FTEs 2009.50 34 18 Sec. 22. GENERAL ADMINISTRATION. There is appropriated 34 19 from the general fund of the state to the department of human 34 20 services for the fiscal year beginning July 1, 1995, and 34 21 ending June 30, 1996, the following amount, or so much thereof 34 22 as is necessary, to be used for the purpose designated: 34 23 For general administration, including salaries, support, 34 24 maintenance, and miscellaneous purposes and for not more than 34 25 the following full-time equivalent positions: 34 26 .................................................. $ 10,907,951 34 27 ............................................... FTEs 375.50 34 28 Of the funds appropriated in this section, $57,090 is 34 29 allocated for the prevention of disabilities policy council 34 30 established in section 225B.3. 34 31 Sec. 23. VOLUNTEERS. There is appropriated from the 34 32 general fund of the state to the department of human services 34 33 for the fiscal year beginning July 1, 1995, and ending June 34 34 30, 1996, the following amount, or so much thereof as is 34 35 necessary, to be used for the purpose designated: 35 1 For development and coordination of volunteer services: 35 2 .................................................. $ 85,793 35 3 Sec. 24. "X-PERT" PUBLIC ASSISTANCE BENEFIT ELIGIBILITY 35 4 DETERMINATION SYSTEM. There is appropriated from the general 35 5 fund of the state to the department of human services for the 35 6 fiscal year beginning July 1, 1995, and ending June 30, 1996, 35 7 the following amount, or so much thereof as is necessary, to 35 8 be used for the purpose designated: 35 9 For the development costs of the "X-PERT" knowledge-based 35 10 computer software package for public assistance benefit 35 11 eligibility determination, including salaries, support, 35 12 maintenance, and miscellaneous purposes and for not more than 35 13 the following full-time equivalent positions: 35 14 .................................................. $ 919,872 35 15 ............................................... FTEs 17.00 35 16 Moneys appropriated in this section shall be considered 35 17 encumbered for the purposes of section 8.33. 35 18 Sec. 25. MEDICAL ASSISTANCE, STATE SUPPLEMENTARY 35 19 ASSISTANCE, AND SOCIAL SERVICE PROVIDERS REIMBURSED UNDER THE 35 20 DEPARTMENT OF HUMAN SERVICES. 35 21 1. a. For the fiscal year beginning July 1, 1995, the 35 22 department of human services may allocate any increases in 35 23 payments for durable medical products and supplies so that 35 24 equipment and supplies which have greater wholesale cost 35 25 increases may be reimbursed at a higher rate and those which 35 26 have a lower or no wholesale cost increase may be reimbursed 35 27 at a lower rate or have no increase. 35 28 b. For the fiscal year beginning July 1, 1995, providers 35 29 of obstetric services when provided by physicians or certified 35 30 nurse-midwives shall have their medical assistance 35 31 reimbursement rates increased by 5.0 percent over the rates in 35 32 effect on June 30, 1995. 35 33 c. For the fiscal year beginning July 1, 1995, skilled 35 34 nursing facilities shall have their medical assistance rates 35 35 increased by 4.6 percent over the rates in effect on June 30, 36 1 1995. 36 2 d. The dispensing fee for pharmacists shall remain at the 36 3 rate in effect on June 30, 1995. The reimbursement policy for 36 4 drug product costs shall be in accordance with federal 36 5 requirements. 36 6 e. Reimbursement rates for in-patient and outpatient 36 7 hospital services shall be increased by an average of 4.2 36 8 percent over the rates in effect on June 30, 1995. The 36 9 department shall continue the outpatient hospital 36 10 reimbursement system based upon ambulatory patient groups 36 11 implemented pursuant to 1994 Iowa Acts, chapter 1186, section 36 12 25, subsection 1, paragraph "f". In addition, the department 36 13 shall continue the revised medical assistance payment policy 36 14 implemented pursuant to that paragraph to provide 36 15 reimbursement for costs of screening and treatment provided in 36 16 the hospital emergency room is made pursuant to the 36 17 prospective payment methodology developed by the department 36 18 for the payment of outpatient services provided under the 36 19 medical assistance program. 36 20 f. Reimbursement rates for rural health clinics shall be 36 21 increased in accordance with increases under the federal 36 22 medicare program. 36 23 g. Home health agencies certified for the federal medicare 36 24 program, hospice services, and acute care mental hospitals 36 25 shall be reimbursed for their current federal medicare audited 36 26 costs. 36 27 h. The basis for establishing the maximum medical 36 28 assistance reimbursement rate for nursing facilities shall be 36 29 the 70th percentile of facility costs as calculated from the 36 30 June 30, 1995, unaudited compilation of cost and statistical 36 31 data. However, to the extent funds are available within the 36 32 amount projected for reimbursement of nursing facilities 36 33 within the appropriation for medical assistance in this Act, 36 34 and within the appropriation for medical assistance as a 36 35 whole, the department shall adjust the maximum medical 37 1 assistance reimbursement for nursing facilities to the 70th 37 2 percentile, as calculated on December 31, 1995, unaudited 37 3 compilation of cost and statistical data and the adjustment 37 4 shall take effect January 1, 1996. 37 5 i. The department may revise the fee schedule used for 37 6 physician reimbursement. 37 7 j. Federally qualified health centers shall be reimbursed 37 8 at 100 percent of reasonable costs as determined by the 37 9 department in accordance with federal requirements. 37 10 k. Reimbursement for air ambulance service shall be $7.50 37 11 per mile and the base rate is $200. 37 12 2. For the fiscal year beginning July 1, 1995, the maximum 37 13 cost reimbursement rate for residential care facilities 37 14 reimbursed by the department shall be $21.32 per day. The 37 15 flat reimbursement rate for facilities electing not to file 37 16 semiannual cost reports shall be $15.25 per day. For the 37 17 fiscal year beginning July 1, 1995, the maximum reimbursement 37 18 rate for providers reimbursed under the in-home health-related 37 19 care program shall be $409.89 per month. 37 20 3. Unless otherwise directed in this section, when the 37 21 department's reimbursement methodology for any provider 37 22 reimbursed in accordance with this section includes an 37 23 inflation factor, this factor shall not exceed the amount by 37 24 which the consumer price index for all urban consumers 37 25 increased during the calendar year ending December 31, 1994. 37 26 4. Notwithstanding section 234.38, in the fiscal year 37 27 beginning July 1, 1995, the foster family basic monthly 37 28 maintenance rate and the maximum adoption subsidy rate for 37 29 children ages 0 through 5 years shall be $12.00, the rate for 37 30 children ages 6 through 11 years shall be $12.72, the rate for 37 31 children ages 12 through 15 years shall be $13.89, and the 37 32 rate for children ages 16 and older shall be $14.73. 37 33 Effective July 1, 1995, payments to foster and adoptive 37 34 families shall be calculated on a daily basis. Effective July 37 35 1, 1995, the special care allowance paid to adoptive families 38 1 who have adopted a child with special needs and is eligible 38 2 for an adoptive subsidy shall be the same as foster care. 38 3 5. For the fiscal year beginning July 1, 1995, the maximum 38 4 reimbursement rates for social service providers shall be the 38 5 same as the rates in effect on June 30, 1995, except under any 38 6 of the following circumstances: 38 7 a. If a new service was added after June 30, 1995, the 38 8 initial reimbursement rate for the service shall be based upon 38 9 actual and allowable costs. 38 10 b. If a social service provider loses a source of income 38 11 used to determine the reimbursement rate for the provider, the 38 12 provider's reimbursement rate may be adjusted to reflect the 38 13 loss of income, provided that the lost income was used to 38 14 support actual and allowable costs of a service purchased 38 15 under a purchase of service contract. 38 16 6. The group foster care reimbursement rates paid for 38 17 placement of children out-of-state shall be calculated 38 18 according to the same rate-setting principles as those used 38 19 for in-state providers unless the director determines that 38 20 appropriate care cannot be provided within the state. The 38 21 payment of the daily rate shall be based on the number of days 38 22 in the calendar month in which service is provided. 38 23 7. For the fiscal year beginning July 1, 1995, the 38 24 combined service and maintenance components of the 38 25 reimbursement rate paid to a shelter care provider shall be 38 26 based on the cost report submitted to the department. The 38 27 maximum reimbursement rate shall be $76.61 per day. If the 38 28 department would reimburse the provider at less than the 38 29 maximum rate but the provider's cost report justifies a rate 38 30 of at least $76.61, the department shall readjust the 38 31 provider's reimbursement rate to the maximum reimbursement 38 32 rate. In January 1996, the department shall review the usage 38 33 of shelter care and the funding allocated for shelter care, if 38 34 the usage is less than anticipated, the department may utilize 38 35 moneys in the allocation, which would otherwise be unexpended, 39 1 for wrap-around services or support to enable group foster 39 2 care placement to be prevented or the length of stay reduced. 39 3 8. The department shall continue the pilot project to 39 4 implement the alternative payment system, recommended in the 39 5 study completed by the drug utilization review commission, for 39 6 compensation of pharmacists for pharmaceutical care services 39 7 under medical assistance. A report of the findings and 39 8 recommendations resulting from an evaluation of the pilot 39 9 project regarding the payment system shall be submitted to the 39 10 legislative fiscal bureau and to the chairpersons and ranking 39 11 members of the joint appropriations subcommittee on human 39 12 services by January 15, 1997. 39 13 9. The department shall adopt rules which establish an 39 14 equitable reimbursement rate for all child day care providers 39 15 reimbursed by the department. The reimbursement rate for 39 16 these providers shall be the lower of either the average 39 17 charge to private pay child day care purchasers or the 39 18 department's maximum reimbursement rate for child day care in 39 19 effect on June 30, 1995. 39 20 10. The department may adopt emergency rules to implement 39 21 the provisions of this section. 39 22 Sec. 26. STATE INSTITUTIONS &endash; CLOSINGS AND REDUCTIONS. 39 23 1. The department of human services shall develop a 39 24 proposal to close two state institutions administered by the 39 25 department. The proposal shall include recommendations which 39 26 address the effects of closing on the community, employees, 39 27 and clients of the institution identified for closing and the 39 28 fiscal impact on the counties, the areas in which the 39 29 institutions are located and the state. The department shall 39 30 submit the proposal to the general assembly on or before 39 31 January 15, 1996. 39 32 2. If a state institution administered by the department 39 33 of human services is to be closed or reduced in size, prior to 39 34 the closing or reduction the department shall initiate and 39 35 coordinate efforts in cooperation with the Iowa department of 40 1 economic development to develop new jobs in the area in which 40 2 the state institution is located. In addition, the department 40 3 may take other actions to utilize the facilities of an 40 4 institution, including but not limited to assisting not-for- 40 5 profit users with remodeling and lease costs by forgiving 40 6 future rental or lease payments to the extent necessary for a 40 7 period not to exceed five years. 40 8 Sec. 27. 1994 Iowa Acts, chapter 1186, section 10, 40 9 unnumbered paragraph 2, is amended to read as follows: 40 10 For child and family services: 40 11 .................................................. $74,617,61240 12 81,264,807 40 13 Sec. 28. 1994 Iowa Acts, chapter 1186, section 18, 40 14 unnumbered paragraph 2, is amended to read as follows: 40 15 For purchase of local services for persons with mental 40 16 illness, mental retardation, and developmental disabilities 40 17 services where the client has no established county of legal 40 18 settlement: 40 19 .................................................. $5,973,49240 20 2,973,492 40 21 Sec. 29. 1994 Iowa Acts, chapter 1186, section 19, 40 22 unnumbered paragraph 2, is amended to read as follows: 40 23 For mental illness, mental retardation, developmental 40 24 disabilities, and brain injury community services in 40 25 accordance with the provisions of this Act: 40 26 ................................................. $29,277,95840 27 21,860,789 40 28 Sec. 30. 1994 Iowa Acts, chapter 1186, section 19, 40 29 subsection 6, paragraph a, as amended by 1994 Iowa Acts, 40 30 chapter 1199, section 70, is amended to read as follows: 40 31 a. Of the funds appropriated in this section,$13,038,76340 32 $5,621,594 is allocated for distribution to counties for local 40 33 purchase of services for persons with mental illness or mental 40 34 retardation or other developmental disability. 40 35 Sec. 31. 1994 Iowa Acts, chapter 1186, section 20, 41 1 unnumbered paragraph 2, is amended to read as follows: 41 2 For field operations, including salaries, support, 41 3 maintenance, and miscellaneous purposes: 41 4 .................................................. $37,567,63941 5 41,337,613 41 6 Sec. 32. 1994 Iowa Acts, chapter 1194, section 10, 41 7 subsections 2 and 3, are amended to read as follows: 41 8 2. Not more than $1,725,1482,078,730 of the funds 41 9 appropriated in subsection 1 shall be used by the department 41 10 of human services for general administration. From the funds 41 11 set aside by this subsection for general administration, the 41 12 department of human services shall pay to the auditor of state 41 13 an amount sufficient to pay the cost of auditing the use and 41 14 administration of the state's portion of the funds 41 15 appropriated in subsection 1. 41 16 3. In addition to the allocation for general 41 17 administration in subsection 2, the remaining funds 41 18 appropriated in subsection 1 shall be allocated in the 41 19 following amounts to supplement appropriations for the federal 41 20 fiscal year beginning October 1, 1994, for the following 41 21 programs within the department of human services: 41 22 a. Field operations: 41 23 .................................................. $12,124,29741 24 11,322,332 41 25 b. Child and family services: 41 26 .................................................. $14,101,01941 27 -0- 41 28 c. Child care assistance: 41 29 .................................................. $1,310,65241 30 1,581,230 41 31 d. Local administrative costs and other local services: 41 32 .................................................. $1,164,21041 33 1,462,851 41 34 e. Volunteers: 41 35 .................................................. $122,77842 1 148,259 42 2 f. Community-based services: 42 3 .................................................. $146,32142 4 183,855 42 5 g. Local purchase: 42 6 .................................................. $ 10,917,169 42 7 h. MI/MR state cases: 42 8 .................................................. $ 3,000,000 42 9 Sec. 33. Section 99D.7, Code 1995, is amended by adding 42 10 the following new subsection: 42 11 NEW SUBSECTION. 22. To cooperate with the gamblers 42 12 assistance program administered by the department of human 42 13 services to incorporate information regarding the gamblers 42 14 assistance program and its toll-free telephone number in 42 15 printed materials distributed by the commission. The 42 16 commission may require licensees to have the information 42 17 available in a conspicuous place as a condition of licensure. 42 18 Sec. 34. Section 99E.9, Code 1995, is amended by adding 42 19 the following new subsection: 42 20 NEW SUBSECTION. 8. The Iowa lottery board shall cooperate 42 21 with the gamblers assistance program administered by the 42 22 department of human services to incorporate information 42 23 regarding the gamblers assistance program and its toll-free 42 24 telephone number in printed materials distributed by the 42 25 board. 42 26 Sec. 35. Section 217.3, subsection 4, Code 1995, is 42 27 amended to reads as follows: 42 28 4. Approve the budget of the department of human services 42 29 prior to submission to the governor.Within two weeks of the42 30datePrior to approval of the budgetis approved, the council 42 31 shall publicize and hold a public hearing to provide 42 32 explanations and hear questions, opinions, and suggestions 42 33 regarding the budget. Invitations to the hearing shall be 42 34 extended to the governor, the governor-elect, the director of 42 35 the department of management, and other persons deemed by the 43 1 council as integral to the budget process. 43 2 Sec. 36. Section 232.188, subsection 6, Code 1995, is 43 3 amended to read as follows: 43 4 6. Initially the department shall work with the five 43 5 counties previously authorized under law to enter into 43 6 decategorization agreements with the state. At a minimum, any 43 7 of those counties may elect to use funding for foster care, 43 8 family-centered services, subsidized adoption, child day care, 43 9 local purchase of service, state juvenile institution care, 43 10 state mental health institute care, state hospital-school 43 11 care, juvenile detention, department direct services, and 43 12 court-ordered services for juveniles in the child welfare fund 43 13 established for that county. The department shall inform each 43 14 county in advance of a fiscal year of the amount of funding 43 15 that is available on account for the county at the state 43 16 institutions for the fiscal year. 43 17 Sec. 37. EMERGENCY RULES. If specifically authorized by a 43 18 provision of this Act, the department of human services or the 43 19 mental health and mental retardation commission may adopt 43 20 administrative rules under section 17A.4, subsection 2, and 43 21 section 17A.5, subsection 2, paragraph "b", to implement the 43 22 provisions and the rules shall become effective immediately 43 23 upon filing, unless a later effective date is specified in the 43 24 rules. In addition, the department may adopt administrative 43 25 rules in accordance with the provisions of this section as 43 26 necessary to comply with federal requirements or to adjust to 43 27 a change in the level of federal funding during the fiscal 43 28 year beginning July 1, 1995, and ending June 30, 1996. Any 43 29 rules adopted in accordance with the provisions of this 43 30 section shall also be published as notice of intended action 43 31 as provided in section 17A.4. 43 32 Sec. 38. EFFECTIVE DATE. Sections 27 through 32 of this 43 33 Act, being deemed of immediate importance, take effect upon 43 34 enactment. 43 35 EXPLANATION 44 1 This bill makes appropriations for the 1995-1996 fiscal 44 2 year to the department of human services for human services 44 3 and health care programs. 44 4 The bill also makes reductions and supplements other human 44 5 services appropriations in 1994 Iowa Acts, chapters 1186 and 44 6 1194, for the 1994-1995 fiscal year. These changes are 44 7 effective upon enactment. 44 8 Amendments to sections 99D.7 and 99E.9 relate to the 44 9 gamblers assistance program by codifying language regarding 44 10 cooperation between the state racing and gaming commission and 44 11 the Iowa lottery board, and the gamblers assistance program 44 12 relating to incorporation of the program's toll-free telephone 44 13 number in printed materials distributed by the commission and 44 14 the board. 44 15 Under current law, section 217.3 directs the council of 44 16 human services to publicize and hold a public hearing within 44 17 two weeks of approval of the budget of the department of human 44 18 services. The bill amends this provision to require the 44 19 public hearing to be held prior to approving the budget. 44 20 Section 232.188, relating to decategorization of child 44 21 welfare funding, is amended to incorporate mental health 44 22 institute care and state hospital-school care to the list of 44 23 services for which funding may be used by a decategorization 44 24 project county. The codified language also directs the 44 25 department of human services to inform each county in advance 44 26 of the fiscal year of the amount of funding that is available 44 27 on account for the county's use at the state institutions for 44 28 the fiscal year. The codified provisions have been part of 44 29 the annual department of human services appropriations bill 44 30 for a number of years. 44 31 LSB 1988SA 76 44 32 pf/sc/14.2
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