Text: SSB02266 Text: SSB02268 Text: SSB02200 - SSB02299 Text: SSB Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Section 1. DEPARTMENT FOR THE BLIND. There is 1 2 appropriated from the general fund of the state to the 1 3 department for the blind for the fiscal 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 purposes 1 6 designated: 1 7 For salaries, support, maintenance, and miscellaneous 1 8 purposes: 1 9 .................................................. $ 1,475,737 1 10 Sec. 2. CIVIL RIGHTS COMMISSION. There is appropriated 1 11 from the general fund of the state to the Iowa state civil 1 12 rights commission for the fiscal year beginning July 1, 1996, 1 13 and ending June 30, 1997, the following amount, or so much 1 14 thereof as is necessary, to be used for the purposes 1 15 designated: 1 16 For salaries, support, maintenance, and miscellaneous 1 17 purposes: 1 18 .................................................. $ 1,141,692 1 19 If the anticipated amount of federal funding from the 1 20 federal equal employment opportunity commission and the 1 21 federal department of housing and urban development exceeds 1 22 $467,900 during the fiscal year beginning July 1, 1996, and 1 23 ending June 30, 1997, the Iowa state civil rights commission 1 24 may hire additional staff, as necessary, to process or to 1 25 support the processing of employment and housing complaints. 1 26 Sec. 3. DEPARTMENT OF ELDER AFFAIRS. There is 1 27 appropriated from the general fund of the state to the 1 28 department of elder affairs for the fiscal year beginning July 1 29 1, 1996, and ending June 30, 1997, the following amounts, or 1 30 so much thereof as is necessary, to be used for the purposes 1 31 designated: 1 32 1. For salaries, support, maintenance, and miscellaneous 1 33 purposes: 1 34 .................................................. $ 450,918 1 35 2. For aging programs and services: 2 1 .................................................. $ 3,076,528 2 2 All funds appropriated in this subsection shall be received 2 3 and disbursed by the director of elder affairs for aging 2 4 programs and services, shall not be used by the department for 2 5 administrative purposes, not more than $151,654 shall be used 2 6 for area agencies on aging administrative purposes, and shall 2 7 be used for citizens of Iowa over 60 years of age for case 2 8 management for the frail elderly, mental health outreach, 2 9 Alzheimer's support, retired senior volunteer program, care 2 10 review committee coordination, employment, adult day care, 2 11 respite care, chore services, telephone reassurance, 2 12 information and assistance, and home repair services, 2 13 including the winterizing of homes, and for the construction 2 14 of entrance ramps which make residences accessible to the 2 15 physically handicapped. Funds appropriated in this subsection 2 16 may be used to supplement federal funds under federal 2 17 regulations. To receive funds appropriated in this 2 18 subsection, a local area agency on aging shall match the funds 2 19 with funds from other sources in accordance with rules adopted 2 20 by the department. Funds appropriated in this subsection may 2 21 be used for elderly services not specifically enumerated in 2 22 this subsection only if approved by an area agency on aging 2 23 for provision of the service within the area. 2 24 The department shall maintain policies and procedures 2 25 regarding Alzheimer's support and the retired senior volunteer 2 26 program. 2 27 Sec. 4. GOVERNOR'S SUBSTANCE ABUSE PREVENTION COORDINATOR. 2 28 There is appropriated from the general fund of the state to 2 29 the office of the governor's substance abuse prevention 2 30 coordinator for the fiscal year beginning July 1, 1996, and 2 31 ending June 30, 1997, the following amounts, or so much 2 32 thereof as is necessary, to be used for the purposes 2 33 designated: 2 34 1. For salaries, support, maintenance, and miscellaneous 2 35 purposes: 3 1 .................................................. $ 304,333 3 2 2. For the Iowa substance abuse clearinghouse in Cedar 3 3 Rapids for staff, materials, and operating expenses: 3 4 .................................................. $ 29,552 3 5 Sec. 5. DEPARTMENT OF PUBLIC HEALTH. There is 3 6 appropriated from the general fund of the state to the Iowa 3 7 department of public health for the fiscal year beginning July 3 8 1, 1996, and ending June 30, 1997, the following amounts, or 3 9 so much thereof as is necessary, to be used for the purposes 3 10 designated: 3 11 1. a. PLANNING AND ADMINISTRATION DIVISION 3 12 For salaries, support, maintenance, and miscellaneous 3 13 purposes: 3 14 ................................................. $ 2,249,272 3 15 (1) Of the funds appropriated in this lettered paragraph, 3 16 $738,182 shall be used for the chronic renal disease program. 3 17 The types of assistance available to eligible recipients under 3 18 the program may include insurance premiums, travel 3 19 reimbursement, and prescription and nonprescription drugs. 3 20 The program expenditures shall not exceed this allocation. If 3 21 projected expenditures would exceed the allocation, the 3 22 department shall establish by administrative rule a mechanism 3 23 to reduce financial assistance under the renal disease program 3 24 in order to keep expenditures within the amount allocated in 3 25 this paragraph. 3 26 (2) Hospitals shall not collect fees for birth 3 27 certificates in excess of the fees as set out in the 3 28 administrative rules of the Iowa department of public health. 3 29 (3) Of the funds appropriated in this lettered paragraph, 3 30 $117,027 shall be used to provide regulatory oversight of 3 31 accountable health plans. 3 32 (4) Of the funds appropriated in this lettered paragraph, 3 33 $98,534 shall be used for the purchase, verification, 3 34 updating, and storage of health data information. 3 35 The department shall compile, correlate, and disseminate 4 1 data from health care providers, the state medicaid program, 4 2 third-party payers, associations, and other appropriate 4 3 sources in furtherance of the purpose and intent of this 4 4 appropriation. 4 5 The department shall request and receive information from 4 6 other state agencies similar to that required of third-party 4 7 payers for the purpose of dissemination of health data. The 4 8 department may enter into agreements for studies on health- 4 9 related questions and provide or make available data to health 4 10 care providers, health care subscribers, third-party payers 4 11 and the general public. The department may purchase data for 4 12 the purpose of dissemination of health data information. The 4 13 department shall assure the confidentiality of the data 4 14 collected from other state agencies, hospitals, and third- 4 15 party payers under chapter 22. The compilation of data 4 16 information prepared for release or dissemination from the 4 17 data collected shall be public record. The department shall 4 18 write administrative rules to address contracting process, 4 19 define confidential information, fees to be charged for data, 4 20 and the forms that the information is to be made available. 4 21 b. PROFESSIONAL LICENSURE 4 22 For salaries, support, maintenance, and miscellaneous 4 23 purposes: 4 24 .................................................. $ 771,548 4 25 The director of public health, when estimating expenditure 4 26 requirements for the boards funded under this paragraph, shall 4 27 base the budget on 85 percent of the average annual fees 4 28 generated for the previous two fiscal years. The department 4 29 shall confer with the boards funded under this lettered 4 30 paragraph in estimating the boards' annual fee generation and 4 31 administrative costs. When the department develops each 4 32 board's annual budget, a board's budget shall not exceed 85 4 33 percent of fees collected, based on the average of the 4 34 previous two fiscal years. The department may expend funds in 4 35 addition to amounts budgeted, if those additional expenditures 5 1 are directly the result of unanticipated litigation costs 5 2 arising from the discharge of the board's regulatory duties. 5 3 Before the department expends or encumbers an amount in excess 5 4 of the funds budgeted for a board, the director of the 5 5 department of management shall approve the expenditure or 5 6 encumbrance. The amounts necessary to fund the unanticipated 5 7 litigation in the fiscal year beginning July 1, 1996, shall 5 8 not exceed 5 percent of the average annual fees generated by 5 9 the board for the previous two fiscal years. 5 10 c. EMERGENCY MEDICAL SERVICES 5 11 For salaries, support, maintenance, and emergency medical 5 12 services training of emergency medical services (EMS) 5 13 personnel at the state, county, and local levels: 5 14 .................................................. $ 1,022,360 5 15 If a person in the course of responding to an emergency 5 16 renders aid to an injured person and becomes exposed to bodily 5 17 fluids of the injured person, that emergency responder shall 5 18 be entitled to hepatitis testing and immunization in 5 19 accordance with the latest available medical technology to 5 20 determine if infection with hepatitis has occurred. The 5 21 person shall be entitled to reimbursement from the EMS funds 5 22 available under this lettered paragraph only if the 5 23 reimbursement is not available through any employer or third- 5 24 party payor. 5 25 2. HEALTH PROTECTION DIVISION 5 26 a. For salaries, support, maintenance, and miscellaneous 5 27 purposes: 5 28 .................................................. $ 2,167,154 5 29 b. Of the funds appropriated in this subsection, $75,000 5 30 shall be used for chlamydia testing. 5 31 c. Of the funds appropriated in this subsection, $39,547 5 32 shall be used for the lead abatement program. 5 33 d. The state university of Iowa hospitals and clinics 5 34 shall not receive indirect costs from the funds appropriated 5 35 in this subsection. 6 1 3. SUBSTANCE ABUSE AND HEALTH PROMOTION DIVISION 6 2 a. For salaries, support, maintenance, and miscellaneous 6 3 purposes: 6 4 .................................................. $ 633,306 6 5 (1) The division shall continue to coordinate with 6 6 substance abuse treatment and prevention providers regardless 6 7 of funding source to assure the delivery of substance abuse 6 8 treatment and prevention programs. 6 9 (2) The commission on substance abuse, in conjunction with 6 10 the division, shall continue to coordinate the delivery of 6 11 substance abuse services involving prevention, social and 6 12 medical detoxification, and other treatment by medical and 6 13 nonmedical providers to uninsured and court-ordered substance 6 14 abuse patients in all counties of the state. 6 15 b. Of the funds appropriated in this subsection, $15,000 6 16 is allocated to support the surveillance and reporting of 6 17 disabilities suffered by persons engaged in agriculture 6 18 resulting from diseases or injuries, including identifying the 6 19 amount and severity of agriculture-related injuries and 6 20 diseases in the state, identifying causal factors associated 6 21 with agriculture-related injuries and diseases, and evaluating 6 22 the effectiveness of intervention programs designed to reduce 6 23 injuries and diseases. The department shall cooperate with 6 24 the department of agriculture and land stewardship, Iowa state 6 25 university of science and technology, and the college of 6 26 medicine at the state university of Iowa in accomplishing 6 27 these duties. 6 28 c. For program grants: 6 29 .................................................. $ 8,390,159 6 30 Of the funds appropriated in this lettered paragraph, 6 31 $193,500 shall be used for the provision of aftercare services 6 32 for persons completing substance abuse treatment. 6 33 Of the funds appropriated in this lettered paragraph, a 6 34 minimum of $950,000 shall be used by the Iowa department of 6 35 public health to continue the integrated substance abuse 7 1 managed care system. 7 2 4. FAMILY AND COMMUNITY HEALTH DIVISION 7 3 a. For salaries, support, maintenance, and miscellaneous 7 4 purposes: 7 5 ................................................. $ 3,415,041 7 6 (1) Of the funds appropriated in this lettered paragraph 7 7 at least $587,865 shall be allocated by the division for the 7 8 birth defects and genetics counseling program and of these 7 9 funds, $279,402 is allocated for regional genetic counseling 7 10 services contracted from the state university of Iowa 7 11 hospitals and clinics under the control of the state board of 7 12 regents. 7 13 (2) Of the funds appropriated in this lettered paragraph, 7 14 the following amounts are allocated to the state university of 7 15 Iowa hospitals and clinics under the control of the state 7 16 board of regents for the following programs under the Iowa 7 17 specialized child health care services: 7 18 (a) Mobile and regional child health specialty clinics: 7 19 .................................................. $ 392,931 7 20 The regional clinic located in Sioux City shall maintain a 7 21 social worker component to assist the families of children 7 22 participating in the clinic program. 7 23 Of the funds allocated in this subparagraph, $97,937 shall 7 24 be used for a specialized medical home care program providing 7 25 care planning and coordination of community support services 7 26 for children who require technical medical care in the home. 7 27 (b) Muscular dystrophy and related genetic disease 7 28 programs: 7 29 .................................................. $ 115,613 7 30 (c) Statewide perinatal program: 7 31 .................................................. $ 61,693 7 32 (3) The birth defects and genetic counseling service shall 7 33 apply a sliding fee scale to determine the amount a person 7 34 receiving the services is required to pay for the services. 7 35 These fees shall be considered repayment receipts and used for 8 1 the program. 8 2 (4) The state university of Iowa hospitals and clinics 8 3 shall not receive indirect costs from the funds allocated in 8 4 this lettered paragraph. 8 5 (5) Of the funds appropriated in this lettered paragraph, 8 6 $1,001,209 shall be used for maternal and child health 8 7 services. 8 8 (6) If during the 1996-1997 fiscal year, the federal 8 9 government incorporates the special supplemental nutrition 8 10 program for women, infants, and children into a block grant, 8 11 the department of human services, Iowa department of public 8 12 health, or any other state agency which administers the block 8 13 grant shall require a competitive bid process for infant 8 14 formula purchased by or for families under the block grant. 8 15 (7) The Iowa department of public health shall administer 8 16 the statewide maternal and child health program, conduct 8 17 mobile and regional child health specialty clinics, and 8 18 conduct other activities to improve the health of low-income 8 19 women and children and to promote the welfare of children with 8 20 actual or potential handicapping conditions and chronic 8 21 illnesses in accordance with the requirements of Title V of 8 22 the federal Social Security Act. 8 23 (8) The department shall continue efforts to realize the 8 24 "Healthy Iowans 2000" goal of promoting prevention and health 8 25 promotion to improve the quality of life of Iowans and to hold 8 26 down health care costs and shall submit an annual "Healthy 8 27 Iowans 2000" progress report to the general assembly on 8 28 January 1 of each fiscal year. 8 29 (9) Of the funds appropriated in this lettered paragraph, 8 30 $165,391 is allocated for the office of rural health to 8 31 provide technical assistance to rural areas in the area of 8 32 health care delivery. 8 33 (10) Of the funds appropriated in this lettered paragraph, 8 34 $182,028 shall be used to develop, implement, and maintain 8 35 rural health provider recruitment and retention efforts. 9 1 b. Sudden infant death syndrome autopsies: 9 2 For reimbursing counties for expenses resulting from 9 3 autopsies of suspected victims of sudden infant death syndrome 9 4 required under section 331.802, subsection 3, paragraph "j": 9 5 .................................................. $ 9,675 9 6 c. For grants to local boards of health for the public 9 7 health nursing program: 9 8 .................................................. $ 2,511,871 9 9 (1) Funds appropriated in this lettered paragraph shall be 9 10 used to maintain and expand the existing public health nursing 9 11 program for elderly and low-income persons with the objective 9 12 of preventing or reducing inappropriate institutionalization. 9 13 The funds shall not be used for any other purpose. As used in 9 14 this lettered paragraph, "elderly person" means a person who 9 15 is 60 years of age or older and "low-income person" means a 9 16 person whose income and resources are below the guidelines 9 17 established by the department. 9 18 (2) One-fourth of the total amount to be allocated shall 9 19 be divided so that an equal amount is available for use in 9 20 each county in the state. Three-fourths of the total amount 9 21 to be allocated shall be divided so that the share available 9 22 for use in each county is proportionate to the number of 9 23 elderly and low-income persons living in that county in 9 24 relation to the total number of elderly and low-income persons 9 25 living in the state. 9 26 (3) In order to receive allocations under this lettered 9 27 paragraph, the local board of health having jurisdiction shall 9 28 prepare a proposal for the use of the allocated funds 9 29 available for that jurisdiction that will provide the maximum 9 30 benefits of expanded public health nursing care to elderly and 9 31 low-income persons in the jurisdiction. After approval of the 9 32 proposal by the department, the department shall enter into a 9 33 contract with the local board of health. The local board of 9 34 health shall subcontract with a nonprofit nurses' association, 9 35 an independent nonprofit agency, or a suitable local 10 1 governmental body to use the allocated funds to provide public 10 2 health nursing care. Local boards of health shall make an 10 3 effort to prevent duplication of services. 10 4 (4) If by July 30 of the fiscal year, the department is 10 5 unable to conclude contracts for use of the allocated funds in 10 6 a county, the department shall consider the unused funds 10 7 appropriated under this lettered paragraph an unallocated 10 8 pool. If the unallocated pool is $50,000 or more it shall be 10 9 reallocated to the counties in substantially the same manner 10 10 as the original allocations. The reallocated funds are 10 11 available for use in those counties during the period 10 12 beginning January 1 and ending June 30 of the fiscal year. If 10 13 the unallocated pool is less than $50,000, the department may 10 14 allocate the pool to counties with demonstrated special needs 10 15 for public health nursing. 10 16 (5) The department shall maintain rules governing the 10 17 expenditure of funds appropriated in this lettered paragraph. 10 18 The rules shall require each local agency receiving funds to 10 19 establish and use a sliding fee scale for those persons able 10 20 to pay for all or a portion of the cost of the care. 10 21 (6) The department shall annually evaluate the success of 10 22 the public health nursing program. The evaluation shall 10 23 include the extent to which the program reduced or prevented 10 24 inappropriate institutionalization, the extent to which the 10 25 program increased the availability of public health nursing 10 26 care to elderly and low-income persons, and the extent of 10 27 public health nursing care provided to elderly and low-income 10 28 persons. The department shall submit a report of each annual 10 29 evaluation to the governor and the general assembly. 10 30 d. For grants to county boards of supervisors for the home 10 31 care aide program: 10 32 .................................................. $ 8,586,716 10 33 Funds appropriated in this lettered paragraph shall be used 10 34 to provide home care aide services with emphasis on services 10 35 to elderly and persons below the poverty level and children 11 1 and adults in need of protective services with the objective 11 2 of preventing or reducing inappropriate institutionalization. 11 3 In addition, up to 15 percent of the funds appropriated in 11 4 this lettered paragraph may be used to provide chore services. 11 5 The funds shall not be used for any other purposes. In 11 6 providing services to elderly persons, the service provider 11 7 shall coordinate efforts with the integrated case management 11 8 for the frail elderly program of the department of elder 11 9 affairs. As used in this lettered paragraph: 11 10 (1) "Chore services" means services provided to 11 11 individuals or families, who, due to incapacity, or illness, 11 12 are unable to perform certain home maintenance functions. The 11 13 services include but are not limited to yard work such as 11 14 mowing lawns, raking leaves, and shoveling walks; window and 11 15 door maintenance such as hanging screen windows and doors, 11 16 replacing windowpanes, and washing windows; and minor repairs 11 17 to walls, floors, stairs, railings, and handles. It also 11 18 includes heavy house cleaning which includes cleaning attics 11 19 or basements to remove fire hazards, moving heavy furniture, 11 20 extensive wall washing, floor care or painting, and trash 11 21 removal. 11 22 (2) "Elderly person" means a person who is 60 years of age 11 23 or older. 11 24 (3) "Home care aide services" means services intended to 11 25 enhance the capacity of household members to attain or 11 26 maintain the independence of the household members and 11 27 provided by trained and supervised workers to individuals or 11 28 families, who, due to the absence, incapacity, or limitations 11 29 of the usual homemaker, are experiencing stress or crisis. 11 30 The services include but are not limited to essential 11 31 shopping, housekeeping, meal preparation, child care, respite 11 32 care, money management and consumer education, family 11 33 management, personal services, transportation and providing 11 34 information, assistance, and household management. 11 35 (4) "Low-income person" means a person whose income and 12 1 resources are below the guidelines established by the 12 2 department. 12 3 (5) "Protective services" means those home care aide 12 4 services intended to stabilize a child's or an adult's 12 5 residential environment and relationships with relatives, 12 6 caretakers, and other persons or household members in order to 12 7 alleviate a situation involving abuse or neglect or to 12 8 otherwise protect the child or adult from a threat of abuse or 12 9 neglect. 12 10 The amount appropriated in this lettered paragraph shall be 12 11 allocated for use in the counties of the state. Fifteen 12 12 percent of the amount shall be divided so that an equal amount 12 13 is available for use in each county in the state. The 12 14 following percentages of the remaining amount shall be 12 15 allocated to each county according to that county's proportion 12 16 of residents with the following demographic characteristics: 12 17 60 percent according to the number of elderly persons living 12 18 in the county, 20 percent according to the number of persons 12 19 below the poverty level living in the county, and 20 percent 12 20 according to the number of substantiated cases of child abuse 12 21 in the county during the three most recent fiscal years for 12 22 which data is available. 12 23 In order to receive allocations in this lettered paragraph, 12 24 the county board of supervisors, after consultation with the 12 25 local boards of health, human services county cluster boards, 12 26 area agency on aging advisory council, local office of the 12 27 department of human services, and other in-home health care 12 28 provider agencies in the jurisdiction, shall prepare a 12 29 proposal for the use of the allocated funds available for that 12 30 jurisdiction that will provide the maximum benefits of home 12 31 care aide services to elderly and low-income persons and 12 32 children and adults in need of protective services in the 12 33 jurisdiction. An agency requesting service or financial 12 34 information about a current subcontractor shall provide 12 35 similar information concerning its own home care aide or chore 13 1 services program to the current subcontractor. The proposal 13 2 may provide that a maximum of 15 percent of the allocated 13 3 funds will be used to provide chore services. The proposal 13 4 shall include a statement assuring that children and adults in 13 5 need of protective services are given priority for home care 13 6 aide services and that the appropriate local agencies have 13 7 participated in the planning for the proposal. After approval 13 8 of the proposal by the department, the department shall enter 13 9 into a contract with the county board of supervisors or a 13 10 governmental body designated by the county board of 13 11 supervisors. The county board of supervisors or its designee 13 12 shall subcontract with a nonprofit nurses' association, an 13 13 independent nonprofit agency, the department of human 13 14 services, or a suitable local governmental body to use the 13 15 allocated funds to provide home care aide services and chore 13 16 services providing that the subcontract requires any service 13 17 provided away from the home to be documented in a report 13 18 available for review by the department, and that each home 13 19 care aide subcontracting agency shall maintain the direct 13 20 service workers' time assigned to direct client service at 70 13 21 percent or more of the workers' paid time and that not more 13 22 than 35 percent of the total cost of the service be included 13 23 in the combined costs for service administration and agency 13 24 administration. The subcontract shall require that each home 13 25 care aide subcontracting agency shall pay the employer's 13 26 contribution of social security and provide workers' 13 27 compensation coverage for persons providing direct home care 13 28 aide service and meet any other applicable legal requirements 13 29 of an employer-employee relationship. 13 30 If by July 30 of the fiscal year, the department is unable 13 31 to conclude contracts for use of the allocated funds in a 13 32 county, the department shall consider the unused funds 13 33 appropriated in this lettered paragraph an unallocated pool. 13 34 The department shall also identify any allocated funds which 13 35 the counties do not anticipate spending during the fiscal 14 1 year. If the amount of anticipated excess funds to any county 14 2 is substantial, the department and the county may agree to 14 3 return those excess funds, if the funds are other than program 14 4 revenues, to the department, and if returned, the department 14 5 shall consider the returned funds a part of the unallocated 14 6 pool. The department shall, prior to February 15 of the 14 7 fiscal year, reallocate the funds in the unallocated pool 14 8 among the counties in which the department has concluded 14 9 contracts under this lettered paragraph. The department shall 14 10 also review the first 10 months' expenditures for each county 14 11 in May of the fiscal year, to determine if any counties 14 12 possess contracted funds which they do not anticipate 14 13 spending. If such funds are identified and the county agrees 14 14 to release the funds, the released funds will be considered a 14 15 new reallocation pool. The department may, prior to June 1 of 14 16 the fiscal year, reallocate funds from this new reallocation 14 17 pool to those counties which have experienced a high 14 18 utilization of protective service hours for children and 14 19 dependent adults. 14 20 The department shall maintain rules governing the 14 21 expenditure of funds appropriated in this lettered paragraph. 14 22 The rules shall require each local agency receiving funds to 14 23 establish and use a sliding fee scale for those persons able 14 24 to pay for all or a portion of the cost of the services and 14 25 shall require the payments to be applied to the cost of the 14 26 services. The department shall also maintain rules for 14 27 standards regarding training, supervision, recordkeeping, 14 28 appeals, program evaluation, cost analysis, and financial 14 29 audits, and rules specifying reporting requirements. 14 30 The department shall annually evaluate the success of the 14 31 home care aide program. The evaluation shall include a 14 32 description of the program and its implementation, the extent 14 33 of local participation, the extent to which the program 14 34 reduced or prevented inappropriate institutionalization, the 14 35 extent to which the program provided or increased the 15 1 availability of home care aide services to elderly and low- 15 2 income persons and children and adults in need of protective 15 3 services, any problems and recommendations concerning the 15 4 program, and an analysis of the costs of services across the 15 5 state. The department shall submit a report of the annual 15 6 evaluation to the governor and the general assembly. 15 7 e. For the development and maintenance of well-elderly 15 8 clinics in the state: 15 9 .................................................. $ 585,337 15 10 The appropriation in this lettered paragraph shall be 15 11 distributed by a formula to well-elderly clinics located in 15 12 counties which provide funding on a matching basis for the 15 13 well-elderly clinics. 15 14 f. For the physician care for children program: 15 15 .................................................. $ 411,187 15 16 The physician services shall be subject to managed care and 15 17 selective contracting provisions and shall be used to provide 15 18 for the medical treatment of children and shall include 15 19 coverage of diagnostic procedures, prescription drugs, and 15 20 physician-ordered treatments necessary to treat an acute 15 21 condition. Services provided under this lettered paragraph 15 22 shall be reimbursed according to medical assistance 15 23 reimbursement rates. 15 24 g. For primary and preventive health care for children: 15 25 .................................................. $ 75,000 15 26 Funds appropriated in this lettered paragraph shall be for 15 27 the public purpose of providing a renewable grant, following a 15 28 request for proposals, to a statewide charitable organization 15 29 within the meaning of section 501(c)(3) of the Internal 15 30 Revenue Code which was organized prior to April 1, 1989, and 15 31 has as one of its purposes the sponsorship or support for 15 32 programs designed to improve the quality, awareness, and 15 33 availability of health care for the young, to serve as the 15 34 funding mechanism for the provision of primary health care and 15 35 preventive services to children in the state who are uninsured 16 1 and who are not eligible under any public plan of health 16 2 insurance, provided all of the following conditions are met: 16 3 (1) The organization shall provide a match of four dollars 16 4 in advance of each state dollar provided. 16 5 (2) The organization coordinates services with new or 16 6 existing public programs and services provided by or funded by 16 7 appropriate state agencies in an effort to avoid inappropriate 16 8 duplication of services and ensure access to care to the 16 9 extent as is reasonably possible. The organization shall work 16 10 with the Iowa department of public health, family and 16 11 community health division, to ensure duplication is minimized. 16 12 (3) The organization's governing board includes in its 16 13 membership representatives from the executive and legislative 16 14 branches of state government. 16 15 (4) Grant funds are available as needed to provide 16 16 services and shall not be used for administrative costs of the 16 17 department or the grantee. 16 18 h. For the Iowa healthy family program under section 16 19 135.106: 16 20 .................................................. $ 950,000 16 21 The moneys appropriated in this lettered paragraph shall be 16 22 granted pursuant to 1992 Iowa Acts, Second Extraordinary 16 23 Session, chapter 1001, section 415, except that the grants 16 24 shall be extended for an additional year. Notwithstanding the 16 25 provisions of 1992 Iowa Acts, Second Extraordinary Session, 16 26 chapter 1001, section 416, the use of mid-level practitioners 16 27 to improve access to prenatal care shall include obstetrical- 16 28 gynecological nurse practitioners and family nurse 16 29 practitioners focusing on maternal and child health. The 16 30 department is encouraged to expand funding eligibility under 16 31 the program to private physician and clinic-sponsored programs 16 32 servicing low-income populations. The administrative entities 16 33 of the Iowa health family program shall work collaboratively 16 34 to assure continuity of the provision of services from the 16 35 prenatal to the preschool period to an individual client by 17 1 having a single resource mother work with that client. The 17 2 department shall submit an annual report to the general 17 3 assembly concerning the efficiency of the healthy family 17 4 program and make any recommendations for improvements. By 17 5 January 1, 1997, the department shall submit a report to the 17 6 governor and the general assembly on the efforts to increase 17 7 the use of mid-level practitioners under the program. Any 17 8 funds contracted to agencies under this paragraph which are 17 9 projected to be unused at the close of the fiscal year shall 17 10 be allowed to be reallocated within the health family program 17 11 by April 1, 1997. 17 12 The Iowa department of public health and the department of 17 13 human services shall determine if expenses under any portion 17 14 of the healthy family program would qualify for payment under 17 15 the medical assistance program and if so, shall apply to the 17 16 federal government for a medical assistance waiver. The Iowa 17 17 department of public health and the department of human 17 18 services shall evaluate the funding change's potential impact 17 19 upon clients of the healthy family program. 17 20 Of the funds appropriated in this subsection, a minimum of 17 21 $620,000 shall be used for the healthy opportunities for 17 22 parents to experience success program. Funds appropriated in 17 23 excess of $335,000 shall be used by the department to expand 17 24 the program to counties of greatest need. 17 25 i. For primary care provider recruitment and retention 17 26 endeavors: 17 27 .................................................. $ 235,000 17 28 5. STATE BOARD OF DENTAL EXAMINERS 17 29 For salaries, support, maintenance, and miscellaneous 17 30 purposes: 17 31 .................................................. $ 309,768 17 32 6. STATE BOARD OF MEDICAL EXAMINERS 17 33 For salaries, support, maintenance, and miscellaneous 17 34 purposes: 17 35 .................................................. $ 1,036,156 18 1 7. STATE BOARD OF NURSING EXAMINERS 18 2 For salaries, support, maintenance, and miscellaneous 18 3 purposes: 18 4 .................................................. $ 981,403 18 5 8. STATE BOARD OF PHARMACY EXAMINERS 18 6 For salaries, support, maintenance, and miscellaneous 18 7 purposes: 18 8 .................................................. $ 680,138 18 9 9. The state board of medical examiners, the state board 18 10 of pharmacy examiners, the state board of dental examiners, 18 11 and the state board of nursing examiners shall prepare 18 12 estimates of projected receipts to be generated by the 18 13 licensing, certification, and examination fees of each board 18 14 as well as a projection of the fairly apportioned 18 15 administrative costs and rental expenses attributable to each 18 16 board. Each board shall annually review and adjust its 18 17 schedule of fees so that, as nearly as possible, projected 18 18 receipts equal projected costs. 18 19 10. The state board of medical examiners, the state board 18 20 of pharmacy examiners, the state board of dental examiners, 18 21 and the state board of nursing examiners shall retain their 18 22 individual executive officers, but are strongly encouraged to 18 23 share administrative, clerical, and investigative staffs to 18 24 the greatest extent possible. 18 25 11. A local health care provider or nonprofit health care 18 26 organization seeking grant moneys administered by the Iowa 18 27 department of public health shall provide documentation that 18 28 the provider or organization has coordinated its services with 18 29 other local entities providing similar services. 18 30 12. Consolidation of state funding sources for public 18 31 health nursing, home care aid, senior health program, and 18 32 emergency medical services training into a single contract for 18 33 each county shall be available for implementation beginning 18 34 July 1, 1996. It is the department's goal to add federal 18 35 funding for health promotion as federal funds become 19 1 available. The department shall implement statewide a single 19 2 source contract on July 1, 1997, for each county. The 19 3 department may include other state and federal funding sources 19 4 with the understanding that local, city, or county funds not 19 5 be supplanted. 19 6 Sec. 6. DEPARTMENT OF HUMAN RIGHTS. There is appropriated 19 7 from the general fund of the state to the department of human 19 8 rights for the fiscal year beginning July 1, 1996, and ending 19 9 June 30, 1997, the following amounts, or so much thereof as is 19 10 necessary, to be used for the purposes designated: 19 11 1. CENTRAL ADMINISTRATION DIVISION 19 12 For salaries, support, maintenance, and miscellaneous 19 13 purposes: 19 14 .................................................. $ 186,522 19 15 2. COMMUNITY ACTION AGENCIES DIVISION 19 16 For the expenses of the community action agencies 19 17 commission: 19 18 .................................................. $ 3,366 19 19 3. DEAF SERVICES DIVISION 19 20 For salaries, support, maintenance, and miscellaneous 19 21 purposes: 19 22 .................................................. $ 256,167 19 23 Funds remaining in the deaf services interpreting fund that 19 24 are unobligated or unencumbered on July 1, 1996, shall not be 19 25 retained in the fund but shall be transferred to the general 19 26 operating account for the division. 19 27 4. PERSONS WITH DISABILITIES DIVISION 19 28 For salaries, support, maintenance, and miscellaneous 19 29 purposes: 19 30 .................................................. $ 97,765 19 31 5. LATINO AFFAIRS DIVISION 19 32 For salaries, support, maintenance, and miscellaneous 19 33 purposes: 19 34 .................................................. $ 142,442 19 35 6. STATUS OF WOMEN DIVISION 20 1 For salaries, support, maintenance, and miscellaneous 20 2 purposes: 20 3 .................................................. $ 323,879 20 4 a. Of the funds appropriated in this subsection, at least 20 5 $125,775 shall be spent for the displaced homemaker program. 20 6 b. Of the funds appropriated in this subsection, at least 20 7 $42,570 shall be spent for domestic violence and sexual 20 8 assault-related grants. 20 9 7. STATUS OF AFRICAN-AMERICANS DIVISION 20 10 For salaries, support, maintenance, and miscellaneous 20 11 purposes: 20 12 .................................................. $ 105,390 20 13 8. CRIMINAL AND JUVENILE JUSTICE PLANNING DIVISION 20 14 For salaries, support, maintenance, and miscellaneous 20 15 purposes: 20 16 .................................................. $ 478,235 20 17 a. The criminal and juvenile justice planning advisory 20 18 council and the juvenile justice advisory council shall 20 19 coordinate their efforts in carrying out their respective 20 20 duties relative to juvenile justice. 20 21 b. Of the funds appropriated in this subsection, at least 20 22 $36,300 shall be spent for expenses relating to the 20 23 administration of federal funds for juvenile assistance. It 20 24 is the intent of the general assembly that the department of 20 25 human rights employ sufficient staff to meet the federal 20 26 funding match requirements established by the federal office 20 27 for juvenile justice delinquency prevention. The governor's 20 28 advisory council on juvenile justice shall determine the 20 29 staffing level necessary to carry out federal and state 20 30 mandates for juvenile justice. 20 31 9. COMMUNITY GRANT FUND 20 32 For the community grant fund established under section 20 33 232.190 for new grants and the continuation of existing grants 20 34 for the fiscal year beginning July 1, 1996, and ending June 20 35 30, 1997, to be used for the purposes of the community grant 21 1 fund: 21 2 .................................................. $ 1,800,000 21 3 10. SHARED STAFF. Except for the persons with 21 4 disabilities division which shall be administered by the 21 5 director of the department of human rights, the divisions of 21 6 the department of human rights shall retain their individual 21 7 administrators, but shall share staff to the greatest extent 21 8 possible. 21 9 Sec. 7. COMMISSION OF VETERANS AFFAIRS. There is 21 10 appropriated from the general fund of the state to the 21 11 commission of veterans affairs for the fiscal year beginning 21 12 July 1, 1996, and ending June 30, 1997, the following amounts, 21 13 or so much thereof as is necessary, to be used for the 21 14 purposes designated: 21 15 1. COMMISSION OF VETERANS AFFAIRS ADMINISTRATION 21 16 For salaries, support, maintenance, and miscellaneous 21 17 purposes: 21 18 .................................................. $ 234,696 21 19 The commission of veterans affairs may use the gifts 21 20 accepted by the chairperson of the commission of veterans 21 21 affairs, or designee, and other resources available to the 21 22 commission for use at its Camp Dodge office. The commission 21 23 shall report annually to the governor and the general assembly 21 24 on monetary gifts received by the commission for the Camp 21 25 Dodge office. 21 26 2. WAR ORPHANS 21 27 For the war orphans educational aid fund established 21 28 pursuant to chapter 35: 21 29 .................................................. $ 4,800 21 30 3. IOWA VETERANS HOME 21 31 For salaries, support, maintenance, and miscellaneous 21 32 purposes: 21 33 .................................................. $ 38,856,913 21 34 a. The Iowa veterans home may use the gifts accepted by 21 35 the chairperson of the commission of veterans affairs and 22 1 other resources available to the commission for use at the 22 2 Iowa veterans home. 22 3 b. If medical assistance revenues are expanded at the Iowa 22 4 veterans home, and this expansion results in medical 22 5 assistance reimbursements which exceed the amount budgeted for 22 6 that purpose in the fiscal year beginning July 1, 1996, and 22 7 ending June 30, 1997, the Iowa veterans home may expend the 22 8 excess amounts for the purpose of meeting related 22 9 certification requirements or to provide additional beds. The 22 10 expenditure of additional funds received, as outlined in this 22 11 paragraph, is subject to the approval by the department of 22 12 management. 22 13 Sec. 8. Section 232.190, subsection 1, Code 1995, is 22 14 amended to read as follows: 22 15 1. A community grant fund is established in the state 22 16 treasury under the control of the division of criminal and 22 17 juvenile justice planning of the department of human rights 22 18 for the purposes of awarding grants under this section. The 22 19 criminal and juvenile justice planning advisory council and 22 20 the juvenile justice advisory council shall assist the 22 21 division in administering grants awarded under this section. 22 22 The department of human services shall advise the division on 22 23 programs which meet the criteria established for grant 22 24 recipients. Not more thanonefive percent of the moneys 22 25 appropriated to the fund shall be used for administrative 22 26 purposes. 22 27 Sec. 9. Sections 216A.5 and 216A.117, Code 1995, are 22 28 repealed. 22 29 EXPLANATION 22 30 This bill makes appropriations for the 1996-1997 fiscal 22 31 year to the department for the blind, the civil rights 22 32 commission, the state commission of veterans affairs, the 22 33 governor's substance abuse prevention coordinator, and the 22 34 departments of elder affairs, public health, and human rights. 22 35 The bill repeals the section of the Code that eliminates the 23 1 department of human rights and eliminates the interpretations 23 2 services account of the division of deaf services of the 23 3 department of human rights. 23 4 LSB 3213XG 76 23 5 mg/cf/24.3
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